Do you feel comfortable about using computers to help people with their mental health? If not you are not alone and this might give you some insight into why you feel that way.
Earlier this year I read a book called The Sudden Appearance of Hope by Claire North, a pseudonym belonging to British author Catherine Webb. The story revolves around two interesting ideas. The first is the idea that someone can become forgettable, a characteristic that allows the protagonist to become a very successful criminal because she can count on any witnesses forgetting what she looks like almost immediately. The second idea is the notion that an app can be so persuasive that people will give up their most intimate details and secrets and allow it to control their lives.
Far-fetched? Maybe!
At Stanford University there is a research psychologist by the name of B.J. Fogg who established the University’s “Web Credibility Project” in 2002 and founded the “Persuasive Technology Lab” . Fogg’s specialty is “behaviour design” or “captology” which explores the interface between computers and human behaviour – the way in which devices can be programmed to persuade the user to change their behaviour.
This is not just about all of us who are a bit addicted to our devices - it’s about using program design to generate behaviour change; things like doing more exercise, achieving more life balance, saving more money, studying longer hours or giving up smoking or drinking. Some of the kinds of things we are trying to achieve using online treatment programs.
In his early research Fogg showed that, by using psychological principles, computer applications could persuade people to do things they wouldn’t otherwise do. Unfortunately this also has a potential dark side and reaction to this field of research has been diverse, ranging from excitement at the positive possibilities to concern about the negative implications should the knowledge be used to construct applications that cause damage to society or the individual.
Fogg was hoping his work would improve the world and is apparently a little disillusioned about the way things have worked out, with the main way of utilising these ideas seeming to be in marketing and the development ways for companies to make more money. Nonetheless, he continues to work in the field in the hope that the technology can be used for good as well as “evil”.
If you’d like to know more, start with this article by advertising executive Ian Leslie in The Economist’s 1843 magazine. If you don’t already have a feel for the potential of it all read Claire North’s book. It’s sure to persuade you!
The lesson for me was that I need to be careful about the online resources I recommend and make sure I know what’s in them before I recommend them. It would be a shame to dismiss the positive potential for the use technology in mental health out of fear of the dark side.
Jan is Sydney GP, private psychological medicine practitioner in Sydney’s inner west and a GP educator for Black Dog Institute.
Have you ever been on your way to work and asked yourself “I don’t really feel well . . . should I really be working clinically today” – and yet still turned up and completed a full day’s work?
*In April 2021, approximately 619,000 older Australians (aged 65 and over) were employed in the labour force", and at 66 years, I’m proud to be included in this statistic. By Tessa Moriarty
For as long as I have been in practice (and that’s a long time!) I have done my best to avoid looking after old people.