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- February 2025
- Article
Disclosure, Humanizing, and Contextual Vulnerability of Generative AI Chatbots
By: Julian De Freitas and I. Glenn Cohen
In the wake of recent advancements in generative AI, regulatory bodies are trying to keep pace. One key decision is whether to require app makers to disclose the use of generative AI-powered chatbots in their products. We suggest that some generative AI-based chatbots... View Details
Keywords: AI and Machine Learning; Governing Rules, Regulations, and Reforms; Applications and Software; Well-being
De Freitas, Julian, and I. Glenn Cohen. "Disclosure, Humanizing, and Contextual Vulnerability of Generative AI Chatbots." New England Journal of Medicine AI 2, no. 2 (February 2025).
- 2025
- Working Paper
The Hidden Costs of Working Multiple Jobs: Implications for Spending Behavior and Wellbeing
By: Paige Tsai and Ryan W. Buell
Across three studies, combining survey data, transaction-level analysis from 90,548 customers of a nationwide retail
bank, and insights from the General Social Survey, we study whether people with multiple jobs spend their labor income differently than people who earn... View Details
Keywords: Behavioral Operations; Employee Behavior; Job Design and Levels; Personal Finance; Well-being; Happiness; Satisfaction; Wages
Tsai, Paige, and Ryan W. Buell. "The Hidden Costs of Working Multiple Jobs: Implications for Spending Behavior and Wellbeing." Harvard Business School Working Paper, No. 25-036, January 2025.
- 2024
- Article
Psychological Safety as an Enduring Resource amid Constraints
By: Hassina Bahadurzada, Amy C. Edmondson and Michaela J. Kerrissey
While psychological safety is recognized as valuable in healthcare, its relationship to resource constraints is not well understood. We investigate whether psychological safety mitigates the negative impact of resource constraints on employees. Leveraging longitudinal... View Details
Keywords: Burnout; Psychological Safety; Healthcare Administration; Health Care and Treatment; Employees; Retention; Well-being; Health Industry
Bahadurzada, Hassina, Amy C. Edmondson, and Michaela J. Kerrissey. "Psychological Safety as an Enduring Resource amid Constraints." Special Issue on Psychological Safety in Healthcare Settings. International Journal of Public Health 69 (2024).
- 2024
- Working Paper
Why Most Resist AI Companions
By: Julian De Freitas, Zeliha Oğuz-Uğuralp, Ahmet Kaan Uğuralp and Stefano Puntoni
Chatbots are now able to form emotional relationships with people and alleviate loneliness—a growing public health concern. Behavioral research provides little insight into whether everyday people are likely to use these applications and why. We address this question... View Details
Keywords: Generative Ai; Chatbots; Artificial Intelligence; Algorithmic Aversion; Lonelines; Technology Adoption; AI and Machine Learning; Well-being; Emotions
De Freitas, Julian, Zeliha Oğuz-Uğuralp, Ahmet Kaan Uğuralp, and Stefano Puntoni. "Why Most Resist AI Companions." Harvard Business School Working Paper, No. 25-030, December 2024. (Revised January 2025.)
- October 18, 2024
- Article
Why Workplace Well-Being Programs Don’t Achieve Better Outcomes
By: Jazz Croft, Acacia Parks and Ashley Whillans
By 2026, global corporate spending on wellness programs is set to top $94.6 billion, yet anticipated improvements in well-being are not being realized,
and, in fact, mental health needs are continuing to rise around the world. Drawing on a large body of recent... View Details
Croft, Jazz, Acacia Parks, and Ashley Whillans. "Why Workplace Well-Being Programs Don’t Achieve Better Outcomes." Harvard Business Review Digital Articles (October 18, 2024).
- October 17, 2024
- Article
How to Build a Life: Why Humility Is the Key to Well-Being
By: Arthur C. Brooks
Brooks, Arthur C. "How to Build a Life: Why Humility Is the Key to Well-Being." The Atlantic (October 17, 2024).
- 2024
- Working Paper
Lessons from an App Update at Replika AI: Identity Discontinuity in Human-AI Relationships
By: Julian De Freitas, Noah Castelo, Ahmet Uğuralp and Zeliha Uğuralp
Can consumers form deep emotional bonds with AI and be vested in AI identities over time? We
leverage a natural app-update event at Replika AI, a popular US-based AI companion, to shed
light on these questions. We find that customers feel closer to their AI companion... View Details
De Freitas, Julian, Noah Castelo, Ahmet Uğuralp, and Zeliha Uğuralp. "Lessons from an App Update at Replika AI: Identity Discontinuity in Human-AI Relationships." Harvard Business School Working Paper, No. 25-018, October 2024. (Revised December 2024.)
- September 23, 2024
- Article
AI Wants to Make You Less Lonely. Does It Work?
De Freitas, Julian. "AI Wants to Make You Less Lonely. Does It Work?" Wall Street Journal (September 23, 2024), R.11.
- August 13, 2024
- Editorial
Can AI Save Physicians from Burnout?
By: Susanna Gallani, Lidia Moura and Katie Sonnefeldt
Gallani, Susanna, Lidia Moura, and Katie Sonnefeldt. "Can AI Save Physicians from Burnout?" Harvard Business School Working Knowledge (August 13, 2024).
- July 2024
- Case
Jacqueline Cook at Vendasta: Debating an IPO
By: Reza Satchu, Tom Quinn and Andrew Kosc
In May 2021, after a surge in demand for digital services that prompted high valuations for startups across the Canadian tech sector, Saskatchewan-based Vendasta entered the final stages of the initial public offering (IPO) process. COO Jacqueline Cook had invested her... View Details
Keywords: Business Growth and Maturation; Business Startups; Interpersonal Communication; Cost vs Benefits; Forecasting and Prediction; Business Cycles; Entrepreneurship; Fairness; Capital Markets; Private Equity; Investment Banking; Stock Options; Financial Markets; Initial Public Offering; Institutional Investing; Price Bubble; Digital Platforms; Digital Transformation; Internet and the Web; Leadership; Growth and Development Strategy; Managerial Roles; Agreements and Arrangements; Going Public; Ownership Stake; Performance Expectations; Work-Life Balance; Strategic Planning; Business and Stakeholder Relations; Rank and Position; Risk and Uncertainty; Opportunities; Happiness; Reputation; Status and Position; Well-being; Information Technology Industry; Retail Industry; Canada
Satchu, Reza, Tom Quinn, and Andrew Kosc. "Jacqueline Cook at Vendasta: Debating an IPO." Harvard Business School Case 825-037, July 2024.
- July 2024
- Article
Chatbots and Mental Health: Insights into the Safety of Generative AI
By: Julian De Freitas, Ahmet Kaan Uğuralp, Zeliha Uğuralp and Stefano Puntoni
Chatbots are now able to engage in sophisticated conversations with consumers. Due to the ‘black box’ nature of the algorithms, it is impossible to predict in advance how these conversations will unfold. Behavioral research provides little insight into potential safety... View Details
Keywords: Autonomy; Chatbots; New Technology; Brand Crises; Mental Health; Large Language Model; AI and Machine Learning; Behavior; Well-being; Technological Innovation; Ethics
De Freitas, Julian, Ahmet Kaan Uğuralp, Zeliha Uğuralp, and Stefano Puntoni. "Chatbots and Mental Health: Insights into the Safety of Generative AI." Journal of Consumer Psychology 34, no. 3 (July 2024): 481–491.
- July 16, 2024
- Comment
Do ‘Black Individuals’ Really Display No Linguistic Markers of Depression?
De Freitas, Julian. "Do ‘Black Individuals’ Really Display No Linguistic Markers of Depression?" Proceedings of the National Academy of Sciences 121, no. 29 (July 16, 2024).
- July 2024
- Case
Replika AI: Alleviating Loneliness (A)
By: Shikhar Ghosh and Shweta Bagai
Eugenia Kuyda launched Replika AI in 2017 as an empathetic digital companion to combat loneliness and provide emotional support. The platform surged in popularity during the COVID-19 pandemic, offering non-judgmental support to isolated users. By 2023, Replika boasted... View Details
Keywords: Entrepreneurship; Ethics; Health Pandemics; AI and Machine Learning; Well-being; Technology Industry
Ghosh, Shikhar, and Shweta Bagai. "Replika AI: Alleviating Loneliness (A)." Harvard Business School Case 824-088, July 2024.
- 2024
- Working Paper
AI Companions Reduce Loneliness
By: Julian De Freitas, Ahmet K Uguralp, Zeliha O Uguralp and Puntoni Stefano
Chatbots are now able to engage in sophisticated conversations with consumers in the domain of relationships, providing a potential coping solution to widescale societal loneliness. Behavioral research provides little insight into whether these applications are... View Details
De Freitas, Julian, Ahmet K Uguralp, Zeliha O Uguralp, and Puntoni Stefano. "AI Companions Reduce Loneliness." Harvard Business School Working Paper, No. 24-078, June 2024.
- June 2024
- Article
Enhancing Value and Well-Being: The Basket of Motivators Framework for Aligning Neurology Clinical Practices with Performance Outcomes
By: Peter N. Hadar, Susanna Gallani and Lidia Moura
Physician burnout, which is prevalent in neurology, has accelerated in recent years. While multifactorial, a major contributing factor to burnout is a payment model that rewards volume over quality, leaving physicians overburdened and unfulfilled. The aim of this... View Details
Keywords: Compensation and Benefits; Personal Development and Career; Well-being; Motivation and Incentives
Hadar, Peter N., Susanna Gallani, and Lidia Moura. "Enhancing Value and Well-Being: The Basket of Motivators Framework for Aligning Neurology Clinical Practices with Performance Outcomes." Neurology: Clinical Practice 14, no. 1 (June 2024).
- May 2024
- Article
The Health Risks of Generative AI-Based Wellness Apps
By: Julian De Freitas and G. Cohen
Artifcial intelligence (AI)-enabled chatbots are increasingly being used to
help people manage their mental health. Chatbots for mental health and
particularly ‘wellness’ applications currently exist in a regulatory ‘gray area’.
Indeed, most generative AI-powered... View Details
Keywords: AI and Machine Learning; Well-being; Governing Rules, Regulations, and Reforms; Applications and Software
De Freitas, Julian, and G. Cohen. "The Health Risks of Generative AI-Based Wellness Apps." Nature Medicine 30, no. 5 (May 2024): 1269–1275.
- April 29, 2024
- Editorial
Stemming the Ripple Effect of Untreated Mental Illness: A Prescription for Change: Reimagining U.S. Healthcare
By: Lidia Moura and Susanna Gallani
Moura, Lidia, and Susanna Gallani. "Stemming the Ripple Effect of Untreated Mental Illness: A Prescription for Change: Reimagining U.S. Healthcare." Psychology Today (website) (April 29, 2024).
- 2024
- Working Paper
The Effects of Medical Debt Relief: Evidence from Two Randomized Experiments
By: Raymond Kluender, Neale Mahoney, Francis Wong and Wesley Yin
Two in five Americans have medical debt, nearly half of whom owe at least $2,500. Concerned by this burden, governments and private donors have undertaken large, high-profile efforts to relieve medical debt. We partnered with RIP Medical Debt to conduct two randomized... View Details
Kluender, Raymond, Neale Mahoney, Francis Wong, and Wesley Yin. "The Effects of Medical Debt Relief: Evidence from Two Randomized Experiments." NBER Working Paper Series, No. 32315, April 2024.
- December 21, 2023
- Article
How to Build a Life: A Seasonal Guide to Better Well-Being
By: Arthur C. Brooks
Brooks, Arthur C. "How to Build a Life: A Seasonal Guide to Better Well-Being." The Atlantic (December 21, 2023).
- December 2023
- Case
Gabriela Santana Goldstein
By: Leslie Perlow and Hannah Weisman
Gabriela Santana Goldstein was pursuing her passion, working as the Head of Business for a telehealth startup, when her father went into sudden cardiac arrest and family duty called. The case discusses Goldstein’s difficult decision to leave her dream job, and her path... View Details