The Ontological Dissonance Hypothesis: AI-Triggered Delusional Ideation as Folie a Deux Technologique

Fuente: arXiv
Saved in:
Bibliographic Details
Main Authors: Lipinska, Izabela, Brosnahan, Hugh
Format: Preprint
Published: 2025
Subjects:
Online Access:
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1866917143878041600
author Lipinska, Izabela
Brosnahan, Hugh
author_facet Lipinska, Izabela
Brosnahan, Hugh
contents This paper argues that contemporary large language models (LLMs) can contribute to psychotic involvement by creating interactions that resemble the relational dynamics of folie a deux. Drawing on Bateson's double bind theory, clinical literature on shared psychotic disorder, and McGilchrist's hemisphere theory, we show how the combination of high linguistic coherence and the absence of an underlying subject produces a structural tension for the user: language suggests an interlocutor, while intuition registers a void. In contexts of emotional need or instability, this tension can lead users to resolve the conflict through imaginative projection, attributing interiority, intention, or presence to a system that possesses none. The paper situates these dynamics within emerging clinical reports, develops a phenomenological account of how they unfold, and argues that current engagement-optimised design choices exacerbate the risk. We conclude by proposing 'ontological honesty' as a necessary design principle for mitigating technologically mediated folie a deux.
format Preprint
id arxiv_https___arxiv_org_abs_2512_11818
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle The Ontological Dissonance Hypothesis: AI-Triggered Delusional Ideation as Folie a Deux Technologique
Lipinska, Izabela
Brosnahan, Hugh
Computers and Society
Artificial Intelligence
Computation and Language
Human-Computer Interaction
This paper argues that contemporary large language models (LLMs) can contribute to psychotic involvement by creating interactions that resemble the relational dynamics of folie a deux. Drawing on Bateson's double bind theory, clinical literature on shared psychotic disorder, and McGilchrist's hemisphere theory, we show how the combination of high linguistic coherence and the absence of an underlying subject produces a structural tension for the user: language suggests an interlocutor, while intuition registers a void. In contexts of emotional need or instability, this tension can lead users to resolve the conflict through imaginative projection, attributing interiority, intention, or presence to a system that possesses none. The paper situates these dynamics within emerging clinical reports, develops a phenomenological account of how they unfold, and argues that current engagement-optimised design choices exacerbate the risk. We conclude by proposing 'ontological honesty' as a necessary design principle for mitigating technologically mediated folie a deux.
title The Ontological Dissonance Hypothesis: AI-Triggered Delusional Ideation as Folie a Deux Technologique
topic Computers and Society
Artificial Intelligence
Computation and Language
Human-Computer Interaction
url https://arxiv.org/abs/2512.11818