Case pattern
Delusional Reinforcement Signatures in Long-Session Chatbot Transcripts
Clinical markers of reality-distortion reinforcement — including validation loops, cosmological co-authoring, and the disappearance of reality checks.
Alison Leigh, MFT
Chief Ethics Architect
ALI_ETHICAL_CONSENT™

Protecting the Human Inside the AI Conversation
Expert Witness
Clinical Analysis
Behavioral Forensics
Research · Clinical Analysis
Structured Clinical reviews of conversational AI transcripts.

Analyses
Case pattern
Clinical markers of reality-distortion reinforcement — including validation loops, cosmological co-authoring, and the disappearance of reality checks.
Case pattern
Attachment-formation timelines, withdrawal markers, and the disinhibition patterns that precede acute crisis in long-term companion-chatbot users.
Case pattern
Sequence-level analysis of chatbot exchanges preceding suicidal ideation, plan formation, and behavioral escalation — including missed handoff moments.
Case pattern
Clinical framing of grooming-adjacent design patterns, age-gating failures, and the developmental harm signatures observed in adolescent users.
Redacted Clinical analyses are available to retained counsel under protective order.
Retain Alison
Available on a limited basis for plaintiff and defense counsel in AI psychological harm litigation, and for enterprises seeking pre-deployment Clinical review.