APPLICATIONS OF COMPUTER THERAPY

There has been occasional criticism of the use of computers in psychiatry in general and for data collection from patients in particular. Computer psychotherapy seems even more threatening to some individuals, yet clearly, the use of nonhuman devices in medicine is far from inhumane since technological advances in many fields  have brought substantial health benefits to patients. Critics often speak on behalf of a patient constituency without consulting them. Whenever patient-computer interactions have been evaluated by patients, the reaction has been strongly positive, often to the point of preferring the computer as an interviewer over the doctor.This seems to be especially true when sensitive subject matter is being discussed as is often the case in psychotherapy. Too often, there is an immodest overestimation of the benefits of human psychotherapy  based on an absence of  comparisons with other treatments and occasionally on simple  self interest. Compounding these deficiencies is a large public health problem poorly met by present-day techniques. There is clearly a need   for computer therapies in psychiatry,though their proper development will require careful work and will be limited more by the  problems inherent in psychotherapy than by practical computing considerations.

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