The Last Scribe: Psychotherapists and the Shadow of AI

ABSTRACT This paper examines the implications of artificial intelligence for the practice of psychotherapy by distinguishing between algorithmic capabilities and human existential capacities. Drawing on phenomenological and existential philosophy—particularly the work of Husserl, Heidegger, Levinas, and Waldenfels—it proposes an existential reduction that brackets what can be replicated by AI to clarify what remains irreducibly human. While AI systems can simulate therapeutic techniques, they lack the existential ground of Care ( Sorge ), ethical subjectivity, and responsivity that structure human being‐with‐others. These capacities are ontological conditions that make psychotherapy possible as a lived, relational encounter rather than techniques or skills. Through clinical illustration and philosophical analysis, the paper argues that psychotherapy cannot be reduced to technique without losing its essential character. The rise of AI reopens the question of what it means to be human. The figure of the “last scribe” serves as a historical analogy, suggesting that while methods may change, existential capacities persist beyond technological displacement.

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Publication Details

Journal
The Journal of Humanistic Counseling
Published
2026-08-13
DOI
https://doi.org/10.1002/johc.70061
Primary Topic
Phenomenology and Existential Philosophy
Type
article
Field-Weighted Citation Impact
0.00
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article

The Last Scribe: Psychotherapists and the Shadow of AI

Dan Bloom
The Journal of Humanistic Counseling
Phenomenology and Existential Philosophy
article

The Last Scribe: Psychotherapists and the Shadow of AI

Dan Bloom
article en

Abstract

ABSTRACT This paper examines the implications of artificial intelligence for the practice of psychotherapy by distinguishing between algorithmic capabilities and human existential capacities. Drawing on phenomenological and existential philosophy—particularly the work of Husserl, Heidegger, Levinas, and Waldenfels—it proposes an existential reduction that brackets what can be replicated by AI to clarify what remains irreducibly human. While AI systems can simulate therapeutic techniques, they lack the existential ground of Care ( Sorge ), ethical subjectivity, and responsivity that structure human being‐with‐others. These capacities are ontological conditions that make psychotherapy possible as a lived, relational encounter rather than techniques or skills. Through clinical illustration and philosophical analysis, the paper argues that psychotherapy cannot be reduced to technique without losing its essential character. The rise of AI reopens the question of what it means to be human. The figure of the “last scribe” serves as a historical analogy, suggesting that while methods may change, existential capacities persist beyond technological displacement.

The Journal of Humanistic Counseling
Institute for Family Health (US)
Openalex Percentile: Top 6%
Phenomenology and Existential Philosophy
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