How I Use AI in My Writing

I write in collaboration with AI, and I'd rather say so plainly than leave it to be assumed either way. I've published two pieces about what AI can and can't do in this field; saying nothing about my own use would be its own kind of incoherence. This page is about the writing on this site.

The arrangement is this. The thinking here is mine — the observations, the distinctions, the clinical positions, anything on this site worth disagreeing with. What I use AI for is form. I develop ideas by talking, associatively, and moving from that to organized prose has never come easily to me. In practice it looks like a long conversation in which I'm asked questions I wouldn't have thought to ask myself, and told when something doesn't hold. I correct more than I accept. Every sentence has been through me, and I cut a great deal. Nothing appears under my name that I don't hold.

I don't use AI to arrive at clinical positions. If something here argues something, it's because I think it — worked out over years of practice, and then written with help.

I've written that the useful question about AI is knowing what each thing is actually for, and bringing the right work to the right one. This is me doing that. It's good at organizing and structuring what it's given. It cannot know what happens between two people. I use it for the first.

Last updated August 2026.