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ZENODO
Preprint . 2026
License: CC BY
Data sources: ZENODO
ZENODO
Preprint . 2026
License: CC BY
Data sources: Datacite
ZENODO
Preprint . 2026
License: CC BY
Data sources: Datacite
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AI as a Therapeutic Tool

Authors: Bailey, Denis;

AI as a Therapeutic Tool

Abstract

This paper presents a theoretical account of how large language models function as tools for structured self-reflection. It does not claim that AI performs therapy or replaces clinical expertise. Instead, it situates AI-supported self-recognition within established research traditions including extended cognition, expressive writing, cognitive offloading, and digital mental-health scaffolding.The paper introduces the concept of reflective scaffolding, a mechanism through which users generate clarity by externalizing their thoughts into a stable, responsive linguistic medium. The model does not interpret, diagnose, or guide the user’s thinking; its contribution arises from maintaining coherence across turns, preserving user-defined constraints, and reducing interference as users articulate their internal states.Drawing on public testimonies, HCI research, and psychological theory, the paper clarifies how AI systems can support cognitive organization without engaging in psychological inference. It outlines implications for psychology, psychiatry, and human–AI interaction, and identifies key limitations and directions for future research.This work provides a conceptual foundation for understanding AI as a therapeutic tool in the same sense as journaling, structured self-examination, and other non‑interpretive reflective practices.

Keywords

reflexive scaffolding, self-recognition, extended cognition, digital mental health, Human-AI interraction

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selected citations
These citations are derived from selected sources.
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