Disclosure of suicidal thoughts during an e-mental health intervention: relational ethics meets actor-network theory

Ethics and Behavior 31 (3):151-170 (2021)

Abstract

ABSTRACT The technological revolution has created enormous opportunities for the provision of affordable, accessible, and flexible mental healthcare. Yet it also creates complexities and ethical challenges. While some of these challenges may be similar to face-to-face care, their nuance in the online milieu is different, as relationships, identities and boundaries in this setting are fluid, and there is an absence of physical presence. In this paper we consider the specific ethical complexities involved in the provision of a social networking intervention for depression and problematic alcohol use involving providers and peers. We present a case in which clinicians encountered a participant who repeatedly expressed suicidal thoughts in this online forum, and reflect on how this situation was managed. In analyzing this case, we use relational ethics—which proposes that interpersonal relationships are the fulcrum for ethical decision-making and action—together with actor-network theory—which highlights the power of technology to transform and mediate social and ethical relationships. Our analysis demonstrates the need to move beyond human-centric approaches, to recognize the role of both human and non-human actors in shaping moral decisions and behavior in the provision of e-mental healthcare.

Download options

PhilArchive



    Upload a copy of this work     Papers currently archived: 72,766

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Analytics

Added to PP
2019-12-03

Downloads
6 (#1,141,870)

6 months
1 (#386,989)

Historical graph of downloads
How can I increase my downloads?

Author's Profile

Citations of this work

No citations found.

Add more citations

Similar books and articles

Bruno Latour and Actor-Network-Theory.Bozidar Filipovic - 2012 - Filozofija I Društvo 23 (1):129-149.
Reassembling the Social: An Introduction to the Actor-Network Theory.Bruno Latour - 2005 - Oxford, England and New York, NY, USA: Oxford University Press.
The Experience of Agency in the Feeling of Being Suicidal.Outi Benson - 2013 - Journal of Consciousness Studies 20 (7-8):7-8.
Disclosure and Responsibility in Arendt’s The Human Condition.Garrath Williams - 2015 - European Journal of Political Theory 14 (1):37-54.
3D Printing and Actor-Network Theory.Graham Harman - 2015 - International Journal of Actor-Network Theory and Technological Innovation 7 (1):1-9.
The Notion of Health and the Morality of Genetic Intervention.Erik Malmqvist - 2005 - Medicine, Health Care and Philosophy 9 (2):181-192.
Application of Oriental Philosophical Thoughts in Mental Health.J. P. Balodhi (ed.) - 2002 - National Institute of Mental Health and Neuro Sciences.