AI psychiatrists promise to detect mental disorders with superhuman accuracy, provide affordable therapy for those who can't afford or can't access treatment, and even invent new psychiatric drugs. But the hype obscures an unnerving reality. In The Silicon Shrink: How Artificial Intelligence Made the World an Asylum (MIT Press, 2025), Daniel Oberhaus tells the inside story of how the quest to use AI in psychiatry has created the conditions to turn the world into an asylum. Most of these systems, he writes, have vanishingly little evidence that they improve patient outcomes, but the risks they pose have less to do with technological shortcomings than with the application of deeply flawed psychiatric models of mental disorder at unprecedented scale.
Oberhaus became interested in the subject of mental health after tragically losing his sister to suicide. In The Silicon Shrink, he argues that these new, ostensibly therapeutic technologies already pose significant risks to vulnerable people, and they won't stop there. These new breeds of AI systems are creating a psychiatric surveillance economy in which the emotions, behavior, and cognition of everyday people are subtly manipulated by psychologically savvy algorithms that have escaped the clinic. Oberhaus also introduces readers to the concept of “swipe psychology,” which is quickly establishing itself as the dominant mode of diagnosing and treating mental disorders.
It is not too late to change course, but to do so means we must reckon with the nature of mental illness, the limits of technology, and what it means to be human.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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