Generative models trained using self-supervision of tokenized electronic health record (EHR) timelines show promise for clinical outcome prediction. This is typically done using Monte Carlo simulation for future patient trajectories. However, existing approaches suffer from three key limitations: sparse estimate distributions that poorly differentiate patient risk levels, extreme computational costs, and high sampling variance. We propose two new estimators: the Sum of Conditional Outcome Probability Estimator (SCOPE) and Risk Estimation from Anticipated Conditional Hazards (REACH), that leverage next-token probability distributions discarded by standard Monte Carlo. We prove both estimators are unbiased and that REACH guarantees variance reduction over Monte Carlo sampling for any model and outcome. Empirically, on hospital mortality prediction in MIMIC-IV using the ETHOS-ARES framework, SCOPE and REACH match 100-sample Monte Carlo performance using only 10-11 samples (95% CI: [9,11]), representing a ~10x reduction in inference cost without degrading calibration. For ICU admission prediction, efficiency gains are more modest (~1.2x), which we attribute to the outcome's lower "spontaneity," a property we characterize theoretically and empirically. These methods substantially improve the feasibility of deploying generative EHR models in resource-constrained clinical settings.
As artificial intelligence rapidly advances, society is increasingly captivated by promises of superhuman machines and seamless digital futures. Yet these visions often obscure mounting social, ethical, and psychological concerns tied to pervasive digital technologies - from surveillance to mental health crises. This article argues that a guiding ethos is urgently needed to navigate these transformations. Inspired by the lasting influence of the biblical Ten Commandments, a European interdisciplinary group has proposed "Ten Rules for the Digital World" - a novel ethical framework to help individuals and societies make prudent, human-centered decisions in the age of "supercharged" technology.
The study of negotiation styles dates back to Aristotle's ethos-pathos-logos rhetoric. Prior efforts primarily studied the success of negotiation agents. Here, we shift the focus towards the styles of negotiation strategies. Our focus is the strategic dialogue board game Diplomacy, which affords rich natural language negotiation and measures of game success. We used LLM-as-a-judge to annotate a large human-human set of Diplomacy games for fine-grained negotiation tactics from a sociologically-grounded taxonomy. Using a combination of the It Takes Two and WebDiplomacy datasets, we demonstrate the reliability of our LLM-as-a-Judge framework and show strong correlations between negotiation features and success in the Diplomacy setting. Lastly, we investigate the differences between LLM and human negotiation strategies and show that fine-tuning can steer LLM agents toward more human-like negotiation behaviors.
Debate has been widely adopted as a strategy to enhance critical thinking skills in English Language Arts (ELA). One important skill in debate is forming effective argumentation, which requires debaters to select supportive evidence from literature and construct compelling claims. However, the training of this skill largely depends on human coaching, which is labor-intensive and difficult to scale. To better support students in preparing for debates, this study explores the potential of leveraging artificial intelligence to generate effective arguments. Specifically, we prompted GPT-4 to create an evidence card and compared it to those produced by human debaters. The evidence cards outline the arguments students will present and how those arguments will be delivered, including components such as literature-based evidence quotations, summaries of core ideas, verbatim reading scripts, and tags (i.e., titles of the arguments). We compared the quality of the arguments in the evidence cards created by GPT and student debaters using Aristotle's rhetorical principles: ethos (credibility), pathos (emotional appeal), and logos (logical reasoning). Through a systematic qualitative and quantitative analysis, grounded in the rhetorical principles, we identify the strengths and limitations of human and GPT in debate reasoning, outlining areas where AI's focus and justifications align with or diverge from human reasoning. Our findings contribute to the evolving role of AI-assisted learning interventions, offering insights into how student debaters can develop strategies that enhance their argumentation and reasoning skills.
The convincingness of an argument does not only depend on its structure (logos), the person who makes the argument (ethos), but also on the emotion that it causes in the recipient (pathos). While the overall intensity and categorical values of emotions in arguments have received considerable attention in the research community, we argue that the emotion an argument evokes in a recipient is subjective. It depends on the recipient's goals, standards, prior knowledge, and stance. Appraisal theories lend themselves as a link between the subjective cognitive assessment of events and emotions. They have been used in event-centric emotion analysis, but their suitability for assessing argument convincingness remains unexplored. In this paper, we evaluate whether appraisal theories are suitable for emotion analysis in arguments by considering subjective cognitive evaluations of the importance and impact of an argument on its receiver. Based on the annotations in the recently published ContArgA corpus, we perform zero-shot prompting experiments to evaluate the importance of gold-annotated and predicted emotions and appraisals for the assessment of the subjective convincingness labels. We find that, while categorical emotion information does improve convincingness prediction, the improvement is more pronounced with appraisals. This work presents the first systematic comparison between emotion models for convincingness prediction, demonstrating the advantage of appraisals, providing insights for theoretical and practical applications in computational argumentation.
This work investigates how robot-mediated physicality influences the perception of social-physical interactions with virtual characters. ETHOS (Encountered-Type Haptics for On-demand Social interaction) is an encountered-type haptic display that integrates a torque-controlled manipulator and interchangeable props with a VR headset to enable three gestures: object handovers, fist bumps, and high fives. We conducted a user study to examine how ETHOS adds physicality to virtual character interactions and how this affects presence, realism, enjoyment, and connection metrics. Each participant experienced one interaction under three conditions: no physicality (NP), static physicality (SP), and dynamic physicality (DP). SP extended the purely virtual baseline (NP) by introducing tangible props for direct contact, while DP further incorporated motion and impact forces to emulate natural touch. Results show presence increased stepwise from NP to SP to DP. Realism, enjoyment, and connection also improved with added physicality, though differences between SP and DP were not significant. Comfort remained consistent across conditions, indicating no added psychological friction. These findings demonstrate the experiential value of ETHOS and motivate the integration of encountered-type haptics into socially meaningful VR experiences.
We present ETHOS (Encountered-Type Haptics for On-demand Social Interaction), a dynamic encountered-type haptic display (ETHD) that enables natural physical contact in virtual reality (VR) during social interactions such as handovers, fist bumps, and high-fives. The system integrates a torque-controlled robotic manipulator with interchangeable passive props (silicone hand replicas and a baton), marker-based physical-virtual registration via a ChArUco board, and a safety monitor that gates motion based on the user's head and hand pose. We introduce two control strategies: (i) a static mode that presents a stationary prop aligned with its virtual counterpart, consistent with prior ETHD baselines, and (ii) a dynamic mode that continuously updates prop position by exponentially blending an initial mid-point trajectory with real-time hand tracking, generating a unique contact point for each interaction. Bench tests show static colocation accuracy of 5.09 +/- 0.94 mm, while user interactions achieved temporal alignment with an average contact latency of 28.53 +/- 31.21 ms across all interaction and control conditions. These results demonstrate the feasibility of recreating socially meaningful haptics in VR. By incorporating essential safety and control mechanisms, ETHOS establishes a practical foundation for high-fidelity, dynamic interpersonal interactions in virtual environments.
We introduce a novel multi-labeled scheme for joint annotation of hate and counter-hate speech in social media conversations, categorizing hate and counter-hate messages into thematic and rhetorical dimensions. The thematic categories outline different discursive aspects of each type of speech, while the rhetorical dimension captures how hate and counter messages are communicated, drawing on Aristotle's Logos, Ethos and Pathos. We annotate a sample of 92 conversations, consisting of 720 tweets, and conduct statistical analyses, incorporating public metrics, to explore patterns of interaction between the thematic and rhetorical dimensions within and between hate and counter-hate speech. Our findings provide insights into the spread of hate messages on social media, the strategies used to counter them, and their potential impact on online behavior.
Large language models (LLMs) are transforming global decision-making and societal systems by processing diverse data at unprecedented scales. However, their potential to homogenize human values poses critical risks, similar to biodiversity loss undermining ecological resilience. Rooted in the ancient Greek concept of ethos, meaning both individual character and the shared moral fabric of communities, EthosGPT draws on a tradition that spans from Aristotle's virtue ethics to Adam Smith's moral sentiments as the ethical foundation of economic cooperation. These traditions underscore the vital role of value diversity in fostering social trust, institutional legitimacy, and long-term prosperity. EthosGPT addresses the challenge of value homogenization by introducing an open-source framework for mapping and evaluating LLMs within a global scale of human values. Using international survey data on cultural indices, prompt-based assessments, and comparative statistical analyses, EthosGPT reveals both the adaptability and biases of LLMs across regions and cultures. It offers actionable insights for developing inclusive LLMs, such as diversifying training data and preserving endangered cultural heritage to ensure representation in AI systems. These contributions align with the United Nations Sustainable Development Goals (SDGs), especially SDG 10 (Reduced Inequalities), SDG 11.4 (Cultural Heritage Preservation), and SDG 16 (Peace, Justice and Strong Institutions). Through interdisciplinary collaboration, EthosGPT promotes AI systems that are both technically robust and ethically inclusive, advancing value plurality as a cornerstone for sustainable and equitable futures.
The ubiquity and widespread use of digital and online technologies have transformed mental health support, with online mental health communities (OMHCs) providing safe spaces for peer support. More recently, generative AI and large language models (LLMs) have introduced new possibilities for scalable, around-the-clock mental health assistance that could potentially augment and supplement the capabilities of OMHCs. Although genAI shows promise in delivering immediate and personalized responses, their effectiveness in replicating the nuanced, experience-based support of human peers remains an open question. In this study, we harnessed 24,114 posts and 138,758 online community (OC) responses from 55 OMHCs on Reddit. We prompted several state-of-the-art LLMs (GPT-4-Turbo, Llama-3, and Mistral-7B) with these posts, and compared their (AI) responses to human-written (OC) responses based on a variety of linguistic measures across psycholinguistics and lexico-semantics. Our findings revealed that AI responses are more verbose, readable, and analytically structured, but lack linguistic diversity and personal narratives inherent in human-human interactions. Through a qualitative examination, we found validation as well as complementary insights into the nature of AI responses, such as its neutrality of stance and the absence of seeking back-and-forth clarifications. We discuss the ethical and practical implications of integrating generative AI into OMHCs, advocating for frameworks that balance AI's scalability and timeliness with the irreplaceable authenticity, social interactiveness, and expertise of human connections that form the ethos of online support communities.