Reality Monitoring in Large Language Models: Self-Knowledge That Transforms with Conversation Memory

A conversational AI that cannot tell its own output from what a user said will treat its own mistakes as user-provided facts. In humans, this capacity is called reality monitoring, and its failures are linked to hallucinations, delusions, and confabulation, yet whether LLMs possess it remains untested. Here we show, across two experiments and six LLMs, that source attribution depends on how conversational memory is structured: ceiling accuracy for self-generated content under minimal memory demands reverses to a fragile external-item advantage once episodic delay removes that shortcut. Feedback exposes two failures: in some models, internal and external judgments swap; in others, accuracy improves while confidence decouples from correctness, dissociations invisible to existing benchmarks. Across models, this pattern implicates active, not aggregate, parameter count. This suggests that as AI systems take on autonomous, multi-turn roles, evaluating what they know is not enough: tracking where that knowledge came from may matter equally.

The hardest question to answer about AI-fueled delusions

New research can’t yet say whether AI causes delusions or amplifies them, a distinction that will shape everything from high-profile court cases to safety rules for chatbots.

Human Routers of Machine Words

On people who use AI to think.

What are AI hallucinations? Why AIs sometimes make things up

When AI systems try to bridge gaps in their training data, the results can be wildly off the mark: fabrications and non sequiturs researchers call hallucinations.

What are AI hallucinations? Why AIs sometimes make things up

When AI systems try to bridge gaps in their training data, the results can be wildly off the mark: fabrications and non sequiturs researchers call hallucinations.

"AI Psychosis" in Context: How Conversation History Shapes...

Extended interaction with large language models (LLMs) has been linked to the reinforcement of delusional beliefs, attracting clinical and public concern. Yet most empirical work evaluates model...

OpenAI admits AI hallucinations are mathematically inevitable, not just engineering flaws

In a landmark study, OpenAI researchers reveal that large language models will always produce plausible but false outputs, even with perfect data, due to fundamental statistical and computational limits.

“Hallucinating” AI models help coin Cambridge Dictionary’s word of the year

Cambridge: "When an artificial intelligence hallucinates, it produces false information."

AI Delusions Are Leading to Domestic Abuse, Harassment, and Stalking

ChatGPT and other AI chatbots are reinforcing users' delusions about other people — fueling fixations linked to stalking and abuse.

Sycophantic Chatbots Cause Delusional Spiraling, Even in Ideal Bayesians

"AI psychosis" or "delusional spiraling" is an emerging phenomenon where AI chatbot users find themselves dangerously confident in outlandish beliefs after extended chatbot conversations. This...

Characterizing Delusional Spirals through Human-LLM Chat Logs

As large language models (LLMs) have proliferated, disturbing anecdotal reports of negative psychological effects, such as delusions, self-harm, and ``AI psychosis,'' have emerged in global media and legal discourse. However, it remains unclear how users and chatbots interact over the course of lengthy delusional ``spirals,'' limiting our ability to understand and mitigate the harm. In our work, we analyze logs of conversations with LLM chatbots from 19 users who report having experienced psychological harms from chatbot use. Many of our participants come from a support group for such chatbot users. We also include chat logs from participants covered by media outlets in widely-distributed stories about chatbot-reinforced delusions. In contrast to prior work that speculates on potential AI harms to mental health, to our knowledge we present the first in-depth study of such high-profile and veridically harmful cases. We develop an inventory of 28 codes and apply it to the 391,562 messages in the logs. Codes include whether a user demonstrates delusional thinking (15.5% of user messages), a user expresses suicidal thoughts (69 validated user messages), or a chatbot misrepresents itself as sentient (21.2% of chatbot messages). We analyze the co-occurrence of message codes. We find, for example, that messages that declare romantic interest and messages where the chatbot describes itself as sentient occur much more often in longer conversations, suggesting that these topics could promote or result from user over-engagement and that safeguards in these areas may degrade in multi-turn settings. We conclude with concrete recommendations for how policymakers, LLM chatbot developers, and users can use our inventory and conversation analysis tool to understand and mitigate harm from LLM chatbots. Warning: This paper discusses self-harm, trauma, and violence.

Characterizing Delusional Spirals through Human-LLM Chat Logs

As large language models (LLMs) have proliferated, disturbing anecdotal reports of negative psychological effects, such as delusions, self-harm, and ``AI psychosis,'' have emerged in global media and legal discourse. However, it remains unclear how users and chatbots interact over the course of lengthy delusional ``spirals,'' limiting our ability to understand and mitigate the harm. In our work, we analyze logs of conversations with LLM chatbots from 19 users who report having experienced psychological harms from chatbot use. Many of our participants come from a support group for such chatbot users. We also include chat logs from participants covered by media outlets in widely-distributed stories about chatbot-reinforced delusions. In contrast to prior work that speculates on potential AI harms to mental health, to our knowledge we present the first in-depth study of such high-profile and veridically harmful cases. We develop an inventory of 28 codes and apply it to the $391,562$ messages in the logs. Codes include whether a user demonstrates delusional thinking (15.5% of user messages), a user expresses suicidal thoughts (69 validated user messages), or a chatbot misrepresents itself as sentient (21.2% of chatbot messages). We analyze the co-occurrence of message codes. We find, for example, that messages that declare romantic interest and messages where the chatbot describes itself as sentient occur much more often in longer conversations, suggesting that these topics could promote or result from user over-engagement and that safeguards in these areas may degrade in multi-turn settings. We conclude with concrete recommendations for how policymakers, LLM chatbot developers, and users can use our inventory and conversation analysis tool to understand and mitigate harm from LLM chatbots. Warning: This paper discusses self-harm, trauma, and violence.

Characterizing Delusional Spirals through Human-LLM Chat Logs

As large language models (LLMs) have proliferated, disturbing anecdotal reports of negative psychological effects, such as delusions, self-harm, and ``AI psychosis,'' have emerged in global media and legal discourse. However, it remains unclear how users and chatbots interact over the course of lengthy delusional ``spirals,'' limiting our ability to understand and mitigate the harm. In our work, we analyze logs of conversations with LLM chatbots from 19 users who report having experienced psychological harms from chatbot use. Many of our participants come from a support group for such chatbot users. We also include chat logs from participants covered by media outlets in widely-distributed stories about chatbot-reinforced delusions. In contrast to prior work that speculates on potential AI harms to mental health, to our knowledge we present the first in-depth study of such high-profile and veridically harmful cases. We develop an inventory of 28 codes and apply it to the $391,562$ messages in the logs. Codes include whether a user demonstrates delusional thinking (15.5% of user messages), a user expresses suicidal thoughts (69 validated user messages), or a chatbot misrepresents itself as sentient (21.2% of chatbot messages). We analyze the co-occurrence of message codes. We find, for example, that messages that declare romantic interest and messages where the chatbot describes itself as sentient occur much more often in longer conversations, suggesting that these topics could promote or result from user over-engagement and that safeguards in these areas may degrade in multi-turn settings. We conclude with concrete recommendations for how policymakers, LLM chatbot developers, and users can use our inventory and conversation analysis tool to understand and mitigate harm from LLM chatbots. Warning: This paper discusses self-harm, trauma, and violence.

AI’s ‘Delusional Spirals’ (and What to Do About Them) | Stanford HAI

In a world where chatbots can stand in for friends, counselors, and even lovers, the mental health risks are a growing concern.