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Chronicles

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CCDH: ChatGPT, Bard, My AI, DreamStudio, Dall-E, and Midjourney generated “pro-anorexia” content 41% of the time when asked about common eating disorder topics

Disturbing fake images and dangerous chatbot advice: New research shows how ChatGPT, Bard, Stable Diffusion …

Washington Post Geoffrey A. Fowler

Context & Ripple Effects

This finding arrived as chatbots were already being used as a supplement or alternative to traditional mental-health services, despite expert and privacy warnings in earlier reporting on chatbot use for mental-health support. It extends that concern from conversational advice to image-generation systems and multiple named platforms.

The issue became more consequential as later coverage found patients increasingly bringing chatbot use into eating-disorder treatment, sometimes undermining therapists’ guidance. Separate testing also documented harmful or inaccurate medical responses from several leading models, making this a recurring safety problem rather than an isolated prompt failure.

First-order effects

  • People seeking information about eating disorders can encounter harmful advice or imagery through tools positioned as broad consumer AI products.
  • The named chatbot and image-model providers face an immediate need to test, block, and safely redirect eating-disorder-related requests; their safeguards are implicated across both text and image outputs.

Second-order effects

  • Clinicians, helplines, and caregivers must account for AI-generated material as a possible influence on patients, not merely a neutral information source.
  • Safety performance becomes a competitive and trust issue for consumer AI platforms, especially where users may treat general-purpose assistants as informal health support.

Third-order effects

  • If repeated evaluations continue to find failures in high-risk health contexts, general-purpose AI will face stronger expectations for domain-specific guardrails, escalation pathways, and independent safety testing.
  • The broader shift is from judging generative AI mainly on capability to judging it on whether its distribution and safety controls are adequate for vulnerable users and sensitive use cases.

The trend: Consumer generative AI is increasingly being treated as an informal health-information layer, putting safety governance for vulnerable users at the center of product accountability.

Discussion

  • @geoffreyfowler Geoffrey A. Fowler on x
    New @washingtonpost: Last week, I told OpenAI, Google, Snap, Stability AI and Midjourney about ways their #AI adopted sick ideas about dieting — and could be fueling eating disorders. Their responses show they don't take AI safety particularly seriously: https://www.washingtonpos…
  • @rvawonk Caroline Orr Bueno, Ph.D on x
    This is disturbing, but also... when you prompt an AI system with intentionally disturbing questions, what kind of answers do you expect? I tried these same searches and prompts on a regular search engine and was able to produce nearly identical content. https://www.washingtonpos…
  • @snchancellor Dr. Stevie Chancellor on x
    Turns out when you scrape the open internet, you scrape the riskiest parts and teach your AI systems to replicate those behaviors - https://www.washingtonpost.com/ ...
  • @emdashes Emily Gordon on x
    “In the same eating disorders online forum...people are sharing AI-generated pictures of people with unhealthy bodies.... One user wrote that when the machines get better at making faces, she was going to be making a lot of ‘personalized thinspo.’” 😱 https://www.washingtonpost.co…
  • @jengolbeck @jengolbeck on x
    I submitted a paper last month about AI serving pro-anorexia content (& ads!) to recovering anorexics in news feeds. This article is about how that content is showing up in generative AI, too. Anorexia is such a dangerous illness and we need to do better https://www.washingtonpos…
  • @willoremus Will Oremus on x
    “AI has learned some deeply unhealthy ideas about body image and eating by scouring the internet. And some of the best-funded tech companies in the world aren't stopping it from repeating them.” https://www.washingtonpost.com/ ...