And it's so much like listening to someone in a church congregation sharing their experiences with god. Clear and obvious gaps are hand-waved away exactly how you're describing.
The problem is that AI psychosis is fundamentally the belief that an LLM is "thinking" at all. Outputs are just believable word vomit which resembles factual information.
The problem is real but I don't think positing a philosophical root is helpful
If "agency" is making decisions and performing corresponding actions in the real world, then LLMs most definitely LOOK LIKE they're making decisions (what's the next token? which tool to use? what's to say, in general? what idea to convey?) and performing actions (tool use). Can we tell whether they are ACTUALLY making decisions? Well, are the people around me "actually" making decisions? Or are they simply pushed around by circumstances and external forces?
Am I actually making decisions? Did I like DECIDE to write this comment? Maybe? I have no clue...
While I can understand being skeptical of non-experts' claims that such answers are enough, I don't understand why you call it "psychosis" and not simply naivety or lack of expertise.
At the same time, the new so-called "models" haven't been pure transformer-based LLMs, but entire systems with tools (with access to the Internet), data storage, and the options to trigger additional instances for different tasks.
A lot of the models up to this point have been benefitted - like Google did - from essentially ‘pre SEO’ internet.
Now the same tools are being used to generate nigh infinite good sounding bullshit, which poisons the dataset in all sorts of hard to detect ways.
To add insult to injury, the human experts are also not as. Naive, and have many incentives to poison their own input in subtle ways too.
For one, if your website/book is poisoned, who is going to trust it for anything at all, much less for training models?
For two, all the major AI labs hire or contract for subject matter experts to create curated data sets, evaluate model performance, etc.
Unless they hire malicious experts, this will provide a growing, high quality data set that should drown out any poisoned pretraining data.
If it's easy enough that some randos can do it for fun, what do you think happens when there's commercial interest behind it?
Obviously companies are going try nudging AI towards recommending whatever they're selling. It's a logical extension of SEO - and that's a 100 billion USD industry.
Additionally, if I believed myself to be in some sort of spending - err - AI race, I'd try to poison the data sets of my competitors by putting crap out there for others to ingest.
Yes AI scrapers can easily spoof user-agent, but they fall out of date as the browser updates.
Bit harder to catch them in tarpits and then serve nonsense to whoever ever triggered the tarpit.
It’s a hell of a lot easier for a company to ensure that its scrapers all report the latest user agent string than it is to get everyone and their mother to update their browsers in a timely fashion.
OpenEvidence claims
"More than 40% of U.S. physicians use it daily, and it handled around 20 million clinical consultations per month. Over 100 million Americans were treated by a doctor using it in 2025."
Here is an example. My provider sent me this note. I'm quoting verbatim here from my MyChart record:
"Your liver enzymes are high, I would like to order acetaminophen containing medication like Tylenol, I would like to order liver ultrasound I placed ultrasound order in the system, make an appointment for radiology, I would like you to get hepatitis panel lab work done, obtain blood work order, please schedule a well visit to get it done"
When I queried it, this is what I got back. It was a dictation error. You could almost hear the panic in the message:
"Sorry for wrong message earlier, I was dictated message- so could not realize that it was written to take Tylenol type of medicines- I DO NOT RECOMMEND ACETAMINOPHEN CONTAINING MEDICINE - LIKE TYLENOL AND ALCOHOL DUE TO ELEVATED LIVER ENZYMES."
Again the problem is not dictation, or LLMs. The problem is humans ignoring their responsibility to check the output of a machine.
If a physician uses Google to search for a dosage chart for some drug they rarely prescribe, you wouldn’t say they are using Google to diagnose the patient. You wouldn’t say that either if they used Google to search for the most recent studies on a topic.
The fact that they use it doesn't make what the result is any worse or less trustworthy - arguably it makes it better.
It only becomes a problem if they offload all of the thinking to AI.
An expert already knows they don't know everything. That was never the point. Critical thinking cannot be delegated to AI any more than it can be delegated to a book. There is nothing new going on here.