Evidence map›Paper›PMID 41280457›Full record

ArticleFrontiers in psychiatry2025

Beyond the black box: why algorithms cannot replace the unconscious or the psychodynamic therapist.

Aner Govrin

Abstract read
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Aner GovrinThe Program for Hermeneutics and Cultural Studies, Bar-Ilan University, Ramat Gan, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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

AIholdingprojective identificationpsychodynamic psychotherapyunconscious

Identifiers

PMID41280457
PMCPMC12635996

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.