People with dementia often experience social isolation in daily life. Generative AI (GenAI) technologies, producing seemingly new content on the spot and tailoring it to users’ wishes, open new avenues for promoting meaningful social connections in dementia care. This study involved 17 people with dementia in 6 workshops and explored how they responded to and perceived three GenAI models, Copilot, Midjourney, and Suno, with a focus on social connectedness. Our results reveal that people with dementia engage in a relational process when using GenAI together: they collectively evaluate the outcomes of the models and negotiate further prompts. Moreover, they gradually develop an understanding of GenAI and become more critical about its output. We contribute to HCI by demonstrating how GenAI can foster social bonding between people with dementia through the co-creation of shared realities, and by discussing guidelines for designing effective and ethically responsible GenAI for people with dementia.

Intertemporal reflection, flexibly thinking forward and backward in time, is vital for one's future planning.Yet, cultivating intertemporal reflection about encountering difficult futures, e.g., developing a progressive cognitive condition like dementia, can be challenging.We assessed people's attitudes towards dementia following conversing with a chatbot presented as either neurotypical or simulating dementia symptoms.While neither the chatbot's presentation nor the framing of participants' future selves impacted attitudes toward dementia, it influenced participants' experiences.When framed as future selves, the chatbot evoked a strong emotional connection, leading to reflection on aging, particularly with the chatbot simulating dementia symptoms.Participants interacting with the chatbot framed as a stranger with simulated symptoms often felt frustrated, especially when they had a task-oriented mindset.Chatbots can be promising tools for prompting reflections on challenging futures, such as dementia, although their effectiveness varies due to the tensions between simulated cognitive decline and expectations for effective communication.