Artificial intelligence-assisted visual elicitation in anorexia nervosa : Qualitative case studies.

IF 1.1 Q4 PSYCHIATRY

NEUROPSYCHIATRIE Pub Date : 2025-09-01 Epub Date: 2025-07-28 DOI:10.1007/s40211-025-00538-2

Dimitri Chubinidze, Catherine Perry, Kate Tchanturia

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Abstract

Purpose: This study explored the feasibility and therapeutic potential of combining artificial intelligence (AI)-assisted visual elicitation with sensory-attuned guided reflection to support emotional expression and engagement in individuals with anorexia nervosa (AN).

Methods: We conducted a two-session, therapist-led intervention with two adults with restrictive AN. In session 1, we guided participants to reflect on emotionally challenging experiences using metaphor and sensory language cues. We translated these narratives into prompts for DALL·E (v3; OpenAI, San Francisco, CA, USA), an AI image-generation tool. In session 2, participants selected from curated images to reflect on and deepen their exploration of emotional experiences. We analysed the data using reflexive thematic analysis and performed a cross-case synthesis.

Results: Visual metaphors helped to externalise and communicate emotions, evoke embodied responses and refine affective descriptions. The co-creative process fostered therapeutic engagement and a greater sense of agency in both participants.

Conclusion: AI-assisted visual elicitation, integrated into a structured therapeutic process, may offer an additional benefit to talking therapy for individuals with AN. By enabling visual expression, this approach could support emotional insight and communication in populations with emotion labelling and regulation differences.

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神经性厌食症的人工智能辅助视觉诱发：定性案例研究。

目的：本研究探讨人工智能（AI）辅助视觉激发与感官调节引导反射相结合的可行性和治疗潜力，以支持神经性厌食症（AN）患者的情绪表达和参与。方法：我们对两名患有限制性AN的成年人进行了为期两期的治疗师主导的干预。在第一阶段，我们引导参与者使用隐喻和感觉语言线索来反思情感挑战经验。我们将这些叙述翻译成DALL·E (v3；OpenAI, San Francisco， CA， USA)，一个人工智能图像生成工具。在第二部分，参与者从精心策划的图像中选择，反思并深化他们对情感体验的探索。我们使用反身性主题分析分析数据，并进行了跨案例综合。结果：视觉隐喻有助于情感外化和交流，唤起具身反应，精炼情感描述。共同创造的过程促进了双方的治疗参与和更大的能动性。结论：人工智能辅助的视觉诱导，整合到一个结构化的治疗过程中，可能为an患者的谈话治疗提供额外的好处。通过实现视觉表达，这种方法可以支持情绪标签和调节差异人群的情绪洞察和沟通。

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来源期刊

NEUROPSYCHIATRIE PSYCHIATRY-

CiteScore

3.80

自引率

20.00%

发文量

期刊介绍： Die Zeitschrift ist das offizielle Organ der „Österreichischen Gesellschaft für Psychiatrie, Psychotherapie und Psychosomatik (ÖGPP)'', und wissenschaftliches Organ der Österreichischen Alzheimer Gesellschaft, der Österreichischen Gesellschaft für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, der Österreichischen Schizophreniegesellschaft, und der pro mente austria - Österreichischer Dachverband der Vereine und Gesellschaften für psychische und soziale Gesundheit.Sie veröffentlicht Übersichten zu relevanten Themen des Fachs, Originalarbeiten, Kasuistiken sowie Briefe an die Herausgeber. Zudem wird auch Buchbesprechungen sowie Neuigkeiten aus den Bereichen Personalia, Standes- und Berufspolitik sowie Kongressankündigungen Raum gewidmet.Thematisch ist das Fach Psychiatrie und die Methoden der Psychotherapie in allen ihren Facetten vertreten. Die Zeitschrift richtet sich somit an alle Berufsgruppen, die sich mit Ursachen, Erscheinungsformen und Behandlungsmöglichkeiten von psychischen Störungen beschäftigen. -----------------------------------------------------------------------------------------------------· The professional and educational journal of the Austrian Society of Psychiatry, Psychotherapy and Psychosomatics (Österreichische Gesellschaft für Psychiatrie, Psychotherapie und Psychosomatik; ÖGPP) and the Austrian Society of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy (Österreichische Gesellschaft für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie; ÖGKJP)· Overviews of all relevant topics pertaining to the discipline· Intended for all occupational groups committed to the causes and manifestations of, as well as therapy options for psychic disorders· All manuscripts principally pass through a double-blind peer review process involving at least two independent expertsThe official journal of the Austrian Societies of Psychiatry, Psychotherapy and Psychosomatics (ÖGPP) and Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy (ÖGKJP)The journal publishes overviews of relevant issues in the field, original work, case reports and letters to the editors. In addition, space is devoted to book reviews, news from the areas of personnel matters and professional policies, and conference announcements.Thematically, the discipline of psychiatry and the methods of psychotherapy are represented in all their facets. The journal is thus aimed at all professional groups committed to the causes and manifestations of, as well as therapy options for psychic disorders