Currently submitted to: JMIR Preprints
Date Submitted: Apr 21, 2024
Open Peer Review Period: Apr 21, 2024 - Apr 6, 2025
(closed for review but you can still tweet)
NOTE: This is an unreviewed Preprint
Warning: This is a unreviewed preprint (What is a preprint?). Readers are warned that the document has not been peer-reviewed by expert/patient reviewers or an academic editor, may contain misleading claims, and is likely to undergo changes before final publication, if accepted, or may have been rejected/withdrawn (a note "no longer under consideration" will appear above).
Peer review me: Readers with interest and expertise are encouraged to sign up as peer-reviewer, if the paper is within an open peer-review period (in this case, a "Peer Review Me" button to sign up as reviewer is displayed above). All preprints currently open for review are listed here. Outside of the formal open peer-review period we encourage you to tweet about the preprint.
Citation: Please cite this preprint only for review purposes or for grant applications and CVs (if you are the author).
Final version: If our system detects a final peer-reviewed "version of record" (VoR) published in any journal, a link to that VoR will appear below. Readers are then encourage to cite the VoR instead of this preprint.
Settings: If you are the author, you can login and change the preprint display settings, but the preprint URL/DOI is supposed to be stable and citable, so it should not be removed once posted.
Submit: To post your own preprint, simply submit to any JMIR journal, and choose the appropriate settings to expose your submitted version as preprint.
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Formulation as Representation - Modelling the Cognitive Space of Mental Health Clinical Reasoning
ABSTRACT
This paper discusses the specific characteristics of any hypothetical cognitive space that may be modelled in order to automate (or partially automate) the kind of mental health clinical reasoning - clinical or psychological case formulation - that is used by mental health professionals. It argues that work into the use of generative artificial intelligence (AI) in the field of mental health needs to consider three components of this kind of clinical reasoning. Firstly, heterotopy. When mental health clinical reasoning statements are made, parsing them does not result in the same representation when the same words are used, due to the fact that mental health ontologies contain multiple meanings for the same words. Secondly, orthogonality. Variables relevant to mental health may not causally intersect but may both be relevant for clinical case formulation and treatment determination. Thirdly, veridicality. The truth of a clinical case formulation may not be determined by any testable observations. Even treatment response may not allow for a determination of truth., The truth status of a clinical case formulation may hinge principally on the degree to which it confers meaning or understanding of a mental state on the person who is experiencing that mental state, and that truth may be different to the truth judgements of a mental healthcare clinician. Automated clinical case formulation models need to accommodate for these features of the cognitive space of mental health clinical case formulation.
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.