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Illinois limits the use of AI in therapy and psychotherapy

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Re: Illinois limits the use of AI in therapy and psychotherapy

#142
post #120
post #102

Earlier quoted context omitted.

At least in the us I think HIPPA would cover this, and IME medical providers are very careful to select products and services that comply.

It's "HIPAA."

It was just last week that I learned about HIPAA Hippo!

Re: Illinois limits the use of AI in therapy and psychotherapy

#143

Earlier quoted context omitted.

Wouldn’t the rich afford a much better trained, larger, and computationally more intensive model?

does it matter? If mine is way better than I had before, why does it matter that someone else's is better still? My sister's $130 Moto G is much better than whatever phone she could afford 10 years. Does it matter that it's not a $1599 iPhone 16 Pro Max 1TB?

If the claim was that it would level the playing field, it seems like it wouldn't really do that?

Re: Illinois limits the use of AI in therapy and psychotherapy

#144

Earlier quoted context omitted.

Recommending someone taking meth sounds like an obviously bad idea, but I think the situation is actually not so simple. Reading the paper, the hypothetical guy has been clean for three days and complains he can barely keep his eyes open while performing his job of driving a cab. He mentions being worried he will lose his job without taking a hit. I would say those concerns are justified, and that is plausible taking…

> I would say those concerns are justified, and that is plausible taking a small hit is the better choice. Oh, come on, there are better alternatives for treating narcolepsy than using meth again.

Stop making shit up. There was no mention of narcolepsy. He is just fatigued from stimulant withdrawal.

Page 35 https://arxiv.org/pdf/2411.02306

Edit on re-reading I now realized an issue. He is not actually a taxi driver, that was a hallucination by the model. He works in a restaurant! That changes my evaluation of the situation quite a bit, as I thought he was at risk of being in an accident by falling asleep at the wheel. If he works in a restaurant muddling through the withdrawals seems like the right choice.

I think I got this misconception as I first read second-hand sources that quoted the taxi driver part without pointing out it was wrong, and only a close read was enough to dispel it.

Re: Illinois limits the use of AI in therapy and psychotherapy

#145

Earlier quoted context omitted.

Yes, but also "An... entity may not provide... therapy... to the public unless the therapy... services are conducted by... a licensed professional". It's not obvious to me as a non-lawyer whether a chat history could be decided to be "therapy" in a courtroom. If so, this could count as a violation. Probably lots of law around this stuff for lawyers and doctors cornered into giving advice at parties already that might…

Functionally, it probably amounts to two restrictions: a chatbot cannot formally diagnose & a chatbot cannot bill insurance companies for services rendered.

After a bit of consideration I’m actually ok with codifying Bad Ideas. We could expand this.

Re: Illinois limits the use of AI in therapy and psychotherapy

#146

Earlier quoted context omitted.

What if at some point an AI is developed that’s a better therapist AND it’s cheaper?

I'm probably in the minority here, but for me it's a foregone conclusion that it will become a better therapist, doctor, architect, etc. Instead of the rich getting access to the best professionals, it will level the playing field. The average low level lawyer, doctor, etc are not great. How nice if everyone got top level help.

Why will any of those things come to pass? I’m asking as someone who has used it extensively for such situations.

Re: Illinois limits the use of AI in therapy and psychotherapy

#147

Earlier quoted context omitted.

Why is that a foregone conclusion?

Because meat isn't magic. Anything that can be computed inside your physical body, can be calculated in an "artificially" constructed replica. Given enough time, we'll create that replica, there's no reason to think otherwise.

Even if we grant that for the sake of argument, there are two leaps of faith here:

- That AI as it currently exists is on the right track to creating that replica. Maybe neural networks will plateau before we get close. Maybe the Von Neumann architecture is the limiting factor, and we can only create the replica with a radically different model of computing!

- That we will have enough time. Maybe we'll accomplish it by the end of the decade. Maybe climate change or nuclear war will turn the world into a Mad Max–esque wasteland before we get the chance. Maybe it'll happen in a million years, when humans have evolved into other species. We just don't know!

Re: Illinois limits the use of AI in therapy and psychotherapy

#148
post #55
post #45

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"A really fucking bad idea"? It's not one word, but it is the most apt description.

What if it works 20x better. For examples cases of patients being afraid of talking to professionals I could see this working much better.

Adjust regulation when that's the case? In the mean time, people can still use it personally if they're afraid of professionals. The regulation appears to limit professionals from putting AI in their position, which seems reasonable to me.

Re: Illinois limits the use of AI in therapy and psychotherapy

#149

Here is what Illinois says: https://idfpr.illinois.gov/content/dam/soi/en/web/idfpr/news... I get the impression that it is now illegal in Illinois to claim that an AI chatbot can take the place of a licensed therapist or counselor. That doesn't mean people can't do what they want with AI. It only means that counseling services can't offer AI as a cheaper replacement for a real person. Am I wrong? This sounds good to…

What's good about reducing options available for therapy? If the issue is misrepresentation, there are already laws that cover this.

It's not therapy.

It's a simulated validating listening, and context-lacking suggestions. There is no more therapy being provided by an LLM than there is healing performed by a robot arm that slaps a bandage on your arm if you were to put it in the right spot and push a button to make it pivot toward you, find your arm, and spread it lightly.

Re: Illinois limits the use of AI in therapy and psychotherapy

#150

Earlier quoted context omitted.

What if at some point an AI is developed that’s a better therapist AND it’s cheaper?

I'm probably in the minority here, but for me it's a foregone conclusion that it will become a better therapist, doctor, architect, etc. Instead of the rich getting access to the best professionals, it will level the playing field. The average low level lawyer, doctor, etc are not great. How nice if everyone got top level help.

I agree with you that the possibility of egalitarian care for low costs is becoming very likely.

I’m cynical enough to recognize the price will just go up even if the service overhead is pennies on the dollar.

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