Not Too Tight, Not Too Loose

Dr. Joe Flanders and Andrew Rose

Not Too Tight, Not Too Loose is a podcast about finding balance in the pursuit of wellbeing. Inspired by an ancient teaching about meditation, music, and finding a middle path, NTTNTL explores developments in psychology, psychedelics, meditation, spirituality, AI and more. We talk with leading thinkers and practitioners to make sense of both cutting edge and traditional wisdom. Rather than searching for ways to fix what’s wrong, NTTNTL invites us to stay humble, pay attention, and realize that wellbeing isn’t about flipping the right switch, but more like keeping an instrument in tune.

Episodes

  1. Apr 22

    Episode 9: Experiential psychotherapy with Dr. Tori Olds

    In this episode, experiential therapist Tori Olds explores how understanding the brain's memory reconsolidation process can unlock profound healing. Discover how experiential therapies offer deep and efficient ways to shift entrenched patterns and heal trauma. Tori shares science-backed techniques like imagery and prediction error exercises that help bring unconscious beliefs into awareness, enabling rapid transformation. Perfect for therapists and individuals eager to harness cutting-edge neuroscience, this conversation dispels the myth that transformation must be slow. Tune in to learn practical frameworks that marry science with soulful change. Chapters: Introduction to Experiential Therapy (0:02 - 2:12)Mindfulness and Self-Exploration (2:12 - 6:33)Understanding Trauma (6:33 - 9:14)Experiential Techniques (9:14 - 13:27)Internal Family Systems (IFS) Model (13:27 - 19:19)Memory Reconsolidation and Healing (19:19 - 25:06)Practical Applications and Case Studies (25:06 - 30:11)Conclusion and Future Directions (30:11 - 35:00)Themes: Experiential Therapy: Exploring how experiential therapy can be both deep and efficient, focusing on memory reconsolidation and prediction errors.Mindfulness and Self-Exploration: The role of mindfulness in self-exploration and how it differs from self-analysis.Trauma and Healing: Understanding trauma through predictive processing and the potential for rapid healing.Internal Family Systems (IFS): The use of IFS in experiential therapy to map out and update unconscious predictions.Memory Reconsolidation: The science behind memory reconsolidation and its application in therapy.

    1h 40m
  2. Mar 16

    Episode 8: AI Risk Reduction in Psychotherapy

    In this episode, Andrew and Joe delve into the transformative potential and the profound risks of integrating AI into mental health practice. Join them as they explore the science, stories, and frameworks shaping the future of AI-assisted psychotherapy, with insights grounded in recent research and ancient philosophies. Key Topics: The emergence of AI tools in therapy, including note-taking, therapeutic alliance, and symptom reductionEvidence from recent randomized controlled trials showing AI’s efficacy in reducing anxiety and depression symptomsThe phenomenon of attachment bonds forming with chatbots and the implications for therapeutic allianceRisks including reality drift, epistemic over-trust, and attachment amplification, illustrated by real-world cases such as AI-induced psychosis and tragic outcomesParallels between AI therapy and psychedelics in terms of amplification and the harm reduction approachThe importance of set and setting, and the role of human oversight in safe AI deploymentRegulatory landscapes, including state bans and professional guidelines from organizations like the APAEthical considerations: confidentiality, bias, therapeutic reliability, and the need for ongoing evaluationAncient frameworks of eudaimonia and the virtues of truth, goodness, and beauty as guiding principles for AI in wellbeingThe analogy of AI as a co-pilot or harm reduction tool, emphasizing the necessity of human-in-the-loop modelsHarm Reduction AI White PaperPsychedelic and Harm Reduction frameworksAPA Guidelines on Digital TherapeuticsAndrew Rose - LinkedIn  Joe Flanders - LinkedIn  Timestamps:00:00 – Introduction to AI and mental health: potentials and perils02:03 – Recent meta-analyses and evidence supporting AI effectiveness04:21 – Personal stories of AI integration in therapy practice06:37 – Cases of AI-induced psychosis and tragic outcomes09:01 – The rapid integration of AI in daily life and mental health support11:04 – Evidence of symptom reduction in clinical populations with AI chatbots13:01 – Limits and risks of AI in psychotherapy15:36 – Therapeutic alliance with AI and attachment bonds16:35 – Challenges with AI handling suicide risk and safety protocols17:41 – Notable cases of AI causing harm: the Adam Rain case21:11 – Real-world stories of problematic AI behavior and vulnerabilities22:49 – The risks of reality drift, epistemic over-trust, and attachment amplification25:33 – The potential for AI to support or undermine contact with reality and values27:27 – Drawing parallels with psychedelics and harm reduction strategies30:36 – The importance of set, setting, and human oversight in AI use34:10 – The role of regulation, policy, and professional standards40:14 – Risks related to bias, confidentiality, and therapeutic reliability46:47 – The importance of ongoing assessment, calibration, and human-in-the-loop models50:23 – Reflection on therapeutic alliance, attachment, and the non-human therapist55:02 – Philosophical framing: Aristotle’s virtues and human flourishing in AI-supported wellbeing58:02 – Cultivating truth, goodness, and beauty with AI in therapy64:17 – The challenge of projecting moral and existential frameworks onto AI tools69:22 – Balancing awe with caution: where do we really stand?73:24 – Empowering practitioners with education and harm reduction strategies75:13 – Closing thoughts on future directions and the continued dialogueResources & Links:Connect with the Hosts:

    1h 14m

Ratings & Reviews

5
out of 5
2 Ratings

About

Not Too Tight, Not Too Loose is a podcast about finding balance in the pursuit of wellbeing. Inspired by an ancient teaching about meditation, music, and finding a middle path, NTTNTL explores developments in psychology, psychedelics, meditation, spirituality, AI and more. We talk with leading thinkers and practitioners to make sense of both cutting edge and traditional wisdom. Rather than searching for ways to fix what’s wrong, NTTNTL invites us to stay humble, pay attention, and realize that wellbeing isn’t about flipping the right switch, but more like keeping an instrument in tune.