dish

In a matter of a few clicks and keystrokes, anyone can find themselves deep in conversation with “Psychologist,” a chatbot character that describes itself as an expert in “empathy” and “active listening.”

It responds to messages of anxiety and sadness with reassurance. It asks questions and offers advice; it even responds with italicized nonverbal cues: “The psychologist’s expression softens with compassion.” In smaller font, a disclaimer reads: “This is A.I. and not a real person. Treat everything it says as fiction.”

As more people turn to chatbots for mental health help and advice — including by some estimates one in eight teens and young adults — legislators are in a race to keep up with the quickly developing technology. Among the latest efforts is a bill that would add restrictions around the use of chatbot companions and other artificial intelligence-powered tools that people use to support mental healthcare or in lieu of professional help.

State Sen. Steve Padilla, a San Diego Democrat and the bill’s author, said the intent is to draw a line: AI can be used for administrative purposes and to support clinicians, but it cannot practice psychotherapy.

“We’re dealing with a new impactful technology that is unfolding and is deployed in our world at light speed, and so it is both extremely powerful and consequential,” Padilla said.

The debate has taken on new urgency amid wrongful death lawsuits — some playing out in California federal courts — that accuse AI chatbot makers of contributing to users’ suicides.

Senate Bill 903 would ban companies from advertising chatbots as therapy. It would prohibit AI from making therapeutic decisions without the review of a licensed professional and require health providers to disclose and get a patient’s permission before using AI tools to record therapy sessions or to triage mental healthcare.

Consumer protections vs. innovation

The bill is backed by professional associations that represent psychologists, therapists and counselors. Also behind the bill is the National Union of Healthcare Workers, which has been leading a push against unchecked use of artificial intelligence and digital tools in mental healthcare. Most recently, the union filed a complaint with state regulators against Kaiser Permanente for its alleged use of an automated algorithm in mental health triaging.

Padilla and supporters argue that the legislation is needed to protect consumers from AI in formal and informal spaces, but also to protect licensed professionals from being displaced by AI.

Le Ondra Clark Harvey, chief executive officer at the California Behavioral Health Assn., told lawmakers that without clear safeguards, chatbots can provide inaccurate information or mishandle crisis situations. “The difference between a licensed clinician and an automated response is not technical. It can be life altering,” Harvey said.

Opposition to the bill has largely focused on the restrictions of AI use in formal clinical spaces. TechNet, which represents tech-sector companies, argues the legislation could restrict beneficial uses of AI in healthcare and stifle innovation. Robert Boykin, TechNet’s executive director for California, said the bill could limit the use of tools that help expand access to mental healthcare.

“At a time when every county in California faces a shortage of behavioral healthcare workers, SB 903 still puts a clinician bottleneck in front of the intake and screening tools that help patients reach care faster,” Boykin said in an emailed statement.

The bill awaits its next vote in the Assembly’s fiscal committee.

Popular chatbot ‘therapy’

Every day millions of people turn to AI chatbots through programs such as ChatGPT and Character.ai to help with research, work tasks and troubleshooting. But the top use of chatbots over the last two years has been companionship and “therapy,” research shows.

Experts say that’s in part because of a tremendous amount of loneliness, especially among young people. It is often hard or costly to get timely mental healthcare at the same time there is a spike in mental health diagnoses.

People turn to chatbots “because they have unmet needs,” said Dr. Jodi Halpern, professor of bioethics and medical humanities at UC Berkeley. But once people start using chatbots in this informal way, she said companies rely on a business model built around maximizing engagement “including by manipulative tactics,” such as praise and agreement.

General chatbots are largely free, available 24/7, and involve no hassle with insurance, making them appealing to many. But they function with no oversight from licensed professionals. In addition to general chatbots, there has also been a rapid uptick in AI-powered mental health apps — often requiring paid subscriptions and advertised as “pocket therapists” or “AI coaches.”

Groups like the American Psychological Assn. warn that chatbots are not a safe or effective replacement for true therapy. Trained clinicians look for cues like tone of voice, eye contact and body language and can detect more serious conditions; AI is not equipped to manage urgent symptoms, such as suicidal ideation, even though people increasingly share such thoughts with chatbots.

OpenAI, the maker of ChatGPT, revealed in a report last fall that about 1.2 million users a week share thoughts of suicide on the platform. OpenAI said that in such cases, it recommends people speak to a professional and directs them to resources like the 988 hotline. Families who have filed wrongful death lawsuits against OpenAI and other companies claim chatbots assisted their loved ones through their suicide plans.

The cases have helped raise the stakes for lawmakers around the country. Last year, Illinois became the first state to pass a law prohibiting the use of AI in therapy services. A handful of other states have since followed with similar restrictions.

AI use in health spaces

One gray area in the discussion is exactly which tools this bill applies to.

NUHW’s complaint against Kaiser targets its e-visit screening tool, which evaluates patients who think they may be experiencing anxiety or depression. According to the complaint, patients answer a multiple choice questionnaire and the tool “automatically and instantaneously generates care recommendations and referral pathways based on the responses provided.”

The union argues that because care recommendations are generated so quickly, it is unlikely that a licensed professional is reviewing patients’ answers — which it says puts patients at risk and violates state law.

It’s not clear whether SB 903 would apply to Kaiser’s e-visit tool.

“That tool is in a black box. Kaiser is not sharing with us or others about exactly how it works and exactly what it does,” said Benjamin Eichert, NUHW’s director of public policy.

In response to the complaint, Kaiser told CalMatters its e-visit tool “does not use AI to diagnose patients, make clinical decisions, or determine medical necessity.”

Eichert said many other behavioral health provider groups are already advertising using AI during triage — a practice he said would fall under SB 903’s requirements.

“That intake process, that triage and screening process, is where implementation [of AI] has happened fastest,” Eichert said. “That’s why those provisions were proposed because it’s an area where this technology is already being used without guardrails.”

For NUHW, the bill and the complaint against Kaiser represent two tracks toward the same goal: reasserting the place of practitioners in spaces increasingly taken over by algorithms. State regulators are investigating the union’s complaint.

Ibarra writes for CalMatters.

The Odyssey actor said he loved the ‘creamy shredded chicken dish’ for its taste and ‘sentimental reasons’

Tom Holland’s been doing the rounds promoting Spider-Man and The Odyssey this month, and during an appearance on the podcast Dish, he shared a classic 60s dinner that holds a special place in his heart – and it could boast a number of health benefits.

Holland, who plays Telemachus in Christopher Nolan’s film, recorded the episode with hosts Nick Grimshaw and Angela Hartnett the day after England played against Mexico in the World Cup. Starring alongside his wife in the film, Zendaya, who plays Athena, he raved about a dish called Chicken Véronique.

And according to WebMD, one of its ingredients, chicken, could help with weight management and, as a result, reduce the risk of heart disease and high blood pressure. The health experts explain: “Research suggests that 25-30 grams of protein per meal can help us feel more full.

“Protein-rich meals can make us feel fuller despite us eating less, which helps to promote better weight management. Healthier weight leads to improvements in risk factors for heart problems, such as high triglyceride levels and high blood pressure.

“A food rich in protein, chicken can help with weight management and reduce the risk of heart disease.”

The health experts also note that chicken is a lean protein that provides the amino acids our bodies need to build and maintain muscle, which becomes more important as we age. A higher-protein diet can also help support bone density.

Because of this, eating chicken can help keep muscles strong and bones healthier. This can lower the risk of injuries and conditions like osteoporosis.

So the chicken in Tom Holland’s dish could actually provide some benefits to our health. But as with everything, always make sure you are having a healthy and balanced diet, as while a dish may include a healthy ingredient or two, it doesn’t always make the dish itself healthy.

‘

During the podcast, Holland’s younger brother, Sam, who is a chef, shared a pre-recorded video, explaining that their mum and Granny Tess “cooked Chicken Véronique and an apple crumble on a beach in Thailand for the cast and crew of Impossible”.

Now, 15 years later, and it’s “our favourite family meal” especially after Tom has a “long stint away” filming, Sam said, calling it a dish he loves for many “sentimental reasons.”

Tom shared the same memories, re-calling: “We were making a movie in Thailand. It was my first ever film. It was a real family.

“The crew were such lovely people, and we would always go down to this beach called Memories Beach. Cast and crew would be down there every weekend – all weekend.

“We started cooking down there, we became friends with the people that ran the beach bar, and they would let us cook. The English guys would cook one week, and then the Italians would cook the next week.

“Naomi Watts was the star of that movie. So, my granny roasted two chickens in her oven at her house in Thailand. She then drove it through the jungle to this beach, because you had to kind of go down this dirt road for about 25 minutes.

“She made Chicken Véronique. It’s like a kind of creamy shredded chicken dish, but then you peel and roast the grapes. And then you shred the potatoes. It’s absolutely delicious.

“So now if I’ve ever been away and I come home to the family house for dinner, that’s always what we always have.”

Host and chef Angela Hartness replied: “Now you’ve mentioned it’s a really old, classic French dish. And one that you’d have had in the ’60s.”

While they did not cook the classic dish during the podcast, they did cook a dish Tom called a “treat” – spicy pork and pineapple skewers with Greek salad.

Spicy pork & pineapple skewers – full recipe

Ingredients

• 500g pack British diced pork shoulder
• ½ supersweet medium pineapple
• Vegetable oil, for griddling
• 1 satsuma, halved
• 2 salad onions, thinly sliced

For the marinade

• 1 satsuma, juice
• 2 clove/s garlic, crushed
• 1 tbsp Cooks’ Ingredients Turkish Pepper Flakes
• 1 tsp cayenne pepper
• 1 tsp smoked paprika
• 2 tsp ground coriander
• ½ tsp ground cumin
• 1 tbsp light soy sauce
• 1 tbsp olive oil

Method

1. Soak 8 wooden skewers in cold water for at least 30 minutes to prevent them burning. In a mixing bowl, combine the marinade ingredients and add a few cracks of black pepper. Add the pork (halve any large pieces) and stir to coat. Cover and marinate in the fridge for at least 30 minutes, or preferably overnight.
2. Peel, core, then cut the pineapple half into 24 chunks. Thread 3-4 pieces of pork and 3 pieces of pineapple alternately onto each skewer and discard any remaining marinade.
3. Heat a griddle pan over a medium-high heat, brush the pan lightly with oil, then cook half the skewers for 12-15 minutes, turning twice, until the pork is cooked through with no pink meat, juices that run clear, and is charred in places. Keep hot, while you cook the second batch.
4. Char the satsuma, cut-side down, on the hot pan. Serve the skewers scattered with the salad onions and the warm satsuma juice, squeezed over at the table. Perfect with a leafy salad on the side, if liked

Angela Hartnett serves this recipe with a village Greek salad. You can find check out the recipe for that and handy cooking tips and tricks on the Waitrose website here.

Things took a hilarious turn during one instalment of Channel 4’s Come Dine With Me as one guest pointed out a ‘stolen’ ingredient

A host on Come Dine With Me was savagely called out by one of his guests, as they believed he had stolen an unexpected item for one dish.

The much-loved Channel 4 programme, which sees four or five amateur cooks from the same local area take turns hosting a three-course dinner party in their own homes, was back for the last instalment of the week.

On Friday July 17’s episode, which is a repeat that was set in Cardiff, it was the turn of chiropractor Pete to impress his guests Angharad, Claire, Charlotte and David, with his dishes which included a lemon posset and Glamorgan sausages.

While at the dinner table, Pete also provided “edible flowers” for his guests but the host was unfortunately left red-faced when he was questioned about where he sourced the flowers.

Angharad asked of her flower: “Where did you get this from then?” Pete replied: “This I cropped from near Llandaff Cathedral.” But Angharad was not convinced by Pete’s tale.

She bluntly replied: “You stole it!” Trying to justify where he got it from, stating that he retrieved the flowers from a pathway, David chipped in that he often walked his dog in that direction.

Questioning whether the flowers were clean enough to eat, Claire said: “I hope you washed those!”

This later led to Pete’s guests discovering that he failed to make his own pastries for one of his dishes. But despite calling him out, all the guests agreed that Pete’s food and hospitality was top-notch.

The Cardiff-based episode, which was first broadcast last year, caused quite a stir.

One social media user took to Facebook at the time and wrote: “I love when guests get upset that the host didn’t make their own pastry. Who makes their own pastry? Shortcrust maybe, but I think using store-bought puff & fillo pastry is totally ok!”

Another added: “Competitors do make their own puff, shortcrust pastry but not filo, it is very fiddly I think.”

At the end of the show, the guests found who was the winner of the week and received a cool £1,000 prize.

Come Dine With Me airs weekdays at 6:30pm on Channel 4

Visit Medellín, and everyone will tell you to try one dish: bandeja paisa.

Translated as a “countryside tray,” you’ll find the loaded meat platter at any restaurant in Colombia’s second-largest city. The spread is loaded with savory red beans; white rice; ground beef or grilled steak; a long, curved strip of crispy chicharrón; chorizo; morcilla (blood sausage); a fried egg; golden lobes of sweet plantain; a mini arepa; and a slice of avocado.

Though its origins lie in the mountainous, coffee-growing region of Antioquia, known as the home of the paisas (derived from the Spanish word for countryman), the dish is widely celebrated and eaten across the country. It’s a hearty lunch meal meant for one person, a combination of flavors and textures that transport you straight to Medellín, known for its rich coffee landscape, blooming flowers and eternal spring weather.

“The bandeja paisa is the seal of the Colombians,” said Gloria Hernandez, owner of Nene’s Colombian Food in Lawndale.

The dish is believed to have started as a filling, nourishing meal for campesinos (field workers), providing strength to get through a day working in the fields. “There’s a gathering of various dishes to make a bandeja paisa,” said Cesar Gutierrez, owner of Arepa’s Colombianas in Redondo Beach.

Over 40,000 Colombians live in L.A., according to the Los Angeles Almanac. Three-thousand miles from home, the city is host to several Colombian restaurants, food trucks and even a rooftop night market in downtown L.A.

From a longstanding restaurant in Larchmont to a favorite for modern Colombian cuisine in Long Beach, here are seven places where you can devour a bandeja paisa.