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Dialogue policy optimization often obtains feedback until task completion in task-oriented dialogue systems. This is insufficient for training intermediate dialogue turns since supervision signals (or rewards) are only provided at the end…

Computation and Language · Computer Science 2020-05-12 Xinting Huang , Jianzhong Qi , Yu Sun , Rui Zhang

End-to-end dialogue generation has achieved promising results without using handcrafted features and attributes specific for each task and corpus. However, one of the fatal drawbacks in such approaches is that they are unable to generate…

Computation and Language · Computer Science 2019-03-26 Hao-Tong Ye , Kai-Ling Lo , Shang-Yu Su , Yun-Nung Chen

Large language models (LLMs) are increasingly used for conversational clinical decision support, yet they conflate next token prediction with probabilistic decision making. We argue that this conflation reflects an architectural limitation:…

Response diversity has become an important criterion for evaluating the quality of open-domain dialogue generation models. However, current evaluation metrics for response diversity often fail to capture the semantic diversity of generated…

Computation and Language · Computer Science 2022-10-25 Seungju Han , Beomsu Kim , Buru Chang

Medical language models face critical barriers to real-world clinical reasoning applications. However, mainstream efforts, which fall short in task coverage, lack fine-grained supervision for intermediate reasoning steps, and rely on…

Computation and Language · Computer Science 2025-11-26 Shuyang Jiang , Yusheng Liao , Zhe Chen , Ya Zhang , Yanfeng Wang , Yu Wang

Pre-training models have been proved effective for a wide range of natural language processing tasks. Inspired by this, we propose a novel dialogue generation pre-training framework to support various kinds of conversations, including…

Computation and Language · Computer Science 2020-05-01 Siqi Bao , Huang He , Fan Wang , Hua Wu , Haifeng Wang

Conversational diagnosis prediction requires models to track evolving evidence in streaming clinical conversations and decide when to commit to a diagnosis. Existing medical dialogue corpora are largely dyadic or lack the multi-party…

Computation and Language · Computer Science 2026-04-21 Xueren Ge , Sahil Murtaza , Anthony Cortez , Homa Alemzadeh

The proliferation of Large Language Models (LLMs) in medicine has enabled impressive capabilities, yet a critical gap remains in their ability to perform systematic, transparent, and verifiable reasoning, a cornerstone of clinical practice.…

Computation and Language · Computer Science 2025-08-04 Wenxuan Wang , Zizhan Ma , Meidan Ding , Shiyi Zheng , Shengyuan Liu , Jie Liu , Jiaming Ji , Wenting Chen , Xiang Li , Linlin Shen , Yixuan Yuan

Patient-clinician communication is an asymmetric-information problem: patients often do not disclose fears, misconceptions, or practical barriers unless clinicians elicit them skillfully. Effective medical dialogue therefore requires…

Computation and Language · Computer Science 2026-04-13 Yikun Han , Joey Chan , Jingyuan Chen , Mengting Ai , Simo Du , Yue Guo

The majority of current systems for end-to-end dialog generation focus on response quality without an explicit control over the affective content of the responses. In this paper, we present an affect-driven dialog system, which generates…

Computation and Language · Computer Science 2019-04-08 Pierre Colombo , Wojciech Witon , Ashutosh Modi , James Kennedy , Mubbasir Kapadia

An intelligent dialogue system in a multi-turn setting should not only generate the responses which are of good quality, but it should also generate the responses which can lead to long-term success of the dialogue. Although, the current…

Computation and Language · Computer Science 2023-01-12 Anant Khandelwal

Open-domain dialogue systems aim to generate relevant, informative and engaging responses. Seq2seq neural response generation approaches do not have explicit mechanisms to control the content or style of the generated response, and…

Artificial Intelligence · Computer Science 2020-08-26 Behnam Hedayatnia , Karthik Gopalakrishnan , Seokhwan Kim , Yang Liu , Mihail Eric , Dilek Hakkani-Tur

Deep latent variable models have been shown to facilitate the response generation for open-domain dialog systems. However, these latent variables are highly randomized, leading to uncontrollable generated responses. In this paper, we…

Computation and Language · Computer Science 2017-07-07 Xiaoyu Shen , Hui Su , Yanran Li , Wenjie Li , Shuzi Niu , Yang Zhao , Akiko Aizawa , Guoping Long

Evidence-based medicine (EBM) is central to high-quality care, but remains difficult to implement in fast-paced primary care settings. Physicians face short consultations, increasing patient loads, and lengthy guideline documents that are…

Computation and Language · Computer Science 2026-03-26 Zongliang Ji , Ziyang Zhang , Xincheng Tan , Matthew Thompson , Anna Goldenberg , Carl Yang , Rahul G. Krishnan , Fan Zhang

The automation of the medical evidence acquisition and diagnosis process has recently attracted increasing attention in order to reduce the workload of doctors and democratize access to medical care. However, most works proposed in the…

Computation and Language · Computer Science 2022-10-14 Arsene Fansi Tchango , Rishab Goel , Julien Martel , Zhi Wen , Gaetan Marceau Caron , Joumana Ghosn

End-to-end models for goal-orientated dialogue are challenging to train, because linguistic and strategic aspects are entangled in latent state vectors. We introduce an approach to learning representations of messages in dialogues by…

Computation and Language · Computer Science 2018-06-06 Denis Yarats , Mike Lewis

Detecting medical conditions from speech acoustics is fundamentally a weakly-supervised learning problem: a single, often noisy, session-level label must be linked to nuanced patterns within a long, complex audio recording. This task is…

Sound · Computer Science 2026-04-21 Xingyuan Li , Mengyue Wu

Latent reasoning enables reasoning over continuous hidden states rather than explicit tokens, avoiding the language bottleneck and inference overhead of chain-of-thought for medical VQA. However, existing methods suffer from modality…

Computer Vision and Pattern Recognition · Computer Science 2026-05-28 Qiaoru Li , Shaotian Liang , Jintao Chen , Haoran Sun , Yuxiang Cai , Jianwei Yin , Yankai Jiang

Generative medical AI now appears fluent and knowledgeable enough to resemble clinical intelligence, encouraging the belief that scaling will make it safe. But clinical reasoning is not text generation. It is a responsibility-bound process…

Artificial Intelligence · Computer Science 2026-02-02 Vaibhav Ram S. V. N. S , Swetanshu Agrawal , Samudra Banerjee , Abdul Muhsin

Fact-based dialogue generation is a task of generating a human-like response based on both dialogue context and factual texts. Various methods were proposed to focus on generating informative words that contain facts effectively. However,…

Computation and Language · Computer Science 2020-05-11 Ryota Tanaka , Akinobu Lee