AI therapists may flatten humanity into patterns of prediction, and so sacrifice the intimate, individualized care that’s anticipated of conventional human therapists. “The logic of PAI results in a future the place we could all discover ourselves sufferers in an algorithmic asylum administered by digital wardens,” Oberhaus writes. “Within the algorithmic asylum there isn’t any want for bars on the window or white padded rooms as a result of there isn’t any chance of escape. The asylum is already in all places—in your properties and places of work, faculties and hospitals, courtrooms and barracks. Wherever there’s an web connection, the asylum is ready.”
A Essential Evaluation of
AI Psychological Well being Therapy
Eoin Fullam
ROUTLEDGE, 2025
Eoin Fullam, a researcher who research the intersection of know-how and psychological well being, echoes a number of the identical issues in Chatbot Remedy: A Essential Evaluation of AI Psychological Well being Therapy. A heady tutorial primer, the e-book analyzes the assumptions underlying the automated remedies provided by AI chatbots and the way in which capitalist incentives may corrupt these sorts of instruments.
Fullam observes that the capitalist mentality behind new applied sciences “typically results in questionable, illegitimate, and unlawful enterprise practices through which the shoppers’ pursuits are secondary to methods of market dominance.”
That doesn’t imply that therapy-bot makers “will inevitably conduct nefarious actions opposite to the customers’ pursuits within the pursuit of market dominance,” Fullam writes.
However he notes that the success of AI remedy relies on the inseparable impulses to generate profits and to heal individuals. On this logic, exploitation and remedy feed one another: Each digital remedy session generates knowledge, and that knowledge fuels the system that earnings as unpaid customers search care. The simpler the remedy appears, the extra the cycle entrenches itself, making it more durable to tell apart between care and commodification. “The extra the customers profit from the app when it comes to its therapeutic or another psychological well being intervention,” he writes, “the extra they bear exploitation.”
This sense of an financial and psychological ouroboros—the snake that eats its personal tail—serves as a central metaphor in Sike, the debut novel from Fred Lunzer, an writer with a analysis background in AI.
Described as a “story of boy meets woman meets AI psychotherapist,” Sike follows Adrian, a younger Londoner who makes a residing ghostwriting rap lyrics, in his romance with Maquie, a enterprise skilled with a knack for recognizing profitable applied sciences within the beta section.

Fred Lunzer
CELADON BOOKS, 2025
The title refers to a splashy industrial AI therapist known as Sike, uploaded into good glasses, that Adrian makes use of to interrogate his myriad anxieties. “After I signed as much as Sike, we arrange my dashboard, a large black panel like an airplane’s cockpit that confirmed my day by day ‘vitals,’” Adrian narrates. “Sike can analyze the way in which you stroll, the way in which you make eye contact, the stuff you speak about, the stuff you put on, how typically you piss, shit, snort, cry, kiss, lie, whine, and cough.”
