人工智慧助力抑鬱症治療：道家視角

LANGUAGE NOTE | Document text in Chinese; abstract also in English. 近些年，全球抑鬱症患者顯著增加，傳統線下心理治療面臨可及性、便利性和社會污名化等挑戰，已成為全球公共術生領域的關注焦點。在此背景下，人工智慧(AI)聊天機器人的快速發展為其提供了新的解決方案，但AI聊天機器人仍面臨患者隱私信息保護、算法偏見、人機過度依賴及責任歸屬等倫理問題。因此，本文借用道家哲學思想對AI醫學倫理進行反思，並引用心理健康、人工智慧和機器學習等多領域知識。通過探討AI聊天機器人治療抑鬱症可能出現的人機過度依賴和責任歸屬的倫理問題，以期AI技術發展的同時，亦能維護人的自由與本真狀態，實現技術創新與人文闋懷的和諧統一。 The current rapid increase in the number of people suffering from depression globally has presented traditional offline psychotherapies with various challenges, such as regarding accessibility, convenience of treatment, and social stigma, which have become focal areas in the global public health domain. In this context, the rapid development of artificial intelligence (AI) chatbots has provided new solutions. However, AI chatbots still face ethical issues regarding patient privacy information protection, algorithmic bias, human–machine overdependence, and responsibility attribution. Therefore, this paper draws on the philosophical ideas of Daoism to reflect on the ethics of AI medicine and references the knowledge of multiple fields such as mental health, AI, and machine learning. We explore the ethical issues of human–machine overdependence and responsibility attribution that may arise in the use of AI chatbots to treat depression. The goal should be to ensure that human freedom and authenticity are protected alongside the development of AI technology, thus achieving harmony between technological innovation and humanistic care.