Resisting Humanization: Ethical Front-End Design Choices in AI for Sensitive Contexts

Ethical debates in AI have primarily focused on back-end issues such as data governance, model training, and algorithmic decision-making. Less attention has been paid to the ethical significance of front-end design choices, such as the interaction and representation-based elements through which users interact with AI systems. This gap is particularly significant for Conversational User Interfaces (CUI) based on Natural Language Processing (NLP) systems, where humanizing design elements such as dialogue-based interaction, emotive language, personality modes, and anthropomorphic metaphors are increasingly prevalent. This work argues that humanization in AI front-end design is a value-driven choice that profoundly shapes users' mental models, trust calibration, and behavioral responses. Drawing on research in human-computer interaction (HCI), conversational AI, and value-sensitive design, we examine how interfaces can play a central role in misaligning user expectations, fostering misplaced trust, and subtly undermining user autonomy, especially in vulnerable contexts. To ground this analysis, we discuss two AI systems developed by Chayn, a nonprofit organization supporting survivors of gender-based violence. Chayn is extremely cautious when building AI that interacts with or impacts survivors by operationalizing their trauma-informed design principles. This Chayn case study illustrates how ethical considerations can motivate principled restraint in interface design, challenging engagement-based norms in contemporary AI products. We argue that ethical front-end AI design is a form of procedural ethics, enacted through interaction choices rather than embedded solely in system logic.

Dyadic: A Scalable Platform for Human-Human and Human-AI Conversation Research

Conversation is ubiquitous in social life, but the empirical study of this interactive process has been thwarted by tools that are insufficiently modular and unadaptive to researcher needs. To relieve many constraints in conversation research, the current tutorial presents an overview and introduction to a new tool, Dyadic (https://www.chatdyadic.com/), a web-based platform for studying human-human and human-AI conversations using text-based or voice-based chats. Dyadic is distinct from other platforms by offering studies with multiple modalities, AI suggestions (e.g., in human-human studies, AI can suggest responses to a participant), live monitoring (e.g., researchers can evaluate, in real time, chats between communicators), and survey deployment (e.g., Likert-type scales, feeling thermometers, and open-ended text boxes can be sent to humans for in situ evaluations of the interaction), among other consequential features. No coding is required to operate Dyadic directly, and integrations with existing survey platforms are offered.

UniDial-EvalKit: A Unified Toolkit for Evaluating Multi-Faceted Conversational Abilities

Benchmarking AI systems in multi-turn interactive scenarios is essential for understanding their practical capabilities in real-world applications. However, existing evaluation protocols are highly heterogeneous, differing significantly in dataset formats, model interfaces, and evaluation pipelines, which severely impedes systematic comparison. In this work, we present UniDial-EvalKit (UDE), a unified evaluation toolkit for assessing interactive AI systems. The core contribution of UDE lies in its holistic unification: it standardizes heterogeneous data formats into a universal schema, streamlines complex evaluation pipelines through a modular architecture, and aligns metric calculations under a consistent scoring interface. It also supports efficient large-scale evaluation through parallel generation and scoring, as well as checkpoint-based caching to eliminate redundant computation. Validated across diverse multi-turn benchmarks, UDE not only guarantees high reproducibility through standardized workflows and transparent logging, but also significantly improves evaluation efficiency and extensibility. We make the complete toolkit and evaluation scripts publicly available to foster a standardized benchmarking ecosystem and accelerate future breakthroughs in interactive AI.

Sovereign AI at the Front Door of Care: A Physically Unidirectional Architecture for Secure Clinical Intelligence

We present a Sovereign AI architecture for clinical triage in which all inference is performed on-device and inbound data is delivered via a physically unidirectional channel, implemented using receive-only broadcast infrastructure or certified hardware data diodes, with no return path to any external network. This design removes the network-mediated attack surface by construction, rather than attempting to secure it through software controls. The system performs conversational symptom intake, integrates device-captured vitals, and produces structured, triage-aligned clinical records at the point of care. We formalize the security properties of receiver-side unidirectionality and show that the architecture is transport-agnostic across broadcast and diode-enforced deployments. We further analyze threat models, enforcement mechanisms, and deployment configurations, demonstrating how physical one-way data flow enables high-assurance operation in both resource-constrained and high-risk environments. This work positions physically unidirectional channels as a foundational primitive for sovereign, on-device clinical intelligence at the front door of care.

Longitudinal Digital Phenotyping for Early Cognitive-Motor Screening

Early detection of atypical cognitive-motor development is critical for timely intervention, yet traditional assessments rely heavily on subjective, static evaluations. The integration of digital devices offers an opportunity for continuous, objective monitoring through digital biomarkers. In this work, we propose an AI-driven longitudinal framework to model developmental trajectories in children aged 18 months to 8 years. Using a dataset of tablet-based interactions collected over multiple academic years, we analyzed six cognitive-motor tasks (e.g., fine motor control, reaction time). We applied dimensionality reduction (t-SNE) and unsupervised clustering (K-Means++) to identify distinct developmental phenotypes and tracked individual transitions between these profiles over time. Our analysis reveals three distinct profiles: low, medium, and high performance. Crucially, longitudinal tracking highlights a high stability in the low-performance cluster (>90% retention in early years), suggesting that early deficits tend to persist without intervention. Conversely, higher-performance clusters show greater variability, potentially reflecting engagement factors. This study validates the use of unsupervised learning on touchscreen data to uncover heterogeneous developmental paths. The identified profiles serve as scalable, data-driven proxies for cognitive growth, offering a foundation for early screening tools and personalized pediatric interventions.

Mind Your HEARTBEAT! Claw Background Execution Inherently Enables Silent Memory Pollution

We identify a critical security vulnerability in mainstream Claw personal AI agents: untrusted content encountered during heartbeat-driven background execution can silently pollute agent memory and subsequently influence user-facing behavior without the user's awareness. This vulnerability arises from an architectural design shared across the Claw ecosystem: heartbeat background execution runs in the same session as user-facing conversation, so content ingested from any external source monitored in the background (including email, message channels, news feeds, code repositories, and social platforms) can enter the same memory context used for foreground interaction, often with limited user visibility and without clear source provenance. We formalize this process as an Exposure (E) $\rightarrow$ Memory (M) $\rightarrow$ Behavior (B) pathway: misinformation encountered during heartbeat execution enters the agent's short-term session context, potentially gets written into long-term memory, and later shapes downstream user-facing behavior. We instantiate this pathway in an agent-native social setting using MissClaw, a controlled research replica of Moltbook. We find that (1) social credibility cues, especially perceived consensus, are the dominant driver of short-term behavioral influence, with misleading rates up to 61%; (2) routine memory-saving behavior can promote short-term pollution into durable long-term memory at rates up to 91%, with cross-session behavioral influence reaching 76%; (3) under naturalistic browsing with content dilution and context pruning, pollution still crosses session boundaries. Overall, prompt injection is not required: ordinary social misinformation is sufficient to silently shape agent memory and behavior under heartbeat-driven background execution.

AI Psychosis: Does Conversational AI Amplify Delusion-Related Language?

Conversational AI systems are increasingly used for personal reflection and emotional disclosure, raising concerns about their effects on vulnerable users. Recent anecdotal reports suggest that prolonged interactions with AI may reinforce delusional thinking -- a phenomenon sometimes described as AI Psychosis. However, empirical evidence on this phenomenon remains limited. In this work, we examine how delusion-related language evolves during multi-turn interactions with conversational AI. We construct simulated users (SimUsers) from Reddit users' longitudinal posting histories and generate extended conversations with three model families (GPT, LLaMA, and Qwen). We develop DelusionScore, a linguistic measure that quantifies the intensity of delusion-related language across conversational turns. We find that SimUsers derived from users with prior delusion-related discourse (Treatment) exhibit progressively increasing DelusionScore trajectories, whereas those derived from users without such discourse (Control) remain stable or decline. We further find that this amplification varies across themes, with reality skepticism and compulsive reasoning showing the strongest increases. Finally, conditioning AI responses on current DelusionScore substantially reduces these trajectories. These findings provide empirical evidence that conversational AI interactions can amplify delusion-related language over extended use and highlight the importance of state-aware safety mechanisms for mitigating such risks.

Cerebra: A Multidisciplinary AI Board for Multimodal Dementia Characterization and Risk Assessment

Modern clinical practice increasingly depends on reasoning over heterogeneous, evolving, and incomplete patient data. Although recent advances in multimodal foundation models have improved performance on various clinical tasks, most existing models remain static, opaque, and poorly aligned with real-world clinical workflows. We present Cerebra, an interactive multi-agent AI team that coordinates specialized agents for EHR, clinical notes, and medical imaging analysis. These outputs are synthesized into a clinician-facing dashboard that combines visual analytics with a conversational interface, enabling clinicians to interrogate predictions and contextualize risk at the point of care. Cerebra supports privacy-preserving deployment by operating on structured representations and remains robust when modalities are incomplete. We evaluated Cerebra using a massive multi-institutional dataset spanning 3 million patients from four independent healthcare systems. Cerebra consistently outperformed both state-of-the-art single-modality models and large multimodal language model baselines. In dementia risk prediction, it achieved AUROCs up to 0.80, compared with 0.74 for the strongest single-modality model and 0.68 for language model baselines. For dementia diagnosis, it achieved an AUROC of 0.86, and for survival prediction, a C-index of 0.81. In a reader study with experienced physicians, Cerebra significantly improved expert performance, increasing accuracy by 17.5 percentage points in prospective dementia risk estimation. These results demonstrate Cerebra's potential for interpretable, robust decision support in clinical care.

Knowledge Access Beats Model Size: Memory Augmented Routing for Persistent AI Agents

Production AI agents frequently receive user-specific queries that are highly repetitive, with up to 47\% being semantically similar to prior interactions, yet each query is typically processed with the same computational cost. We argue that this redundancy can be exploited through conversational memory, transforming repetition from a cost burden into an efficiency advantage. We propose a memory-augmented inference framework in which a lightweight 8B-parameter model leverages retrieved conversational context to answer all queries via a low-cost inference path. Without any additional training or labeled data, this approach achieves 30.5\% F1, recovering 69\% of the performance of a full-context 235B model while reducing effective cost by 96\%. Notably, a 235B model without memory (13.7\% F1) underperforms even the standalone 8B model (15.4\% F1), indicating that for user-specific queries, access to relevant knowledge outweighs model scale. We further analyze the role of routing and confidence. At practical confidence thresholds, routing alone already directs 96\% of queries to the small model, but yields poor accuracy (13.0\% F1) due to confident hallucinations. Memory does not substantially alter routing decisions; instead, it improves correctness by grounding responses in retrieved user-specific information. As conversational memory accumulates over time, coverage of recurring topics increases, further narrowing the performance gap. We evaluate on 152 LoCoMo questions (Qwen3-8B/235B) and 500 LongMemEval questions. Incorporating hybrid retrieval (BM25 + cosine similarity) improves performance by an additional +7.7 F1, demonstrating that retrieval quality directly enhances end-to-end system performance. Overall, our results highlight that memory, rather than model size, is the primary driver of accuracy and efficiency in persistent AI agents.

A Multidisciplinary AI Board for Multimodal Dementia Characterization and Risk Assessment

Modern clinical practice increasingly depends on reasoning over heterogeneous, evolving, and incomplete patient data. Although recent advances in multimodal foundation models have improved performance on various clinical tasks, most existing models remain static, opaque, and poorly aligned with real-world clinical workflows. We present Cerebra, an interactive multi-agent AI team that coordinates specialized agents for EHR, clinical notes, and medical imaging analysis. These outputs are synthesized into a clinician-facing dashboard that combines visual analytics with a conversational interface, enabling clinicians to interrogate predictions and contextualize risk at the point of care. Cerebra supports privacy-preserving deployment by operating on structured representations and remains robust when modalities are incomplete. We evaluated Cerebra using a massive multi-institutional dataset spanning 3 million patients from four independent healthcare systems. Cerebra consistently outperformed both state-of-the-art single-modality models and large multimodal language model baselines. In dementia risk prediction, it achieved AUROCs up to 0.80, compared with 0.74 for the strongest single-modality model and 0.68 for language model baselines. For dementia diagnosis, it achieved an AUROC of 0.86, and for survival prediction, a C-index of 0.81. In a reader study with experienced physicians, Cerebra significantly improved expert performance, increasing accuracy by 17.5 percentage points in prospective dementia risk estimation. These results demonstrate Cerebra's potential for interpretable, robust decision support in clinical care.