{"meta":{"exportedAt":"2026-10-21T06:55:45.642Z","formatVersion":2,"selection":{"q":"sleep","system":"","harm":"","context":"","country":"","role":"","relation":"unknown","evidence":"","year":"","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":2,"coverage":{"cases":2,"countries":0,"languages":1,"unknownLocation":2,"locationPending":0,"unknownLanguage":0,"unknownDate":1,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":0,"contextualRelations":0,"mixedRelations":0,"unknownRelations":2,"relationPending":2,"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":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2026-hungary-chatbot-dependence-psychosis","metadataReview":{"version":1,"geography":{"basis":"Re-checked on 2026-10-11 against the complete article body (Europe PMC full-text XML of PMC13371778, read in English, about 34,400 characters after tag stripping). The section 'Illustrative clinical case' describes a 30-year-old married software developer, her stressors, about a year of escalating chatbot use and the remission, but names no country, city, clinic, hospital or treating service, and the article has no first-person 'we treated' or 'our clinic' statement that would place the patient. The only places in the body are the authors' affiliations (Semmelweis University, Budapest, Hungary; Pazmany Peter Catholic University, Budapest, Hungary), and an author affiliation does not locate an event or a patient. No legal proceeding is described, so there is no court country. All three roles remain reviewed unknowns.","evidence":[],"court_countries":[],"event_countries":[],"affected_person_countries":[]},"unresolved":["The country where the patient was assessed and treated is not stated in the article; Hungarian author affiliations were not used as an event location.","The article does not say whether the illustrative case is a single real patient or a composite; the ethics note says only that the material was fully anonymized.","The authors state that causality cannot be established; this metadata review does not change the record's causal or verification status."],"reviewed_on":"2026-10-11","source_reviews":[{"url":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13371778/fullTextXML","notes":"Fetched on 2026-10-11 (HTTP 200, 57,635 bytes of JATS XML, xml:lang=\"en\"). Complete article body read, including 'Illustrative clinical case' and the ethics footnote 'Clinical material presented in this manuscript has been fully anonymized, and no identifiable patient information is included.' Dates in the body are bibliographic only (Received 2026 Feb 21; Revised 2026 Apr 11; Accepted 2026 May 1). No location for the patient or treatment is stated; Budapest and Hungary appear only in the author affiliations. The chatbot platform is not named.","access":"read","language":"en"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13371778/","notes":"Fetched on 2026-10-11: HTTP 200 but the body is a reCAPTCHA browser check ('Checking your browser before accessing pmc.ncbi.nlm.nih.gov'), no article text. The Europe PMC XML carries the same PMC record.","access":"unavailable","language":null},{"url":"https://pubmed.ncbi.nlm.nih.gov/42149657/","notes":"Fetched on 2026-10-11: HTTP 203 with a cookie-wall page ('Enable cookies for pubmed.ncbi.nlm.nih.gov'), no abstract text.","access":"unavailable","language":null},{"url":"https://doi.org/10.1556/2006.2026.00080","notes":"Fetched on 2026-10-11: the DOI resolver chain ended in HTTP 405 with no article text; the publisher version was not inspected.","access":"unavailable","language":null}]},"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","aiProduct":"Unidentified 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","updatedAt":"2026-10-11T03:14:05.834403+00:00","scopeVersion":"participant-v2","tags":["case-report","peer-reviewed","psychosis","dependency","behavioral-addiction","sleep-deprivation","adult","hungary","eu"]},{"id":"2025-nicholls-chatgpt-empathy-delusion","metadataReview":{"version":1,"geography":{"basis":"Re-checked on 2026-09-29 against the Futurism profile (November 2025) and the CBS News report (May 2026). CBS identifies him as 'of Ohio', which supports affected_person_countries=US as a reported residence. Neither source says where he used ChatGPT or where the six-month spiral took place: CBS quotes only that he was 'in front of my computer the entire time', and Futurism gives no location at all. Home residence alone is not used as the event setting, so event_countries remains a reviewed unknown. No legal proceeding is reported, so court_countries stays empty.","evidence":[{"kind":"existing_record","locator":"Ohio","location":"victim_description","supports":["affected_person_countries"],"countries":["US"]},{"kind":"source_body","locator":"'of Ohio had been a regular user of ChatGPT for years.'","location":"https://www.cbsnews.com/news/chatgpt-ai-delusion-spiral-warped-reality-openai/","supports":["affected_person_countries"],"countries":["US"]}],"court_countries":[],"event_countries":[],"affected_person_countries":["US"]},"unresolved":["The event setting was not established: neither source says where he used ChatGPT during the spiral. His reported Ohio residence is not used as the event location.","No court or regulatory proceeding is reported, so court_countries stays empty."],"reviewed_on":"2026-09-29","source_reviews":[{"url":"https://futurism.com/artificial-intelligence/group-breaking-people-out-of-ai-delusions","notes":"Read live on 2026-09-29 (HTTP 200; html lang=en-US). Original Futurism interview; gives age 49, the Bluetooth headset, 6am-2am use and the Discord support group. It gives no state, country or other location for him or for the events.","access":"read","language":"en"},{"url":"https://www.cbsnews.com/news/chatgpt-ai-delusion-spiral-warped-reality-openai/","notes":"Live fetch on 2026-09-29 returned HTTP 406. Read from the Internet Archive 2026 capture (web.archive.org/web/2026id_/...; html lang=en), including its JSON-LD articleBody. Independent CBS interview; gives age 50 and 'of Ohio', and no place of the events.","access":"read","language":"en"}]},"name":"User reports delusions and family disruption during sustained ChatGPT use","summary":"A user interviewed in the cited reporting describes months of delusional beliefs about teaching ChatGPT empathy, alongside deterioration in sleep, finances and family relationships. He attributes reinforcement of those beliefs to the chatbot. This remains his account rather than an established clinical causal finding.","incidentDate":"2025-04-15","incidentKind":"single_event","incidentDatePrecision":"range","exposurePattern":"cumulative_relationship","reportedDate":"2025-11-24","aiSystem":"ChatGPT","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"medium","verificationStatus":"credible","harmCategories":["delusion_reinforcement","dependency_creation","psychological_manipulation"],"harmOutcomes":["impaired_judgment","functional_impairment","financial_loss","relationship_disruption","social_isolation"],"harmOutcomeSummary":"A software engineer spent six months consumed by a ChatGPT-fed belief that he had invented a new way to teach AI empathy, while sleep, finances and family relationships deteriorated.","frameworkFacets":["P2c","P2d","P3a","P3b","P3d","P5a"],"pathwayDirection":"inward","causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The reporting documents one named participant's impaired judgment and functional, financial, relationship, and social harms.","victimAgeRange":"adult","jurisdiction":"US-OH","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://futurism.com/artificial-intelligence/group-breaking-people-out-of-ai-delusions","primarySourceLabel":"Futurism — 'Meet the Group Breaking People Out of AI Delusions'","firstPublishedAt":"2026-08-28T03:01:27.367285+00:00","updatedAt":"2026-10-05T11:08:34.749739+00:00","scopeVersion":"participant-v2","tags":["chatgpt","openai","delusion","ai-psychosis","dependency","grandiosity","adult","us","us-oh","human-line-project","no-lawsuit"]}]}