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arXiv preprint arXiv:2603.16567 , year=

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Engagement-Optimized Care: When LLMs become Mental Health Infrastructure

cs.CY · 2026-05-22 · unverdicted · novelty 7.0

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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