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Engagement Versus Therapeutic Alliance: Large Language Models in AI Psychotherapy
1Queen's University.
The American Journal of Bioethics : AJOB
|February 12, 2026
Abstract
No abstract available in PubMed .
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01:25Interpersonal Psychotherapy
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01:16Language
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Language is a unique communication system that uses words and systematic rules to organize and transmit information. Unlike other forms of communication, which may involve postures, movements, odors, or vocalizations, language relies on symbols and grammar. This makes human communication distinct from that of other species, who also communicate but do not use language in the same way humans do.
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01:25Elements Crucial for Effective Psychotherapy
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01:24Components of Language
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Language, whether spoken, signed, or written, consists of specific components: lexicon and grammar. The lexicon is the vocabulary of a language, comprising its words. Grammar is the set of rules used to convey meaning through the lexicon. For example, English grammar adds “-ed” to most verbs to indicate past tense. Words are formed by combining phonemes, which are the basic sound units of a language. Different languages have different sets of phonemes (e.g., “ah” vs.
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01:22Language Development
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