TimewornTraveler

thank you for the clarifications, sorry if I disturbed you. getting services in rural areas really sucks too. Hopefully you can find a good online practicioner. therapy needs more national certificates so we can stop leaving red state people in suffering

okay then... I guess you're making this an adversarial thing. I'm not sure what you intended to mean by bringing up shared experiences if you weren't speaking to efficacy. but i guess i get why you made it adversarial: it's frustrating being misunderstood. happens to me too. i just got a comment like that in my inbox just like it. I tried to share insights on how empathy and diversity contributes to positive outcomes in therapy, and i got this bizarre tone deaf debate bro response instead. cant always be understood, i guess. it's fine. if you can't find common ground, you can at least tell people off who are trying to have a pleasant conversation with you, that'll at least ensure fewer and fewer people interact with you

assumptions assumptions!

your presumption is that you'd be a better therapist, not a worse one, if you have more shared experiences with the client. that's not something current evidence supports.

empathy means we strive to understand one another, not presume we understand them based on our own experiences. THAT is how bad therapy happens. and self-disclosure is a crutch for poor rapport building skills.

without the shared experiences, there can be more drive for empath and mutual understanding. the feeling of being understood by someone outside your group can be transformative.

In truth, positive outcomes have little correlation with therapist-client demographics. the demographic differential does alter what the course of therapy might look like, but not the outcomes.

they better fuckin bill me for it

I thought june was pride month

Then I get stuck on ... well they will rephrsse what I just said, and say/ask it back to me, and I'll say no, no I phrased what I said specifically, because I meant exactly that.

they're checking their own understanding by giving you an opportunity to correct them. by rephrasing it identically, it doesnt build any new understanding.

does it not matter to you to be understood by others? maybe that's why you're bashing therapy on the internet, asking for CBT worksheets instead of building rapport, and indirectly praising relationships with LLMs?

what makes you think their gender is even relevant to their practice?

CBT being basically the only kind of approach to therapy that is actually empirically shown to reliably actually help most people.

what the fuck are you talking about? this is objectively incorrect based on current evidence-based practices. why the fuck are you spreading misinfo about my job?

CBT IS NOT the only arghh omggg you must be trolling me. I'm not wasting any more on this

yeah they are definitely making dumb choices. it's probably not because they're all just dumb though. they probably have a lot of external factors pushing them towards that decision.

for example, many discussions tend to find ways to blame and shame them instead of responding with empathy. sort of like this comment. what benefit do you think you get by reframing things to blame the men here?

yep, if someone disagrees with me, it's usually because they're unhinged. People rarely know things that I don't, because I am very smart. there's no way that anyone downvoted that post because it makes statements that are inconsistent with the current scientific knowledge around this subject, because no such knowledgeable exists. I know this because if it did exist i would know about it, as I'm very smart. my AI therapist told me so. and i see nothing wrong with that post. so anyone who does must be a fool.

a terrible therapist at least has an ethics board

a terrible therapist at least has evidence-based interventions on their side

a terrible therapist at lest has the fact that ~80% of positive outcomes have nothing to do with the interventions or anything the therapist does besides show up and be cool (a statistic I remember quite well from grad school)

AI has none of these things

therapy isn't fucking magic. it's a relationship. you can't have a relationship with an LLM. there's no such thing as AI therapy, you're just training it to tell you about CBT worksheets while you bitch about your problems like you're in a nail salon