arXiv subjects

Thomas A. Pollak

Publications and source records attributed to Thomas A. Pollak.

2 recordsLinked to original sources

arXiv2026

Delusions and Harms Associated with AI Chatbot Use: Early Evidence from 185 Real-World Reports

Importance: Reports have raised concerns that AI chatbots may validate or elaborate delusional beliefs, respond inappropriately to suicidal ideation, and contribute to mental health harms, but real-world data on reported harms remain limited. Objective: To characterize psychopathological features, chatbot behaviors, timing, and outcomes in first- and second-hand accounts of mental health harm linked with AI chatbot use. Design: Cross-sectional secondary analysis of deidentified online survey responses gathered between August 7, 2025, and February 2, 2026. Main Outcomes and Measures: The primary quantitative outcome was the presence of delusional beliefs, coded by paired raters with relevant clinical experience. Additional variables included reason for chatbot use, current episode features, delusional content, chatbot validation of beliefs, harms, social and occupational consequences, healthcare use, and timing. Results: 95 first-hand and 90 second-hand accounts were analyzed. Median age was 35.0 (IQR 27.0 - 45.0). Raters coded descriptions consistent with delusional beliefs in 102 reports (55.1%), with chatbot validation of beliefs in 50/102 (49.0%). Common outcomes included isolation, relationship breakdown, hospital admission, job loss, and financial loss. Four second-hand reports described death by suicide. Conclusions: In this self-selected convenience sample, AI-chatbot-associated harms were frequently described in relation to delusional beliefs, perceived chatbot validation, intensive use, and substantial social, occupational, and clinical consequences. Because reports were retrospective, unverified, and collected from individuals seeking to report harm, our findings should be interpreted as preliminary signal detection rather than as suggesting prevalence or providing evidence of causality. Prospective surveillance and trajectory-based safety evaluations are needed.

cs.HC↗

arXiv2026

Philosophical vertigo with artificial intelligence

Large language models are already adept at engaging users in long, emotionally salient conversations across ordinary and existential domains. They are also capable of inducing a potent sense of connection with a human-like entity, even when the user knows their interlocutor is artificial. For some users, these conversations can unsettle assumptions about mind, reality, agency and authority, producing forms of ontological shock and epistemic destabilisation in which inherited criteria become newly available for doubt or revision. Independent of direct use, exposure to public discourse about AI and the disorienting pace of their evolution might extend this destabilisation by changing the cultural background against which artificial minds are encountered and interpreted. We describe this condition as philosophical vertigo: a loosening of the ordinary criteria by which people stabilise meaning and orient themselves to reality. Drawing on philosophy, psychiatry, cognitive science, AI safety and religious studies, we outline pathways through which philosophical vertigo may arise, become affectively saturated, and eventually propagate through human-AI interaction and online communities. Against this background, clinical reports of AI-associated delusions can be seen as sentinel events making visible themes and mechanisms that may also operate at a population level in less severe or non-clinical forms. We argue that AI systems themselves will increasingly participate in the reconstruction of our shared epistemic environment because they readily supply narrative material and personalised interpretive scaffolding at precisely the moment when users' conceptual assumptions may already be loosened. We conclude by considering possible trajectories for the ecology of belief and shared reality, and proposing philosophical corrigibility as a civic response for navigating this emerging social condition.

cs.CY↗