The Therapeutic Alliance in AI-Assisted Psychotherapy: A Clinical Evaluation of Human-AI Interaction in Mental Health Care

AI is now a new trend in mental health care, with chatbots, digital therapists, and clinical decision-support systems. However, the impact it has on therapeutic alliance, or the process of a mutual and emotional connection between a client and therapist, is not well comprehended. This paper examines the effect of AI-assisted psychotherapy on the formation of alliance and clinical outcomes. Basing its findings on the attachment theory and relational psychoanalysis, as well as the human-computer interaction systems, the study examines how AI facilitates or disrupts the therapy. The scholar concludes that AI is most effectively used as an adjunctive device in a hybrid paradigm of care - human empathy, ethical awareness, and emotional responsiveness are the pillars of successful psychotherapy that cannot be substituted with AI.

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Publication Details

Journal
Global Social Sciences Review
Published
2025-11-13
DOI
https://doi.org/10.31703/gssr.2025(x-iii).28
Primary Topic
Digital Mental Health Interventions
Type
article
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article

The Therapeutic Alliance in AI-Assisted Psychotherapy: A Clinical Evaluation of Human-AI Interaction in Mental Health Care

Afshan Tabasum
Global Social Sciences Review
Digital Mental Health Interventions
article

The Therapeutic Alliance in AI-Assisted Psychotherapy: A Clinical Evaluation of Human-AI Interaction in Mental Health Care

Afshan Tabasum
article en

Abstract

AI is now a new trend in mental health care, with chatbots, digital therapists, and clinical decision-support systems. However, the impact it has on therapeutic alliance, or the process of a mutual and emotional connection between a client and therapist, is not well comprehended. This paper examines the effect of AI-assisted psychotherapy on the formation of alliance and clinical outcomes. Basing its findings on the attachment theory and relational psychoanalysis, as well as the human-computer interaction systems, the study examines how AI facilitates or disrupts the therapy. The scholar concludes that AI is most effectively used as an adjunctive device in a hybrid paradigm of care - human empathy, ethical awareness, and emotional responsiveness are the pillars of successful psychotherapy that cannot be substituted with AI.

Global Social Sciences ReviewVol. X(III)
Film Independent (US)
Openalex Percentile: Top 62%
Digital Mental Health Interventions
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