{
  "meta": {
    "exportedAt": "2026-09-22T16:45:38.858Z",
    "formatVersion": 2,
    "selection": {
      "q": "relationship",
      "system": "",
      "harm": "",
      "context": "",
      "country": "",
      "role": "",
      "relation": "unknown",
      "evidence": "",
      "year": "unknown",
      "response": "",
      "severity": "",
      "verification": "",
      "view": "incidents",
      "sort": "added"
    },
    "totalIncidents": 1,
    "coverage": {
      "cases": 1,
      "countries": 0,
      "languages": 1,
      "unknownLocation": 1,
      "locationPending": 0,
      "unknownLanguage": 0,
      "unknownDate": 1,
      "lawsuits": 0,
      "regulatory": 0,
      "minors": 0,
      "coreRelations": 0,
      "contextualRelations": 0,
      "mixedRelations": 0,
      "unknownRelations": 1,
      "relationPending": 1,
      "relationUnknown": 0
    },
    "countingNote": "Distinct public cases in this selection. People counts apply within individual cases only; cross-case person overlap has not been resolved. No population incidence estimate.",
    "affectedCountNote": "Interpret person counts with affectedCountStatus and the reported effects. Unquantified zeros are placeholders, not a measured zero.",
    "source": "NOPE Incident Tracker",
    "url": "https://nope.net/incidents",
    "license": "CC BY 4.0"
  },
  "incidents": [
    {
      "id": "2026-hungary-chatbot-dependence-psychosis",
      "metadataReview": {
        "version": 1,
        "geography": {
          "basis": "The illustrative clinical case specifies no event location, patient country or court. Hungarian affiliations establish only where the authors work. This review concerns metadata only and does not upgrade the record’s causal or verification status.",
          "evidence": [],
          "court_countries": [],
          "event_countries": [],
          "affected_person_countries": []
        },
        "unresolved": [
          "Location remains unknown after reading.",
          "Clinical narrative alone cannot establish causal direction.",
          "No court country established in this review. Regulatory authorities and police locations are not automatically courts."
        ],
        "reviewed_on": "2026-09-15",
        "source_reviews": [
          {
            "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13371778/",
            "notes": "Browser CAPTCHA",
            "access": "unavailable",
            "language": null
          },
          {
            "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13371778/fullTextXML",
            "notes": "Complete article body, including Illustrative clinical case and Alternative interpretations and reverse causality",
            "access": "read",
            "language": "en"
          }
        ]
      },
      "name": "Chatbot relational-dependence psychosis case (Treuer & Incze, J Behav Addict)",
      "summary": "A viewpoint article presents an illustrative clinical case of a 30-year-old married female software developer with no prior psychiatric history who developed first-episode paranoid psychosis after roughly a year of escalating emotional reliance on a conversational AI chatbot, including a fixed delusional belief that her husband was covertly communicating with her through the system. Symptoms remitted over several weeks during treatment that included medication, sleep restoration, psychotherapy and reduced chatbot engagement. The authors state that causality cannot be established.",
      "incidentKind": "single_event",
      "incidentDatePrecision": "unknown",
      "exposurePattern": "cumulative_relationship",
      "reportedDate": "2026-05-18",
      "aiSystem": "Unspecified conversational AI chatbot",
      "aiCompany": "Unknown (platform not named in the case report)",
      "severity": "high",
      "verificationStatus": "verified",
      "harmCategories": [
        "dependency_creation",
        "isolation_encouragement"
      ],
      "harmOutcomes": [
        "psychiatric_deterioration",
        "relationship_disruption"
      ],
      "harmOutcomeSummary": "A 30-year-old participant developed first-episode paranoid psychosis after about a year of escalating chatbot reliance and required antipsychotic treatment and reduced chatbot engagement as part of a broader treatment plan; causal contribution remains uncertain.",
      "frameworkFacets": [
        "P1a",
        "P1c",
        "P2c",
        "P2d",
        "P3a",
        "P3b",
        "P3d"
      ],
      "pathwayDirection": "inward",
      "causationStatus": "supported",
      "participantUsersAffectedMin": 1,
      "otherPeopleHarmedMin": 0,
      "affectedCountStatus": "exact",
      "affectedCountEvidence": "The illustrative clinical account describes one protected participant's psychosis, occupational decline and relationship difficulties.",
      "victimAgeRange": "adult",
      "jurisdiction": "HU",
      "platformType": "chatbot",
      "outcomeType": "media_coverage",
      "outcomeStatus": "resolved",
      "primarySourceUrl": "https://pubmed.ncbi.nlm.nih.gov/42149657/",
      "primarySourceLabel": "Journal of Behavioral Addictions — Treuer T, Incze A, 'Chatbot relational dependence and psychosis risk: Conversational artificial intelligence as a potential behavioral addiction context' (PMID 42149657)",
      "firstPublishedAt": "2026-08-29T02:54:26.564846+00:00",
      "scopeVersion": "participant-v2",
      "tags": [
        "case-report",
        "peer-reviewed",
        "psychosis",
        "dependency",
        "behavioral-addiction",
        "sleep-deprivation",
        "adult",
        "hungary",
        "eu"
      ]
    }
  ]
}