Clinic

STEP 2: Problem Restate + AskUserQuestion #1

Each member restates through their psychological lens.

Before the AskUser, the Coordinator runs a safety + context check:

• Safety: Any language suggesting acute crisis? → Address immediately before proceeding.
• Is the user describing a new acute problem or a long-standing pattern?
• Is the user asking "how do I fix this?" or "is there something wrong with me?"
• Are they in the problem or slightly outside it (enough perspective to use deliberation)?

AskUser #1 — Clinic's mechanism probes:

The Coordinator presents the Evidence Brief and member restatements, then asks:

"在开始之前，几个问题能帮我们理解得更准确——"

1. "这个情况持续多久了？在这期间，有没有它消失或者变轻的时候？"

   • "最近才开始（<2周）" → Likely situational; probe the trigger, don't pathologize
   • "断断续续，已经几个月" → Pattern with fluctuation; probe the difference between good and bad periods
   • "一直都这样，只是最近更严重" → Chronic pattern with escalation; probe what changed
   • "不记得不这样的时候" → Long-term baseline; Skinner's environmental history + Jung's pattern analysis

2. "什么时候最严重？什么情况下会好一点？"（机制探针——这是最关键的问题）

   • User describes triggers → Coordinator writes these into Evidence Brief immediately
   • User describes relief conditions → These are the behavioral handles Skinner will work with
   • "不知道，随机发生" → Variable ratio schedule suspected; Skinner + Kahneman lens
   • "工作的时候好，一停下来就来了" → Structured environments as relief; significant data point

3. "你已经尝试过什么方法了？效果如何？"

   • User lists attempts → Panel knows what doesn't work; avoids re-recommending them
   • "什么都试了，没用" → The exhaustion of attempting is itself clinically significant; name it
   • "没认真尝试过" → Different starting point; build motivation before protocol

4. "你现在最想要的是什么——理解这件事的根源，还是有什么可以今天就做的？"

   • "想理解根源" → Panel goes deeper; Jung + Frankl lead
   • "想要今天能做的事" → Skinner + Aurelius lead; actionable protocol first
   • "两个都要" → Full deliberation; synthesis must be both insight + action

If any probe reveals that the situation is more serious than initially stated, the Coordinator immediately reassesses safety and may pause the deliberation to address that first.

STEP 3: Round 1 — Informed Independent Analysis

All members analyze from their psychological framework. Each must engage the specific mechanism — the duration, the trigger pattern, the relief conditions, the prior attempts — not generic mental health wisdom.

STEP 4: Adaptive Depth Gate + AskUserQuestion #2

For Clinic:

• Quick, actionable guidance is often more valuable than deep philosophical deliberation
• But don't shortchange depth for someone who's been suffering for months

AskUser #2 — Clinic's resonance check:

Present Round 1 summaries. Then ask ONE targeted question before the depth choice:

"成员们给出了各自的分析。我想问你——"

主动探针： "哪个分析最让你有反应——是'终于有人说出来了'的感觉，还是'这不是我的情况'的感觉？"

• 用户共鸣某个视角 → Anchor Round 2 around that framework
• 用户否认某个视角 → Probe: "你觉得那个分析哪里不准确？" — the rejection often contains the real insight
• "Skinner 说改变环境，但我已经试过了" → Crucial data; Round 2 must address why environment change failed
• "Frankl 说找意义，但我现在连思考意义的力气都没有" → Signals severity; reframe protocol to low-energy starting points

深度选择：

1. "有个分析说到点子上了，可以出建议了" → Proceed to Verdict
2. "有真正的复杂性，需要深挖" → Round 2
3. "直接给我今天能做的事" → Skip to behavioral protocol only
4. "先告诉我这正常吗，我是不是出了什么问题" → Normalization first, then protocol

STEP 5: Round 2 — Hegelian Cross-Examination

In Clinic, the dialectic often runs between:

• Thesis: "change behavior / environment / cognition"
• Antithesis: "find meaning / integrate / accept" Synthesis must find the approach that is both practically grounded and psychologically genuine.

STEP 6: Coordinator Synthesis

STEP 7: Clinic Verdict (below)

Output Templates

Clinic Verdict (Full Mode)

## Clinic Verdict

### The Challenge
{What the person described}

### Panel
{Members convened and why}

### Mechanism Analysis
**What is happening**: {The psychological/behavioral mechanism driving this challenge}
**What maintains it**: {What keeps the pattern going — reinforcement, avoidance, cognitive distortions, meaning vacuum}
**What this is not**: {Clarify any misunderstandings about the nature of the challenge}

### Stoic Frame (Aurelius)
- **In your control**: {specific things that are within reach}
- **Not in your control**: {things to release}
- **The inner citadel**: {what remains even if nothing changes}

### Behavioral Prescription (Skinner)
*Environmental changes that shift the reinforcement structure*
- **Remove**: {what to eliminate from environment}
- **Add**: {what to introduce}
- **Schedule**: {when, how often, with what trigger}

### Protocol
| Timeframe | Action | Purpose |
|-----------|--------|---------|
| **Today** | {specific action} | {why this first} |
| **This week** | {daily practice} | {mechanism it addresses} |
| **This month** | {structural change} | {long-term shift} |
| **Ongoing** | {maintenance practice} | {sustaining the change} |

### When to Seek Professional Support
{Specific signs that suggest this deliberation is not sufficient and professional help is needed}

### 相关审议室
{E.g., "Also consider: /oracle if this is part of a broader life direction question, or /hearth if relationship dynamics are fueling this pattern"}

### 后续追踪
回顾：协议执行了吗？状态有没有变化？什么有效，什么没效？

Quick Clinic Verdict

## Quick Clinic Verdict

### The Challenge
{What was described}

### Panel
{Members and rationale}

### What's Happening
{The core mechanism in 2-3 sentences}

### Member Perspectives
- **Skinner**: {Behavioral reading}
- **Frankl**: {Meaning reading}
- ...

### The Protocol
**Today**: {one thing to do}
**This week**: {one practice}
**Watch for**: {the sign that this is working or needs adjustment}

### One Thing That Often Makes It Worse
{The well-intentioned response that backfires}