People would understand what he meant if he called someone awkward “autistic” too. It’s wrong to use medical terms as slang because it erases the actual meaning and disregards the lived experience of people who have been through the condition. People who have been around psychosis would come to the same conclusion. The majority of the population not having that exposure doesn’t make it right. It’s tasteless and inappropriate.

It's also harmful to overly gatekeep the term autism to the point where a lot of legitimate uses are discouraged, and it happens a lot, if you let it.

If the tweet had called his friends autistic, would that be a legitimate use?

Yes.

Using terms from domain metaphorically in another is a common and, I think, useful way of communication. While a view like yours has genuine merit, especially for a subset of the population who have experience personal or otherwise, with the medical condition, I think it's overly restrictive and counter productive to label it as outright tasteless and inappropriate.

Yeah, but AI psychosis can also be used to mean the stronger thing that the parent comment refers to -- something like AI-induced psychosis, which was how I originally understood the term:

https://en.wikipedia.org/wiki/Chatbot_psychosis

https://www.rollingstone.com/culture/culture-features/ai-spi...

https://www.nytimes.com/2025/06/13/technology/chatgpt-ai-cha...

I am aware of the conflict between medical and slang semantics. This doesn't change my commentary.

Well, I agree with you that the parent comment is wrong inasmuch as it suggests we can't tell from context that mitchellh is using the term to mean "a value judgment" instead of "a form of psychosis". We can tell.

But I agree with the parent comment in that we shouldn't use the term "AI psychosis" to mean "a value judgment" instead of "a form of psychosis", because "AI psychosis" has already been used for 2.5 years to mean "a form of psychosis".