mental health practitioners

Abstract: As AI enters reflection and emotional support, understanding how it can participate in personal meaning-making while preserving users' authority over interpretation is increasingly important. We present ClayFlect, a novel MLLM-powered system integrating tactile clay-making with conversational and visual generative AI, and report a mixed-methods study with 50 participants. Reflection developed across material, conversational, and generated forms rather than through AI interaction alone. Participants treated AI representations as provisional: they compared, redirected, reinterpreted, selectively incorporated, or left them aside as their artefacts and meanings evolved. Clay provided a directly manipulable space in which participants could continue developing meaning independently of the AI, while generated representations externalised possibilities beyond what they could readily make or visualise. We show how generative AI can participate through representations that remain negotiable, and derive implications for supporting movement across representations, preserving parallel sites of control, and allowing AI support to recede or deepen as reflection unfolds.

Abstract: Relational AI increasingly serves as an emotional shelter for humans, and its impact is mixed. Prior research has focused on either positive or negative impacts, leaving unclear how they are configured within individuals and relate to psychological functioning. To address these gaps, this study used a sequential mixed-methods design. Study 1 interviewed 52 users with emotional ties to AI and identified four positive impact domains (emotional relief, loneliness alleviation, enhanced interpersonal functioning, and personal growth) and four negative impact domains (virtual-real boundary blur, social replacement, cognitive-emotional reinforcement, and excessive use). Study 2 followed 673 Chinese AI users for six months and identified four profiles of individuals differently impacted by relational AI use: minimal impact, benefit-driven impact, mixed impact, and risk-driven impact. Users in the mixed impact and risk-driven impact profiles were both high in human-AI affective bonding, but those showing risk-driven impact had greater vulnerability, indicated by higher interpersonal need frustration and emotion-regulation difficulties, more depressive and anxiety symptoms, and lower self-esteem and flourishing. Users in the benefit-driven and mixed impact profiles showed more favorable psychological functioning. After controlling for baseline functioning and relevant covariates, Wave 1 profiles did not predict five of the six Wave 2 indicators; only users in the mixed impact profile reported higher flourishing than those in the minimal impact profile. Overall, potential psychological harms associated with relational AI engagement appeared limited and selective. These findings portray relational AI as a heterogeneous socio-emotional context that may partly mirror users' states and traits, warranting individualized, adaptive safeguards.

Abstract: Positive everyday moments often escape deliberate recording, while continuous self-tracking can generate extensive records that are difficult to revisit. We explore laughter as a naturally occurring, sparse index for constructing contextualized personal records to support later reconstruction and reflection. A formative study with 12 participants characterized laughter as an affective but semantically incomplete index and informed \textit{LaughAnchor}, a mobile and wearable self-tracking system. During participant-initiated recording, the system assembles detected laughter and aligned context into candidate moments for later reconstruction and reflection, with layered context disclosure, user-controlled curation, and near-term and long-term resurfacing. In a three-week field deployment with 12 participants, passive indexing preserved moments they considered unlikely to record deliberately but valued retrospectively. During resurfacing, participants attributed affective re-experiencing to laughter and used additional context both to reconstruct episodes and to explore already-recalled experiences. Across moments and reviews, resurfacing supported rediscovery and broader awareness of relationships, routines, and emotional states. These findings inform self-tracking designs that use sparse affective indices to organize contextual records for reconstruction and reflection, while keeping interpretation and retention under user control.