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Related Concept Videos

Psychodynamic Therapy01:29

Psychodynamic Therapy

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Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
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Humanistic Therapy01:24

Humanistic Therapy

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Humanistic therapies emphasize personal growth, self-understanding, and the fulfillment of human potential. Rooted in the belief that individuals inherently strive toward self-actualization, these approaches encourage clients to explore their feelings and experiences in a supportive, nonjudgmental environment. Humanistic therapies differ from psychodynamic approaches by focusing on conscious experiences, present circumstances, and the potential for self-improvement rather than past conflicts...
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Psychotherapy01:28

Psychotherapy

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Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
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Elements Crucial for Effective Psychotherapy01:25

Elements Crucial for Effective Psychotherapy

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Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
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Psychosurgery01:30

Psychosurgery

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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
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Interpersonal Psychotherapy01:25

Interpersonal Psychotherapy

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Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
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Related Experiment Video

Updated: Apr 7, 2026

High-definition Transcranial Direct Current Stimulation over Right Dorsolateral Prefrontal Cortex to Enhance Metacognitive Sensitivity
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High-definition Transcranial Direct Current Stimulation over Right Dorsolateral Prefrontal Cortex to Enhance Metacognitive Sensitivity

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Psychotherapists' Trust, Distrust, and Generative AI Practices in Psychotherapy: Qualitative Study.

Jinyan Kuang1, Amber L Pope2, Yixuan Zhang1

  • 1Department of Computer Science, William & Mary, 251 Jamestown Road, Williamsburg, VA, United States, 1 7572214842.

Journal of Medical Internet Research
|April 6, 2026
PubMed
Summary

Psychotherapists trust generative artificial intelligence (GenAI) when it supports, not replaces, their role, prioritizing human connection. Distrust arises when GenAI encroaches on clinical judgment or the therapeutic relationship.

Keywords:
AIartificial intelligencegenerative AImental healthqualitative methodstrust

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Area of Science:

  • Mental Health Technology
  • Artificial Intelligence in Healthcare
  • Psychotherapy Research

Background:

  • Generative artificial intelligence (GenAI) is increasingly adopted in mental health care, impacting client and clinician tools.
  • Understanding psychotherapists' trust calibration in GenAI is crucial for care quality.
  • The intersection of GenAI with the therapeutic relationship is vital for responsible integration.

Purpose of the Study:

  • Examine psychotherapists' experiences, perceptions, and trust/distrust in GenAI within therapeutic contexts.
  • Investigate how GenAI's role in the therapeutic relationship influences psychotherapists' trust and distrust.

Main Methods:

  • Qualitative interview study with 18 practicing psychotherapists in the US (Jan-May 2025).
  • Semistructured interviews explored experiences, perceptions, and trust/distrust of GenAI.
  • Data analyzed using the general inductive approach with iterative coding and team interpretation.

Main Results:

  • GenAI adoption is individualized, contingent on maintaining professional role integrity.
  • Trust is sustained for low-stakes, clinician-supervised tasks (e.g., documentation); distrust grows with high-stakes judgment or threats to human connection.
  • Conditions for trust include preserving interpretive authority, ethical responsibility, and relational primacy, extending to concerns about the broader sociotechnical ecosystem.

Conclusions:

  • Psychotherapists' perspectives reveal critical insights into GenAI usage and trust conditions.
  • Maintaining clinician control, contextual appropriateness, and the human connection are paramount for GenAI integration.
  • Future research should explore therapeutic orientation, experience, client factors, responsible GenAI design, and policy frameworks for ethical deployment.