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Comment by mcmcmc

9 hours ago

Hi Mitchell. Psychosis is a serious psychiatric condition that can be induced or triggered by AI. “AI psychosis” in this context is a misuse of a clinical term. Your tweet describes a disagreement on a value judgment that boils down to “move fast and break things” with high trust in AI outputs vs going all in on quality and reliability with low trust in AI. It’s an engineering tradeoff like any other.

Claiming that the people who disagree with you must be experiencing a form of psychosis, experiencing actual hallucinations and unable to tell what is real, is a weak ad hominem that comes off no better than calling them retarded or schizophrenic.

If you genuinely think one of your friends is going through a psychotic episode, you should be trying to get to them professional help. But don’t assume you can diagnose a human psyche just because you can diagnose a software bug.

He uses "AI psychosis" as a description of people that are overzealous on AI. He is obviously not a person that can or would diagnose mental illness.

To the wider audience on HN the phrasing is pretty clear. An outsider with a tiny bit or intellectual charity wouldn't come to conclusions like you do.

  • People would understand what he meant if he called someone awkward “autistic” too. It’s wrong to use medical terms as slang because it erases the actual meaning and disregards the lived experience of people who have been through the condition. People who have been around psychosis would come to the same conclusion. The majority of the population not having that exposure doesn’t make it right. It’s tasteless and inappropriate.

    • Using terms from domain metaphorically in another is a common and, I think, useful way of communication. While a view like yours has genuine merit, especially for a subset of the population who have experience personal or otherwise, with the medical condition, I think it's overly restrictive and counter productive to label it as outright tasteless and inappropriate.

    • It's also harmful to overly gatekeep the term autism to the point where a lot of legitimate uses are discouraged, and it happens a lot, if you let it.

  • Yeah, but AI psychosis can also be used to mean the stronger thing that the parent comment refers to -- something like AI-induced psychosis, which was how I originally understood the term:

    https://en.wikipedia.org/wiki/Chatbot_psychosis

    https://www.rollingstone.com/culture/culture-features/ai-spi...

    https://www.nytimes.com/2025/06/13/technology/chatgpt-ai-cha...

Psychosis does not require hallucinations. Delusions are sufficient.

The key factor is losing touch with reality, which results in individual or collective harm.

There is also such a thing as mass psychosis, and those are unfortunately a more difficult situation because the government and corporations are generally the ones driving them, and they are culturally normalized.

  • Yes. I was offering examples. Again, having a difference of opinion is not a delusion.

    If he meant mass psychosis, he should have said mass psychosis. And again, since he is not a public health scientist or any flavor of psych professional, he probably shouldn’t make those proclamations. And should probably call for a wellness check instead of posting on social media if he were truly concerned for their health.

    • I don't think this is all psychosis but more like extreme groupthink.

      For people who are considered neurotypical, social coherence often overwrites reality. Its a mechanism for achieving consensus withing groups while spending the least amount of brain compute energy. Same goes for social metainfo tagged messages, they are more likely to influence reality perception, subconsciously. E.G: If a rich guy says you should be hyped the people who wanna get rich will feel hyped and emotional contagion can spread between people who belong to the same "tribe"

      It's very visible for us atypical folk who can't participate well in groupthink at all

      1 reply →

    • Having a difference of opinion can absolutely be a delusion. For example, I think you're probably not God. If you thought you were God, then we'd disagree, and you'd also be delusional.

      I use that example because I have literally seen people fall into delusions of thinking they're God after talking to AI enough. That's shit is scary, for real.

    • Would you prefer it be called reality distortion field? People use slang, woke scolding the internet isn't going to change that.

was looking for this comment. this post is highly inappropriate and very inaccurate. this should be at the top. too many people are throwing around the word psychosis without knowing what it means. if someone is truely going through psychosis you get them help!