nope, not confusing you with anyone.
and the point I’m trying to make is that you’re perceiving it as argumentative when it’s not. you finding me unpleasant is entirely your business, not mine.
just please be aware of what I’m trying to tell you about the value of demographic differences.
I didn’t even check.
um, I’m not sure why you’re off-put by my comment either, i guess instead I’m supposed to i wish you didnt have access to services? (or i guess i wish your life is so dull and uneventful such that you never need therapy again /j)
either way the only reason I responded was to say sorry i disturbed you. not really sure i mean that any more, that was kind of a dick reply but whatever
i just want to point out the irony of someone going on and on about anti therapy stuff, and then says there’s no mental health care around me. if you think it’s just a pill mill, maybe you didnt understand where you were going. the vast majority of therapists cant even prescribe rx.
and the complaint you have about how, in your words, “no one ever quotes me directly, they always ruin my words by interpreting me instead of parroting me” get over yourself. you see why they call you argumentative? because you bitch and moan about an interpretation not being perfect. guess what, communication isn’t perfect, that’s why you compromise and clarify.
Honestly your response to me has been so fucking rude i dont know why I’m wasting five minutes on you. you dont seem to give a shit about what anyone else thinks
thank you for the clarifications, sorry if I disturbed you. getting services in rural areas really sucks too. Hopefully you can find a good online practicioner. therapy needs more national certificates so we can stop leaving red state people in suffering
okay then… I guess you’re making this an adversarial thing. I’m not sure what you intended to mean by bringing up shared experiences if you weren’t speaking to efficacy. but i guess i get why you made it adversarial: it’s frustrating being misunderstood. happens to me too. i just got a comment like that in my inbox just like it. I tried to share insights on how empathy and diversity contributes to positive outcomes in therapy, and i got this bizarre tone deaf debate bro response instead. cant always be understood, i guess. it’s fine. if you can’t find common ground, you can at least tell people off who are trying to have a pleasant conversation with you, that’ll at least ensure fewer and fewer people interact with you
assumptions assumptions!
your presumption is that you’d be a better therapist, not a worse one, if you have more shared experiences with the client. that’s not something current evidence supports.
empathy means we strive to understand one another, not presume we understand them based on our own experiences. THAT is how bad therapy happens. and self-disclosure is a crutch for poor rapport building skills.
without the shared experiences, there can be more drive for empath and mutual understanding. the feeling of being understood by someone outside your group can be transformative.
In truth, positive outcomes have little correlation with therapist-client demographics. the demographic differential does alter what the course of therapy might look like, but not the outcomes.
is he up for reelection in 2028?? damn, i’d take an AOC Senator over another term of Schumer with a failed AOC presidency run and Trump still in the white house
they better fuckin bill me for it
I thought june was pride month
Then I get stuck on … well they will rephrsse what I just said, and say/ask it back to me, and I’ll say no, no I phrased what I said specifically, because I meant exactly that.
they’re checking their own understanding by giving you an opportunity to correct them. by rephrasing it identically, it doesnt build any new understanding.
does it not matter to you to be understood by others? maybe that’s why you’re bashing therapy on the internet, asking for CBT worksheets instead of building rapport, and indirectly praising relationships with LLMs?
what makes you think their gender is even relevant to their practice?
CBT being basically the only kind of approach to therapy that is actually empirically shown to reliably actually help most people.
what the fuck are you talking about? this is objectively incorrect based on current evidence-based practices. why the fuck are you spreading misinfo about my job?
CBT IS NOT the only arghh omggg you must be trolling me. I’m not wasting any more on this
yeah they are definitely making dumb choices. it’s probably not because they’re all just dumb though. they probably have a lot of external factors pushing them towards that decision.
for example, many discussions tend to find ways to blame and shame them instead of responding with empathy. sort of like this comment. what benefit do you think you get by reframing things to blame the men here?
yep, if someone disagrees with me, it’s usually because they’re unhinged. People rarely know things that I don’t, because I am very smart. there’s no way that anyone downvoted that post because it makes statements that are inconsistent with the current scientific knowledge around this subject, because no such knowledgeable exists. I know this because if it did exist i would know about it, as I’m very smart. my AI therapist told me so. and i see nothing wrong with that post. so anyone who does must be a fool.
therapy does not have to be expensive.
around 70% of my caseload is Medicaid and they don’t pay a dime. the remainder is mostly DOC (prison), they only pay if we charge No Show fee. so they pay to not go to therapy. There’s 1-2 people who are funded by the county. they pay a $7 copay per session
Therapy isn’t expensive, luigi is.
As far as efficacy, we don’t even have data suggesting AI therapy is effective. we have ample data, however, showing that the most important part of therapy is not what you do but the relationship itself. not individual efforts. so your theory about what therapy does for us is wrong. there’s no relationship with an LLM. we have no reason to believe it would be any better than a paper journal and a CBT worksheet.
a terrible therapist at least has an ethics board
a terrible therapist at least has evidence-based interventions on their side
a terrible therapist at lest has the fact that ~80% of positive outcomes have nothing to do with the interventions or anything the therapist does besides show up and be cool (a statistic I remember quite well from grad school)
AI has none of these things
therapy isn’t fucking magic. it’s a relationship. you can’t have a relationship with an LLM. there’s no such thing as AI therapy, you’re just training it to tell you about CBT worksheets while you bitch about your problems like you’re in a nail salon
this makes me even more excited for my plans to switch to linux. I’m gonna have to go find a good backup method soon!
if only you read more than three sentences you’d see the problem is with the training data. instead you chose to make sure no one said the R word. ben shapiro would be proud