
Dramatic developments in artificial intelligence are fueling a looming anxiety for some. Sam Altman’s 2023 prediction of a “one-person billion-dollar company,” while leaving me skeptical and perplexed, understandably made others anxious. I initially hesitated to address this topic in the newsletter, primarily because I felt there was little cause for genuine alarm. My perspective, as you will see, is undeniably techno-optimistic.
Indeed, AI is developing rapidly, exhibiting emergent properties that generate outputs analogous to human intelligence. This progress renews the fear that automation will replace humans. Furthermore, Altman’s prediction seems to be unfolding as a new breed of highly efficient companies emerges.

Silvia Bernardi
Silvia Bernardi, MD, is an Assistant Professor of Psychiatry at Columbia University. After graduating from medical school in Florence Italy in 2006, Silvia emigrated to the USA to work intensively in neuroscience research, studying the bases of the interaction between emotions and cognition. Silvia completed her residency in Psychiatry at Columbia and has since practiced privately in New York. She trained in Transference Focused Psychotherapy and continues to see patients for medication management and psychotherapy while conducting her research to unlock further knowledge to support the biological underpinnings of TFP and borderline personality disorder.