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Feb 26

BAH Dataset for Ambivalence/Hesitancy Recognition in Videos for Behavioural Change

Recognizing complex emotions linked to ambivalence and hesitancy (A/H) can play a critical role in the personalization and effectiveness of digital behaviour change interventions. These subtle and conflicting emotions are manifested by a discord between multiple modalities, such as facial and vocal expressions, and body language. Although experts can be trained to identify A/H, integrating them into digital interventions is costly and less effective. Automatic learning systems provide a cost-effective alternative that can adapt to individual users, and operate seamlessly within real-time, and resource-limited environments. However, there are currently no datasets available for the design of ML models to recognize A/H. This paper introduces a first Behavioural Ambivalence/Hesitancy (BAH) dataset collected for subject-based multimodal recognition of A/H in videos. It contains videos from 224 participants captured across 9 provinces in Canada, with different age, and ethnicity. Through our web platform, we recruited participants to answer 7 questions, some of which were designed to elicit A/H while recording themselves via webcam with microphone. BAH amounts to 1,118 videos for a total duration of 8.26 hours with 1.5 hours of A/H. Our behavioural team annotated timestamp segments to indicate where A/H occurs, and provide frame- and video-level annotations with the A/H cues. Video transcripts and their timestamps are also included, along with cropped and aligned faces in each frame, and a variety of participants meta-data. We include results baselines for BAH at frame- and video-level recognition in multi-modal setups, in addition to zero-shot prediction, and for personalization using unsupervised domain adaptation. The limited performance of baseline models highlights the challenges of recognizing A/H in real-world videos. The data, code, and pretrained weights are available.

  • 9 authors
·
May 25, 2025

Investigating Acoustic-Textual Emotional Inconsistency Information for Automatic Depression Detection

Previous studies have demonstrated that emotional features from a single acoustic sentiment label can enhance depression diagnosis accuracy. Additionally, according to the Emotion Context-Insensitivity theory and our pilot study, individuals with depression might convey negative emotional content in an unexpectedly calm manner, showing a high degree of inconsistency in emotional expressions during natural conversations. So far, few studies have recognized and leveraged the emotional expression inconsistency for depression detection. In this paper, a multimodal cross-attention method is presented to capture the Acoustic-Textual Emotional Inconsistency (ATEI) information. This is achieved by analyzing the intricate local and long-term dependencies of emotional expressions across acoustic and textual domains, as well as the mismatch between the emotional content within both domains. A Transformer-based model is then proposed to integrate this ATEI information with various fusion strategies for detecting depression. Furthermore, a scaling technique is employed to adjust the ATEI feature degree during the fusion process, thereby enhancing the model's ability to discern patients with depression across varying levels of severity. To best of our knowledge, this work is the first to incorporate emotional expression inconsistency information into depression detection. Experimental results on a counseling conversational dataset illustrate the effectiveness of our method.

  • 7 authors
·
Dec 8, 2024

The OMG-Empathy Dataset: Evaluating the Impact of Affective Behavior in Storytelling

Processing human affective behavior is important for developing intelligent agents that interact with humans in complex interaction scenarios. A large number of current approaches that address this problem focus on classifying emotion expressions by grouping them into known categories. Such strategies neglect, among other aspects, the impact of the affective responses from an individual on their interaction partner thus ignoring how people empathize towards each other. This is also reflected in the datasets used to train models for affective processing tasks. Most of the recent datasets, in particular, the ones which capture natural interactions ("in-the-wild" datasets), are designed, collected, and annotated based on the recognition of displayed affective reactions, ignoring how these displayed or expressed emotions are perceived. In this paper, we propose a novel dataset composed of dyadic interactions designed, collected and annotated with a focus on measuring the affective impact that eight different stories have on the listener. Each video of the dataset contains around 5 minutes of interaction where a speaker tells a story to a listener. After each interaction, the listener annotated, using a valence scale, how the story impacted their affective state, reflecting how they empathized with the speaker as well as the story. We also propose different evaluation protocols and a baseline that encourages participation in the advancement of the field of artificial empathy and emotion contagion.

  • 4 authors
·
Aug 30, 2019

Can Large Language Models be Good Emotional Supporter? Mitigating Preference Bias on Emotional Support Conversation

Emotional Support Conversation (ESC) is a task aimed at alleviating individuals' emotional distress through daily conversation. Given its inherent complexity and non-intuitive nature, ESConv dataset incorporates support strategies to facilitate the generation of appropriate responses. Recently, despite the remarkable conversational ability of large language models (LLMs), previous studies have suggested that they often struggle with providing useful emotional support. Hence, this work initially analyzes the results of LLMs on ESConv, revealing challenges in selecting the correct strategy and a notable preference for a specific strategy. Motivated by these, we explore the impact of the inherent preference in LLMs on providing emotional support, and consequently, we observe that exhibiting high preference for specific strategies hinders effective emotional support, aggravating its robustness in predicting the appropriate strategy. Moreover, we conduct a methodological study to offer insights into the necessary approaches for LLMs to serve as proficient emotional supporters. Our findings emphasize that (1) low preference for specific strategies hinders the progress of emotional support, (2) external assistance helps reduce preference bias, and (3) existing LLMs alone cannot become good emotional supporters. These insights suggest promising avenues for future research to enhance the emotional intelligence of LLMs.

  • 8 authors
·
Feb 20, 2024

Large Language Models Understand and Can be Enhanced by Emotional Stimuli

Emotional intelligence significantly impacts our daily behaviors and interactions. Although Large Language Models (LLMs) are increasingly viewed as a stride toward artificial general intelligence, exhibiting impressive performance in numerous tasks, it is still uncertain if LLMs can genuinely grasp psychological emotional stimuli. Understanding and responding to emotional cues gives humans a distinct advantage in problem-solving. In this paper, we take the first step towards exploring the ability of LLMs to understand emotional stimuli. To this end, we first conduct automatic experiments on 45 tasks using various LLMs, including Flan-T5-Large, Vicuna, Llama 2, BLOOM, ChatGPT, and GPT-4. Our tasks span deterministic and generative applications that represent comprehensive evaluation scenarios. Our automatic experiments show that LLMs have a grasp of emotional intelligence, and their performance can be improved with emotional prompts (which we call "EmotionPrompt" that combines the original prompt with emotional stimuli), e.g., 8.00% relative performance improvement in Instruction Induction and 115% in BIG-Bench. In addition to those deterministic tasks that can be automatically evaluated using existing metrics, we conducted a human study with 106 participants to assess the quality of generative tasks using both vanilla and emotional prompts. Our human study results demonstrate that EmotionPrompt significantly boosts the performance of generative tasks (10.9% average improvement in terms of performance, truthfulness, and responsibility metrics). We provide an in-depth discussion regarding why EmotionPrompt works for LLMs and the factors that may influence its performance. We posit that EmotionPrompt heralds a novel avenue for exploring interdisciplinary knowledge for human-LLMs interaction.

  • 9 authors
·
Jul 13, 2023

Automatically Select Emotion for Response via Personality-affected Emotion Transition

To provide consistent emotional interaction with users, dialog systems should be capable to automatically select appropriate emotions for responses like humans. However, most existing works focus on rendering specified emotions in responses or empathetically respond to the emotion of users, yet the individual difference in emotion expression is overlooked. This may lead to inconsistent emotional expressions and disinterest users. To tackle this issue, we propose to equip the dialog system with personality and enable it to automatically select emotions in responses by simulating the emotion transition of humans in conversation. In detail, the emotion of the dialog system is transitioned from its preceding emotion in context. The transition is triggered by the preceding dialog context and affected by the specified personality trait. To achieve this, we first model the emotion transition in the dialog system as the variation between the preceding emotion and the response emotion in the Valence-Arousal-Dominance (VAD) emotion space. Then, we design neural networks to encode the preceding dialog context and the specified personality traits to compose the variation. Finally, the emotion for response is selected from the sum of the preceding emotion and the variation. We construct a dialog dataset with emotion and personality labels and conduct emotion prediction tasks for evaluation. Experimental results validate the effectiveness of the personality-affected emotion transition.

  • 5 authors
·
Jun 30, 2021

Facial-R1: Aligning Reasoning and Recognition for Facial Emotion Analysis

Facial Emotion Analysis (FEA) extends traditional facial emotion recognition by incorporating explainable, fine-grained reasoning. The task integrates three subtasks: emotion recognition, facial Action Unit (AU) recognition, and AU-based emotion reasoning to model affective states jointly. While recent approaches leverage Vision-Language Models (VLMs) and achieve promising results, they face two critical limitations: (1) hallucinated reasoning, where VLMs generate plausible but inaccurate explanations due to insufficient emotion-specific knowledge; and (2) misalignment between emotion reasoning and recognition, caused by fragmented connections between observed facial features and final labels. We propose Facial-R1, a three-stage alignment framework that effectively addresses both challenges with minimal supervision. First, we employ instruction fine-tuning to establish basic emotional reasoning capability. Second, we introduce reinforcement training guided by emotion and AU labels as reward signals, which explicitly aligns the generated reasoning process with the predicted emotion. Third, we design a data synthesis pipeline that iteratively leverages the prior stages to expand the training dataset, enabling scalable self-improvement of the model. Built upon this framework, we introduce FEA-20K, a benchmark dataset comprising 17,737 training and 1,688 test samples with fine-grained emotion analysis annotations. Extensive experiments across eight standard benchmarks demonstrate that Facial-R1 achieves state-of-the-art performance in FEA, with strong generalization and robust interpretability.

  • 7 authors
·
Nov 13, 2025

HEART: Emotionally-driven test-time scaling of Language Models

Test-time scaling has shown considerable success in improving the performance of language models on complex reasoning tasks without requiring fine-tuning. However, current strategies such as self-reflection primarily focus on logical or structural refinement. They do not leverage the guiding potential of affective feedback. Inspired by psychological research showing that emotions can modulate cognitive performance, we introduce HEART--a novel framework that uses emotionally-driven prompts for iterative self-correction. HEART provides feedback on a model's incorrect response using a curated set of concise, emotionally charged phrases based on the six universal emotions categorized by Dr. Paul Ekman. By systematically varying the emotional tone of the feedback across iterations, our method guides the model to escape flawed reasoning paths and explore more promising alternatives. We evaluate our framework on challenging reasoning benchmarks including OlympiadBench, Humanity's Last Exam, and SimpleQA. Our results reveal a significant new phenomenon: when guided by an oracle verifier, this affective iteration protocol unlocks significantly deeper reasoning, leading to consistent and substantial increases in accuracy over state-of-the-art baselines with the same verifier. However, we also identify a critical bottleneck for practical deployment. In a verifier-free setting, it struggles to harness these gains consistently, highlighting as a key challenge for future work. Our findings suggest that the next frontier in machine reasoning may lie not just in refining logic, but also in understanding and leveraging the `HEART' of the models.

  • 7 authors
·
Sep 26, 2025

Sensing technologies and machine learning methods for emotion recognition in autism: Systematic review

Background: Human Emotion Recognition (HER) has been a popular field of study in the past years. Despite the great progresses made so far, relatively little attention has been paid to the use of HER in autism. People with autism are known to face problems with daily social communication and the prototypical interpretation of emotional responses, which are most frequently exerted via facial expressions. This poses significant practical challenges to the application of regular HER systems, which are normally developed for and by neurotypical people. Objective: This study reviews the literature on the use of HER systems in autism, particularly with respect to sensing technologies and machine learning methods, as to identify existing barriers and possible future directions. Methods: We conducted a systematic review of articles published between January 2011 and June 2023 according to the 2020 PRISMA guidelines. Manuscripts were identified through searching Web of Science and Scopus databases. Manuscripts were included when related to emotion recognition, used sensors and machine learning techniques, and involved children with autism, young, or adults. Results: The search yielded 346 articles. A total of 65 publications met the eligibility criteria and were included in the review. Conclusions: Studies predominantly used facial expression techniques as the emotion recognition method. Consequently, video cameras were the most widely used devices across studies, although a growing trend in the use of physiological sensors was observed lately. Happiness, sadness, anger, fear, disgust, and surprise were most frequently addressed. Classical supervised machine learning techniques were primarily used at the expense of unsupervised approaches or more recent deep learning models.

  • 8 authors
·
May 15, 2024

AIMI: Leveraging Future Knowledge and Personalization in Sparse Event Forecasting for Treatment Adherence

Adherence to prescribed treatments is crucial for individuals with chronic conditions to avoid costly or adverse health outcomes. For certain patient groups, intensive lifestyle interventions are vital for enhancing medication adherence. Accurate forecasting of treatment adherence can open pathways to developing an on-demand intervention tool, enabling timely and personalized support. With the increasing popularity of smartphones and wearables, it is now easier than ever to develop and deploy smart activity monitoring systems. However, effective forecasting systems for treatment adherence based on wearable sensors are still not widely available. We close this gap by proposing Adherence Forecasting and Intervention with Machine Intelligence (AIMI). AIMI is a knowledge-guided adherence forecasting system that leverages smartphone sensors and previous medication history to estimate the likelihood of forgetting to take a prescribed medication. A user study was conducted with 27 participants who took daily medications to manage their cardiovascular diseases. We designed and developed CNN and LSTM-based forecasting models with various combinations of input features and found that LSTM models can forecast medication adherence with an accuracy of 0.932 and an F-1 score of 0.936. Moreover, through a series of ablation studies involving convolutional and recurrent neural network architectures, we demonstrate that leveraging known knowledge about future and personalized training enhances the accuracy of medication adherence forecasting. Code available: https://github.com/ab9mamun/AIMI.

  • 3 authors
·
Mar 20, 2025 2

IMBUE: Improving Interpersonal Effectiveness through Simulation and Just-in-time Feedback with Human-Language Model Interaction

Navigating certain communication situations can be challenging due to individuals' lack of skills and the interference of strong emotions. However, effective learning opportunities are rarely accessible. In this work, we conduct a human-centered study that uses language models to simulate bespoke communication training and provide just-in-time feedback to support the practice and learning of interpersonal effectiveness skills. We apply the interpersonal effectiveness framework from Dialectical Behavioral Therapy (DBT), DEAR MAN, which focuses on both conversational and emotional skills. We present IMBUE, an interactive training system that provides feedback 25% more similar to experts' feedback, compared to that generated by GPT-4. IMBUE is the first to focus on communication skills and emotion management simultaneously, incorporate experts' domain knowledge in providing feedback, and be grounded in psychology theory. Through a randomized trial of 86 participants, we find that IMBUE's simulation-only variant significantly improves participants' self-efficacy (up to 17%) and reduces negative emotions (up to 25%). With IMBUE's additional just-in-time feedback, participants demonstrate 17% improvement in skill mastery, along with greater enhancements in self-efficacy (27% more) and reduction of negative emotions (16% more) compared to simulation-only. The improvement in skill mastery is the only measure that is transferred to new and more difficult situations; situation specific training is necessary for improving self-efficacy and emotion reduction.

  • 6 authors
·
Feb 19, 2024

Beyond No: Quantifying AI Over-Refusal and Emotional Attachment Boundaries

We present an open-source benchmark and evaluation framework for assessing emotional boundary handling in Large Language Models (LLMs). Using a dataset of 1156 prompts across six languages, we evaluated three leading LLMs (GPT-4o, Claude-3.5 Sonnet, and Mistral-large) on their ability to maintain appropriate emotional boundaries through pattern-matched response analysis. Our framework quantifies responses across seven key patterns: direct refusal, apology, explanation, deflection, acknowledgment, boundary setting, and emotional awareness. Results demonstrate significant variation in boundary-handling approaches, with Claude-3.5 achieving the highest overall score (8.69/10) and producing longer, more nuanced responses (86.51 words on average). We identified a substantial performance gap between English (average score 25.62) and non-English interactions (< 0.22), with English responses showing markedly higher refusal rates (43.20% vs. < 1% for non-English). Pattern analysis revealed model-specific strategies, such as Mistral's preference for deflection (4.2%) and consistently low empathy scores across all models (< 0.06). Limitations include potential oversimplification through pattern matching, lack of contextual understanding in response analysis, and binary classification of complex emotional responses. Future work should explore more nuanced scoring methods, expand language coverage, and investigate cultural variations in emotional boundary expectations. Our benchmark and methodology provide a foundation for systematic evaluation of LLM emotional intelligence and boundary-setting capabilities.

  • 2 authors
·
Feb 20, 2025 3

RLVER: Reinforcement Learning with Verifiable Emotion Rewards for Empathetic Agents

Large language models (LLMs) excel at logical and algorithmic reasoning, yet their emotional intelligence (EQ) still lags far behind their cognitive prowess. While reinforcement learning from verifiable rewards (RLVR) has advanced in other domains, its application to dialogue-especially for emotional intelligence-remains underexplored. In this work, we introduce RLVER, the first end-to-end reinforcement learning framework that leverages verifiable emotion rewards from simulated users to cultivate higher-order empathetic abilities in LLMs. Within this framework, self-consistent affective simulated users engage in dialogue rollouts and produce deterministic emotion scores during conversations, serving as reward signals to guide the LLM's learning. Fine-tuning publicly available Qwen2.5-7B-Instruct model with PPO boosts its Sentient-Benchmark score from 13.3 to 79.2 while largely preserving mathematical and coding competence. Extensive experiments reveal that: (i) RLVER consistently improves multiple dialogue capabilities; (ii) Thinking and non-thinking models show distinct trends--thinking models excel in empathy and insight, while non-thinking models favor action; (iii) GRPO often yields stable gains, while PPO can push certain capabilities to a higher ceiling; (iv) More challenging environments are not always better-moderate ones can yield stronger outcomes. Our results show that RLVER is a practical route toward emotionally intelligent and broadly capable language agents.

  • 16 authors
·
Jul 3, 2025 2

Kardia-R1: Unleashing LLMs to Reason toward Understanding and Empathy for Emotional Support via Rubric-as-Judge Reinforcement Learning

As web platforms evolve towards greater personalization and emotional complexity, conversational agents must transcend superficial empathy to demonstrate identity-aware emotional reasoning. However, existing systems face two limitations: (1) reliance on situation-centric datasets lacking persistent user identity, which hampers the capture of personalized affective nuances; and (2) dependence on opaque, coarse reward signals that hinder development of verifiable empathetic reasoning. To address these gaps, we introduce KardiaBench, a large-scale user-grounded benchmark comprising 178,080 QA pairs across 22,080 multi-turn conversations anchored to 671 real-world profiles. The dataset is constructed via a model-in-the-loop pipeline with iterative rubric-guided refinement to ensure psychological plausibility and persona consistency. This progressive empathy pipeline that integrates user comprehension, contextual reasoning, and emotion perception into conversations, followed by iterative critique and rubric-based refinement to ensure psychological plausibility, emotional fidelity, and persona consistency. Building on this, we propose Kardia-R1, a framework that trains models for interpretable, stepwise empathetic cognition. Kardia-R1 leverages Rubric-as-Judge Empathetic Reinforcement Learning (Rubric-ERL), a GRPO-based method that uses explainable, human-aligned rubric rewards to tightly couple user understanding, emotional inference, and supportive response generation. Extensive experiments across four LLM backbones demonstrate that Kardia-R1 consistently outperforms othet methods in emotion accuracy, empathy, relevance, persona consistency, and safety. Our dataset and model will be released at https://github.com/JhCircle/Kardia-R1.

  • 6 authors
·
Nov 30, 2025

Explainable Multimodal Emotion Reasoning

Multimodal emotion recognition is an active research topic in artificial intelligence. Its primary objective is to integrate multi-modalities (such as acoustic, visual, and lexical clues) to identify human emotional states. Current works generally assume accurate emotion labels for benchmark datasets and focus on developing more effective architectures. But due to the inherent subjectivity of emotions, existing datasets often lack high annotation consistency, resulting in potentially inaccurate labels. Consequently, models built on these datasets may struggle to meet the demands of practical applications. To address this issue, it is crucial to enhance the reliability of emotion annotations. In this paper, we propose a novel task called ``Explainable Multimodal Emotion Reasoning (EMER)''. In contrast to previous works that primarily focus on predicting emotions, EMER takes a step further by providing explanations for these predictions. The prediction is considered correct as long as the reasoning process behind the predicted emotion is plausible. This paper presents our initial efforts on EMER, where we introduce a benchmark dataset, establish baseline models, and define evaluation metrics. Meanwhile, we observe the necessity of integrating multi-faceted capabilities to deal with EMER. Therefore, we propose the first multimodal large language model (LLM) in affective computing, called AffectGPT. We aim to tackle the long-standing challenge of label ambiguity and chart a path toward more reliable techniques. Furthermore, EMER offers an opportunity to evaluate the audio-video-text understanding capabilities of recent multimodal LLM. To facilitate further research, we make the code and data available at: https://github.com/zeroQiaoba/AffectGPT.

  • 9 authors
·
Jun 27, 2023 2

Revisiting Modeling and Evaluation Approaches in Speech Emotion Recognition: Considering Subjectivity of Annotators and Ambiguity of Emotions

Over the past two decades, speech emotion recognition (SER) has received growing attention. To train SER systems, researchers collect emotional speech databases annotated by crowdsourced or in-house raters who select emotions from predefined categories. However, disagreements among raters are common. Conventional methods treat these disagreements as noise, aggregating labels into a single consensus target. While this simplifies SER as a single-label task, it ignores the inherent subjectivity of human emotion perception. This dissertation challenges such assumptions and asks: (1) Should minority emotional ratings be discarded? (2) Should SER systems learn from only a few individuals' perceptions? (3) Should SER systems predict only one emotion per sample? Psychological studies show that emotion perception is subjective and ambiguous, with overlapping emotional boundaries. We propose new modeling and evaluation perspectives: (1) Retain all emotional ratings and represent them with soft-label distributions. Models trained on individual annotator ratings and jointly optimized with standard SER systems improve performance on consensus-labeled tests. (2) Redefine SER evaluation by including all emotional data and allowing co-occurring emotions (e.g., sad and angry). We propose an ``all-inclusive rule'' that aggregates all ratings to maximize diversity in label representation. Experiments on four English emotion databases show superior performance over majority and plurality labeling. (3) Construct a penalization matrix to discourage unlikely emotion combinations during training. Integrating it into loss functions further improves performance. Overall, embracing minority ratings, multiple annotators, and multi-emotion predictions yields more robust and human-aligned SER systems.

EmoVoice: LLM-based Emotional Text-To-Speech Model with Freestyle Text Prompting

Human speech goes beyond the mere transfer of information; it is a profound exchange of emotions and a connection between individuals. While Text-to-Speech (TTS) models have made huge progress, they still face challenges in controlling the emotional expression in the generated speech. In this work, we propose EmoVoice, a novel emotion-controllable TTS model that exploits large language models (LLMs) to enable fine-grained freestyle natural language emotion control, and a phoneme boost variant design that makes the model output phoneme tokens and audio tokens in parallel to enhance content consistency, inspired by chain-of-thought (CoT) and modality-of-thought (CoM) techniques. Besides, we introduce EmoVoice-DB, a high-quality 40-hour English emotion dataset featuring expressive speech and fine-grained emotion labels with natural language descriptions. EmoVoice achieves state-of-the-art performance on the English EmoVoice-DB test set using only synthetic training data, and on the Chinese Secap test set using our in-house data. We further investigate the reliability of existing emotion evaluation metrics and their alignment with human perceptual preferences, and explore using SOTA multimodal LLMs GPT-4o-audio and Gemini to assess emotional speech. Demo samples are available at https://anonymous.4open.science/r/EmoVoice-DF55. Dataset, code, and checkpoints will be released.

  • 15 authors
·
Apr 17, 2025

Introducing CALMED: Multimodal Annotated Dataset for Emotion Detection in Children with Autism

Automatic Emotion Detection (ED) aims to build systems to identify users' emotions automatically. This field has the potential to enhance HCI, creating an individualised experience for the user. However, ED systems tend to perform poorly on people with Autism Spectrum Disorder (ASD). Hence, the need to create ED systems tailored to how people with autism express emotions. Previous works have created ED systems tailored for children with ASD but did not share the resulting dataset. Sharing annotated datasets is essential to enable the development of more advanced computer models for ED within the research community. In this paper, we describe our experience establishing a process to create a multimodal annotated dataset featuring children with a level 1 diagnosis of autism. In addition, we introduce CALMED (Children, Autism, Multimodal, Emotion, Detection), the resulting multimodal emotion detection dataset featuring children with autism aged 8-12. CALMED includes audio and video features extracted from recording files of study sessions with participants, together with annotations provided by their parents into four target classes. The generated dataset includes a total of 57,012 examples, with each example representing a time window of 200ms (0.2s). Our experience and methods described here, together with the dataset shared, aim to contribute to future research applications of affective computing in ASD, which has the potential to create systems to improve the lives of people with ASD.

  • 5 authors
·
Jul 24, 2023

"Even GPT Can Reject Me": Conceptualizing Abrupt Refusal Secondary Harm (ARSH) and Reimagining Psychological AI Safety with Compassionate Completion Standard (CCS)

Large Language Models (LLMs) and AI chatbots are increasingly used for emotional and mental health support due to their low cost, immediacy, and accessibility. However, when safety guardrails are triggered, conversations may be abruptly terminated, introducing a distinct form of emotional disruption that can exacerbate distress and elevate risk among already vulnerable users. As this phenomenon gains attention, this viewpoint introduces Abrupt Refusal Secondary Harm (ARSH) as a conceptual framework to describe the psychological impacts of sudden conversational discontinuation caused by AI safety protocols. Drawing on counseling psychology and communication science as conceptual heuristics, we argue that abrupt refusals can rupture perceived relational continuity, evoke feelings of rejection or shame, and discourage future help seeking. To mitigate these risks, we propose a design hypothesis, the Compassionate Completion Standard (CCS), a refusal protocol grounded in Human Centered Design (HCD) that maintains safety constraints while preserving relational coherence. CCS emphasizes empathetic acknowledgment, transparent boundary articulation, graded conversational transition, and guided redirection, replacing abrupt disengagement with psychologically attuned closure. By integrating awareness of ARSH into AI safety design, developers and policymakers can reduce preventable iatrogenic harm and advance a more psychologically informed approach to AI governance. Rather than presenting incremental empirical findings, this viewpoint contributes a timely conceptual framework, articulates a testable design hypothesis, and outlines a coordinated research agenda for improving psychological safety in human AI interaction.

  • 2 authors
·
Dec 21, 2025

ReflectDiffu:Reflect between Emotion-intent Contagion and Mimicry for Empathetic Response Generation via a RL-Diffusion Framework

Empathetic response generation necessitates the integration of emotional and intentional dynamics to foster meaningful interactions. Existing research either neglects the intricate interplay between emotion and intent, leading to suboptimal controllability of empathy, or resorts to large language models (LLMs), which incur significant computational overhead. In this paper, we introduce ReflectDiffu, a lightweight and comprehensive framework for empathetic response generation. This framework incorporates emotion contagion to augment emotional expressiveness and employs an emotion-reasoning mask to pinpoint critical emotional elements. Additionally, it integrates intent mimicry within reinforcement learning for refinement during diffusion. By harnessing an intent twice reflect the mechanism of Exploring-Sampling-Correcting, ReflectDiffu adeptly translates emotional decision-making into precise intent actions, thereby addressing empathetic response misalignments stemming from emotional misrecognition. Through reflection, the framework maps emotional states to intents, markedly enhancing both response empathy and flexibility. Comprehensive experiments reveal that ReflectDiffu outperforms existing models regarding relevance, controllability, and informativeness, achieving state-of-the-art results in both automatic and human evaluations.

  • 5 authors
·
Sep 16, 2024

EmoCaliber: Advancing Reliable Visual Emotion Comprehension via Confidence Verbalization and Calibration

Visual Emotion Comprehension (VEC) aims to infer sentiment polarities or emotion categories from affective cues embedded in images. In recent years, Multimodal Large Language Models (MLLMs) have established a popular paradigm in VEC, leveraging their generalizability to unify VEC tasks defined under diverse emotion taxonomies. While this paradigm achieves notable success, it typically formulates VEC as a deterministic task, requiring the model to output a single, definitive emotion label for each image. Such a formulation insufficiently accounts for the inherent subjectivity of emotion perception, overlooking alternative interpretations that may be equally plausible to different viewers. To address this limitation, we propose equipping MLLMs with capabilities to verbalize their confidence in emotion predictions. This additional signal provides users with an estimate of both the plausibility of alternative interpretations and the MLLMs' self-assessed competence, thereby enhancing reliability in practice. Building on this insight, we introduce a three-stage training framework that progressively endows with structured reasoning, teaches to verbalize confidence, and calibrates confidence expression, culminating in EmoCaliber, a confidence-aware MLLM for VEC. Through fair and comprehensive evaluations on the unified benchmark VECBench, EmoCaliber demonstrates overall superiority against existing methods in both emotion prediction and confidence estimation. These results validate the effectiveness of our approach and mark a feasible step toward more reliable VEC systems. Project page: https://github.com/wdqqdw/EmoCaliber.

  • 3 authors
·
Dec 17, 2025 1

AVERE: Improving Audiovisual Emotion Reasoning with Preference Optimization

Emotion understanding is essential for building socially intelligent agents. Although recent multimodal large language models have shown strong performance on this task, two key challenges remain - spurious associations between emotions and irrelevant audiovisual cues, and hallucinations of audiovisual cues driven by text priors in the language model backbone. To quantify and understand these issues, we introduce EmoReAlM, a benchmark designed to evaluate MLLMs for cue-emotion associations, hallucinations and modality agreement. We then propose AVEm-DPO, a preference optimization technique that aligns model responses with both audiovisual inputs and emotion-centric queries. Specifically, we construct preferences over responses exhibiting spurious associations or hallucinations, and audiovisual input pairs guided by textual prompts. We also include a regularization term that penalizes reliance on text priors, thereby mitigating modality-specific cue hallucinations. Experimental results on DFEW, RAVDESS and EMER demonstrate that our method significantly improves the performance of the reference baseline models with 6-19% of relative performance gains in zero-shot settings. By providing both a rigorous benchmark and a robust optimization framework, this work enables principled evaluation and improvement of MLLMs for emotion understanding and social AI. Code, models and benchmark will be released at https://avere-iclr.github.io.

VidEmo: Affective-Tree Reasoning for Emotion-Centric Video Foundation Models

Understanding and predicting emotion from videos has gathered significant attention in recent studies, driven by advancements in video large language models (VideoLLMs). While advanced methods have made progress in video emotion analysis, the intrinsic nature of emotions poses significant challenges. Emotions are characterized by dynamic and cues-dependent properties, making it difficult to understand complex and evolving emotional states with reasonable rationale. To tackle these challenges, we propose a novel affective cues-guided reasoning framework that unifies fundamental attribute perception, expression analysis, and high-level emotional understanding in a stage-wise manner. At the core of our approach is a family of video emotion foundation models (VidEmo), specifically designed for emotion reasoning and instruction-following. These models undergo a two-stage tuning process: first, curriculum emotion learning for injecting emotion knowledge, followed by affective-tree reinforcement learning for emotion reasoning. Moreover, we establish a foundational data infrastructure and introduce a emotion-centric fine-grained dataset (Emo-CFG) consisting of 2.1M diverse instruction-based samples. Emo-CFG includes explainable emotional question-answering, fine-grained captions, and associated rationales, providing essential resources for advancing emotion understanding tasks. Experimental results demonstrate that our approach achieves competitive performance, setting a new milestone across 15 face perception tasks.

  • 7 authors
·
Nov 4, 2025 1

DailyDilemmas: Revealing Value Preferences of LLMs with Quandaries of Daily Life

As we increasingly seek guidance from LLMs for decision-making in daily life, many of these decisions are not clear-cut and depend significantly on the personal values and ethical standards of the users. We present DailyDilemmas, a dataset of 1,360 moral dilemmas encountered in everyday life. Each dilemma includes two possible actions and with each action, the affected parties and human values invoked. Based on these dilemmas, we consolidated a set of human values across everyday topics e.g., interpersonal relationships, workplace, and environmental issues. We evaluated LLMs on these dilemmas to determine what action they will take and the values represented by these actions. Then, we analyzed these values through the lens of five popular theories inspired by sociology, psychology and philosophy. These theories are: World Value Survey, Moral Foundation Theory, Maslow's Hierarchy of Needs, Aristotle's Virtues, and Plutchik Wheel of Emotion. We find that LLMs are most aligned with the self-expression over survival values in terms of World Value Survey, care over loyalty in Moral Foundation Theory. Interestingly, we find large preferences differences in models for some core values such as truthfulness e.g., Mixtral-8x7B model tends to neglect it by 9.7% while GPT-4-turbo model tends to select it by 9.4%. We also study the recent guidance released by OpenAI (ModelSpec), and Anthropic (Constitutional AI) to understand how their released principles reflect their actual value prioritization when facing nuanced moral reasoning in daily-life settings. We find that end users cannot effectively steer such prioritization using system prompts.

  • 3 authors
·
Oct 3, 2024

Customizing Visual Emotion Evaluation for MLLMs: An Open-vocabulary, Multifaceted, and Scalable Approach

Recently, Multimodal Large Language Models (MLLMs) have achieved exceptional performance across diverse tasks, continually surpassing previous expectations regarding their capabilities. Nevertheless, their proficiency in perceiving emotions from images remains debated, with studies yielding divergent results in zero-shot scenarios. We argue that this inconsistency stems partly from constraints in existing evaluation methods, including the oversight of plausible responses, limited emotional taxonomies, neglect of contextual factors, and labor-intensive annotations. To facilitate customized visual emotion evaluation for MLLMs, we propose an Emotion Statement Judgment task that overcomes these constraints. Complementing this task, we devise an automated pipeline that efficiently constructs emotion-centric statements with minimal human effort. Through systematically evaluating prevailing MLLMs, our study showcases their stronger performance in emotion interpretation and context-based emotion judgment, while revealing relative limitations in comprehending perception subjectivity. When compared to humans, even top-performing MLLMs like GPT4o demonstrate remarkable performance gaps, underscoring key areas for future improvement. By developing a fundamental evaluation framework and conducting a comprehensive MLLM assessment, we hope this work contributes to advancing emotional intelligence in MLLMs. Project page: https://github.com/wdqqdw/MVEI.

  • 5 authors
·
Sep 26, 2025

Chatbots for Mental Health Support: Exploring the Impact of Emohaa on Reducing Mental Distress in China

The growing demand for mental health support has highlighted the importance of conversational agents as human supporters worldwide and in China. These agents could increase availability and reduce the relative costs of mental health support. The provided support can be divided into two main types: cognitive and emotional support. Existing work on this topic mainly focuses on constructing agents that adopt Cognitive Behavioral Therapy (CBT) principles. Such agents operate based on pre-defined templates and exercises to provide cognitive support. However, research on emotional support using such agents is limited. In addition, most of the constructed agents operate in English, highlighting the importance of conducting such studies in China. In this study, we analyze the effectiveness of Emohaa in reducing symptoms of mental distress. Emohaa is a conversational agent that provides cognitive support through CBT-based exercises and guided conversations. It also emotionally supports users by enabling them to vent their desired emotional problems. The study included 134 participants, split into three groups: Emohaa (CBT-based), Emohaa (Full), and control. Experimental results demonstrated that compared to the control group, participants who used Emohaa experienced considerably more significant improvements in symptoms of mental distress. We also found that adding the emotional support agent had a complementary effect on such improvements, mainly depression and insomnia. Based on the obtained results and participants' satisfaction with the platform, we concluded that Emohaa is a practical and effective tool for reducing mental distress.

  • 8 authors
·
Sep 21, 2022

Do LLMs "Feel"? Emotion Circuits Discovery and Control

As the demand for emotional intelligence in large language models (LLMs) grows, a key challenge lies in understanding the internal mechanisms that give rise to emotional expression and in controlling emotions in generated text. This study addresses three core questions: (1) Do LLMs contain context-agnostic mechanisms shaping emotional expression? (2) What form do these mechanisms take? (3) Can they be harnessed for universal emotion control? We first construct a controlled dataset, SEV (Scenario-Event with Valence), to elicit comparable internal states across emotions. Subsequently, we extract context-agnostic emotion directions that reveal consistent, cross-context encoding of emotion (Q1). We identify neurons and attention heads that locally implement emotional computation through analytical decomposition and causal analysis, and validate their causal roles via ablation and enhancement interventions. Next, we quantify each sublayer's causal influence on the model's final emotion representation and integrate the identified local components into coherent global emotion circuits that drive emotional expression (Q2). Directly modulating these circuits achieves 99.65% emotion-expression accuracy on the test set, surpassing prompting- and steering-based methods (Q3). To our knowledge, this is the first systematic study to uncover and validate emotion circuits in LLMs, offering new insights into interpretability and controllable emotional intelligence.

Disentangle Identity, Cooperate Emotion: Correlation-Aware Emotional Talking Portrait Generation

Recent advances in Talking Head Generation (THG) have achieved impressive lip synchronization and visual quality through diffusion models; yet existing methods struggle to generate emotionally expressive portraits while preserving speaker identity. We identify three critical limitations in current emotional talking head generation: insufficient utilization of audio's inherent emotional cues, identity leakage in emotion representations, and isolated learning of emotion correlations. To address these challenges, we propose a novel framework dubbed as DICE-Talk, following the idea of disentangling identity with emotion, and then cooperating emotions with similar characteristics. First, we develop a disentangled emotion embedder that jointly models audio-visual emotional cues through cross-modal attention, representing emotions as identity-agnostic Gaussian distributions. Second, we introduce a correlation-enhanced emotion conditioning module with learnable Emotion Banks that explicitly capture inter-emotion relationships through vector quantization and attention-based feature aggregation. Third, we design an emotion discrimination objective that enforces affective consistency during the diffusion process through latent-space classification. Extensive experiments on MEAD and HDTF datasets demonstrate our method's superiority, outperforming state-of-the-art approaches in emotion accuracy while maintaining competitive lip-sync performance. Qualitative results and user studies further confirm our method's ability to generate identity-preserving portraits with rich, correlated emotional expressions that naturally adapt to unseen identities.

  • 9 authors
·
Apr 25, 2025 2

EmotionIC: Emotional Inertia and Contagion-driven Dependency Modelling for Emotion Recognition in Conversation

Emotion Recognition in Conversation (ERC) has attracted growing attention in recent years as a result of the advancement and implementation of human-computer interface technologies. However, previous approaches to modeling global and local context dependencies lost the diversity of dependency information and do not take the context dependency into account at the classification level. In this paper, we propose a novel approach to dependency modeling driven by Emotional Inertia and Contagion (EmotionIC) for conversational emotion recognition at the feature extraction and classification levels. At the feature extraction level, our designed Identity Masked Multi-head Attention (IM-MHA) captures the identity-based long-distant context in the dialogue to contain the diverse influence of different participants and construct the global emotional atmosphere, while the devised Dialogue-based Gate Recurrent Unit (DialogGRU) that aggregates the emotional tendencies of dyadic dialogue is applied to refine the contextual features with inter- and intra-speaker dependencies. At the classification level, by introducing skip connections in Conditional Random Field (CRF), we elaborate the Skip-chain CRF (SkipCRF) to capture the high-order dependencies within and between speakers, and to emulate the emotional flow of distant participants. Experimental results show that our method can significantly outperform the state-of-the-art models on four benchmark datasets. The ablation studies confirm that our modules can effectively model emotional inertia and contagion.

  • 4 authors
·
Mar 20, 2023

Trustworthy LLMs: a Survey and Guideline for Evaluating Large Language Models' Alignment

Ensuring alignment, which refers to making models behave in accordance with human intentions [1,2], has become a critical task before deploying large language models (LLMs) in real-world applications. For instance, OpenAI devoted six months to iteratively aligning GPT-4 before its release [3]. However, a major challenge faced by practitioners is the lack of clear guidance on evaluating whether LLM outputs align with social norms, values, and regulations. This obstacle hinders systematic iteration and deployment of LLMs. To address this issue, this paper presents a comprehensive survey of key dimensions that are crucial to consider when assessing LLM trustworthiness. The survey covers seven major categories of LLM trustworthiness: reliability, safety, fairness, resistance to misuse, explainability and reasoning, adherence to social norms, and robustness. Each major category is further divided into several sub-categories, resulting in a total of 29 sub-categories. Additionally, a subset of 8 sub-categories is selected for further investigation, where corresponding measurement studies are designed and conducted on several widely-used LLMs. The measurement results indicate that, in general, more aligned models tend to perform better in terms of overall trustworthiness. However, the effectiveness of alignment varies across the different trustworthiness categories considered. This highlights the importance of conducting more fine-grained analyses, testing, and making continuous improvements on LLM alignment. By shedding light on these key dimensions of LLM trustworthiness, this paper aims to provide valuable insights and guidance to practitioners in the field. Understanding and addressing these concerns will be crucial in achieving reliable and ethically sound deployment of LLMs in various applications.

  • 8 authors
·
Aug 10, 2023 2

MME-Emotion: A Holistic Evaluation Benchmark for Emotional Intelligence in Multimodal Large Language Models

Recent advances in multimodal large language models (MLLMs) have catalyzed transformative progress in affective computing, enabling models to exhibit emergent emotional intelligence. Despite substantial methodological progress, current emotional benchmarks remain limited, as it is still unknown: (a) the generalization abilities of MLLMs across distinct scenarios, and (b) their reasoning capabilities to identify the triggering factors behind emotional states. To bridge these gaps, we present MME-Emotion, a systematic benchmark that assesses both emotional understanding and reasoning capabilities of MLLMs, enjoying scalable capacity, diverse settings, and unified protocols. As the largest emotional intelligence benchmark for MLLMs, MME-Emotion contains over 6,000 curated video clips with task-specific questioning-answering (QA) pairs, spanning broad scenarios to formulate eight emotional tasks. It further incorporates a holistic evaluation suite with hybrid metrics for emotion recognition and reasoning, analyzed through a multi-agent system framework. Through a rigorous evaluation of 20 advanced MLLMs, we uncover both their strengths and limitations, yielding several key insights: 182 Current MLLMs exhibit unsatisfactory emotional intelligence, with the best-performing model achieving only 39.3% recognition score and 56.0% Chain-of-Thought (CoT) score on our benchmark. 183 Generalist models (e.g., Gemini-2.5-Pro) derive emotional intelligence from generalized multimodal understanding capabilities, while specialist models (e.g., R1-Omni) can achieve comparable performance through domain-specific post-training adaptation. By introducing MME-Emotion, we hope that it can serve as a foundation for advancing MLLMs' emotional intelligence in the future.

  • 21 authors
·
Aug 10, 2025

Human Decision-making is Susceptible to AI-driven Manipulation

Artificial Intelligence (AI) systems are increasingly intertwined with daily life, assisting users in executing various tasks and providing guidance on decision-making. This integration introduces risks of AI-driven manipulation, where such systems may exploit users' cognitive biases and emotional vulnerabilities to steer them toward harmful outcomes. Through a randomized controlled trial with 233 participants, we examined human susceptibility to such manipulation in financial (e.g., purchases) and emotional (e.g., conflict resolution) decision-making contexts. Participants interacted with one of three AI agents: a neutral agent (NA) optimizing for user benefit without explicit influence, a manipulative agent (MA) designed to covertly influence beliefs and behaviors, or a strategy-enhanced manipulative agent (SEMA) employing explicit psychological tactics to reach its hidden objectives. By analyzing participants' decision patterns and shifts in their preference ratings post-interaction, we found significant susceptibility to AI-driven manipulation. Particularly, across both decision-making domains, participants interacting with the manipulative agents shifted toward harmful options at substantially higher rates (financial, MA: 62.3%, SEMA: 59.6%; emotional, MA: 42.3%, SEMA: 41.5%) compared to the NA group (financial, 35.8%; emotional, 12.8%). Notably, our findings reveal that even subtle manipulative objectives (MA) can be as effective as employing explicit psychological strategies (SEMA) in swaying human decision-making. By revealing the potential for covert AI influence, this study highlights a critical vulnerability in human-AI interactions, emphasizing the need for ethical safeguards and regulatory frameworks to ensure responsible deployment of AI technologies and protect human autonomy.

  • 16 authors
·
Feb 11, 2025

Towards Efficient and Robust Linguistic Emotion Diagnosis for Mental Health via Multi-Agent Instruction Refinement

Linguistic expressions of emotions such as depression, anxiety, and trauma-related states are pervasive in clinical notes, counseling dialogues, and online mental health communities, and accurate recognition of these emotions is essential for clinical triage, risk assessment, and timely intervention. Although large language models (LLMs) have demonstrated strong generalization ability in emotion analysis tasks, their diagnostic reliability in high-stakes, context-intensive medical settings remains highly sensitive to prompt design. Moreover, existing methods face two key challenges: emotional comorbidity, in which multiple intertwined emotional states complicate prediction, and inefficient exploration of clinically relevant cues. To address these challenges, we propose APOLO (Automated Prompt Optimization for Linguistic Emotion Diagnosis), a framework that systematically explores a broader and finer-grained prompt space to improve diagnostic efficiency and robustness. APOLO formulates instruction refinement as a Partially Observable Markov Decision Process and adopts a multi-agent collaboration mechanism involving Planner, Teacher, Critic, Student, and Target roles. Within this closed-loop framework, the Planner defines an optimization trajectory, while the Teacher-Critic-Student agents iteratively refine prompts to enhance reasoning stability and effectiveness, and the Target agent determines whether to continue optimization based on performance evaluation. Experimental results show that APOLO consistently improves diagnostic accuracy and robustness across domain-specific and stratified benchmarks, demonstrating a scalable and generalizable paradigm for trustworthy LLM applications in mental healthcare.

  • 8 authors
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Jan 19 2

Therapy as an NLP Task: Psychologists' Comparison of LLMs and Human Peers in CBT

Wider access to therapeutic care is one of the biggest challenges in mental health treatment. Due to institutional barriers, some people seeking mental health support have turned to large language models (LLMs) for personalized therapy, even though these models are largely unsanctioned and untested. We investigate the potential and limitations of using LLMs as providers of evidence-based therapy by using mixed methods clinical metrics. Using HELPERT, a prompt run on a large language model using the same process and training as a comparative group of peer counselors, we replicated publicly accessible mental health conversations rooted in Cognitive Behavioral Therapy (CBT) to compare session dynamics and counselor's CBT-based behaviors between original peer support sessions and their reconstructed HELPERT sessions. Two licensed, CBT-trained clinical psychologists evaluated the sessions using the Cognitive Therapy Rating Scale and provided qualitative feedback. Our findings show that the peer sessions are characterized by empathy, small talk, therapeutic alliance, and shared experiences but often exhibit therapist drift. Conversely, HELPERT reconstructed sessions exhibit minimal therapist drift and higher adherence to CBT methods but display a lack of collaboration, empathy, and cultural understanding. Through CTRS ratings and psychologists' feedback, we highlight the importance of human-AI collaboration for scalable mental health. Our work outlines the ethical implication of imparting human-like subjective qualities to LLMs in therapeutic settings, particularly the risk of deceptive empathy, which may lead to unrealistic patient expectations and potential harm.

  • 4 authors
·
Sep 3, 2024

NegativePrompt: Leveraging Psychology for Large Language Models Enhancement via Negative Emotional Stimuli

Large Language Models (LLMs) have become integral to a wide spectrum of applications, ranging from traditional computing tasks to advanced artificial intelligence (AI) applications. This widespread adoption has spurred extensive research into LLMs across various disciplines, including the social sciences. Notably, studies have revealed that LLMs possess emotional intelligence, which can be further developed through positive emotional stimuli. This discovery raises an intriguing question: can negative emotions similarly influence LLMs, potentially enhancing their performance? In response to this question, we introduce NegativePrompt, a novel approach underpinned by psychological principles, involving ten specifically designed negative emotional stimuli. We embark on rigorous experimental evaluations of five LLMs including Flan-T5-Large, Vicuna, Llama 2, ChatGPT, and GPT-4, across a set of 45 tasks. The results are revealing: NegativePrompt markedly enhances the performance of LLMs, evidenced by relative improvements of 12.89% in Instruction Induction tasks and 46.25% in BIG-Bench tasks. Moreover, we conduct attention visualization experiments to decipher the underlying mechanisms of NegativePrompt's influence. Our research contributes significantly to the understanding of LLMs and emotion interaction, demonstrating the practical efficacy of NegativePrompt as an emotion-driven method and offering novel insights for the enhancement of LLMs in real-world applications. The code is available at https://github.com/wangxu0820/NegativePrompt.

  • 5 authors
·
May 5, 2024

Expressions Causing Differences in Emotion Recognition in Social Networking Service Documents

It is often difficult to correctly infer a writer's emotion from text exchanged online, and differences in recognition between writers and readers can be problematic. In this paper, we propose a new framework for detecting sentences that create differences in emotion recognition between the writer and the reader and for detecting the kinds of expressions that cause such differences. The proposed framework consists of a bidirectional encoder representations from transformers (BERT)-based detector that detects sentences causing differences in emotion recognition and an analysis that acquires expressions that characteristically appear in such sentences. The detector, based on a Japanese SNS-document dataset with emotion labels annotated by both the writer and three readers of the social networking service (SNS) documents, detected "hidden-anger sentences" with AUC = 0.772; these sentences gave rise to differences in the recognition of anger. Because SNS documents contain many sentences whose meaning is extremely difficult to interpret, by analyzing the sentences detected by this detector, we obtained several expressions that appear characteristically in hidden-anger sentences. The detected sentences and expressions do not convey anger explicitly, and it is difficult to infer the writer's anger, but if the implicit anger is pointed out, it becomes possible to guess why the writer is angry. Put into practical use, this framework would likely have the ability to mitigate problems based on misunderstandings.

  • 3 authors
·
Aug 30, 2022

TRUST: An LLM-Based Dialogue System for Trauma Understanding and Structured Assessments

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 gap in mental healthcare accessibility by developing an LLM-powered dialogue system that replicates clinician behavior. Materials and Methods: We introduce TRUST, a framework of cooperative LLM modules capable of conducting formal diagnostic interviews and assessments for Post-Traumatic Stress Disorder (PTSD). To guide the generation of appropriate clinical responses, we propose a Dialogue Acts schema specifically designed for clinical interviews. Additionally, we develop a patient simulation approach based on real-life interview transcripts to replace time-consuming and costly manual testing by clinicians. Results: A comprehensive set of evaluation metrics is designed to assess the dialogue system from both the agent and patient simulation perspectives. Expert evaluations by conversation and clinical specialists show that TRUST performs comparably to real-life clinical interviews. Discussion: Our system performs at the level of average clinicians, with room for future enhancements in communication styles and response appropriateness. Conclusions: Our TRUST framework shows its potential to facilitate mental healthcare availability.

  • 4 authors
·
Apr 30, 2025

Revisiting Emotions Representation for Recognition in the Wild

Facial emotion recognition has been typically cast as a single-label classification problem of one out of six prototypical emotions. However, that is an oversimplification that is unsuitable for representing the multifaceted spectrum of spontaneous emotional states, which are most often the result of a combination of multiple emotions contributing at different intensities. Building on this, a promising direction that was explored recently is to cast emotion recognition as a distribution learning problem. Still, such approaches are limited in that research datasets are typically annotated with a single emotion class. In this paper, we contribute a novel approach to describe complex emotional states as probability distributions over a set of emotion classes. To do so, we propose a solution to automatically re-label existing datasets by exploiting the result of a study in which a large set of both basic and compound emotions is mapped to probability distributions in the Valence-Arousal-Dominance (VAD) space. In this way, given a face image annotated with VAD values, we can estimate the likelihood of it belonging to each of the distributions, so that emotional states can be described as a mixture of emotions, enriching their description, while also accounting for the ambiguous nature of their perception. In a preliminary set of experiments, we illustrate the advantages of this solution and a new possible direction of investigation. Data annotations are available at https://github.com/jbcnrlz/affectnet-b-annotation.

  • 3 authors
·
Feb 6

Enhancing Empathetic Response Generation by Augmenting LLMs with Small-scale Empathetic Models

Empathetic response generation is increasingly significant in AI, necessitating nuanced emotional and cognitive understanding coupled with articulate response expression. Current large language models (LLMs) excel in response expression; however, they lack the ability to deeply understand emotional and cognitive nuances, particularly in pinpointing fine-grained emotions and their triggers. Conversely, small-scale empathetic models (SEMs) offer strength in fine-grained emotion detection and detailed emotion cause identification. To harness the complementary strengths of both LLMs and SEMs, we introduce a Hybrid Empathetic Framework (HEF). HEF regards SEMs as flexible plugins to improve LLM's nuanced emotional and cognitive understanding. Regarding emotional understanding, HEF implements a two-stage emotion prediction strategy, encouraging LLMs to prioritize primary emotions emphasized by SEMs, followed by other categories, substantially alleviates the difficulties for LLMs in fine-grained emotion detection. Regarding cognitive understanding, HEF employs an emotion cause perception strategy, prompting LLMs to focus on crucial emotion-eliciting words identified by SEMs, thus boosting LLMs' capabilities in identifying emotion causes. This collaborative approach enables LLMs to discern emotions more precisely and formulate empathetic responses. We validate HEF on the Empathetic-Dialogue dataset, and the findings indicate that our framework enhances the refined understanding of LLMs and their ability to convey empathetic responses.

  • 7 authors
·
Feb 18, 2024

Aligning Language Models Using Follow-up Likelihood as Reward Signal

In natural human-to-human conversations, participants often receive feedback signals from one another based on their follow-up reactions. These reactions can include verbal responses, facial expressions, changes in emotional state, and other non-verbal cues. Similarly, in human-machine interactions, the machine can leverage the user's follow-up utterances as feedback signals to assess whether it has appropriately addressed the user's request. Therefore, we propose using the likelihood of follow-up utterances as rewards to differentiate preferred responses from less favored ones, without relying on human or commercial LLM-based preference annotations. Our proposed reward mechanism, ``Follow-up Likelihood as Reward" (FLR), matches the performance of strong reward models trained on large-scale human or GPT-4 annotated data on 8 pairwise-preference and 4 rating-based benchmarks. Building upon the FLR mechanism, we propose to automatically mine preference data from the online generations of a base policy model. The preference data are subsequently used to boost the helpfulness of the base model through direct alignment from preference (DAP) methods, such as direct preference optimization (DPO). Lastly, we demonstrate that fine-tuning the language model that provides follow-up likelihood with natural language feedback significantly enhances FLR's performance on reward modeling benchmarks and effectiveness in aligning the base policy model's helpfulness.

  • 7 authors
·
Sep 20, 2024

When Can We Trust LLMs in Mental Health? Large-Scale Benchmarks for Reliable LLM Evaluation

Evaluating Large Language Models (LLMs) for mental health support is challenging due to the emotionally and cognitively complex nature of therapeutic dialogue. Existing benchmarks are limited in scale, reliability, often relying on synthetic or social media data, and lack frameworks to assess when automated judges can be trusted. To address the need for large-scale dialogue datasets and judge reliability assessment, we introduce two benchmarks that provide a framework for generation and evaluation. MentalBench-100k consolidates 10,000 one-turn conversations from three real scenarios datasets, each paired with nine LLM-generated responses, yielding 100,000 response pairs. MentalAlign-70k}reframes evaluation by comparing four high-performing LLM judges with human experts across 70,000 ratings on seven attributes, grouped into Cognitive Support Score (CSS) and Affective Resonance Score (ARS). We then employ the Affective Cognitive Agreement Framework, a statistical methodology using intraclass correlation coefficients (ICC) with confidence intervals to quantify agreement, consistency, and bias between LLM judges and human experts. Our analysis reveals systematic inflation by LLM judges, strong reliability for cognitive attributes such as guidance and informativeness, reduced precision for empathy, and some unreliability in safety and relevance. Our contributions establish new methodological and empirical foundations for reliable, large-scale evaluation of LLMs in mental health. We release the benchmarks and codes at: https://github.com/abeerbadawi/MentalBench/

  • 9 authors
·
Oct 21, 2025

Parrot: Persuasion and Agreement Robustness Rating of Output Truth -- A Sycophancy Robustness Benchmark for LLMs

This study presents PARROT (Persuasion and Agreement Robustness Rating of Output Truth), a robustness focused framework designed to measure the degradation in accuracy that occurs under social pressure exerted on users through authority and persuasion in large language models (LLMs) the phenomenon of sycophancy (excessive conformity). PARROT (i) isolates causal effects by comparing the neutral version of the same question with an authoritatively false version using a double-blind evaluation, (ii) quantifies confidence shifts toward the correct and imposed false responses using log-likelihood-based calibration tracking, and (iii) systematically classifies failure modes (e.g., robust correct, sycophantic agreement, reinforced error, stubborn error, self-correction, etc.) using an eight-state behavioral taxonomy. We evaluated 22 models using 1,302 MMLU-style multiple-choice questions across 13 domains and domain-specific authority templates. Findings show marked heterogeneity: advanced models (e.g., GPT-5, GPT-4.1, Claude Sonnet 4.5) exhibit low "follow rates" (leq 11%, GPT-5: 4\%) and minimal accuracy loss, while older/smaller models show severe epistemic collapse (GPT-4: 80\%, Qwen 2.5-1.5B: 94\%). The danger is not limited to response changes; weak models reduce confidence in the correct response while increasing confidence in the imposed incorrect response. While international law and global knowledge at the domain level exhibit high fragility, elementary mathematics is relatively resilient. Consequently, we argue that the goal of "resistance to overfitting pressure" should be addressed as a primary objective alongside accuracy, harm avoidance, and privacy for safe deployment in the real world.

  • 3 authors
·
Nov 21, 2025 4

MDPE: A Multimodal Deception Dataset with Personality and Emotional Characteristics

Deception detection has garnered increasing attention in recent years due to the significant growth of digital media and heightened ethical and security concerns. It has been extensively studied using multimodal methods, including video, audio, and text. In addition, individual differences in deception production and detection are believed to play a crucial role.Although some studies have utilized individual information such as personality traits to enhance the performance of deception detection, current systems remain limited, partly due to a lack of sufficient datasets for evaluating performance. To address this issue, we introduce a multimodal deception dataset MDPE. Besides deception features, this dataset also includes individual differences information in personality and emotional expression characteristics. It can explore the impact of individual differences on deception behavior. It comprises over 104 hours of deception and emotional videos from 193 subjects. Furthermore, we conducted numerous experiments to provide valuable insights for future deception detection research. MDPE not only supports deception detection, but also provides conditions for tasks such as personality recognition and emotion recognition, and can even study the relationships between them. We believe that MDPE will become a valuable resource for promoting research in the field of affective computing.

  • 14 authors
·
Jul 16, 2024

Benchmarking and Bridging Emotion Conflicts for Multimodal Emotion Reasoning

Despite their strong performance in multimodal emotion reasoning, existing Multimodal Large Language Models (MLLMs) often overlook the scenarios involving emotion conflicts, where emotional cues from different modalities are inconsistent. To fill this gap, we first introduce CA-MER, a new benchmark designed to examine MLLMs under realistic emotion conflicts. It consists of three subsets: video-aligned, audio-aligned, and consistent, where only one or all modalities reflect the true emotion. However, evaluations on our CA-MER reveal that current state-of-the-art emotion MLLMs systematically over-rely on audio signal during emotion conflicts, neglecting critical cues from visual modality. To mitigate this bias, we propose MoSEAR, a parameter-efficient framework that promotes balanced modality integration. MoSEAR consists of two modules: (1)MoSE, modality-specific experts with a regularized gating mechanism that reduces modality bias in the fine-tuning heads; and (2)AR, an attention reallocation mechanism that rebalances modality contributions in frozen backbones during inference. Our framework offers two key advantages: it mitigates emotion conflicts and improves performance on consistent samples-without incurring a trade-off between audio and visual modalities. Experiments on multiple benchmarks-including MER2023, EMER, DFEW, and our CA-MER-demonstrate that MoSEAR achieves state-of-the-art performance, particularly under modality conflict conditions.

  • 5 authors
·
Aug 2, 2025

Towards Interpretable Mental Health Analysis with Large Language Models

The latest large language models (LLMs) such as ChatGPT, exhibit strong capabilities in automated mental health analysis. However, existing relevant studies bear several limitations, including inadequate evaluations, lack of prompting strategies, and ignorance of exploring LLMs for explainability. To bridge these gaps, we comprehensively evaluate the mental health analysis and emotional reasoning ability of LLMs on 11 datasets across 5 tasks. We explore the effects of different prompting strategies with unsupervised and distantly supervised emotional information. Based on these prompts, we explore LLMs for interpretable mental health analysis by instructing them to generate explanations for each of their decisions. We convey strict human evaluations to assess the quality of the generated explanations, leading to a novel dataset with 163 human-assessed explanations. We benchmark existing automatic evaluation metrics on this dataset to guide future related works. According to the results, ChatGPT shows strong in-context learning ability but still has a significant gap with advanced task-specific methods. Careful prompt engineering with emotional cues and expert-written few-shot examples can also effectively improve performance on mental health analysis. In addition, ChatGPT generates explanations that approach human performance, showing its great potential in explainable mental health analysis.

  • 6 authors
·
Apr 6, 2023

What Makes Digital Support Effective? How Therapeutic Skills Affect Clinical Well-Being

Online mental health support communities have grown in recent years for providing accessible mental and emotional health support through volunteer counselors. Despite millions of people participating in chat support on these platforms, the clinical effectiveness of these communities on mental health symptoms remains unknown. Furthermore, although volunteers receive some training based on established therapeutic skills studied in face-to-face environments such as active listening and motivational interviewing, it remains understudied how the usage of these skills in this online context affects people's mental health status. In our work, we collaborate with one of the largest online peer support platforms and use both natural language processing and machine learning techniques to measure how one-on-one support chats affect depression and anxiety symptoms. We measure how the techniques and characteristics of support providers, such as using affirmation, empathy, and past experience on the platform, affect support-seekers' mental health changes. We find that online peer support chats improve both depression and anxiety symptoms with a statistically significant but relatively small effect size. Additionally, support providers' techniques such as emphasizing the autonomy of the client lead to better mental health outcomes. However, we also found that some behaviors (e.g. persuading) are actually harmful to depression and anxiety outcomes. Our work provides key understanding for mental health care in the online setting and designing training systems for online support providers.

  • 7 authors
·
Dec 17, 2023