Abstract
At the intersection of artificial intelligence and systemic therapy lies a new possibility: triadic chat-based mediation, where a Large Language Model (LLM) participates as conversational facilitator between relational partners. This paper develops a conceptual framework outlining potential benefits and risks. Advantages may include continuous availability, enhanced memory for relational dynamics, reduced barriers to engagement, and support for balanced participation. Concerns arise regarding dependency, reduced self-regulation, hallucinations, bias, and risks of re-traumatization from persistent recall. The framework situates the LLM not as therapist but as tentative relational scaffold-a structure that might support dialogue but could equally risk interfering with natural conflict resolution if misapplied. By integrating perspectives from AI ethics, digital health regulation, and psychotherapy practice, the paper defines a research agenda for evaluating safety, clinical utility, and cultural fairness, advancing critical dialogue on AI’s emerging role in systemic therapy.
| Original language | English |
|---|---|
| Journal | International Journal of Systemic Therapy |
| DOIs | |
| State | Accepted/In press - 2025 |
Bibliographical note
Publisher Copyright:© 2025 The Author(s). Published with license by Taylor & Francis Group, LLC.
Keywords
- AI-mediated therapy
- conversational agents
- digital mental health
- group communication
- human-computer interaction
- large language models
- relationship mediation
- therapeutic technology
ASJC Scopus subject areas
- Clinical Psychology
- Psychiatry and Mental health
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