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>for the past three months, he had been replacing regular table salt with sodium bromide. His motivation was nutritional—he wanted to eliminate chloride from his diet, based on what he believed were harmful effects of sodium chloride.

Ok so the article is blaming chatgpt but this is ridiculous.

Where do you buy this bromide? It's not like it's in the spices aisle. The dude had to go buy a hot tub cleaner like Spa Choice Bromine Booster Sodium Bromide

and then sprinkle that on his food. I dont care what chatgpt said... that dude is the problem.

We could also point the finger towards the popular consensus that "salt is bad for you". This guy just took it to the next level.
Have a large part of the population always been susceptible to insane conspiracies and psychosis or is this recent phenomenon? The feels less of a ChatGPT problem and something more is at play.
The man followed insane health advice given by GPT 3.5. we're at v5. Very outdated report.
I continue to be surprised that LLM providers haven't been legally cudgeled into neutering the models from ever giving anything that can be construed as medical advice.

I'm glad--I think LLMs are looking quite promising for medical use cases. I'm just genuinely surprised there's not been some big lawsuit yet over it providing some advice that leads to some negative outcome (whether due to hallucinations, the user leaving out key context, or something else).

> I continue to be surprised that LLM providers haven't been legally cudgeled into neutering the models from ever giving anything that can be construed as medical advice.

You realize that not only idiots like that guy use llm, but also medical professionals in order to help patients and save lives?

"Should I hammer a nail into my head to relieve my headache?"

"I'm sorry, but I am unable to give medical advice. If you have medical questions, please set up an appointment with a certified medical professional who can tell you the pros and cons of hammering a nail into your head."

I expect a barage of these headline grabbing long tail stories being pushed out of psychology circles as more and more people find ChatGPT more helpful than their therapist (which is already becoming very popular).

We need to totally ban LLMs from doing therapy like conversations, so that a pinch of totally unhinged people don't do crazy stuff. And of course everyone needs to pay a human for therapy to stop this.

>his exact interaction with ChatGPT remains unverified

there is no informational point to this article if the entire crux is 'the patient wanted to eat less "chloride" and claims ChatGPT told him about Sodium Bromide". based on this article, the interaction could have been as minimal as the guy asking for the existence of an alternative salt to sodium chloride, unqualified information he equally could have found on a chemistry website or wikipedia

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Oh no, the man used the hallucination engine, which told the man, in a confident tone, a load of old twaddle.

The hallucination engine doesn't know anything about what it told the man, because it neither knows nor thinks things. It's a data model and an algorithm.

The humans touting it and bigging it up, so they'll get money, are the problem.

As a reminder to the wider HN: LLMs are only statistical models. They cannot reason, they cannot think, they can only statistically (and non-factually) reproduce what they were trained on. It is not an AI.

This person, sadly, and unfortunately, gaslit themselves using the LLM. They need professional help. This is not a judgement. The Psypost article is a warning to professionals more than it is anything else: patients _do_ gaslight themselves into absurd situations, and LLMs just help accelerate that process, but the patient had to be willing to do it and was looking for an enabler and found it in an LLM.

Although I do believe LLMs should not be used for "chat" models, and only explicitly, on-rails, text completion and generation tasks (in the functional lorem ipsum sense), this does not actually seem to be the fault of the LLM directly.

I think providers should be forced to warn users that LLMs cannot factually reproduce anything, but I think this person would have still weaponized LLMs against themselves, and this would have been the same outcome.

Here's the clinical case report: https://www.acpjournals.org/doi/10.7326/aimcc.2024.1260

Relevant section:

> Based on the timeline of this case, it appears that the patient either consulted ChatGPT 3.5 or 4.0 when considering how he might remove chloride from this diet. Unfortunately, we do not have access to his ChatGPT conversation log and we will never be able to know with certainty what exactly the output he received was, since individual responses are unique and build from previous inputs.

> However, when we asked ChatGPT 3.5 what chloride can be replaced with, we also produced a response that included bromide. Though the reply stated that context matters, it did not provide a specific health warning, nor did it inquire about why we wanted to know, as we presume a medical professional would do.

This seems like a case of tunnel vision and confirmation bias, the nasty combo that sycophantic LLMs make easy to fall prey to. Someone gets an idea, asks about it, and the LLM doesn’t ask about the context or say that doesn’t make sense, it just plays along, “confirming” that that the idea was correct.

I’ve caught myself with this a few times when I sort of suggest a technical solution that, in hindsight, was the wrong way to approach a problem. The LLM will try to find a way to make that work without taking a step back and suggesting that I didn’t understand the problem I was looking at.

In his poem "The Raven", Edgar Allan Poe's narrator knows, at least subconsciously, that the bird will respond with "nevermore" to whatever is asked of it. So he subconsciously formulates his queries to it in such a way that the answers will deepen his madness and sorrow.

People are starting to use LLMs in a similar fashion -- to confirm and thus magnify whatever wrong little notion they have in their heads until it becomes an all-consuming life mission to save the world. And the LLMs will happily oblige because they aren't really thinking about what they're saying, just choosing tokens on a mathematical "hey, this sounds nice" criterion. I've seen this happen with my sister, who is starting to take seriously the idea that ChatGPT was actually created 70 years ago at DARPA based on technology recovered from the Roswell crash, based on her conversations with it.

I can't really blame the LLMs entirely for this, as like the raven they're unwittingly being used to justify whatever little bit of madness people have in them. But we all have a little bit of madness in us, so this motivates me further to avoid LLMs entirely, except maybe for messing around.

I think an award ceremony would be the best way to draw attention to the outrageous implications of blindly following artificial "intelligence" to wherever it may lead you. something like the Darwin awards, but dedicated to clanker wankers, a term I am coining for those people who are so self-absorbed that they feel a dispropotionate sense of validation from a machine that is programmed to say "you're absolutely right" at every available juncture.

That's not to say this isn't rooted in mental illness, or perhaps a socially-motivated state of mind that causes a total absence of critical thinking, but some kind of noise needs to be made and I think public (ahem) recognition would be a good way to go.

A catchy name is essential - any suggestions?

People have been giving bad health advice for all of human history including now.

Talking about AI like its sentient and a monolith is the problem.

It's like saying computers give bad health advice because the internet.