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Factorial Trial to Optimize an Internet-Delivered Intervention for Sexual Health After Breast Cancer: Protocol for the WF-2202 Sexual Health and Intimacy Enhancement (SHINE) Trial

Factorial Trial to Optimize an Internet-Delivered Intervention for Sexual Health After Breast Cancer: Protocol for the WF-2202 Sexual Health and Intimacy Enhancement (SHINE) Trial

We hypothesize that the intervention components will influence sexual morbidity via mediators selected based on social cognitive theory [34], specifically, through increased knowledge about sexual concerns and self-efficacy to discuss them, as well as emotional intimacy with one’s partner (see Figure 1 for the trial conceptual model).

Kelly M Shaffer, Jennifer Barsky Reese, Emily V Dressler, Jillian V Glazer, Wendy Cohn, Shayna L Showalter, Anita H Clayton, Suzanne C Danhauer, Michelle Loch, Mai Kadi, Caleigh Smith, Kathryn E Weaver, Glenn J Lesser, Lee M Ritterband

JMIR Res Protoc 2024;13:e57781

The Machine Speaks: Conversational AI and the Importance of Effort to Relationships of Meaning

The Machine Speaks: Conversational AI and the Importance of Effort to Relationships of Meaning

These CAIs aim to provide intimacy, but of what sort? Turkle suggests that this intimacy is necessarily fraudulent since it is (by design) devoid of the emotional vulnerability crucial to genuine intimacy [2]. Similarly, these CAIs eliminate the demands and challenges of empathy required for genuine interpersonal exchanges [1,3]. These arguments align with Turkle’s long-standing critique of how computers affect our relationships with ourselves and with others [3-5].

Anna Hartford, Dan J Stein

JMIR Ment Health 2024;11:e53203