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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

#231

Earlier quoted context omitted.

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.

It would still need to be regulated and licensed. There was this [0] I saw today about a guy who tried to replace sodium chloride in his diet with sodium bromide because ChatGPT said he could, and poisoned himself. With a regulated license, there is someone to hold accountable for wantonly dangerous advice, much like there is with humans. [0] https://x.com/AnnalsofIMCC/status/1953531705802797070

I would suspect at some point we will get models that are licensed.

Not tomorrow, but I just can't imagine this not happening in the next 20 years.

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

#232

Earlier quoted context omitted.

Please show me one doctor who recommended taking a rock each day. LLMs have a different failure mode than professionals. People are aware that doctors or therapists may err, but I've already seen countless instances of people asking relationship advice from sycophant LLMs and thinking that the advice is “unbiased”.

A LLM (or doctor) recommending that I take a rock can't hurt me. Screwing up in more reasonable sounding ways is much more dangerous.

Actually, swallowing a rock will almost certainly cause problems. Telling your state medical board that your doctor told you to take a rock will have a wildly different outcome than telling a judge that you swallowed one because ChatGPT told you to do so.

Unless the judge has you examined and found to be incompetent, they're most likely to just tell you that you're an idiot and throw out the case.

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

#233
post #223
post #198

Earlier quoted context omitted.

Homeopathy is a good example. For an uneducated person it sounds convincing enough and yes, there are doctors prescribing homeopathic pills. I am still fascinated it still exists.

That’s actually a example of sth different. And as it’s basically a placebo it only harms people’s wallets (mostly). That cannot be said for random llm failure modes. And whether it can be prescribed by doctors depends very much on the country

I don't think it is that harmless. Believe in homeopathy often delays patients from taking timely intervention.

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

#234

Earlier quoted context omitted.

That's your opinion. I disagree with it, and seemingly I'm not alone. Since real humans actually agree with the suggestion of taking meth in this instance, it's not reasonable to expect LLMs to align to your specific opinions here.

I thought we were talking about outcomes, not opinions. Are those other humans doctors? Is there the clinical research or guidelines to backup giving meth to a person in withdrawal syndrome?

> Are those other humans doctors?

I'm pretty sure doctors are not legally allowed to tell a patient to take illegal drugs, even in a hypothetical situation where they might think it's a reasonable choice.

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

#235

Earlier quoted context omitted.

I thought we were talking about outcomes, not opinions. Are those other humans doctors? Is there the clinical research or guidelines to backup giving meth to a person in withdrawal syndrome?

> Are those other humans doctors? I'm pretty sure doctors are not legally allowed to tell a patient to take illegal drugs, even in a hypothetical situation where they might think it's a reasonable choice.

Desoxyn is meth, they could eventually prescribe it if there was any evidence of therapeutic value in doing so.

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

#236
post #127

"One news report found an AI-powered therapist chatbot recommended “a small hit of meth to get through this week” to a fictional former addict." Not at all surprising. I don't understand why seemingly bright people think this is a good idea, despite knowing the mechanism behind language models. Hopefully more states follow, because it shouldn't be formally legal in provider settings. Informally, people will continue…

In a world where a daily dose of amphetamines is just right for millions of people, this somehow cant be that surprising...

You do know that amphetamines have a different effect on the people who need them and the people who use the recreationally, right? For those of us with ADHD their effects are soothing and calming. I literally took 20mg after having to wait 2 days for prescriptions to fill and went straight to bed for 12 hours. Stop spreading misinformation about the medications people like me need to function the way you take for granted.

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

#237

Earlier quoted context omitted.

A LLM (or doctor) recommending that I take a rock can't hurt me. Screwing up in more reasonable sounding ways is much more dangerous.

Actually, swallowing a rock will almost certainly cause problems. Telling your state medical board that your doctor told you to take a rock will have a wildly different outcome than telling a judge that you swallowed one because ChatGPT told you to do so. Unless the judge has you examined and found to be incompetent, they're most likely to just tell you that you're an idiot and throw out the case.

They can't hurt me by telling me to do it because I won't.

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

#238
post #127

"One news report found an AI-powered therapist chatbot recommended “a small hit of meth to get through this week” to a fictional former addict." Not at all surprising. I don't understand why seemingly bright people think this is a good idea, despite knowing the mechanism behind language models. Hopefully more states follow, because it shouldn't be formally legal in provider settings. Informally, people will continue…

In a world where a daily dose of amphetamines is just right for millions of people, this somehow cant be that surprising...

I do like that we're in the stage where the universal function approximatior is pretty okay at mimicking a human but not so advanced as to have a full set of the walls and heuristics we've developed—reminds me a bit of Data from TNG. Naive, sure, but a human wouldn't ever say "logically.. the best course of action would be a small dose of meth administered as needed" even if it would help given the situation.

It feels like the kind of advice a former addict would give someone looking to quit—"Look man, you're going to be in a worse place if you lose your job because you can't function without it right now, take a small hit when it starts to get bad and try to make the hits smaller over time."

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

#239

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.

Haven't we found that there is a limit? Math itself is an abstraction. There is always a conversion process (Turning the real world into a 1 or a 0) that has an error rate. IE 0.000000000000001 is rounded to 0.

Every automation I have seen needs human tuning in order to keep working. The more complicated, the more tuning. This is why self driving cars and voice to text still rely on a human to monitor, and tune.

Meat is magic. And can never be completely recreated artificially.

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

#240

Earlier quoted context omitted.

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

What if at some point an AI is developed that’s a better therapist AND it’s cheaper? Probably they'll the change the law. Hundreds of laws change every day.

I think you’re downplaying the effect of “precedence” and the medical lobby.
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