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我能信任我的身体吗?ChatGPT 在我惊恐发作支持系统中角色的三年自我民族志研究
该 arXiv 预印本(cs.HC)以第一作者三年使用 ChatGPT 应对惊恐障碍的经历为对象,结合对话记录、个人记录及亲友与专业人员叙述做分析性自我民族志。叙事分析显示:熟悉的解释可降低对躯体感受的恐惧,症状变化会重新引发重病担忧;突发惊恐时建议难以执行,部分回复反而促使进一步检查,且对话结束后症状、检查或求助行为仍可能持续。作者据此提出惊恐期间及之后的轨迹级安全框架:Fit(可用建议)、Closure(为反复检查与寻求安慰提供停止点)、Continuity(长期可用的理解与人类支持)。
AI推荐理由 arXiv 预印本,作者为 Dongyijie Primo Pan、Pan Hui、Mirjana Prpa,提交于 2026-09-18,属 HCI 领域。核心新信息是三年分析性自我民族志,追踪 ChatGPT 在惊恐障碍支持中的角色演变,并提出轨迹级安全三要素:Fit(可用建议)、Closure(停止反复检查与寻求安慰的终点)、Continuity(长期可用的理解与人类支持)。局限在于样本为单一作者自述,结论不可外推,且摘要未给出量化证据;对 AI 心理健康应用与 Agent 安全设计有参考价值,但非模型或产品首发。
62
正文
Computer Science > Human-Computer Interaction
arXiv:2609.21925 (cs)
[Submitted on 18 Sep 2026]
Title:Can I Trust My Body? A Three-Year Autoethnography of ChatGPT's Place in My Support System for Panic Attacks
Authors:Dongyijie Primo Pan, Pan Hui, Mirjana Prpa
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Abstract:People increasingly seek mental health support from large language models, yet little is known about their use across years of recurrent panic. We present a three-year analytic autoethnography of the first author's ChatGPT use while living with panic disorder, drawing on conversations, personal records, and accounts from friends or family members and professionals. Narrative analysis traces how my questions shaped ChatGPT's roles and how earlier experiences influenced later responses to symptoms. Familiar explanations could make sensations less frightening, while changed symptoms renewed fears of serious illness. During sudden panic, advice could be difficult to follow, and some replies prompted further checking. Conversations could end while symptoms, checking, or help-seeking continued. We propose trajectory-level safety during and after panic: usable advice (Fit), a stopping point for repeated checking and reassurance seeking (Closure), and useful understanding and human support that remain available over time (Continuity).
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Human-Computer Interaction (cs.HC)
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arXiv:2609.21925 [cs.HC]
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arXiv:2609.21925v1 [cs.HC] for this version)
https://doi.org/10.48550/arXiv.2609.21925
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arXiv-issued DOI via DataCite (pending registration)
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From: Donyijie Primo Pan [view email]
[v1]
Fri, 18 Sep 2026 15:47:01 UTC (148 KB)
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