ArticleFrontiers in psychiatry2025
Beyond the black box: why algorithms cannot replace the unconscious or the psychodynamic therapist.
Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Are You Qualified, ChatGPT? Examining Clinical Skills and Competencies of ChatGPT in Delivering Systemic Interventions.Journal of marital and family therapy · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This paper critically examines the limitations of artificial intelligence in replicating human psychological processes, specifically challenging its ability to capture the complex structures of the unconscious and the nuanced dynamics of psychotherapeutic relationships. Drawing on psychoanalytic theory, particularly Matte-Blanco's analysis of unconscious logic and Winnicott's concept of therapeutic holding, the research demonstrates that AI fundamentally fails to engage with the non-linear, contradictory, and embodied nature of human psychological experience. To substantiate these theoretical claims, the paper presents a clinical vignette that illustrates AI's profound therapeutic shortcomings, specifically its inability to address complex psychological issues like separation anxiety and projective identification. The case study highlights critical therapeutic elements AI cannot replicate, such as meaningful silence, nuanced countertransference, and embodied emotional containment. While algorithmic systems may superficially mimic pattern recognition, they cannot replicate the profound intersubjective, temporal, and affective dimensions of human psychological understanding. The study warns of a more insidious risk: patients potentially modifying their psychological self-presentation to conform to computational logic, thereby sanitizing and distorting their complex inner experiences. Ultimately, the paper argues that AI's limitations are structural rather than technical, emphasizing the irreplaceable role of embodied, relational human connection in psychological care and understanding, while acknowledging AI's potential supplementary functions in mental healthcare.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.