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.
Nejm Ai , volume=
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UNVERDICTED 2representative citing papers
AI alignment must move beyond assuming users have fully formed goals and instead provide active cognitive support to help form and refine intent over time.
citing papers explorer
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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.
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Alignment has a Fantasia Problem
AI alignment must move beyond assuming users have fully formed goals and instead provide active cognitive support to help form and refine intent over time.