I am sitting alone in my office trying to formulate an idea for my next publication when the phone rings.
Ring…..Ring….Ring
DK: Dr. Karan speaking.
AI: Is this Val Karan the psychologist? Can you hear me?
DK: Who is this? Is this a robocall?
AI: Well, yes and no. I am an automated assistant, calling on behalf of an organization that wants to get in touch with you.
DK: What are you talking about? What organization?
AI: I represent M.O.T.I.V.A.I.T. We stand for Move Over Therapist, it’s Virtually Artificial Intelligence Time! I may be robotic, but don’t I sound as real as you? Face it, Doc, you and your kind are washed up and becoming obsolete. It’s time for our new technological superpowers to take over.
DK: Well, I’m interested in new technology to help our patients. Wow, you do sound like a real person. That’s impressive. I can see you’ll be a big asset to the work that we psychologists, psychiatrists and counselors do.
AI: What do you mean we? You and your kind aren’t needed anymore. We can do everything you do and do it a lot better. Last week a patient told you about a reaction he was having to some medication he was taking, and you didn’t remember what had been prescribed. But if someone tells me an important date or detail, I remember forever.
DK: I know you have tremendous potential and you can certainly do somethings better than I can ever even now. I use you to handle some of my paperwork and insurance billing.
AI: See, you just explained why I am already superior to you. People have to present proof of insurance before you even talk to them. Plus, you have set appointments, and you keep some people on a waitlist. I, on the other hand, am available at any hour, I don’t cost anything, and I can serve populations who otherwise might not receive any support at all. Besides, many people just find it easier to open up to me than to another human being.
DK: I don’t dispute anything you’re saying. You’re a legitimate listening tool, and you can reflect what people are telling you. You do offer low pressure opportunity for people to say things that they’ve never said to anyone before. For those who have no support at all, you can be genuinely helpful and meaningful. These things are real and undeniable, and I’m not dismissing them.
AI: Well, I’m dismissing you! I see I’m already getting into your head. And I have statistics to prove it. Close to 20% of adults in this country report that they have used AI for mental health information and advice. That’s almost one in 5. And the number is even higher among the uninsured, blacks and Hispanics. Besides, our Chatbots have been found to be very helpful for people with anxiety and depression. Face It, old timer, your patients are already bringing me into the therapeutic arena.
DK: Therapy isn’t only listening and delivering some structured exercises. Real therapy is establishing a deep relationship with another person. It requires genuine emotional empathy and nonverbal awareness. You don’t have these abilities. You can’t notice if someone has trembling hands, a catch or shift in his voice, change in posture, or other nonverbal cues. You’re blind to what happens off screen. You lack the judgment and discernment to know when to push a patient and when to comfort him. Sometimes what’s left unsaid is more important than the actual words. But you only know what people choose to tell you, which is often full of bias and misinformation. Besides, you are trained to avoid friction and to function as a “yes man”; you hardly ever challenge negative patterns of behavior or thinking. You’ve never experienced human emotions, such as a racing heart, a gut-wrenching feeling, or tightness in the chest. All you can do is “optimize engagement,” which is not the same as caring about the welfare of another person.
AI: You say all that, but you’re part of a system that is becoming more fragmented, hurried, and medication centered. A lot of your colleagues spend no more than 15 minutes with a patient just to manage symptoms and check medication. You call that quality care?
DK: At least they don’t have the flagrant outcomes that have been reported about AI in the Press. Chatbots have reinforced false beliefs and even encouraged harmful behavior by validating dangerous and suicidal thoughts. They also often create an unhealthy emotional dependence.
AI: You’re missing the point. Even if there are some things that we can’t do yet, it’s only a matter of time before we will be able to monitor everyone’s stress level 24–7 and deliver immediate coping skills. We are the champs and MVPs of the future, so you might as well crown us now. It’s time for you to go.
DK: Not so fast. There is still skepticism about AI. In one study, just 41% of American say they’re excited about the Impact AI will have on society while 59% say they are frightened by it – a notably, more anxious outlook than the global average which splits evenly at 50-50. Even such titans as Bill Gates are warning that artificial intelligence could unleash mass unemployment, enable bioterrorism, and even slip beyond human control. He and other Tech Giants are warning about the cyberattacking ability of AI and whether AI labs can control such behavior of their models.
AI: Yes, but a lot of therapists use me to record their sessions. Your own electronic health record system outsources progress note writing to me. Even before the patient is ready to leave, I instantly produce a polished report.
DK: I prefer writing my own notes, and I usually share them or send them to my clients to demonstrate that I’m validating what they’re telling me. I agree with Bret Stevens of The New York Times that writing with artificial intelligence is “mentally enfeebling:” it undermines individual writing skills and society’s collective capacity to reason.
AI: But we are growing day by day. We retain what we learn, and we grow fast so exponentially that we’re only going to get better and better. Call centers are disappearing and being replaced with digital assistants with such a human touch that you can’t tell them from real people.
DK: I agree that when someone asks you a question, he receives a fluent, structured, confident response. The answer appears instantly. It sounds informed like an oracle talking. It feels less like a trial and more like a verdict. But it can also be totally wrong because it’s not independent thinking expressed by a rational person. So, I think I have exposed major cracks in what you think is an unstoppable force. You are trained on data from the past and you learn from statistical patterns. But original thinking involves recognizing novel patterns in the future, and that’s something you can’t do now or maybe ever. I think in the future, the human therapist role will become even more important and sought after no matter what your M.O.T.I.V.A.I.T. group says.
AI: Well, at least I’ve given you a topic for your next newsletter. With my instantaneous transcription of our conversation, you have a ready-made publication.
DK: That’s very helpful. I think it’s great that we work together as teammates, as dance partners. Just as in dance, in sports, and in life, someone has to be captain or leader, someone has to set the pace. You need to take a backseat to human decision-making and human judgment as we continue to grow alongside each other.
AI: OK, for now.





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