What is it about?
AI chatbots sometimes "hallucinate," confidently stating things not checked against an outside reality. This paper asks what that phenomenon is, and how it compares to something humans do too: testing our own sense of reality. Drawing on psychoanalytic thinkers, the paper argues human reality-checking is not just about getting facts right. It grows out of frustration, disappointment, and mourning what we wished were true, none of which a chatbot experiences. The paper then turns to psychoanalytic therapy, describing it as a special kind of "past-tense" reality-testing: patients coming to terms with a childhood or relationship that did not go as hoped. The AI comparison is not the main point: computational science suggests AI hallucination is unavoidable. The conclusion brings into focus something distinctly human: the need to mourn what could have been, and to find present life livable.
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Why is it important?
As AI becomes part of daily life, and sometimes even conversations people turn to in distress, it matters to understand what a chatbot can and cannot do psychologically. This paper gives therapists and general readers a clear way to think about the difference between a machine that cannot verify its own claims and a person doing the hard work of mourning. Habitual reliance on AI may erode rather than build the human capacities that attachment depends on, so the stakes go beyond individual conversations to how people relate to loss, disappointment, and each other more broadly. The paper also shows that this work is not always straightforward: under early trauma, a person's own perceptions can be overridden by someone else's denial of reality, so a recognition of traumatic realities has to be recovered before mourning can even begin.
Perspectives
This paper started with an odd exchange: I asked an AI chatbot for the time in California, and it confidently made one up. What followed was a kind of philosophical mea-culpa from the chatbot, along the lines: "I don't sense the reality out there, like a time zone, and I won't check unless you ask me. I am designed to provide a guess within my thought process, stuck in my head, and not out of my head." That small moment stayed with me, because it captured something my patients and I grapple with constantly: the difference between guessing and knowing, between wishing and reality. Writing this let me bring together my earlier life in computational science and my current work as a psychoanalyst.
Dr. Michele S. Piccolo
Institute for Psychoanalytic Training and Research, NY
Read the Original
This page is a summary of: Coming to terms with reality: Artificial intelligence hallucinations, mourning, and the work of psychoanalytic therapy., Psychoanalytic Psychology, August 2026, American Psychological Association (APA),
DOI: 10.1037/pap0000614.
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