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arXiv 提交日期: 2026-06-16
📄 Abstract - When AI Says "I have been in similar situations": Synthetic Lived Experience in Peer-Like Caregiver Support

Caregivers often turn to online communities for informational and emotional support. In these spaces, peer supporters frequently draw on personal narratives to respond to emotionally complex caregiving situations. As LLMs are increasingly designed as peer-like sources of support, they introduce a critical tension: AI can provide immediate, private, and nonjudgmental support, but it cannot authentically possess the lived experiences that make human peer support meaningful. Yet, when prompted to sound peer-like, LLMs may generate language that implies lived experience. This creates a synthetic lived experience paradox: the same experiential language that may make AI support feel warm, relatable, and peer-like can also falsely position the system as someone with lived experience. We examine this paradox in the context of family caregivers of people living with Alzheimer's Disease and Related Dementias (ADRD). Drawing on caregiver support exchanges from online communities and prompted peer-like responses from three LLMs -- LLaMA, GPT-4o-mini, and MedGemma -- we analyze how human peers use personal narratives and how AI incorporates similar narrative forms. Psycholinguistic analysis shows that peer responses used significantly more first-person and past-focused language than peer-like AI responses. Qualitatively, we identify seven types of personal narratives in human peer support and show that AI often captures their emotional work, but can fabricate experiential grounding. These findings reveal a narrative authenticity gap: peer-like AI can generate synthetic lived experience without the real experience that makes peer support meaningful. We argue that caregiver-support AI systems need mechanisms to distinguish supportive peer-like framing from fabricated lived experience, ensuring that models can offer warmth and validation without falsely positioning themselves as experiential peers.

顶级标签: llm medical
详细标签: caregiver support synthetic experience narrative authenticity psycholinguistics alzheimer's disease 或 搜索:

当AI说“我也遇到过类似情况”:同伴式照护者支持中的合成亲身经历 / When AI Says "I have been in similar situations": Synthetic Lived Experience in Peer-Like Caregiver Support


1️⃣ 一句话总结

本文发现,当大型语言模型被设计成像同伴一样为家庭照护者提供情感支持时,虽然能模仿人类的温暖叙事,但由于缺乏真实的亲身经历,会产生一种“叙事真实性差距”,即AI可能编造出虚假的“我也有过类似经历”的表述,从而误导用户,因此需要设计机制来避免这种合成经历带来的伦理问题。

源自 arXiv: 2606.18057