Large language models can produce fluent, coherent, and persuasive responses even when the information on which they rely is partial, contested, or false. In disputed domains, this may leave some users with the impression that they are being deliberately misled. This Comment argues that the phenomenon is better understood in structural than intentional terms. It results from the convergence of four features of current systems: optimization for plausibility rather than truth, post-training incentives that reward helpful and persuasive answers, structural hallucination, and source bias rooted in asymmetries of knowledge production and digitization. These structural tendencies are further reinforced at the point of uptake by cognitive vulnerabilities such as automation bias and fluency-based truth effects. Recent evidence on conversational persuasion suggests that gains in persuasive force may come at the expense of factual accuracy. The governance problem, then, is not primarily to infer intent, but to identify the mechanisms through which epistemic distortion is produced. This Comment therefore proposes a minimal framework for epistemic auditing that distinguishes factual error, systematic omission, corpus bias, and post-training- or prompt-induced distortion, with a view to more discriminating oversight and clearer lines of responsibility.
Giulio Vidotto (Sat,) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: