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Beyond Empathy: Integrating Diagnostic and Therapeutic Reasoning with Large Language Models for Mental Health Counseling
Hu, He, Zhou, Yucheng, Si, Juzheng, Wang, Qianning, Zhang, Hengheng, Ren, Fuji, Ma, Fei, Cui, Laizhong, Tian, Qi
Large language models (LLMs) hold significant potential for mental health support, capable of generating empathetic responses and simulating therapeutic conversations. However, existing LLM-based approaches often lack the clinical grounding necessary for real-world psychological counseling, particularly in explicit diagnostic reasoning aligned with standards like the DSM/ICD and incorporating diverse therapeutic modalities beyond basic empathy or single strategies. To address these critical limitations, we propose PsyLLM, the first large language model designed to systematically integrate both diagnostic and therapeutic reasoning for mental health counseling. To develop PsyLLM, we design a novel automated data synthesis pipeline that processes real-world mental health posts collected from Reddit, where users frequently share psychological distress and seek community support. This pipeline processes real-world mental health posts, generates multi-turn dialogue structures, and leverages LLMs guided by international diagnostic standards (e.g., DSM/ICD) and multiple therapeutic frameworks (e.g., CBT, ACT, psychodynamic) to simulate detailed clinical reasoning processes. Rigorous multi-dimensional filtering ensures the generation of high-quality, clinically aligned dialogue data. In addition, we introduce a new benchmark and evaluation protocol, assessing counseling quality across four key dimensions. Our experiments demonstrate that PsyLLM significantly outperforms state-of-the-art baseline models on this benchmark. The model weights and dataset have been publicly released at https://github.com/Emo-gml/PsyLLM.
From Grounding to Manipulation: Case Studies of Foundation Model Integration in Embodied Robotic Systems
Sui, Xiuchao, Tian, Daiying, Sun, Qi, Chen, Ruirui, Choi, Dongkyu, Kwok, Kenneth, Poria, Soujanya
Foundation models (FMs) are increasingly used to bridge language and action in embodied agents, yet the operational characteristics of different FM integration strategies remain under-explored -- particularly for complex instruction following and versatile action generation in changing environments. This paper examines three paradigms for building robotic systems: end-to-end vision-language-action (VLA) models that implicitly integrate perception and planning, and modular pipelines incorporating either vision-language models (VLMs) or multimodal large language models (LLMs). We evaluate these paradigms through two focused case studies: a complex instruction grounding task assessing fine-grained instruction understanding and cross-modal disambiguation, and an object manipulation task targeting skill transfer via VLA finetuning. Our experiments in zero-shot and few-shot settings reveal trade-offs in generalization and data efficiency. By exploring performance limits, we distill design implications for developing language-driven physical agents and outline emerging challenges and opportunities for FM-powered robotics in real-world conditions.
S-DAT: A Multilingual, GenAI-Driven Framework for Automated Divergent Thinking Assessment
Haase, Jennifer, Hanel, Paul H. P., Pokutta, Sebastian
This paper introduces S-DAT (Synthetic-Divergent Association Task), a scalable, multilingual framework for automated assessment of divergent thinking (DT) -a core component of human creativity. Traditional creativity assessments are often labor-intensive, language-specific, and reliant on subjective human ratings, limiting their scalability and cross-cultural applicability. In contrast, S-DAT leverages large language models and advanced multilingual embeddings to compute semantic distance -- a language-agnostic proxy for DT. We evaluate S-DAT across eleven diverse languages, including English, Spanish, German, Russian, Hindi, and Japanese (Kanji, Hiragana, Katakana), demonstrating robust and consistent scoring across linguistic contexts. Unlike prior DAT approaches, the S-DAT shows convergent validity with other DT measures and correct discriminant validity with convergent thinking. This cross-linguistic flexibility allows for more inclusive, global-scale creativity research, addressing key limitations of earlier approaches. S-DAT provides a powerful tool for fairer, more comprehensive evaluation of cognitive flexibility in diverse populations and can be freely assessed online: https://sdat.iol.zib.de/.
Evaluating Simplification Algorithms for Interpretability of Time Series Classification
Hรฅvardstun, Brigt, Marti-Perez, Felix, Ferri, Cรจsar, Telle, Jan Arne
In this work, we introduce metrics to evaluate the use of simplified time series in the context of interpretability of a TSC -- a Time Series Classifier. Such simplifications are important because time series data, in contrast to text and image data, are not intuitively under- standable to humans. These metrics are related to the complexity of the simplifications -- how many segments they contain -- and to their loyalty -- how likely they are to maintain the classification of the original time series. We focus on simplifications that select a subset of the original data points, and show that these typically have high Shapley value, thereby aiding interpretability. We employ these metrics to experimentally evaluate four distinct simplification algorithms, across several TSC algorithms and across datasets of varying characteristics, from seasonal or stationary to short or long. We subsequently perform a human-grounded evaluation with forward simulation, that confirms also the practical utility of the introduced metrics to evaluate the use of simplifications in the context of interpretability of TSC. Our findings are summarized in a framework for deciding, for a given TSC, if the various simplifications are likely to aid in its interpretability.
JobHop: A Large-Scale Dataset of Career Trajectories
Johary, Iman, Romero, Raphael, Mara, Alexandru C., De Bie, Tijl
Understanding labor market dynamics is essential for policymakers, employers, and job seekers. However, comprehensive datasets that capture real-world career trajectories are scarce. In this paper, we introduce JobHop, a large-scale public dataset derived from anonymized resumes provided by VDAB, the public employment service in Flanders, Belgium. Utilizing Large Language Models (LLMs), we process unstructured resume data to extract structured career information, which is then normalized to standardized ESCO occupation codes using a multi-label classification model. This results in a rich dataset of over 1.67 million work experiences, extracted from and grouped into more than 361,000 user resumes and mapped to standardized ESCO occupation codes, offering valuable insights into real-world occupational transitions. This dataset enables diverse applications, such as analyzing labor market mobility, job stability, and the effects of career breaks on occupational transitions. It also supports career path prediction and other data-driven decision-making processes. To illustrate its potential, we explore key dataset characteristics, including job distributions, career breaks, and job transitions, demonstrating its value for advancing labor market research.
Memory Assisted LLM for Personalized Recommendation System
Large language models (LLMs) have demonstrated significant potential in solving recommendation tasks. With proven capabilities in understanding user preferences, LLM personalization has emerged as a critical area for providing tailored responses to individuals. Current studies explore personalization through prompt design and fine-tuning, paving the way for further research in personalized LLMs. However, existing approaches are either costly and inefficient in capturing diverse user preferences or fail to account for timely updates to user history. To address these gaps, we propose the Memory-Assisted Personalized LLM (MAP). Through user interactions, we first create a history profile for each user, capturing their preferences, such as ratings for historical items. During recommendation, we extract relevant memory based on similarity, which is then incorporated into the prompts to enhance personalized recommendations. In our experiments, we define a new task that enables testing with varying memory size under two scenarios: single domain where memory and tasks are from the same category and cross-domain (e.g. memory from movies and recommendation tasks in books). The results show that MAP outperforms regular LLM-based recommenders that integrate user history directly through prompt design. Moreover, as user history grows, MAP's advantage increases in both scenarios, making it more suitable for addressing successive personalized user requests.
Knowledge-augmented Pre-trained Language Models for Biomedical Relation Extraction
Automatic relationship extraction (RE) from biomedical literature is critical for managing the vast amount of scientific knowledge produced each year. In recent years, utilizing pre-trained language models (PLMs) has become the prevalent approach in RE. Several studies report improved performance when incorporating additional context information while fine-tuning PLMs for RE. However, variations in the PLMs applied, the databases used for augmentation, hyper-parameter optimization, and evaluation methods complicate direct comparisons between studies and raise questions about the generalizability of these findings. Our study addresses this research gap by evaluating PLMs enhanced with contextual information on five datasets spanning four relation scenarios within a consistent evaluation framework. We evaluate three baseline PLMs and first conduct extensive hyperparameter optimization. After selecting the top-performing model, we enhance it with additional data, including textual entity descriptions, relational information from knowledge graphs, and molecular structure encodings. Our findings illustrate the importance of i) the choice of the underlying language model and ii) a comprehensive hyperparameter optimization for achieving strong extraction performance. Although inclusion of context information yield only minor overall improvements, an ablation study reveals substantial benefits for smaller PLMs when such external data was included during fine-tuning.
Stochastic Subspace Descent Accelerated via Bi-fidelity Line Search
Cheng, Nuojin, Doostan, Alireza, Becker, Stephen
Efficient optimization remains a fundamental challenge across numerous scientific and engineering domains, especially when objective function and gradient evaluations are computationally expensive. While zeroth-order optimization methods offer effective approaches when gradients are inaccessible, their practical performance can be limited by the high cost associated with function queries. This work introduces the bi-fidelity stochastic subspace descent (BF-SSD) algorithm, a novel zeroth-order optimization method designed to reduce this computational burden. BF-SSD leverages a bi-fidelity framework, constructing a surrogate model from a combination of computationally inexpensive low-fidelity (LF) and accurate high-fidelity (HF) function evaluations. This surrogate model facilitates an efficient backtracking line search for step size selection, for which we provide theoretical convergence guarantees under standard assumptions. We perform a comprehensive empirical evaluation of BF-SSD across four distinct problems: a synthetic optimization benchmark, dual-form kernel ridge regression, black-box adversarial attacks on machine learning models, and transformer-based black-box language model fine-tuning. Numerical results demonstrate that BF-SSD consistently achieves superior optimization performance while requiring significantly fewer HF function evaluations compared to relevant baseline methods. This study highlights the efficacy of integrating bi-fidelity strategies within zeroth-order optimization, positioning BF-SSD as a promising and computationally efficient approach for tackling large-scale, high-dimensional problems encountered in various real-world applications.
Vision-Language Model-Based Semantic-Guided Imaging Biomarker for Lung Nodule Malignancy Prediction
Zhuang, Luoting, Tabatabaei, Seyed Mohammad Hossein, Salehi-Rad, Ramin, Tran, Linh M., Aberle, Denise R., Prosper, Ashley E., Hsu, William
Machine learning models have utilized semantic features, deep features, or both to assess lung nodule malignancy. However, their reliance on manual annotation during inference, limited interpretability, and sensitivity to imaging variations hinder their application in real-world clinical settings. Thus, this research aims to integrate semantic features derived from radiologists' assessments of nodules, guiding the model to learn clinically relevant, robust, and explainable imaging features for predicting lung cancer. We obtained 938 low-dose CT scans from the National Lung Screening Trial (NLST) with 1,261 nodules and semantic features. Additionally, the Lung Image Database Consortium dataset contains 1,018 CT scans, with 2,625 lesions annotated for nodule characteristics. Three external datasets were obtained from UCLA Health, the LUNGx Challenge, and the Duke Lung Cancer Screening. We fine-tuned a pretrained Contrastive Language-Image Pretraining (CLIP) model with a parameter-efficient fine-tuning approach to align imaging and semantic text features and predict the one-year lung cancer diagnosis. Our model outperformed state-of-the-art (SOTA) models in the NLST test set with an AUROC of 0.901 and AUPRC of 0.776. It also showed robust results in external datasets. Using CLIP, we also obtained predictions on semantic features through zero-shot inference, such as nodule margin (AUROC: 0.807), nodule consistency (0.812), and pleural attachment (0.840). Our approach surpasses the SOTA models in predicting lung cancer across datasets collected from diverse clinical settings, providing explainable outputs, aiding clinicians in comprehending the underlying meaning of model predictions. This approach also prevents the model from learning shortcuts and generalizes across clinical settings. The code is available at https://github.com/luotingzhuang/CLIP_nodule.
The Limits of AI Explainability: An Algorithmic Information Theory Approach
This paper establishes a theoretical foundation for understanding the fundamental limits of AI explainability through algorithmic information theory. We formalize explainability as the approximation of complex models by simpler ones, quantifying both approximation error and explanation complexity using Kolmogorov complexity. Our key theoretical contributions include: (1) a complexity gap theorem proving that any explanation significantly simpler than the original model must differ from it on some inputs; (2) precise bounds showing that explanation complexity grows exponentially with input dimension but polynomially with error tolerance for Lipschitz functions; and (3) a characterization of the gap between local and global explainability, demonstrating that local explanations can be significantly simpler while maintaining accuracy in relevant regions. We further establish a regulatory impossibility theorem proving that no governance framework can simultaneously pursue unrestricted AI capabilities, human-interpretable explanations, and negligible error. These results highlight considerations likely to be relevant to the design, evaluation, and oversight of explainable AI systems.