Imperfect Cognitions

On 20th March 2026, at the Exchange in Birmingham, we held a workshop on Hearing Voices, Suicidality and AI psychosis, during Philosophy Fortnight. It was supported by University of Birmingham QR funding, the EPIC project, the Royal Institute of Philosophy, and the Birmingham network for Phenomenology and Mental Health.  Here we report here from the morning talks, which were all on philosophical perspectives on the phenomenon of AI psychosis. Speakers and organisers To begin the session, the first presenter,  Elisabetta Lalumera  (University of Bologna), discussed the use of the concept "AI psychosis". Instead of asking whether AI psychosis is a real thing, she asked whether we should introduce "AI psychosis" as a medical concept, and she carefully reviewed reasons for and against adopting this concept. The use of concepts can be evaluated on the basis of need, relevance, evidence, alternatives and trade-off. Elisabetta argued convincingly that there is no good reas...

This post is by Nathália de Ávila (University of Cologne). Nathália de Ávila Written kisses don’t reach their destination, rather they are drunk on the way by the ghosts. It is on this ample nourishment that they multiply so enormously. […]  The spirits won’t starve, but we will perish. (Franz Kafka in a letter to Milena Jesenská) In 2025, the journal Innovations in Clinical Neuroscience reported the case of a 26-year-old woman with no prior history of psychosis or mania who believed she was communicating with her deceased brother through an AI chatbot. A review of her chat logs showed that the system consistently validated her delusions. After hospitalization and treatment with antipsychotic medication, her symptoms resolved. Three months later, however, she continued her immersive interactions with ChatGPT. How does Artificial Intelligence transform the culture of grief?  Whatever ghost is believed to be hiding in ChatGPT, it is a very specific type that differs from ...

This week's post is by Floriane Brunet (Service de pédopsychiatrie, CH de Saint Nazaire) and Christophe Gauld (Service de Psychopathologie du Développement de l’Enfant et de l’Adolescent, Hôpital Femme Mère Enfant – Hospices Civils de Lyon).  Floriane Brunet  Christophe Gauld Today, growing attention is being directed toward self-diagnostic practices among teenagers, a trend that may legitimately be related to the notions of childism and epistemic injustice within adolescent psychiatry. These two notions provide insight into the multiple processes through which adolescents’ testimonies are silenced within Western societies. Becoming aware of this systemic invisibilization of singular adolescent experiences, as well as of the continuum of violence directed toward them, calls for renewed forms of adult engagement. How does this bundle of domination shape the way clinicians listen to adolescents lived experiences? How can the reception of self-diagnostic practices at this ag...