Detecting Conversational Mental Manipulation with Intent-Aware Prompting

Mental manipulation severely undermines mental wellness by covertly and negatively distorting decision-making. While there is an increasing interest in mental health care within the natural language processing community, progress in tackling manipulation remains limited due to the complexity of detecting subtle, covert tactics in conversations. In this paper, we propose Intent-Aware Prompting (IAP), a novel approach for detecting mental manipulations using large language models (LLMs), providing a deeper understanding of manipulative tactics by capturing the underlying intents of participants. Experimental results on the MentalManip dataset demonstrate superior effectiveness of IAP against other advanced prompting strategies. Notably, our approach substantially reduces false negatives, helping detect more instances of mental manipulation with minimal misjudgment of positive cases. The code of this paper is available at https://github.com/Anton-Jiayuan-MA/Manip-IAP.

Guardians of Discourse: Evaluating LLMs on Multilingual Offensive Language Detection

Identifying offensive language is essential for maintaining safety and sustainability in the social media era. Though large language models (LLMs) have demonstrated encouraging potential in social media analytics, they lack thorough evaluation when in offensive language detection, particularly in multilingual environments. We for the first time evaluate multilingual offensive language detection of LLMs in three languages: English, Spanish, and German with three LLMs, GPT-3.5, Flan-T5, and Mistral, in both monolingual and multilingual settings. We further examine the impact of different prompt languages and augmented translation data for the task in non-English contexts. Furthermore, we discuss the impact of the inherent bias in LLMs and the datasets in the mispredictions related to sensitive topics.

Multi-Session Client-Centered Treatment Outcome Evaluation in Psychotherapy

In psychotherapy, therapeutic outcome assessment, or treatment outcome evaluation, is essential for enhancing mental health care by systematically evaluating therapeutic processes and outcomes. Existing large language model approaches often focus on therapist-centered, single-session evaluations, neglecting the client's subjective experience and longitudinal progress across multiple sessions. To address these limitations, we propose IPAEval, a client-Informed Psychological Assessment-based Evaluation framework that automates treatment outcome evaluations from the client's perspective using clinical interviews. IPAEval integrates cross-session client-contextual assessment and session-focused client-dynamics assessment to provide a comprehensive understanding of therapeutic progress. Experiments on our newly developed TheraPhase dataset demonstrate that IPAEval effectively tracks symptom severity and treatment outcomes over multiple sessions, outperforming previous single-session models and validating the benefits of items-aware reasoning mechanisms.

Applying and Evaluating Large Language Models in Mental Health Care: A Scoping Review of Human-Assessed Generative Tasks

Large language models (LLMs) are emerging as promising tools for mental health care, offering scalable support through their ability to generate human-like responses. However, the effectiveness of these models in clinical settings remains unclear. This scoping review aimed to assess the current generative applications of LLMs in mental health care, focusing on studies where these models were tested with human participants in real-world scenarios. A systematic search across APA PsycNet, Scopus, PubMed, and Web of Science identified 726 unique articles, of which 17 met the inclusion criteria. These studies encompassed applications such as clinical assistance, counseling, therapy, and emotional support. However, the evaluation methods were often non-standardized, with most studies relying on ad hoc scales that limit comparability and robustness. Privacy, safety, and fairness were also frequently underexplored. Moreover, reliance on proprietary models, such as OpenAI's GPT series, raises concerns about transparency and reproducibility. While LLMs show potential in expanding mental health care access, especially in underserved areas, the current evidence does not fully support their use as standalone interventions. More rigorous, standardized evaluations and ethical oversight are needed to ensure these tools can be safely and effectively integrated into clinical practice.

CBT-LLM: A Chinese Large Language Model for Cognitive Behavioral Therapy-based Mental Health Question Answering

The recent advancements in artificial intelligence highlight the potential of language models in psychological health support. While models trained on data from mental health service platform have achieved preliminary success, challenges persist in areas such as data scarcity, quality, and ensuring a solid foundation in psychological techniques. To address these challenges, this study introduces a novel approach to enhance the precision and efficacy of psychological support through large language models. Specifically, we design a specific prompt derived from principles of Cognitive Behavioral Therapy (CBT) and have generated the CBT QA dataset, specifically for Chinese psychological health Q&A based on CBT structured intervention strategies. Unlike previous methods, our dataset emphasizes professional and structured response. Utilizing this dataset, we fine-tuned the large language model, giving birth to CBT-LLM, the large-scale language model specifically designed for Cognitive Behavioral Therapy techniques. Empirical evaluations demonstrate that CBT-LLM excels in generating structured, professional, and highly relevant responses in psychological health support tasks, showcasing its practicality and quality. The model is available on Hugging Face: https://huggingface.co/Hongbin37/CBT-LLM.

Rethinking Human-like Translation Strategy: Integrating Drift-Diffusion Model with Large Language Models for Machine Translation

Large language models (LLMs) have demonstrated promising potential in various downstream tasks, including machine translation. However, prior work on LLM-based machine translation has mainly focused on better utilizing training data, demonstrations, or pre-defined and universal knowledge to improve performance, with a lack of consideration of decision-making like human translators. In this paper, we incorporate Thinker with the Drift-Diffusion Model (Thinker-DDM) to address this issue. We then redefine the Drift-Diffusion process to emulate human translators' dynamic decision-making under constrained resources. We conduct extensive experiments under the high-resource, low-resource, and commonsense translation settings using the WMT22 and CommonMT datasets, in which Thinker-DDM outperforms baselines in the first two scenarios. We also perform additional analysis and evaluation on commonsense translation to illustrate the high effectiveness and efficacy of the proposed method.