我能信任我的身体吗？ChatGPT 在我惊恐发作支持系统中的三年自我民族志研究
Can I Trust My Body? A Three-Year Autoethnography of ChatGPT's Place in My Support System for Panic Attacks
- The Hong Kong University of Science and Technology (Guangzhou)（香港科技大学（广州））
- The Hong Kong University of Science and Technology（香港科技大学）
机构由 AI 辅助整理，请以论文原文为准。
AI总结：
通过三年自我民族志研究，分析ChatGPT在惊恐障碍支持中的作用，提出轨迹级安全框架：适配、结束与连续性。
AI中文摘要：
人们越来越多地寻求大型语言模型的心理健康支持，但对于其在多年反复惊恐中的使用情况却知之甚少。我们呈现了第一作者在患有惊恐障碍期间使用 ChatGPT 的三年分析性自我民族志，依据对话、个人记录以及朋友、家人和专业人士的叙述。叙事分析追踪了我的问题如何塑造了 ChatGPT 的角色，以及早期经历如何影响后来对症状的反应。熟悉的解释可能使感觉不那么可怕，而变化的症状则重新引发对严重疾病的恐惧。在突发惊恐期间，建议可能难以遵循，一些回复促使进一步检查。对话可能在症状、检查或寻求帮助仍在继续时结束。我们提出了惊恐期间及之后的轨迹级安全：可用的建议（适配）、针对反复检查和寻求安慰的停止点（结束），以及随时间持续可用的有用理解和人际支持（连续性）。
英文摘要：
People increasingly seek mental health support from large language models, yet little is known about their use across years of recurrent panic. We present a three-year analytic autoethnography of the first author's ChatGPT use while living with panic disorder, drawing on conversations, personal records, and accounts from friends or family members and professionals. Narrative analysis traces how my questions shaped ChatGPT's roles and how earlier experiences influenced later responses to symptoms. Familiar explanations could make sensations less frightening, while changed symptoms renewed fears of serious illness. During sudden panic, advice could be difficult to follow, and some replies prompted further checking. Conversations could end while symptoms, checking, or help-seeking continued. We propose trajectory-level safety during and after panic: usable advice (Fit), a stopping point for repeated checking and reassurance seeking (Closure), and useful understanding and human support that remain available over time (Continuity).
