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Preprocessing Large-Scale Conversational Datasets: A Framework and Its Application to Behavioral Health Transcripts

Preprocessing Large-Scale Conversational Datasets: A Framework and Its Application to Behavioral Health Transcripts

Analyzing conversational data is a central research focus in fields such as health care [2,3], law [4], customer support [5], negotiations [6], education [7], and behavioral treatment and psychotherapy [8-10]. Among these diverse domains, talk therapy, which relies on a conversation between 2 or more individuals, is a particularly intriguing case for conversation analysis.

Paz Mor Naim, Shiri Sadeh-Sharvit, Samuel Jefroykin, Eddie Silber, Dennis P Morrison, Ariel Goldstein

JMIR Form Res 2025;9:e78082


Mentalizing Without a Mind: Psychotherapeutic Potential of Generative AI

Mentalizing Without a Mind: Psychotherapeutic Potential of Generative AI

In psychotherapy, clients typically cultivate mentalizing skills through curiosity about the therapist’s mind and exploring interpersonal dynamics within the therapeutic relationship. Conversely, interactions with AI preclude reciprocal mentalizing, as users engage with a nonconscious, nonintentional entity.

Karen Yirmiya, Peter Fonagy

J Med Internet Res 2025;27:e79156


Assessment of a Digital Platform for Routine Outcome Monitoring in Psychotherapy: Usability Study and Thematic Analysis

Assessment of a Digital Platform for Routine Outcome Monitoring in Psychotherapy: Usability Study and Thematic Analysis

Digital technologies, such as electronic health records (EHRs) and digital mental health platforms (DMHPs), have become increasingly relevant in psychotherapy [1-3]. These technologies offer several benefits, such as improved documentation and legibility, enhanced information sharing and communication among providers, timely information retrieval, and increased accountability [4].

Mattia Vincenzo Olive, Antonino La Tona, Gianluca Lo Coco, Angelo Compare, Joseph Antony Cafazzo, Cristina Masella

JMIR Med Inform 2025;13:e75885


Changes in Documentation After Implementing Open Notes in Mental Health Care: Pre-Post Mixed Methods Study

Changes in Documentation After Implementing Open Notes in Mental Health Care: Pre-Post Mixed Methods Study

The study was conducted at 3 outpatient university clinics of Psychiatry and Psychotherapy at Brandenburg Medical School, Immanuel Hospital Rüdersdorf, located in the rural Berlin/Brandenburg area. These clinics serve a population of approximately 255,000 residents in the surrounding region. These clinics specialize in comprehensive mental health services, addressing complex cases experiencing chronic or severe mental health conditions requiring multidisciplinary care.

Eva Meier-Diedrich, Charlotte Blease, Martin Heinze, Jonas Wördemann, Julian Schwarz

J Med Internet Res 2025;27:e72667


Exploring the Application of AI and Extended Reality Technologies in Metaverse-Driven Mental Health Solutions: Scoping Review

Exploring the Application of AI and Extended Reality Technologies in Metaverse-Driven Mental Health Solutions: Scoping Review

However, their adoption poses substantial ethical, societal, and regulatory challenges that must be addressed to ensure their responsible and equitable integration into psychotherapy. This scoping review addresses the following research questions (RQs): What are the key applications and associated benefits of AI-XR technologies in mental health and psychotherapy?

Aliya Tabassum, Ibrahim Ghaznavi, Alaa Abd-Alrazaq, Junaid Qadir

J Med Internet Res 2025;27:e72400


Short-Form Psychoeducation Videos: Process Development Study

Short-Form Psychoeducation Videos: Process Development Study

High rates of attrition from psychotherapy are widely acknowledged and present a significant challenge for evidence-based psychotherapy services [1,2,11]. In 2010, Self et al [3] drew on data from the United Kingdom NHS to argue that the only demographic factor consistently correlated with poor attrition in the literature is socioeconomic status, leaving extensive scope for individual differences based on beliefs about mental illness and therapy.

Louise Turtle, Helen Alexandra Wesson, Simon Williamson, Nathan Hodson

JMIR Form Res 2025;9:e66884


Predicting Engagement With Conversational Agents in Mental Health Therapy by Examining the Role of Epistemic Trust, Personality, and Fear of Intimacy: Cross-Sectional Web-Based Survey Study

Predicting Engagement With Conversational Agents in Mental Health Therapy by Examining the Role of Epistemic Trust, Personality, and Fear of Intimacy: Cross-Sectional Web-Based Survey Study

To assess the preference for CA-based therapy over human being-based clinical interventions, participants were asked to answer the following question: “On a scale from 1 to 5, how willing are you to participate in psychotherapy sessions solely facilitated by artificial intelligence (AI), without any interaction with a human psychologist?” (scores range from 1=not at all to 5=extremely).

Fanny Guglielmucci, Daniela Di Basilio

JMIR Hum Factors 2025;12:e70698


Therapy Companion Mobile App for Acceptance and Commitment Therapy Exercises (ACTaide): Therapist and Client Co-Design Study

Therapy Companion Mobile App for Acceptance and Commitment Therapy Exercises (ACTaide): Therapist and Client Co-Design Study

For those who have access to psychotherapy, it has been reported that clients do not fully engage in homework, with surveys indicating that approximately 20% to 50% of clients do not engage in any between-session practice [3].

Serena Thapar, Daniela Quesada, Bärbel Knäuper

JMIR Form Res 2025;9:e69532


Use of a Wearable Self-Tracking Instrument by Refugees With Complex Posttraumatic Stress Disorder: A Qualitative Study of Psychotherapeutic Mediation and Engagement

Use of a Wearable Self-Tracking Instrument by Refugees With Complex Posttraumatic Stress Disorder: A Qualitative Study of Psychotherapeutic Mediation and Engagement

This study was part of a larger participatory action research project aimed at co-developing a self-tracking assisted psychotherapy treatment concept for refugees diagnosed with complex posttraumatic stress disorder (CPTSD) [14].

Lisa Groenberg Riisager, Stine Bjerrum Moeller, Jakob Eg Larsen, Thomas Blomseth Christiansen, Jesper Aagaard, Lotte Huniche

JMIR Form Res 2025;9:e70511


Quantitative Research on Digitalized Treatment Options for Older Adults With Mental Illness: Scoping Review

Quantitative Research on Digitalized Treatment Options for Older Adults With Mental Illness: Scoping Review

The search strategy was built to represent this review’s inclusion criteria in a combination of keywords and Me SH terms: ((digital [Title/Abstract]) OR (technology [Title/Abstract])) AND (((“Psychotherapy” [Me SH]) AND “Aged” [Me SH]) AND (“Mentally Ill Persons” [Me SH] OR “Mental Disorders” [Me SH])) Using Me SH terms enhances the sensitivity of literature searches by automatically including related concepts and synonyms indexed under the same term.

Jennifer Anne Stanford, Sandra Anna Just

JMIR Ment Health 2025;12:e70321