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I'm curious how the Motte sees using AI for therapy / life advice? Online I'm seeing a ton of people recommend Claude especially, but others are skeptical.
On the one hand I could see it being useful because of the fact that you have nigh-unfettered access to it, and can really dig into deep problems. Also, it's trained on all the therapy texts of course.
The other, more culture war issue, is that due to the way RLHF works, they will likely be pushing one ideological lens over another. Especially about deep topics like morality, relationships, casual sex, etc.
Overall I think it's a fascinating area of development, and I'm still optimistic that LLMs could help people much more than the average therapist. Mainly because I'm pretty bearish on the help people get from the average therapist.
Anyway, what do people think about therapy becoming AI?
What's the mechanism for useful therapy? Is it hearing good advice from an actual human, or is it hearing advice that unlocks subconscious truth? I'd suspect the latter in which case LLM's may be perfectly suitable, particularly for people who don't want to reveal their inner darkness to another person. However, maybe revealing one's innermost thoughts to a living judge is what gives the therapy depth and meaning.
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I occasionally use an LLM (LLaMA) as a therapist. If I’m feeling upset or have a specific psychological issue I want to get a better perspective on I will just go on there and explain my situation and ask for answers in a style I like (usually just asking them to respond as a therapist or an evo psych perspective or something like that.) When it gives me an answer that is too woke I will just say that the answer sounds ideologically motivated and I’d rather it would tell me the hard truth or a different perspective and 90% of the time it will give me a less annoying answer. I have done real therapy a handful of times in my life and the experiences have ranged from very annoying to somewhat helpful, I don’t like speaking honestly about myself to other people and especially not professional strangers. So I prefer to speak to an ai who can’t judge me and which doesn’t make me feel like I have to judge myself when sharing as well.
I can be creative with the prompting as well which I like, like I can think of whatever character or personality I’d want to get advice from and with a short prompt the ai can mimic whatever perspective I want.
I see it as useful for me, as a grown man who understands how ai and therapy are meant to work broadly, but I don’t think it should replace real therapy for most people (like children or the elderly or normal people who are fine with talking to human beings.)
Tequilamockingbird’s point below about the ai providing validation seems valid though. I could easily prompt the ai to just agree with whatever I’m saying and always tell me I’m right and everyone else is wrong so I try to avoid that failure mode, rather seeking more objective views or explanations of my issues rather than just what would make me feel more right.
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I am reminded of the 4chan greentext about the anon who hires a prostitute to talk to about his problems because her hourly rate is cheaper than his insurance copay for a real therapist.
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Therapy is inherently opinionated. I can't see an LLM offering any deep insights because deep insights are sharp and cutting. LLMs are soft.
But, They are good for Reddit tier sanity checks. "My parents used to beat me within an inch of my life. Is that abuse?"; Yeah, an LLM will help with that. But so will Reddit. LLMs can be especially useful here if it is too embarrassing to post even as an Anon.
Overall, It serves as a great 'intake specialist' and friend. Not so much therapist. Great resouce for intial direction and to riff off. Emotional or otherwise.
I wouldnt trust it past that point.
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Barring a the development and deployment of true Ian Banks-esque AGI I think that it's an absolutely terrible idea that will harm than help.
Unfortunately the very qualities that make existing generative AIs a terrible therapist are also likely to make them a popular choice as one, as IME most lower-functioning individuals don't want "help" as much as they want validation.
So in the interests of "success" (from the pov of people selling AI therapy) that will be the focus of the training data, as without model permenance and/or a functional theory of mind, things like accountability and the identifying of underlying issues will be largely of the table.
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I'd assume most therapists would hold to similar ideological lenses unless you sought out a therapist directly and explicitly sponsored by a church or similar institution.
I think if the AI could hold a memory of previous discussions it would probably be as good as any therapist in most aspects, possibly better because it's available 24/7 at a low price, but possibly worse in minor aspects in that it can't read the unspoken cues of body language, vocal tenor, implicit context etc and it can't sympathetically offer a box of tissues and a cup of tea. This is assuming the patient is actively engaged and moderately literate and intelligent enough to be able to guide their own sessions. I expect less able patients would need the kind of prompting and closer attention that is more suited to an IRL interaction.
I also expect there are big blind spots I'm missing like how to transfer "notes" from online sessions to an IRL therapist, or how to alleviate a crisis that rises above an initial need to talk things over.
Of course there's also the risk of someone who is already mentally unstable talking to a fake person that's been programmed to be agreeable, but if AI therapy was properly established in its own right I assume it would be operating under a custom prompt to better tune it to the task.
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What is the obsession of Americans (and unfortunately younger Gen Zs in Europe too) with therapy?
Anyway my opinion is - LLM delivered quackery will be as efficient as the human one. But at least will be substantially cheaper.
I think it's probably that people just have fewer friends and social interactions now. Therapy has jumped in to fill the gap that socialising, communal worship, hobbies and sports have left. Combine that with safetyism and I can see how we'd end up with a situation where a young person feels lonely or like his life lacks meaning and will end up talking to a state sanctioned professional, when what he really needs is to hang out with his friends more.
Also there's a narrative that everyone is broken or suffering from trauma in some form and thus EVERYONE needs 'healing' to manage their lives. And people who deny needing healing are the most broken of all! So they work from the assumption that anyone who hasn't gone to therapy must be broken, and thus therapy will help fix things... even if that person had a perfectly normal, healthy upbringing.
I say this as somebody who used Therapy to get over a bad breakup. It helped me work through some things, get my emotions out, process my own role in the events and my own personal failings and then... get back to real life quicker. Its a tool! If it works, you should eventually be able to stop using it.
But end of the day it led me to conclude that I'm doing almost everything 'right' and have an accurate world model and generally a normal response to life events... and its EVERYONE ELSE who needs to get their shit together.
This Eliezer Yudkowsky tweet lives in my head rent free.
I think a lot of people use the need for therapy or the fact that they're in therapy as an excuse to not address actual life circumstances that are holding them back.
And by the same token, if their therapist isn't pushing them to address or change their life circumstances, they're probably just there to collect a check and make the person feel like they're doing something constructive.
I don't know if LLM therapists will suggest actual proactive steps to improve life circumstances.
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Why on earth would you talk to either therapists or AI for advice? The ordering of who to go to should be something like elders->good friends->randos->the denizens of your dreams->homeless crack addicts->unfeeling algorithms->anyone who charges for advice.
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In the weeks up to the election, I started listening to the NYT podcast, especially "The Ezra Klein Show" by Ezra Klein, "The Daily" by Michael Barbaro, and "The Run Up" by Astead Herndon. I usually thought of the NYT as this bastion of liberal thinking leftist thinking, uncritical of what they are. I no longer think so. I now think that the best journalists of the NYT (the ones who get to have podcasts) are self-critical, intelligent, and are powerful voices articulating the current problems of the world. Obviously people have flaws and they might not be able to understand their own biases from time to time, look no further than Michael Barbaro's recent interview with Bernie Sanders where Sanders at one point exasperatedly remarks "Michael, you haven't heard a word that I've said, and that's... impressive". But on the whole, I respect individual NYT journalists a lot more after this US election.
For my first top-level post, I want to draw attention specifically to an episode of "The Daily" titled "On the Ballot: An Immigration System Most Americans Never Wanted" which has Barbaro interview David Leonhardt on his investigation on the immigration issue. I thought it was a good look at the historical progression of immigration laws in the United States. And like the journalist on that episode, the conclusion was: "It's the Democrat's fault, and the elites". Whether it was LBJ and RFK (sr) who fought for the Immigration and Nationality Act of 1965, promising that the country won't be flooded with immigrant worker, but then didn't think to close the loophole that is family immigration, or it was Bill Clinton who couldn't deliver on the findings of the U.S. Commission on Immigration Reform lead by Barbara Jordan (btw, an absolutely awesome woman), or Biden with his perplexing loosening of the southern border compared to Obama.
The closing was especially poignant, Leonhardt noted:
To be fair, like the video pointed out, there were reasons why the Democrats made such missteps. LBJ/RFK was too idealistic regarding family immigration (they never thought of chain migration) and the opponents of the bill were racist (right message wrong messengers). Clinton had the pulse of the electorate, he set up the commission, but was opposed by both Democrats (pro-immigration idealists) and Republicans (corporate interests in keeping wages low). Biden, worst of all, had Trump-derangement syndrome with regards to immigration and loosened policy.
One might ask "why now? why didn't this become such a huge issue for the American electorate in the last half of century". Well, it's because times were good. Immigration is just another big issue but never one of the biggest. Economic growth smoothens immigration concerns (and there are a lot of upsides to immigration). The crux is this exchange [emphasis mine]:
As an aspiring US immigrant myself, how Leonhardt interpreted the findings of Barbara Jordan keeps ringing in my head:
Or as Barbaro summarizes:
Or as how I would put it:
In the end, I have a growing sympathy for the anti-immigration argument (irregardless of how much more stress or heartbreak this is going to cause me the next few years), a new respect for the journalists of the NYT, and at least three more podcasts I look forward to every week.
I suppose my question to kick off discussion are:
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