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Shuzhong Lai

Publications and source records attributed to Shuzhong Lai.

4 recordsLinked to original sources

TD-DPO: Difference-Aware Preference Optimization for Mitigating Sycophancy in Clinical Autism Intervention Dialogue

The sycophancy of large language models can increase the safety risk in intervention dialogue for autistic children. Supervised fine-tuning can somewhat reduce sycophancy, but relying solely on positive examples is often insufficient to identify and correct failure patterns. We observe that sycophancy behaviors can often be localized to a limited span within the model response. In this regime, sequence-level preference optimization can over-update preference-irrelevant tokens and degrade intervention ability. To address this, we propose the \textbf{M}inimal \textbf{E}dit \textbf{D}ata \textbf{A}ugmentation (MEDA) strategy to construct controlled, stable, minimal edit preference pairs and \textbf{T}oken-level \textbf{D}ifference \textbf{D}irect \textbf{P}reference \textbf{O}ptimization (TD-DPO), which upweights difference tokens between chosen and rejected responses while downweighting shared tokens to suppress background drift. Extensive experiments across multiple backbones and evaluators show that TD-DPO achieves a better trade-off between sycophancy mitigation and intervention ability retention in our offline settings, highlighting its potential as a practical alignment approach for autism intervention.

cs.LG

From Synthesis to Clinical Assistance: A Strategy-Aware Agent Framework for Autism Intervention based on Real Clinical Dataset

The development of AI-assisted Early Intensive Behavioral Intervention (EIBI) for Autism Spectrum Disorder (ASD) is severely constrained by data scarcity. Furthermore, while Applied Behavior Analysis (ABA) serves as the gold standard for clinical intervention, general-purpose Large Language Models (LLMs) struggle to strictly adhere to its standardized procedures, often resulting in interactions that are linguistically fluent but strategically inconsistent. To address these challenges, we introduce \textsc{ASDAgent}, a strategy-aware framework designed to unify high-fidelity intervention dialogue synthesis and clinical decision support. \textsc{ASDAgent} incorporates two specialized components to solve distinct problems: (i) a \textsc{DoctorAgent} equipped with an Observe-Think-Act-Correct (O-T-A-C) reasoning loop, which resolves the issue of strategy collapse in LLMs by making ABA execution explicit and controllable; and (ii) a \textsc{ChildAgent} that utilizes probabilistic behavior modeling to mitigate data homogeneity, simulating diverse and non-deterministic ASD response patterns. Experiments demonstrate that dialogues generated by \textsc{ASDAgent} closely mirror the strategy distribution of human therapists (KL divergence: 0.083). In real autism intervention, \textsc{ASDAgent} achieves nearly 80\% strategic consistency with human experts. Moreover, we show that synthetic data produced by \textsc{ASDAgent} effectively distills professional clinical knowledge into small language models (SLMs), significantly enhancing their therapeutic capabilities.

cs.LG

Copiloting Diagnosis of Autism in Real Clinical Scenarios via LLMs

Autism spectrum disorder(ASD) is a pervasive developmental disorder that significantly impacts the daily functioning and social participation of individuals. Despite the abundance of research focused on supporting the clinical diagnosis of ASD, there is still a lack of systematic and comprehensive exploration in the field of methods based on Large Language Models (LLMs), particularly regarding the real-world clinical diagnostic scenarios based on Autism Diagnostic Observation Schedule, Second Edition (ADOS-2). Therefore, we have proposed a framework called ADOS-Copilot, which strikes a balance between scoring and explanation and explored the factors that influence the performance of LLMs in this task. The experimental results indicate that our proposed framework is competitive with the diagnostic results of clinicians, with a minimum MAE of 0.4643, binary classification F1-score of 81.79\%, and ternary classification F1-score of 78.37\%. Furthermore, we have systematically elucidated the strengths and limitations of current LLMs in this task from the perspectives of ADOS-2, LLMs' capabilities, language, and model scale aiming to inspire and guide the future application of LLMs in a broader fields of mental health disorders. We hope for more research to be transferred into real clinical practice, opening a window of kindness to the world for eccentric children.

cs.HC

ASD-Chat: An Innovative Dialogue Intervention System for Children with Autism based on LLM and VB-MAPP

Early diagnosis and professional intervention can help children with autism spectrum disorder (ASD) return to normal life. However, the scarcity and imbalance of professional medical resources currently prevent many autistic children from receiving the necessary diagnosis and intervention. Therefore, numerous paradigms have been proposed that use computer technology to assist or independently conduct ASD interventions, with the aim of alleviating the aforementioned problem. However, these paradigms often lack a foundation in clinical intervention methods and suffer from a lack of personalization. Addressing these concerns, we propose ASD-Chat, a social intervention system based on VB-MAPP (Verbal Behavior Milestones Assessment and Placement Program) and powered by ChatGPT as the backbone for dialogue generation. Specifically, we designed intervention paradigms and prompts based on the clinical intervention method VB-MAPP and utilized ChatGPT's generative capabilities to facilitate social dialogue interventions. Experimental results demonstrate that our proposed system achieves competitive intervention effects to those of professional interventionists, making it a promising tool for long-term interventions in real healthcare scenario in the future.

cs.HC