Generative AI as interactional infrastructure for meaning-centered care in later life - Summary - MDSpire

Generative AI as interactional infrastructure for meaning-centered care in later life

  • By

  • Bing Chen

  • An-Yue Jin

  • June 16, 2026

  • 0 min

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Objective:

To propose a framework for integrating generative AI in mental health care for older adults that emphasizes meaning-centered approaches addressing existential concerns.

Key Findings:
  • Current AI applications in mental health are primarily symptom-centric, neglecting existential concerns of older adults.
  • Generative AI can serve as an interactional infrastructure for meaning-centered care, enhancing rather than replacing human interactions.
  • The framework emphasizes the importance of dignity, continuity of self, relational quality, and the need for human oversight in mental health care for older adults.
Interpretation:

Generative AI should be viewed as a supportive tool that enhances human interactions while addressing the complex mental health needs of older adults by focusing on their existential and relational dimensions.

Limitations:
  • The framework does not assume current AI technologies are capable of conducting psychotherapy independently.
  • There are concerns regarding trust, dependency, and the quality of human-technology interactions, particularly in the context of older adults.
Conclusion:

Generative AI may enhance public mental health for older adults when used as a human-supervised, culturally responsive tool that supports meaning-centered care.

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