arXiv subjects

Guillermo Cecchi

Publications and source records attributed to Guillermo Cecchi.

At least 19 recordsLinked to original sources

arXiv2025

Oscillatory dynamics between language usage and economic activity

Over the past two centuries, the frequency of word usage in major Western languages has exhibited small amplitude regular cycles, superimposed on larger background trends. We show that these cycles of word usage organize into semantically coherent clusters that track, interact with, or precede macroeconomic rhythms. To explore the nature of this interaction, we build on a minimal mathematical model that captures usage dynamics through parameters linked to real world processes. Parameter fitting reveals that word usage operates near a Hopf bifurcation, a critical regime associated with heightened sensitivity, uncovering a robust and specific coupling between language usage and economic activity. In linguistic datasets that allow long term quantitative analysis, rooted in capitalist contexts, this coupling appears as an oscillatory dynamic, reflecting a feedback process in which language both shapes material reality and manages the changes it produces.

physics.soc-ph↗

arXiv2024

Deep Generative Sampling in the Dual Divergence Space: A Data-efficient & Interpretative Approach for Generative AI

Building on the remarkable achievements in generative sampling of natural images, we propose an innovative challenge, potentially overly ambitious, which involves generating samples of entire multivariate time series that resemble images. However, the statistical challenge lies in the small sample size, sometimes consisting of a few hundred subjects. This issue is especially problematic for deep generative models that follow the conventional approach of generating samples from a canonical distribution and then decoding or denoising them to match the true data distribution. In contrast, our method is grounded in information theory and aims to implicitly characterize the distribution of images, particularly the (global and local) dependency structure between pixels. We achieve this by empirically estimating its KL-divergence in the dual form with respect to the respective marginal distribution. This enables us to perform generative sampling directly in the optimized 1-D dual divergence space. Specifically, in the dual space, training samples representing the data distribution are embedded in the form of various clusters between two end points. In theory, any sample embedded between those two end points is in-distribution w.r.t. the data distribution. Our key idea for generating novel samples of images is to interpolate between the clusters via a walk as per gradients of the dual function w.r.t. the data dimensions. In addition to the data efficiency gained from direct sampling, we propose an algorithm that offers a significant reduction in sample complexity for estimating the divergence of the data distribution with respect to the marginal distribution. We provide strong theoretical guarantees along with an extensive empirical evaluation using many real-world datasets from diverse domains, establishing the superiority of our approach w.r.t. state-of-the-art deep learning methods.

cs.LG↗

arXiv2024

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

The therapeutic working alliance is a critical predictor of psychotherapy success. 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 leverages advanced large language models (LLMs) to analyze session transcripts and map them to distributed representations. These representations capture the semantic similarities between the dialogues and psychometric instruments, such as the Working Alliance Inventory. Analyzing a dataset of over 950 sessions spanning diverse psychiatric conditions -- including anxiety (N=498), depression (N=377), schizophrenia (N=71), and suicidal tendencies (N=12) -- collected between 1970 and 2012, we demonstrate the effectiveness of our method in providing fine-grained mapping of patient-therapist alignment trajectories, offering interpretable insights for clinical practice, and identifying emerging patterns related to the condition being treated. By employing various deep learning-based topic modeling techniques in combination with prompting generative language models, we analyze the topical characteristics of different psychiatric conditions and how these topics evolve during each turn of the conversation. This integrated framework enhances the understanding of therapeutic interactions, enables timely feedback for therapists on the quality of therapeutic relationships, and provides clear, actionable insights to improve the effectiveness of psychotherapy.

cs.CL↗

arXiv2023

The Impact of COVID-19 on Chronic Pain: Multidimensional Clustering Reveals Deep Insights into Spinal Cord Stimulation Patients

The emergence of COVID-19 offered a unique opportunity to study chronic pain patients as they responded to sudden changes in social environments, increased community stress, and reduced access to care. We report findings from n=70 Spinal Cord Stimulation (SCS) patients before and during initial pandemic stages resulting from advances in home monitoring and artificial intelligence that produced novel insights despite pandemic-related disruptions. From a multi-dimensional array of frequently monitored signals-including mobility, sleep, voice, and psychological assessments-we found that while the overall patient cohort appeared unaffected by the pandemic onset, patients had significantly different individual experiences. Three distinct patient responses (sub-cohorts) were revealed, those with: worsened pain, reduced activities, or improved quality of life. Remarkably, none of the specific measures by themselves were significantly affected; instead, it was their synergy that exposed the effects elicited by the pandemic onset. Partial correlations illustrating linked dimensions by sub-cohort during the pandemic and those associations were different for each sub-cohort before COVID-19, suggesting that daily at-home tele-monitoring of chronic conditions may reveal novel patient types. This work highlights the opportunities afforded by applying modern analytic techniques to more holistic and longitudinal patient outcomes, which might aid clinicians in making more informed treatment decisions in the future.

cs.CE↗

arXiv2023

Remote Inference of Cognitive Scores in ALS Patients Using a Picture Description

Amyotrophic lateral sclerosis is a fatal disease that not only affects movement, speech, and breath but also cognition. Recent studies have focused on the use of language analysis techniques to detect ALS and infer scales for monitoring functional progression. In this paper, we focused on another important aspect, cognitive impairment, which affects 35-50% of the ALS population. In an effort to reach the ALS population, which frequently exhibits mobility limitations, we implemented the digital version of the Edinburgh Cognitive and Behavioral ALS Screen (ECAS) test for the first time. This test which is designed to measure cognitive impairment was remotely performed by 56 participants from the EverythingALS Speech Study. As part of the study, participants (ALS and non-ALS) were asked to describe weekly one picture from a pool of many pictures with complex scenes displayed on their computer at home. We analyze the descriptions performed within +/- 60 days from the day the ECAS test was administered and extract different types of linguistic and acoustic features. We input those features into linear regression models to infer 5 ECAS sub-scores and the total score. Speech samples from the picture description are reliable enough to predict the ECAS subs-scores, achieving statistically significant Spearman correlation values between 0.32 and 0.51 for the model's performance using 10-fold cross-validation.

cs.CL↗

arXiv2023

Effective Latent Differential Equation Models via Attention and Multiple Shooting

Scientific Machine Learning (SciML) is a burgeoning field that synergistically combines domain-aware and interpretable models with agnostic machine learning techniques. In this work, we introduce GOKU-UI, an evolution of the SciML generative model GOKU-nets. GOKU-UI not only broadens the original model's spectrum to incorporate other classes of differential equations, such as Stochastic Differential Equations (SDEs), but also integrates attention mechanisms and a novel multiple shooting training strategy in the latent space. These modifications have led to a significant increase in its performance in both reconstruction and forecast tasks, as demonstrated by our evaluation of simulated and empirical data. Specifically, GOKU-UI outperformed all baseline models on synthetic datasets even with a training set 16-fold smaller, underscoring its remarkable data efficiency. Furthermore, when applied to empirical human brain data, while incorporating stochastic Stuart-Landau oscillators into its dynamical core, our proposed enhancements markedly increased the model's effectiveness in capturing complex brain dynamics. This augmented version not only surpassed all baseline methods in the reconstruction task, but also demonstrated lower prediction error of future brain activity up to 15 seconds ahead. By training GOKU-UI on resting state fMRI data, we encoded whole-brain dynamics into a latent representation, learning a low-dimensional dynamical system model that could offer insights into brain functionality and open avenues for practical applications such as the classification of mental states or psychiatric conditions. Ultimately, our research provides further impetus for the field of Scientific Machine Learning, showcasing the potential for advancements when established scientific insights are interwoven with modern machine learning.

cs.LG↗

arXiv2023

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.

cs.AI↗

arXiv2023

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.

cs.LG↗

arXiv2023

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.

cs.CL↗

arXiv2022

Definition and clinical validation of Pain Patient States from high-dimensional mobile data: application to a chronic pain cohort

The technical capacity to monitor patients with a mobile device has drastically expanded, but data produced from this approach are often difficult to interpret. We present a solution to produce a meaningful representation of patient status from large, complex data streams, leveraging both a data-driven approach, and use clinical knowledge to validate results. Data were collected from a clinical trial enrolling chronic pain patients, and included questionnaires, voice recordings, actigraphy, and standard health assessments. The data were reduced using a clustering analysis. In an initial exploratory analysis with only questionnaire data, we found up to 3 stable cluster solutions that grouped symptoms on a positive to negative spectrum. Objective features (actigraphy, speech) expanded the cluster solution granularity. Using a 5 state solution with questionnaire and actigraphy data, we found significant correlations between cluster properties and assessments of disability and quality-of-life. The correlation coefficient values showed an ordinal distinction, confirming the cluster ranking on a negative to positive spectrum. This suggests we captured novel, distinct Pain Patient States with this approach, even when multiple clusters were equated on pain magnitude. Relative to using complex time courses of many variables, Pain Patient States holds promise as an interpretable, useful, and actionable metric for a clinician or caregiver to simplify and provide timely delivery of care.

stat.AP↗

arXiv2022

Neural Topic Modeling of Psychotherapy Sessions

In this work, we compare different neural topic modeling methods in learning the topical propensities of different psychiatric conditions from the psychotherapy session transcripts parsed from speech recordings. We also incorporate temporal modeling to put this additional interpretability to action by parsing out topic similarities as a time series in a turn-level resolution. We believe this topic modeling framework can offer interpretable insights for the therapist to optimally decide his or her strategy and improve psychotherapy effectiveness.

cs.CL↗

arXiv2022

SupervisorBot: NLP-Annotated Real-Time Recommendations of Psychotherapy Treatment Strategies with Deep Reinforcement Learning

We propose a recommendation system that suggests treatment strategies to a therapist during the psychotherapy session in real-time. Our system uses a turn-level rating mechanism that predicts the therapeutic outcome by computing a similarity score between the deep embedding of a scoring inventory, and the current sentence that the patient is speaking. The system automatically transcribes a continuous audio stream and separates it into turns of the patient and of the therapist and perform real-time inference of their therapeutic working alliance. The dialogue pairs along with their computed working alliance as ratings are then fed into a deep reinforcement learning recommendation system where the sessions are treated as users and the topics are treated as items. Other than evaluating the empirical advantages of the core components on an existing dataset of psychotherapy sessions, we demonstrate the effectiveness of this system in a web app.

cs.CL↗

arXiv2022

Working Alliance Transformer for Psychotherapy Dialogue Classification

As a predictive measure of the treatment outcome in psychotherapy, the working alliance measures the agreement of the patient and the therapist in terms of their bond, task and goal. Long been a clinical quantity estimated by the patients' and therapists' self-evaluative reports, we believe that the working alliance can be better characterized using natural language processing technique directly in the dialogue transcribed in each therapy session. In this work, we propose the Working Alliance Transformer (WAT), a Transformer-based classification model that has a psychological state encoder which infers the working alliance scores by projecting the embedding of the dialogues turns onto the embedding space of the clinical inventory for working alliance. We evaluate our method in a real-world dataset with over 950 therapy sessions with anxiety, depression, schizophrenia and suicidal patients and demonstrate an empirical advantage of using information about the therapeutic states in this sequence classification task of psychotherapy dialogues.

cs.CL↗

arXiv2022

PainPoints: A Framework for Language-based Detection of Chronic Pain and Expert-Collaborative Text-Summarization

Chronic pain is a pervasive disorder which is often very disabling and is associated with comorbidities such as depression and anxiety. Neuropathic Pain (NP) is a common sub-type which is often caused due to nerve damage and has a known pathophysiology. Another common sub-type is Fibromyalgia (FM) which is described as musculoskeletal, diffuse pain that is widespread through the body. The pathophysiology of FM is poorly understood, making it very hard to diagnose. Standard medications and treatments for FM and NP differ from one another and if misdiagnosed it can cause an increase in symptom severity. To overcome this difficulty, we propose a novel framework, PainPoints, which accurately detects the sub-type of pain and generates clinical notes via summarizing the patient interviews. Specifically, PainPoints makes use of large language models to perform sentence-level classification of the text obtained from interviews of FM and NP patients with a reliable AUC of 0.83. Using a sufficiency-based interpretability approach, we explain how the fine-tuned model accurately picks up on the nuances that patients use to describe their pain. Finally, we generate summaries of these interviews via expert interventions by introducing a novel facet-based approach. PainPoints thus enables practitioners to add/drop facets and generate a custom summary based on the notion of "facet-coverage" which is also introduced in this work.

cs.CL↗

arXiv2022

Online Learning in Iterated Prisoner's Dilemma to Mimic Human Behavior

As an important psychological and social experiment, the Iterated Prisoner's Dilemma (IPD) treats the choice to cooperate or defect as an atomic action. We propose to study the behaviors of online learning algorithms in the Iterated Prisoner's Dilemma (IPD) game, where we investigate the full spectrum of reinforcement learning agents: multi-armed bandits, contextual bandits and reinforcement learning. We evaluate them based on a tournament of iterated prisoner's dilemma where multiple agents can compete in a sequential fashion. This allows us to analyze the dynamics of policies learned by multiple self-interested independent reward-driven agents, and also allows us study the capacity of these algorithms to fit the human behaviors. Results suggest that considering the current situation to make decision is the worst in this kind of social dilemma game. Multiples discoveries on online learning behaviors and clinical validations are stated, as an effort to connect artificial intelligence algorithms with human behaviors and their abnormal states in neuropsychiatric conditions.

cs.GT↗

arXiv2022

Predicting human decision making in psychological tasks with recurrent neural networks

Unlike traditional time series, the action sequences of human decision making usually involve many cognitive processes such as beliefs, desires, intentions, and theory of mind, i.e., what others are thinking. This makes predicting human decision-making challenging to be treated agnostically to the underlying psychological mechanisms. We propose here to use a recurrent neural network architecture based on long short-term memory networks (LSTM) to predict the time series of the actions taken by human subjects engaged in gaming activity, the first application of such methods in this research domain. In this study, we collate the human data from 8 published literature of the Iterated Prisoner's Dilemma comprising 168,386 individual decisions and post-process them into 8,257 behavioral trajectories of 9 actions each for both players. Similarly, we collate 617 trajectories of 95 actions from 10 different published studies of Iowa Gambling Task experiments with healthy human subjects. We train our prediction networks on the behavioral data and demonstrate a clear advantage over the state-of-the-art methods in predicting human decision-making trajectories in both the single-agent scenario of the Iowa Gambling Task and the multi-agent scenario of the Iterated Prisoner's Dilemma. Moreover, we observe that the weights of the LSTM networks modeling the top performers tend to have a wider distribution compared to poor performers, as well as a larger bias, which suggest possible interpretations for the distribution of strategies adopted by each group.

cs.LG↗

arXiv2022

Deep Annotation of Therapeutic Working Alliance in Psychotherapy

The therapeutic working alliance is an important predictor of the outcome of the psychotherapy treatment. In practice, the working alliance is estimated from a set of scoring questionnaires in an inventory that both the patient and the therapists fill out. In this work, we propose an analytical framework of directly inferring the therapeutic working alliance from the natural language within the psychotherapy sessions in a turn-level resolution with deep embeddings such as the Doc2Vec and SentenceBERT models. The transcript of each psychotherapy session can be transcribed and generated in real-time from the session speech recordings, and these embedded dialogues are compared with the distributed representations of the statements in the working alliance inventory. We demonstrate, in a real-world dataset with over 950 sessions of psychotherapy treatments in anxiety, depression, schizophrenia and suicidal patients, the effectiveness of this method in mapping out trajectories of patient-therapist alignment and the interpretability that can offer insights in clinical psychiatry. We believe such a framework can be provide timely feedback to the therapist regarding the quality of the conversation in interview sessions.

q-bio.NC↗

arXiv2021

Unified Models of Human Behavioral Agents in Bandits, Contextual Bandits and RL

Artificial behavioral agents are often evaluated based on their consistent behaviors and performance to take sequential actions in an environment to maximize some notion of cumulative reward. However, human decision making in real life usually involves different strategies and behavioral trajectories that lead to the same empirical outcome. Motivated by clinical literature of a wide range of neurological and psychiatric disorders, we propose here a more general and flexible parametric framework for sequential decision making that involves a two-stream reward processing mechanism. We demonstrated that this framework is flexible and unified enough to incorporate a family of problems spanning multi-armed bandits (MAB), contextual bandits (CB) and reinforcement learning (RL), which decompose the sequential decision making process in different levels. Inspired by the known reward processing abnormalities of many mental disorders, our clinically-inspired agents demonstrated interesting behavioral trajectories and comparable performance on simulated tasks with particular reward distributions, a real-world dataset capturing human decision-making in gambling tasks, and the PacMan game across different reward stationarities in a lifelong learning setting.

cs.AI↗