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Preprint . 2025
License: CC BY
Data sources: Datacite
ZENODO
Preprint . 2025
License: CC BY
Data sources: Datacite
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"My Newest Patient Cannot Blink"': A Therapy-Loop Prompt Pattern for Trustworthy AI

Authors: Varma, Samir; Beitman, Bernard;

"My Newest Patient Cannot Blink"': A Therapy-Loop Prompt Pattern for Trustworthy AI

Abstract

Large-language models increasingly mediate how people seek information, make decisions, and even receive care from social robots. Yet these systems still issue fluent but unfounded answers - "confabulations" that erode trust and, in embodied agents, can pose direct safety risks. We argue that a lightweight, five-step Cognitive-Behavioural Therapy (CBT) loop—inserted inside or immediately above every system prompt—offers a practical defence. The loop forces the model to state its automatic thought, challenge itself, and re-frame with calibrated uncertainty. Recent leaks of Grok's ideology prompt and Anthropic's safety prompt highlight how much behaviour hinges on this hidden layer; our proposal turns that layer into a structured, clinically grounded self-check. Because the loop is model- and platform-agnostic, adds little latency or cost, and grows more critical as model internals become opaque under computational irreducibility, we call on developers to adopt therapy loops as standard practice across chatbots, APIs, and social robots.

Keywords

Prompt Engineering, Artificial intelligence, Therapy Loop, Cognitive Behavioral Therapy, Artificial Intelligence/ethics, Natural language processing, CBT, Self Reflection, Social Robots, Large Language Models, AI, Human Robot Interaction, Trustworthy Artificial Intelligence, Confabulation, Ethics in AI, Natural Language Processing

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green
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