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Therapeutic dialogue is not a sequence of isolated responses: client goals, motivation, resistance, and therapeutic alliance evolve over time. Yet current LLM-based mental health dialogue systems often lack explicit mechanisms for tracking…

Testing humanoid robots with users is slow, causes wear, and limits iteration and diversity. Yet screening agents must master conversational timing, prosody, backchannels, and what to attend to in faces and speech for Depression and PTSD.…

Machine Learning · Computer Science 2025-12-11 Filippo Cenacchi , Deborah Richards , Longbing Cao

Robust therapeutic relationships between counselors and clients are fundamental to counseling effectiveness. The assessment of therapeutic alliance is well-established in traditional face-to-face therapy but may not directly translate to…

Computation and Language · Computer Science 2024-10-10 Anqi Li , Yu Lu , Nirui Song , Shuai Zhang , Lizhi Ma , Zhenzhong Lan

Recent advances in large language models (LLMs) demonstrate their potential as educational tutors. However, different tutoring strategies benefit different student personalities, and mismatches can be counterproductive to student outcomes.…

Computation and Language · Computer Science 2026-01-14 Donya Rooein , Sankalan Pal Chowdhury , Mariia Eremeeva , Yuan Qin , Debora Nozza , Mrinmaya Sachan , Dirk Hovy

This survey organizes the intricate literature on the design and optimization of emerging structures around post-trained LMs. We refer to this overarching structure as scaffolded LMs and focus on LMs that are integrated into multi-step…

Computation and Language · Computer Science 2025-11-05 Matthieu Lin , Jenny Sheng , Andrew Zhao , Shenzhi Wang , Yang Yue , Victor Shea Jay Huang , Huan Liu , Jun Liu , Gao Huang , Yong-Jin Liu

The advent of technology-enhanced interventions has significantly transformed mental health services, offering new opportunities for delivering psychotherapy, particularly in remote settings. This paper reports on a pilot study exploring…

Human-Computer Interaction · Computer Science 2024-09-13 Jiashuo Cao , Wujie Gao , Yun Suen Pai , Simon Hoermann , Chen Li , Nilufar Baghaei , Mark Billinghurst

Apart from the coherence and fluency of responses, an empathetic chatbot emphasizes more on people's feelings. By considering altruistic behaviors between human interaction, empathetic chatbots enable people to get a better interactive and…

Computation and Language · Computer Science 2021-10-11 Jiun-Hao Jhan , Chao-Peng Liu , Shyh-Kang Jeng , Hung-Yi Lee

We study how prompt-level inductive biases influence the cognitive behavior of large language models (LLMs) in instructional dialogue. We introduce a symbolic scaffolding method paired with a short-term memory schema designed to promote…

Artificial Intelligence · Computer Science 2025-10-31 Vanessa Figueiredo

Advances in large language models (LLMs) enable many new innovations in education. However, evaluating the effectiveness of new technology requires real students, which is time-consuming and hard to scale up. Therefore, many recent works on…

Computation and Language · Computer Science 2026-05-06 Alexander Scarlatos , Jaewook Lee , Simon Woodhead , Andrew Lan

Mental illness remains one of the most critical public health issues. Despite its importance, many mental health professionals highlight a disconnect between their training and actual real-world patient practice. To help bridge this gap, we…

Existing English-teaching chatbots rarely incorporate empathy explicitly in their feedback, but empathetic feedback could help keep students engaged and reduce learner anxiety. Toward this end, we propose the task of negative emotion…

Computation and Language · Computer Science 2024-04-23 Li Siyan , Teresa Shao , Zhou Yu , Julia Hirschberg

Training and education in human-centered fields require authentic practice, yet realistic simulations of human behavior have remained limited. We present a multi-agent psychological simulation system that models internal cognitive-affective…

Artificial Intelligence · Computer Science 2025-11-05 Xiangen Hu , Jiarui Tong , Sheng Xu

The primary goal of Motivational Interviewing (MI) is to help clients build their own motivation for behavioral change. To support this in dialogue systems, it is essential to guide large language models (LLMs) to generate counselor…

Human-Computer Interaction · Computer Science 2025-08-29 Jie Zeng , Yukiko I. Nakano

The traditional user-centered design process can hardly keep up with the ever faster technical development and increasingly diverse user preferences. As a solution, we propose to augment the tried-and-tested approach of conducting user…

Human-Computer Interaction · Computer Science 2023-02-23 Florian Fischer , Arthur Fleig , Markus Klar , Viktorija Paneva , Jörg Müller

Large language models have become increasingly common, used by millions of people worldwide in both professional and personal contexts. As these models continue to advance, they are frequently serving as virtual assistants and companions.…

Computation and Language · Computer Science 2025-08-13 Victoria Williams , Benjamin Rosman

Verbal feedback delivered by attending surgeons in the operating room plays a critical formative role in resident trainee skill acquisition. Yet, assessing the quality of trainer feedback and its effectiveness in influencing trainee…

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…

Computation and Language · Computer Science 2023-05-24 Siyuan Chen , Mengyue Wu , Kenny Q. Zhu , Kunyao Lan , Zhiling Zhang , Lyuchun Cui

Conversations with LMs involve two participants: a human user leading the conversation, and an LM assistant responding to the user's request. To satisfy this specific role, LMs are post-trained to be helpful assistants -- optimized to…

Computation and Language · Computer Science 2026-03-24 Tarek Naous , Philippe Laban , Wei Xu , Jennifer Neville

Online psychological counseling dialogue systems are trending, offering a convenient and accessible alternative to traditional in-person therapy. However, existing psychological counseling dialogue systems mainly focus on basic empathetic…

Artificial Intelligence · Computer Science 2024-12-24 Jieyi Wang , Yue Huang , Zeming Liu , Dexuan Xu , Chuan Wang , Xiaoming Shi , Ruiyuan Guan , Hongxing Wang , Weihua Yue , Yu Huang

Computer-based simulation training (CBST) is gaining popularity in a vast range of applications such as surgery, rehabilitation therapy, military applications, and driver/pilot training, as it offers a low-cost, easily-accessible and…

Human-Computer Interaction · Computer Science 2017-05-16 Sudanthi Wijewickrema , Xingjun Ma , James Bailey , Gregor Kennedy , Stephen O'Leary
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