As more people turn to chatbots for socioemotional support—often termed psychosocial AI—the stakes of understanding these interactions grow. Psychosocial AI might foster healthier human-human relationships—and also might exacerbate loneliness, abuse, and self-harm. We provide an empirical account of one less-studied facet: seeking AI advice on sex, dating, and relationships with other people. We recruited 25 people who use AI for relationship advice to a questionnaire, collecting 90 prompts illustrating their practices. Interviews with 17 further explored how they navigate AI’s limitations to achieve intimacy goals. Our findings detail (1) the roles that users imagine for AI in relationship advice; (2) how users navigate risks like sycophancy and overreliance to attain relational benefits; and (3) the folk theories users hold and the prompting tactics they employ to overcome AI’s limitations. We close with recommendations for human-AI interaction, AI safety, and sociotechnical research, towards AI that supports healthier digital intimacies.

Large language models (LLMs) have been positioned to revolutionize HCI, by reshaping not only the interfaces, design patterns, and sociotechnical systems that we study, but also the research practices we use.To-date, however, there has been little understanding of LLMs' uptake in HCI.We address this gap via a systematic literature review of 153 CHI papers from 2020-24 that engage with LLMs.We taxonomize: (1) domains where LLMs are applied; (2) roles of LLMs in HCI projects; (3) contribution types; and (4) acknowledged limitations and risks.We find LLM work in 10 diverse domains, primarily via empirical and artifact contributions.Authors use LLMs in five distinct roles, including as research tools or simulated users.Still, authors often raise validity and reproducibility concerns, and overwhelmingly study closed models.We outline opportunities to improve HCI research with and on LLMs, and provide guiding questions for researchers to consider the validity and appropriateness of LLM-related work.

Researchers increasingly look to understand experiences of pain, harm, and marginalization via qualitative analysis. Such work is needed to understand and address social ills, but poses risks to researchers' well-being: sifting through volumes of data on painful human experiences risks incurring traumatic exposure in the researcher. In this paper, we explore how the principles of trauma-informed computing (TIC) can be applied to reimagine healthier tools and workflows for qualitative analysis. We apply TIC to create a design provocation called TIQA, a system for qualitative coding that leverages language modeling, semantic search, and recommendation systems to measure and mitigate an analyst's exposure to concepts they find traumatic. Through a formative study of TIQA with 15 participants, we illuminate the complexities of enacting TIC in qualitative knowledge infrastructure, and potential roles for machine assistance in mitigating researchers' trauma. To assist scholars in translating the high-level principles of TIC into sociotechnical system design, we argue for: (a) a conceptual shift from safety as exposure reduction towards safety as enablement; and (b) renewed attention to evaluating the trauma-informedness of design processes, in tandem with the outcomes of designed objects on users' well-being.

Research involving at-risk users—that is, users who are more likely to experience a digital attack or to be disproportionately affected when harm from such an attack occurs—can pose significant safety challenges to both users and researchers. Nevertheless, pursuing research in computer security & privacy (S&P) is crucial to understanding how to meet the digital-safety needs of at-risk users and to design safer technology for all. To standardize and bolster safer research involving such users, we offer an analysis of 196 academic works to elicit 14 research risks and 36 safety practices used by a growing community of researchers. We pair this inconsistent set of reported safety practices with oral histories from 12 domain experts to contribute scaffolded and consolidated pragmatic guidance that researchers can use to plan, execute, and share safer digital-safety research involving at-risk users. We conclude by suggesting areas for future research regarding the reporting, study, and funding of at-risk user research.

The mass collection and reuse of social data requires a reimagining of privacy and consent, with particular attention to the (in)equitable distribution of benefits and burdens between researchers and subjects. Instrumenting frontline clinical services to collect and steward data might mitigate the exploitation inherent to data collection---with attention to how subjects can meaningfully participate in stewardship. We explore participatory data stewardship in the context of clinical computer security for survivors of intimate partner violence (IPV). Via semi-structured interviews with IPV support workers, we explore how data are produced within the IPV care ecosystem at the Clinic to End Tech Abuse (CETA). We then conduct design provocations with clients of IPV services and their support workers, exploring possibilities for participatory data mechanisms like open records and dynamic consent. We find participation in data stewardship may benefit clients through improved agency, self-reflection, and control of self-narrative, and that incurred burdens may be alleviated by enlisting trusted stewards. We close with future work for CSCW interrogating how knowledge of digital-safety harms can and should be produced from clinical encounters, towards more equitable ways of knowing.

Home health aides are paid professionals who provide long-term care to an expanding population of adults who need it. However, aides' work is often unrecognized by the broader caregiving team despite being in demand and crucial to care---an invisibility reinforced by ill-suited technological tools. In order to understand the invisible work aides perform and its relationship to technology design, we interviewed 13 aides employed by home care agencies in New York City. These aides shared examples that demonstrated the intertwined nature of both types of invisible work (i.e., emotions- and systems-based) and expanded the sociological mechanisms of invisibility (i.e., sociocultural, sociolegal, sociospatial) to include the sociotechnical. Through these findings, we investigate the opportunities, tensions, and challenges that could inform the design of tools created for these important, but often overlooked, frontline caregivers.

Trauma is the physical, emotional, or psychological harm caused by deeply distressing experiences. Research with communities that may experience high rates of trauma has shown that digital technologies can create or exacerbate traumatic experiences. Via three vignettes, we discuss how considering the possible effects of trauma and traumatic stress reactions provides an explanatory lens with new insights into people’s technology experiences. Then, we present a framework—trauma-informed computing—in which we adapt and show how to apply six key principles of trauma-informed approaches to computing: safety, trust, peer support, collaboration, enablement, and intersectionality. Through specific examples, we describe how to apply trauma-informed computing in four areas of computing research and practice: user experience research & design, security & privacy, artificial intelligence & machine learning, and organizational culture in tech companies. We conclude by discussing how adopting trauma-informed computing will lead to benefits for all users, not only those experiencing trauma.

Survivors of intimate partner violence (IPV) face complex threats to their digital privacy and security. Prior work has established protocols for directly helping them mitigate these harms; however, there remains a need for flexible and pluralistic systems that can support survivors’ long-term needs. This paper describes the design and development of sociotechnical infrastructure that incorporates feminist notions of care to connect IPV survivors experiencing technology abuse with volunteer computer security consultants. We present findings from a mixed methods study that draws on data from an 8-month, real-world deployment, as well as interviews with 7 volunteer technology consultants and 18 IPV professionals. Our findings illuminate emergent challenges in safely and adaptively providing computer security advice as care. We discuss implications of these findings for feminist approaches to computer security and privacy, and provide broader lessons for interventions that aim to directly assist at-risk and marginalized people experiencing digital insecurity.

Recent research has explored computational tools to manage workplace stress via personal sensing, a measurement paradigm in which behavioral data streams are collected from technologies including smartphones, wearables, and personal computers. As these tools develop, they invite inquiry into how they can be appropriately implemented towards improving workers' well-being. In this study, we explored this proposition through formative interviews followed by a design provocation centered around measuring burnout in a U.S. resident physician program. Residents and their supervising attending physicians were presented with medium-fidelity mockups of a dashboard providing behavioral data on residents' sleep, activity and time working; self-reported data on residents' levels of burnout; and a free text box where residents could further contextualize their well-being. Our findings uncover tensions around how best to measure workplace well-being, who within a workplace is accountable for worker stress, and how the introduction of such tools remakes the boundaries of appropriate information flows between worker and workplace. We conclude by charting future work confronting these tensions, to ensure personal sensing is leveraged to truly improve worker well-being.

The shutdown measures necessary to stop the spread of COVID-19 have amplified the role of technology in intimate partner violence (IPV). Survivors may be forced to endure lockdowns with their abusers, intensifying the dangers of technology-enabled abuse (e.g. stalking, harassment, monitoring, surveillance). They may also be forced to rely on potentially compromised devices to reach support networks: a dangerous dilemma for digital safety. This qualitative study examines how technologists with computer security expertise provided remote assistance to IPV survivors during the pandemic. Findings from 24 consults with survivors and five focus groups with technologist consultants show how remote delivery of technology support services raised three fundamental challenges: (1) ensuring safety for survivors and consultants; (2) assessing device security over a remote connection; and (3) navigating new burdens for consultants, including emotional labor. We highlight implications for HCI researchers creating systems that enable access to remote expert services for vulnerable people.

HCI researchers have increasingly studied how technology might improve the lives of marginalized workers. We explored this question through a qualitative study with home health aides in New York City, a vulnerable group of frontline caregivers whose work with patients is poorly paid and highly stressful, often involving life-or-death situations. To elicit the perspectives of aides and their supervisors on how technology interventions might contribute to moving aides towards a better future, we created a design provocation that centers aides' needs and suggests more equitable roles for them within the home care ecosystem. Findings from design sessions with 16 aides, nurses, and aide coordinators illuminate the ethical and pragmatic dilemmas inherent in this complex ecosystem, and show that designing technology for equity requires attention to structural problems in addition to workers' stated needs. We analyze our findings through the lens of social justice-oriented interaction design, and discuss how our work extends key strategies within this framework.

A growing body of research suggests that intimate partner abusers use digital technologies to surveil their partners, including by installing spyware apps, compromising devices and online accounts, and employing social engineering tactics. However, to date, this form of privacy violation, called intimate partner surveillance (IPS), has primarily been studied from the perspective of victim-survivors. We present a qualitative study of how potential perpetrators of IPS harness the emotive power of sharing personal narratives to validate and legitimise their abusive behaviours. We analysed 556 stories of IPS posted on publicly accessible online forums dedicated to the discussion of sexual infidelity. We found that many users share narrative posts describing IPS as they boast about their actions, advise others on how to perform IPS without detection, and seek suggestions for next steps to take. We identify a set of common thematic story structures, justifications for abuse, and outcomes within the stories that provide a window into how these individuals believe their behaviour to be justified. Using these stories, we develop a four-stage framework that captures the change in a potential perpetrator's approach to IPS. We use our findings and framework to guide a discussion of efforts to combat abuse, including how we can identify crucial moments where interventions might be safely applied to prevent or deescalate IPS.

Home health aides (HHAs) increasingly being used by adults with heart failure for long-term assistance and post-hospitalization care. Despite being heavily involved in numerous aspects of heart failure management, most HHAs have not received heart failure training. They also struggle to get in touch with supervising nurses or other members of the care team when they have clinical questions, which may result in unnecessary visits to the emergency room. In addition, despite serving as a backbone in the health system for patients, HHAs, who are mostly women and minorities, are a marginalized and vulnerable group of frontline caregivers, enduring erratic employment, low wages, discrimination, and high levels of burnout. Although digital technologies could help to address many of the challenges HHAs face, little is known about the current impact of technology on HHAs work practices. To this end, we conducted a multi-stakeholder qualitative study with 38 participants in New York City using semi-structured interviews and focus groups. We uncover the ways in which technology is used, the complex socio-technical factors that underpin heart failure care, and stakeholder suggestions for how technology could improve HHAs work. Building on these insights, we synthesize design opportunities for researchers and designers interested in developing tools that support the delivery of home health care for patients suffering from life-threatening diseases like heart failure.

Intimate partner abusers use technology to track, monitor, harass, and otherwise harm their victims, and prior work reports that victims have few resources for obtaining help with such attacks. This paper presents a qualitative analysis of data from a field study of an approach to helping survivors of intimate partner violence (IPV) with technology abuse. In this approach, called clinical computer security, a trained technologist performs a face-to-face consultation with an IPV survivor to help them understand and navigate technology issues. Findings from consultations with 31 survivors, as well as IPV professionals working on their behalf, uncovered a range of digital security and privacy vulnerabilities exacerbated by the nuanced social context of such abuse. In this paper we explore survivor experiences with, and reactions to, the consultations, discussing (1) the ways in which survivors present their tech concerns, (2) the cooperative work required to guide survivors towards understanding probable causes of tech insecurity, (3) survivors' reactions to the consultations, particularly when security vulnerabilities or spyware are discovered, and (4) the role we play as consultants and interventionists in the complex socio-technical systems involved in mitigating IPV. We conclude by discussing some of the broad ethical and sustainability challenges raised by our work, and provide design opportunities for tech platforms to better support survivors of IPV.