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Ethical risk prevention in client generative artificial intelligence (genAI) use: Applying the primary
1Department of Psychological and Quantitative Foundations, University of Iowa.
The American Psychologist
|May 7, 2026
Summary
Psychologists face new ethical dilemmas with generative artificial intelligence (AI) tools used for emotional support. A primary risk-management model can help professionals proactively address AI-related risks and improve ethical judgment.
Area of Science:
- Psychology
- Ethics
- Artificial Intelligence
Background:
- Clients increasingly use generative AI for emotional support, presenting novel ethical challenges for psychologists.
- AI tools offer accessibility and affordability but carry risks like misinformation, sycophancy, cultural bias, and disruption of the therapeutic alliance.
Purpose of the Study:
- To apply a primary risk-management model to address ethical challenges posed by generative AI in psychological practice.
- To develop a forward-looking, preventive approach for psychologists navigating AI-related ethical dilemmas.
Main Methods:
- Conceptual mapping and application of Crowley and Gottlieb's (2012) primary risk-management model.
- Utilized ethical guidelines from the American Psychological Association (2017) and Chenneville et al. (2024).
- Illustrated the model's application through a worst-case scenario analysis.
Main Results:
- The primary risk-management model provides a structured, five-stage approach (resource accumulation, risk detection, appraisal, management, feedback) for ethical challenges.
- Applying this model can enhance psychologists' ethical alertness and reflexive judgment when dealing with generative AI.
Conclusions:
- Proactive, model-based risk management is crucial for addressing the ethical complexities of generative AI in therapy.
- Recommendations are provided for education, professional policy, and research to enhance preparedness and mitigate harm.
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