You must not fool yourself: Feynman, neurodiversity, and honest AI in digital mental health - Summary - MDSpire

You must not fool yourself: Feynman, neurodiversity, and honest AI in digital mental health

  • By

  • David Ruttenberg

  • July 14, 2026

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Objective:

To develop a practical, disclosure-oriented ethical framework for AI in digital mental health, emphasizing honesty about the limitations and biases of AI systems, particularly concerning neurodivergent populations and their ethical implications.

Approach:
  • Feynman's Principle: Translate Feynman's principle of scientific integrity into actionable criteria for AI integrity in digital mental health, focusing on implementation strategies.
  • Neurodiversity Stress Test: Employ the neurodiversity paradigm to examine empirical evidence of AI bias against neurodivergent populations, providing specific examples.
  • Feynman Honesty Standard: Propose a five-criterion Feynman Honesty Standard and a forward research agenda, detailing how each criterion can be applied.
Key Findings:
  • AI tools trained on narrow behavioral and linguistic norms risk misrepresenting neurodivergent users.
  • Existing ethical frameworks have not adequately addressed the need for candor in AI deployment.
  • The field of digital mental health must prioritize transparency about what AI systems know and their limitations.
Interpretation:

The analysis highlights the need for an honesty standard in AI development to ensure ethical practices, especially for vulnerable populations.

Limitations:
  • The empirical evidence primarily addresses autism and ADHD, limiting generalizability to other neurodevelopmental conditions and their implications.
Conclusion:

The field will be evaluated based on both algorithmic performance and transparency regarding the capabilities and limitations of AI systems.

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