Daily Papers

Demand for mental health support through AI chatbots is surging, though current systems present several limitations, like sycophancy or overvalidation, and reinforcement of maladaptive beliefs. A core obstacle to the creation of better systems is the scarcity of benchmarks that capture the complexity of real therapeutic interactions. Most existing benchmarks either only test clinical knowledge through multiple-choice questions or assess single responses in isolation. To bridge this gap, we present MindEval, a framework designed in collaboration with Ph.D-level Licensed Clinical Psychologists for automatically evaluating language models in realistic, multi-turn mental health therapy conversations. Through patient simulation and automatic evaluation with LLMs, our framework balances resistance to gaming with reproducibility via its fully automated, model-agnostic design. We begin by quantitatively validating the realism of our simulated patients against human-generated text and by demonstrating strong correlations between automatic and human expert judgments. Then, we evaluate 12 state-of-the-art LLMs and show that all models struggle, scoring below 4 out of 6, on average, with particular weaknesses in problematic AI-specific patterns of communication. Notably, reasoning capabilities and model scale do not guarantee better performance, and systems deteriorate with longer interactions or when supporting patients with severe symptoms. We release all code, prompts, and human evaluation data.

Rapid advancements in large language models (LLMs) have sparked the question whether these models possess some form of consciousness. To tackle this challenge, Butlin et al. (2023) introduced a list of indicators for consciousness in artificial systems based on neuroscientific theories. In this work, we evaluate a key indicator from this list, called HOT-3, which tests for agency guided by a general belief-formation and action selection system that updates beliefs based on meta-cognitive monitoring. We view beliefs as representations in the model's latent space that emerge in response to a given input, and introduce a metric to quantify their dominance during generation. Analyzing the dynamics between competing beliefs across models and tasks reveals three key findings: (1) external manipulations systematically modulate internal belief formation, (2) belief formation causally drives the model's action selection, and (3) models can monitor and report their own belief states. Together, these results provide empirical support for the existence of belief-guided agency and meta-cognitive monitoring in LLMs. More broadly, our work lays methodological groundwork for investigating the emergence of agency, beliefs, and meta-cognition in LLMs.

Beliefs serve as the foundation for human cognition and decision-making. They guide individuals in deriving meaning from their lives, shaping their behaviors, and forming social connections. Therefore, a model that encapsulates beliefs and their interrelationships is crucial for quantitatively studying the influence of beliefs on our actions. Despite its importance, research on the interplay between human beliefs has often been limited to a small set of beliefs pertaining to specific issues, with a heavy reliance on surveys or experiments. Here, we propose a method for extracting nuanced relations between thousands of beliefs by leveraging large-scale user participation data from an online debate platform and mapping these beliefs to an embedding space using a fine-tuned large language model (LLM). This belief embedding space effectively encapsulates the interconnectedness of diverse beliefs as well as polarization across various social issues. We discover that the positions within this belief space predict new beliefs of individuals. Furthermore, we find that the relative distance between one's existing beliefs and new beliefs can serve as a quantitative estimate of cognitive dissonance, allowing us to predict new beliefs. Our study highlights how modern LLMs, when combined with collective online records of human beliefs, can offer insights into the fundamental principles that govern human belief formation and decision-making processes.

As generative artificial intelligence (GAI) enters the mental health landscape, questions arise about how individuals weigh AI tools against human therapists. Drawing on the Health Belief Model (HBM), this study examined belief-based predictors of intention to use GAI and therapists across two populations: a university sample (N = 1,155) and a nationally representative adult sample (N = 651). Using repeated-measures ANOVA and LASSO regression, we found that therapists were consistently valued for emotional, relational, and personalization benefits, while GAI was favored for accessibility and affordability. Yet structural advantages alone did not predict adoption; emotional benefit and personalization emerged as decisive factors. Adoption patterns diverged across groups: students treated GAI as a complement, whereas national adults approached it as a substitute. Concerns about privacy and reliability constrained GAI use in both groups. These findings extend HBM to multi-modality contexts and highlight design implications for trustworthy, emotionally resonant digital mental health tools.