Hi everyone!!!!!

Hi Lou, glad you could come in!

Thank youuu

Hi Lou, welcome! Would love to hear from you about how are feeling at this moment — after how you sounded a couple of weeks ago!

Hi my dear…ok…I am do happy

You can not imagine how is good to live out Bolsonaro

This is Arlie Hochschild, a “she”

Thank you, Catherine — want us to interrupt him to say this?

no, not necessary.

I will let you make a comment during the discussion. But thanks. ‘Arlie’ is ambiguous.

what are the biases of the computer/therapist? does (he) believe in the marginal utility theory of value - that low levels of pay, even when they are not sustainable, must be accepted? That low taxes on the wealthy are symptoms of marginal utility and so should be accepted as needed and necessary. Are not such manifestations of empathy phony?

Thank you so uch

Fabulous talk! Thank you!!!

much

Thank you for this insight!

Very Interesting topic. Thank you Shai

Pretty talking, thank you!

fantastic, extremely poignant talk. Relevant to primary care in rushed times, too. So difficult feel personal connection with patients when in the interest of time and documentation we are encouraged to use scripts and templates

Protocol driven ‘care’ is ubiquitous, making professionals accountable to insurance companies, reimbursement,,, eclipsing relational engagement.

great talk, thanks

Should, therefore, psychotherapy always have political dimensions?

Can you writ?

Many thanks for such a fascinating talk, Shai. Sorry to have to run now… hope to cross paths around MIT sometime soon!

Computerized psychotherapy, though may be expensive to implement on a high scale, could be very useful in catering to a huge demand in LMICs, particularly for those suffering from long covid and other diseases, alongside other social factors

great points Mike (Nathan)!

Thank you so much for having me. Such a fascinating talk and discussion. Kind regards, Ida

again, the larger system and EMR driven encounters make a mockery of ‘care’

Wonderful talk, need to head out but thank you so much!

@Arlene: I don't think it's the EMR per se. I think the ways in which the EMR is used, especially the issues with big data and the idea of the productivity index writ large are the issue. The EMR facilitates this in a way that wasn't possible before, but it's the systematic hunger for efficiency that drives the dehuminzation.

@ Shai; Exactly the same drivers here. We don't even take referrals in the mental health section of my clinic, the therapists are too far out. We refer out to the community, and the patients are on their own with that. iCBT is available promptly. Psych9opharm with an MD is far more available.

Shai, with regards to the "low intensity" therapists, I wonder if there are parallels with Vikram Patel's work in India with park bench lay therapists in the community?

I commend you for a Great presentation. I really like the ICBT idea of do it yourself therapy. Thank you so much. Best wishes with your research in this area.😂

how is the triage done to determine who gets computerized versus in person therapy?

I'm also a coach for MDs, and we're finding a portion of our clients decide to move to coaching as a pursuit, similar to the progression of "low level" therapists, I think. It's perhaps not surprising that this happens. If we're engaged in an endeavor that we find of value, we are likely drawn to taking on more action in the direction of that value.

Alison, for us it's a structured program, patients who score in the mid range on a screening tool (PHQ9) are eligible, and the primary care docs refer directly.

Can you send the names of these books?

Dixon Chibanda in Zimbabwe is doing something similar to Vikram

thank you for this stimulating talk on empathy and attunement in a framework of a dyad, we did not speak of the family or system but arlene raised the agenda of our time: politics and realities of our institutions and its shadow on the space you honour : the dyad listening of therapy

thanks jaswant…

Wonderful presentation and really riveting discussion. There has to be a way to provide care that is needed to ever-increasing numbers of people and this is a fascinating glimpse into what is likely to become the norm. Thankyou so much.

manuals -- that's why folks in computer science tend to talk to each other rather than read manuals

I’d say “there are two types of people…”

Thank you