超越黑盒子:为什么算法不能取代无意识或精神动态治疗师
1The Program for Hermeneutics and Cultural Studies, Bar-Ilan University, Ramat Gan, Israel.
Frontiers in psychiatry
|November 24, 2025
概括
人工智能 (AI) 无法复制无意识或治疗关系,因为它无法掌握非线性人类心理学. 人工智能缺乏体现的关系能力,这对于深层次的心理护理至关重要,这可能会导致扭曲自我表现的风险.
科学领域:
- 精神分析理论精神分析理论
- 临床心理学 临床心理学
- 人工智能研究研究的人工智能研究.
背景情况:
- 人工智能 (AI) 越来越多地融入精神卫生保健,需要对其能力进行批判性评估.
- 现有的人工智能模型往往难以捕捉人类心理经验的复杂性,特别是无意识的过程和治疗关系.
研究的目的:
- 批判性地检查AI在复制人类心理过程中的局限性.
- 挑战AI理解无意识和心理治疗动态的能力.
- 突出AI在心理护理中的结构性局限性.
主要方法:
- 基于精神分析概念的理论分析 (马特-布兰科的无意识逻辑,温尼科特的治疗持有).
- 展示了一张临床图片,说明AI的治疗缺陷.
- 分析AI无法复制关键的治疗元素,如沉默,反转移和制.
主要成果:
- 人工智能从根本上未能与人类心理学的非线性,矛盾和体现的性质进行接触.
- 人工智能不能复制对心理理解至关重要的主体间,时间和情感维度.
- 发现的一个重大风险是患者改变自我呈现以适应计算逻辑.
结论:
- 人工智能在心理护理方面的局限性是结构性的,而不仅仅是技术性的.
- 在心理理解和治疗中,体现的,关系型的人类联系仍然是不可替代的.
- 人工智能可以发挥补充作用,但不能取代人类的治疗存在.
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