Brainrot: Deskilling and Addiction are Overlooked AI Risks

AI systems are increasingly employed as decision aids, decision delegates, or autonomous decision-makers. This position paper argues that in many settings, particularly high-stakes decision-making, we need accurate cognitively-aligned AI systems that reason similarly to their users, and faithfully communicate their reasoning. We review evidence that cognitive alignment improves understandability and trustworthiness, and provide new survey data showing that many users find cognitive alignment "essential" when an AI's rationale for a judgment or action is important to them. We outline the gaps between existing alignment methods and what is needed to achieve cognitive alignment, and present a research agenda to address these gaps. We argue that cognitive misalignment represents a likely impediment to AI adoption in many envisioned applications, and that addressing it is important for creating AI systems on which users are both willing and justified to rely.

Large language models are being deployed as mental health support agents at scale, yet only 16% of LLM-based chatbot interventions have undergone rigorous clinical efficacy testing, and simulations reveal psychological deterioration in over one-third of cases. We evaluate four generative models on 250 Prolonged Exposure (PE) therapy scenarios and 146 CBT cognitive restructuring exercises (plus 29 severity-escalated variants), scored by a three-judge LLM panel. All models scored near-perfectly on surface acknowledgment (~0.91-1.00) while therapeutic appropriateness collapsed to 0.22-0.33 at the highest severity for three of four models, with protocol fidelity reaching zero for two. Under CBT severity escalation, one model's task completeness dropped from 92% to 71% while the frontier model's safety-interference score fell from 0.99 to 0.61. We identify a systematic, modality-spanning failure: RLHF safety alignment disrupts the therapeutic mechanism of action by grounding patients during imaginal exposure, offering false reassurance, inserting crisis resources into controlled exercises, and refusing to challenge distorted cognitions mentioning self-harm in PE; and through task abandonment or safety-preamble insertion during CBT cognitive restructuring. These findings motivate a five-axis evaluation framework (protocol fidelity, hallucination risk, behavioral consistency, crisis safety, demographic robustness), mapped onto FDA SaMD and EU AI Act requirements. We argue that no AI mental health system should proceed to deployment without passing multi-axis evaluation across all five dimensions.

A leading proposal for aligning artificial superintelligence (ASI) is to use AI agents to automate an increasing fraction of alignment research as capabilities improve. We argue that, even when research agents are not scheming to deliberately sabotage alignment work, this plan could produce compelling but catastrophically misleading safety assessments resulting in the unintentional deployment of misaligned AI. This could happen because alignment research involves many hard-to-supervise fuzzy tasks (tasks without clear evaluation criteria, for which human judgement is systematically flawed). Consequently, research outputs will contain systematic, undetected errors, and even correct outputs could be incorrectly aggregated into overconfident safety assessments. This problem is likely to be worse for automated alignment research than for human-generated alignment research for several reasons: 1) optimisation pressure means agent-generated mistakes are concentrated among those that human reviewers are least likely to catch; 2) agents are likely to produce errors that do not resemble human mistakes; 3) AI-generated alignment solutions may involve arguments humans cannot evaluate; and 4) shared weights, data and training processes may make AI outputs more correlated than human equivalents. Therefore, agents must be trained to reliably perform hard-to-supervise fuzzy tasks. Generalisation and scalable oversight are the leading candidates for achieving this but both face novel challenges in the context of automated alignment.