Ethical Dimensions of Digital Phenotyping Within the Context of Mental Healthcare

Abstract

Digital phenotyping (DP) refers to the emerging field within digital (mental) health that involves the collection of data from individual’s digital devices (smartphones, wearable, Internet usage, etc.) to monitor and analyse their behaviours, activities and health-related patterns. That such ‘digital footprint’ data can be mined for behavioural insights is an intriguing idea, which has motivated an increasing amount of research activity, particularly in the field of digital mental health. Whilst of potentially revolutionary utility in (mental) healthcare, the idea of DP also raises a set of rich sociotechnical, ethical and philosophical considerations, and a cottage industry of sociotechnical and ethical critiques of DP has emerged, particularly within the humanities. Within this scene of early empirical investigation in the health/behavioural sciences on the one hand and general conceptual critiques from the humanities on the other, in this paper we instead explore a case for the potential utility of DP in circumstances of clinical mental health practice and examine its ethical dimensions in this context. After providing an explicatory framework for DP and making a case for it within this framework, we subsequently examine the ethical pros and cons of three topics pertaining to DP in clinical practice, namely (1) issues in psychometric assessment/testing, (2) the role and responsibilities of mental health practitioners with regard to DP technology, and (3) the value DP can afford clients in terms of self-awareness/empowerment and strengthening the therapeutic alliance with their clinician.