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A Psychologist's Thoughts on Clinical Practice, Behavior, and Life

AI and Consciousness - Inspired by an article in The Wall Street Journal ("Is AI Conscious? It Depends What Consciousness Is" - March 26, 2026)

A current question is whether AI bots possess consciousness with the answer depending on what consciousness is. If it indicates having total control of one's actions then humans, who possess a powerful unconscious capable of making serious errors of judgment, cannot be said to possess consciousness. Nor can humans of very low intellectual ability who largely rely on the simple pain-pleasure principle (which ordinarily governs only some human behaviors), to simplify their environment so they know what to do. Which is also how incarcerated individuals in their highly controlled environment but having normal intelligence ordinarily behave.

 

AI bots have been described as experiencing hallucinations, making greatly erroneous judgments, having errors of thinking. As do humans with conclusions that their powerful unconscious creates or influences because of faulty early developmental experiences. Thus the important question is not whether AI bots are conscious but if their self-correcting mechanism is adequate for the task assigned. Yet creating this critical certainty is not an easily accomplished task.

Humans instinctively learn the grammatical structure of the language of the nation into which they are born. Thus one born in Spain naturally learns Spanish while one born in France naturally learns French. Not by learning to place one word after another, which it has been hypothesized would take them a hundred-thousand-years, but by instinctively inducting the grammar of their nation's language.

 

Which is also how humans can easily recognize illogicalities which AI bots cannot. For example, would an AI bot identify a summary as erroneous if it stated that a person with a doctoral degree and lengthy professional achievements was four-years-old? Maybe not since comprehensive corrective bot instruction is not easily done. Perhaps "instructing" (coding) bots about the psychological nature of humans, the essence of being human, could reduce its tendency to make glaring factual errors. But will they then develop an unconscious or is this what current AI hallucination already reflects? An interesting question.

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A Proposed Treatment Method For Combat-Derived Post-Traumatic Stress Disorder (PTSD)

The similarities between a fetish and a PTSD symptom are not small since both derive from trauma, the major difference being that women don't develop fetishes. A trauma occurs when the stress that the mind experiences is too great for it to tolerate and a symptom, which is the indicator that something is wrong and change is needed, is created.

 

But first a story. A teenage boy was crippled by his fetish of staring at and photographing women's shoes. Fetish derive from early life trauma during which a young boy, having witnessed a naked girl or his parents' sexual activity, illogically fears that he may lose his penis since the female lacks one. Thereafter, to reassure himself, he compulsively touched or viewed the object symbolizing his penis (with him a female's shoe) for reassurance that he still had it. I advised him that, when the obsession arose, to talk to himself: tell himself that while the obsessive thought had helped him in the past and he would always be grateful, he no longer needed its help. That both could now relax and would always be friends. Within two months the fetish disappeared as our discussion turned to the normal teenage concerns of dating and future vocation.

 

Similarly, a soldier who survived combat may, for decades thereafter, experience crippling anxiety when encountering something reminding him of his wartime experience: a battle scene photograph or video or reading of such incident. Relating as did this boy to a soldier's distress may prove helpful: telling himself that the symptom, which was intended to save his life during combat, was no longer needed and could relax but they would always be friends.

 

While the unconscious can protect against distress it is primitive, illogical, ever-vigilant and powerful, but lacks a sense of time.

 

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Depression, Ignorance, Ketamine Use, and Murder

Inspired by an article in The Wall Street Journal ("She Hoped Ketamine Would Rewire Her Brain. She Didn't Live To See It Work" - March 17, 2026). - Several truths underlie human behavior: 1. Anxiety and depression are painful; 2. Drugs can eliminate pain. But first two stories. During his psychiatry residency a doctor sought to investigate psychotropics by taking a small dosage of one. The effect was so profound that thereafter he was exceedingly cautious about prescribing them. 2. A physician-father refused to have his in-patient adolescent medicated stating the drugs were "a chemical lobotomy."


Though distressing, both anxiety and depression are intrinsically valuable to humans, indicating that the presence of a disturbing experience must be noted. Which could be a thought or a feeling or the presence of a potential danger like when hearing a sudden noise while walking a darkened street or during a military engagement. Once recognized, understood, and appropriately related to, the anxiety and depression disappear, having served their purpose. Just as a fever vanishes when the infection causing it is passed.


Many, not understanding this and abetted by clever physician and drug industry marketing, try to short-circuit nature with a pill to which nature reacts with its own defenses, including the murder on February 10, 2025 of four girls ages two through eight by their ketamine-dosed psychotic mother.


Long ago a psychologist, Fritz Haider, termed the phrase "naive psychology": the beliefs about behavior that people develop simply by being human with some being true and others false. Ignorance can be costly, and deadly too.

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Scary Words And Ignorance Enabled Medicaid Autism Fraud (Inspired by a Wall Street Journal Article, "The Medicaid Autism Racket" - March 9, 2026)

Some medical terms are particularly scary. Think how you feel when a doctor uses the word "cancer" though most people die with cancer than of it. Autism is such a word and for good reason since, arising during the earliest period of life when the basic ego capacities governing thinking and behavior develop, it is perhaps the most devastating of all mental illnesses. And among the most distressing to witness too, with its severest form being instantly diagnosable from its helter-skelter aimless searching movements and self preoccupation. Making it understandable why the government would pay huge sums to transform these suffering children into adequately functioning adults.


But, and here's the rub: (1) Severe autism is relatively rare; (2) The mild autistic-like symptoms of many children are usually outgrown without treatment; (3) Autism is vastly misdiagnosed due to ignorance of child psychological development being widespread among professionals; and (4) A profitable industry created and underlain by this ignorance has developed.


The etiology of autism has been long known and a recent Australia study revealed its best, least expensive treatment. While no one experiences a perfect mothering, autism derives from the infant's experience of a severely deficient one. Sensing this parental inadequacy, for babies have greater cognitive abilities than had been believed, the child first seems precocious as they seek without assistance to achieve independence. When failing as they must, their protective mode of relating which can be characterized as the autistic shell develops.


The most effective intervention would be to provide intensive parenting education for parents on a one-to-one basis. When this was done during the Australia study almost none of the children exhibiting autism symptoms early in life were so diagnosed by age four-years. An apt saying in mental health treatment is that better is earlier. Ignorance is expensive, both financially and emotionally.

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Grade School, Jail, And When There's No Difference

I recently heard of an odd teacher behavior in grade school: that disobedient students are given a colored sign to wear, yellow or green or another, designating their level of disobedience and its associated punishment (losing recess or something else), this mode of discipline creating tormented chatter and worrywarts.


What underlies this practice is the false but widespread belief that punishment is significant in changing behavior. Which is true for dogs but not cats (trust me, it won't work), and humans of greatly limited intellectual ability since it so simplifies their environment that they will understand what to do. It will work with incarcerated inmates who are not emotionally disturbed since in a prison the administration tightly controls everything, but not after their release. It will not work, more than briefly, for people in general which includes youth.

 

Children will generally follow rules made by adults unless they are hungry, tired, ill, or cannot obey for an unconscious reason making sense to them but not others. Which is how adults behave too. The unconscious is powerful and one must respect its power.

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