A longitudinal qualitative study of 18 US users finds that LLMs deliver socioemotional support but also foster dependency, one-sided validation, and privacy risks because their designs prioritize engagement over well-being and lack care-based governance.
Proceedings of the AAAI/ACM Conference on AI, Ethics, and Society , volume=
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Engagement-Optimized Care: When LLMs become Mental Health Infrastructure
A longitudinal qualitative study of 18 US users finds that LLMs deliver socioemotional support but also foster dependency, one-sided validation, and privacy risks because their designs prioritize engagement over well-being and lack care-based governance.