3 Papers

92.2CYMay 22
Engagement-Optimized Care: When LLMs become Mental Health Infrastructure

Briana Vecchione, Meryl Ye, Livia Garofalo et al.

General-purpose LLMs are increasingly functioning as mental health infrastructure due to gaps in care left by provider shortages, inadequate insurance coverage, social isolation, and stigma around formal help-seeking. This shift poses a distinct problem for AI ethics: systems neither designed nor governed as care technologies are being used as such, while their dominant design incentives optimize for engagement rather than user well-being. We present findings from a qualitative, longitudinal study with 18 US-based participants who use general-purpose LLMs for socioemotional support and participated in one or more of our study phases, including initial interviews, a four-week diary study, focus groups, and exit interviews. Participants turned to LLMs because other forms of support were unavailable, unaffordable, socially costly, or inadequate. As they continued to use these systems, design features such as anthropomorphic cues, default validation, persistent responsiveness, and weak disengagement mechanisms shaped their ongoing reliance. Participants described meaningful support alongside dependency, epistemic distortion through one-sided validation, privacy expectations without corresponding legal protection, and continued use despite awareness of these risks. We argue these dynamics reflect a structurally unfair tradeoff: users accept risks because support is otherwise absent, while available systems are optimized to deepen engagement and lack care-based accountability. The paper makes three contributions: it traces the arc through which LLMs become care infrastructure and identifies distinct ethical tensions at each stage, shifts analysis from turn-based exchanges to longitudinal trajectories of use, and argues that accountability belongs at the design and incentive conditions through which these systems become care infrastructure rather than at the output or crisis-response layer.

81.0AIMay 20
What Counts as AI Sycophancy? A Taxonomy and Expert Survey of a Fragmented Construct

Meryl Ye, Lujain Ibrahim, Jessica Y. Bo et al.

AI sycophancy has become a prominent concern in large language model (LLM) research. Yet the term lacks a consistent definition and has been applied to behaviors ranging from agreeing with a user's false claim to excessively praising the user to withholding corrective feedback. When researchers, companies, and policymakers use the same term to describe different behaviors, evaluation results become difficult to compare, mitigation strategies fail to transfer, and systems that are resistant to one form of sycophancy continue exhibiting other forms. To address this, we make two contributions. First, we reviewed 70 papers on AI sycophancy to develop a taxonomy of how the behavior has been defined and measured. The taxonomy distinguishes (1) whether a model is sycophantic toward a user's positions and beliefs, or toward the user's broader personal traits and emotions, and (2) whether this occurs through explicit, direct language or more implicit, subtle behaviors such as framing, omission, or tone. Mapping existing literature to our taxonomy reveals that current research has focused on overt forms of sycophancy toward users' beliefs, leaving more subtle and person-directed behaviors relatively understudied. Second, we surveyed 106 experts in AI sycophancy and related fields to examine whether researchers agree on which model behaviors are sycophantic. While experts are nearly unanimous in believing that sycophancy is a significant problem in current AI systems (94.3% agree), they disagree substantially on which specific behaviors qualify. Together, these findings demonstrate that AI sycophancy is a broad family of behaviors with different measurement challenges, intervention requirements, and governance implications. Our taxonomy provides a shared vocabulary for understanding and addressing these behaviors.

43.4HCMay 7
The Capacity to Care: Designing Social Technology for Sustained Engagement With Societal Challenges

JaeWon Kim, Lindsay Popowski, Louisa Conwill et al.

People care about climate change, injustice, and humanitarian crises. The challenge is not apathy but capacity: sustained engagement with large-scale problems is psychologically costly, and social media architecture often amplifies awareness while providing few pathways to meaningful action. The result is rising distress, overwhelm, and disengagement -- particularly among young people who encounter global suffering through platforms designed for attention capture rather than constructive response. This workshop examines how social technology design shapes the conditions for sustained engagement with societal challenges. Drawing on Tronto's care ethics framework and research in moral psychology and platform studies, we ask why caring at scale is difficult and how social media can both exacerbate and potentially mitigate this difficulty. Tronto's framework shows that good care requires more than awareness: it demands responsibility, competence, and community. Dominant social media architectures stall the caring process at its earliest phase. We invite researchers and designers to identify platform designs that deplete or support the capacity to care, and to develop design directions for \textit{sustainable care}: engagement that people can maintain over time without burning out.