this post was submitted on 21 Jul 2023
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Healthcare Security on Clinicians-Exchange

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As some may be aware, I’ve been playing with AI lately to see if there is a useful and ethical way to use it in the creation of psychotherapy progress notes. (See series of toots at https://mastodon.clinicians-exchange.org/@admin/110171203899758952 )

I have once again been caught in an insidious YouTube algorithm. The kind where a YouTube channel has one or two videos that you want to see, then a bunch of videos you have NO interest in seeing. This gets especially fun when you share your wife’s YouTube Premium account, and so she gets to see your suggested playlist.

[ Previous Example: "YouTube Pseudo-Psychology, Algorithm Traps, and How I Got Set-Up to Look Like I Cheat" -- https://mastodon.clinicians-exchange.org/@admin/109705551829241507 ]

Here’s how it goes this time:

STEP #1: Watch a video on how to download the #Vicuna AI to your desktop instead of running it in the cloud. (Why? Privacy of medical data if I choose to ever use this for real. )

STEP #2: Watch a video from the same channel on how to download an AI with all guards and filters unlocked. (Why? Because psychotherapy notes occasionally deal in tough topics like suicide and cutting/self-mutilation behaviors that might be deemed too sensitive in censored AI versions. Maybe. Have not tried it yet.)

STEP #3: Have the bad luck to have stumbled upon a channel where the video creator has an obsession with dirty sexy text chat with AI personas. Video after video on how to create sexy AI personas who will fulfill your wildest keyboard-typed fantasies. I don’t think I’m oversharing when I state that any fetishes or fantasies I might have do not include this. To each his own and its all cool – but now I have explaining to do…

STEP #4: Explain all the above to my (happily amused) wife as she sees the fetish AI suggestion videos appearing in our YouTube feed for days.#

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