Chronic pain patient narratives allow for the estimation of current pain intensity

Chronic pain is a multi-dimensional experience, and pain intensity plays an important part, impacting the patients emotional balance, psychology, and behaviour. Standard self-reporting tools, such as the Visual Analogue Scale for pain, fail to capture this burden. Moreover, this type of tools is susceptible to a degree of subjectivity, dependent on the patients clear understanding of how to use it, social biases, and their ability to translate a complex experience to a scale. To overcome these and other self-reporting challenges, pain intensity estimation has been previously studied based on facial expressions, electroencephalograms, brain imaging, and autonomic features. However, to the best of our knowledge, it has never been attempted to base this estimation on the patient narratives of the personal experience of chronic pain, which is what we propose in this work. Indeed, in the clinical assessment and management of chronic pain, verbal communication is essential to convey information to physicians that would otherwise not be easily accessible through standard reporting tools, since language, sociocultural, and psychosocial variables are intertwined. We show that language features from patient narratives indeed convey information relevant for pain intensity estimation, and that our computational models can take advantage of that. Specifically, our results show that patients with mild pain focus more on the use of verbs, whilst moderate and severe pain patients focus on adverbs, and nouns and adjectives, respectively, and that these differences allow for the distinction between these three pain classes.

Transfer-learning for video classification: Video Swin Transformer on multiple domains

The computer vision community has seen a shift from convolutional-based to pure transformer architectures for both image and video tasks. Training a transformer from zero for these tasks usually requires a lot of data and computational resources. Video Swin Transformer (VST) is a pure-transformer model developed for video classification which achieves state-of-the-art results in accuracy and efficiency on several datasets. In this paper, we aim to understand if VST generalizes well enough to be used in an out-of-domain setting. We study the performance of VST on two large-scale datasets, namely FCVID and Something-Something using a transfer learning approach from Kinetics-400, which requires around 4x less memory than training from scratch. We then break down the results to understand where VST fails the most and in which scenarios the transfer-learning approach is viable. Our experiments show an 85\% top-1 accuracy on FCVID without retraining the whole model which is equal to the state-of-the-art for the dataset and a 21\% accuracy on Something-Something. The experiments also suggest that the performance of the VST decreases on average when the video duration increases which seems to be a consequence of a design choice of the model. From the results, we conclude that VST generalizes well enough to classify out-of-domain videos without retraining when the target classes are from the same type as the classes used to train the model. We observed this effect when we performed transfer-learning from Kinetics-400 to FCVID, where most datasets target mostly objects. On the other hand, if the classes are not from the same type, then the accuracy after the transfer-learning approach is expected to be poor. We observed this effect when we performed transfer-learning from Kinetics-400, where the classes represent mostly objects, to Something-Something, where the classes represent mostly actions.

Towards Learning Through Open-Domain Dialog

The development of artificial agents able to learn through dialog without domain restrictions has the potential to allow machines to learn how to perform tasks in a similar manner to humans and change how we relate to them. However, research in this area is practically nonexistent. In this paper, we identify the modifications required for a dialog system to be able to learn from the dialog and propose generic approaches that can be used to implement those modifications. More specifically, we discuss how knowledge can be extracted from the dialog, used to update the agent's semantic network, and grounded in action and observation. This way, we hope to raise awareness for this subject, so that it can become a focus of research in the future.

Chronic Pain and Language: A Topic Modelling Approach to Personal Pain Descriptions

Chronic pain is recognized as a major health problem, with impacts not only at the economic, but also at the social, and individual levels. Being a private and subjective experience, it is impossible to externally and impartially experience, describe, and interpret chronic pain as a purely noxious stimulus that would directly point to a causal agent and facilitate its mitigation, contrary to acute pain, the assessment of which is usually straightforward. Verbal communication is, thus, key to convey relevant information to health professionals that would otherwise not be accessible to external entities, namely, intrinsic qualities about the painful experience and the patient. We propose and discuss a topic modelling approach to recognize patterns in verbal descriptions of chronic pain, and use these patterns to quantify and qualify experiences of pain. Our approaches allow for the extraction of novel insights on chronic pain experiences from the obtained topic models and latent spaces. We argue that our results are clinically relevant for the assessment and management of chronic pain.

Analysis of Chronic Pain Experiences Based on Online Reports: the RRCP Dataset

Chronic pain is recognized as a major health problem, with impacts at the economic, social, and individual levels. Being a private and subjective experience, dependent on a complex cognitive process involving the subject's past experiences, sociocultural embeddedness, as well as emotional and psychological loads, it is impossible to externally and impartially experience, describe, and interpret chronic pain as a purely noxious stimulus that would directly point to a causal agent and facilitate its mitigation. Verbal communication is, thus, key to convey relevant information to health professionals that would otherwise not be accessible to external entities. Specifically, what a patient suffering of chronic pain describes from the experience and how this information is disclosed reveals intrinsic qualities about the patient and the experience of pain itself. We present the Reddit Reports of Chronic Pain (RRCP) dataset, which comprises social media textual descriptions and discussion of various forms of chronic pain experiences, as reported from the perspective of different base pathologies. For each pathology, we identify the main concerns emergent of its consequent experience of chronic pain, as represented by the subset of documents explicitly related to it. This is obtained via document clustering in the latent space. By means of cosine similarity, we determine which concerns of different pathologies are core to all experiences of pain, and which are exclusive to certain forms. Finally, we argue that our unsupervised semantic analysis of descriptions of chronic pain echoes clinical research on how different pathologies manifest in terms of the chronic pain experience.

General-Purpose Communicative Function Recognition using a Hierarchical Network with Cascading Outputs and Maximum a Posteriori Path Estimation

ISO 24617-2, the standard for dialog act annotation, defines a hierarchically organized set of general-purpose communicative functions. The automatic recognition of these functions, although practically unexplored, is relevant for a dialog system, since they provide cues regarding the intention behind the segments and how they should be interpreted. In this paper, we explore the recognition of general-purpose communicative functions in the DialogBank, which is a reference set of dialogs annotated according to the standard. To do so, we adapt a state-of-the-art approach on flat dialog act recognition to deal with the hierarchical classification problem. More specifically, we propose the use of a hierarchical network with cascading outputs and maximum a posteriori path estimation to predict the communicative function at each level of the hierarchy, preserve the dependencies between the functions in the path, and decide at which level to stop. Furthermore, since the amount of dialogs in the DialogBank is reduced, we rely both on additional dialogs annotated using mapping processes and on transfer learning to improve performance. The results of our experiments show that the hierarchical approach outperforms a flat one and that maximum a posteriori estimation outperforms an iterative prediction approach based on masking.

Hierarchical Multi-Label Dialog Act Recognition on Spanish Data

Dialog acts reveal the intention behind the uttered words. Thus, their automatic recognition is important for a dialog system trying to understand its conversational partner. The study presented in this article approaches that task on the DIHANA corpus, whose three-level dialog act annotation scheme poses problems which have not been explored in recent studies. In addition to the hierarchical problem, the two lower levels pose multi-label classification problems. Furthermore, each level in the hierarchy refers to a different aspect concerning the intention of the speaker both in terms of the structure of the dialog and the task. Also, since its dialogs are in Spanish, it allows us to assess whether the state-of-the-art approaches on English data generalize to a different language. More specifically, we compare the performance of different segment representation approaches focusing on both sequences and patterns of words and assess the importance of the dialog history and the relations between the multiple levels of the hierarchy. Concerning the single-label classification problem posed by the top level, we show that the conclusions drawn on English data also hold on Spanish data. Furthermore, we show that the approaches can be adapted to multi-label scenarios. Finally, by hierarchically combining the best classifiers for each level, we achieve the best results reported for this corpus.

Low-dimensional Embodied Semantics for Music and Language

Embodied cognition states that semantics is encoded in the brain as firing patterns of neural circuits, which are learned according to the statistical structure of human multimodal experience. However, each human brain is idiosyncratically biased, according to its subjective experience history, making this biological semantic machinery noisy with respect to the overall semantics inherent to media artifacts, such as music and language excerpts. We propose to represent shared semantics using low-dimensional vector embeddings by jointly modeling several brains from human subjects. We show these unsupervised efficient representations outperform the original high-dimensional fMRI voxel spaces in proxy music genre and language topic classification tasks. We further show that joint modeling of several subjects increases the semantic richness of the learned latent vector spaces.