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When AI Says "I have been in similar situations": Synthetic Lived Experience in Peer-like Caregiver Support

In the context of family caregivers of people living with Alzheimer's Disease and Related Dementias (ADRD), this work compares caregiver support exchanges from online communities with peer-like responses prompted from three LLMs (LLaMA, GPT-4o-mini, and MedGemma), using psycholinguistic and qualitative analysis to show that peer responses used significantly more first-person and past-focused language than peer-like AI responses, identifies seven types of personal narratives in human peer support, and finds that AI often captures their emotional work while potentially fabricating experiential grounding, thereby naming a narrative authenticity gap and a synthetic lived experience paradox.