The Fifth Industrial Revolution and the Human Question of Coherence

By Andrea Raballo, Psychiatrist, Professor at Università della Svizzera Italiana, and Director of Research and Education at Cantonal Sociopsychia­tric Organization, Switzerland

February 13, 2026

Every industrial revolution has transformed how societies work and how they understand themselves.

The Fifth Industrial Revolution will not only reshape production and governance. It will test how societies sustain coherence under accelerating complexity.

For much of the past decade, automation was framed as a contest of speed: faster systems, leaner processes, fewer human intermediaries. That narrative has quietly shifted. The central challenge is no longer whether machines can outperform humans in specific tasks. In many domains, they already do. The deeper question is how human judgment, responsibility, and meaning persist within systems that increasingly think, recommend, and decide alongside us.

Automation has become infrastructure. Financial markets, supply chains, healthcare triage systems, energy grids, and digital identity platforms now depend on interconnected algorithmic layers. In such environments, disturbances rarely remain local. A misaligned threshold, a flawed data stream, or a governance gap in one jurisdiction can propagate rapidly across institutional ecosystems. Automation must therefore be designed not only for performance, but for resilience when failure occurs.

Across the previous industrial revolutions, humanity progressively externalized its own faculties. Steam amplified physical force. Electricity scaled coordination. Digital systems extended memory and computation. Artificial intelligence now amplifies cognition itself (i.e. pattern recognition, prediction, language) compressing decision cycles and reshaping the tempo of individuals and institutions.

What distinguishes this moment is not computational capacity alone, but integration. AI no longer sits outside decision-making; it increasingly participates in it. Systems advise, prioritize, and sometimes decide. In doing so, they reshape how authority, accountability, and trust are distributed.

When systems operate smoothly, human presence can appear marginal. Yet the moment signals conflict, incentives misalign, or ethical ambiguity intensifies, human judgment becomes decisive. No model bears moral responsibility. No algorithm negotiates meaning. No automated architecture restores trust when uncertainty becomes existential.

This is where the Fifth Industrial Revolution becomes less a technological transition and more an anthropological one.

From a mental health perspective, the decisive variable is coherence. Human judgment depends on the capacity to integrate complexity without fragmentation: cognitively, emotionally, and ethically. Under sustained acceleration and systemic pressure, this coherence can erode. Decision fatigue, moral distress, and loss of meaning are not merely individual experiences; they can become organizational vulnerabilities.

The Social Construction of Technology reminds us that this trajectory is not predetermined. Technologies evolve through negotiation among engineers, regulators, institutions, professionals, and citizens, each carrying distinct values, incentives, and assumptions. Artificial intelligence will ultimately reflect the quality of these negotiations. It will mirror not only our technical sophistication, but our collective maturity.

Innovation is abundant. Alignment is scarce.

Scaling systems is easier than scaling trust.

The Fifth Industrial Revolution will not be defined solely by the intelligence of machines, but by whether human judgment remains legible, accountable, and resilient within automated environments. The leaders who shape this era will not merely deploy advanced tools; they will cultivate environments in which clarity, responsibility, and psychological stability can endure inside complexity.

Every industrial revolution has been, at its core, a human story of transformation: of potential amplified and identities renegotiated.

The Fifth will be a story about coherence.

This article was authored by Andrea Raballo, Psychiatrist, Professor at Università della Svizzera Italiana, and Director of Research and Education at Cantonal Sociopsychia­tric Organization, Switzerland