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Does AI Undermine Clinical Supervision?

7 0
06.01.2026

AI’s power is undeniable despite its magnificent bloopers (Fahim et al., 2025). It organizes written material with perfect punctuation, taking progress notes off the clinician’s plate. I don’t believe there is anything useful to be learned about clinical work from writing notes, so for me, this is a free lunch.

Like all computers, or even all lists, AI never skips a step in what it is taught to consider important. An AI-informed supervision is constantly reminded to treat speech as metaphorical and not literal, since humans, including therapy patients, are very good poets and very bad reporters. AI never forgets to inquire why at this moment this thought occurred to the patient. It never forgets to consider projective identification—the communication of an intolerable feeling by getting the therapist to feel it. It never forgets to consider a lose-lose comment during a frame deviation.

AI can equalize the power imbalance in supervision, if you think that’s a good thing. With AI, supervisees—and their patients, for that matter—have as much factual knowledge as the person with more power. To me, that’s a disadvantage, because I think the cure for the effects of misused power imbalances is not to eradicate power imbalances but instead not to misuse them. This exposes supervisees—and patients—to power imbalances and helps them discriminate the exploitive ones.

In short, AI is smarter than the therapist in the therapy........

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