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Recent advancements in large language models (LLMs) have shown promise in generating psychotherapeutic dialogues, particularly in the context of motivational interviewing (MI). However, the inherent lack of transparency in LLM outputs…

Computation and Language · Computer Science 2024-12-18 Xin Sun , Xiao Tang , Abdallah El Ali , Zhuying Li , Pengjie Ren , Jan de Wit , Jiahuan Pei , Jos A. Bosch

Recent advancements in large language models (LLMs) have shown their potential across both general and domain-specific tasks. However, there is a growing concern regarding their lack of sensitivity, factual incorrectness in responses,…

Computation and Language · Computer Science 2025-12-01 Vivek Kumar , Pushpraj Singh Rajawat , Eirini Ntoutsi

Large language models (LLMs) can generate fluent dialogue, but prior works lack situational grounding, dynamic strategy control, and evaluation aligned with clinical standards in motivational interviewing (MI). We introduce StoryMI, a…

Computation and Language · Computer Science 2026-05-28 Qingyu Meng , Min Chen , Dingming Liu , Yifan Mo , Yue Su , Xin Sun , Koen Hindriks , Jiahuan Pei

Mental health disorders impose a substantial global socioeconomic burden. While large language models (LLMs) offer 24/7, non-judgmental interactions to address this gap, pretrained models lack contextual coherence and emotional alignment…

Computation and Language · Computer Science 2026-02-17 Eric Hua Qing Zhang , Julia Ive

Motivational interviewing (MI) promotes behavioural change in substance use disorders. Its fidelity is measured using the Motivational Interviewing Treatment Integrity (MITI) framework. While large language models (LLMs) can potentially…

Computation and Language · Computer Science 2026-03-05 Aishwariya Jha , Prakrithi Shivaprakash , Lekhansh Shukla , Animesh Mukherjee , Prabhat Chand , Pratima Murthy

Large language models (LLMs) like GPT-4 show potential for scaling motivational interviewing (MI) in addiction care, but require systematic evaluation of therapeutic capabilities. We present a computational framework assessing…

Computation and Language · Computer Science 2025-05-26 Yinghui Huang , Yuxuan Jiang , Hui Liu , Yixin Cai , Weiqing Li , Xiangen Hu

The emergence of large language models (LLMs) like ChatGPT has increased interest in their use as therapists to address mental health challenges and the widespread lack of access to care. However, experts have emphasized the critical need…

Computation and Language · Computer Science 2024-12-02 Yu Ying Chiu , Ashish Sharma , Inna Wanyin Lin , Tim Althoff

Objectives: While Large Language Models (LLMs) have been widely used to assist clinicians and support patients, no existing work has explored dialogue systems for standard diagnostic interviews and assessments. This study aims to bridge the…

Computation and Language · Computer Science 2025-05-01 Sichang Tu , Abigail Powers , Stephen Doogan , Jinho D. Choi

An effective healthcare agent must be able to recall and reason over a patient's longitudinal medical history. However, the absence of datasets with realistic long-term dialogue timelines limits systematic evaluation. Real clinical text is…

Computation and Language · Computer Science 2026-05-20 Hebin Hu , Renke Dai , Ah-Hwee Tan , Yilin Kang

In this work, we propose a novel framework that integrates large language models (LLMs) with an RL-based dialogue manager for open-ended dialogue with a specific goal. By leveraging hierarchical reinforcement learning to model the…

Computation and Language · Computer Science 2025-07-09 Lucie Galland , Catherine Pelachaud , Florian Pecune

Background: Motivational interviewing (MI) is an effective counseling approach for promoting health behavior change, but its impact is constrained by the need for highly trained human counselors. Objective: This study aimed to explore a…

Computation and Language · Computer Science 2025-12-18 Run-ze Hu , Yang Yang , Yi-hang Yang , Jing-qi Kong , Jia-hui Luo , Wen-yu Yang , Jing Chen , Jing-yao Liu , Hui-qun Zeng , Lei Zhang , Zheng Liu

Creating effective dialogue systems for mental health support requires high-quality multi-turn counseling dialogue data, yet collecting real counselor-client conversations presents significant challenges, including privacy concerns, high…

Computation and Language · Computer Science 2026-05-27 Huachuan Qiu , Zhenzhong Lan

As mental health issues continue to rise globally, there is an increasing demand for accessible and scalable therapeutic solutions. Many individuals currently seek support from Large Language Models (LLMs), even though these models have not…

Computation and Language · Computer Science 2026-03-05 Navdeep Singh Bedi , Ana-Maria Bucur , Noriko Kando , Fabio Crestani

The rapid evolution of large language models (LLMs) has transformed conversational agents, enabling complex human-machine interactions. However, evaluation frameworks often focus on single tasks, failing to capture the dynamic nature of…

Computation and Language · Computer Science 2025-02-10 Pietro Alessandro Aluffi , Patrick Zietkiewicz , Marya Bazzi , Matt Arderne , Vladimirs Murevics

Existing works on long-term open-domain dialogues focus on evaluating model responses within contexts spanning no more than five chat sessions. Despite advancements in long-context large language models (LLMs) and retrieval augmented…

Computation and Language · Computer Science 2024-02-28 Adyasha Maharana , Dong-Ho Lee , Sergey Tulyakov , Mohit Bansal , Francesco Barbieri , Yuwei Fang

Long-term, open-domain dialogue capabilities are essential for chatbots aiming to recall past interactions and demonstrate emotional intelligence (EI). Yet, most existing research relies on synthetic, LLM-generated data, leaving open…

Computation and Language · Computer Science 2025-02-20 Dong-Ho Lee , Adyasha Maharana , Jay Pujara , Xiang Ren , Francesco Barbieri

Large language models (LLMs) are powerful dialogue agents, but specializing them towards fulfilling a specific function can be challenging. Instructing tuning, i.e. tuning models on instruction and sample responses generated by humans…

Computation and Language · Computer Science 2024-01-11 Dennis Ulmer , Elman Mansimov , Kaixiang Lin , Justin Sun , Xibin Gao , Yi Zhang

The escalating global mental health crisis, marked by persistent treatment gaps, availability, and a shortage of qualified therapists, positions Large Language Models (LLMs) as a promising avenue for scalable support. While LLMs offer…

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

Large language models (LLMs) hold great promise for assisting clinical interviews due to their fluent interactive capabilities and extensive medical knowledge. However, the lack of high-quality interview dialogue data and widely accepted…

Computation and Language · Computer Science 2025-04-15 Jing Chen , Zhihua Wei , Wei Zhang , Yingying Hu , Qiong Zhang
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