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Artificial intelligence and therapeutic relationships in healthcare

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Artificial intelligence and therapeutic relationships in healthcare: challenges and opportunities. An interdisciplinary enquiry

January 24, 2024
St Catharine’s College, Manor Rd, Oxford OX1 3UJ

Meeting Details


Can artificial intelligence enhance compassionate, person-centred, values-based care? Or will it damage autonomy, trust and therapeutic alliances?

Can ‘carebots’ actually care? Are chatbots ‘better’ at empathic communication?

Can AI in healthcare be aligned with human values such as compassion, justice and wisdom?

What are the views of healthcare professionals and patients?

The broad aim of this symposium is to bring together academics and clinicians from a variety of disciplines to explore these and other questions and arrive at an enriched perspective with potential pathways for sustaining relational, compassionate care in the context of this rapidly evolving ‘disruptive’ technology.

Dr Paquita de Zulueta – Introduction to symposium and Human Values in Healthcare Forum

Paquita worked from 1984 as an inner-city, London-based GP (retired 2021) with a special interest in mental health, migrant health, clinical ethics, professional education and development. She is a senior honorary lecturer at Imperial College since 2000 and has been teaching and writing about clinical ethics since 1993. Paquita worked part time as a CBT, compassion focused & EMDR therapist since 2008, and is a qualified coach and mentor. She was for ten years a member of Imperial College NHS Trust’s clinical ethics committee and for 6 years of the Nuffied Council on Bioethics. She is a Schwartz Round facilitator since 2015 for Imperial College NHS Trust and medical school. Paquita has set up a charity called Human Values in Healthcare Forum (HVHF) which aims, in collaboration with others, to rehumanise healthcare and prevent dehumanisation. She is a trustee of the IME and a member of the RCGP ethics committee.

Prof Ann Gallagher – Can carebots care

Jeremy Howick – Can chatbots be as good at empathy as human practitioners?

Dr Gabriela Pavarini – Think outside the bot: Co-designing responsible AI mental health innovations

Dr. Jessica Morley – Designing an algorithmically enhanced NHS

Jess’s talk discusses why it is necessary to design the NHS’s information infrastructure before AI is implemented into the NHS, and highlights the consequences of not taking this approach. Dr. Jessica Morley is a postdoctoral associate at the Yale Digital Ethics Center, Yale University. She has a BA, MSc, and PhD from the University of Oxford. Her research focuses on the technical feasibility, social acceptability, ethical justifiability, and legal compliance of the use of data analytics (including AI) within the healthcare system.

Prof Angeliki Kerasidou – Who is the expert in the room?

AI tools used in healthcare have been shown to perform as well as or in some cases better than human doctors. This raises the question of whether the epistemic authority in clnical decision making should be shifted from human doctors to AI tools and systems. In my talk I examine the question of who should be considered the expert in the room in the AI-assisted healthcare. Angeliki Kerasidou is Associate Professor in Bioethics at the Ethox Centre, University of Oxford. She holds an NDPH Senior Fellowship and is Official Fellow of Reuben College. Her current research focuses on the ethics of AI in global health research and in healthcare with particular focus on the issues of accuracy, efficiency and trust.

Prof Ed Peile – The Patient’s voice in AI enhanced healthcare

Dr Rupal Shah – Fighting for the Soul of General Practice – the algorithm will see you now

The effect of reductionism and trying to protocolise care in the messy context of general practice. Rupal Shah is a GP and GP trainer in Battersea, in the same practice for 19 years. She also works as an Associate Dean for NHS-WTE, in the London Professional Development Team, leading on the Enhancing Generalist Skills programme and is part of the Differential Attainment Strategy group. She has published widely in the field of medical education and has just published ‘Fighting for the Soul of General Practice- the algorithm will see you now.’

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