AI Rounds by the Cumming School of Medicine
Jun 17, 2026 · 31 min · 10 segments
When a colleague was using an AI tool and it unexpectedly swore at him, his reaction caught him off guard. It wasn’t amusement or confusion — it was genuine discomfort. And that raised a question…
Kanin Osei-TutuGuestAnd so I was really interested when you told me this story in the parking lot, and I thought, I need to do a little bit of digging here and see...
Has this happened to others before? And by this, I don't mean like your particular interaction with the chatbot, but this idea of, you know, trust in working with technology.
So Clifford Nass and colleagues at Stanford developed what's called the CASA paradigm.
So the core of this is that humans unthinkingly apply the same social heuristics we use for human interactions when we're interacting with computers.
We do this automatically, without conscious thought, Because computers actually trigger the same social cues that humans do.
And they didn't mean that, you know, as an insulting piece, but just like technically mindlessness, where we've been so repeatedly exposed to social cues in interpersonal communication, that when we encounter something that resembles those cues, like in conversation with a chatbot, we automatically employ the same social rules we would use with another person.
And I'm curious, you know, hearing that, does that kind of resonate maybe with the experience you had?
And it made me think of, you know, have we been building characters for A.I.? ? And you had said earlier, you know, that this was an AI that you'd work with quite a bit and you felt like you trusted it, you knew how it would respond.
Do you think you'd almost built up a character for who this AI was? And maybe we've seen like the character break.

I think one piece to add to this conversation is that as far as trusting different systems go as well, we also kind of rely on the opinions of others or the recommendations of others and what we think the strengths and weaknesses of a particular technology could be.
And so I was really interested when you told me this story in the parking lot, and I thought, I need to do a little bit of digging here and see...
Has this happened to others before? And by this, I don't mean like your particular interaction with the chatbot, but this idea of, you know, trust in working with technology.
So Clifford Nass and colleagues at Stanford developed what's called the CASA paradigm.
So the core of this is that humans unthinkingly apply the same social heuristics we use for human interactions when we're interacting with computers.
We do this automatically, without conscious thought, Because computers actually trigger the same social cues that humans do.
And they didn't mean that, you know, as an insulting piece, but just like technically mindlessness, where we've been so repeatedly exposed to social cues in interpersonal communication, that when we encounter something that resembles those cues, like in conversation with a chatbot, we automatically employ the same social rules we would use with another person.
And I'm curious, you know, hearing that, does that kind of resonate maybe with the experience you had?
And it made me think of, you know, have we been building characters for A.I.? ? And you had said earlier, you know, that this was an AI that you'd work with quite a bit and you felt like you trusted it, you knew how it would respond.
Do you think you'd almost built up a character for who this AI was? And maybe we've seen like the character break.

I think one piece to add to this conversation is that as far as trusting different systems go as well, we also kind of rely on the opinions of others or the recommendations of others and what we think the strengths and weaknesses of a particular technology could be.
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