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Official Blog of the AALS Section on Contracts

AI Assists in Union Busting

As we noted last August, 2022 saw a dramatic uptick in unionization in the United States.  Not surprisingly, for every action, there is a dastardly corporate reaction.  But this is pretty extraordinary.  

NEDAAccording to , writing in The Business Insider, the National Eating Disorder Association (NEDA) is shutting down its human-run helpline and replacing it with an artificial intelligence program called Tessa.  Staff members who worked on the hotline were recognized as part of a labor union on March 17th.  Two weeks later, NEDA announced that it was firing its employees and replacing them with a chatbot, effective June 1st.  The human hotline was staffed by six paid workers and 200 volunteers.  If you call it now, you receive an automated message that advises people in need of human contact to use the Crisis Text Line

Kate Wells of National Public Radio reported that nearly 70,000 people called the Helpline in 2022, double the number who called before the COVID pandemic.  NEDA notes that the Helpline is overburdened, and people often have to wait before they can talk to someone.  A NEDA spokesperson noted that the Helpline was staffed with volunteers who were not trained to deal with crisis situations. 

Guess what the unionizing workers wanted.  More money?  No.  More training and more staff!  

The creator of Tessa, Ellen Fitzsimmons-Craft, speaking to NPR, acknowledged that the program is not capable of the kind of empathy that comes from an actual human being, but it beats just being put on a waitlist.  Okay.  That sounds like there could be a role for Tessa.  Still, Tessa is no panacea.  According to Dr. Fitzsimmons-Craft, Tessa is “really a tool in its current form that’s going to help you learn and use some strategies to address your disordered eating and your body image.”  But she does not represent Tessa as a substitute for the helpline.  “It’s not an open-ended tool for you to talk to and feel like you’re just going to have access to kind of a listening ear, maybe like the helpline was.”

But I’m no expert on the AI potential for helping people with eating disorders, so I asked my good friend ChatGPT whether is it a good idea to replace an eating disorder helpline with AI.

Here is ChatGPT’s response

HAL_9000Replacing an eating disorder helpline with AI alone may not be a comprehensive or effective solution. While AI can provide certain benefits in the field of mental health, it is important to consider the limitations and potential risks involved.

Here are a few points to consider:

  1. Emotional support: Eating disorders are complex mental health issues that often require empathy, understanding, and emotional support. Human helpline operators, who are trained professionals, can provide a compassionate and empathetic response, which is crucial for individuals struggling with eating disorders. AI, on the other hand, may lack the emotional intelligence and sensitivity needed to address the nuanced needs of those seeking help.

  2. Personalization: Each individual’s experience with an eating disorder is unique. Human helpline operators can tailor their responses to the specific needs of the caller, providing personalized advice and guidance. AI, while capable of processing large amounts of data, may struggle to offer the same level of personalization and individualized care.

  3. Ethical considerations: Privacy and confidentiality are of utmost importance when dealing with mental health issues. AI systems need to ensure the protection of personal information and adhere to ethical guidelines. However, concerns about data security and privacy breaches remain, potentially leading to trust issues and reluctance among individuals to seek help.

  4. Diagnostic accuracy: Eating disorders require careful assessment and diagnosis. Qualified professionals are trained to recognize the signs and symptoms, conduct assessments, and make appropriate referrals. While AI can assist in providing information and resources, it may not possess the same level of accuracy and clinical judgment as human experts.

However, it’s worth noting that incorporating AI into existing helpline services can be beneficial. AI can augment human operators by providing additional resources, information, and tools that can enhance the quality and efficiency of the service. For example, AI can help automate administrative tasks, offer educational materials, or provide self-help resources.

In conclusion, while AI can play a supportive role in eating disorder helplines, completely replacing human operators with AI may not be ideal. A combination of human expertise and AI technology can provide a more comprehensive and effective solution, ensuring that individuals receive the necessary emotional support and personalized care.