Accessibility settings

Published on in Vol 27 (2025)

Three diverse professionals posing for a headshot: a man in a black turtleneck, a woman in a purple shirt, and a woman in a white shirt.

Shoggoths, Sycophancy, Psychosis, Oh My: Rethinking Large Language Model Use and Safety

Shoggoths, Sycophancy, Psychosis, Oh My: Rethinking Large Language Model Use and Safety

Authors of this article:

Kayleigh-Ann Clegg, JMIR Correspondent

Journals

  1. Ueda M, Birnbaum M, Liu Y, Yu Q, Tian X, Mirer A, Ramanathan S, Sinyor M. Help-Seeking in the Age of AI: Cross-Sectional Survey of the Use and Perceptions of AI-Based Mental Health Support Among US Adults. JMIR Mental Health 2026;13:e88196 View
  2. Bown A. Large language memories: Psychosis and antisocial media. Memory, Mind & Media 2026;5 View
  3. Parnell T. Stop calling it “AI psychosis”. AI & SOCIETY 2026;41(7):6695 View
  4. Tahseen H. When AI Colludes: Clinical Reliability of Training and Preference Data as a Trustworthy-AI Criterion. JMIR Mental Health 2026;13:e96894 View
  5. Chereches R. Over-Defined, Under-Operationalized: A Narrative Synthesis of How “AI Psychosis” Is Conceptualized Across Disciplines (Preprint). JMIR Mental Health 2026 View
  6. Weiss A, Keshvan M, Torous J. Mental Health AI Chatbots as Pharmakon: A Tripartite Theory of Use despite Risk. Psychotherapy and Psychosomatics 2026:1 View
  7. Yoo J. Comprehensive Consideration of Ethics in AI-assisted Scientific Writing and Peer Review. Journal of Korean Medical Science 2026;41(29) View
  8. Ivanchenko M. Posthuman Sociality of AI-Simulacrum. Galactica Media: Journal of Media Studies 2026;8(3):93 View
  9. Klitzman R. The Growing Need to Address Mental Health Vulnerabilities to Artificial Intelligence. Psychiatric Services 2026 View
  10. Wiesepape C, Garrelts J, Stokes A, Britton J, Dubas M, Paul E, Gieselman M. Rethinking Generative Artificial Intelligence Use in Schizophrenia Spectrum Disorders: A Metacognitive Framework. Journal of Interdisciplinary Research Applied to Medicine 2026;6(3):14 View

Books/Policy Documents

  1. Cho H. The AI as Social Actor. View

Conference Proceedings

  1. Li L, Huang X, Ma R, Zhang B, Wu H, Yang F, Chen C. Proceedings of the ACM Web Conference 2026. LLM Use for Mental Health: Crowdsourcing Users' Sentiment-based Perspectives and Values from Social Discussions View