Compassion and Empathy in the Age of AI

I’m a professional writer, a ghostwriter. The current buzz creating controversy in writer circles is ChatGPT, artificial intelligence. It’s an amazing tool, but it does have weaknesses.

Occasionally, I write for myself. I do this with increasing frequency as I get older. The urge to tell my story as a victim of child sexual abuse and describe my experiences grows as I become more comfortable with speaking the truth.

But, can AI produce a personal story that rings true?

What about other uses? Will AI replace therapists and doctors? Proponents espouse its potentially miraculous uses. I have one friend, a professor of mathematics at a top university, who believes ChatGPT is already a sentient being.

Let’s have a little fun with this latest development in technology. (Full disclosure: any AI-produced content here will be in italics. Everything else is my own.)

Let’s take my story and apply AI.

I’m a survivor of child sexual abuse. However, I dislike the word “survivor,” to describe myself. I also dislike the word “victim,” although I think that is the most accurate.

So I asked ChatGPT to list 10 synonyms for “survivor.” Its response:

Resilient
Fighter
Overcomer
Thriver
Endurer
Conqueror
Champion
Escaper
Sustainer
Surmounter

First of all, resilience is an adjective, not a noun. Still, there isn’t a single synonym on the list that adequately describes me. Actually, my preferred synonym to “survivor” is “mountain climber.” I’m a mountain climber, literally and figuratively.

I asked ChatGPT for 10 synonyms for “victim.” Its response:

Sufferer
Target
Prey
Casualty
Martyr
Subject
Recipient
Quarry
Fall guy
Mark

Well, I’m hardly a martyr. I was a target of the sexual predator. I was his prey. Still, I don’t like any of these synonyms either. I like the phrase “innocent child” best.

I asked ChatGPT: “How does silence by child sexual abuse survivors manifest itself in physical symptoms?” It wrote an introduction, 5 supporting paragraphs, and a conclusion in about 60 seconds. The bullet point symptoms listed were:

Chronic pain
Sleep disturbances
Sexual dysfunction
Substance abuse
Eating disorders

That’s pretty accurate, but not comprehensive.

20 years ago, I experienced dissociative episodes for about 1 ½ years as the “matter-of-fact” memories of the sexual abuse flooded into my mind and reconnected with the physical pain caused by the abuse. It was a frightening experience. Recently, I have decided to try to describe what it was like because I have found only inadequate descriptions that sound like they were written by someone who never experienced a dissociative state.

The description that irritates me the most is that it is like “highway hypnosis.” No, in my experience, it is not like “highway hypnosis.”

In highway hypnosis, you still have a general sense of being in your car, seeing the landscape go by, and hearing the music on the car radio. You might have a slightly altered sense of time passing. You still know who you are.

I asked ChatGPT to describe how a dissociative episode feels. It gave me 7 paragraphs with the specific points being:

Feeling disconnected from reality
Loss of time
Emotional numbness
Memory loss
Feeling like an observer
Feelings like floating or drifting

OK, I had memory loss and loss of time. But, the AI-produced essay sounded like a clinician trying to sound clinical.

In my experience, dissociative amnesia doesn’t have a feeling. It can’t because the person experiencing the episode doesn’t remember what happened during that episode. How do you know what you don’t remember? How do you feel when you don’t remember?

Let me be more precise. The person experiencing a dissociative episode knows how he or she feels at the time, but those feelings are contained within the episode. Once the episode ends, it becomes impossible to retrieve those feelings and memories.

If I have difficulty putting words to the experience, then AI cannot learn. Even so, AI cannot be compassionate or sympathetic as a human therapist would be. It may put on a good pretense. It may say standard “therapist” type phrases. But, it will not ever be a substitute or be able to establish an emotional connection.

I’m still working on an accurate description of the dissociative experience. Right now, the best I can describe is the deep fear I felt when I realized I had lost a significant amount of time. But, all the AI in the world can’t help me with that self-assigned task. It can’t feel what I felt. It can’t hear what I heard. It can’t taste what I tasted. It can’t smell what I smelled.

In other words, it can’t be human. It can’t understand the human condition with its infinite nuances. It may come close. But, I’ll go to a competent, compassionate human therapist if I need help.

I’ll keep working on writing down what a dissociative episode feels like.

 

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