AutoPsyC: Automatic Recognition of Psychodynamic Conflicts from Semi-structured Interviews with Large Language Models

Psychodynamic conflicts are persistent, often unconscious themes that shape a person's behaviour and experiences. Accurate diagnosis of psychodynamic conflicts is crucial for effective patient treatment and is commonly done via long, manually scored semi-structured interviews. Existing automated solutions for psychiatric diagnosis tend to focus on the recognition of broad disorder categories such as depression, and it is unclear to what extent psychodynamic conflicts which even the patient themselves may not have conscious access to could be automatically recognised from conversation. In this paper, we propose AutoPsyC, the first method for recognising the presence and significance of psychodynamic conflicts from full-length Operationalized Psychodynamic Diagnostics (OPD) interviews using Large Language Models (LLMs). Our approach combines recent advances in parameter-efficient fine-tuning and Retrieval-Augmented Generation (RAG) with a summarisation strategy to effectively process entire 90 minute long conversations. In evaluations on a dataset of 141 diagnostic interviews we show that AutoPsyC consistently outperforms all baselines and ablation conditions on the recognition of four highly relevant psychodynamic conflicts.

Recognizing Emotion Regulation Strategies from Human Behavior with Large Language Models

Human emotions are often not expressed directly, but regulated according to internal processes and social display rules. For affective computing systems, an understanding of how users regulate their emotions can be highly useful, for example to provide feedback in job interview training, or in psychotherapeutic scenarios. However, at present no method to automatically classify different emotion regulation strategies in a cross-user scenario exists. At the same time, recent studies showed that instruction-tuned Large Language Models (LLMs) can reach impressive performance across a variety of affect recognition tasks such as categorical emotion recognition or sentiment analysis. While these results are promising, it remains unclear to what extent the representational power of LLMs can be utilized in the more subtle task of classifying users' internal emotion regulation strategy. To close this gap, we make use of the recently introduced \textsc{Deep} corpus for modeling the social display of the emotion shame, where each point in time is annotated with one of seven different emotion regulation classes. We fine-tune Llama2-7B as well as the recently introduced Gemma model using Low-rank Optimization on prompts generated from different sources of information on the \textsc{Deep} corpus. These include verbal and nonverbal behavior, person factors, as well as the results of an in-depth interview after the interaction. Our results show, that a fine-tuned Llama2-7B LLM is able to classify the utilized emotion regulation strategy with high accuracy (0.84) without needing access to data from post-interaction interviews. This represents a significant improvement over previous approaches based on Bayesian Networks and highlights the importance of modeling verbal behavior in emotion regulation.

M3TCM: Multi-modal Multi-task Context Model for Utterance Classification in Motivational Interviews

Accurate utterance classification in motivational interviews is crucial to automatically understand the quality and dynamics of client-therapist interaction, and it can serve as a key input for systems mediating such interactions. Motivational interviews exhibit three important characteristics. First, there are two distinct roles, namely client and therapist. Second, they are often highly emotionally charged, which can be expressed both in text and in prosody. Finally, context is of central importance to classify any given utterance. Previous works did not adequately incorporate all of these characteristics into utterance classification approaches for mental health dialogues. In contrast, we present M3TCM, a Multi-modal, Multi-task Context Model for utterance classification. Our approach for the first time employs multi-task learning to effectively model both joint and individual components of therapist and client behaviour. Furthermore, M3TCM integrates information from the text and speech modality as well as the conversation context. With our novel approach, we outperform the state of the art for utterance classification on the recently introduced AnnoMI dataset with a relative improvement of 20% for the client- and by 15% for therapist utterance classification. In extensive ablation studies, we quantify the improvement resulting from each contribution.