{"id":"https://openalex.org/W7139949375","doi":"https://doi.org/10.48550/arxiv.2603.18375","title":"Relationship-Centered Care: Relatedness and Responsible Design for Human Connections in Mental-Health Care","display_name":"Relationship-Centered Care: Relatedness and Responsible Design for Human Connections in Mental-Health Care","publication_year":2026,"publication_date":"2026-03-19","ids":{"openalex":"https://openalex.org/W7139949375","doi":"https://doi.org/10.48550/arxiv.2603.18375"},"language":null,"primary_location":{"id":"doi:10.48550/arxiv.2603.18375","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2603.18375","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article"},"type":"preprint","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.48550/arxiv.2603.18375","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5130220868","display_name":"Shivam Shukla","orcid":null},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Shukla, Shivam","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5128773175","display_name":"Emily Chen","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chen, Emily","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Roshanaei, Mahnaz","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Roshanaei, Mahnaz","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5087676774","display_name":"Magy Seif El\u2010Nasr","orcid":"https://orcid.org/0000-0002-7808-1686"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"El-Nasr, Magy Seif","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5130220868"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.8736000061035156,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.8736000061035156,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12128","display_name":"AI in Service Interactions","score":0.011300000362098217,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.008700000122189522,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/operationalization","display_name":"Operationalization","score":0.7289999723434448},{"id":"https://openalex.org/keywords/set","display_name":"Set (abstract data type)","score":0.5773000121116638},{"id":"https://openalex.org/keywords/function","display_name":"Function (biology)","score":0.5178999900817871},{"id":"https://openalex.org/keywords/mental-health","display_name":"Mental health","score":0.4943000078201294},{"id":"https://openalex.org/keywords/field","display_name":"Field (mathematics)","score":0.47110000252723694},{"id":"https://openalex.org/keywords/alliance","display_name":"Alliance","score":0.37290000915527344}],"concepts":[{"id":"https://openalex.org/C9354725","wikidata":"https://www.wikidata.org/wiki/Q286017","display_name":"Operationalization","level":2,"score":0.7289999723434448},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.5773000121116638},{"id":"https://openalex.org/C14036430","wikidata":"https://www.wikidata.org/wiki/Q3736076","display_name":"Function (biology)","level":2,"score":0.5178999900817871},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.4943000078201294},{"id":"https://openalex.org/C9652623","wikidata":"https://www.wikidata.org/wiki/Q190109","display_name":"Field (mathematics)","level":2,"score":0.47110000252723694},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.4399000108242035},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4293999969959259},{"id":"https://openalex.org/C2778431023","wikidata":"https://www.wikidata.org/wiki/Q878249","display_name":"Alliance","level":2,"score":0.37290000915527344},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.35429999232292175},{"id":"https://openalex.org/C192209626","wikidata":"https://www.wikidata.org/wiki/Q190909","display_name":"Focus (optics)","level":2,"score":0.3456000089645386},{"id":"https://openalex.org/C188147891","wikidata":"https://www.wikidata.org/wiki/Q147638","display_name":"Cognitive science","level":1,"score":0.30630001425743103},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.3019999861717224},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3012000024318695},{"id":"https://openalex.org/C55587333","wikidata":"https://www.wikidata.org/wiki/Q1133029","display_name":"Engineering ethics","level":1,"score":0.29499998688697815},{"id":"https://openalex.org/C4554734","wikidata":"https://www.wikidata.org/wiki/Q593744","display_name":"Knowledge base","level":2,"score":0.29109999537467957},{"id":"https://openalex.org/C539667460","wikidata":"https://www.wikidata.org/wiki/Q2414942","display_name":"Management science","level":1,"score":0.2874999940395355},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.2874000072479248},{"id":"https://openalex.org/C2779943754","wikidata":"https://www.wikidata.org/wiki/Q5570863","display_name":"Global mental health","level":3,"score":0.2750999927520752},{"id":"https://openalex.org/C2910200283","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychological Theory","level":2,"score":0.2653999924659729},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.2574999928474426},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.25049999356269836}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.48550/arxiv.2603.18375","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2603.18375","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"article"}],"best_oa_location":{"id":"doi:10.48550/arxiv.2603.18375","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2603.18375","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article"},"sustainable_development_goals":[{"display_name":"Life in Land","id":"https://metadata.un.org/sdg/15","score":0.5446314215660095}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"There":[0],"has":[1],"been":[2],"a":[3,48,59,95,136,156,177,181,199,202],"growing":[4],"research":[5],"interest":[6],"in":[7,22,50,209],"Digital":[8],"Therapeutic":[9],"Alliance":[10],"(DTA)":[11],"as":[12,173,176],"the":[13,37,45,74,83,122,129,140,150],"field":[14],"of":[15,52,69,131,158,206],"AI-powered":[16],"conversational":[17],"agents":[18],"are":[19],"being":[20],"deployed":[21],"mental":[23,210],"health":[24,211],"care,":[25],"particularly":[26],"those":[27],"delivering":[28],"CBT":[29],"(Cognitive":[30],"Behaviour":[31],"Therapy).":[32],"Our":[33],"proposition":[34],"argues":[35],"that":[36,71,102,108,120,169],"current":[38],"design":[39,160],"paradigm":[40],"which":[41,80,88],"seeks":[42],"to":[43,105],"optimize":[44],"bond":[46],"between":[47],"patient":[49],"need":[51,77,143],"support":[53],"and":[54,152,162,192],"an":[55,67,117],"AI":[56,107,124,167,208],"agent":[57],"contains":[58],"subtle":[60],"but":[61,175],"consequential":[62],"trap:":[63],"it":[64],"risks":[65],"producing":[66],"\"appearance":[68],"connection\"":[70],"unintentionally":[72],"disrupts":[73],"fundamental":[75],"human":[76,85],"for":[78,144,165,179],"relatedness,":[79],"potentially":[81],"displaces":[82],"authentic":[84],"relationships":[86,104],"upon":[87],"long-term":[89],"psychological":[90,142],"recovery":[91],"depends.":[92],"We":[93],"propose":[94,116],"reorientation":[96],"from":[97],"designing":[98,106],"artificial":[99],"intelligence":[100],"tools":[101],"simulate":[103],"scaffolds":[109],"them.":[110],"To":[111],"operationalize":[112],"our":[113],"argument,":[114],"we":[115,197],"interdisciplinary":[118],"model":[119,148,200],"translates":[121],"Responsible":[123],"Six":[125],"Sphere":[126],"Framework":[127],"through":[128],"lens":[130],"Self-Determination":[132],"Theory":[133],"(SDT),":[134],"with":[135,188],"specific":[137],"focus":[138],"on":[139],"basic":[141],"relatedness.":[145],"The":[146],"resulting":[147],"offers":[149],"technical":[151],"other":[153],"clinical":[154],"communities":[155],"set":[157],"relationship-centered":[159,207],"guidelines":[161],"relevant":[163],"provocations":[164],"building":[166],"systems":[168],"function":[170],"not":[171],"just":[172],"companions,":[174],"catalyst":[178],"strengthening":[180],"patient's":[182],"entire":[183],"relational":[184],"ecology;":[185],"their":[186],"connections":[187],"therapists,":[189],"caregivers,":[190],"family,":[191],"peers.":[193],"In":[194],"doing":[195],"so,":[196],"discuss":[198],"towards":[201],"more":[203],"sustainable":[204],"ecosystem":[205],"care.":[212]},"counts_by_year":[],"updated_date":"2026-04-30T09:15:22.047038","created_date":"2026-03-21T00:00:00"}
