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Abstract：
UNASSIGNED: This paper explores a significant shift in the field of mental health in general and psychotherapy in particular following generative artificial intelligence\'s new capabilities in processing and generating humanlike language. Following Freud, this lingo-technological development is conceptualized as the \"fourth narcissistic blow\" that science inflicts on humanity. We argue that this narcissistic blow has a potentially dramatic influence on perceptions of human society, interrelationships, and the self. We should, accordingly, expect dramatic changes in perceptions of the therapeutic act following the emergence of what we term the artificial third in the field of psychotherapy. The introduction of an artificial third marks a critical juncture, prompting us to ask the following important core questions that address two basic elements of critical thinking, namely, transparency and autonomy: (1) What is this new artificial presence in therapy relationships? (2) How does it reshape our perception of ourselves and our interpersonal dynamics? and (3) What remains of the irreplaceable human elements at the core of therapy? Given the ethical implications that arise from these questions, this paper proposes that the artificial third can be a valuable asset when applied with insight and ethical consideration, enhancing but not replacing the human touch in therapy.
摘要：
■本文探讨了一般精神卫生领域和心理治疗领域的重大转变，特别是在生成人工智能在处理和生成类似人类语言方面的新能力之后。在弗洛伊德之后，这种语言技术的发展被概念化为科学对人类造成的“第四次自恋打击”。我们认为，这种自恋的打击对人类社会的看法有潜在的戏剧性影响，相互关系,和自我。我们应该,因此,在我们称之为心理治疗领域的人工第三人的出现之后，人们对治疗行为的看法会发生巨大变化。人造第三者的引入标志着一个关键时刻，促使我们提出以下重要的核心问题，这些问题涉及批判性思维的两个基本要素，即,透明度和自主性：（1）治疗关系中的这种新的人为存在是什么？（2）它如何重塑我们对自己和人际关系动态的看法？（3）治疗核心的不可替代的人为因素还有哪些？本文提出，当应用于洞察力和伦理考虑时，人工第三可以是一种宝贵的资产，增强但不能取代治疗中的人类触觉。
