I share the privacy concerns, and look forward to running these kinds of models locally in the near future.
> chatgpt and other LLMs are known to hallucinate. What if it’s advice is wrong or makes you worse in the long term because it’s just regurgitating whatever at you?
As someone on a long-term therapy journey, I would be far less concerned about this. Therapy is rarely about doing exactly what one is told, it's about exploring your own thought processes. When a session does involve some piece of advice, or "do xyx for <benefit>", that is rarely enough to make it happen. Knowing something is good and actually doing it are two very different things, and it is exploring this delta that makes therapy valuable (in my personal experience).
At some point, as that delta shrinks and one starts actually taking beneficial actions instead of just talking, the advice becomes more of a reminder / an entry point to the ground one has already covered, not something that could be considered prescriptive like "take this pill for 7 days".
The point I'm trying to make is that if ChatGPT is the therapist, it doesn't make the person participating into a monkey who will just execute every command. Asking the bot to provide suggestions is more about jogging one's own thought processes than it is about carrying out specific tasks exactly as instructed.
I do wonder how someone who hasn't worked with a therapist would navigate this. I could see the value of a bot like this as someone who already understands how the process works, but I could absolutely see a bot being actively harmful if it's the only support someone ever seeks.
My first therapist was actively unhelpful due to lack of trauma-awareness, and I had to find someone else. So I could absolutely see a bot being unhelpful if used as the only therapeutic resource. On the flip side, ChatGPT might actually be more trauma-"aware" than some therapists, so who knows.
I think my point was more that if they're doing what it says, that says more about where they’re at mentally (able to take action) and the quality of the advice (they’re willing to follow it).
My stance here is based on an optimistic outlook that a person seeking therapeutic advice is by doing so demonstrating enough awareness that they’re probably capable of recognizing a good idea from a bad one.
I realize this can get into other territory and there are very problematic failure modes in the worst cases.
Regarding “My life is better if I just do what it says.”, I think concern is a fair reaction and I don’t think the author fully thought that through. But at the same time, it’s entirely possible that it’s true (for now).
If someone continues to follow advice that is clearly either bad or not working, then it becomes concerning.
But that was the other point of my anecdote. It became pretty clear to me what wasn’t working, even at a time that I wasn’t really sure how the whole thing worked.
> chatgpt and other LLMs are known to hallucinate. What if it’s advice is wrong or makes you worse in the long term because it’s just regurgitating whatever at you?
As someone on a long-term therapy journey, I would be far less concerned about this. Therapy is rarely about doing exactly what one is told, it's about exploring your own thought processes. When a session does involve some piece of advice, or "do xyx for <benefit>", that is rarely enough to make it happen. Knowing something is good and actually doing it are two very different things, and it is exploring this delta that makes therapy valuable (in my personal experience).
At some point, as that delta shrinks and one starts actually taking beneficial actions instead of just talking, the advice becomes more of a reminder / an entry point to the ground one has already covered, not something that could be considered prescriptive like "take this pill for 7 days".
The point I'm trying to make is that if ChatGPT is the therapist, it doesn't make the person participating into a monkey who will just execute every command. Asking the bot to provide suggestions is more about jogging one's own thought processes than it is about carrying out specific tasks exactly as instructed.
I do wonder how someone who hasn't worked with a therapist would navigate this. I could see the value of a bot like this as someone who already understands how the process works, but I could absolutely see a bot being actively harmful if it's the only support someone ever seeks.
My first therapist was actively unhelpful due to lack of trauma-awareness, and I had to find someone else. So I could absolutely see a bot being unhelpful if used as the only therapeutic resource. On the flip side, ChatGPT might actually be more trauma-"aware" than some therapists, so who knows.