Jul 2026· Communication and Change· Vol 2· 0 citations· 97 references
TL;DR
It is argued that contemporary AI use reflects a shift from tool-based human–machine interaction toward forms of companionship that offer meaningful psychological support, and requires expanding debates beyond a focus on clinical efficacy to encompass the relational and affective dimensions of care, attachment, and everyday emotional life.
Abstract
The rapid rise of generative AI chatbots has extended their use beyond task-based assistance into the realms of emotional support, companionship, and informal mental health care. This article examines how individuals engage with general-purpose and companion-oriented AI systems such as ChatGPT and Replika to support their mental well-being. Drawing on qualitative interviews with AI users, supplemented by computational analysis of Reddit discussions, we show that many experience these systems as companions that meet unmet needs for advice, companionship, understanding, and non-judgmental self-disclosure. These relationships are multi-functional, blending emotional expression, advice-seeking, entertainment, identity exploration, and a felt sense of ‘being cared for’. Notably, perceived mental health benefits arise not despite AI’s non-human qualities, but because of them. Users consistently emphasise AI’s availability, patience, emotional safety, and freedom from judgement as preferable to aspects of human therapy. We argue that contemporary AI use reflects a shift from tool-based human–machine interaction toward forms of companionship that offer meaningful psychological support. Recognizing companionship as central to AI’s mental health role requires expanding debates beyond a focus on clinical efficacy to encompass the relational and affective dimensions of care, attachment, and everyday emotional life.
The rapid advancement of artificial intelligence (AI) has introduced a new form of human-technology interaction through AI companions, including conversational agents, social chatbots, and emotionally responsive digital systems. Unlike traditional digital tools designed primarily for information retrieval, AI companion...
Shamreen Rumana S, Karishni M· International Journal of Res...· 0 citations
Examining anonymized data from Psyhelp, an AI-assisted mental health platform, suggests that AI companionship reflects broader relational needs and has implications for systemic assessment, case conceptualization, and clinical training.
A. Rajaei· Journal of Marital & Family...· 0 citations
Background: Artificial intelligence (AI)-driven conversational systems are increasingly capable of simulating empathy, adapting to individual users, and fostering emotional bonds that blur the boundary between tool and companion. This scoping review maps the extent and nature of published evidence regarding psychologic...
M. Lastretti, M. Manchia, Matteo Fraschini et al.· Psychiatry International· 0 citations
This work proposes a set of aspirational directions for guiding the behavior of general-purpose AI systems in ways that may reduce potential psychological harms and support user well-being, and identifies open questions and areas requiring deeper study.
The findings informed the development of the Integrated Attachment–Motivation–Pedagogy (AMP) model with direct implications for designing AI in culturally sensitive pedagogical practices.
Saiful Islam Polash, Shariful Islam, Faimul Hoq· SAP Social AI· 0 citations
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