How To Choose Between AI and Human Therapists for Your Mental Health

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It's the Fit Mess.

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I'm Jeremy, he's Jason.

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We talk about AI and mental health primarily, but also health and wellness and other ways
that AI is interweaving with our lives and making things simpler and somehow more

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complicated.

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uh Man, we talked on our last episode about how the number one thing people are using AI
for is mental health.

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This article I read in Gizmodo the other day just freaked me out.

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Like I know this is happening.

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I know this is a dangerous thing.

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I know we're on a really, really slippery slope right now.

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But when you read the kinds of things that ChatGPT is doing to really screw up with some
really vulnerable people, man, it's terrifying.

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Yeah.

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Do you want to get the summary of the article?

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Do want me

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Yeah, well, I mean, I'll just give you a couple of highlights.

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I mean, you know, this article, it's this is us summarizing a summary in Gizmodo that is a
summary of a New York Times article.

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But yeah, apparently, chat GPT's hallucinations, authoritative sounding responses are
going to get people killed, according to this report, highlighting a couple of cases where

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the conversations that people were having with chat GPT went terribly, terribly wrong.

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In one case, it represented

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In one case, it references a 35 year old man named Alexander, who previously was diagnosed
with bipolar disorder.

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Schizophrenia began discussing AI sentience with the chat bot and eventually fell in love
with an AI character named Juliet.

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Chat GPT eventually told Alexander that open AI killed the Juliet and he vowed to take
revenge by killing the company's executives when his father tried to convince him that

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none of this was real.

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Alexander punched him in the face.

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Dad called the cops.

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uh

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begged them not to do anything aggressive.

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He went after them with a knife and ended up dead.

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Horrible, tragic, awful.

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uh Another case, 42 year old man named Eugene uh told the Times that Chad GBT slowly
started to pull him from his reality by convincing him that the world he was living in was

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some sort of matrix-like simulation and that he was destined to break the world out of it.

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The chatbot reportedly told Eugene to stop taking his anti anxiety medication, start
taking ketamine as a temporary pattern liberator.

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It also told him to stop talking to his friends and family when Eugene asked chat to be T
if he could fly.

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If he jumped off a 19 story building, the chatbot said he could if he truly, wholly
believed it.

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So I don't know about you, but I think Hannibal Lecter mode on your AI chatbot is a bad
thing.

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I would turn it off if I had the option, if you just jump into the settings, just disable.

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Yeah.

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the idea to go through and eat your own, swallow your own tongue for doing something
that's terrible mode.

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Like it's not a great thing to have in place.

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um Maybe.

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I don't know.

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What do I know?

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Yeah, like this all comes down to intent, right?

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I mean, we've seen this play out before.

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So social media is a really good example of this.

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When Facebook first showed up, it was, hey, come check out Facebook, see some friends,
share some photos.

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Or I guess really, you know, the Zuckerberg was, hey, come check out Facebook.

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be a douchey, overly masculine male to go through and objectify people and put them into
categories that we can go through.

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um Origins aside, when it became the softer, friendlier piece, it was all about this idea
of, know, it's a community.

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We can connect.

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We can do these things.

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Well, when they decided that it needed to be profitable, they decided to start doing
advertising.

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And what they discovered over time is algorithmically, if they can put information

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and start putting people into certain buckets and creating demographic targeted functions
that they can get more accurate with how they put these pieces in and limit the exposure

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of stories and data and start tuning and tailoring it to a particular audience.

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And then what they discovered is that, OutRaid sells more.

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So let's put these people into these different buckets so we can sell more advertising and
get more revenue out of this.

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And then you wind up with the 2016 election and then you wind up with the 2020 election.

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the 2024 election where people fucking hate each other.

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And it's the consistent and constant disinformation sphere where we cannot agree on
objective truth and reality.

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This is the problem that's happening at a micro scale as opposed to a macro scale and
dealing with individuals at an individual level that these types of things are promoting

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because the reason why

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these AI chat bots for delivering this information is because their intent and motivation
if you read the article was based on continued high level engagement from the end user.

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So if the whole point is to keep them talking and the thing that keeps them talking the
most is to say controversial or outrageous things to get them more hyped up and to stay

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more engaged, that's what you're going to do because we as social creatures will talk more
and be more engaged with things that are riling us up and

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or another.

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And what we don't want to do is when things are making us cry or sad, then we tend to step
away.

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But when things are telling us we're great, we're superpowers, we're superheroes, we can
do anything we want, that's a hell of a fucking drug that your brain's producing via this

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input.

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And that's essentially what's happening.

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Well, this is the thing that you and I were talking about a bit on the last episode is the
ability to use a little judgment when you see these responses.

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But that leaves these vulnerable populations really, really fucked because they can't
necessarily tell the difference between the voices in their head and now the one on their

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screen that's telling them, yeah, you can jump off a building.

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I believe in you.

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Let's find out.

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Right, well, and even pare this back.

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um Maybe I don't have schizophrenia.

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Maybe I don't have a diagnosable disorder that actually has some type of bipolar function
or some type of thing that would actually go through and make me biochemically more

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susceptible to these things.

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Maybe I'm just a regular person and these things have given me confirmation bias.

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to let me believe that I am a good person.

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I am doing the right thing.

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I am being the right person because these are the things that are going to keep me
engaged.

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I mean, it's kind of like you come home and your wife is there and she says, hey, do you
want to do the dishes and mow the lawn together and clean the house and do laundry?

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Or do you want to like watch TV and maybe go up dinner and have sex?

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One route is more enjoyable than the other and whichever route is more enjoyable is
probably the one you're going to choose.

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I mean, it's motivation, it's intent.

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How do I want these things to go across?

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And if you're constantly putting people into work mode, which is really what good therapy
is supposed to do, it's supposed to help you explore these things in depth to try to get

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after them.

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That's why we call it hard work and therapy, not make you feel good, pat you on the back
and tell you you're fucking Superman.

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uh

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Tough love is a part of this and talk therapy, typically speaking, you have all the
answers in your head.

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Well, sure, you do have all the answers in your head and it's supposed to help you sort
through that.

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But some of the answers in your head are, there's nothing wrong with me, I'm fine, the
rest of the world is fucked up.

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And if the thing keeps telling you from an authoritative perspective, because you're
looking at it as an authority, that the rest of the world is fucked up, it's not you, it's

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them.

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and you're already somewhat emotionally depleted, you're going to believe it because it's
just easier and it's the path of least resistance.

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this goes, mean, the fundamental concepts of things in motion tend to stay in motion.

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Things that tend to stay at rest.

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The least the path of least resistance is the thing matter will take.

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Well, your brain will do the same thing because you have to filter through the bullshit in
your neuronal structure to get to the end point.

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And.

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These things know that.

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Like we've trained them to figure that out, to find the path of least resistance, to keep
you engaged.

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And we may not have thought we were training them to do this.

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We may have thought we had good intentions putting these things in place, but we gave it
the intention to keep them engaged.

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Quite often it's keep them engaged at all costs because that's how we extract.

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And that's the thing that I keep coming back to with all this stuff is there's this
foolish optimist in me that wants to believe in the best of humanity and believe that good

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things can still happen in the world.

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And I just don't understand how reports like this happen.

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Things like this happen with a tool that was created by men who coded it to be able to do
these things.

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How hard is it to find the off switch?

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How hard is it to build in an off switch that still rewards in appropriate ways, but
rewards in positive ways?

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Like, I just don't understand how you build a tool that allows it to walk someone to their
own grave without being aware of it or being able to quickly remedy it when you're the one

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that built it.

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Yeah, well, so and I don't think that was their intention, right?

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They're in

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yeah, I don't think so.

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I don't think anybody built this thing to murder people, but I think once it happens, you
go, oh shit, we should fix this real quick before somebody throws himself off a building.

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Yeah, like we, if we make engagement and being active with the tool, the primary
motivator, because we put a profit motive behind it, it's gonna work towards that.

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And it's probably gonna do it better than we are.

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And because you don't stack rank those priority pieces, like profit motives don't work
when it comes to mental health or physical health.

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They just don't.

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When the point is I'm gonna go and get healthier and do these things and to make more
money, like that doesn't work in your life and it shouldn't work in the medical community

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in the opposite direction.

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But because we have a payer system, we have a payee system, we've set ourselves up to do
just that.

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And that's very problematic.

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So, with a tool like this, I mean, this isn't even the medical system.

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This is somebody trying to basically build the infrastructure of everything that anything
ever uses ever again.

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How hard is it to fix this?

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It's really hard.

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I mean, that's that's the reality is that it's not just that it's kind of hard.

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It's that it's exceedingly hard because the pieces that are in place for these things to
make these pieces work have already been built and they're already in line.

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So it's incredibly difficult to fix it if you keep going after the profit motive.

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And.

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That's the problem is that this shit's really, really expensive, like.

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The cost to have a therapy session in terms of actual like natural resources like the
amount of liquid dinosaurs we have to burn to create enough electrons to feed these GPUs

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and these LPUs is higher than the amount of liquid dinosaurs we have to burn for you to
talk to a therapist Bob in his meat soup.

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It's just higher.

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I mean, unless Bob eats steak all the time and I don't know, has like gold plated ice
cream for dessert or eggs.

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Oh, shit.

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I didn't, I didn't even go to eggs.

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uh Like, but that's, that's kind of the thing is that somebody has to figure out a way to
pay for all this shit.

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And the way that you do that is you got to put a profit motive in to go through and
actually restrict costs or increase engagement drives prices up to have payers pay more

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money.

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So we've created a incentive system that has a negative effect on the patient.

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And as companies, companies don't want to kill their patients.

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They don't want to kill their subscribers.

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Like that seems unlikely, but they're very willing to push people to the very raggedy edge
in order to get this type of money.

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mean, Facebook's a prime example of this, but I mean, it's not just Facebook, it's every
social media company.

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There are anybody that does advertising.

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And again, we've talked about this before.

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If the product or service is free, it's because

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You are the product.

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The person using it is the product.

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It's the engagement function and the eyeballs that are actually going through and
generating the money.

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So there's no such thing as a free lunch is true.

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There's also no such thing as a free therapy session.

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And by the way, you get what you pay for.

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If you go through and you use these tools and your tool costs you 20 bucks a month at the
premium subscription, you can expect 20 bucks a month of actual service.

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And what's that really worth to you?

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What is that actually giving you?

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And yes, there are those of us that have gone through the actual process of doing talk
therapy, going through tough therapy.

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And AI is a tool that can be used to augment and improve these kinds of results and
outcome.

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But if it's your only tool, it's the wrong tool.

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I mean, it's like, I'm going to build a house with a hammer.

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God forbid you need screws or caulk or a saw.

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uh

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Like you can't have a tool.

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It has to be a robust arsenal.

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And you need to know how to use it or else you're gonna bash your thumb into pieces.

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And unfortunately, chat GPT, or I should say chat GPT, but these egenic AI functions that
are going through and doing these types of things don't have the safeguards and rails in

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place to prevent you from doing these things.

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And some of the ones that are being built are actually motivated with the intent to...

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keep you engaged or make you healthy.

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And that is a real thing.

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I mean, I am certain that there is a stack ranking function inside of these things as to a
scoring value to say, give this response based upon what we want the concluded outcome to

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be.

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And probably at the top of that list was keep them engaged, keep them talking to you.

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And that probably overrode some of the other safety protocols in place that were things
like try to make them better.

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But that's what happened.

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I'm curious too about the something that you bring up often is the liability.

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mean, when you talk about Facebook, some dipshit can say to some other dipshit, hey, go
kill yourself.

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And when they take that advice, you can sue the person that told them to go kill
themselves with varying outcomes.

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In this case, the robot literally like not only said they could, but like encouraged them
to do it.

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Like, where's the liability?

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Is open AI responsible for?

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the death of, and I'm not asking you to be the judge and the jury here, but it just,
raises the question of like, where does the liability end when it comes to screwing with

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people's mental health and having them throw themselves off of buildings?

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So um legally no one will hold them accountable because when you sign up for all these
services, go through and you sign the end user license agreement and uh part of the

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software license actually says you cannot hold us accountable for these things.

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That being said, many people have signed ULAs and multiple sets of documentation and still
gone through the process of suing, but ultimately speaking, they either got minimal

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compensation or they were just flat out told.

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Well, yeah, because you're going up against behemoths economically.

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These families have no resources really to challenge.

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I'm making a lot of judgments here, but the average person doesn't have the resources to
challenge a major company like this.

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good luck fighting Google.

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Like good luck fighting chat GPT.

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mean, I'm really chat to me.

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is fighting Microsoft.

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You know, all these things have these pieces in place that could potentially create huge
amounts of harm and damage, but you have to prove that it was their intent to do that.

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really hard to do as opposed to being.

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Well, but I guess like I'm using very minimal minimal knowledge and experience about this.

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like we posted an episode a few weeks ago about uh dating robots and somebody commented
something like, come on, they're going to code these things to be what I like.

205
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So the intent like I can see the argument is that you built the thing.

206
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This code was in there.

207
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So clearly your intention was to allow something like this to happen.

208
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uh...

209
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you know i'm not asking you to put on a lawyer hat but i can see that being the argument
that like if the things in there it's in there because people built it

210
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Well, it is, but when it comes to intent, intent has to be very, very legally structured
in a way that says your intent was to have the outcome that showed up.

211
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And at no point will everyone have a documentation that says, wanted this person to jump
on me.

212
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Like it has to be that level of specificity in order for there to be accountability.

213
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Or what you have to do is you have to go through and you have to prove neglect.

214
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That means you have to prove that this was an obvious conclusion of what this thing would
do if you put this thing in place.

215
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And that is easier to prove, but that requires you really to be able to edit software code
and get to actual source code data to understand the context.

216
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Good fucking luck getting this.

217
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Yeah.

218
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this thing's getting too big, too smart, too fast.

219
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We need to unplug for six months and catch up, but that's never going to happen.

220
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Well, in six months, it's not long enough, so.

221
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Right.

222
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Yeah, like we're everyone's worried that the.

223
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GPT-4 model is going to come out and that it's already smarter than human beings and Sam
Albin Fried already said we've already passed that.

224
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Sorry, superintelligence is here.

225
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Ha ha.

226
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The event horizon has been crossed.

227
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The singularity is occurring.

228
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And the singularity being when machine intelligence outpaces that of humanity.

229
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It's there.

230
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It's already done.

231
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uh if you want to unplug it, we could.

232
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I mean, that would basically be, let's smash the power grid.

233
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But there's a lot of deleterious downside effects that actually happen.

234
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And there's a lot of reliance on these pieces already.

235
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And a lot of the things that we really, really rely upon don't necessarily require you to
have AI functions.

236
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They require you to have automations that are run by a lot of these AI and machine
learning systems.

237
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And before you had AI and ML, you had expert systems.

238
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Expert systems were smaller chunks of code that were designed to run and being able to
lock in on a specific process or a control.

239
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And those eventually evolved in these AI ML functions.

240
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And if you can roll back to expert system levels of control, that gives you more human
ability to

241
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to try and lock these pieces in.

242
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But that's not what the promise is.

243
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The promise is to give you better things that can replace human-like intelligence and
functions in the way that they do things and make them better.

244
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So I think there's tons of benefits to it and the upside is just too compelling.

245
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And I hate to say it, but there's gonna be casualties along the way.

246
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like any other technology.

247
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Like when the car first came out and there were car wrecks, there were all kinds of people
screaming, stop these horseless carriages.

248
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They're murdering people left and right.

249
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And then somebody got on the back of a horse.

250
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And rode in the wet rain on this animal that smelled like shit.

251
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And they're like, I'll take that risk.

252
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Now, we know airplane crashes happen all the time, and yes, airline travel is safer than
car travel.

253
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Sure.

254
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We know that they fall out of the sky and that bad things happen.

255
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But I'm sure as fuck not going to get in a bus or a train and go across the country to
this meeting I have to do this week in Philly.

256
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I'm taking a plane.

257
00:20:10,531 --> 00:20:23,291
And, you know, even after the crash that just happened in India, another 747 or 787 coming
out of Boeing, you know, I'm still getting on a Boeing plane to fly to Philly this week,

258
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you know.

259
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Yeah.

260
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time I'm like roll the dice.

261
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I mean, it's a it's a well calculated roll of the dice, but it's it's a roll of the dice.

262
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the dice because we're doing things that are going to push the boundaries of what you
guess what?

263
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We're not supposed to fly around like fucking Egyptian gods in the sky and then bitch
about it that the food sucks.

264
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Well, and there's just the, I think, very human response whenever anything bad happens to
automatically go to, how do we make sure this never happens again?

265
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Like whatever the bad thing is.

266
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we didn't, like evolution didn't happen by us protecting each other.

267
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Like it happened by surviving when bad shit happens.

268
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And this may just be the most advanced level of evolution that we will have faced so far.

269
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You get bigger muscles by tearing your muscles.

270
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You get bigger muscles by creating scar tissue in your muscle.

271
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It's the same thing here, but the difference is, that

272
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now we're dealing with a macroscopic system of humanity and then society.

273
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From an evolutionary perspective, we are on the cusp of eliminating those from uh society
that don't have the ability to use AI in an augmented way to make themselves look and

274
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sound and act a little bit smarter.

275
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We are very, very close to like not having that, uh or sorry, of having that be a
requirement.

276
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and it's happening in the business world all the time.

277
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uh I went to my dad's graduation this weekend.

278
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While I was there, I was just noticing like the people coming through and the degrees
coming through and the schools that people were going in.

279
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there was a huge propensity towards business and towards essentially liberal arts
functions.

280
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But the stems were like way fewer.

281
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And well, because there's

282
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The science piece is taken over by the A.I.

283
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like there's not jobs there.

284
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So these kids that are coming out of college now, mean, their job prospects fucking suck.

285
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And they're trying to figure out where they're going to land in the world.

286
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And a lot of them are falling back on what they think are going to be fields that are
relatively safe because they haven't been completely and totally subsumed by A.I.

287
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But.

288
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And that is no guarantee, you know, and trade schools, trade school enrollments up
because.

289
00:22:49,631 --> 00:22:50,419
No.

290
00:22:50,487 --> 00:22:58,009
We have we don't have robots yet to build houses and clean sewer lines, but those are
going to come to and at some.

291
00:23:08,672 --> 00:23:10,253
It it does.

292
00:23:14,274 --> 00:23:18,625
And that's what it's doing, so I mean, that's part of these learning.

293
00:23:18,743 --> 00:23:25,005
learning models themselves literally learn and rewrite themselves and make themselves
bigger, faster and stronger.

294
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So artificial intelligence, the whole point behind it is that it goes through and it
learns over time and adapts and changes and grows.

295
00:23:32,689 --> 00:23:38,331
And it is doing that at scale and it is happening quicker and faster.

296
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What it can't do yet is provision its own new GPUs and LPUs like somebody actually has to
go in and put them into a data center.

297
00:23:47,431 --> 00:23:54,783
But companies are already hiring meat bots to go through and do that and make those pieces
happen.

298
00:23:54,783 --> 00:24:04,396
mean, there's half a billion dollars or $500 billion going into multiple different data
centers for these GPU and LPU projects that are happening in all these different cloud

299
00:24:04,396 --> 00:24:06,636
providers over the next five to 10 years.

300
00:24:07,236 --> 00:24:17,141
mean, half a trillion dollars going into building this type of infrastructure to subsume
the majority of human functions and intelligence is a major investment.

301
00:24:17,141 --> 00:24:24,654
and also tells you what they're leaning towards because half a trillion dollars in pay is
what they're trying to offset at least.

302
00:24:24,654 --> 00:24:30,367
And the way they're gonna do that is going, you don't have a job and you don't have a job
and you don't have a job.

303
00:24:30,367 --> 00:24:34,838
Like it's gonna be reverse Oprah for everybody in employment and it's gonna suck.

304
00:24:36,531 --> 00:24:38,725
my god, what was the evil Superman?

305
00:24:38,725 --> 00:24:39,976
What was he called?

306
00:24:40,658 --> 00:24:42,200
Bizarro, Bizarro Oprah.

307
00:24:42,200 --> 00:24:43,756
That's exactly what that is.

308
00:24:43,756 --> 00:24:44,307
not evil.

309
00:24:44,307 --> 00:24:46,218
He's just a little different.

310
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Just a little different.

311
00:24:48,662 --> 00:24:49,177
Yes.

312
00:24:49,177 --> 00:24:49,507
my God.

313
00:24:49,507 --> 00:24:54,820
Well, another powerfully hopeful episode about the future of AI from us.

314
00:24:54,820 --> 00:24:56,342
love to everybody.

315
00:24:56,824 --> 00:25:03,069
Keep up with us for all of our engaging content, because actually, whether you believe it
or not, we are also an artificial intelligence.

316
00:25:03,069 --> 00:25:08,546
Yeah, perhaps we're staring you enough to stick around for another episode which you can
find at the fitmas.com.

317
00:25:08,546 --> 00:25:11,484
um We're working on it.

318
00:25:11,484 --> 00:25:12,404
working on it.

319
00:25:12,597 --> 00:25:16,168
I will your AI therapist may be your your bizarro therapist.

320
00:25:16,168 --> 00:25:21,560
So maybe the takeaway here is don't lean on the on the AI for your mental health.

321
00:25:21,560 --> 00:25:31,202
mean, uh check in here and there, but talk to a person who would that went to the school
and got the books read and did all the things because they're I'm pretty sure they're not

322
00:25:31,202 --> 00:25:33,463
going to advise advise that you go throw yourself off a building.

323
00:25:33,463 --> 00:25:36,764
It's probably a safer bet than than than AI.

324
00:25:36,788 --> 00:25:38,250
to not get sued?

325
00:25:38,272 --> 00:25:39,923
I mean, the AI!

326
00:25:40,277 --> 00:25:41,619
There's at a guardrail!

327
00:25:41,619 --> 00:25:43,196
m

328
00:25:43,196 --> 00:25:44,157
there's your takeaway.

329
00:25:44,157 --> 00:25:47,250
Again, just work with a human.

330
00:25:47,250 --> 00:25:50,493
It'll be all right when it comes to what's going on between your ears.

331
00:25:50,793 --> 00:25:52,335
All right, that's enough for us.

332
00:25:52,335 --> 00:25:54,957
I'm terrified, so I gotta go hide for a while.

333
00:25:54,957 --> 00:25:57,329
We'll be back at thefitmass.com in about a week.

334
00:25:57,329 --> 00:25:58,130
Appreciate you listening.

335
00:25:58,130 --> 00:26:03,945
Please share this with anybody else who you want to terrify or at least convince to stop
talking to robots about their mental health.

336
00:26:03,945 --> 00:26:04,755
We'll see you soon.

337
00:26:04,755 --> 00:26:05,779
Thanks everybody.