Can Ethical AI Democratize Therapy and Higher Quality Care?

Can Ethical AI Democratize Therapy and Higher Quality Care?

Author: BKBT Productions October 13, 2025 Duration: 57:03
Bare Knuckles and Brass Tacks
TechnologyCultureSocietySociety & Culture
Clinical psychologist, Dr. Sarah Adler, joins the show this week to talk about why "AI Therapy" doesn't exist, but is bullish on what AI can help therapists achieve. Dr. Adler is a clinical psychologist and CEO of Wave [https://www.wavelife.io/]. She's building AI tools for mental healthcare, which makes her position clear—what's being sold as "AI therapy" right now is dangerous. Chatbots are optimized to keep conversations going. Therapy is designed to build skills within bounded timeframes. Engagement is not therapy. Instead, Dr. Adler sees AI as a powerful recommendation engine and measurement tool, not as a therapist. George K and George A talk to Dr. Adler about what Ethical AI looks like, the model architecture for personalized care, who bears responsibility and liability, and more. The goal isn't replacing human therapists. It's precision routing—matching people to the right care pathway at the right time. But proving this works requires years of rigorous study. Controlled trials, multiple populations, long-term tracking. That research hasn't been done. Dr. Adler also provides considerations and litmus tests you can use to discern snake oil from real care. Mental healthcare needs innovation. But you cannot move fast and break things when it comes to human lives. Mentioned: A Theory of Zoom Fatigue [https://theconvivialsociety.substack.com/p/a-theory-of-zoom-fatigue] Kashmir Hill's detailed reporting on Adam Raine's death and the part played by ChatGPT  [https://www.nytimes.com/2025/08/26/technology/chatgpt-openai-suicide.html?unlocked_article_code=1.nU8.DE_a.Ur81NxfjZuNn&smid=url-share] (Warning: detailed discussion of suicide) Colorado parents sue Character AI over daughter's suicide [https://www.cbsnews.com/colorado/news/lawsuit-characterai-chatbot-colorado-suicide/] Sewell Setzer's parents sue Character AI [https://apnews.com/article/chatbot-ai-lawsuit-suicide-teen-artificial-intelligence-9d48adc572100822fdbc3c90d1456bd0] Deloitte to pay money back after caught using AI in $440,000 report [https://www.theguardian.com/australia-news/2025/oct/06/deloitte-to-pay-money-back-to-albanese-government-after-using-ai-in-440000-report]

There’s a lot of noise in the world of technology talk, but Bare Knuckles and Brass Tacks cuts through it with a focus on the people behind the products and the societal currents shaping our digital landscape. Hosts George K and George A steer conversations that are less about specs and hype, and more about real-world consequences. You’ll hear them dig into topics like the messy rollout of new AI tools, the often-invisible backbone of digital infrastructure, and why communities adopt or reject certain technologies. This podcast regularly features guests from various fields who offer unvarnished opinions on what’s genuinely functional and what’s fundamentally flawed in our tech-saturated lives. The discussions move beyond simple commentary to challenge the standard narratives promoted by the tech industry, examining the cultural and social ripples of every new development. It’s a show for anyone who feels that technology coverage often misses the human element-the frustrations, the adaptations, and the ethical dilemmas. Tune in for a grounded, critical, and consistently engaging dialogue that connects the dots between code and culture. This production from BKBT Productions lives up to its name, getting down to the brass tacks of how technology is built and used, with a bare-knuckle honesty that’s increasingly rare.
Author: Language: English Episodes: 100

Official website RSS
instagramyoutubelinkedin
Bare Knuckles and Brass Tacks
Podcast Episodes
Why your network is shallower than you think, and how to change it [not-audio_url] [/not-audio_url]

Duration: 41:18
What if the reason most people struggle to build meaningful professional relationships isn't effort — it's that they've mistaken a transaction for a foundation? David Homan [https://orchestratedconnecting.com/about/] has…
What the AI datacenter build out looks like from the ground up [not-audio_url] [/not-audio_url]

Duration: 42:19
What happens when a community votes no…but the #AI datacenter construction starts anyway? That is not a hypothetical. It's what happened in Saline Township, Michigan, when a $16 billion OpenAI-Oracle data center was reje…
The Everything Machine and the Trillion-Dollar Bet [Replay] [not-audio_url] [/not-audio_url]

Duration: 1:02:02
What if the story we're being told about AI's inevitability is hiding something underneath? That's the question Jessica Parker and Kimberly Becker put to George K. on their podcast, Women Talking 'Bout AI [https://www.wo…
AI is doing real good and real harm, but the hype is hiding both [not-audio_url] [/not-audio_url]

Duration: 41:16
The AI hype machine is taking up all the oxygen we need to actually stop the harm happening today. This month we heard from three guests who didn't compare notes. Didn't coordinate. And all three circled the same thing:…
Using focused AI to help small farmers and reduce food insecurity [not-audio_url] [/not-audio_url]

Duration: 35:46
What if narrow #AI, rather than imagined AGI through scaling will be what changes the world? In some places, that's already happening. El Mahdi Aboulmanadel founded DeepLeaf [https://deepleaf.io/] after watching smallhol…

12345...10»