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Peer-reviewedCC BYFrontiers in psychiatry

Multi-agent game theory for precision psychiatry

  1. 1Department of Psychiatry, New York University Grossman School of Medicine , , ,

Abstract

Psychiatry has learned to measure and map the brain in exquisite detail, yet it still lacks a theory of what happens between minds. Most current frameworks treat cognition as an individual process, studied through static and non-interactive tasks, creating a fundamental mismatch with real-world social behavior, which is dynamic and reciprocal. In restricted psychiatric conditions such as autism spectrum disorder (ASD) and schizophrenia with social phenotypes, core symptoms emerge most clearly during interaction. Here I argue that these differences are better understood as failures of coordination between agents rather than solely deficits within individuals, and further make forward-looking computational predictions based on a game-theoretical perspective. Multi-agent game theory (MAGT) provides a conceptual yet principled framework to model such interactions, capturing how beliefs, strategies, and learning evolve through exchange. This perspective reframes psychiatric disorders involving interactional phenotypes as emergent properties of interacting systems and opens new avenues for mechanistic understanding and intervention. I also discuss the limitations and challenges of this new computational framework as applied to precision psychiatry.

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BibTeX
@article{chen2026multiagent,
  title = {{Multi-agent game theory for precision psychiatry}},
  author = {Zhe Sage Chen},
  journal = {Frontiers in psychiatry},
  year = {2026},
  month = sep,
  doi = {10.3389/fpsyt.2026.1963963},
  url = {https://europepmc.org/article/PMC/PMC13661910},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Multi-agent game theory for precision psychiatry
AU  - Zhe Sage Chen
PY  - 2026
DA  - 2026/09/30
JO  - Frontiers in psychiatry
DO  - 10.3389/fpsyt.2026.1963963
UR  - https://europepmc.org/article/PMC/PMC13661910
AB  - Psychiatry has learned to measure and map the brain in exquisite detail, yet it still lacks a theory of what happens between minds. Most current frameworks treat cognition as an individual process, studied through static and non-interactive tasks, creating a fundamental mismatch with real-world social behavior, which is dynamic and reciprocal. In restricted psychiatric conditions such as autism spectrum disorder (ASD) and schizophrenia with social phenotypes, core symptoms emerge most clearly during interaction. Here I argue that these differences are better understood as failures of coordination between agents rather than solely deficits within individuals, and further make forward-looking computational predictions based on a game-theoretical perspective. Multi-agent game theory (MAGT) provides a conceptual yet principled framework to model such interactions, capturing how beliefs, strategies, and learning evolve through exchange. This perspective reframes psychiatric disorders involving interactional phenotypes as emergent properties of interacting systems and opens new avenues for mechanistic understanding and intervention. I also discuss the limitations and challenges of this new computational framework as applied to precision psychiatry.
SN  - 1664-0640
ER  -