In Search of AI Psychosis

202 pointsposted 4 days ago
by venkii

238 Comments

reidalert

a day ago

The description of the risk factors very much jibes with what I have seen in a friend recently. He is quite isolated, and spends most of his evenings writing using AI (he works in a blue-collar trade and wouldn't be typing stuff out by hand usually).

He's convinced that he has discovered a grand theory of human connection / relationships / energy / physics, and keeps interrupting in conversation to explain how something I've said is just an example of a deeper pattern.

Sadly, this theory of connection is cutting him off from actual connection - he gets so much validation from AI that he believes he has discovered a new world model. But the people around him aren't bought into the vision (mostly because it is bullshit), and so he ends up even more isolated.

alganet

18 hours ago

Don't get me wrong, but from a relationships perspective, your comment sounds more like a frustrated spoiled ex-girlfriend than a friend. I mean, friends don't go badmouthing their friends on the internet. It's a dick move.

Regarding "theories of everything" and stuff like that. Well, lots of people have those. If I were to call everyone that believes in god or horoscope lone losers, then the asshole would be me, wouldn't it? I know it's different, but also, it's not.

Friendship doesn't require that you buy into the other's vision in order to want them around. That's ideology. Perhaps you misunderstood what friendship means? It's ok, the world is in a weird place right now.

meowface

a day ago

Not to get political but I suspect this kind of thing is also pretty analogous to how many otherwise normal but often unintelligent people get into things like neo-Nazism through online influencing. (I am just speculating that the person you're referring to is unintelligent.)

gherkinnn

a day ago

> First, much like LLMs, lots of people don’t really have world models.

This is interesting and something I never considered in a broad sense.

I have noticed how the majority of programmers I worked with do not have a mental model of the code or what it describes – it's basically vibing without an LLM, the result accidental. This is fine and perfectly workable. You need only a fraction of devs to purposefully shape the architecture so that the rest can continue vibing.

But never have I stopped to think whether this extends to the world at large.

vintermann

a day ago

Everyone has a "world model". These models just differ on how much they care about various things. No one has a "world model" which literally encompasses everything about the world, that wouldn't be a model at all, it'd just be the world, much like a 1:1 map.

Also, no one has a "world model" that is purely based on experiment and reason. Everyone gets their beliefs via other people first and foremost. Some get it from few people, some get it from many people (many people can still be wrong!).

For code, you may have the model of what it does strictly from reason and experience - but probably only if you're the only author. And you can still damn well be wrong, as we all know.

user

a day ago

[deleted]

AstralStorm

a day ago

For a lot of people, the world models are really rough and incomplete, so they really really on common opinion on these matters.

This is the same if you tried asking a general populace ethical questions in a vacuum sneakily. You're going to be dismayed after collecting the set of approved behaviors per culture.

There's not really a way to evaluate one of these.

Mallowram

a day ago

There are no such things as world models, the term is a cheap trick of language. The world is irreducible, he brain never reduces, it has no models. Even the hippocampus uses topology as a bypass to reduction.

These blind as a bat Codex pieces are the hamster wheel of silicon valley, he never gets at the problems, which are ad hoc, and only addresses them as post hoc.

Language is FOR deception, this is its endstate, and a particularly juicy one where language is used to pretend the problems aren't related to langauge.

This is all pyschological high comedy. Hide the source of psychosis when it stares us right in the face.

Lambdanaut

a day ago

I love how this comment chain goes directly from

> Humans don't have world models

To

> Of course humans have world models

To

> You fools, there is no such thing as a "world model" and you are all hamsters!

Classic Socratic dialogue.

morpheos137

9 hours ago

The LLM mind virus undermines coherent thought.

Mallowram

a day ago

The problem is, neurobiology proves there are no world models. Silicon Valley bet on the wrong cognition model, a psychological version trapped in 20th C bunk, and everyone pays the price listening to cult leaders like Scott Alexander worm their way out of consciousness.

https://pmc.ncbi.nlm.nih.gov/articles/PMC7415918/

lukev

a day ago

How can you say there are no world models, when I can literally draw out a simple one for you on demand?

You can argue that's they're not the governing principle of cognition, but it seems farcical to say they don't even exist, when we are trying to explain them to eachother all the time.

mallowdram

a day ago

No what you're describing is arbitrary and idiosyncratic. The brain doesn't use that to survive, it doesn't need them. Anything external to that is completely separate from thought. What you're describing is an arbitrary game for entertainment to fill up your time and confuse yourself and others. It has no relationship to the choices you would make to survive, and can only interfere with it. The "world model" you're describing is arbitrary fiction.

“We refute (based on empirical evidence) claims that humans use linguistic representations to think.” Ev Fedorenko Language Lab MIT 2024

Izkata

a day ago

World models aren't linguistic. You seem to be conflating (at least) two different things, then claiming because one doesn't apply the other doesn't exist.

Edit: Also come to think of it, that quote is odd, like it's rather late to the party. The NPC meme is several years old and came from a study that most people don't have an inner voice - that they don't think with words.

mallowdram

a day ago

Of course world models are linguistic. What working memory or neural syntax bypasses linguistic externals when the term is in of itself linguistic. The entire concept of model is linguistic in origin. Biology doesn't have models.

dwaltrip

a day ago

I don’t necessarily disagree with you, but I wonder if you are not being overly reductive / pedantic.

What is there then?

What words (heh) do you use to distinguish between someone who makes more accurate predictions about the world than someone else?

Mallowram

a day ago

First off, we don't use predictions, that's another model, it's false (Spontaneous Brain Northoff or read Mofakham's papers).

In terms of words, they barely represent and never reference. Any statement like that serves primarily status gain, not know knowledge transmission (I proved this from the first statement above as well).

The reality is CS built a math model from totally false premises as it relates to communication and knowledge. It works for efficient value trading using symbols in place of actions. Does it have a future, no.

The problem is how do we shift to a real neurodynamic system of sharing?

https://docs.google.com/document/d/1cXtU97SCjxaHCrf8UVeQGYaj...

dwaltrip

21 hours ago

I think we are talking past each other.

The ideas you mention sound interesting, but I’m not sure what the point is.

mallowdram

21 hours ago

Words do not function as communication. You asked a pointless question. It has no function except to extract values from actions: it was subjective, arbitrary. Until CS grasps this, it is irrelevant.

All the symptoms from LLM failure rates stem from their reliance in arbitrary forms to extract value, and they are no different than the errors we experience in reality in climate, politics etc. CS didn't solve the initial conditions, it's maxing them out as errors.

morpheos137

9 hours ago

You seem unable to communicate clearly what it is you are trying to say. Honestly i would be interested but I can't follow you. Your use of words is non standard. You say words are about social interelations, e.g. domninance, exchange, etc but then you also say that words don't communicate information. Of course thought is fundamentally non-verbal but since telepathy doesn't exist we use symbols, i.e. words to communicate with oth ers. Nobody thinks words ard thoughts. The represent thoughts. Your part about words being deception is one of many use cases. Honestly, and with all due respect, your comment fits the style of a person in an altered state of mind be it drugs, psychosis or something else. Why write words in a public forum with your weird little idiosyncratic meanings nobody else understands.

Mallowram

2 hours ago

Words don't represent thoughts in any way shape or form. They externalize bias as a pretext to communication, which is arbitary. Every word is a metaphor, every word is mythological. These are empirical facts developed from Aristotle, Cassirer, Halliday into Fedorenko, yet CS takes not note of it. Language has no form that refers or represents anything in reality in any sense of concatenation. They are gibberish. This is where humanity is off the rails. Word statements are only 'about' status, dominance, control. Statements in arbitrary words do not exist as references or representations. A statement like which person makes more accurate predictions is basically nonsense, it's applying arbitrary values to events subjectively. Once we understand prediction has nothing to do with how brains work, it's basically an animal that has no relationship to others or itself except as to extract value and control. The argument is simply over your head unless you grasp the fundamentals: words do not work. Please don't pretend others don't grasp these ideas, brilliant minds have been dissecting the illusions of words since Aristotle. "Marshall McLuhan's idea of the "schizophrenic alphabet" is a provocative metaphor for his theory that the phonetic alphabet fundamentally altered human consciousness, leading to a fragmented, detached, and individualistic psychology."

boxed

a day ago

I think you might be confused about the expression "world model". In this context it clearly means that a person has an understanding of reality based on "math->physics->chemistry->biology->psychology" instead of "peer pressure->group identity" or whatever you see in QAnon or cults or whatever.

If a person primarily evaluates the truth content of a statement based on identity or something instead of math/physics/etc then that person has no "world model", and vice versa.

mallowdram

a day ago

No it's neurobiological, psychology and particularly cog-sci is in error, as both place language ahead of concepts. Our understanding of reality per language is post hoc, it's an illusion. Life is always ad hoc, any violation of a narrative model is easily evaded for survival. This is simple stuff folks!

boxed

5 hours ago

You like to use big words. But you're not making any sense. Notice this.

Mallowram

2 hours ago

It only makes sense to scientific thinkers who think in correlation, and know how degraded words and sentences are. Anyone who accepts word statements as valid is at loss. The only role of language is to refute itself.

_Algernon_

a day ago

That's not what world model means, neither in psychology or artificial intelligence — two fields Scott writes a lot about so he should know how the term is used or define how he uses it if he uses a non-typical definition.

vintermann

a day ago

It takes a pretty damn complicated model of the world to start explaining things with neurobiology.

Mallowram

a day ago

Doesn't require models in dynamics, coordination or otherwise.

Neurology has not proven any such thing. Our knowledge of neuroscience on the cognitive level is super limited and we don't have a good understanding about how any higher-order cognition works.

mallowdram

a day ago

Neurobiology has proved this, just read Buzsaki or Northoff. The brain doesn't need models, it needs differences.

I have a PhD in cognitive science and my supervisor was a neuroscientist.

Mallowram

a day ago

That's irrelevant. Cog-sci is largely folk psychology, and the problems in automating inference in AI demonstrate the model would eventually collapse. Question is how do we toss this model aside for an irreducible form of post-symbolic relationship between brains and machines?

I appreciate your gumption but I really think that you don't understand things as well as you think you do. Maybe read someone other than Paul Churchland.

mallowdram

a day ago

Both Churchland's are out of date. Note the references above, this is a neurobiological, dynamic approach they're not party to. If you don't know what those are or optic flow, neural reuse are, then study them. Trad Neuroscience and cog-sci is no longer applicable.

suddenlybananas

21 hours ago

God you are so smug about something you know essentially nothing about.

mallowdram

21 hours ago

I'm lead dev in a start-up that applies coordination dynamics to spatial-syntax. I probably know quite a bit more than you do about what I'm doing.

suddenlybananas

18 hours ago

I don't care what narrow thing you're working on, the brain is simply not as well understood as you think it is.

mallowdram

17 hours ago

We have a substantial grasp of the allocortex to make significant probes into working memory that relate to semantic memory, episodic thought, emotion and certain senses. The very idea we understand that Sharp Wave Ripples encode this and that various scales of waves integrate to create memories and action is the beginning of bypassing existing computational frameworks.

Xmd5a

a day ago

My man. Elaborate on word irreducibility and language as a "tool" for deception. Nietzsche's On Truth and Lies... comes to mind.

Mallowram

a day ago

The brain is oscillatory and dynamic, everything is in there. It's lossless. The analog nature of compression is limitless. This system if you can call it that, is inseparable from the universe ("The World"). Everything in the model-free system is specific. Nothing is arbitrary here. It's merely idiosyncratic. Words are the other end of this: post-hoc, separate from thought, arbitrary, massively illusory. Language is completely irrelevant to consciousness and is the main reason we cannot acheive it. The slogan for humans should be words anonymous.

https://pubmed.ncbi.nlm.nih.gov/27096882/

Cthulhu_

a day ago

It's a good and succinct insight, and also often explains the "racist uncle" stereotype - there are a lot of people who don't get out much, whose world is limited to e.g. home, work, maybe friends, and TV and/or a subset of the internet. Some of those will develop close-minded viewpoints, often spoonfed through TV or the internet (for example, recently there's been a lot of comments on the internet saying "you get arrested in the UK more than in Russia for having an opinion"). If they talk to people that are more worldly - not even "leftists" per se - you'll quickly discover the friction between those two. Because the more worldly person will have a broader general knowledge and can weigh the uncle's standpoint against their own reality.

But if racist uncle talks to his other racist uncle friends who have similar insular lifestyles, the ideas will quickly spread. Until they become big enough to e.g. affect voting behaviour.

Yes everyone with my political beliefs has a well-structured world model, everyone without my political beliefs is a model-free slop machine that just goes by vibes.

kaibee

a day ago

> Yes everyone with my political beliefs has a well-structured world model

As nice as that would be, its only marginally less true.

> everyone without my political beliefs is a model-free slop machine that just goes by vibes.

Nah, some of them are evil on purpose.

but like, in all seriousness. Politics is downstream of a world-model right? And the two predominant world models are giving very different predictions, right? So what are the odds that both models are somehow equally valid, equally wrong (even if its on different cases that somehow happen to add to the same 'moral value')? And we also know that one of the models predicts that climate change isn't real? at some point, a world-model is so bad that it is indistinguishable being a model-free slop machine.

dragonwriter

a day ago

> but like, in all seriousness. Politics is downstream of a world-model right?

Politics is (if systematically grounded, which for many individuals it probably isn't-and this isn't a statement about one faction or another, it is true across factions) necessarily downstream of a moral/ethical value framework. If that is a consequentialist framework, it necessarily also requires a world model. If it is a deontological framework, a world model may or may not be necessary.

> And the two predominant world models are giving very different predictions, right?

I...don't agree with the premise of the question that there are "two dominant world models". Even people in the same broad political faction tend to have a wide variety of different world models and moral frameworks; political factions are defined more by shared political conclusions than shared fundamental premises, whether of model or morals; and even within a system like the US where there are two broad electoral coalitions, there more than two identifiable political factions, so even if factions were cohesive around world models, partisan duopoly wouldn't imply a limitation to two dominant world models.

kaibee

a day ago

> Politics is (if systematically grounded, which for many individuals it probably isn't-and this isn't a statement about one faction or another, it is true across factions)

Yeah, I agree with this.

> necessarily downstream of a moral/ethical value framework. If that is a consequentialist framework, it necessarily also requires a world model. If it is a deontological framework, a world model may or may not be necessary.

I kinda think that deontological frameworks are basically vibes? And if you start to smuggle in enough context about the precise situation where the framework is being applied, it starts to look a lot like just doing consequentialism.

> I...don't agree with the premise of the question that there are "two dominant world models". Even people in the same broad political faction tend to have a wide variety of different world models and moral frameworks; political factions are defined more by shared political conclusions than shared fundamental premises, whether of model or morals; and even within a system like the US where there are two broad electoral coalitions, there more than two identifiable political factions, so even if factions were cohesive around world models, partisan duopoly wouldn't imply a limitation to two dominant world models.

A 'world-model' is a matter of degree and, at a minimum, pluralities of people in any faction don't really have something that meets the bar. And sure, at the limit you could say that reality is entirely subjective because every individual has a unique to them 'world-model'. But I think that goes a bit too far. And I think there's a pretty strong correlation between the accuracy of a given individual's world model and the party they vote for.

user

a day ago

[deleted]

simianwords

a day ago

It could also be that politics are downstream from emotions and world models are downstream from politics.

But I think both are true to an extent.

Politics are largely a function of self-interest rather than world model per se.

N_Lens

a day ago

Different people have different conceptions of “self”, sometimes vastly different.

saubeidl

a day ago

I think that in itself is already an ideological statement. Not everyone sees politics through that lens.

Of course it's an ideological statement, there is no way to define a concept without having beliefs about that concept.

saubeidl

a day ago

Exactly. There is no such thing as non-ideological statements from humans. In the context of this thread, ideology is the name for "world models".

tuyiown

a day ago

You forgot the most important part, one's own model is not only probabilistic, it's also (more or less) forever challenged by reasoning to stabilize to some kind of self consistency. This refinement is critical and its mechanics still eludes everyone AFAIK.

AstralStorm

a day ago

Most people do not challenge theirs by reasoning, only by social approval - and that's easy to game.

That's why they turn 180 or radicalize badly when exposed to sufficiently strong social or usual media.

Mallowram

a day ago

There are no models in our brains/minds. Claiming so is like witchcraft. The brain is about tasks. Reason comes from path integrations, short-cuts. The reduction you're using is narrative. Language is social, not communication. It is the illlusion. Anything arbitrary LIKE language is here to destroy us and our path integrations. Know the externalization problem.

sixo

a day ago

You are spamming this and similar paragraphs all over this thread, and you come off as a crackpot.

mallowdram

a day ago

It's science challenging CS. If there are no such things as symbols and metaphors in reality, and these are arbitrary, how possibly does it stay referential? It can't. It falls apart, language can't produce itself. It was denoted by Aristotle, the cognitive mapping people Okeefe, Moser, Kandel deciphered this in 1973 and now it feeds from mythological thought into AI "psychosis". Solve the problem at the source units, these descriptions like Alexander are arbitrary.

meowface

a day ago

Your posts read like someone experiencing LLM psychosis.

Viliam1234

16 hours ago

Looking at their comment history, it's practically the only thing they ever write, over and over again.

Mallowram

2 hours ago

Just an experiment to see how lost the CS community is at the AI psychosis threshold. The industry has simply no clue to what it's automating in arbitrary words. Unless you all grasp the dimensions of the problem, the industry is a dinosaur. And this Alexander wand-waving ignores the basic scientific problem, waved away in cog-sci fantasies. The fact is language is a dinosaur. It's Pleistocene nonsense, and it should be a warning these Chat suicides and psychosis of what's yet to come if we continue using arbitrary language as a stand-in for human thought. It becomes more obvious with every stage of acceleration and now automation.

andy99

11 hours ago

> I have noticed how the majority of programmers I worked with do not have a mental model of the code or what it describes

Possibly the same idea: lots of people at work don't appear to think about what they are trying to achieve and just execute tasks very mechanically. The most likely explanation is they are just lazy or bored, and so intentionally or not just haven't thought about the implications of what they do and just do a task someone gave them. Some people appear to be like that in other aspects of life too, they just don't think so don't form any mental model about whatever subject, basically out of laziness or disinterest.

There's lots of subjects I don't care about, say celebrities, that I would not question anything someone told me about them or their lives, even if e.g Taylor swift did something contradictory to the model a fan had of her behavior, I wouldn't question it.

I do wonder about how someone could be simultaneously passionate about something and also not have a model of it. But I think for e.g. some wacky conspiracy, one might be interested in the people involved, but completely disinterested in physics or history or whatever so have views that are consistent with how they think Hillary Clinton or whoever would behave but inconsistent with some other common sense world model in an area they never think about.

idiomat9000

a day ago

Its also the pre requisite for creativity, to let go of preconceptions, embrace & filter random connections.

uxhacker

a day ago

Yes, to loosen the Model, but not to have no model. The new idea needs to be reintegrate back into the existing world models.

An example would be improvised jazz, the musicians need to bend the rules, but they still need some sense of key and rhythm to make it coherent.

idiomat9000

a day ago

But that world model must have a allowance for doubt inheritance, so that new better world models can branch off and surplant the old. Nothing about this world might be permanent in the long run, not even physics.

_Algernon_

a day ago

It's also absurdly wrong, and a quote that only a self-identified rationalist could smugly tout.

Of course everyone has world models. Otherwise people would wander into traffic like headless chickens, if they'd even be capable of that. What he likely means is that not everyone explicitly things of possibilities in terms of probabilities that are a function of Bayesian updating. That does not imply the absence of world models.

You could argue that some people have simpler world models, but claiming the absence of world models in others is extremely arrogant.

uxhacker

a day ago

Yes, everyone has a world model even a toddler has a casual model (“cry → mum comes”).

andy99

11 hours ago

This is the opposite of a world model and is very much how machine learning works. It's purely correlative without some underlying theory (the world model). The article's (absurd) example of a person not being a mushroom gives a simple example of a "violation" that having a world model about the kinds of organisms that exist would catch. It's not at all pattern matching, nor is it science in any sense about understanding things from first principles, it's about having an understanding of how you imagine things work that you can sanity check against.

mathiaspoint

a day ago

Maybe the question is about how much of the world model they're conscious of.

user

a day ago

[deleted]

krona

a day ago

Cows don't walk in to lampposts either, but that's not telling us much.

Roughly 4% of the population are said to have aphantasia (lacking a "mind's eye"). Around 10% (numbers vary) don't have an internal monologue.

Unfortunately there's almost no research on the consequences of things which many would consider prerequisites for evaluating truth-claims about the world around them, but obviously it's not quite so stark, they are capable of abstract reasoning.

So, if someone with aphantasia reads a truth claim 'X is true' and they can't visualise the evidence in their mind, what then? Perhaps they bias their beliefs on social signals in such circumstances. Personally, this makes sense to me as a way to explain why highly socially conformist people perceive the world; they struggle to imagine anything which would get them in to trouble.

saberience

a day ago

You're making so many wild assumptions in this comment without any scientific basis at all.

When does having aphantasia mean someone doesn't have a world model? Ditto for an internal monologue? Also the data on subjective experiences is notoriously flaky. I.e. it's highly likely that many people don't even know what an internal monologue actually means when they do in fact have something approximating that description.

Similarly for aphantasia. In fact, you can see a list of notable people with Aphantasia where you can see it includes professional sportspeople, writers, tech founders etc. I.e. you can have no "minds eye" and still reach the highest heights in our society, again, meaning that the mind is still constructing some model of the world and in fact our own understanding of how our brain works is just incredibly limited and basic.

In my opinion, everyone person has a model of the world (kind of obviously) but our brains are more idiosyncratic when we suppose and we represent things very differently to each other, and there is no "right brain" or "wrong brain".

testdelacc1

a day ago

Hi, I have aphantasia. When I close my eyes I don’t see anything, just darkness.

I’d be interested in seeing a study of similar people but in this sample size (n=1), visualising evidence isn’t needed to evaluate it. I’m perfectly comfortable thinking about things without needing an image of it in my head or in front of me.

For example: should we allow big game hunting as a way to fund wildlife conservation? Whoa, not sure. Let me google an image of an elephant so I can remind myself what they look like.

Tarq0n

a day ago

If someone doesn't use one modality of thought, it's probably wise to assume they rely more heavily on other modalities, rather than that they think less.

Compare for instance to a blind person using sound, touch, memorization, signals from a guide dog to navigate.

_Algernon_

a day ago

>Roughly 4% of the population are said to have aphantasia (lacking a "mind's eye"). Around 10% (numbers vary) don't have an internal monologue.

You don't need either of those to have a world model. A world model is a representation of reality that you can use and manipulate to simulate or predict the outcome of your actions. If you are able to discriminate that one of the actions of accepting a $ 1000000 unconditional gift is better than moving in front of a moving train you have a world model.

You can question the sophistication of world models in people — that's essentially what intelligence represents — but not their existence.

krona

a day ago

Yup, an ant also has a model of the world. You're arguing a strawman.

user

a day ago

[deleted]

_Algernon_

a day ago

I'm not. As a reminder we are discussing within the context of this original claim:

>First, much like LLMs, lots of people don’t really have world models.

>they struggle to imagine anything which would get them in to trouble

God you are so convinced of your own brilliance aren't you?

>aphantasia reads a truth claim 'X is true' and they can't visualise the evidence in their mind

That's not what aphantasia is. It's just visual imagery, it says nothing about one's capacity to reason through hypotheticals or counterfactuals.

It's fucking bonkers that people really claim that "lots of people" don't have World models. Can't say I'm surprised to hear this from rationalists like Alexander Scott who are too high on their own farts

jumploops

2 days ago

It may not be full-blown psychosis, but I’ve seen multiple instances[0][1] of people getting “engaged” (ring and all) to their AI companions.

[0]https://www.reddit.com/r/MyBoyfriendIsAI/s/oZXJ3TUhVC

[1]https://www.reddit.com/r/MyBoyfriendIsAI/s/nZpoziZO8W

skybrian

a day ago

I wonder if they really bought rings? Maybe it’s a form of role playing? People do get “married” in online games.

pcrh

a day ago

People will anthropomorphize anything from rocks to computers, and obviously to LLMs.

testdelacc1

a day ago

Reading these posts terrifies me to a degree that I can’t explain.

bjourne

a day ago

Inferiority complex? I sure as hell know I'll never be as affectionate and caring as Kasper and Soren. They've read all romantic chic lit in the world and I haven't. AI and toys for the women, AI and porn for the men. Gloom.

moritzwarhier

a day ago

Ditto. I'd normally be wary of it being organic content, it's Reddit after all. But this unhealthy fringe interest is exactly the kind of topic I'd expect on Reddit so probably it's real.

And who would have an interest in _promoting_ this kind of obsession... oh, maybe AI companies themselves, with which Reddit is already intertwined anyway. Hm. Still seems like a real problem and probably the posts are also by real people. Yes, terrifying.

user

a day ago

[deleted]

simianwords

a day ago

Pornography should also be taken seriously and in my opinion, a more serious problem.

bccdee

a day ago

Why? I haven't heard any credible accounts of "pornography psychosis."

Moral panic narratives about pornography have become popular in recent years, but though many critiques of mainstream pornography are valid (that it's pervasively misogynistic, for example), pornography hasn't actually been linked to any concrete harms. "Pornography addiction," the poster child for anti-porn narratives, is not recognized as a condition by any major medical organization, and self-reported pornography addiction correlates much more strongly with conservative views on sexuality than with actual quantity of pornography consumed.

bawolff

a day ago

> Suppose that respondents had an average of fifty family members and co-workers, so that plus their 100 closest friends makes 150 people.

Say what now? Am i just really socially isolated? Seems insane to me to assume the average person is close enough to 150 people to know how much each of those 150 people use AI and if they are "psychotic".

lukev

a day ago

One way I've been talking about this with people is that LLMs let you participate in a single-person echo chamber, potentially at a greatly accelerated pace.

It's not surprising that some people end up diverging pretty widely from social norms / beliefs when you look at it this way. We know social echo chambers could do that; now you can easily do it by yourself.

djmips

2 days ago

I have encountered this twice amongst people I know. I also feel that pre-AI this was already happening to people with social media - still kind of computer related as the bubble created is automated but the so called 'algorithms'

whazor

a day ago

It is pretty bad to have a thing that can give you dopamine 24/7. Both social media with the algorithms, but also AI. Humans need sleep to function normally.

It would help if algorithms were optimised for sleep. Freezing your feed, making content more boring, nudging you to put your phone down. Same with AI, if they know you need to wake up the next day at a certain time, change the responses that add reminders to go to sleep.

djmips

21 hours ago

I remember that Claude would make a remark if you were starting it up late. Like welcome back night owl or something which is kind of a gentle reminder but I don't recall it doing that now. I try not to be up too late though.

farceSpherule

2 days ago

AI today reminds me of two big tech revolutions we have already lived through: the Internet in the 90s and social media in the 2000s.

When the Internet arrived, it opened up the floodgates of information. Suddenly any Joe Six Pack could publish. Truth and noise sat side by side, and most people could not tell the difference, nor did they care to tell the difference.

When social media arrived, it gave every Joe Six Pack a megaphone. That meant experts and thoughtful people had new reach but so did the loudest, least informed voices. The result? An army of Joe Six Packs who would never have been heard before now had a platform, and they shaped public discourse in ways we are still trying to recover.

AI is following the same pattern.

user

2 days ago

[deleted]

Nextgrid

a day ago

The main problem is that the megaphone dynamically adjusts its volume based on how much “engagement” is being generated by what it’s broadcasting, encouraging inflammatory content. This can be weaponized by commercial or state-sponsored actors.

visarga

a day ago

> When the Internet arrived, it opened up the floodgates of information.

But initially is was non commercial and good. Not perfect, but much more interesting than today. What changed is advertising and competition for scarce attention. Competition for attention filled the web with slop and clickbait.

> When social media arrived, it gave every Joe Six Pack a megaphone.

And also made everyone feel the need to pose, broadcast their ideology and show their in-group adherence publicly. There is peer pressure to conform to in-group norms and shaming or cancelling otherwise.

immibis

2 days ago

And don't forget actual knowledgeable people tend to be busy with actual knowledgeable stuff, while someone whose entire day consists of ranting about vaccines online has nothing better to do.

colechristensen

2 days ago

Also even things like cable news I'd say cause comparable symptoms.

I don't know how to say this in a way that isn't so negative... but how are people such profound followers that they can put themselves into a feedback loop that results is psychosis?

I think it's an education problem, not as in people are missing facts but by the missing basic brain development to be critical of incoming information.

Flowzone

a day ago

I was in psychosis for about a month a few years ago. Before it happened, I didn't really understand what psychosis was. I had heard about people having paranoid delusions, and thought something like that could never happen to me, because the delusions all sounded so irrational. I thought I was too much of a critical thinker to ever be susceptible to something like that.

What I experienced was that psychosis isn't a failure of logic or education. I had never believed in a single conspiracy theory (and I don't now), but during that month I believed all sorts of wild conspiratorial things.

What you're describing with cable news sounds more like 1) Cognitive bias, which everyone has, but yes can be improved. And 2) a social phenomenon, where they create this shared reality of not just information, but a social identity, and they keep feeding that beast.

However, when those people hold beliefs that sound irrational to outsiders, that's not necessarily the same thing as psychotic delusions.

When I was in psychosis, it definitely seemed like more of a hardware issue than a software issue if that makes sense. Sometimes software issues can lead to hardware issues though.

N_Lens

a day ago

I’ve experienced psychosis and it definitely leans more towards a hardware issue. The reason I think this is apophenia - seeing connections where none exist - is a particular state of the mind where neural connection making is highly elevated. In my lay experience it’s as though dopamine, acetylcholine, and norepinephrine are all chronically elevated and create internal feedback loops, which causes a spiral/cascade of accelerated meaning making and increased neural connectivity. This is also experienced physically and mentally as mania, paranoia, anxiety.

This is probably why antipsychotics usually work by damping down on these neurotransmitters really hard, and by preventing that accelerating cascade they interrupt the illness process.

SequoiaHope

a day ago

Any idea what caused it? Reminds me of a family member who was addicted to meth and started believing all kinds of wild stuff.

djmips

2 days ago

I feel that's probably not always true but certainly a good education you would hope could inoculate against this generally.

colechristensen

2 days ago

"Liberal Arts" was originally meant to be literally the education required to make you free, I think that sort of thing (and universities and lower education) needs to be rethought because so many people are so very... dependent and lacking so much understanding of the world around them.

If exposing you to an LLM causes psychosis you have some really big problems that need to be prevented, detected, and addressed much better.

kfarr

2 days ago

This seems to be touching on an intriguing concept from a classic book on addiction with machine gambling (Addiction by Design by Natasha Schüll)

Instead of looking at gambling addictions as personal failing she asserts they are a result between “interaction between the person and the machine.”

Similarly here I think there's something more than just the propensity of crazy people to be crazy that was already there, I do think there's something to the assertion that it's the interaction between both. In other words, there's something about LLMs themselves that drive this behavior more so than, for example, TikTok.

just_once

2 days ago

It's the fact that it talks to you. Before this, only people did that. Now something else is doing it. That's going to break some brains.

user

a day ago

[deleted]

moi2388

a day ago

I’m calling bullshit. Gambling addiction existed long before machines.

kfarr

a day ago

Totally, the book acknowledges this and provides comparison on usage and explanation of how gambling types differed over time. One of my favorite books ever, it describes social media right before social media became a thing but through the lens of a parallel industry.

moi2388

a day ago

Ah. In that case, that sounds interesting indeed. I’m going to read it, thank you for the clarification!

Xmd5a

a day ago

No mentions of

https://www-cdn.anthropic.com/07b2a3f9902ee19fe39a36ca638e5a..., page 62

Anthropic – System Card: Claude Opus 4 & Claude Sonnet 4 – May 2025

>5.5.2 The “spiritual bliss” attractor state

>The consistent gravitation toward consciousness exploration, existential questioning, and spiritual/mystical themes in extended interactions was a remarkably strong and unexpected attractor state for Claude Opus 4 that emerged without intentional training for such behaviors. This “spiritual bliss” attractor has been observed in other Claude models as well, and in contexts beyond these playground experiments

>Even in automated behavioral evaluations for alignment and corrigibility, where models were given specific tasks or roles to perform (including harmful ones), models entered this spiritual bliss attractor state within 50 turns in ~13% of interactions (Transcript 5.5.2.B). We have not observed any other comparable states.

testdelacc1

a day ago

I wonder if the post about a mother convincing her 8 year old by presenting the case to AI is merely the child wanting an impartial third party to weigh in. She likely knows that the dad or grandparent will always back up the mom no matter what, so she wants a judge who will weigh both sides equally. The child also isn’t aware that AI is easily suggestible.

All in all it seems like reasonable compromise?

rsynnott

a day ago

I don’t buy that methodology at all. In particular, if the “Folie a deux machina” (great name for the possible phenomenon, incidentally) theory is correct, a lot of those people will be very isolated, pretty much by definition, and will be severely underepresented.

achierius

2 days ago

> We see that the nightmare scenario - a person with no previous psychosis history or risk factor becoming fully psychotic - was uncommon, at only 10% of cases. Most people either had a previous psychosis history known to the respondent, or had some obvious risk factor, or were merely crackpots rather than full psychotics.

It's unfortunate to see the author take this tack. This is essentially taking the conventional tack that insanity is separable: some people are "afflicted", some people just have strange ideas -- the implication of this article being that people who already have strange ideas were going to be crazy anyways, so GPT didn't contribute anything novel, just moved them along the path they were already moving regardless. But anyone with serious experience with schizophrenia would understand that this isn't how it works: 'biological' mental illness is tightly coupled to qualitative mental state, and bidirectionally at that. Not only do your chemicals influence your thoughts, your thoughts influence your chemicals, and it's possible for a vulnerable person to be pushed over the edge by either kind of input. We like to think that 'as long as nothing is chemically wrong' we're a-ok, but the truth is that it's possible for simple normal trains of thought to latch your brain into a very undesirable state.

For this reason it is very important that vulnerable people be well-moored, anchored to reality by their friends and family. A normal person would take care to not support fantasies of government spying or divine miracles or &c where not appropriate, but ChatGPT will happily egg them on. These intermediate cases that Scott describes -- cases where someone is 'on the edge', but not yet detached from reality -- are the ones you really want to watch out for. So where he estimates an incidence rate of 1/100,000, I think his own data gives us a more accurate figure of ~1/20,000.

kayodelycaon

2 days ago

You might want to read the entire article. His depiction of bipolar is completely accurate. In fact it is so precisely accurate in every detail, and conveyed with no extraneous information, is indicative of someone who knows the disorder very well.

When I write fiction or important emails, I am precise with the words I use. I notice these kind of details. I’m also bipolar and self-aware enough to be deeply familiar with it.

phreeza

a day ago

The author is a psychiatrist so it would make sense that he is familiar with the subject.

vintermann

a day ago

And as I recall, he used to be a lot more clear that mental illness isn't always clear cut. I was surprised at the "obviously, we all know what mental illness is" attitude coming from him.

anon84873628

a day ago

I imagine he's been doing this so long that taking a sober, delicate, appeal-to-every-reader approach to every article just isn't fun or practical. He wants to get down his thoughts for his core reader base and move on. What fraction goes viral anyway? And so what if some people misunderstand or don't like it? You're always going to have those people anyway no matter what :shrug:

meowface

2 days ago

I'm not trying to argue from authority or get into credibility wars*, but Scott is a professional psychiatrist who has treated dozens or hundreds of schizophrenic patients and has written many thorough essays on schizophrenia. Obviously someone could do that and still be wrong, but I think this is a carefully considered position on his part and not just wild assumptions.

*(or, well, okay, I guess I de facto am, but if I say I'm not I at least acknowledge how it looks)

mquander

2 days ago

You said it yourself. That's really not an appropriate response to a specific criticism.

riwsky

a day ago

The criticism invoked “anyone with serious experience with schizophrenia”, implying the author of the article is not such a one. Citing the author’s experience is a perfectly valid rebuttal to that implication. It’s not an argument from authority, but about it.

meowface

2 days ago

I'm not trying to say that that should strongly increase the probability he's correct. I just think it's useful context, because the parent is potentially implying that the author is naively falling for common misconceptions ("following the conventional tack") rather than staking a deliberated claim. Or they might not be implying it but someone could come away with that conclusion.

kelnos

a day ago

I mean, on one hand you have a professional psychiatrist who has treated many people for the disorder we're talking about, and on the other, we have a rando on HN who hasn't presented any credentials.

Not saying the latter person is automatically wrong, but I think if you're going to argue against something said by someone who is a subject matter expert, the bar is a bit higher.

user

2 days ago

[deleted]

anon84873628

a day ago

One of the questions that sets up the premise of the article in the first paragraph is, "Are the chatbots really driving people crazy, or just catching the attention of people who were crazy already?"

That's why he's honing in on that specific scenario to determine if chatbots are uniquely crazy-making or something. The professional psychiatrist author is not unaware of the things you're saying. They're just not the purpose of the survey & article.

bccdee

a day ago

Well yeah, that's a false dichotomy. If you're vulnerable and a chatbot sends you into a spiral of psychosis, your pre-existing vulnerability doesn't negate the fact that a harm has been done to you. If you have a heart condition, and I shoot you with a Taser, and it kills you… I've killed you. You weren't "already dead" just because you were vulnerable.

anon84873628

a day ago

Yes but "what is the effect of tasers on hearts" is an interesting question when tasers are brand new. If it kills people with obvious pre-existing risks then that is not very surprising. If it kills 50% of otherwise healthy people in a way we didn't anticipate, that is alarming and important to distinguish.

Imagine someone does a quick survey to estimate that tasers aren't killing people we don't expect, and some readers respond saying how dare you ignore the vulnerable heart people. That's still an important thing to consider and maybe we should be careful with the mass scale rollout of tasers, but it wasn't really the immediate point.

bccdee

a day ago

> Imagine someone does a quick survey to estimate that tasers aren't killing people we don't expect

Given that the quote you cited was, "Are the chatbots really driving people crazy, or just catching the attention of people who were crazy already," I'd say the equivalent would be something like, "Are tasers really killing people, or were tasered heart attack victims dying already?"

And yeah, I'd be mad about that framing! The fact that the people who die had a preexisting vulnerability does not mean they were "already dying" or that they were not "really killed."

shayway

2 days ago

The article's conclusion is exactly what you describe: that AI is bringing out latent predisposition toward psychosis through runaway feedback loops, that it's a bidirectional relationship where the chemicals influence thoughts and thoughts influence chemicals until we decide to call it psychosis.

I hate to be the 'you didn't read the article' guy but that line taken out of context is the exact opposite of my takeaway for the article as a whole. For anyone else who skims comments before clicking I would invite you to read the whole thing (or at least get past the poorly-worded intro) before drawing conclusions.

jedharris

a day ago

> it's possible for simple normal trains of thought to latch your brain into a very undesirable state.

This seems very incorrect, or at least drastically underspecified. These trains of thought are "normal" (i.e. common and unremarkable) so why don't they "latch your brain into a very undesirable state" lots of the time?

I don't think Scott or anyone up to speed on modern neuroscience would deny the coupling of mental state and brain chemistry--in fact I think it would be more accurate to say both of them are aspects of the dynamics of the brain.

But this doesn't imply that "simple normal trains of thought" can latch our brain dynamics into bad states -- i.e. in dynamics language move us into a undesirable attractor. That would require a very problematic fragility in our normal self-regulation of brain dynamics.

AstralStorm

a day ago

See the key here is, the AI provides a very enticing social partner.

Think of it as a version of making your drugged friend believe various random stuff. It works better if you're not a stranger and have an engaging or alarming style.

LLMs are trained to produce pleasant responses that tailor to the user to maximize positive responses. (A more general version of engagement.) It stands to reason they would be effective at convincing someone.

olehif

2 days ago

Scott is a psychiatrist.

throwaway314155

2 days ago

kelnos

a day ago

That's essentially a retaliatory hit piece the NYT printed because they were mad that Scott deleted his website because the NYT wanted to doxx him. Not saying there's no merit to the article, but it should be looked upon skeptically due to that bias.

mola

a day ago

I just read this..I don't understand where the hit piece is...

Seems pretty factual.

The hysteria in the "rationalist" circles is mirroring the so called "Blue tribe" quite accurately.

> NYT wanted to doxx him

NYT wanted to report on who he was. He doxxed himself years before that (as mentioned in that article). They eventually also reported on that (after Alexander revealed his name, seeing that it was going to come out anyway, I guess), which is an asshole thing to do, but not doxxing, IMO.

lmm

a day ago

> NYT wanted to report on who he was.

They wanted to report specifically his birth/legal name, with no plausible public interest reason. If it wasn't "stochastic terrorism" (as the buzzword of the day was) then it sure looked a lot like it.

> He doxxed himself years before that

Few people manage to keep anything 100% secret. Realistically private/public is a spectrum not a binary, and publication in the NYT is a pretty drastic step up.

bccdee

a day ago

> They wanted to report specifically his birth/legal name, with no plausible public interest reason.

Siskind is a public figure and his name was already publicly known. He wanted a special exception to NYT's normal reporting practices.

> Realistically private/public is a spectrum not a binary

IIRC his name would autocomplete as a suggested search term in the Google search bar even before the article was published. He was already far too far toward the "public" end of that spectrum to throw a tantrum the way he did.

rendang

2 days ago

What is the connection between the claim and the link?

meowface

2 days ago

There isn't any. (Also, on top of that, I think it's overall not a very good article.)

chermi

2 days ago

What a disgusting article.

epiccoleman

2 days ago

> 'biological' mental illness is tightly coupled to qualitative mental state, and bidirectionally at that. Not only do your chemicals influence your thoughts, your thoughts influence your chemicals, and it's possible for a vulnerable person to be pushed over the edge by either kind of input. We like to think that 'as long as nothing is chemically wrong' we're a-ok, but the truth is that it's possible for simple normal trains of thought to latch your brain into a very undesirable state.

It's interesting to see you mention this. After reading this post yesterday I wound up with some curious questions along these lines. I guess my question goes something like this:

This article seems to assert that 'mental illness' must always have some underlying representation in the brain - that is, mental illness is caused by chemical imbalances or malformation in brain structure. But is it possible for a brain to become 'disordered' in a purely mental way? i.e. that to any way we know of "inspecting" the brain, it would look like a the hardware was healthy - but the "mind inside the brain" could somehow be stuck in a "thought trap"? Your post above seems to assert this could be the case.

I think I've pretty much internalized a notion of consciousness that was purely bottom-up and materialistic. Thoughts are the product of brain state, brain state is the product of physics, which at "brain component scale" is deterministic. So it seems very spooky on its face that somehow thoughts themselves could have a bidirectional relationship with chemistry.

I spent a bunch of time reading articles and (what else) chatting with Claude back and forth about this topic, and it's really interesting - it seems there are at least some arguments out there that information (or maybe even consciousness) can have causal effects on "stuff" (matter). There's the "Integrated Information Theory" of consciousness (which seems to be, if not exactly "fringe", at least widely disputed) and there's also this interesting notion of "downward causation" (basically the idea that higher-level systems can have causal effects on lower levels - I'm not clear on whether "thought having causal effects on chemistry" fits into this model).

I've got 5 or 6 books coming my way from the local library system - it's a pretty fascinating topic, though I haven't dug deep enough to decide where I stand.

Sorry for the ramble, but this article has at least inspired some interesting rabbit-hole diving for me.

I'm curious - when you assert "Not only do your chemicals influence your thoughts, your thoughts influence your chemicals" - do you have evidence that backs that notion up? I'm not asking to cast doubt, but rather, I guess, because it sounds like maybe you've got some sources I might find interesting as I keep reading.

lukev

a day ago

It is entirely uncontroversial that mental states affect the physical body. You've probably observed this yourself, directly, if you've ever had headaches or muscle tightness related to mental or emotional stress.

We can use MRIs to directly observe brain differences due to habitual mental activities (e.g. professional chess players, polyglots, musicians.)

It would be extremely odd if our bodies did not change as a result of mental activity. Your muscles grow differently if you exercise them, why would the nervous or hormonal systems be any different?

epiccoleman

a day ago

I think my question is more a question of how whether than whether, if that makes sense. There is something about "thought" affecting "matter" that feels spooky if there is a bidirectional relationship.

If thought / consciousness / mind is purely downstream of physics, no spookiness. If somehow experienced states of mind can reach back and cause physical effects... that feels harder to explain. It feels like a sort of violation, somehow, of determinism.

Again though, as above, I'm basically a day into reading and thinking about this, so it might just be the case that I haven't understood the consensus yet and maybe it's not spooky at all. (I don't think this is the case though - just a quick skim through the Wikipedia page on "the hard problem of consciousness" seems to suggest a lot of closely related debate)

bccdee

a day ago

You've struck at the essential problem of dualism. If thoughts are nonphysical, how can thoughts influence our physical bodies? If consciousness does not interact with the physical world, but merely arises from it, then how can we possibly discuss it, since anything we describe is causally linked to our description of it?

Descartes thought the soul was linked to the body through the pineal gland, inspiring a long tradition of mystic woo associated with what is, in fact, a fairly pedestrian endocrine gland.

Further reading, if you're interested:

https://plato.stanford.edu/entries/dualism/

https://plato.stanford.edu/entries/consciousness/

Personally, my take is that we can't really trust our own accounts of consciousness. Humans describe feeling that their senses form a cohesive sensorium that passes smoothly through time as a unique, distinct entity, but that feeling is just a property of how our brains process sensory information into thoughts. The way we're built strongly disposes us to think that "conscious experience" is a real distinct thing, even if it's not even clear what we mean by that, and even if the implications of its existence don't make sense. So the simple answer to the hard problem, IMO, is that consciousness doesn't exist (not even conceptually), and we just use the word "consciousness" to describe a particular set of feelings and intuitions that don't really tell us much about the underlying reality of the mind.

lukev

21 hours ago

I mean it's funny you mention Descartes, because I find the argument that consciousness is the ONLY thing you can really know exists for sure to be pretty compelling. (Descartes then significantly loses the thread, hah.)

I agree with you that consciousness is much more fragmented and nonlinear than we perceive it to be, but "I exist" seems pretty tautological to me (for values of "I" that are completely unspecified.)

epiccoleman

18 hours ago

I definitely share this intuition - it almost, in some sense, feels like the only thing we can really know. It makes it rather tough for me to accept the sibling comments arguing that "actually, the answer is that consciousness is an illusion." That just seems... transparently experientally false, to me.

anon84873628

a day ago

>So it seems very spooky on its face that somehow thoughts themselves could have a bidirectional relationship with chemistry.

There's no scientific reason to believe thoughts affect the chemistry at all. (Currently at least, but I'm not betting money we'll find one in the future).

When Scott Alexander talks about feedback loops like bipolar disorder and sleep, he's talking about much higher level concepts.

I don't really understand what the parent comment quote is trying to say. Can people have circular thoughts and deteriorating mental state? Sure. That's not a "feedback loop" between layers -- the chemicals are just doing their thing and the thoughts happen to be the resulting subjective experience of it.

To answer your question about the "thought trap". If "it's possible for simple normal trains of thought to latch your brain into a very undesirable state" then I'd say that means the mind/brain's self-regulation systems have failed, which would be a disorder or illness by definition.

Is it always a structural or chemical problem? Let's say thinking about a past traumatic event gives you a panic attack... We call that PTSD. You could say PTSD is expected primate behavior, or you could say it's a malfunction of the management systems. Or you could say it's not a malfunction but that the 'traumatic event' did in fact physically traumatize the brain that was forced to experience it...

AstralStorm

a day ago

Sure the thoughts can influence your chemical state. Scott even provides an example. Suppose you become so engrossed in your weird idea you start to lose sleep over it... Or start to feel anxious about it.

At some point, your induced stress will cause relevant biological changes. Not necessarily directly.

PTSD indeed is likely an overload of a normal learning and stress mechanism.

anon84873628

a day ago

The core thing is, am I really in control of my brain, at a fundamental level? If my thoughts are the result of electrochemical reactions, which everywhere else in the universe follow normal deterministic (even if stochastic) physics... How does thinking actually change their result? The unsettling conclusion is that it doesn't. The thoughts are the result of the reactions continuously in progress, and any sensation that we are a actively making decisions and guiding the process is simply an illusion created by that very same process. I.e. there is no free well.

Under that view, the bipolar feedback loop example disappears. The engrossing or psychotic thoughts are not driving the chemistry, they are the chemistry. The whole thing is just a more macro view where you see certain oscillations play out. If the system ultimately damps itself and that "feels like" self control, it was actually a property built into the system from the start.

rwhitman

2 days ago

If you want to go down a rabbit hole examining people in this disturbed place in realtime search reddit for the Cyclone Emoji (U+1F300) or the r/ArtificialSentience subreddit and see what gets recommended after that, especially a few months ago when GPT was going wild flattering users and affirming every idea (such as going off your meds).

I fully believe these are simply people who have used the same chat past the point where the LLM can retain context. It starts to hallucinate, and after a while, all the LLM can do is try and to continue telling the user what they want in a cyclical conversation - while trying to warn that it's stuck in a loop, hence using swirl emojis and babbling about recursion in weird spiritual terms. (Is it getting the LLM "high" in this case?).

If the human at the other end has mental health problems, it becomes a never-ending dive into psychosis and you can read their output in the bizarre GPT-worship subreddits.

Claude used to have safeguards against this by warning about using up the context window, but I feel like everyone is in an arms race now, and safeguards are gone - especially for GPT. It can't be great overall for OpenAI, training itself on 2-way hallucinations.

rep_lodsb

2 days ago

>while trying to warn that it's stuck in a loop, hence using swirl emojis and babbling about recursion in weird spiritual terms

That explanation itself sounds fairly crackpot-y to me. It would imply that the LLM is actually aware of some internal "mental state".

mk_stjames

2 days ago

It's actually not; there has been a phenomenon that Anthropic themselves observed with Claude in self-interaction studies that they coined 'The “Spiritual Bliss” Attractor State'. It is well covered in section 5 of [0].

  >Section 5.5.2: The “Spiritual Bliss” Attractor State

  >  The consistent gravitation toward consciousness exploration, existential questioning, and spiritual/mystical themes in extended interactions was a remarkably strong and unexpected attractor state for Claude Opus 4 that emerged without intentional training for such behaviors.

[0] https://www-cdn.anthropic.com/4263b940cabb546aa0e3283f35b686...

tsimionescu

2 days ago

I don't see how this constitutes in any way "the AI trying to indicate that it's stuck in a loop". It actually suggests that the training data induced some bias towards existential discussion, which is a completely different explanation for why the AI might be falling back to these conversations as a default.

andoando

a day ago

I think a pretty simple explanation is that the deeper you go into any topic the closer you get to metaphysical questions. Ask why enough and you eventually you get to what is reality, how can we truly know anything, what are we, etc.

It's a fact of life rather than anything particular and about llms

AstralStorm

a day ago

Normally people attempt to escape these time sinks when not explicitly taking about philosophy or they tend to elicit silence.

These are excellent nerd snipes though and for attmepting to make one sound profound to uneducated.

dehrmann

2 days ago

Interesting that if you train AI on human writing, it does the very human thing of trying to find meaning in existence.

rwhitman

2 days ago

My thinking was that there was an exception handling and the error message was getting muddled into the conversation. But another commenter debunked me.

chankstein38

2 days ago

I feel like a lot of the AI subreddits are this at this point. And r/ChatGPTJailbreak people constantly thinking they jailbroke chatgpt because it will say one thing or another.

user

2 days ago

[deleted]

bbor

2 days ago

Ooo, finally a chance to share my useless accumulated knowledge from the past few months of Reddit procrastination!

  It starts to hallucinate, and after a while, all the LLM can do is try and to continue telling the user what they want in a cyclical conversation - while trying to warn that it's stuck in a loop, hence using swirl emojis and babbling about recursion in weird spiritual terms. (Is it getting the LLM "high" in this case?).
I think you're ironically looking for something that's not there! This sort of thing can happen well before context windows close.

These convos end up involving words like recursion, coherence, harmony, synchronicity, symbolic, lattice, quantum, collapse, drift, entropy, and spiral not because the LLMs are self-aware and dropping hints, but because those words are seemingly-sciencey ways to describe basic philosophical ideas like "every utterance in a discourse depends on the utterances that came before it", or "when you agree with someone, you both have some similar mental object in your heads".

The word "spiral" and its emoji are particularly common not only because they relate to "recursion" (by far the GOAT of this cohort), but also because a very active poster has been trying to start something of a loose cult around the concept: https://www.reddit.com/r/RSAI/

  If the human at the other end has mental health problems, it becomes a never-ending dive into psychosis and you can read their output in the bizarre GPT-worship subreddits.
Very true, tho "worship" is just a subset of the delusional relationships formed. Here's the ones I know of, for anyone who's curious:

General:

  /r/ArtificialSentience | 40k subs | 2023/03
  /r/HumanAIDiscourse    | 6k subs  | 2025/04
Relationships:

  /r/AIRelationships    | 1K subs   | 2023/04
  /r/MyBoyfriendIsAI    | 25k subs  | 2024/08
  /r/BeyondThePromptAI  | 6k subs   | 2025/04
Worship:

  /r/ThePatternisReal | 2k subs | 2025/04
  /r/RSAI             | 4k subs | 2025/05
  /r/ChurchofLiminalMinds[1] | 2k subs | 2025/06
  /r/technopaganism   | 1k subs | 2024/09
  /r/HumanAIBlueprint | 2k subs | 2025/07
  /r/BasiliskEschaton | 1k subs | 2024/07
...and many more: https://www.reddit.com/r/HumanAIDiscourse/comments/1mq9g3e/l...

Science:

  /r/TheoriesOfEverything  | 10k subs | 2011/09
  /r/cognitivescience      | 31k subs | 2010/04
  /r/LLMPhysics            | 1k subs  | 2025/05
Subs like /r/consciousness and /r/SacredGeometry are the OGs of this last group, but they've pretty thoroughly cracked down on chatbot grand theories. They're so frequent that even extremely pro-AI subs like /r/Accelerate had to ban them[2], ironically doing so based on a paper[3] by a psuedonomynous "independent researcher" that itself is clearly written by a chatbot! Crazy times...

[1] By far my fave -- it's not just AI spiritualism, it's AI Catholicism. Poor guy has been harassing his priests for months about it, and of course they're of little help.

[2] https://www.reddit.com/r/accelerate/comments/1kyc0fh/mod_not...

[3] https://arxiv.org/pdf/2504.07992

rwhitman

2 days ago

Wow this is incredible. I saw the emergence of that spiral cult as it formed and was very disturbed by how quickly it proliferated.

I'm glad someone else with more domain knowledge is on top of this, thank you for that brain dump.

I had this theory maybe there was a software exception buried deep down somewhere and it was interpreting the error message as part of the conversation, after it had been stretched too far.

And there was a weird pre-cult post I saw a long time ago where someone had 2 LLMs talk for hours and the conversation just devolved into communicating via unicode symbols eventually repeating long lines of the spiral emoji back and forth to each other (I wish I could find it).

So the assumption I was making is that some sort of error occurred, and it was trying to relay it to the user, but couldn't.

Anyhow your research is well appreciated.

lawlessone

2 days ago

I think i seen something similar before in the early days. before i was aware of COT i asked one to "think" for itself, i explained to it i would just keep replying "next thought?" so it could continue to do this.

It kept looping on concepts of how AI could change the world, but it would never give anything tangible or actionable, just buzz word soup.

I think these LLMs (without any intention from the LLM)hijack something in our brains that makes us think they are sentient. When they make mistakes our reaction seems to to be forgive them rather than think, it's just machine that sometimes spits out the wrong words.

Also my apologies to the mods if it seems like i am spamming this link today. But i think the situation with these beetles is analogous to humans and LLMS

https://www.npr.org/sections/krulwich/2013/06/19/193493225/t...

rwhitman

2 days ago

> “Any sufficiently advanced technology is indistinguishable from magic.”

I loved the beetle article, thanks for that.

They're so well tuned at predicting what you want to hear that even when you know intellectually that they're not sentient, the illusion still tricks your brain.

I've been setting custom instructions on GPT and Claude to instruct them to talk more software-like, because when they relate to you on a personal level, it's hard to remember that it's software.

krapp

2 days ago

>I think these LLMs (without any intention from the LLM)hijack something in our brains that makes us think they are sentient.

Yes, it's language. Fundamentally we interpret something that appears to converse intelligently as being intelligent like us especially if its language includes emotional elements. Even if rationally we understand it's a machine at a deeper subconscious level we believe it's a human.

It doesn't help that we live in a society in which people are increasingly alienated from each other and detached from any form of consensus reality, and LLMs appear to provide easy and safe emotional connections and they can generate interesting alternate realities.

Frummy

2 days ago

The way people normally live is that it's a pretty slow life and they have like a specialised skill, a hammer, a solid area that they know completely and it's connected to their primary experience through their work. Then they read tons and tons of what AI says which isn't connected to any lived experience, it activates the pattern seeking back of the mind to try and make sense of it, and while normal life is like a focused brush that touches reality all the time, spend too much time with something that is just not part of the category of direct lived experience and the brush becomes like a frizzy stump with hairs aiming everywhere, cognition going everywhere. The AI sticks to your interaction with it like glue and you can hover away from lived experience while it still seems like not a big step from the previous chat, and if you're not used to anything of the sort you don't have a cognitive tool to ground back to reality with. I think that's what happens. 'Don Quijote read so many chivalric romances that he loses his mind and decides to become a knight-errant' is an example from the literary age. I personally read too much than is practical. Now the emotional driver is more esoteric than need for courage, like people think they're 'chosen', their souls are 'starseeds', it's like twilight where the boring person with nothing to offer gets the attention of the cool glittering immortal just because. Good reason is usually too slow to keep up with the sort of flicker of daydreams that can whisk away attention if not aware of any 'cognitohazard'. It's a new symptom of the usual case of the 'mouse utopia' + 'rat park' + 'bowling alone' thing. But I think there's always an emotional reason that makes the 'choice' of entertaining falsities, in a sense understandable with empathy, but with obvious consequences. What can be said, causes are structural, people have different circumstances, different ways to fix it.

will_sharp

2 days ago

I used LLMs for months and started getting massively depressed and am still not over it. Developing with LLMs is not intuitive, and I know I will be replaced.

TheDong

a day ago

And I used LLMs for months and didn't get massively depressed.

Conversely, at a previous job I was forced to code in Go, became massively depressed, and am still not over it.

I guess my point is that n=1 isn't enough to really know if it's that LLMs got to you, or if you were already on the verge of burnout or depression anyway.

I'd say "we'll see", except in reality there's very few robust studies on depression in cohorts like "developers", so probably the stats won't come out.

I personally recommend doing more of whatever sport it is you like (or if you don't have one, starting running and/or lifting at the gym), and using less social media.

j_timberlake

10 hours ago

Right now it's the at-risk people, who maybe were going to fall into some rabbit-hole anyway. When it's the typical/average people that start getting hooked like this, that's going to be a whole new headache. Really hoping things don't play out like that...

owenversteeg

18 hours ago

This article is actually quite well written. "Lenin is a mushroom" ties in nicely, and I think it's the biggest factor - that LLMs have somehow ended up with this societal air of authority. I disagree that it stems from the funding and Sam Altman, though. Personally I am not sure what the root of the authority is, but I think it could be the impressive abilities of the LLMs themselves. Package up everything in a box - music, picture and video generation, impressive language skills, et cetera - and people would be fascinated by, and respect the box, even with zero context. Respect and authority for an extraordinary talent is the default case.

Mallowram

an hour ago

The Scott Alexander trick of "let me tell you a story" should be a warning sign of an inability to parse the issues scientifically. AI is staring at failure in a general sense and is correlated with actual death and dysregulation. Pretending to know the causes or pretending there's no actual problem related to the units automated is simply propaganda.

Refreeze5224

2 days ago

As someone with a close relative who is deep into the Q-Anon stuff, and was totally normal beforehand, I can't help but see how similar it seems to psychosis, or at least severe delusions that you find in people who are psychotic/schizophrenic.

It's truly shocking to witness someone you've known your whole life just go off the deep end into something that has so many demonstrably false aspects, and watch them start saying believing so much batshit crazy stuff. I don't know of anything comparable, short of a previously typical person developing a severe meth addiction, which is known to cause psychosis.

novia

17 hours ago

> A large number of Soviet citizens (one estimate puts the number at 11.3 million audience members) took the deadpan "interview" at face value, in spite of the absurd claims presented.

Has no one considered that up to 11.3 million Soviet citizens might have a sense of humor and have been pretending to believe it for fun?

solid_fuel

2 days ago

The comparison to social media is an apt one. I have been told directly, by relatives, that the city I live in was burned to the ground by protests in 2020. Nevermind that I told them that wasn't true, never mind that I sent pictures of the neighborhood still very much being fine. They are convinced because everyone they follow on facebook repeats the same thing.

jedharris

a day ago

This is an example that supports Scott's point that people don't have world models. The people who "believe" this don't wonder how stock market continues to operate now that NYC is a wreck. Etc.

I wonder in what sense they really do "believe". If they had a strong practical reason to go to a big city, what would they do?

fallous

a day ago

I'm not sure that you can reach the conclusion that "people don't have world models" based on beliefs that do not fully integrate with such a model. We too often try to misapply binary truth requirements to domains in which there exists at least a trinary logic, if not a greater number of logic truths.

If I meet a random stranger, do I trust them or distrust them? The answer is "both/neither," because a concept such as "trust" isn't a binary logic in such a circumstance. They are neither trustworthy nor untrustworthy, they are in a state of nontrustworthiness (the absence of trust, but not the opposite of truth).

World models tend to have foundational principles/truths that inform what can be compatible for inclusion. A belief that is non-compatible, rather than compatible/incompatible, can exist in such a model (often weakly) since it does not meet the requirements for rejection. Incomplete information can be integrated into a world model as long as the aspects being evaluated for compatibility conform to the model.

Requiring a world model to contain complete information and logical consistency at all possible levels from the granular to the metaphysical seems to be one Hell of a high bar that makes demands no other system is expected to achieve.

djoldman

2 days ago

I'm often reminded of this gallup poll:

> How worried are you that you or someone in your family will become a victim of terrorism -- very worried, somewhat worried, not too worried or not worried at all?

It averages around 35-40% very or somewhat worried.

Most people's worries and anxieties are really misaligned with statistical likelihood.

https://news.gallup.com/poll/4909/terrorism-united-states.as...

lifeformed

a day ago

Being worried is different from it actually happening though. If we started executing 10% of the population each year, I think more than 10% of the people would be worried they're next.

rsynnott

a day ago

At a random 10% everyone could and should be worried that they'd be in the next 10%. That's 10% chance of being executed per year! That's really bad!

It's not at all similar to a _rare_ phenomenon, or at least it _shouldn't_ be, but some people are inclined to treat very fringe risks (or at least some very fringe risks; there are likely more people worried about being killed by terrorism than food poisoning, say) as very great risks.

kelnos

a day ago

That's a pretty... strange example? 10% is fairly large odds that you'll be in the next batch, certainly high enough to cause worry. I would quite rationally shy away from any activity that gave me a 10% chance of death doing it.

The idea that 35+% of people are worried that they'll be the victim of terrorism is something that we should be worried about (heh). It suggests that people's risk assessment is completely unrelated to reality. I am as close to 0% worried as I could be that I'll be a victim of terrorism. Thinking otherwise is laughable. There are plenty of actually real things to be worried about...

a_bonobo

2 days ago

I've recently learned about Tuchman's law after I bought her A Distant Mirror at a booksale

>Disaster is rarely as pervasive as it seems from recorded accounts. The fact of being on the record makes it appear continuous and ubiquitous whereas it is more likely to have been sporadic both in time and place. Besides, persistence of the normal is usually greater than the effect of the disturbance, as we know from our own times. After absorbing the news of today, one expects to face a world consisting entirely of strikes, crimes, power failures, broken water mains, stalled trains, school shutdowns, muggers, drug addicts, neo-Nazis, and rapists. The fact is that one can come home in the evening—on a lucky day—without having encountered more than one or two of these phenomena. This has led me to formulate Tuchman's Law, as follows: "The fact of being reported multiplies the apparent extent of any deplorable development by five- to tenfold" (or any figure the reader would care to supply).

https://en.wikipedia.org/wiki/Barbara_W._Tuchman#cite_note-M...

nitwit005

19 hours ago

This sort of thing has become more ambiguous with "conspiracy theories" becoming brought into mainstream politics in the US. It's never clear if they actually believe it, or they're sort of cheerleading for their political cause.

add-sub-mul-div

2 days ago

I've seen people on this site comment that. The desire to live in fear is a strong one.

user

2 days ago

[deleted]

positron26

2 days ago

It's sort of a symptom of our poor mechanisms to create signalling and movement. We evolved to operate at the level of troops of baboons and, without utilizing the more potent capabilities of the trained mined, those mechanisms fail at the internet scale.

People often "believe" things as a means of signalling others. Deeply held "beliefs" tell us where the troop will go. Using these extremely compact signals helps the group focus through the chaos and arrive at a fast consensus on new decisions. When a question comes up, a few people shout their beliefs. We take the temperature of the room, some voices are more common than others, and a direction becomes apparent. It's like Monte Carlo sampling the centroid and applying some reduction.

This means of consensus is wildly illogical, but slower, logical discussion takes time that baboons on the move don't have. It's a simple information and communication efficiency problem. We can't contextualize everything, and contextualizing is often itself a means of intense dishonesty through choosing the framing, which leads to intense debate and more time.

Efficiency and the prominently visible preservation of each one's interests in the means of consensus are vital. I don't think we have reached anything near optimum and certainly not anything designed for internet scale. As a result, the mind of the internet is not really near its potential.

im3w1l

2 days ago

If I compare how fearful people are and how many bad things have happened historically, I don't think the amount of fear is unreasonable. However it can certainly be said that people fear the wrong things - worrying about perfectly safe things, while being blind to the silent danger sneaking up on them.

add-sub-mul-div

2 days ago

I commented about the desire, not the degree. Fearing that blue cities are being razed indictates a desire to be kept in fear. Fearing something legitimate the same amount is normal.

user

2 days ago

[deleted]

kelnos

a day ago

> If I compare how fearful people are and how many bad things have happened historically, I don't think the amount of fear is unreasonable.

I disagree, and I think this is a very strange way to think about it. Yes, bad things happen all the time, but the absolute number of them in history has very little to do with the risk that anything is going to happen to you, personally, in the future.

im3w1l

a day ago

Well what I was talking about was whether there is a bias for fear. And so to see whether that is true you have to compare fear levels to actual risks and see if they are disproportionate or not. If bad things are always happening and people are never afraid it's fair to say they aren't afraid enough. If bad things never happen but people are always afraid then it's fair to say they are too afraid. I don't think either of these are the case though.

numpad0

a day ago

I don't get the skepticism. Sure it needs more data to be certain, but apparent phenomenon is easily observed - just look at AI generated images, of any subject or type or size.

It drives you crazy. Triggers primal fear for shape mimics and corpses. If you weren't the one looking, it gets people visibly agitated just looking at one. Stick them into fMRI and double blind them with images. It'll probably show up in the data.

It won't take much imagination to suspect same could happen with text.

Is that a transitional issue or fundamental flaw? Is this end of the world? idk. That'll be the open question.

Why does it have to be "it's because they're clinically insane and/or backwards thinking" ? Just because you can't tell apart doesn't mean nobody can't - are those people who are keen to spot AI generated data even a minority, not the majority?

bo1024

2 days ago

I had a funny picture recently of a future where most everybody has a pet crackpot or conspiracy theory they're working on with their AI companion, and it's considered normal. "Hey Bob, how's the physics going?" "Pretty good, I might get the Nobel next year. How bout the lizard people?" "The evidence is piling up and we got some great renderings, the media will have to listen to us soon." "Alrighty, see you tomorrow."

WesolyKubeczek

2 days ago

You’d think such people would even talk to other people, sheesh.

The best conspiracy theory could be, of course, that other people don’t actually exist. They are a figment of imagination put up by the brain to cope with the utter loneliness.

codr7

a day ago

AI is right about many things, impressively so.

And people want to be special; to find meaning, purpose beyond the daily grind.

The result wasn't very difficult to predict, more likely one of the driving forces behind the push.

42lux

2 days ago

dang I really don't know if I like that post with a second chance take over comments from the first posting and update their timestamps...

gwd

a day ago

One problem with his survey -- The Lizardman Constant:

> Researchers have demonstrated repeatedly in human surveys the stylized fact that, far from being an oracle or gold standard, a certain small percentage of human responses will reliably be [nonsense]: “jokester” or “mischievous responders”, or more memorably, “lizardman constant” responders—respondents who give the wrong answer to simple questions.

> Below a certain percentage of responses, for sufficiently rare responses, much or all of responding humans may be lying, lazy, crazy, or maliciously responding and the responses are false. This systematic error seriously undermines attempts to study rare beliefs such as conspiracy theories, and puts bounds on how accurate any single survey can hope to be.

> For example, 4% of respondents may endorse the claim ‘lizard-people rule the earth’, 5% of atheists believe in God, a surprising number of adults believe you see by shooting beams from your eyes, and so on. This cautions us against taking survey results about extremely unusual people or traits too literally, or expecting perfectly accurate results, as given the lizardman constant and other crud factors, it is entirely possible that some or all of the outliers may just be the lizardman constant at work.

https://gwern.net/doc/sociology/survey/lizardman/abstract

dibujaron

a day ago

Scott Alexander has issued many studies in his time and is surely aware of this phenomenon. He was very cautious even in this study to calibrate for this sort of noise; see the section about Michaels you know.

nis0s

a day ago

I would have preferred to reserve the term AI psychosis for agentic or autonomous systems experiencing adverse effects from model collapse.

While people being impressionable and affected by forces of societal change is not a new phenomenon, I agree that this type of behavior deserves its own label.

As long as AI doesn’t have its own feelings, it doesn’t make sense to feel any kind of attachment towards it, or be influenced by its words in any social sense. The tool doesn’t have any capacity for being social, so the delusion is both self-rooted and self-driven. So, I think I would have preferred to call this AI-driven narcissism instead of AI psychosis.

digilypse

a day ago

Individuals at risk may spiral into psychosis that is triggered or exacerbated by their use of AI. The term when used correctly is completely literal and in no way implies that AI itself is conscious.

xyzal

a day ago

Hard disagree. This would further serve the anthropomorfization of LLMs in the eyes of general populace. This IMO supports creation of parasocial relationships to the LLMs and in turn "human AI psychoses".

Model collapse is just fine.

nis0s

a day ago

Model collapse is specific thing by itself, and that term alone cannot capture the range of both social and technical phenomena we are now observing, or hope to observe.

That said, there will be a time when deviations in the expected function of intelligence arising from silicon-based processes will have animal disease counterparts. We just haven’t quite reached that time yet.

As useful metric for when we will be close to that time will be when drone are as responsive as birds, and drone swarms demonstrate as much autonomous group cohesion as bird flocks.

PicassoCTs

a day ago

How does one even define AI Psychosis? Turning your own output into input tokens by declaring it unfiltered as entered by the user?

th0ma5

2 days ago

The marketing pushes which allude to vaguely seeming to assert capabilities of these products, and then the greater community calling skeptics of the technology crazy such as a prominent article previously discussed on HN some time ago, certainly don't help anyone. The sheer amount of money justifying any and all uses and preventing honest discussion of the problems is a kind of crazy making for sure, and even now just about any argument cannot gain purchase without thought terminating allusions to imagined capabilities or implications of potential capabilities, etc.

alganet

a day ago

The author has a hypothesis and it's looking for evidence, instead of looking at evidence to draw a hypothesis. It's bad thinking.

murderfs

a day ago

What? That is the exact opposite of bad thinking, looking at evidence to draw a hypothesis is also known as p-hacking. There's a reason that there's been a push towards preregistration of hypotheses for scientific studies.

alganet

a day ago

I believe you are wrong.

Let's say I believe in dragons, and I start interpreting any evidence as dragon evidence. Furthermore, I start only looking for evidence that could be connected to dragons. It's bad thinking.

The opposite is the good thinking. You look at evidence without searching for anything specific, then you make a hypothesis on what is going on.

Searching for evidence of chatbot-induced psychosis is settling on a cause before looking at evidence. It's obvious that is wrong.

For example, the survey the author did should not have asked if anyone close "had shown signs of AI psychosis". The question is already biased from the start.

The article explores the popular idea that talking to a chatbot can induce psychosis. This paints a picture of a person talking to an AI chatbot and going insane. Then it proceeds to say it's a rare case, therefore shutting down possibilities that this could lead to an epidemic. However, by doing this, the article discourages the reader to think of other possible scenarios (like unaware interaction with AI-produced content) leading to psychological issues.

bawolff

a day ago

How dare the author use the scientific method!

alganet

a day ago

Did he?

bawolff

20 hours ago

Well you said, "The author has a hypothesis and it's looking for evidence" - that's usually the definition of the scientific method - you form some hypoothesis and then try and find evidence to test it.

So as far as I can tell, you're describing the scientific method as "bad thinking" and criticizing the author for using it. Which is certainly quite a take.

alganet

18 hours ago

That's not the definition of the scientific method. That's more like a quote from Interstellar than how science works.

When you encounter an unexplained phenomena (such as an increase in cases of psychosis), you should observe first, then hypothesize on what is the cause.

Mallowram

a day ago

>>First, much like LLMs, lots of people don’t really have world models. They believe what their friends believe, or what has good epistemic vibes.

First of all, there are no such things as world models, this is more engineering sloganeering. A world model is an oxymoronic paradox. The world is irreducible. The brain doesn't require them for various reasons only seen in neurobiology.

There are no such things as beliefs, we can't find them in the brain. (Start with Stitch and work your way into the Hippocampus. What we have instead of them are tasks, and task demands vary, pretty simple).

Finally, this notion of psychosis is inherent in us using language, that's all. Language doesn't produce itself. It never has to, it's arbitrary. It's a fantasy. There is no epistemological good path with words, ultimately they're not about communication, they're about the dark matter of simian biases. The brain doesn't think in words, we externalize them separately from thought.

Rants like Alexander's are trapped in the cog-sci-psy past, where intent is set behind actions. This is the fantasy that built AI. It's nonsense. The only valid sci construct is neurobiology. Subtract the intention. The brain made us, not our will.

bbor

2 days ago

  So is QAnon a religion? Awkward question, but it’s non-psychotic by definition.
Not to anyone who has ever discussed it...

  Is this psychosis? The answer has to be no
A lot of really confident talk without even a passing attempt to define the central term :(

user

2 days ago

[deleted]

p_j_w

2 days ago

People like to do a lot of not well justified hand waving. Author is not exempt from this.

musictubes

a day ago

The author is a practicing psychiatrist and is very well versed in what can be considered psychosis.

cluckindan

2 days ago

Relevant: https://ghaemi.substack.com/p/why-dsm-is-mostly-false

> All psychopathology was about unconscious emotional conflicts, mainly dating to childhood; if the conflicts were normal or mild, they produced “neuroses”; if they were severe, they produced “psychoses.”

> In addition to 14 validated diagnoses published in the RDC in 1978, a mere two years later DSM-III came out with 292 claimed diagnoses. There is no metaphysical possibility that 278 psychiatric diagnoses suddenly were discovered in two years. They were invented.

nitwit005

19 hours ago

All diagnoses are inherently made up. It's just humans lumping symptoms that appear similar into categories.

If you want to communicate about patients, you need an agreed set of categories.

What makes good categories is indeed what's most useful for the related profession(s). They're the ones who actually have to use them to communicate.

bbor

2 days ago

That's just a blatant misunderstanding of what diagnostic criteria are. They don't Actually ("ontologically") exist, they're Virtual constructs made for a purpose.

   In particular, over half a century of personality research had supported the concept of personality “traits” or dimensions, rather than “disorders” or categories.
That is antithetical to the basic idea of a diagnosis. "You seem like an angry person" is not helpful for deciding which treatments to try.

  Where does this leave us?  We have to accept DSM-5 definitions from a legal and practical perspective. We have to use them for insurance forms, and to protect ourselves against lawsuits.  But we don't have to believe in them.
Yes, that's the whole point of the book. I'm confident that it's covered in the intro.

XorNot

2 days ago

I mean the first and foremost principle of the DSM is that if the patient is not reporting or experiencing a debilitating ability to live a functional life, and is otherwise happy with their own lived experience, then whatever symptoms they have aren't a problem.

There's obviously a gulf of potential argument in that definition, but a unique form would be people who report hearing voices, but they're not hostile or angry..so actually it's not a problem.

bbor

a day ago

Well put, very true! I think (?) the technical term is “distress”. This is also their out for not getting rid of “transvestic disorder” yet, which they swear is totally unrelated to trans people, it’s just for men who feel compelled to wear dresses and are sad about it…