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Mpy29-007

Prompt Engineering Limitations: Preliminary Evaluation of Large Language Models for Psychotherapy Safety

Quote: Models frequently validated harmful statements, colluded with hallucinations, minimized symptoms, or used stigmatizing language, including in the newest and largest models. These failures reflect structural limitations such as lack of memory, insufficient contextual reasoning, and training-related biases. Prompt engineering alone is therefore insufficient for safe AI-mediated psychotherapy; clinician-guided fine-tuning, integrated safety mechanisms, and system-level over-sight will be required. This work provides early evidence motivating deeper clinician-led evaluation and safety-oriented model development.
Abstract: https://www.medrxiv.org/content/10.64898/2026.07.16.26358261v1
Full Text: https://www.medrxiv.org/content/10.64898/2026.07.16.26358261v1.full-text
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Search Authors: Nhat Ngo Giang Dao Akane Sano, 

  Javilk's Research Links Newsletter for Week 29
Updated 07/25/2026-03:15:16 AM
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