Get trending papers in your email inbox once a day!
Get trending papers in your email inbox!
SubscribeEmpathic Conversations: A Multi-level Dataset of Contextualized Conversations
Empathy is a cognitive and emotional reaction to an observed situation of others. Empathy has recently attracted interest because it has numerous applications in psychology and AI, but it is unclear how different forms of empathy (e.g., self-report vs counterpart other-report, concern vs. distress) interact with other affective phenomena or demographics like gender and age. To better understand this, we created the {\it Empathic Conversations} dataset of annotated negative, empathy-eliciting dialogues in which pairs of participants converse about news articles. People differ in their perception of the empathy of others. These differences are associated with certain characteristics such as personality and demographics. Hence, we collected detailed characterization of the participants' traits, their self-reported empathetic response to news articles, their conversational partner other-report, and turn-by-turn third-party assessments of the level of self-disclosure, emotion, and empathy expressed. This dataset is the first to present empathy in multiple forms along with personal distress, emotion, personality characteristics, and person-level demographic information. We present baseline models for predicting some of these features from conversations.
CASE: Aligning Coarse-to-Fine Cognition and Affection for Empathetic Response Generation
Empathetic conversation is psychologically supposed to be the result of conscious alignment and interaction between the cognition and affection of empathy. However, existing empathetic dialogue models usually consider only the affective aspect or treat cognition and affection in isolation, which limits the capability of empathetic response generation. In this work, we propose the CASE model for empathetic dialogue generation. It first builds upon a commonsense cognition graph and an emotional concept graph and then aligns the user's cognition and affection at both the coarse-grained and fine-grained levels. Through automatic and manual evaluation, we demonstrate that CASE outperforms state-of-the-art baselines of empathetic dialogues and can generate more empathetic and informative responses.
The Ethics of ChatGPT in Medicine and Healthcare: A Systematic Review on Large Language Models (LLMs)
With the introduction of ChatGPT, Large Language Models (LLMs) have received enormous attention in healthcare. Despite their potential benefits, researchers have underscored various ethical implications. While individual instances have drawn much attention, the debate lacks a systematic overview of practical applications currently researched and ethical issues connected to them. Against this background, this work aims to map the ethical landscape surrounding the current stage of deployment of LLMs in medicine and healthcare. Electronic databases and preprint servers were queried using a comprehensive search strategy. Studies were screened and extracted following a modified rapid review approach. Methodological quality was assessed using a hybrid approach. For 53 records, a meta-aggregative synthesis was performed. Four fields of applications emerged and testify to a vivid exploration phase. Advantages of using LLMs are attributed to their capacity in data analysis, personalized information provisioning, support in decision-making, mitigating information loss and enhancing information accessibility. However, we also identifies recurrent ethical concerns connected to fairness, bias, non-maleficence, transparency, and privacy. A distinctive concern is the tendency to produce harmful misinformation or convincingly but inaccurate content. A recurrent plea for ethical guidance and human oversight is evident. Given the variety of use cases, it is suggested that the ethical guidance debate be reframed to focus on defining what constitutes acceptable human oversight across the spectrum of applications. This involves considering diverse settings, varying potentials for harm, and different acceptable thresholds for performance and certainty in healthcare. In addition, a critical inquiry is necessary to determine the extent to which the current experimental use of LLMs is necessary and justified.
EmpathyAgent: Can Embodied Agents Conduct Empathetic Actions?
Empathy is fundamental to human interactions, yet it remains unclear whether embodied agents can provide human-like empathetic support. Existing works have studied agents' tasks solving and social interactions abilities, but whether agents can understand empathetic needs and conduct empathetic behaviors remains overlooked. To address this, we introduce EmpathyAgent, the first benchmark to evaluate and enhance agents' empathetic actions across diverse scenarios. EmpathyAgent contains 10,000 multimodal samples with corresponding empathetic task plans and three different challenges. To systematically evaluate the agents' empathetic actions, we propose an empathy-specific evaluation suite that evaluates the agents' empathy process. We benchmark current models and found that exhibiting empathetic actions remains a significant challenge. Meanwhile, we train Llama3-8B using EmpathyAgent and find it can potentially enhance empathetic behavior. By establishing a standard benchmark for evaluating empathetic actions, we hope to advance research in empathetic embodied agents. Our code and data are publicly available at https://github.com/xinyan-cxy/EmpathyAgent.
CEM: Commonsense-aware Empathetic Response Generation
A key trait of daily conversations between individuals is the ability to express empathy towards others, and exploring ways to implement empathy is a crucial step towards human-like dialogue systems. Previous approaches on this topic mainly focus on detecting and utilizing the user's emotion for generating empathetic responses. However, since empathy includes both aspects of affection and cognition, we argue that in addition to identifying the user's emotion, cognitive understanding of the user's situation should also be considered. To this end, we propose a novel approach for empathetic response generation, which leverages commonsense to draw more information about the user's situation and uses this additional information to further enhance the empathy expression in generated responses. We evaluate our approach on EmpatheticDialogues, which is a widely-used benchmark dataset for empathetic response generation. Empirical results demonstrate that our approach outperforms the baseline models in both automatic and human evaluations and can generate more informative and empathetic responses.
SoulChat: Improving LLMs' Empathy, Listening, and Comfort Abilities through Fine-tuning with Multi-turn Empathy Conversations
Large language models (LLMs) have been widely applied in various fields due to their excellent capability for memorizing knowledge and chain of thought (CoT). When these language models are applied in the field of psychological counseling, they often rush to provide universal advice. However, when users seek psychological support, they need to gain empathy, trust, understanding and comfort, rather than just reasonable advice. To this end, we constructed a multi-turn empathetic conversation dataset of more than 2 million samples, in which the input is the multi-turn conversation context, and the target is empathetic responses that cover expressions such as questioning, comfort, recognition, listening, trust, emotional support, etc. Experiments have shown that the empathy ability of LLMs can be significantly enhanced when finetuning by using multi-turn dialogue history and responses that are closer to the expression of a psychological consultant.
Modeling Empathetic Alignment in Conversation
Empathy requires perspective-taking: empathetic responses require a person to reason about what another has experienced and communicate that understanding in language. However, most NLP approaches to empathy do not explicitly model this alignment process. Here, we introduce a new approach to recognizing alignment in empathetic speech, grounded in Appraisal Theory. We introduce a new dataset of over 9.2K span-level annotations of different types of appraisals of a person's experience and over 3K empathetic alignments between a speaker's and observer's speech. Through computational experiments, we show that these appraisals and alignments can be accurately recognized. In experiments in over 9.2M Reddit conversations, we find that appraisals capture meaningful groupings of behavior but that most responses have minimal alignment. However, we find that mental health professionals engage with substantially more empathetic alignment.
EMPA: Evaluating Persona-Aligned Empathy as a Process
Evaluating persona-aligned empathy in LLM-based dialogue agents remains challenging. User states are latent, feedback is sparse and difficult to verify in situ, and seemingly supportive turns can still accumulate into trajectories that drift from persona-specific needs. We introduce EMPA, a process-oriented framework that evaluates persona-aligned support as sustained intervention rather than isolated replies. EMPA distills real interactions into controllable, psychologically grounded scenarios, couples them with an open-ended multi-agent sandbox that exposes strategic adaptation and failure modes, and scores trajectories in a latent psychological space by directional alignment, cumulative impact, and stability. The resulting signals and metrics support reproducible comparison and optimization of long-horizon empathic behavior, and they extend to other agent settings shaped by latent dynamics and weak, hard-to-verify feedback.
Human Empathy as Encoder: AI-Assisted Depression Assessment in Special Education
Assessing student depression in sensitive environments like special education is challenging. Standardized questionnaires may not fully reflect students' true situations. Furthermore, automated methods often falter with rich student narratives, lacking the crucial, individualized insights stemming from teachers' empathetic connections with students. Existing methods often fail to address this ambiguity or effectively integrate educator understanding. To address these limitations by fostering a synergistic human-AI collaboration, this paper introduces Human Empathy as Encoder (HEAE), a novel, human-centered AI framework for transparent and socially responsible depression severity assessment. Our approach uniquely integrates student narrative text with a teacher-derived, 9-dimensional "Empathy Vector" (EV), its dimensions guided by the PHQ-9 framework,to explicitly translate tacit empathetic insight into a structured AI input enhancing rather than replacing human judgment. Rigorous experiments optimized the multimodal fusion, text representation, and classification architecture, achieving 82.74% accuracy for 7-level severity classification. This work demonstrates a path toward more responsible and ethical affective computing by structurally embedding human empathy
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.
Don't Lose Yourself! Empathetic Response Generation via Explicit Self-Other Awareness
As a critical step to achieve human-like chatbots, empathetic response generation has attained increasing interests. Previous attempts are incomplete and not sufficient enough to elicit empathy because they only focus on the initial aspect of empathy to automatically mimic the feelings and thoughts of the user via other-awareness. However, they ignore to maintain and take the own views of the system into account, which is a crucial process to achieve the empathy called self-other awareness. To this end, we propose to generate Empathetic response with explicit Self-Other Awareness (EmpSOA). Specifically, three stages, self-other differentiation, self-other modulation and self-other generation, are devised to clearly maintain, regulate and inject the self-other aware information into the process of empathetic response generation. Both automatic and human evaluations on the benchmark dataset demonstrate the superiority of EmpSOA to generate more empathetic responses.
The Pursuit of Empathy: Evaluating Small Language Models for PTSD Dialogue Support
Can small language models with 0.5B to 5B parameters meaningfully engage in trauma-informed, empathetic dialogue for individuals with PTSD? We address this question by introducing TIDE, a dataset of 10,000 two-turn dialogues spanning 500 diverse PTSD client personas and grounded in a three-factor empathy model: emotion recognition, distress normalization, and supportive reflection. All scenarios and reference responses were reviewed for realism and trauma sensitivity by a clinical psychologist specializing in PTSD. We evaluate eight small language models before and after fine-tuning, comparing their outputs to a frontier model (Claude Sonnet 3.5). Our IRB-approved human evaluation and automatic metrics show that fine-tuning generally improves perceived empathy, but gains are highly scenario- and user-dependent, with smaller models facing an empathy ceiling. Demographic analysis shows older adults value distress validation and graduate-educated users prefer nuanced replies, while gender effects are minimal. We highlight the limitations of automatic metrics and the need for context- and user-aware system design. Our findings, along with the planned release of TIDE, provide a foundation for building safe, resource-efficient, and ethically sound empathetic AI to supplement, not replace, clinical mental health care.
EmpathicStories++: A Multimodal Dataset for Empathy towards Personal Experiences
Modeling empathy is a complex endeavor that is rooted in interpersonal and experiential dimensions of human interaction, and remains an open problem within AI. Existing empathy datasets fall short in capturing the richness of empathy responses, often being confined to in-lab or acted scenarios, lacking longitudinal data, and missing self-reported labels. We introduce a new multimodal dataset for empathy during personal experience sharing: the EmpathicStories++ dataset (https://mitmedialab.github.io/empathic-stories-multimodal/) containing 53 hours of video, audio, and text data of 41 participants sharing vulnerable experiences and reading empathically resonant stories with an AI agent. EmpathicStories++ is the first longitudinal dataset on empathy, collected over a month-long deployment of social robots in participants' homes, as participants engage in natural, empathic storytelling interactions with AI agents. We then introduce a novel task of predicting individuals' empathy toward others' stories based on their personal experiences, evaluated in two contexts: participants' own personal shared story context and their reflections on stories they read. We benchmark this task using state-of-the-art models to pave the way for future improvements in contextualized and longitudinal empathy modeling. Our work provides a valuable resource for further research in developing empathetic AI systems and understanding the intricacies of human empathy within genuine, real-world settings.
EmPO: Emotion Grounding for Empathetic Response Generation through Preference Optimization
Empathetic response generation is a desirable aspect of conversational agents, crucial for facilitating engaging and emotionally intelligent multi-turn conversations between humans and machines. Leveraging large language models for this task has shown promising results, yet challenges persist in ensuring both the empathetic quality of the responses and retention of the generalization performance of the models. We propose a novel approach where we construct theory-driven preference datasets based on emotion grounding and use them to align LLMs with preference optimization algorithms to address these challenges. To evaluate empathetic response generation, we employ the EmpatheticDialogues dataset, assessing empathy with the diff-Epitome and BERTscore metrics and with multi-dimensional human evaluation. Additionally, we measure diversity and emotional valence using feature-based methods. We also evaluate the impact of training on the generalization performance using the MMLU benchmark and tasks from the Open LLM Leaderboard. The results show that LLMs can be aligned for empathetic response generation by preference optimization while retaining their general performance and that emotion grounding can guide preference dataset creation. We make all datasets, source code, and models publicly available. https://github.com/justtherightsize/empo
