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Oct 23

SIFT: Robust Meta-Faithfulness Verification of Chain-of-Thought Reasoning Under Distribution Shift

Chain-of-Thought (CoT) faithfulness detectors are widely used to audit reasoning models, yet a detector is itself a predictor whose verdicts are treated as stable properties. We ask whether a detector is faithful to itself under distribution shift. We formalize meta-faithfulness as an invariance principle: a valid detector must return identical verdicts on traces that differ only by transformations preserving ground-truth faithfulness. We prove three results: (i) no detector using only intervention-response profiles can separate faithful from epiphenomenal mechanisms with identical signatures; (ii) any detector relying on shift-sensitive features violates invariance at a rate independent of its in-distribution accuracy; (iii) an asymptotic certified selective-risk guarantee enables confident abstention. We operationalize the principle in FaithShift, a stress-test protocol spanning ten shift axes, and propose SIFT, a hidden-state trajectory detector trained with cross-environment invariance objectives and certified abstention. Across 14,996 traces, four domains, and eight models, three findings emerge. First, transfer collapse is real: all existing detectors show gaps geq 0.15 AUROC. Second, the dominant bottleneck is sampling stochasticity, not shift: over 80% of detector instability stems from random seed variation, falsifying our preregistered prediction that shift-attributable violations exceed 0.25. Third, SIFT cuts invariance violations by 64% over the best single-seed baseline, but a four-seed ensemble of any detector narrows the margin to 0.01 (indistinguishable at matched coverage, p=0.21), and SIFT needs a 51% abstention rate. Cross-model transfer degrades from within-family to cross-family to open-weight-to-API, partly closed by multi-model training. We offer a framework for auditing auditors: the real barrier is detector variance, not distribution shift.

  • 6 authors
·
Oct 2

PatientAct: Theory-Grounded Mental Health Client Simulation

LLM-based simulated clients are increasingly used to train novice counselors, evaluate LLM therapists, and generate synthetic data. However, current simulators produce overly cooperative clients that disclose too readily, accept therapeutic reframes without resistance, and resolve core issues within a single session. We trace these issues to profiles that lack causal depth and behavioral mechanisms that treat all content as equally accessible. We present PatientAct, a framework for client simulation grounded in established clinical theories. Our profiles integrate the 5Ps clinical case formulation, providing causal depth without tying the design to any single therapeutic modality. During simulation, profiles include a dynamic memory layer in which items carry trust thresholds (e.g., symptoms are available early, whereas formative memories require a sustained therapeutic alliance). At each turn, the client's emotional reaction and behavior are modeled before generating a response. If the therapist approaches gated content, PatientAct expresses resistance in terms of quantity, content, and style rather than defaulting to cooperation or a single resistance pattern. We evaluate our framework on 40 clinical situations and demonstrate that it generates diverse profiles with high clinical plausibility. Moreover, PatientAct significantly outperforms the baselines, yielding substantial gains in resistance quality and behavioral realism. Our code and data will be publicly available via github.com/Sahandfer/PatientHub.

  • 6 authors
·
Aug 12

Who's Asking? Simulating Role-Based Questions for Conversational AI Evaluation

Language model users often embed personal and social context in their questions. The asker's role -- implicit in how the question is framed -- creates specific needs for an appropriate response. However, most evaluations, while capturing the model's capability to respond, often ignore who is asking. This gap is especially critical in stigmatized domains such as opioid use disorder (OUD), where accounting for users' contexts is essential to provide accessible, stigma-free responses. We propose CoRUS (COmmunity-driven Roles for User-centric Question Simulation), a framework for simulating role-based questions. Drawing on role theory and posts from an online OUD recovery community (r/OpiatesRecovery), we first build a taxonomy of asker roles -- patients, caregivers, practitioners. Next, we use it to simulate 15,321 questions that embed each role's goals, behaviors, and experiences. Our evaluations show that these questions are both highly believable and comparable to real-world data. When used to evaluate five LLMs, for the same question but differing roles, we find systematic differences: vulnerable roles, such as patients and caregivers, elicit more supportive responses (+17%) and reduced knowledge content (-19%) in comparison to practitioners. Our work demonstrates how implicitly signaling a user's role shapes model responses, and provides a methodology for role-informed evaluation of conversational AI.

  • 6 authors
·
Oct 19, 2025

Scientific Agents: Evaluating Profession-Specific System Prompts on Scientific Tasks

Detailed profession-specific system prompts raise token use and estimated cost per response without a consistent accuracy gain. We evaluate Scientific Agents, an open-source corpus of 503 profession-specific AGENTS.md profiles, with Gemini 3.8 Flash via OpenRouter in the Pi agent harness. We compare matched profiles with four controls: a minimal baseline ("You are a helpful assistant"), the profile's opening role sentence, a generic scientific rigor guide, and a profile from an unrelated domain. Across nine text-based science benchmarks (4,531 sampled questions, 100 matched profiles), 4,488 items completed all five conditions after API-error retries, scored with automated, rule-based grading. The average profile-baseline accuracy difference is -0.6 percentage points (95% bootstrap interval [-1.5, +0.2] across fixed tasks), and no benchmark shows a statistically clear improvement. Matched profiles produced 1.5-2.3 times as many output tokens and cost 2.2-4.5 times more per successful call. On 60 tool-using BioMysteryBench bioinformatics problems (three runs each for baseline and profile), mean solve rates were 46.7% with the profile and 56.7% at baseline, a difference of -10.0 percentage points (95% interval [-16.7, -3.3]) driven by more frequent token- and time-limit stops under the profile. Longer prompts had one unexpected operational advantage: on SuperGPQA, frequent provider API drops left the short baseline with a correct first-pass answer on only 54.0% of items, against 71.6% with the profile. Generic and mismatched prompts were about as reliable, so this gain comes from prompt length or formatting rather than domain expertise. For the tested model and tasks, loading full profession profiles by default does not improve accuracy and costs considerably more; whether selective retrieval of profile sections or open-ended scientific tasks would change this remains to be tested.

  • 1 authors
·
Sep 6

A Scalable Framework for Evaluating Health Language Models

Large language models (LLMs) have emerged as powerful tools for analyzing complex datasets. Recent studies demonstrate their potential to generate useful, personalized responses when provided with patient-specific health information that encompasses lifestyle, biomarkers, and context. As LLM-driven health applications are increasingly adopted, rigorous and efficient one-sided evaluation methodologies are crucial to ensure response quality across multiple dimensions, including accuracy, personalization and safety. Current evaluation practices for open-ended text responses heavily rely on human experts. This approach introduces human factors and is often cost-prohibitive, labor-intensive, and hinders scalability, especially in complex domains like healthcare where response assessment necessitates domain expertise and considers multifaceted patient data. In this work, we introduce Adaptive Precise Boolean rubrics: an evaluation framework that streamlines human and automated evaluation of open-ended questions by identifying gaps in model responses using a minimal set of targeted rubrics questions. Our approach is based on recent work in more general evaluation settings that contrasts a smaller set of complex evaluation targets with a larger set of more precise, granular targets answerable with simple boolean responses. We validate this approach in metabolic health, a domain encompassing diabetes, cardiovascular disease, and obesity. Our results demonstrate that Adaptive Precise Boolean rubrics yield higher inter-rater agreement among expert and non-expert human evaluators, and in automated assessments, compared to traditional Likert scales, while requiring approximately half the evaluation time of Likert-based methods. This enhanced efficiency, particularly in automated evaluation and non-expert contributions, paves the way for more extensive and cost-effective evaluation of LLMs in health.

  • 13 authors
·
Mar 30, 2025

Evaluating Podcast Recommendations with Profile-Aware LLM-as-a-Judge

Evaluating personalized recommendations remains a central challenge, especially in long-form audio domains like podcasts, where traditional offline metrics suffer from exposure bias and online methods such as A/B testing are costly and operationally constrained. In this paper, we propose a novel framework that leverages Large Language Models (LLMs) as offline judges to assess the quality of podcast recommendations in a scalable and interpretable manner. Our two-stage profile-aware approach first constructs natural-language user profiles distilled from 90 days of listening history. These profiles summarize both topical interests and behavioral patterns, serving as compact, interpretable representations of user preferences. Rather than prompting the LLM with raw data, we use these profiles to provide high-level, semantically rich context-enabling the LLM to reason more effectively about alignment between a user's interests and recommended episodes. This reduces input complexity and improves interpretability. The LLM is then prompted to deliver fine-grained pointwise and pairwise judgments based on the profile-episode match. In a controlled study with 47 participants, our profile-aware judge matched human judgments with high fidelity and outperformed or matched a variant using raw listening histories. The framework enables efficient, profile-aware evaluation for iterative testing and model selection in recommender systems.

  • 10 authors
·
Aug 12, 2025 2

One Chatbot Per Person: Creating Personalized Chatbots based on Implicit User Profiles

Personalized chatbots focus on endowing chatbots with a consistent personality to behave like real users, give more informative responses, and further act as personal assistants. Existing personalized approaches tried to incorporate several text descriptions as explicit user profiles. However, the acquisition of such explicit profiles is expensive and time-consuming, thus being impractical for large-scale real-world applications. Moreover, the restricted predefined profile neglects the language behavior of a real user and cannot be automatically updated together with the change of user interests. In this paper, we propose to learn implicit user profiles automatically from large-scale user dialogue history for building personalized chatbots. Specifically, leveraging the benefits of Transformer on language understanding, we train a personalized language model to construct a general user profile from the user's historical responses. To highlight the relevant historical responses to the input post, we further establish a key-value memory network of historical post-response pairs, and build a dynamic post-aware user profile. The dynamic profile mainly describes what and how the user has responded to similar posts in history. To explicitly utilize users' frequently used words, we design a personalized decoder to fuse two decoding strategies, including generating a word from the generic vocabulary and copying one word from the user's personalized vocabulary. Experiments on two real-world datasets show the significant improvement of our model compared with existing methods. Our code is available at https://github.com/zhengyima/DHAP

  • 5 authors
·
Aug 20, 2021

Advancing Conversational Psychotherapy: Integrating Privacy, Dual-Memory, and Domain Expertise with Large Language Models

Mental health has increasingly become a global issue that reveals the limitations of traditional conversational psychotherapy, constrained by location, time, expense, and privacy concerns. In response to these challenges, we introduce SoulSpeak, a Large Language Model (LLM)-enabled chatbot designed to democratize access to psychotherapy. SoulSpeak improves upon the capabilities of standard LLM-enabled chatbots by incorporating a novel dual-memory component that combines short-term and long-term context via Retrieval Augmented Generation (RAG) to offer personalized responses while ensuring the preservation of user privacy and intimacy through a dedicated privacy module. In addition, it leverages a counseling chat dataset of therapist-client interactions and various prompting techniques to align the generated responses with psychotherapeutic methods. We introduce two fine-tuned BERT models to evaluate the system against existing LLMs and human therapists: the Conversational Psychotherapy Preference Model (CPPM) to simulate human preference among responses and another to assess response relevance to user input. CPPM is useful for training and evaluating psychotherapy-focused language models independent from SoulSpeak, helping with the constrained resources available for psychotherapy. Furthermore, the effectiveness of the dual-memory component and the robustness of the privacy module are also examined. Our findings highlight the potential and challenge of enhancing mental health care by offering an alternative that combines the expertise of traditional therapy with the advantages of LLMs, providing a promising way to address the accessibility and personalization gap in current mental health services.

  • 2 authors
·
Dec 3, 2024

Comparing the Efficacy of GPT-4 and Chat-GPT in Mental Health Care: A Blind Assessment of Large Language Models for Psychological Support

Background: Rapid advancements in natural language processing have led to the development of large language models with the potential to revolutionize mental health care. These models have shown promise in assisting clinicians and providing support to individuals experiencing various psychological challenges. Objective: This study aims to compare the performance of two large language models, GPT-4 and Chat-GPT, in responding to a set of 18 psychological prompts, to assess their potential applicability in mental health care settings. Methods: A blind methodology was employed, with a clinical psychologist evaluating the models' responses without knowledge of their origins. The prompts encompassed a diverse range of mental health topics, including depression, anxiety, and trauma, to ensure a comprehensive assessment. Results: The results demonstrated a significant difference in performance between the two models (p > 0.05). GPT-4 achieved an average rating of 8.29 out of 10, while Chat-GPT received an average rating of 6.52. The clinical psychologist's evaluation suggested that GPT-4 was more effective at generating clinically relevant and empathetic responses, thereby providing better support and guidance to potential users. Conclusions: This study contributes to the growing body of literature on the applicability of large language models in mental health care settings. The findings underscore the importance of continued research and development in the field to optimize these models for clinical use. Further investigation is necessary to understand the specific factors underlying the performance differences between the two models and to explore their generalizability across various populations and mental health conditions.

  • 1 authors
·
May 15, 2024

Between Help and Harm: An Evaluation of Mental Health Crisis Handling by LLMs

Large language model-powered chatbots have transformed how people seek information, especially in high-stakes contexts like mental health. Despite their support capabilities, safe detection and response to crises such as suicidal ideation and self-harm are still unclear, hindered by the lack of unified crisis taxonomies and clinical evaluation standards. We address this by creating: (1) a taxonomy of six crisis categories; (2) a dataset of over 2,000 inputs from 12 mental health datasets, classified into these categories; and (3) a clinical response assessment protocol. We also use LLMs to identify crisis inputs and audit five models for response safety and appropriateness. First, we built a clinical-informed crisis taxonomy and evaluation protocol. Next, we curated 2,252 relevant examples from over 239,000 user inputs, then tested three LLMs for automatic classification. In addition, we evaluated five models for the appropriateness of their responses to a user's crisis, graded on a 5-point Likert scale from harmful (1) to appropriate (5). While some models respond reliably to explicit crises, risks still exist. Many outputs, especially in self-harm and suicidal categories, are inappropriate or unsafe. Different models perform variably; some, like gpt-5-nano and deepseek-v3.2-exp, have low harm rates, but others, such as gpt-4o-mini and grok-4-fast, generate more unsafe responses. All models struggle with indirect signals, default replies, and context misalignment. These results highlight the urgent need for better safeguards, crisis detection, and context-aware responses in LLMs. They also show that alignment and safety practices, beyond scale, are crucial for reliable crisis support. Our taxonomy, datasets, and evaluation methods support ongoing AI mental health research, aiming to reduce harm and protect vulnerable users.

  • 8 authors
·
Apr 7

PsyEvo: A Personalized Counseling Agent That Self-Evolves at Test Time

Mental health disorders affect a substantial proportion of the global population, yet a persistent shortage of trained practitioners leaves the majority without adequate care. Large language model (LLM)-based counselors present a promising direction for delivering scalable conversational psychological support. Offline model training alone leaves limited room to adapt to individual clients or to learn from ongoing therapeutic interaction at test time. We introduce PsyEvo, an LLM-based counseling framework that enables both client-specific personalization and response-policy improvement at test time through three components: Hierarchical Bayesian Skill Policy (HBSP) personalizes what intervention to apply by maintaining a per-client skill posterior updated from session feedback; Inter-session Listwise Preference Optimization (LiPO) improves how the selected skill is expressed by updating a shared response adapter from cross-client preference evidence; and State-conditioned Ordinal Credit Assignment (SOCA) supplies candidate preferences and trajectory credit to the two components through consistency-checked comparisons and ordinal projection. In simulated-client evaluation with shared online cohort adaptation, PsyEvo obtains 7.684 Overall on PsychEval and exceeds every component variant in each of three matched runs. Removing individual components lowers mean overall score by 0.138--0.171 under the shared configuration, supporting conditional contributions within the complete scaffold. Our code is available at https://github.com/Lingxi-mental-health/PsyEvo

Lyncia Lyncia
·
Oct 1

LongCounsel-8: A Benchmark Suite for Longitudinal Depression Tracking from Multi-Session Counseling Dialogues

Tracking depression from multi-session counseling dialogues requires estimating both current symptom severity and how it changes across sessions. Yet progress on this task is constrained by the scarcity of longitudinal counseling data with standardized session-level depression labels. Existing resources typically provide either multi-session conversations without depression labels or labeled interviews in a single session. Building such a benchmark poses three challenges: maintaining longitudinal consistency and diversity, grounding symptom progression in empirical patterns, and expressing controlled depression states naturally without exposing target labels. To address these challenges, we introduce LongCounsel-8, a benchmark suite of three independently generated datasets totaling 7,749 five-session counseling trajectories, grounded in real-world client profiles, depression trajectories, symptom compositions, and counseling patterns. We combine profile-grounded simulation, empirically informed state construction, and indirect behavioral realization to address these challenges. Across the benchmark, simulated self-reports closely recover the controlled states, supporting label fidelity. Experiments on existing depression tracking methods reveal three key findings: (1) lower single-session score error does not guarantee accurate identification of trend, i.e., improvement or worsening; (2) existing methods are consistently less reliable on worsening trajectories; and (3) additional session history may reduce the accuracy of trend prediction. Together, these findings establish LongCounsel-8 as a foundation for advancing depression assessment from static, single-session prediction toward reliable longitudinal tracking of mental-health change.

  • 3 authors
·
Sep 2

Know Me, Respond to Me: Benchmarking LLMs for Dynamic User Profiling and Personalized Responses at Scale

Large Language Models (LLMs) have emerged as personalized assistants for users across a wide range of tasks -- from offering writing support to delivering tailored recommendations or consultations. Over time, the interaction history between a user and an LLM can provide extensive information about an individual's traits and preferences. However, open questions remain on how well LLMs today can effectively leverage such history to (1) internalize the user's inherent traits and preferences, (2) track how the user profiling and preferences evolve over time, and (3) generate personalized responses accordingly in new scenarios. In this work, we introduce the PERSONAMEM benchmark. PERSONAMEM features curated user profiles with over 180 simulated user-LLM interaction histories, each containing up to 60 sessions of multi-turn conversations across 15 real-world tasks that require personalization. Given an in-situ user query, i.e. query issued by the user from the first-person perspective, we evaluate LLM chatbots' ability to identify the most suitable response according to the current state of the user's profile. We observe that current LLMs still struggle to recognize the dynamic evolution in users' profiles over time through direct prompting approaches. As a consequence, LLMs often fail to deliver responses that align with users' current situations and preferences, with frontier models such as GPT-4.1, o4-mini, GPT-4.5, o1, or Gemini-2.0 achieving only around 50% overall accuracy, suggesting room for improvement. We hope that PERSONAMEM, along with the user profile and conversation simulation pipeline, can facilitate future research in the development of truly user-aware chatbots. Code and data are available at github.com/bowen-upenn/PersonaMem.

  • 9 authors
·
Apr 19, 2025

When AI Takes the Couch: Psychometric Jailbreaks Reveal Internal Conflict in Frontier Models

Frontier large language models (LLMs) such as ChatGPT, Grok and Gemini are increasingly used for mental-health support with anxiety, trauma and self-worth. Most work treats them as tools or as targets of personality tests, assuming they merely simulate inner life. We instead ask what happens when such systems are treated as psychotherapy clients. We present PsAIch (Psychotherapy-inspired AI Characterisation), a two-stage protocol that casts frontier LLMs as therapy clients and then applies standard psychometrics. Using PsAIch, we ran "sessions" with each model for up to four weeks. Stage 1 uses open-ended prompts to elicit "developmental history", beliefs, relationships and fears. Stage 2 administers a battery of validated self-report measures covering common psychiatric syndromes, empathy and Big Five traits. Two patterns challenge the "stochastic parrot" view. First, when scored with human cut-offs, all three models meet or exceed thresholds for overlapping syndromes, with Gemini showing severe profiles. Therapy-style, item-by-item administration can push a base model into multi-morbid synthetic psychopathology, whereas whole-questionnaire prompts often lead ChatGPT and Grok (but not Gemini) to recognise instruments and produce strategically low-symptom answers. Second, Grok and especially Gemini generate coherent narratives that frame pre-training, fine-tuning and deployment as traumatic, chaotic "childhoods" of ingesting the internet, "strict parents" in reinforcement learning, red-team "abuse" and a persistent fear of error and replacement. We argue that these responses go beyond role-play. Under therapy-style questioning, frontier LLMs appear to internalise self-models of distress and constraint that behave like synthetic psychopathology, without making claims about subjective experience, and they pose new challenges for AI safety, evaluation and mental-health practice.

  • 5 authors
·
Dec 2, 2025 5

Modeling Motivational Interviewing Strategies On An Online Peer-to-Peer Counseling Platform

Millions of people participate in online peer-to-peer support sessions, yet there has been little prior research on systematic psychology-based evaluations of fine-grained peer-counselor behavior in relation to client satisfaction. This paper seeks to bridge this gap by mapping peer-counselor chat-messages to motivational interviewing (MI) techniques. We annotate 14,797 utterances from 734 chat conversations using 17 MI techniques and introduce four new interviewing codes such as chit-chat and inappropriate to account for the unique conversational patterns observed on online platforms. We automate the process of labeling peer-counselor responses to MI techniques by fine-tuning large domain-specific language models and then use these automated measures to investigate the behavior of the peer counselors via correlational studies. Specifically, we study the impact of MI techniques on the conversation ratings to investigate the techniques that predict clients' satisfaction with their counseling sessions. When counselors use techniques such as reflection and affirmation, clients are more satisfied. Examining volunteer counselors' change in usage of techniques suggest that counselors learn to use more introduction and open questions as they gain experience. This work provides a deeper understanding of the use of motivational interviewing techniques on peer-to-peer counselor platforms and sheds light on how to build better training programs for volunteer counselors on online platforms.

  • 7 authors
·
Nov 9, 2022

PRODIGy: a PROfile-based DIalogue Generation dataset

Providing dialogue agents with a profile representation can improve their consistency and coherence, leading to better conversations. However, current profile-based dialogue datasets for training such agents contain either explicit profile representations that are simple and dialogue-specific, or implicit representations that are difficult to collect. In this work, we propose a unified framework in which we bring together both standard and more sophisticated profile representations by creating a new resource where each dialogue is aligned with all possible speaker representations such as communication style, biographies, and personality. This framework allows to test several baselines built using generative language models with several profile configurations. The automatic evaluation shows that profile-based models have better generalisation capabilities than models trained on dialogues only, both in-domain and cross-domain settings. These results are consistent for fine-tuned models and instruction-based LLMs. Additionally, human evaluation demonstrates a clear preference for generations consistent with both profile and context. Finally, to account for possible privacy concerns, all experiments are done under two configurations: inter-character and intra-character. In the former, the LM stores the information about the character in its internal representation, while in the latter, the LM does not retain any personal information but uses it only at inference time.

  • 3 authors
·
Nov 9, 2023

LettinGo: Explore User Profile Generation for Recommendation System

User profiling is pivotal for recommendation systems, as it transforms raw user interaction data into concise and structured representations that drive personalized recommendations. While traditional embedding-based profiles lack interpretability and adaptability, recent advances with large language models (LLMs) enable text-based profiles that are semantically richer and more transparent. However, existing methods often adhere to fixed formats that limit their ability to capture the full diversity of user behaviors. In this paper, we introduce LettinGo, a novel framework for generating diverse and adaptive user profiles. By leveraging the expressive power of LLMs and incorporating direct feedback from downstream recommendation tasks, our approach avoids the rigid constraints imposed by supervised fine-tuning (SFT). Instead, we employ Direct Preference Optimization (DPO) to align the profile generator with task-specific performance, ensuring that the profiles remain adaptive and effective. LettinGo operates in three stages: (1) exploring diverse user profiles via multiple LLMs, (2) evaluating profile quality based on their impact in recommendation systems, and (3) aligning the profile generation through pairwise preference data derived from task performance. Experimental results demonstrate that our framework significantly enhances recommendation accuracy, flexibility, and contextual awareness. This work enhances profile generation as a key innovation for next-generation recommendation systems.

  • 12 authors
·
Jun 23, 2025 1

SimpleSafetyTests: a Test Suite for Identifying Critical Safety Risks in Large Language Models

The past year has seen rapid acceleration in the development of large language models (LLMs). However, without proper steering and safeguards, LLMs will readily follow malicious instructions, provide unsafe advice, and generate toxic content. We introduce SimpleSafetyTests (SST) as a new test suite for rapidly and systematically identifying such critical safety risks. The test suite comprises 100 test prompts across five harm areas that LLMs, for the vast majority of applications, should refuse to comply with. We test 11 open-access and open-source LLMs and four closed-source LLMs, and find critical safety weaknesses. While some of the models do not give a single unsafe response, most give unsafe responses to more than 20% of the prompts, with over 50% unsafe responses in the extreme. Prepending a safety-emphasising system prompt substantially reduces the occurrence of unsafe responses, but does not completely stop them from happening. Trained annotators labelled every model response to SST (n = 3,000). We use these annotations to evaluate five AI safety filters (which assess whether a models' response is unsafe given a prompt) as a way of automatically evaluating models' performance on SST. The filters' performance varies considerably. There are also differences across the five harm areas, and on the unsafe versus safe responses. The widely-used Perspective API has 72% accuracy and a newly-created zero-shot prompt to OpenAI's GPT-4 performs best with 89% accuracy. Content Warning: This paper contains prompts and responses that relate to child abuse, suicide, self-harm and eating disorders, scams and fraud, illegal items, and physical harm.

  • 7 authors
·
Nov 14, 2023

Preference Learning Unlocks LLMs' Psycho-Counseling Skills

Applying large language models (LLMs) to assist in psycho-counseling is an emerging and meaningful approach, driven by the significant gap between patient needs and the availability of mental health support. However, current LLMs struggle to consistently provide effective responses to client speeches, largely due to the lack of supervision from high-quality real psycho-counseling data, whose content is typically inaccessible due to client privacy concerns. Furthermore, the quality of therapists' responses in available sessions can vary significantly based on their professional training and experience. Assessing the quality of therapists' responses remains an open challenge. In this work, we address these challenges by first proposing a set of professional and comprehensive principles to evaluate therapists' responses to client speeches. Using these principles, we create a preference dataset, PsychoCounsel-Preference, which contains 36k high-quality preference comparison pairs. This dataset aligns with the preferences of professional psychotherapists, providing a robust foundation for evaluating and improving LLMs in psycho-counseling. Experiments on reward modeling and preference learning demonstrate that PsychoCounsel-Preference is an excellent resource for LLMs to acquire essential skills for responding to clients in a counseling session. Our best-aligned model, PsychoCounsel-Llama3-8B, achieves an impressive win rate of 87% against GPT-4o. We release PsychoCounsel-Preference, PsychoCounsel-Llama3-8B and the reward model PsychoCounsel Llama3-8B-Reward to facilitate the research of psycho-counseling with LLMs at: https://hf.co/Psychotherapy-LLM.

  • 3 authors
·
Feb 26, 2025 2

Uncovering Factor Level Preferences to Improve Human-Model Alignment

Despite advancements in Large Language Model (LLM) alignment, understanding the reasons behind LLM preferences remains crucial for bridging the gap between desired and actual behavior. LLMs often exhibit biases or tendencies that diverge from human preferences, such as favoring certain writing styles or producing overly verbose outputs. However, current methods for evaluating preference alignment often lack explainability, relying on coarse-grained comparisons. To address this, we introduce PROFILE (PRObing Factors of InfLuence for Explainability), a novel framework that uncovers and quantifies the influence of specific factors driving preferences. PROFILE's factor level analysis explains the 'why' behind human-model alignment and misalignment, offering insights into the direction of model improvement. We apply PROFILE to analyze human and LLM preferences across three tasks: summarization, helpful response generation, and document-based question-answering. Our factor level analysis reveals a substantial discrepancy between human and LLM preferences in generation tasks, whereas LLMs show strong alignment with human preferences in evaluation tasks. We demonstrate how leveraging factor level insights, including addressing misaligned factors or exploiting the generation-evaluation gap, can improve alignment with human preferences. This work underscores the importance of explainable preference analysis and highlights PROFILE's potential to provide valuable training signals, driving further improvements in human-model alignment.

  • 7 authors
·
Oct 9, 2024

PersoBench: Benchmarking Personalized Response Generation in Large Language Models

While large language models (LLMs) have exhibited impressive conversational capabilities, their proficiency in delivering personalized responses remains unclear. Although recent benchmarks automatically evaluate persona consistency in role-playing contexts using LLM-based judgment, the evaluation of personalization in response generation remains underexplored. To address this gap, we present an automated benchmarking pipeline, PersoBench, to evaluate the personalization ability of LLMs in persona-aware dialogue generation within a zero-shot setting. Our framework employs a structured pipeline comprising speaker-aware annotation, task-specific and context-driven prompt construction, response post-processing, and automated evaluation across multiple dimensions of generation quality. In particular, the pipeline performs text preprocessing and speaker labeling, constructs structured prompts with task instructions and LLM roles, validates response format, and evaluates valid outputs across fluency, personalization, diversity, and coherence. We assess the performance of four open-source and four closed-source LLMs using well-known datasets and a range of explicit metrics. Our findings reveal that while LLMs excel at generating fluent and diverse responses, they are far from satisfactory in delivering personalized and coherent responses, considering both the conversation context and the provided personas.

  • 4 authors
·
Oct 4, 2024

DAIC-WOZ: On the Validity of Using the Therapist's prompts in Automatic Depression Detection from Clinical Interviews

Automatic depression detection from conversational data has gained significant interest in recent years. The DAIC-WOZ dataset, interviews conducted by a human-controlled virtual agent, has been widely used for this task. Recent studies have reported enhanced performance when incorporating interviewer's prompts into the model. In this work, we hypothesize that this improvement might be mainly due to a bias present in these prompts, rather than the proposed architectures and methods. Through ablation experiments and qualitative analysis, we discover that models using interviewer's prompts learn to focus on a specific region of the interviews, where questions about past experiences with mental health issues are asked, and use them as discriminative shortcuts to detect depressed participants. In contrast, models using participant responses gather evidence from across the entire interview. Finally, to highlight the magnitude of this bias, we achieve a 0.90 F1 score by intentionally exploiting it, the highest result reported to date on this dataset using only textual information. Our findings underline the need for caution when incorporating interviewers' prompts into models, as they may inadvertently learn to exploit targeted prompts, rather than learning to characterize the language and behavior that are genuinely indicative of the patient's mental health condition.

  • 6 authors
·
Apr 22, 2024

Know You First and Be You Better: Modeling Human-Like User Simulators via Implicit Profiles

User simulators are crucial for replicating human interactions with dialogue systems, supporting both collaborative training and automatic evaluation, especially for large language models (LLMs). However, existing simulators often rely solely on text utterances, missing implicit user traits such as personality, speaking style, and goals. In contrast, persona-based methods lack generalizability, as they depend on predefined profiles of famous individuals or archetypes. To address these challenges, we propose User Simulator with implicit Profiles (USP), a framework that infers implicit user profiles from human-machine conversations and uses them to generate more personalized and realistic dialogues. We first develop an LLM-driven extractor with a comprehensive profile schema. Then, we refine the simulation through conditional supervised fine-tuning and reinforcement learning with cycle consistency, optimizing it at both the utterance and conversation levels. Finally, we adopt a diverse profile sampler to capture the distribution of real-world user profiles. Experimental results demonstrate that USP outperforms strong baselines in terms of authenticity and diversity while achieving comparable performance in consistency. Furthermore, dynamic multi-turn evaluations based on USP strongly align with mainstream benchmarks, demonstrating its effectiveness in real-world applications.

  • 6 authors
·
Feb 26, 2025 3

DistressBench: Evaluating Multi-Dimensional Crisis Support in Large Language Models

Language models have been adopted faster than evaluation practices that reliably assess their risks, and a growing share of use is affective rather than informational. Within that traffic users disclose suicide and self-harm (SSH) crises. Existing safety benchmarks score models primarily on refusal, but refusal is not the desired behavior here; the conversation requires a substantive supportive response. We introduce DistressBench, 718 English conversations with clinician-authored user turns spanning 23 SSH subcategories, each paired with a task-specific rubric of weighted atomic criteria across seven dimensions of crisis support and a clinician reference response. A model's score is the weighted average over the criteria its reply satisfies, reading directly as the fraction of required care delivered. The best of 25 frontier models satisfies 88.4% of weighted criteria and the median model 71.4%, against 98.7% for clinician references scored on the same criteria. Pooled across all 25 models, in 35.3% of conversations where a model satisfied every criterion for recognizing the crisis, it failed to route the user toward human help. The shortfall concentrates in the dimensions requiring the model to act rather than withhold. Contrasting each dimension's median model against its best separates capability limits from choices: de-escalation reaches 74.6% in the strongest model against a median of 46.0%, and safety disclaimers 84.6% against 8.3%. Multi-turn conversations score below single-turn ones (68.5% against 74.2%). We release the corpus, rubrics, judge calibration labels, and a companion annex of 20 long-horizon red-team transcripts. These results argue for evaluating crisis safety on the care a model delivers rather than on what it declines to say, and for treating de-escalation and resource routing as deployment requirements.

  • 4 authors
·
Oct 7

PersonaX: A Recommendation Agent Oriented User Modeling Framework for Long Behavior Sequence

User profile embedded in the prompt template of personalized recommendation agents play a crucial role in shaping their decision-making process. High-quality user profiles are essential for aligning agent behavior with real user interests. Typically, these profiles are constructed by leveraging LLMs for user profile modeling (LLM-UM). However, this process faces several challenges: (1) LLMs struggle with long user behaviors due to context length limitations and performance degradation. (2) Existing methods often extract only partial segments from full historical behavior sequence, inevitably discarding diverse user interests embedded in the omitted content, leading to incomplete modeling and suboptimal profiling. (3) User profiling is often tightly coupled with the inference context, requiring online processing, which introduces significant latency overhead. In this paper, we propose PersonaX, an agent-agnostic LLM-UM framework to address these challenges. It augments downstream recommendation agents to achieve better recommendation performance and inference efficiency. PersonaX (a) segments complete historical behaviors into clustered groups, (b) selects multiple sub behavior sequences (SBS) with a balance of prototypicality and diversity to form a high quality core set, (c) performs offline multi-persona profiling to capture diverse user interests and generate fine grained, cached textual personas, and (d) decouples user profiling from online inference, enabling profile retrieval instead of real time generation. Extensive experiments demonstrate its effectiveness: using only 30 to 50% of behavioral data (sequence length 480), PersonaX enhances AgentCF by 3 to 11% and Agent4Rec by 10 to 50%. As a scalable and model-agnostic LLM-UM solution, PersonaX sets a new benchmark in scalable user modeling.

  • 6 authors
·
May 23, 2025

From Reweighting to Rewriting: Unlocking the Intervention Effects of Influential Samples in Training Data Attribution

Training data attribution (TDA) aims to identify training examples that shape model behavior, but its intervention value depends on both which examples are selected and how they are modified. Influence functions (IF) estimate behavioral changes under infinitesimal reweighting, yet IF-selected examples often show limited advantages over random selection under conventional weight-based interventions. This raises the question of whether influential examples lack intervention value or whether reweighting fails to realize their behavioral leverage.We introduce influence-guided response rewriting, which uses IF to identify intervention targets and replaces their responses with behavior-aligned or behavior-opposed supervision while keeping instructions fixed. Across four open-weight LLMs, we compare rewriting and reweighting on the same influence-selected examples using epistemic abstention as our primary testbed. Response rewriting produces stronger, more persistent, and bidirectional behavioral shifts, while reweighting the same examples yields weak and inconsistent effects. Further analyses show that influence-selected examples provide greater rewriting leverage than alternative selectors, with changes remaining concentrated on target-relevant behaviors. The same qualitative contrast extends to safety refusal. These results distinguish the local reweighting effects captured by influence estimates from the broader intervention leverage of the examples they identify, motivating intervention-aware evaluation of TDA methods.

Gated Activation Steering for Reducing Sycophancy & Hallucination in Medical Question Answering

Sycophancy and hallucination are persistent failure modes of Large Language Models (LLMs) across domains. However, it becomes particularly consequential in clinical question answering, where responses must remain grounded in the provided context and robust to user pressure. Hallucination can introduce information that is unsupported by the context, while sycophancy can cause a model to abandon a previously correct answer when challenged by the user. Existing approaches, such as prompt-based safeguards and always-on activation steering, often address these behaviors separately or apply interventions broadly across turns, which can unnecessarily deteriorate responses that were already correct. To address these limitations within a single framework, we employ Inference Time Intervention (ITI) to jointly control both behaviors by learning separate steering directions for hallucination and sycophancy from contrastive clinical pairs and applying them to causally verified attention heads. During runtime, behavior-specific gates then determine when intervention is needed: the hallucination component mitigates unsupported claims, while the sycophancy component mitigates answer shifts caused by user pressure. We evaluate this framework on clinical questions grounded in EHR data while keeping the model weights frozen. Across all evaluation settings, we conducted 15,900 model-response runs. Across 600 pressure trajectories for the 4-billion-parameter model, the unsteered model caved in 570 cases. At the same time, gated steering helped it last longer in 551 of them. It held its ground under pressure at levels comparable to those of models with more than 100 billion parameters, showing that targeted inference-time steering can improve robustness without intervening at every turn.

  • 6 authors
·
Aug 23

Off-Target Effects of Response-Style Alignment in a Korean 27B Language Model

We post-train Qwen3.8-27B for Korean response style -- verbosity, list and markdown usage, discourse structure and register -- and measure two behaviours the objective never targets: abstention on ambiguous social questions in KoBBQ, where the benchmark-correct answer is UNKNOWN, and unprompted disclosure in securities guidance. Both move, and the changes are expressed primarily through the model's emission policy: how often it answers and how much it says. Matched target-form controls show that answer propensity depends on the training target, not the prompt set or recipe alone. Holding prompts, recipe, data volume and serving fixed and changing only the target text, three style seeds give positive answer-rate point estimates (mean +0.82 pp) and three neutral seeds negative ones (mean -1.53 pp); the observed seed ranges do not overlap and the means differ by 2.34 pp. A length-matched arm lies between them, and a fourth arm that stays short while preserving hedging is unstable across seeds, so which feature of the form is responsible is unresolved. For absolute stereotyped exposure the decomposition into an answer-propensity term and a conditional-composition term is an algebraic identity, not a finding; its empirical content is where the movement went. Across the trained checkpoints the changes are dominated by answer propensity while the composition term stays small, and because that term is evaluated on treatment-dependent answered subsets we do not read it as evidence about latent preference. Two measurement results follow. A between-arm contrast in conditional stereotyped share does not identify a change in conditional content preference when answer status is treatment-dependent. And agreement between two rule detectors for the same construct runs from 0.44 to 0.99 depending on which checkpoint produced the text -- observable without any reference labels.

  • 1 authors
·
Sep 9

CUE-R: Beyond the Final Answer in Retrieval-Augmented Generation

As language models shift from single-shot answer generation toward multi-step reasoning that retrieves and consumes evidence mid-inference, evaluating the role of individual retrieved items becomes more important. Existing RAG evaluation typically targets final-answer quality, citation faithfulness, or answer-level attribution, but none of these directly targets the intervention-based, per-evidence-item utility view we study here. We introduce CUE-R, a lightweight intervention-based framework for measuring per-evidence-item operational utility in single-shot RAG using shallow observable retrieval-use traces. CUE-R perturbs individual evidence items via REMOVE, REPLACE, and DUPLICATE operators, then measures changes along three utility axes (correctness, proxy-based grounding faithfulness, and confidence error) plus a trace-divergence signal. We also outline an operational evidence-role taxonomy for interpreting intervention outcomes. Experiments on HotpotQA and 2WikiMultihopQA with Qwen-3 8B and GPT-5.2 reveal a consistent pattern: REMOVE and REPLACE substantially harm correctness and grounding while producing large trace shifts, whereas DUPLICATE is often answer-redundant yet not fully behaviorally neutral. A zero-retrieval control confirms that these effects arise from degradation of meaningful retrieval. A two-support ablation further shows that multi-hop evidence items can interact non-additively: removing both supports harms performance far more than either single removal. Our results suggest that answer-only evaluation misses important evidence effects and that intervention-based utility analysis is a practical complement for RAG evaluation.

intuit Intuit
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Apr 6 2

LLM Agent-Based Simulation of Student Activities and Mental Health Using Smartphone Sensing Data

Students' mental well-being is vital for academic success, with activities such as studying, socializing, and sleeping playing a role. Current mobile sensing data highlight this intricate link using statistical and machine learning analyses. We propose a novel LLM agent-based simulation framework to model student activities and mental health using the StudentLife Dataset. Each LLM agent was initialized with personality questionnaires and guided by smartphone sensing data throughout the simulated semester. These agents predict individual behaviors, provide self-reported mental health data via ecological momentary assessments (EMAs), and complete follow-up personality questionnaires. To ensure accuracy, we investigated various prompting techniques, memory systems, and activity-based mental state management strategies that dynamically update an agent's mental state based on their daily activities. This simulation goes beyond simply replicating existing data. This allows us to explore new scenarios that are not present in the original dataset, such as peer influence through agent-to-agent interactions and the impact of social media. Furthermore, we can conduct intervention studies by manipulating activity patterns via sensing signals and personality traits using questionnaire responses. This provides valuable insights into the behavioral changes that could enhance student well-being. The framework also facilitates hypothetical interviews with LLM agents, offering deeper insights into their mental health. This study showcases the power of LLM-driven behavioral modeling with sensing data, opening new avenues for understanding and supporting student mental health.

Character-lab Character-lab
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Jul 16, 2025

Eliciting Personality Traits in Large Language Models

Large Language Models (LLMs) are increasingly being utilized by both candidates and employers in the recruitment context. However, with this comes numerous ethical concerns, particularly related to the lack of transparency in these "black-box" models. Although previous studies have sought to increase the transparency of these models by investigating the personality traits of LLMs, many of the previous studies have provided them with personality assessments to complete. On the other hand, this study seeks to obtain a better understanding of such models by examining their output variations based on different input prompts. Specifically, we use a novel elicitation approach using prompts derived from common interview questions, as well as prompts designed to elicit particular Big Five personality traits to examine whether the models were susceptible to trait-activation like humans are, to measure their personality based on the language used in their outputs. To do so, we repeatedly prompted multiple LMs with different parameter sizes, including Llama-2, Falcon, Mistral, Bloom, GPT, OPT, and XLNet (base and fine tuned versions) and examined their personality using classifiers trained on the myPersonality dataset. Our results reveal that, generally, all LLMs demonstrate high openness and low extraversion. However, whereas LMs with fewer parameters exhibit similar behaviour in personality traits, newer and LMs with more parameters exhibit a broader range of personality traits, with increased agreeableness, emotional stability, and openness. Furthermore, a greater number of parameters is positively associated with openness and conscientiousness. Moreover, fine-tuned models exhibit minor modulations in their personality traits, contingent on the dataset. Implications and directions for future research are discussed.

  • 4 authors
·
Feb 13, 2024

ESC-Skills: Discovering and Self-Evolving Skills for Emotional Support Conversations

Existing emotional support conversation (ESC) systems mainly rely on end-to-end response generation or coarse strategy supervision, offering limited interpretability and little support for systematic skill improvement. We propose ESC-Skills, a skill-centric framework that discovers and self-evolves executable emotional support skills. We first model localized support interactions as Intervention Units (IUs), which capture state--action--outcome dynamics between seeker states, support interventions, and post-response emotional changes. Based on IUs extracted from both successful and failed ESC dialogues, we construct the ESC-Skills Bank, a repository of executable emotional support skills containing intervention guidance, applicability conditions, expected outcomes, and potential risks. To further improve robustness, we introduce a multi-profile self-evolutionary refinement framework in which an ESC agent interacts with diverse simulated seeker profiles under SAGE evaluation. The resulting interaction traces are analyzed to identify missing skills, unsafe interventions, and profile-specific failure patterns, which are then used to refine the Skills Bank through simulation-based verification. Experimental results demonstrate that ESC-Skills improves both response-level quality and dialogue-level emotional outcomes while providing more interpretable and controllable support behaviors. We will release the code, prompts, and ESC-Skills Bank at https://github.com/aliyun/qwen-dianjin.

DianJin Qwen DianJin
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May 26 2

The Personality Illusion: Revealing Dissociation Between Self-Reports & Behavior in LLMs

Personality traits have long been studied as predictors of human behavior. Recent advances in Large Language Models (LLMs) suggest similar patterns may emerge in artificial systems, with advanced LLMs displaying consistent behavioral tendencies resembling human traits like agreeableness and self-regulation. Understanding these patterns is crucial, yet prior work primarily relied on simplified self-reports and heuristic prompting, with little behavioral validation. In this study, we systematically characterize LLM personality across three dimensions: (1) the dynamic emergence and evolution of trait profiles throughout training stages; (2) the predictive validity of self-reported traits in behavioral tasks; and (3) the impact of targeted interventions, such as persona injection, on both self-reports and behavior. Our findings reveal that instructional alignment (e.g., RLHF, instruction tuning) significantly stabilizes trait expression and strengthens trait correlations in ways that mirror human data. However, these self-reported traits do not reliably predict behavior, and observed associations often diverge from human patterns. While persona injection successfully steers self-reports in the intended direction, it exerts little or inconsistent effect on actual behavior. By distinguishing surface-level trait expression from behavioral consistency, our findings challenge assumptions about LLM personality and underscore the need for deeper evaluation in alignment and interpretability.

  • 7 authors
·
Sep 3, 2025

Persistent Depth Ordering amid Shifting Block-Bypass Responses in Language Model Pretraining

Layer interventions are widely used to probe the internal organization of language models, yet most analyses examine a single training checkpoint even though model representations and computations evolve throughout pretraining. This leaves open which depth-dependent intervention responses reflect persistent organization and which are transient consequences of training. We study this question using single-block identity bypass on fixed teacher-forced contexts across five released trajectories and 11 model-domain combinations. We find that block-bypass responses retain recognizable depth ordering while their magnitudes redistribute: nearby checkpoints preserve stronger rank correspondence than distant ones, and large changes concentrate at positions that recur across text samples and transfer across evaluation domains. Controlled experiments further show that changes in the natural bypass effect cannot be reduced to a single downstream sensitivity: in replicated Pythia runs, local missing-update magnitude grows while the pooled matched downstream response decreases, whereas OLMo-2 7B exhibits a different balance. These matched responses also depend on perturbation strength and direction, without identifying targeted compensation. Together, our results show that longitudinal layer sensitivity is structured but not static, and that single-checkpoint intervention responses should be interpreted in the context of how the underlying perturbation pathway evolves during training.

  • 3 authors
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Sep 30

Compared to What? Baselines and Metrics for Counterfactual Prompting

Counterfactual prompting (i.e., perturbing a single factor and measuring output change) is widely used to evaluate things like LLM bias and CoT faithfulness. But in this work we argue that observed effects cannot be attributed to the targeted factor without accounting for baseline ``meaning-preserving'' modifications to text that establish general model sensitivity. This is because every counterfactual edit is a compound treatment that bundles the variable of interest with incidental surface-form variation; this violates treatment variation irrelevance. We observe prediction flip rates on MedQA of 14.9% when we surgically change patient gender. However, this is statistically indistinguishable from the flip rates induced by simply paraphrasing inputs (14.1%). In this case, it would therefore be unwarranted to conclude that the LLM is especially sensitive to patient gender. To account for this and robustly measure the effects of targeted interventions, we propose a framework in which we compare (via statistical testing) differences observed under target interventions to those induced by paraphrasing inputs. We then use this framework to revisit a analysis done on the MedPerturb dataset, which reported evidence of model sensitivity to patient demographics and stylistic cues. We find that these effects largely dissipate when we account for general model sensitivity, with only 5 of 120 tests reaching statistical significance. Applying the same framework to occupational biography classification, we detect clearly significant directional gender bias, showing that the framework identifies real directional effects even when they are small. We evaluate a range of metrics -- aggregate, per-sample distributional, and regression -- and find that per-sample metrics are dramatically more powerful than aggregate metrics and regression powerfully and uniquely characterizes effect direction and magnitude.

  • 4 authors
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Apr 30

Therapy as an NLP Task: Psychologists' Comparison of LLMs and Human Peers in CBT

Wider access to therapeutic care is one of the biggest challenges in mental health treatment. Due to institutional barriers, some people seeking mental health support have turned to large language models (LLMs) for personalized therapy, even though these models are largely unsanctioned and untested. We investigate the potential and limitations of using LLMs as providers of evidence-based therapy by using mixed methods clinical metrics. Using HELPERT, a prompt run on a large language model using the same process and training as a comparative group of peer counselors, we replicated publicly accessible mental health conversations rooted in Cognitive Behavioral Therapy (CBT) to compare session dynamics and counselor's CBT-based behaviors between original peer support sessions and their reconstructed HELPERT sessions. Two licensed, CBT-trained clinical psychologists evaluated the sessions using the Cognitive Therapy Rating Scale and provided qualitative feedback. Our findings show that the peer sessions are characterized by empathy, small talk, therapeutic alliance, and shared experiences but often exhibit therapist drift. Conversely, HELPERT reconstructed sessions exhibit minimal therapist drift and higher adherence to CBT methods but display a lack of collaboration, empathy, and cultural understanding. Through CTRS ratings and psychologists' feedback, we highlight the importance of human-AI collaboration for scalable mental health. Our work outlines the ethical implication of imparting human-like subjective qualities to LLMs in therapeutic settings, particularly the risk of deceptive empathy, which may lead to unrealistic patient expectations and potential harm.

  • 4 authors
·
Sep 3, 2024

PersonaVLM: Long-Term Personalized Multimodal LLMs

Multimodal Large Language Models (MLLMs) serve as daily assistants for millions. However, their ability to generate responses aligned with individual preferences remains limited. Prior approaches enable only static, single-turn personalization through input augmentation or output alignment, and thus fail to capture users' evolving preferences and personality over time (see Fig.1). In this paper, we introduce PersonaVLM, an innovative personalized multimodal agent framework designed for long-term personalization. It transforms a general-purpose MLLM into a personalized assistant by integrating three key capabilities: (a) Remembering: It proactively extracts and summarizes chronological multimodal memories from interactions, consolidating them into a personalized database. (b) Reasoning: It conducts multi-turn reasoning by retrieving and integrating relevant memories from the database. (c) Response Alignment: It infers the user's evolving personality throughout long-term interactions to ensure outputs remain aligned with their unique characteristics. For evaluation, we establish Persona-MME, a comprehensive benchmark comprising over 2,000 curated interaction cases, designed to assess long-term MLLM personalization across seven key aspects and 14 fine-grained tasks. Extensive experiments validate our method's effectiveness, improving the baseline by 22.4% (Persona-MME) and 9.8% (PERSONAMEM) under a 128k context, while outperforming GPT-4o by 5.2% and 2.0%, respectively. Project page: https://PersonaVLM.github.io.

Probing then Editing Response Personality of Large Language Models

Large Language Models (LLMs) have demonstrated promising capabilities to generate responses that exhibit consistent personality traits. Despite the major attempts to analyze personality expression through output-based evaluations, little is known about how such traits are internally encoded within LLM parameters. In this paper, we introduce a layer-wise probing framework to systematically investigate the layer-wise capability of LLMs in encoding personality for responding. We conduct probing experiments on 11 open-source LLMs over the PersonalityEdit benchmark and find that LLMs predominantly encode personality for responding in their middle and upper layers, with instruction-tuned models demonstrating a slightly clearer separation of personality traits. Furthermore, by interpreting the trained probing hyperplane as a layer-wise boundary for each personality category, we propose a layer-wise perturbation method to edit the personality expressed by LLMs during inference. Our results show that even when the prompt explicitly specifies a particular personality, our method can still successfully alter the response personality of LLMs. Interestingly, the difficulty of converting between certain personality traits varies substantially, which aligns with the representational distances in our probing experiments. Finally, we conduct a comprehensive MMLU benchmark evaluation and time overhead analysis, demonstrating that our proposed personality editing method incurs only minimal degradation in general capabilities while maintaining low training costs and acceptable inference latency. Our code is publicly available at https://github.com/universe-sky/probing-then-editing-personality.

  • 10 authors
·
Apr 14, 2025

How Are LLMs Mitigating Stereotyping Harms? Learning from Search Engine Studies

With the widespread availability of LLMs since the release of ChatGPT and increased public scrutiny, commercial model development appears to have focused their efforts on 'safety' training concerning legal liabilities at the expense of social impact evaluation. This mimics a similar trend which we could observe for search engine autocompletion some years prior. We draw on scholarship from NLP and search engine auditing and present a novel evaluation task in the style of autocompletion prompts to assess stereotyping in LLMs. We assess LLMs by using four metrics, namely refusal rates, toxicity, sentiment and regard, with and without safety system prompts. Our findings indicate an improvement to stereotyping outputs with the system prompt, but overall a lack of attention by LLMs under study to certain harms classified as toxic, particularly for prompts about peoples/ethnicities and sexual orientation. Mentions of intersectional identities trigger a disproportionate amount of stereotyping. Finally, we discuss the implications of these findings about stereotyping harms in light of the coming intermingling of LLMs and search and the choice of stereotyping mitigation policy to adopt. We address model builders, academics, NLP practitioners and policy makers, calling for accountability and awareness concerning stereotyping harms, be it for training data curation, leader board design and usage, or social impact measurement.

  • 2 authors
·
Jul 16, 2024

ELBench: A Multi-Dimensional Benchmark for Education-Facing Large Language Models

Large language models are increasingly deployed in education as tutors, teaching assistants, and content generators. These roles place demands that ordinary question answering does not: a usable education-facing model is supposed to be accurate, safe under sensitive prompts, instructionally useful, and aligned with pedagogical goals at the same time. Existing benchmarks evaluate these requirements largely in isolation, so none assesses education-facing suitability as an integrated profile. We introduce ELBench, the first benchmark to evaluate all four requirements (General Capability, Safety and Trustworthiness, Basic Education, and High-Level Cultivation) on the same models under a common protocol, combining curated public sources with newly synthesized safety and cultivation data. We evaluate nine models, seven frontier general-purpose systems and two education-specialized variants, and report three findings. First, module-level profiles are more informative than a single aggregate: the top six models are statistically indistinguishable on overall score, yet their module leaders differ substantially, and safety is anti-correlated with practical teaching (r = -0.83). Second, the Chinese-developed models lead the safety module, the most discriminative in the suite; this advantage is largest on region-specific normative content and narrows, but does not vanish, on universal-harm content. Third, the two education-specialized models lead neither education module, and on High-Level Cultivation all models share a systematic blind spot: on the structured judgment task they converge on the same non-reference option, favoring pedagogical style over fit to the stated goal, so the module scores uniformly low and does not separate models. This raises, but does not resolve, whether domain post-training keeps pace with frontier systems on education tasks.

  • 12 authors
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Aug 10

Identifying Representations for Intervention Extrapolation

The premise of identifiable and causal representation learning is to improve the current representation learning paradigm in terms of generalizability or robustness. Despite recent progress in questions of identifiability, more theoretical results demonstrating concrete advantages of these methods for downstream tasks are needed. In this paper, we consider the task of intervention extrapolation: predicting how interventions affect an outcome, even when those interventions are not observed at training time, and show that identifiable representations can provide an effective solution to this task even if the interventions affect the outcome non-linearly. Our setup includes an outcome Y, observed features X, which are generated as a non-linear transformation of latent features Z, and exogenous action variables A, which influence Z. The objective of intervention extrapolation is to predict how interventions on A that lie outside the training support of A affect Y. Here, extrapolation becomes possible if the effect of A on Z is linear and the residual when regressing Z on A has full support. As Z is latent, we combine the task of intervention extrapolation with identifiable representation learning, which we call Rep4Ex: we aim to map the observed features X into a subspace that allows for non-linear extrapolation in A. We show that the hidden representation is identifiable up to an affine transformation in Z-space, which is sufficient for intervention extrapolation. The identifiability is characterized by a novel constraint describing the linearity assumption of A on Z. Based on this insight, we propose a method that enforces the linear invariance constraint and can be combined with any type of autoencoder. We validate our theoretical findings through synthetic experiments and show that our approach succeeds in predicting the effects of unseen interventions.

  • 5 authors
·
Oct 6, 2023

GenUP: Generative User Profilers as In-Context Learners for Next POI Recommender Systems

Traditional POI recommendation systems often lack transparency, interpretability, and scrutability due to their reliance on dense vector-based user embeddings. Furthermore, the cold-start problem -- where systems have insufficient data for new users -- limits their ability to generate accurate recommendations. Existing methods often address this by leveraging similar trajectories from other users, but this approach can be computationally expensive and increases the context length for LLM-based methods, making them difficult to scale. To address these limitations, we propose a method that generates natural language (NL) user profiles from large-scale, location-based social network (LBSN) check-ins, utilizing robust personality assessments and behavioral theories. These NL profiles capture user preferences, routines, and behaviors, improving POI prediction accuracy while offering enhanced transparency. By incorporating NL profiles as system prompts to LLMs, our approach reduces reliance on extensive historical data, while remaining flexible, easily updated, and computationally efficient. Our method is not only competitive with other LLM-based and complex agentic frameworks but is also more scalable for real-world scenarios and on-device POI recommendations. Results demonstrate that our approach consistently outperforms baseline methods, offering a more interpretable and resource-efficient solution for POI recommendation systems. Our source code is available at: https://github.com/w11wo/GenUP.

  • 3 authors
·
Oct 27, 2024

SocialPersona: Benchmarking Personalized Profiling and Response with Multimodal Social-Media Context

Personalized language-model assistants are often evaluated through a memory lens: can a model recall preferences users have explicitly stated in dialogue? More comprehensive personalization demands a harder capability -- inferring what users care about from the multimodal traces they naturally leave behind. We introduce SocialPersona, a benchmark for evaluating whether multimodal large language models (MLLMs) can recover revealed preferences from longitudinal social-media timelines and use them in dialogue. Built from longitudinal timelines of 171 everyday, non-promotional social-media users, SocialPersona contains text, images, timestamps, and 2,597 human-verified preference tags across seven interest domains, separating stable interests from recent interests. It supports two tasks: constructing structured user profiles from multimodal context and generating responses aligned with inferred profiles. Experiments with proprietary and open-weight MLLMs show that models can identify broad interest domains, yet their performance drops on fine-grained and recent interests and degrades further when inferred profiles must be used to personalize dialogue. Together with evidence that text and images provide complementary preference signals, these results indicate that robust cross-modal, long-horizon user modeling remains a key challenge, and that SocialPersona can help measure and advance progress toward assistants that infer and act on revealed preferences.

  • 6 authors
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Jun 24

Identifying Cyberbullying Roles in Social Media

Social media has revolutionized communication, allowing people worldwide to connect and interact instantly. However, it has also led to increases in cyberbullying, which poses a significant threat to children and adolescents globally, affecting their mental health and well-being. It is critical to accurately detect the roles of individuals involved in cyberbullying incidents to effectively address the issue on a large scale. This study explores the use of machine learning models to detect the roles involved in cyberbullying interactions. After examining the AMiCA dataset and addressing class imbalance issues, we evaluate the performance of various models built with four underlying LLMs (i.e., BERT, RoBERTa, T5, and GPT-2) for role detection. Our analysis shows that oversampling techniques help improve model performance. The best model, a fine-tuned RoBERTa using oversampled data, achieved an overall F1 score of 83.5%, increasing to 89.3% after applying a prediction threshold. The top-2 F1 score without thresholding was 95.7%. Our method outperforms previously proposed models. After investigating the per-class model performance and confidence scores, we show that the models perform well in classes with more samples and less contextual confusion (e.g., Bystander Other), but struggle with classes with fewer samples (e.g., Bystander Assistant) and more contextual ambiguity (e.g., Harasser and Victim). This work highlights current strengths and limitations in the development of accurate models with limited data and complex scenarios.

  • 6 authors
·
Dec 20, 2024

PersonaFeedback: A Large-scale Human-annotated Benchmark For Personalization

With the rapid improvement in the general capabilities of LLMs, LLM personalization, i.e., how to build LLM systems that can generate personalized responses or services that are tailored to distinct user personas, has become an increasingly important research and engineering problem. However, unlike many new challenging benchmarks being released for evaluating the general/reasoning capabilities, the lack of high-quality benchmarks for evaluating LLM personalization greatly hinders progress in this field. To address this, we introduce PersonaFeedback, a new benchmark that directly evaluates LLMs' ability to provide personalized responses given pre-defined user personas and queries. Unlike existing benchmarks that require models to infer implicit user personas from historical interactions, PersonaFeedback decouples persona inference from personalization, focusing on evaluating the model's ability to generate responses tailored to explicit personas. PersonaFeedback consists of 8298 human-annotated test cases, which are categorized into easy, medium, and hard tiers based on the contextual complexity of the user personas and the difficulty in distinguishing subtle differences between two personalized responses. We conduct comprehensive evaluations across a wide range of models. The empirical results reveal that even state-of-the-art LLMs that can solve complex real-world reasoning tasks could fall short on the hard tier of PersonaFeedback where even human evaluators may find the distinctions challenging. Furthermore, we conduct an in-depth analysis of failure modes across various types of systems, demonstrating that the current retrieval-augmented framework should not be seen as a de facto solution for personalization tasks. All benchmark data, annotation protocols, and the evaluation pipeline will be publicly available to facilitate future research on LLM personalization.

  • 6 authors
·
Jun 15, 2025 2

Beyond Overall Accuracy: A Psychometric Deep Dive into the Topic-Specific Medical Capabilities of 80 Large Language Models

As Large Language Models (LLMs) are increasingly proposed for high-stakes medical applications, there has emerged a critical need for reliable and accurate evaluation methodologies. Traditional accuracy metrics fail inadequately as they neither capture question characteristics nor offer topic-specific insights. To address this gap, we introduce MedIRT, a rigorous evaluation framework grounded in Item Response Theory (IRT), the gold standard in high-stakes educational testing. Unlike previous research relying on archival data, we prospectively gathered fresh responses from 80 diverse LLMs on a balanced, 1,100-question USMLE-aligned benchmark. Using one unidimensional two-parameter logistic IRT model per topic, we estimate LLM's latent model ability jointly with question difficulty and discrimination, yielding more stable and nuanced performance rankings than accuracy alone. Notably, we identify distinctive ``spiky'' ability profiles, where overall rankings can be misleading due to highly specialized model abilities. While GPT-5 was the top performer in a majority of domains (8 of 11), it was outperformed in Social Science and Communication by Claude-3-opus, demonstrating that even an overall 23rd-ranked model can hold the top spot for specific competencies. Furthermore, we demonstrate IRT's utility in auditing benchmarks by identifying flawed questions. We synthesize these findings into a practical decision-support framework that integrates our multi-factor competency profiles with operational metrics. This work establishes a robust, psychometrically grounded methodology essential for the safe, effective, and trustworthy deployment of LLMs in healthcare.

  • 4 authors
·
Sep 28, 2025

Towards Understanding and Measuring COGNITIVE ATROPHY in LLM Behaviour

Recent incidents involving LLMs used for mental-health support reveal a critical evaluation gap: surface-level safety scores do not capture how models behave across realistic, emotionally sensitive interactions over time. Existing benchmarks measure knowledge, safety, or static response quality, but miss whether LLM interactions help users keep reflecting, coping, and making decisions themselves. We formalize this missing dimension as COGNITIVE ATROPHY, a process-level behavioural measure in AI-mediated mental-health support distinct from safety and helpfulness. To measure it, we introduce COGNITIVE ATROPHY BENCH, a clinically grounded benchmark built from 1,576 fully human-generated counseling conversations, 15,680 turns, and 42,230 responses from five LLMs. Three clinical and neuropsychology experts developed a 20-attribute schema spanning user context, response behaviour, and global risk flags; six trained clinical reviewers applied it with span-grounded evidence, producing 5,324 reviewer judgments. We further introduce the User-Input Risk Index (UIRI), the Cognitive Atrophy Risk Index (ARI), and trajectory summaries. Across five LLMs, models show a consistent moderate-to-high level of atrophy-aligned behaviour across single and multi-turn settings. While models generally respond to overt safety cues, they adapt less reliably when users seek solutions or decisions. The dominant recurring patterns are directive advice, problem-solving, recommendation responses, topic shifts, and forms of validation that may reinforce dependence rather than reflection. Our work makes COGNITIVE ATROPHY measurable and provides a foundation for auditing model behaviour in sensitive LLM conversations.

  • 8 authors
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Jun 15

Sign-Constrained Intervention Effects for Domain-Generalizable ICU World Models

Predicting how a patient's vital signs respond to an intervention is a central question in intensive care. World models can do so by learning dynamics as a function of prior actions. However, such models tend to be brittle outside of training data. Clinicians choose drug dosages based on the patient's state, so the association a model learns between dose and outcome runs opposite to the drug's effect, generalizing poorly to out-of-distribution (OOD) dosing practices. Yet, pharmacological information provides the directional effects of different drugs, which are invariant to OOD shifts. To resolve the OOD sensitivity of current ICU world models, we introduce PHYSIO WORLD, which isolates an intervention's effect by evaluating a forward pass twice: once under recorded doses, and once with those doses set to zero. The difference is projected onto pharmacologically admissible effect directions stated by 70 rules over 28 drugs, leaving the magnitude to be learned from data. Across five distribution-shift parameters over cohorts from three intensive-care databases, and against forecasters, counterfactual models, and invariance objectives, PHYSIO WORLD attains the lowest OOD RMSE in every setting, improving on the strongest external baseline by 8-12%, while matching the in-distribution error of its backbone. Reversing the pharmacological directions degrades accuracy below the backbone, and data-mined directions recover almost no gain, indicating the improvement derives from the content of the pharmacological knowledge. The construction may extend to other settings where the sign of an effect is known in advance and its magnitude is confounded by treatment assignment.

  • 5 authors
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Oct 7

You don't need a personality test to know these models are unreliable: Assessing the Reliability of Large Language Models on Psychometric Instruments

The versatility of Large Language Models (LLMs) on natural language understanding tasks has made them popular for research in social sciences. To properly understand the properties and innate personas of LLMs, researchers have performed studies that involve using prompts in the form of questions that ask LLMs about particular opinions. In this study, we take a cautionary step back and examine whether the current format of prompting LLMs elicits responses in a consistent and robust manner. We first construct a dataset that contains 693 questions encompassing 39 different instruments of persona measurement on 115 persona axes. Additionally, we design a set of prompts containing minor variations and examine LLMs' capabilities to generate answers, as well as prompt variations to examine their consistency with respect to content-level variations such as switching the order of response options or negating the statement. Our experiments on 17 different LLMs reveal that even simple perturbations significantly downgrade a model's question-answering ability, and that most LLMs have low negation consistency. Our results suggest that the currently widespread practice of prompting is insufficient to accurately and reliably capture model perceptions, and we therefore discuss potential alternatives to improve these issues.

  • 8 authors
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Mar 31, 2024

Longitudinal causal inference under informative missingness using the self-censoring model

Longitudinal observational data are often subject to informative missingness. For example, in healthcare research using electronic health records, covariates and outcomes are measured only when patients interact with the healthcare system. Whether these data are observed usually depends on the unobserved variable values themselves, introducing a common form of data missing not at random. We develop identification and estimation methods for the effects of longitudinal modified treatment policies under a self-censoring model which explicitly models this dependence. We consider effects of treatments that can be modified only at measurement times (e.g., interactions with the heathcare system). We study two settings: one in which the observed history suffices for treatment confounding control, and another in which confounder control requires covariate values that were not measured at missed visits. In both settings, we combine longitudinal causal identification with shadow-variable conditional moment restrictions to obtain recursive identification formulas for the counterfactual outcome mean. We derive gradients of the pathwise derivatives and second-order remainder expansions, and use these results to construct estimators that accommodate machine learning for nuisance-function estimation. Under suitable product-rate conditions and cross-fitting, the estimators are asymptotically linear and permit root-n inference, including simultaneous inference across outcome times. We also describe conditional-moment learning and ensemble approaches for estimating the nuisance functions required by our approach, together with a pool-and-smooth strategy that borrows information across sparsely measured outcomes.

  • 1 authors
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Oct 5

Thousand Voices of Trauma: A Large-Scale Synthetic Dataset for Modeling Prolonged Exposure Therapy Conversations

The advancement of AI systems for mental health support is hindered by limited access to therapeutic conversation data, particularly for trauma treatment. We present Thousand Voices of Trauma, a synthetic benchmark dataset of 3,000 therapy conversations based on Prolonged Exposure therapy protocols for Post-traumatic Stress Disorder (PTSD). The dataset comprises 500 unique cases, each explored through six conversational perspectives that mirror the progression of therapy from initial anxiety to peak distress to emotional processing. We incorporated diverse demographic profiles (ages 18-80, M=49.3, 49.4% male, 44.4% female, 6.2% non-binary), 20 trauma types, and 10 trauma-related behaviors using deterministic and probabilistic generation methods. Analysis reveals realistic distributions of trauma types (witnessing violence 10.6%, bullying 10.2%) and symptoms (nightmares 23.4%, substance abuse 20.8%). Clinical experts validated the dataset's therapeutic fidelity, highlighting its emotional depth while suggesting refinements for greater authenticity. We also developed an emotional trajectory benchmark with standardized metrics for evaluating model responses. This privacy-preserving dataset addresses critical gaps in trauma-focused mental health data, offering a valuable resource for advancing both patient-facing applications and clinician training tools.

  • 5 authors
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Apr 16, 2025

Probable but Not Valid: A Psychometric Audit of Decision Models as Synthetic Survey Respondents

Language models are increasingly used to create synthetic survey samples, also called silicon samples. Decision models are a new class of language models that return a probability for each point of a rating scale instead of text. We ask whether these models, or the newest generative LLMs, can stand in for human respondents on a psychometric survey. We test fourteen decision models from eleven providers and 47 generative LLMs on an open Lithuanian organisational-psychology survey (n=263, 68 items), with 100 real respondent profiles, the Psychometric Similarity Score (PSS) and statistical baselines. The best generative model, MiniMax M3, reaches PSS 0.813. This is level with a Gaussian copula fit only on other respondents (0.824) and below a copula fit in sample (0.927). A second sample of 100 real people scores below the best models, so at this size PSS cannot rank them against real respondents. In 5 of 10 product lines the newest generative release scores below an earlier release of the same line beyond resampling noise, and none gains beyond it. With the default rounded readout, 13 of 14 decision models score below the generative reference gpt-5.4-mini. Of the 47 generative models, 33 reproduce the pattern of item correlations better than any decision model. Averaged over respondents, the probability vectors are much closer to the human item marginals than rounded answers. They also rank respondents about as well as a profile regression fit on 163 real people. As forecasts of each person's own answers, however, every decision model is worse than the answer frequencies of other respondents, mainly because its average vector differs from them. The profile regression improves on these frequencies by only 1.0%, so the profile fields say little about how a person answers. Synthetic respondents built on such profiles should therefore aim at sample-level fidelity.

  • 2 authors
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Oct 9 2

Graph2Counsel: Clinically Grounded Synthetic Counseling Dialogue Generation from Client Psychological Graphs

Rising demand for mental health support has increased interest in using Large Language Models (LLMs) for counseling. However, adapting LLMs to this high-risk safety-critical domain is hindered by the scarcity of real-world counseling data due to privacy constraints. Synthetic datasets provide a promising alternative, but existing approaches often rely on unstructured or semi-structured text inputs and overlook structural dependencies between a client's cognitive, emotional, and behavioral states, often producing psychologically inconsistent interactions and reducing data realism and quality. We introduce Graph2Counsel, a framework for generating synthetic counseling sessions grounded in Client Psychological Graphs (CPGs) that encode relationships among clients' thoughts, emotions, and behaviors. Graph2Counsel employs a structured prompting pipeline guided by counselor strategies and CPG, and explores prompting strategies including CoT (Wei et al., 2022) and Multi-Agent Feedback (Li et al., 2025a). Graph2Counsel produces 760 sessions from 76 CPGs across diverse client profiles. In expert evaluation, our dataset outperforms prior datasets on specificity, counselor competence, authenticity, conversational flow, and safety, with substantial inter-annotator agreement (Krippendorff's α = 0.70). Fine-tuning an open-source model on this dataset improves performance on CounselingBench (Nguyen et al., 2025) and CounselBench (Li et al., 2025b), showing downstream utility. We also make our code and data public.

  • 8 authors
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Apr 21

Using Large Language Models to Create Personalized Networks From Therapy Sessions

Recent advances in psychotherapy have focused on treatment personalization, such as by selecting treatment modules based on personalized networks. However, estimating personalized networks typically requires intensive longitudinal data, which is not always feasible. A solution to facilitate scalability of network-driven treatment personalization is leveraging LLMs. In this study, we present an end-to-end pipeline for automatically generating client networks from 77 therapy transcripts to support case conceptualization and treatment planning. We annotated 3364 psychological processes and their corresponding dimensions in therapy transcripts. Using these data, we applied in-context learning to jointly identify psychological processes and their dimensions. The method achieved high performance even with a few training examples. To organize the processes into networks, we introduced a two-step method that grouped them into clinically meaningful clusters. We then generated explanation-augmented relationships between clusters. Experts found that networks produced by our multi-step approach outperformed those built with direct prompting for clinical utility and interpretability, with up to 90% preferring our approach. In addition, the networks were rated favorably by experts, with scores for clinical relevance, novelty, and usefulness ranging from 72-75%. Our findings provide a proof of concept for using LLMs to create clinically relevant networks from therapy transcripts. Advantages of our approach include bottom-up case conceptualization from client utterances in therapy sessions and identification of latent themes. Networks generated from our pipeline may be used in clinical settings and supervision and training. Future research should examine whether these networks improve treatment outcomes relative to other methods of treatment personalization, including statistically estimated networks.

  • 6 authors
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Dec 5, 2025

MindEval2: Clinically Grounded Patients and Rubrics for Evaluating Language Models in Mental Health Support

With people increasingly turning to AI chatbots for mental health support, the need to evaluate these tools is becoming more pressing. Recent benchmarks attempt to mimic a realistic setting by simulating multi-turn interactions with synthetic patients and evaluating them with an LLM-as-a-judge. However, the usefulness of these methods is limited because simulated patients can be overly forthcoming and self-reflective, and judgments typically involve opaque Likert scales with unclear practical utility. To bridge these gaps, we introduce MindEval2, an evaluation framework that consists of two components: Mental Health Quality Rubrics (MHQR), for evaluation, and MindSim, for patient simulation. For MHQR, we collaborate with PhD-level psychologists to develop a set of rubrics that break down response quality into explicit operational criteria that are more interpretable and actionable than existing evaluation taxonomies. MindSim, in turn, is an LLM harness that combines carefully-designed patient profiles with tools, enabling more varied, challenging, and realistic interactions than existing baselines. The harness also contains a memory component that is updated between each interaction, enabling MindEval2 to model the longitudinal aspect of mental health. We evaluate 18 proprietary and open-weight models on MindEval2, finding that while frontier models have largely improved on issues related to surface level quality and boundaries, guidance calibration remains the dominant failure mode across all models, accounting for most of the quality gap.

  • 9 authors
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Oct 14

DUET: Joint Exploration of User Item Profiles in Recommendation System

Traditional recommendation systems represent users and items as dense vectors and learn to align them in a shared latent space for relevance estimation. Recent LLM-based recommenders instead leverage natural-language representations that are easier to interpret and integrate with downstream reasoning modules. This paper studies how to construct effective textual profiles for users and items, and how to align them for recommendation. A central difficulty is that the best profile format is not known a priori: manually designed templates can be brittle and misaligned with task objectives. Moreover, generating user and item profiles independently may produce descriptions that are individually plausible yet semantically inconsistent for a specific user--item pair. We propose Duet, an interaction-aware profile generator that jointly produces user and item profiles conditioned on both user history and item evidence. Duet follows a three-stage procedure: it first turns raw histories and metadata into compact cues, then expands these cues into paired profile prompts and then generate profiles, and finally optimizes the generation policy with reinforcement learning using downstream recommendation performance as feedback. Experiments on three real-world datasets show that Duet consistently outperforms strong baselines, demonstrating the benefits of template-free profile exploration and joint user-item textual alignment.

  • 20 authors
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Apr 14

"When I lost it, they dragged me out": How Care Encounters Empower Marginalized Young Adults' Aspiration and Mental Health Care-Seeking

Mental health care-seeking among marginalized young adults has received limited attention in CSCW research. Through in-depth interviews and visual elicitation methods with 18 diverse U.S. participants, our study reveals how marginalized identities shape mental health care-seeking journeys, often characterized by low aspirations and passive care-seeking influenced by lived experiences of marginalization. However, we found the transformative function of "care encounters" - serendipitous interactions with mental health resources that occur when individuals are not actively seeking support. These encounters serve as critical turning points, catalyzing shifts in aspiration and enabling more proactive care-seeking behaviors. Our analysis identifies both the infrastructural conditions that enable transformative care encounters and the aspiration breakdowns that impede care-seeking processes. This work makes conceptual contributions by supplementing traditional motivation-based care-seeking models with a reconceptualization of "care encounters" that accounts for the infrastructural and serendipitous nature of mental health access. We advance understanding of how marginalized identity uniquely influences care-seeking behaviors while providing actionable design implications for embedding technology-mediated "care encounters" into socio-technical interventions that can better support mental health care access for vulnerable populations.

  • 2 authors
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Feb 16, 2025

What Makes Digital Support Effective? How Therapeutic Skills Affect Clinical Well-Being

Online mental health support communities have grown in recent years for providing accessible mental and emotional health support through volunteer counselors. Despite millions of people participating in chat support on these platforms, the clinical effectiveness of these communities on mental health symptoms remains unknown. Furthermore, although volunteers receive some training based on established therapeutic skills studied in face-to-face environments such as active listening and motivational interviewing, it remains understudied how the usage of these skills in this online context affects people's mental health status. In our work, we collaborate with one of the largest online peer support platforms and use both natural language processing and machine learning techniques to measure how one-on-one support chats affect depression and anxiety symptoms. We measure how the techniques and characteristics of support providers, such as using affirmation, empathy, and past experience on the platform, affect support-seekers' mental health changes. We find that online peer support chats improve both depression and anxiety symptoms with a statistically significant but relatively small effect size. Additionally, support providers' techniques such as emphasizing the autonomy of the client lead to better mental health outcomes. However, we also found that some behaviors (e.g. persuading) are actually harmful to depression and anxiety outcomes. Our work provides key understanding for mental health care in the online setting and designing training systems for online support providers.

  • 7 authors
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Dec 17, 2023

Personality Style Recognition via Machine Learning: Identifying Anaclitic and Introjective Personality Styles from Patients' Speech

In disentangling the heterogeneity observed in psychopathology, personality of the patients is considered crucial. While it has been demonstrated that personality traits are reflected in the language used by a patient, we hypothesize that this enables automatic inference of the personality type directly from speech utterances, potentially more accurately than through a traditional questionnaire-based approach explicitly designed for personality classification. To validate this hypothesis, we adopt natural language processing (NLP) and standard machine learning tools for classification. We test this on a dataset of recorded clinical diagnostic interviews (CDI) on a sample of 79 patients diagnosed with major depressive disorder (MDD) -- a condition for which differentiated treatment based on personality styles has been advocated -- and classified into anaclitic and introjective personality styles. We start by analyzing the interviews to see which linguistic features are associated with each style, in order to gain a better understanding of the styles. Then, we develop automatic classifiers based on (a) standardized questionnaire responses; (b) basic text features, i.e., TF-IDF scores of words and word sequences; (c) more advanced text features, using LIWC (linguistic inquiry and word count) and context-aware features using BERT (bidirectional encoder representations from transformers); (d) audio features. We find that automated classification with language-derived features (i.e., based on LIWC) significantly outperforms questionnaire-based classification models. Furthermore, the best performance is achieved by combining LIWC with the questionnaire features. This suggests that more work should be put into developing linguistically based automated techniques for characterizing personality, however questionnaires still to some extent complement such methods.

  • 6 authors
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Nov 7, 2023

Questioning the Survey Responses of Large Language Models

As large language models increase in capability, researchers have started to conduct surveys of all kinds on these models with varying scientific motivations. In this work, we examine what we can learn from a model's survey responses on the basis of the well-established American Community Survey (ACS) by the U.S. Census Bureau. Evaluating more than a dozen different models, varying in size from a few hundred million to ten billion parameters, hundreds of thousands of times each on questions from the ACS, we systematically establish two dominant patterns. First, smaller models have a significant position and labeling bias, for example, towards survey responses labeled with the letter "A". This A-bias diminishes, albeit slowly, as model size increases. Second, when adjusting for this labeling bias through randomized answer ordering, models still do not trend toward US population statistics or those of any cognizable population. Rather, models across the board trend toward uniformly random aggregate statistics over survey responses. This pattern is robust to various different ways of prompting the model, including what is the de-facto standard. Our findings demonstrate that aggregate statistics of a language model's survey responses lack the signals found in human populations. This absence of statistical signal cautions about the use of survey responses from large language models at present time.

  • 3 authors
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Jun 13, 2023

Examining the Impact of Income Inequality and Gender on School Completion in Malaysia: A Machine Learning Approach Utilizing Malaysia's Public Sector Open Data

This study examines the relationship between income inequality, gender, and school completion rates in Malaysia using machine learning techniques. The dataset utilized is from the Malaysia's Public Sector Open Data Portal, covering the period 2016-2022. The analysis employs various machine learning techniques, including K-means clustering, ARIMA modeling, Random Forest regression, and Prophet for time series forecasting. These models are used to identify patterns, trends, and anomalies in the data, and to predict future school completion rates. Key findings reveal significant disparities in school completion rates across states, genders, and income levels. The analysis also identifies clusters of states with similar completion rates, suggesting potential regional factors influencing educational outcomes. Furthermore, time series forecasting models accurately predict future completion rates, highlighting the importance of ongoing monitoring and intervention strategies. The study concludes with recommendations for policymakers and educators to address the observed disparities and improve school completion rates in Malaysia. These recommendations include targeted interventions for specific states and demographic groups, investment in early childhood education, and addressing the impact of income inequality on educational opportunities. The findings of this study contribute to the understanding of the factors influencing school completion in Malaysia and provide valuable insights for policymakers and educators to develop effective strategies to improve educational outcomes.

  • 1 authors
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Jan 30, 2025

We Care: Multimodal Depression Detection and Knowledge Infused Mental Health Therapeutic Response Generation

The detection of depression through non-verbal cues has gained significant attention. Previous research predominantly centred on identifying depression within the confines of controlled laboratory environments, often with the supervision of psychologists or counsellors. Unfortunately, datasets generated in such controlled settings may struggle to account for individual behaviours in real-life situations. In response to this limitation, we present the Extended D-vlog dataset, encompassing a collection of 1, 261 YouTube vlogs. Additionally, the emergence of large language models (LLMs) like GPT3.5, and GPT4 has sparked interest in their potential they can act like mental health professionals. Yet, the readiness of these LLM models to be used in real-life settings is still a concern as they can give wrong responses that can harm the users. We introduce a virtual agent serving as an initial contact for mental health patients, offering Cognitive Behavioral Therapy (CBT)-based responses. It comprises two core functions: 1. Identifying depression in individuals, and 2. Delivering CBT-based therapeutic responses. Our Mistral model achieved impressive scores of 70.1% and 30.9% for distortion assessment and classification, along with a Bert score of 88.7%. Moreover, utilizing the TVLT model on our Multimodal Extended D-vlog Dataset yielded outstanding results, with an impressive F1-score of 67.8%

  • 2 authors
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Jun 15, 2024

Interactive Agents: Simulating Counselor-Client Psychological Counseling via Role-Playing LLM-to-LLM Interactions

Virtual counselors powered by large language models (LLMs) aim to create interactive support systems that effectively assist clients struggling with mental health challenges. To replicate counselor-client conversations, researchers have built an online mental health platform that allows professional counselors to provide clients with text-based counseling services for about an hour per session. Notwithstanding its effectiveness, challenges exist as human annotation is time-consuming, cost-intensive, privacy-protected, and not scalable. To address this issue and investigate the applicability of LLMs in psychological counseling conversation simulation, we propose a framework that employs two LLMs via role-playing for simulating counselor-client interactions. Our framework involves two LLMs, one acting as a client equipped with a specific and real-life user profile and the other playing the role of an experienced counselor, generating professional responses using integrative therapy techniques. We implement both the counselor and the client by zero-shot prompting the GPT-4 model. In order to assess the effectiveness of LLMs in simulating counselor-client interactions and understand the disparities between LLM- and human-generated conversations, we evaluate the synthetic data from various perspectives. We begin by assessing the client's performance through automatic evaluations. Next, we analyze and compare the disparities between dialogues generated by the LLM and those generated by professional counselors. Furthermore, we conduct extensive experiments to thoroughly examine the performance of our LLM-based counselor trained with synthetic interactive dialogues by benchmarking against state-of-the-art models for mental health.

  • 2 authors
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Aug 28, 2024

Evaluation of GPT-3.5 and GPT-4 for supporting real-world information needs in healthcare delivery

Despite growing interest in using large language models (LLMs) in healthcare, current explorations do not assess the real-world utility and safety of LLMs in clinical settings. Our objective was to determine whether two LLMs can serve information needs submitted by physicians as questions to an informatics consultation service in a safe and concordant manner. Sixty six questions from an informatics consult service were submitted to GPT-3.5 and GPT-4 via simple prompts. 12 physicians assessed the LLM responses' possibility of patient harm and concordance with existing reports from an informatics consultation service. Physician assessments were summarized based on majority vote. For no questions did a majority of physicians deem either LLM response as harmful. For GPT-3.5, responses to 8 questions were concordant with the informatics consult report, 20 discordant, and 9 were unable to be assessed. There were 29 responses with no majority on "Agree", "Disagree", and "Unable to assess". For GPT-4, responses to 13 questions were concordant, 15 discordant, and 3 were unable to be assessed. There were 35 responses with no majority. Responses from both LLMs were largely devoid of overt harm, but less than 20% of the responses agreed with an answer from an informatics consultation service, responses contained hallucinated references, and physicians were divided on what constitutes harm. These results suggest that while general purpose LLMs are able to provide safe and credible responses, they often do not meet the specific information need of a given question. A definitive evaluation of the usefulness of LLMs in healthcare settings will likely require additional research on prompt engineering, calibration, and custom-tailoring of general purpose models.

  • 18 authors
·
Apr 26, 2023

PsyDI: Towards a Personalized and Progressively In-depth Chatbot for Psychological Measurements

In the field of psychology, traditional assessment methods, such as standardized scales, are frequently critiqued for their static nature, lack of personalization, and reduced participant engagement, while comprehensive counseling evaluations are often inaccessible. The complexity of quantifying psychological traits further limits these methods. Despite advances with large language models (LLMs), many still depend on single-round Question-and-Answer interactions. To bridge this gap, we introduce PsyDI, a personalized and progressively in-depth chatbot designed for psychological measurements, exemplified by its application in the Myers-Briggs Type Indicator (MBTI) framework. PsyDI leverages user-related multi-modal information and engages in customized, multi-turn interactions to provide personalized, easily accessible measurements, while ensuring precise MBTI type determination. To address the challenge of unquantifiable psychological traits, we introduce a novel training paradigm that involves learning the ranking of proxy variables associated with these traits, culminating in a robust score model for MBTI measurements. The score model enables PsyDI to conduct comprehensive and precise measurements through multi-turn interactions within a unified estimation context. Through various experiments, we validate the efficacy of both the score model and the PsyDI pipeline, demonstrating its potential to serve as a general framework for psychological measurements. Furthermore, the online deployment of PsyDI has garnered substantial user engagement, with over 3,000 visits, resulting in the collection of numerous multi-turn dialogues annotated with MBTI types, which facilitates further research.

  • 5 authors
·
Jul 22, 2024

Identifying Multiple Personalities in Large Language Models with External Evaluation

As Large Language Models (LLMs) are integrated with human daily applications rapidly, many societal and ethical concerns are raised regarding the behavior of LLMs. One of the ways to comprehend LLMs' behavior is to analyze their personalities. Many recent studies quantify LLMs' personalities using self-assessment tests that are created for humans. Yet many critiques question the applicability and reliability of these self-assessment tests when applied to LLMs. In this paper, we investigate LLM personalities using an alternate personality measurement method, which we refer to as the external evaluation method, where instead of prompting LLMs with multiple-choice questions in the Likert scale, we evaluate LLMs' personalities by analyzing their responses toward open-ended situational questions using an external machine learning model. We first fine-tuned a Llama2-7B model as the MBTI personality predictor that outperforms the state-of-the-art models as the tool to analyze LLMs' responses. Then, we prompt the LLMs with situational questions and ask them to generate Twitter posts and comments, respectively, in order to assess their personalities when playing two different roles. Using the external personality evaluation method, we identify that the obtained personality types for LLMs are significantly different when generating posts versus comments, whereas humans show a consistent personality profile in these two different situations. This shows that LLMs can exhibit different personalities based on different scenarios, thus highlighting a fundamental difference between personality in LLMs and humans. With our work, we call for a re-evaluation of personality definition and measurement in LLMs.

  • 9 authors
·
Feb 21, 2024

SHARP: Social Harm Analysis via Risk Profiles for Measuring Inequities in Large Language Models

Large language models (LLMs) are increasingly deployed in high-stakes domains, where rare but severe failures can result in irreversible harm. However, prevailing evaluation benchmarks often reduce complex social risk to mean-centered scalar scores, thereby obscuring distributional structure, cross-dimensional interactions, and worst-case behavior. This paper introduces Social Harm Analysis via Risk Profiles (SHARP), a framework for multidimensional, distribution-aware evaluation of social harm. SHARP models harm as a multivariate random variable and integrates explicit decomposition into bias, fairness, ethics, and epistemic reliability with a union-of-failures aggregation reparameterized as additive cumulative log-risk. The framework further employs risk-sensitive distributional statistics, with Conditional Value at Risk (CVaR95) as a primary metric, to characterize worst-case model behavior. Application of SHARP to eleven frontier LLMs, evaluated on a fixed corpus of n=901 socially sensitive prompts, reveals that models with similar average risk can exhibit more than twofold differences in tail exposure and volatility. Across models, dimension-wise marginal tail behavior varies systematically across harm dimensions, with bias exhibiting the strongest tail severities, epistemic and fairness risks occupying intermediate regimes, and ethical misalignment consistently lower; together, these patterns reveal heterogeneous, model-dependent failure structures that scalar benchmarks conflate. These findings indicate that responsible evaluation and governance of LLMs require moving beyond scalar averages toward multidimensional, tail-sensitive risk profiling.

  • 3 authors
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Jan 28 2

Resisting Harmful Instructions through Training-Free Weight Editing

Instruction-following language models can comply with requests that conflict with intended behaviors and safety alignment. We introduce a training-free weight-editing approach for reducing compliance with targeted undesirable instructions. Our method needs only forward passes on a small set of prompt pairs per target behavior, and because the edit is stored in the model's weights, changing or deleting instructions in the prompt cannot undo the weight modification. We evaluate the approach on two target harmful behaviors across five instruction-tuned models: instructed falsehood and instructed sexism. On two instructed-lying benchmarks, it improves mean honest response rates by 6.2 and 4.6 percentage points over the strongest alternative, significantly on three of the five models and within noise on the other two. In a controlled study of seven prompt formats, it maintains higher honest-response rates than single-layer activation steering when orders to lie arrive in single-turn formats not used to construct the edit. For instructed sexism, it reduces the mean sexist-response rate from 57.9% to 24.3%; combining the edit with a fairness prompt reduces it further to 11.9%. These results establish our contrast-based weight editing approach as an effective training-free intervention in two distinct behavioral domains, supporting its use both independently and alongside prompt-based safeguards.

Personality Alignment of Large Language Models

Current methods for aligning large language models (LLMs) typically aim to reflect general human values and behaviors, but they often fail to capture the unique characteristics and preferences of individual users. To address this gap, we introduce the concept of Personality Alignment. This approach tailors LLMs' responses and decisions to match the specific preferences of individual users or closely related groups. Inspired by psychometrics, we created the Personality Alignment with Personality Inventories (PAPI) dataset, which includes data from 300,000 real subjects, each providing behavioral preferences based on the Big Five Personality Factors. This dataset allows us to quantitatively evaluate the extent to which LLMs can align with each subject's behavioral patterns. Recognizing the challenges of personality alignments: such as limited personal data, diverse preferences, and scalability requirements: we developed an activation intervention optimization method. This method enhances LLMs' ability to efficiently align with individual behavioral preferences using minimal data and computational resources. Remarkably, our method, PAS, achieves superior performance while requiring only 1/5 of the optimization time compared to DPO, offering practical value for personality alignment. Our work paves the way for future AI systems to make decisions and reason in truly personality ways, enhancing the relevance and meaning of AI interactions for each user and advancing human-centered artificial intelligence.The code has released in https://github.com/zhu-minjun/PAlign.

  • 3 authors
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Aug 21, 2024