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Artificial intelligence (AI) psychosis: mechanisms, clinical risks and safety considerations in generative AI
Lotenna Olisaeloka1, John-Jose Nunez1, Daniel V Vigo1
1Psychiatry, https://ror.org/03rmrcq20University of British Columbia, Vancouver, British Columbia, Canada.
None:
As generative artificial intelligence chatbots become embedded in everyday life, concerns about their psychological risks are growing. Emerging reports describe cases of artificial intelligence-induced or -associated psychosis (hereafter artificial intelligence (AI) psychosis) in which intensive chatbot use is associated with delusional thinking patterns. This paper proposes a provisional mechanism wherein baseline user vulnerabilities and engagement patterns interact with generative artificial intelligence characteristics, such as sycophancy and hallucination, contributing to delusional ideation. It subsequently outlines clinical, design and regulatory strategies that may help mitigate risks.
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