<p>Large language models (LLMs) hold great potential for augmenting psychotherapy by enhancing accessibility, personalization and engagement. However, a systematic understanding of the roles that LLMs can play in psychotherapy remains underexplored. In this Perspective, we propose a taxonomy of LLM roles in psychotherapy that delineates six specific roles of LLMs across two key dimensions: artificial intelligence autonomy and emotional engagement. We discuss key computational and ethical challenges, such as emotion recognition, memory retention, privacy and emotional dependency, and offer recommendations to address these challenges.</p>

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Computational and ethical considerations for using large language models in psychotherapy

  • Renwen Zhang,
  • Han Meng,
  • Marion Neubronner,
  • Yi-Chieh Lee

摘要

Large language models (LLMs) hold great potential for augmenting psychotherapy by enhancing accessibility, personalization and engagement. However, a systematic understanding of the roles that LLMs can play in psychotherapy remains underexplored. In this Perspective, we propose a taxonomy of LLM roles in psychotherapy that delineates six specific roles of LLMs across two key dimensions: artificial intelligence autonomy and emotional engagement. We discuss key computational and ethical challenges, such as emotion recognition, memory retention, privacy and emotional dependency, and offer recommendations to address these challenges.