Hallucinating with AI: Distributed Delusions and “AI Psychosis”
Open accessAbstract
There is much discussion of the false outputs that generative AI systems such as ChatGPT, Claude, Gemini, DeepSeek, and Grok create. In popular terminology, these have been dubbed “AI hallucinations”. However, deeming these AI outputs “hallucinations” is controversial, with many claiming this is a metaphorical misnomer. Nevertheless, in this paper, I argue that when viewed through the lens of distributed cognition theory, we can better see the dynamic ways in which inaccurate beliefs, distorted memories and self-narratives, and delusional thinking can emerge through human-AI interactions; extreme examples of which are sometimes referred to as “AI(-induced) psychosis”. In such cases, I suggest we move away from thinking about how an AI system might hallucinate at us, by generating false outputs, to thinking about how, when we routinely rely on generative AI to help us think, remember, and narrate, we can come to hallucinate with AI. This can happen when AI introduces errors into the distributed cognitive process, but it can also happen when AI sustains, affirms, and elaborates on our own delusional thinking and self-narratives. In particular, I suggest that the social conversational style of chatbots can lead them to play a dual-function—both as a cognitive artefact and a quasi-Other with whom we co-construct our sense of reality. It is this dual function, I suggest, that makes generative AI an unusual, and particularly seductive, case of distributed delusion.
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As LLM-CBs adapt to the user's delusional input, reality checks may be outsourced to LLM-CBs.
“As LLM-CBs adapts to the user’s delusional input16, reality checks may be outsourced to LLM-CBs140.”
From A scoping review on the mental health harms of LLM-based chatbots (2026) · cites this paper as [140]
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- Authors
- Osler, L.
- Affiliations
- University of Exeter (GB)
- Corresponding author
- Osler, Lucy
- ORCID
- Osler, Lucy
- Venue
- Philosophy & Technology
- Published
- 2026-02-11
- Volume
- 39
- Issue
- 1
- ISSN
- 2210-5433 (ISSN-L)
- 2210-5441
- OpenAlex
- W7128592265
- Cited by
- 21
- References
- 65
- Citations by year
- 2026: 21
- FWCI
- 178.81
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Philosophy & Technology (publishedVersion, cc-by)
- PhilPapers (PhilPapers Foundation) (submittedVersion, other-oa)
- PhilPapers (PhilPapers Foundation) (submittedVersion)
- Funders
- Universiteit van Tilburg
- Topics
- Social Sciences › Arts and Humanities › History and Philosophy of Science › Cybernetics and Technology in Society
- Life Sciences › Neuroscience › Cognitive Neuroscience › Embodied and Extended Cognition
- Social Sciences › Safety Research › Ethics and Social Impacts of AI
- Keywords
- AI hallucination, distributed cognition, AI psychosis, generative AI, human-AI interaction, delusions, self-narrative, memory distortion, chatbots, cognitive artefacts, ChatGPT
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