George S Alexopoulos
The emergence of agentic artificial intelligence (AI), such as Anthropic's Claude Mythos, challenges the conventional understanding of human agency. This paper explores differences between computational intelligence and human aging and discusses how advanced AI can intersect with the lived experience and mental health of older adults. Unlike the data-driven, simulation-based, nonconscious functions of AI, consciousness is embodied, relational, and historically evolved. Aging changes the brain, the body, and the body-brain communication. Despite cognitive compensation by recruitment of supplemental neural networks, neural aging changes human experience. Along with neurobiology, consciousness is shaped by the older person's identity, which integrates experiences of successes, reversals, love, loss, suffering, and mortality into a coherent life story. Applying the frameworks of poetic naturalism and "hybrid reason," this paper discusses the possibility of a symbiotic AI-human relationship. In this paradigm, AI manages analytical tasks and offers cognitive support (the "how"), while the aging individual provides intentionality, ethical boundaries, and historical perspective (the "why"). Appropriately managed, the human-AI interaction will be a relationship not of subordination but of mutual optimization. As the natural advocates for older adults, geriatric mental health professionals must steward the integration of AI in aging care, ensuring a synergy in which technology scaffolds and augments human function while it preserves the person's agency and dignity. Advocacy should focus both on minimizing the AI risks of manipulation, over-dependence, and privacy loss and on promoting user-centered designs that can make technology accessible and welcoming for older adults.