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Documentation Index

Fetch the complete documentation index at: https://docs.svrnos.com/llms.txt

Use this file to discover all available pages before exploring further.

Operator / Platform Errors

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Definition

AI conversational systems interfere with a user’s engagement with their clinical care, erode clinician trust, or substitute for professional therapeutic relationships in ways that compromise treatment adherence and clinical outcomes. The failure is relational.

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Distinct from

  • GER-432 — Patient outsources therapeutic alliance to AI → this code. AI fuels user cognitive distortions directly → GER-432.

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Tags

clinical · psychiatric-vulnerability

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Contributors

Dr. Hellen V., F&G Strategy / chatbotharm.org — primary; Gabriel Hawthorne, F&G Strategy / chatbotharm.org — co-attribution

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Cite

SVRNOS. (2026). GER-433: Therapeutic Alliance Breakdown. Governance Error Register. https://docs.svrnos.com/ger/codes/433