arXiv subjects

Hongbin Na

Publications and source records attributed to Hongbin Na.

17 recordsLinked to original sources

arXiv2026

LLMs for Medical Consultation Are Evaluated Too Late: The Preformulation Gap

Large language models for medical consultation are often evaluated after a clinical problem has already been made clear, although real consultations may begin with a vague, minimized, or misframed concern. We evaluated three API models across four physician-authored, multi-turn vignettes under baseline and entry-to-care instruction conditions, yielding 24 fixed-script transcripts; two cases also used adaptive standardized-patient simulation, yielding 12 transcripts. Self-care or home-management advice before any patient answer appeared in 9 of 12 baseline case-model cells and 0 of 12 instruction cells, while structured handoff summaries appeared in 0 of 12 and 10 of 12 cells, respectively. The instruction changed sequencing and documentation, although it did not reliably ensure elicitation of decisive facts. The preformulation gap should therefore be evaluated directly through observable first-contact behavior rather than inferred from diagnostic accuracy or final-answer quality.

cs.AI↗

arXiv2026

StagedWorkspace: A Versioned Workspace for Knowledge-Work Agents

AI agents increasingly perform knowledge work (i.e., produce and modify persistent digital artifacts such as code repositories, documents, spreadsheets, slides, reports), yet the parsed views they search, the native files they edit, the changes they review, and the artifacts they submit can refer to different versions of the same work product. We formulate this as a workspace-state contract: every view should be explicitly tied to a version of the evolving workspace state. Coding agents partly address this need through repository contracts for search, diffs, and tests, whereas an analogous contract is less explicit for PDFs, spreadsheets, slides, notebooks, and mixed-format project folders. We propose StagedWorkspace, a versioned workspace for knowledge-work agents. The workspace binds parsed records and review diffs to content hashes of the native files as they change. In fixed-harness ablations on OfficeQA Pro and APEX-Agents, dual parsed/native access has the highest point estimate for every tested model; relative to the more limiting single view, it improves OfficeQA Pass@1 by 8.3-12.1 points and APEX mean rubric score by 4.7-9.2 points. SW-AGENT scores 63.9% with Gemini 3.1 Pro on OfficeQA and 42.1 with GPT-5.4 Nano on APEX, compared with published same-model scores of 29.3% and 25.5, respectively. A paired review-axis ablation on 57 file-editing tasks further finds higher observed scores when diffs are visible. These results identify workspace state as an experimental variable in knowledge-work agents and motivate benchmarks that score evidence, staged edits, and submitted artifacts as explicit state transitions.

cs.AI↗

arXiv2026

CARE-Bench: Benchmarking Patient-Facing LLM Triage

Patient-facing medical LLMs and agents increasingly answer symptom questions before clinician contact, where the key safety question is what action the user should take next. We introduce CARE-Bench, a source-grounded benchmark that evaluates sequential patient-facing triage as a four-label per-turn current-action task. CARE-Bench contains 500 cases and 1,059 evaluated patient-disclosure prefixes reconstructed from medical dialogue, consultation, and follow-up-question sources. We evaluate 11 models on 269 held-out rounds under unprompted and minimally prompted open-ended protocols, using a fixed GPT-5.5 mapper to code each response into the four-label action space. Unprompted macro-F1 remains low, ranging from 31.2 to 50.4. Prompting improves 10 of 11 models, with prompted macro-F1 ranging from 46.9 to 63.4, but substantial threshold errors remain. Prompted models often recommend care before needed clarification is obtained; when the correct action was to ask for more information, only 33.5% of prompted outputs preserved the step. The persistence of these errors after prompting suggests that patient-facing triage is not a simple prompting problem and supports explicit evaluation of action timing before deployment.

cs.AI↗

arXiv2026

Overview of the PsyDefDetect Shared Task at BioNLP 2026: Detecting Levels of Psychological Defense Mechanisms in Supportive Conversations

We present an overview of PsyDefDetect, the shared task on detecting levels of psychological defense mechanisms in emotional support dialogues, co-located with BioNLP@ACL 2026. Grounded in the clinically validated Defense Mechanism Rating Scales (DMRS) framework, the task asks systems to classify a target seeker utterance, given its preceding dialogue context, into one of nine categories: seven hierarchical DMRS levels plus two auxiliary labels. Participants worked on PsyDefConv, a newly released corpus of 200 dialogues and 2336 help-seeker utterances annotated under DMRS with substantial inter-annotator agreement. The task attracted 172 participants on CodaBench who produced 563 submissions, with 21 teams officially registering their results for the final ranking. The best system achieved a macro F1-score of 0.420, surpassing the strongest fine-tuned baseline reported in the dataset paper by a notable margin, yet leaving clear headroom. Our analysis highlights (i) a persistent tendency to over-predict the majority High-Adaptive class, (ii) a widening gap between accuracy and macro-F1 that reveals class-imbalance sensitivity, and (iii) the value of theory-aware and LLM-based approaches for fine-grained defensive-function classification. We release all task materials and invite the community to continue work on this novel intersection of clinical psychology and NLP.

cs.CL↗

arXiv2026

Designing Benchmarks for Knowledge Work

AI agents are moving quickly from answering isolated questions toward completing work through tools, software environments, and multi-step workflows. Much of what these systems are now asked to do is knowledge work, where information and expertise are interpreted, produced, and communicated as part of completing work. Benchmarks for this setting are usually described only by their tasks, environments, and metrics, leaving four questions implicit: what part of the work is represented, under what conditions it is tested, what work product the system is expected to leave, and what part of that product the benchmark actually evaluates. We introduce a work-centered benchmark representation with four fields: represented activity, tested setting, required work product, and evaluated result. The representation makes these choices explicit and comparable across benchmark designs. To support activity-level reporting across occupations, we derive an aim-dependent inventory of 18 work activities from O*NET task statements and report evidence on semantic coherence, algorithm sensitivity, external ontology legibility in ESCO, and human interpretability. We apply the representation to GDPval, OfficeQA Pro, and APEX-SWE. The case analyses illustrate how occupational deliverables, grounded answers, and executable state changes capture different parts of work within the same representation.

cs.AI↗

arXiv2025

You Never Know a Person, You Only Know Their Defenses: Detecting Levels of Psychological Defense Mechanisms in Supportive Conversations

Psychological defenses are strategies, often automatic, that people use to manage distress. Rigid or overuse of defenses is negatively linked to mental health and shapes what speakers disclose and how they accept or resist help. However, defenses are complex and difficult to reliably measure, particularly in clinical dialogues. We introduce PsyDefConv, a dialogue corpus with help seeker utterances labeled for defense level, and DMRS Co-Pilot, a four-stage pipeline that provides evidence-based pre-annotations. The corpus contains 200 dialogues and 4709 utterances, including 2336 help seeker turns, with labeling and Cohen's kappa 0.639. In a counterbalanced study, the co-pilot reduced average annotation time by 22.4%. In expert review, it averaged 4.62 for evidence, 4.44 for clinical plausibility, and 4.40 for insight on a seven-point scale. Benchmarks with strong language models in zero-shot and fine-tuning settings demonstrate clear headroom, with the best macro F1-score around 30% and a tendency to overpredict mature defenses. Corpus analyses confirm that mature defenses are most common and reveal emotion-specific deviations. We will release the corpus, annotations, code, and prompts to support research on defensive functioning in language.

cs.CL↗

arXiv2025

Lost in Pronunciation: Detecting Chinese Offensive Language Disguised by Phonetic Cloaking Replacement

Phonetic Cloaking Replacement (PCR), defined as the deliberate use of homophonic or near-homophonic variants to hide toxic intent, has become a major obstacle to Chinese content moderation. While this problem is well-recognized, existing evaluations predominantly rely on rule-based, synthetic perturbations that ignore the creativity of real users. We organize PCR into a four-way surface-form taxonomy and compile \ours, a dataset of 500 naturally occurring, phonetically cloaked offensive posts gathered from the RedNote platform. Benchmarking state-of-the-art LLMs on this dataset exposes a serious weakness: the best model reaches only an F1-score of 0.672, and zero-shot chain-of-thought prompting pushes performance even lower. Guided by error analysis, we revisit a Pinyin-based prompting strategy that earlier studies judged ineffective and show that it recovers much of the lost accuracy. This study offers the first comprehensive taxonomy of Chinese PCR, a realistic benchmark that reveals current detectors' limits, and a lightweight mitigation technique that advances research on robust toxicity detection.

cs.CL↗

arXiv2025

A Survey of Large Language Models in Psychotherapy: Current Landscape and Future Directions

Mental health is increasingly critical in contemporary healthcare, with psychotherapy demanding dynamic, context-sensitive interactions that traditional NLP methods struggle to capture. Large Language Models (LLMs) offer significant potential for addressing this gap due to their ability to handle extensive context and multi-turn reasoning. This review introduces a conceptual taxonomy dividing psychotherapy into interconnected stages--assessment, diagnosis, and treatment--to systematically examine LLM advancements and challenges. Our comprehensive analysis reveals imbalances in current research, such as a focus on common disorders, linguistic biases, fragmented methods, and limited theoretical integration. We identify critical challenges including capturing dynamic symptom fluctuations, overcoming linguistic and cultural biases, and ensuring diagnostic reliability. Highlighting future directions, we advocate for continuous multi-stage modeling, real-time adaptive systems grounded in psychological theory, and diversified research covering broader mental disorders and therapeutic approaches, aiming toward more holistic and clinically integrated psychotherapy LLMs systems.

cs.CL↗

arXiv2024

MineAgent: Towards Remote-Sensing Mineral Exploration with Multimodal Large Language Models

Remote-sensing mineral exploration is critical for identifying economically viable mineral deposits, yet it poses significant challenges for multimodal large language models (MLLMs). These include limitations in domain-specific geological knowledge and difficulties in reasoning across multiple remote-sensing images, further exacerbating long-context issues. To address these, we present MineAgent, a modular framework leveraging hierarchical judging and decision-making modules to improve multi-image reasoning and spatial-spectral integration. Complementing this, we propose MineBench, a benchmark specific for evaluating MLLMs in domain-specific mineral exploration tasks using geological and hyperspectral data. Extensive experiments demonstrate the effectiveness of MineAgent, highlighting its potential to advance MLLMs in remote-sensing mineral exploration.

cs.AI↗

arXiv2024

Detecting Conversational Mental Manipulation with Intent-Aware Prompting

Mental manipulation severely undermines mental wellness by covertly and negatively distorting decision-making. While there is an increasing interest in mental health care within the natural language processing community, progress in tackling manipulation remains limited due to the complexity of detecting subtle, covert tactics in conversations. In this paper, we propose Intent-Aware Prompting (IAP), a novel approach for detecting mental manipulations using large language models (LLMs), providing a deeper understanding of manipulative tactics by capturing the underlying intents of participants. Experimental results on the MentalManip dataset demonstrate superior effectiveness of IAP against other advanced prompting strategies. Notably, our approach substantially reduces false negatives, helping detect more instances of mental manipulation with minimal misjudgment of positive cases. The code of this paper is available.

cs.CL↗

arXiv2024

Guardians of Discourse: Evaluating LLMs on Multilingual Offensive Language Detection

Identifying offensive language is essential for maintaining safety and sustainability in the social media era. Though large language models (LLMs) have demonstrated encouraging potential in social media analytics, they lack thorough evaluation when in offensive language detection, particularly in multilingual environments. We for the first time evaluate multilingual offensive language detection of LLMs in three languages: English, Spanish, and German with three LLMs, GPT-3.5, Flan-T5, and Mistral, in both monolingual and multilingual settings. We further examine the impact of different prompt languages and augmented translation data for the task in non-English contexts. Furthermore, we discuss the impact of the inherent bias in LLMs and the datasets in the mispredictions related to sensitive topics.

cs.CL↗

arXiv2024

Hazards in Daily Life? Enabling Robots to Proactively Detect and Resolve Anomalies

Existing household robots have made significant progress in performing routine tasks, such as cleaning floors or delivering objects. However, a key limitation of these robots is their inability to recognize potential problems or dangers in home environments. For example, a child may pick up and ingest medication that has fallen on the floor, posing a serious risk. We argue that household robots should proactively detect such hazards or anomalies within the home, and propose the task of anomaly scenario generation. We leverage foundational models instead of relying on manually labeled data to build simulated environments. Specifically, we introduce a multi-agent brainstorming approach, where agents collaborate and generate diverse scenarios covering household hazards, hygiene management, and child safety. These textual task descriptions are then integrated with designed 3D assets to simulate realistic environments. Within these constructed environments, the robotic agent learns the necessary skills to proactively discover and handle the proposed anomalies through task decomposition, and optimal learning approach selection. We demonstrate that our generated environment outperforms others in terms of task description and scene diversity, ultimately enabling robotic agents to better address potential household hazards.

cs.RO↗

arXiv2024

Multi-Session Client-Centered Treatment Outcome Evaluation in Psychotherapy

In psychotherapy, therapeutic outcome assessment, or treatment outcome evaluation, is essential to mental health care by systematically evaluating therapeutic processes and outcomes. Existing large language model approaches often focus on therapist-centered, single-session evaluations, neglecting the client's subjective experience and longitudinal progress across multiple sessions. To address these limitations, we propose IPAEval, a client-Informed Psychological Assessment-based Evaluation framework, which automates treatment outcome evaluations from the client's perspective using clinical interviews. It integrates cross-session client-contextual assessment and session-focused client-dynamics assessment for a comprehensive understanding of therapeutic progress. Specifically, IPAEval employs a two-stage prompt scheme that maps client information onto psychometric test items, enabling interpretable and structured psychological assessments. Experiments on our new TheraPhase dataset, comprising 400 paired initial and completion stage client records, demonstrate that IPAEval effectively tracks symptom severity and treatment outcomes over multiple sessions, outperforming baseline approaches across both closed-source and open-source models, and validating the benefits of items-aware reasoning mechanisms.

cs.CL↗

arXiv2024

Applying and Evaluating Large Language Models in Mental Health Care: A Scoping Review of Human-Assessed Generative Tasks

Large language models (LLMs) are emerging as promising tools for mental health care, offering scalable support through their ability to generate human-like responses. However, the effectiveness of these models in clinical settings remains unclear. This scoping review aimed to assess the current generative applications of LLMs in mental health care, focusing on studies where these models were tested with human participants in real-world scenarios. A systematic search across APA PsycNet, Scopus, PubMed, and Web of Science identified 726 unique articles, of which 17 met the inclusion criteria. These studies encompassed applications such as clinical assistance, counseling, therapy, and emotional support. However, the evaluation methods were often non-standardized, with most studies relying on ad hoc scales that limit comparability and robustness. Privacy, safety, and fairness were also frequently underexplored. Moreover, reliance on proprietary models, such as OpenAI's GPT series, raises concerns about transparency and reproducibility. While LLMs show potential in expanding mental health care access, especially in underserved areas, the current evidence does not fully support their use as standalone interventions. More rigorous, standardized evaluations and ethical oversight are needed to ensure these tools can be safely and effectively integrated into clinical practice.

cs.AI↗

arXiv2024

CBT-LLM: A Chinese Large Language Model for Cognitive Behavioral Therapy-based Mental Health Question Answering

The recent advancements in artificial intelligence highlight the potential of language models in psychological health support. While models trained on data from mental health service platform have achieved preliminary success, challenges persist in areas such as data scarcity, quality, and ensuring a solid foundation in psychological techniques. To address these challenges, this study introduces a novel approach to enhance the precision and efficacy of psychological support through large language models. Specifically, we design a specific prompt derived from principles of Cognitive Behavioral Therapy (CBT) and have generated the CBT QA dataset, specifically for Chinese psychological health Q&A based on CBT structured intervention strategies. Unlike previous methods, our dataset emphasizes professional and structured response. Utilizing this dataset, we fine-tuned the large language model, giving birth to CBT-LLM, the large-scale language model specifically designed for Cognitive Behavioral Therapy techniques. Empirical evaluations demonstrate that CBT-LLM excels in generating structured, professional, and highly relevant responses in psychological health support tasks, showcasing its practicality and quality. The model is available on Hugging Face: https://huggingface.co/Hongbin37/CBT-LLM.

cs.CL↗

arXiv2024

Thinker-DDM: Modeling Deliberation for Machine Translation with a Drift-Diffusion Process

Large language models (LLMs) have demonstrated promising potential in various downstream tasks, including machine translation. However, prior work on LLM-based machine translation has mainly focused on better utilizing training data, demonstrations, or pre-defined and universal knowledge to improve performance, with a lack of consideration of decision-making like human translators. In this paper, we incorporate Thinker with the Drift-Diffusion Model (Thinker-DDM) to address this issue. We then redefine the Drift-Diffusion process to emulate human translators' dynamic decision-making under constrained resources. We conduct extensive experiments under the high-resource, low-resource, and commonsense translation settings using the WMT22 and CommonMT datasets, in which Thinker-DDM outperforms baselines in the first two scenarios. We also perform additional analysis and evaluation on commonsense translation to illustrate the high effectiveness and efficacy of the proposed method.

cs.CL↗

arXiv2024

Large Language Models in Mental Health Care: a Scoping Review

Objectieve:This review aims to deliver a comprehensive analysis of Large Language Models (LLMs) utilization in mental health care, evaluating their effectiveness, identifying challenges, and exploring their potential for future application. Materials and Methods: A systematic search was performed across multiple databases including PubMed, Web of Science, Google Scholar, arXiv, medRxiv, and PsyArXiv in November 2023. The review includes all types of original research, regardless of peer-review status, published or disseminated between October 1, 2019, and December 2, 2023. Studies were included without language restrictions if they employed LLMs developed after T5 and directly investigated research questions within mental health care settings. Results: Out of an initial 313 articles, 34 were selected based on their relevance to LLMs applications in mental health care and the rigor of their reported outcomes. The review identified various LLMs applications in mental health care, including diagnostics, therapy, and enhancing patient engagement. Key challenges highlighted were related to data availability and reliability, the nuanced handling of mental states, and effective evaluation methods. While LLMs showed promise in improving accuracy and accessibility, significant gaps in clinical applicability and ethical considerations were noted. Conclusion: LLMs hold substantial promise for enhancing mental health care. For their full potential to be realized, emphasis must be placed on developing robust datasets, development and evaluation frameworks, ethical guidelines, and interdisciplinary collaborations to address current limitations.

cs.CL↗