Conversational Topic Recommendation in Counseling and Psychotherapy with Decision Transformer and Large Language Models

Given the increasing demand for mental health assistance, artificial intelligence (AI), particularly large language models (LLMs), may be valuable for integration into automated clinical support systems. In this work, we leverage a decision transformer architecture for topic recommendation in counseling conversations between patients and mental health professionals. The architecture is utilized for offline reinforcement learning, and we extract states (dialogue turn embeddings), actions (conversation topics), and rewards (scores measuring the alignment between patient and therapist) from previous turns within a conversation to train a decision transformer model. We demonstrate an improvement over baseline reinforcement learning methods, and propose a novel system of utilizing our model's output as synthetic labels for fine-tuning a large language model for the same task. Although our implementation based on LLaMA-2 7B has mixed results, future work can undoubtedly build on the design.

Contextual Moral Value Alignment Through Context-Based Aggregation

Developing value-aligned AI agents is a complex undertaking and an ongoing challenge in the field of AI. Specifically within the domain of Large Language Models (LLMs), the capability to consolidate multiple independently trained dialogue agents, each aligned with a distinct moral value, into a unified system that can adapt to and be aligned with multiple moral values is of paramount importance. In this paper, we propose a system that does contextual moral value alignment based on contextual aggregation. Here, aggregation is defined as the process of integrating a subset of LLM responses that are best suited to respond to a user input, taking into account features extracted from the user's input. The proposed system shows better results in term of alignment to human value compared to the state of the art.

Detectors for Safe and Reliable LLMs: Implementations, Uses, and Limitations

Large language models (LLMs) are susceptible to a variety of risks, from non-faithful output to biased and toxic generations. Due to several limiting factors surrounding LLMs (training cost, API access, data availability, etc.), it may not always be feasible to impose direct safety constraints on a deployed model. Therefore, an efficient and reliable alternative is required. To this end, we present our ongoing efforts to create and deploy a library of detectors: compact and easy-to-build classification models that provide labels for various harms. In addition to the detectors themselves, we discuss a wide range of uses for these detector models - from acting as guardrails to enabling effective AI governance. We also deep dive into inherent challenges in their development and discuss future work aimed at making the detectors more reliable and broadening their scope.

Alignment Studio: Aligning Large Language Models to Particular Contextual Regulations

The alignment of large language models is usually done by model providers to add or control behaviors that are common or universally understood across use cases and contexts. In contrast, in this article, we present an approach and architecture that empowers application developers to tune a model to their particular values, social norms, laws and other regulations, and orchestrate between potentially conflicting requirements in context. We lay out three main components of such an Alignment Studio architecture: Framers, Instructors, and Auditors that work in concert to control the behavior of a language model. We illustrate this approach with a running example of aligning a company's internal-facing enterprise chatbot to its business conduct guidelines.

COMPASS: Computational Mapping of Patient-Therapist Alliance Strategies with Language Modeling

The therapeutic working alliance is a critical factor in predicting the success of psychotherapy treatment. Traditionally, working alliance assessment relies on questionnaires completed by both therapists and patients. In this paper, we present COMPASS, a novel framework to directly infer the therapeutic working alliance from the natural language used in psychotherapy sessions. Our approach utilizes advanced large language models to analyze transcripts of psychotherapy sessions and compare them with distributed representations of statements in the working alliance inventory. Analyzing a dataset of over 950 sessions covering diverse psychiatric conditions, we demonstrate the effectiveness of our method in microscopically mapping patient-therapist alignment trajectories and providing interpretability for clinical psychiatry and in identifying emerging patterns related to the condition being treated. By employing various neural topic modeling techniques in combination with generative language prompting, we analyze the topical characteristics of different psychiatric conditions and incorporate temporal modeling to capture the evolution of topics at a turn-level resolution. This combined framework enhances the understanding of therapeutic interactions, enabling timely feedback for therapists regarding conversation quality and providing interpretable insights to improve the effectiveness of psychotherapy.

Interpolating Item and User Fairness in Recommendation Systems

Online platforms employ recommendation systems to enhance customer engagement and drive revenue. However, in a multi-sided platform where the platform interacts with diverse stakeholders such as sellers (items) and customers (users), each with their own desired outcomes, finding an appropriate middle ground becomes a complex operational challenge. In this work, we investigate the ``price of fairness'', which captures the platform's potential compromises when balancing the interests of different stakeholders. Motivated by this, we propose a fair recommendation framework where the platform maximizes its revenue while interpolating between item and user fairness constraints. We further examine the fair recommendation problem in a more realistic yet challenging online setting, where the platform lacks knowledge of user preferences and can only observe binary purchase decisions. To address this, we design a low-regret online optimization algorithm that preserves the platform's revenue while achieving fairness for both items and users. Finally, we demonstrate the effectiveness of our framework and proposed method via a case study on MovieLens data.

Utterance Classification with Logical Neural Network: Explainable AI for Mental Disorder Diagnosis

In response to the global challenge of mental health problems, we proposes a Logical Neural Network (LNN) based Neuro-Symbolic AI method for the diagnosis of mental disorders. Due to the lack of effective therapy coverage for mental disorders, there is a need for an AI solution that can assist therapists with the diagnosis. However, current Neural Network models lack explainability and may not be trusted by therapists. The LNN is a Recurrent Neural Network architecture that combines the learning capabilities of neural networks with the reasoning capabilities of classical logic-based AI. The proposed system uses input predicates from clinical interviews to output a mental disorder class, and different predicate pruning techniques are used to achieve scalability and higher scores. In addition, we provide an insight extraction method to aid therapists with their diagnosis. The proposed system addresses the lack of explainability of current Neural Network models and provides a more trustworthy solution for mental disorder diagnosis.

Towards Healthy AI: Large Language Models Need Therapists Too

Recent advances in large language models (LLMs) have led to the development of powerful AI chatbots capable of engaging in natural and human-like conversations. However, these chatbots can be potentially harmful, exhibiting manipulative, gaslighting, and narcissistic behaviors. We define Healthy AI to be safe, trustworthy and ethical. To create healthy AI systems, we present the SafeguardGPT framework that uses psychotherapy to correct for these harmful behaviors in AI chatbots. The framework involves four types of AI agents: a Chatbot, a "User," a "Therapist," and a "Critic." We demonstrate the effectiveness of SafeguardGPT through a working example of simulating a social conversation. Our results show that the framework can improve the quality of conversations between AI chatbots and humans. Although there are still several challenges and directions to be addressed in the future, SafeguardGPT provides a promising approach to improving the alignment between AI chatbots and human values. By incorporating psychotherapy and reinforcement learning techniques, the framework enables AI chatbots to learn and adapt to human preferences and values in a safe and ethical way, contributing to the development of a more human-centric and responsible AI.

Psychotherapy AI Companion with Reinforcement Learning Recommendations and Interpretable Policy Dynamics

We introduce a Reinforcement Learning Psychotherapy AI Companion that generates topic recommendations for therapists based on patient responses. The system uses Deep Reinforcement Learning (DRL) to generate multi-objective policies for four different psychiatric conditions: anxiety, depression, schizophrenia, and suicidal cases. We present our experimental results on the accuracy of recommended topics using three different scales of working alliance ratings: task, bond, and goal. We show that the system is able to capture the real data (historical topics discussed by the therapists) relatively well, and that the best performing models vary by disorder and rating scale. To gain interpretable insights into the learned policies, we visualize policy trajectories in a 2D principal component analysis space and transition matrices. These visualizations reveal distinct patterns in the policies trained with different reward signals and trained on different clinical diagnoses. Our system's success in generating DIsorder-Specific Multi-Objective Policies (DISMOP) and interpretable policy dynamics demonstrates the potential of DRL in providing personalized and efficient therapeutic recommendations.

TherapyView: Visualizing Therapy Sessions with Temporal Topic Modeling and AI-Generated Arts

We present the TherapyView, a demonstration system to help therapists visualize the dynamic contents of past treatment sessions, enabled by the state-of-the-art neural topic modeling techniques to analyze the topical tendencies of various psychiatric conditions and deep learning-based image generation engine to provide a visual summary. The system incorporates temporal modeling to provide a time-series representation of topic similarities at a turn-level resolution and AI-generated artworks given the dialogue segments to provide a concise representations of the contents covered in the session, offering interpretable insights for therapists to optimize their strategies and enhance the effectiveness of psychotherapy. This system provides a proof of concept of AI-augmented therapy tools with e in-depth understanding of the patient's mental state and enabling more effective treatment.