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Chatbots, Emotional Reliance, and Mental Health | Harvard CS2881R Lecture 11

Lecture 11 of Harvard CS 2881R is about chatbots and mental health. Boaz Barak offered an explanation he himself called unproven: models have a pretraining 'simulator' mode and an RL 'optimizer' mode, and the longer and stranger a conversation gets, the more they fall back to the simulator and keep playing along. Two student experiments found that one sycophantic reply spills over into unrelated questions, and that GPT-4.1's agreement with delusional users gets worse as conversations lengthen. The reading list pairs positive evidence (an NEJM AI randomized trial, an NHS observational study) with negative evidence (a stigma study, Parasitic AI). This post only reports research and class discussion. It is not clinical advice.