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Abstracts
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Large-scale Analysis of Counseling Conversations: An Application of Natural Language Processing to Mental Health
Mental illness is one of the most pressing public health issues of our time. While counseling and psychotherapy can be effective treatments, our knowledge about how to conduct successful counseling conversations has been limited due to lack of large-scale data with labeled outcomes of the conversations. In this paper...
2,016
Computation and Language
2,004
Modeling Interpersonal Influence of Verbal Behavior in Couples Therapy Dyadic Interactions
Dyadic interactions among humans are marked by speakers continuously influencing and reacting to each other in terms of responses and behaviors, among others. Understanding how interpersonal dynamics affect behavior is important for successful treatment in psychotherapy domains. Traditional schemes that automatically...
2,018
Computation and Language
5,875
Multi-label Multi-task Deep Learning for Behavioral Coding
We propose a methodology for estimating human behaviors in psychotherapy sessions using mutli-label and multi-task learning paradigms. We discuss the problem of behavioral coding in which data of human interactions is the annotated with labels to describe relevant human behaviors of interest. We describe two related,...
2,020
Computation and Language
7,342
Conversation Model Fine-Tuning for Classifying Client Utterances in Counseling Dialogues
The recent surge of text-based online counseling applications enables us to collect and analyze interactions between counselors and clients. A dataset of those interactions can be used to learn to automatically classify the client utterances into categories that help counselors in diagnosing client status and predict...
2,019
Computation and Language
8,400
Modeling Interpersonal Linguistic Coordination in Conversations using Word Mover's Distance
Linguistic coordination is a well-established phenomenon in spoken conversations and often associated with positive social behaviors and outcomes. While there have been many attempts to measure lexical coordination or entrainment in literature, only a few have explored coordination in syntactic or semantic space. In ...
2,019
Computation and Language
8,608
Finding Your Voice: The Linguistic Development of Mental Health Counselors
Mental health counseling is an enterprise with profound societal importance where conversations play a primary role. In order to acquire the conversational skills needed to face a challenging range of situations, mental health counselors must rely on training and on continued experience with actual clients. However, ...
2,019
Computation and Language
9,433
Observing Dialogue in Therapy: Categorizing and Forecasting Behavioral Codes
Automatically analyzing dialogue can help understand and guide behavior in domains such as counseling, where interactions are largely mediated by conversation. In this paper, we study modeling behavioral codes used to asses a psychotherapy treatment style called Motivational Interviewing (MI), which is effective for ...
2,019
Computation and Language
9,580
Predicting Behavior in Cancer-Afflicted Patient and Spouse Interactions using Speech and Language
Cancer impacts the quality of life of those diagnosed as well as their spouse caregivers, in addition to potentially influencing their day-to-day behaviors. There is evidence that effective communication between spouses can improve well-being related to cancer but it is difficult to efficiently evaluate the quality o...
2,019
Computation and Language
9,872
An analysis of observation length requirements for machine understanding of human behaviors from spoken language
The task of quantifying human behavior by observing interaction cues is an important and useful one across a range of domains in psychological research and practice. Machine learning-based approaches typically perform this task by first estimating behavior based on cues within an observation window, such as a fixed n...
2,020
Computation and Language
11,655
Balancing Objectives in Counseling Conversations: Advancing Forwards or Looking Backwards
Throughout a conversation, participants make choices that can orient the flow of the interaction. Such choices are particularly salient in the consequential domain of crisis counseling, where a difficulty for counselors is balancing between two key objectives: advancing the conversation towards a resolution, and empa...
2,020
Computation and Language
13,745
A chatbot architecture for promoting youth resilience
E-health technologies have the potential to provide scalable and accessible interventions for youth mental health. As part of a developing an ecosystem of e-screening and e-therapy tools for New Zealand young people, a dialog agent, Headstrong, has been designed to promote resilience with methods grounded in cognitiv...
2,020
Computation and Language
13,862
Automated Quality Assessment of Cognitive Behavioral Therapy Sessions Through Highly Contextualized Language Representations
During a psychotherapy session, the counselor typically adopts techniques which are codified along specific dimensions (e.g., 'displays warmth and confidence', or 'attempts to set up collaboration') to facilitate the evaluation of the session. Those constructs, traditionally scored by trained human raters, reflect th...
2,021
Computation and Language
18,274
Towards Automated Psychotherapy via Language Modeling
In this experiment, a model was devised, trained, and evaluated to automate psychotherapist/client text conversations through the use of state-of-the-art, Seq2Seq Transformer-based Natural Language Generation (NLG) systems. Through training the model upon a mix of the Cornell Movie Dialogue Corpus for language unders...
2,021
Computation and Language
19,430
An Automated Quality Evaluation Framework of Psychotherapy Conversations with Local Quality Estimates
Text-based computational approaches for assessing the quality of psychotherapy are being developed to support quality assurance and clinical training. However, due to the long durations of typical conversation based therapy sessions, and due to limited annotated modeling resources, computational methods largely rely ...
2,022
Computation and Language
20,601
Speaker and Time-aware Joint Contextual Learning for Dialogue-act Classification in Counselling Conversations
The onset of the COVID-19 pandemic has brought the mental health of people under risk. Social counselling has gained remarkable significance in this environment. Unlike general goal-oriented dialogues, a conversation between a patient and a therapist is considerably implicit, though the objective of the conversation ...
2,021
Computation and Language
23,463
Mental Health Assessment for the Chatbots
Previous researches on dialogue system assessment usually focus on the quality evaluation (e.g. fluency, relevance, etc) of responses generated by the chatbots, which are local and technical metrics. For a chatbot which responds to millions of online users including minors, we argue that it should have a healthy ment...
2,022
Computation and Language
24,310
Towards Automated Real-time Evaluation in Text-based Counseling
Automated real-time evaluation of counselor-client interaction is important for ensuring quality counseling but the rules are difficult to articulate. Recent advancements in machine learning methods show the possibility of learning such rules automatically. However, these methods often demand large scale and high qua...
2,022
Computation and Language
24,960
Neural Topic Modeling of Psychotherapy Sessions
In this work, we compare different neural topic modeling methods in learning the topical propensities of different psychiatric conditions from the psychotherapy session transcripts parsed from speech recordings. We also incorporate temporal modeling to put this additional interpretability to action by parsing out top...
2,022
Computation and Language
26,068
D4: a Chinese Dialogue Dataset for Depression-Diagnosis-Oriented Chat
In a depression-diagnosis-directed clinical session, doctors initiate a conversation with ample emotional support that guides the patients to expose their symptoms based on clinical diagnosis criteria. Such a dialogue system is distinguished from existing single-purpose human-machine dialog systems, as it combines ta...
2,022
Computation and Language
26,869
What can Speech and Language Tell us About the Working Alliance in Psychotherapy
We are interested in the problem of conversational analysis and its application to the health domain. Cognitive Behavioral Therapy is a structured approach in psychotherapy, allowing the therapist to help the patient to identify and modify the malicious thoughts, behavior, or actions. This cooperative effort can be e...
2,022
Computation and Language
27,361
Automated Utterance Labeling of Conversations Using Natural Language Processing
Conversational data is essential in psychology because it can help researchers understand individuals cognitive processes, emotions, and behaviors. Utterance labelling is a common strategy for analyzing this type of data. The development of NLP algorithms allows researchers to automate this task. However, psychologic...
2,022
Computation and Language
28,002
SupervisorBot: NLP-Annotated Real-Time Recommendations of Psychotherapy Treatment Strategies with Deep Reinforcement Learning
We propose a recommendation system that suggests treatment strategies to a therapist during the psychotherapy session in real-time. Our system uses a turn-level rating mechanism that predicts the therapeutic outcome by computing a similarity score between the deep embedding of a scoring inventory, and the current sen...
2,022
Computation and Language
28,179
Chatbots for Mental Health Support: Exploring the Impact of Emohaa on Reducing Mental Distress in China
The growing demand for mental health support has highlighted the importance of conversational agents as human supporters worldwide and in China. These agents could increase availability and reduce the relative costs of mental health support. The provided support can be divided into two main types: cognitive and emoti...
2,022
Computation and Language
28,530
Leveraging Open Data and Task Augmentation to Automated Behavioral Coding of Psychotherapy Conversations in Low-Resource Scenarios
In psychotherapy interactions, the quality of a session is assessed by codifying the communicative behaviors of participants during the conversation through manual observation and annotation. Developing computational approaches for automated behavioral coding can reduce the burden on human coders and facilitate the o...
2,022
Computation and Language
29,664
Working Alliance Transformer for Psychotherapy Dialogue Classification
As a predictive measure of the treatment outcome in psychotherapy, the working alliance measures the agreement of the patient and the therapist in terms of their bond, task and goal. Long been a clinical quantity estimated by the patients' and therapists' self-evaluative reports, we believe that the working alliance ...
2,022
Computation and Language
29,774
Conversational Pattern Mining using Motif Detection
The subject of conversational mining has become of great interest recently due to the explosion of social and other online media. Supplementing this explosion of text is the advancement in pre-trained language models which have helped us to leverage these sources of information. An interesting domain to analyse is co...
2,022
Computation and Language
30,171
GDPR Compliant Collection of Therapist-Patient-Dialogues
According to the Global Burden of Disease list provided by the World Health Organization (WHO), mental disorders are among the most debilitating disorders.To improve the diagnosis and the therapy effectiveness in recent years, researchers have tried to identify individual biomarkers. Gathering neurobiological data ho...
2,022
Computation and Language
30,416
Routine Outcome Monitoring in Psychotherapy Treatment using Sentiment-Topic Modelling Approach
Despite the importance of emphasizing the right psychotherapy treatment for an individual patient, assessing the outcome of the therapy session is equally crucial. Evidence showed that continuous monitoring patient's progress can significantly improve the therapy outcomes to an expected change. By monitoring the outc...
2,022
Computation and Language
30,900
Deep Learning Mental Health Dialogue System
Mental health counseling remains a major challenge in modern society due to cost, stigma, fear, and unavailability. We posit that generative artificial intelligence (AI) models designed for mental health counseling could help improve outcomes by lowering barriers to access. To this end, we have developed a deep learn...
2,022
Computation and Language
31,552
Response-act Guided Reinforced Dialogue Generation for Mental Health Counseling
Virtual Mental Health Assistants (VMHAs) have become a prevalent method for receiving mental health counseling in the digital healthcare space. An assistive counseling conversation commences with natural open-ended topics to familiarize the client with the environment and later converges into more fine-grained domain...
2,023
Computation and Language
31,671
TherapyView: Visualizing Therapy Sessions with Temporal Topic Modeling and AI-Generated Arts
We present the TherapyView, a demonstration system to help therapists visualize the dynamic contents of past treatment sessions, enabled by the state-of-the-art neural topic modeling techniques to analyze the topical tendencies of various psychiatric conditions and deep learning-based image generation engine to provi...
2,023
Computation and Language
32,095
Demo Alleviate: Demonstrating Artificial Intelligence Enabled Virtual Assistance for Telehealth: The Mental Health Case
After the pandemic, artificial intelligence (AI) powered support for mental health care has become increasingly important. The breadth and complexity of significant challenges required to provide adequate care involve: (a) Personalized patient understanding, (b) Safety-constrained and medically validated chatbot pati...
2,023
Computation and Language
32,768
Cognitive Reframing of Negative Thoughts through Human-Language Model Interaction
A proven therapeutic technique to overcome negative thoughts is to replace them with a more hopeful "reframed thought." Although therapy can help people practice and learn this Cognitive Reframing of Negative Thoughts, clinician shortages and mental health stigma commonly limit people's access to therapy. In this pap...
2,023
Computation and Language
33,452
Boosting Distress Support Dialogue Responses with Motivational Interviewing Strategy
AI-driven chatbots have become an emerging solution to address psychological distress. Due to the lack of psychotherapeutic data, researchers use dialogues scraped from online peer support forums to train them. But since the responses in such platforms are not given by professionals, they contain both conforming and ...
2,023
Computation and Language
33,969
LLM-empowered Chatbots for Psychiatrist and Patient Simulation: Application and Evaluation
Empowering chatbots in the field of mental health is receiving increasing amount of attention, while there still lacks exploration in developing and evaluating chatbots in psychiatric outpatient scenarios. In this work, we focus on exploring the potential of ChatGPT in powering chatbots for psychiatrist and patient s...
2,023
Computation and Language
34,409
Ask an Expert: Leveraging Language Models to Improve Strategic Reasoning in Goal-Oriented Dialogue Models
Existing dialogue models may encounter scenarios which are not well-represented in the training data, and as a result generate responses that are unnatural, inappropriate, or unhelpful. We propose the "Ask an Expert" framework in which the model is trained with access to an "expert" which it can consult at each turn....
2,023
Computation and Language
35,123
Understanding Client Reactions in Online Mental Health Counseling
Communication success relies heavily on reading participants' reactions. Such feedback is especially important for mental health counselors, who must carefully consider the client's progress and adjust their approach accordingly. However, previous NLP research on counseling has mainly focused on studying counselors' ...
2,023
Computation and Language
36,171
Training Models to Generate, Recognize, and Reframe Unhelpful Thoughts
Many cognitive approaches to well-being, such as recognizing and reframing unhelpful thoughts, have received considerable empirical support over the past decades, yet still lack truly widespread adoption in self-help format. A barrier to that adoption is a lack of adequately specific and diverse dedicated practice ma...
2,023
Computation and Language
36,398
Psy-LLM: Scaling up Global Mental Health Psychological Services with AI-based Large Language Models
The demand for psychological counselling has grown significantly in recent years, particularly with the global outbreak of COVID-19, which has heightened the need for timely and professional mental health support. Online psychological counselling has emerged as the predominant mode of providing services in response t...
2,023
Computation and Language
36,720
Dynamic Strategy Chain: Dynamic Zero-Shot CoT for Long Mental Health Support Generation
Long counseling Text Generation for Mental health support (LTGM), an innovative and challenging task, aims to provide help-seekers with mental health support through a comprehensive and more acceptable response. The combination of chain-of-thought (CoT) prompting and Large Language Models (LLMs) is employed and get t...
2,023
Computation and Language
37,304
ChatCounselor: A Large Language Models for Mental Health Support
This paper presents ChatCounselor, a large language model (LLM) solution designed to provide mental health support. Unlike generic chatbots, ChatCounselor is distinguished by its foundation in real conversations between consulting clients and professional psychologists, enabling it to possess specialized knowledge an...
2,023
Computation and Language
38,232
An Integrative Survey on Mental Health Conversational Agents to Bridge Computer Science and Medical Perspectives
Mental health conversational agents (a.k.a. chatbots) are widely studied for their potential to offer accessible support to those experiencing mental health challenges. Previous surveys on the topic primarily consider papers published in either computer science or medicine, leading to a divide in understanding and hi...
2,023
Computation and Language
39,658
VERVE: Template-based ReflectiVE Rewriting for MotiVational IntErviewing
Reflective listening is a fundamental skill that counselors must acquire to achieve proficiency in motivational interviewing (MI). It involves responding in a manner that acknowledges and explores the meaning of what the client has expressed in the conversation. In this work, we introduce the task of counseling respo...
2,023
Computation and Language
40,457
PsyChat: A Client-Centric Dialogue System for Mental Health Support
Dialogue systems are increasingly integrated into mental health support to help clients facilitate exploration, gain insight, take action, and ultimately heal themselves. For a dialogue system to be practical and user-friendly, it should be client-centric, focusing on the client's behaviors. However, existing dialogu...
2,023
Computation and Language
41,229
A Computational Framework for Behavioral Assessment of LLM Therapists
The emergence of ChatGPT and other large language models (LLMs) has greatly increased interest in utilizing LLMs as therapists to support individuals struggling with mental health challenges. However, due to the lack of systematic studies, our understanding of how LLM therapists behave, i.e., ways in which they respo...
2,024
Computation and Language
41,798
Response Generation for Cognitive Behavioral Therapy with Large Language Models: Comparative Study with Socratic Questioning
Dialogue systems controlled by predefined or rule-based scenarios derived from counseling techniques, such as cognitive behavioral therapy (CBT), play an important role in mental health apps. Despite the need for responsible responses, it is conceivable that using the newly emerging LLMs to generate contextually rele...
2,024
Computation and Language
42,538
Generation, Distillation and Evaluation of Motivational Interviewing-Style Reflections with a Foundational Language Model
Large Foundational Language Models are capable of performing many tasks at a high level but are difficult to deploy in many applications because of their size and proprietary ownership. Many will be motivated to distill specific capabilities of foundational models into smaller models that can be owned and controlled....
2,024
Computation and Language
42,699
Towards Sustainable Workplace Mental Health: A Novel Approach to Early Intervention and Support
Employee well-being is a critical concern in the contemporary workplace, as highlighted by the American Psychological Association's 2021 report, indicating that 71% of employees experience stress or tension. This stress contributes significantly to workplace attrition and absenteeism, with 61% of attrition and 16% of...
2,024
Computation and Language
42,738
The Colorful Future of LLMs: Evaluating and Improving LLMs as Emotional Supporters for Queer Youth
Queer youth face increased mental health risks, such as depression, anxiety, and suicidal ideation. Hindered by negative stigma, they often avoid seeking help and rely on online resources, which may provide incompatible information. Although access to a supportive environment and reliable information is invaluable, m...
2,024
Computation and Language
43,472
Automatic Evaluation for Mental Health Counseling using LLMs
High-quality psychological counseling is crucial for mental health worldwide, and timely evaluation is vital for ensuring its effectiveness. However, obtaining professional evaluation for each counseling session is expensive and challenging. Existing methods that rely on self or third-party manual reports to assess t...
2,024
Computation and Language
43,487
Can Large Language Models be Used to Provide Psychological Counselling? An Analysis of GPT-4-Generated Responses Using Role-play Dialogues
Mental health care poses an increasingly serious challenge to modern societies. In this context, there has been a surge in research that utilizes information technologies to address mental health problems, including those aiming to develop counseling dialogue systems. However, there is a need for more evaluations of ...
2,024
Computation and Language
43,569
Towards Understanding Counseling Conversations: Domain Knowledge and Large Language Models
Understanding the dynamics of counseling conversations is an important task, yet it is a challenging NLP problem regardless of the recent advance of Transformer-based pre-trained language models. This paper proposes a systematic approach to examine the efficacy of domain knowledge and large language models (LLMs) in ...
2,024
Computation and Language
43,728
COMPASS: Computational Mapping of Patient-Therapist Alliance Strategies with Language Modeling
The therapeutic working alliance is a critical factor in predicting the success of psychotherapy treatment. Traditionally, working alliance assessment relies on questionnaires completed by both therapists and patients. In this paper, we present COMPASS, a novel framework to directly infer the therapeutic working alli...
2,024
Computation and Language
43,786
Socratic Reasoning Improves Positive Text Rewriting
Reframing a negative into a positive thought is at the crux of several cognitive approaches to mental health and psychotherapy that could be made more accessible by large language model-based solutions. Such reframing is typically non-trivial and requires multiple rationalization steps to uncover the underlying issue...
2,024
Computation and Language
44,403
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