United States

Mental illness remains one of the most critical public health issues. Despite its importance, many mental health professionals highlight a disconnect between their training and actual real-world patient practice. To help bridge this gap, we propose PATIENT-Ψ, a novel patient simulation framework for cognitive behavior therapy (CBT) training. To build PATIENT-Ψ, we construct diverse patient cognitive models based on CBT principles and use large language models (LLMs) programmed with these cognitive models to act as a simulated therapy patient. We propose an interactive training scheme, PATIENT-Ψ-TRAINER, for mental health trainees to practice a key skill in CBT -- formulating the cognitive model of the patient -- through role-playing a therapy session with PATIENT-Ψ. To evaluate PATIENT-Ψ, we conducted a comprehensive user study of 13 mental health trainees and 20 experts. The results demonstrate that practice using PATIENT-Ψ-TRAINER enhances the perceived skill acquisition and confidence of the trainees beyond existing forms of training such as textbooks, videos, and role-play with non-patients. Based on the experts&#39; perceptions, PATIENT-Ψ is perceived to be closer to real patient interactions than GPT-4, and PATIENT-Ψ-TRAINER holds strong promise to improve trainee competencies. Our code and data are released at \url{https://github.com/ruiyiw/patient-psi}.

EMNLP 2024

PATIENT-Ψ: Using Large Language Models to Simulate Patients for Training Mental Health Professionals

healthcare applications

knowledge-augmented methods

few-shot learning

clinical nlp

Welcome to the largest national, multi-specialty research event **featuring research from 750 medical students, residents and fellows, and international medical graduates.**


#### Event Details
The 2022 American Medical Association Research Challenge includes a poster symposium hall and a semifinals hall with the top scored research. Log in at any time throughout the event to:
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At the conclusion of this event, the AMA will announce the top five finalists who will advance to the AMA Research Challenge finals, present their research to an elite panel of judges and compete to win a $10,000 grand prize sponsored by Laurel Road.
 

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Ricardo Correa, MD, EdD
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Stuart M. Greenstein, MD
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Stephanie Strohbeen, MD
 
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Jessica Li, MD/PhD Candidate
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Charles Lopresto, DO

### Sponsor
AMA would like to thank Laurel Road for sponsoring a $10,000 grand prize for the winner of the AMA Research Challenge. Laurel Road is not involved in the judging or scoring process to select the winner. The winner will be announced on Dec. 7 during the AMA Research Challenge finals. Payment of the grand prize will be directly from Laurel Road. See the AMA Research Challenge Official Rules for terms and conditions.

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AMA Research Challenge 2022

Welcome to the largest national, multi-specialty research event featuring research from 750 medical students, residents and fellows, and international medical graduates.


Mental illness remains one of the most critical public health issues. Despite its importance, many mental health professionals highlight a disconnect between their training and actual real-world patient practice. To help bridge this gap, we propose PATIENT-Ψ, a novel patient simulation framework for cognitive behavior therapy (CBT) training. To build PATIENT-Ψ, we construct diverse patient cognitive models based on CBT principles and use large language models (LLMs) programmed with these cognitive models to act as a simulated therapy patient. We propose an interactive training scheme, PATIENT-Ψ-TRAINER, for mental health trainees to practice a key skill in CBT -- formulating the cognitive model of the patient -- through role-playing a therapy session with PATIENT-Ψ. To evaluate PATIENT-Ψ, we conducted a comprehensive user study of 13 mental health trainees and 20 experts. The results demonstrate that practice using PATIENT-Ψ-TRAINER enhances the perceived skill acquisition and confidence of the trainees beyond existing forms of training such as textbooks, videos, and role-play with non-patients. Based on the experts' perceptions, PATIENT-Ψ is perceived to be closer to real patient interactions than GPT-4, and PATIENT-Ψ-TRAINER holds strong promise to improve trainee competencies. Our code and data are released at \url{https://github.com/ruiyiw/patient-psi}.

poster

## Welcome to EMNLP 2024! 
We are excited to welcome you to one of the most prominent conferences in the field of Natural Language Processing. This year, EMNLP 2024 is being held in a hybrid format,
offering both virtual and in-person participation in beautiful Miami. Due to a record-breaking number of submissions, we've expanded the total number of accepted papers to accommodate more cutting-edge research from around the globe.
### [Conference Handbook](https://drive.google.com/file/d/1WPROgxjLAC96AJL7Ugy0tEnYm7dkrbHt/view?usp=sharing)

You are required to register for this event. **Please register [here](https://2024.emnlp.org/registration/).** The EMNLP 2024 event page on Underline will be open to public one week prior to the event.

Please register!

EMNLP 2024 will take place in Miami, Florida from Nov 12th to Nov 16th, 2024, at the Hyatt Regency Miami Hote and on Underline for remote participants.

Multi-label text classification (MLTC) tasks in the medical domain often face the long-tail label distribution problem. Prior works have explored hierarchical label structures to find relevant information for few-shot classes, but mostly neglected to incorporate external knowledge from medical guidelines. This paper presents DKEC, Domain Knowledge Enhanced Classification for diagnosis prediction with two innovations: (1) automated construction of heterogeneous knowledge graphs from external sources to capture semantic relations among diverse medical entities, (2) incorporating the heterogeneous knowledge graphs in few-shot classification using a label-wise attention mechanism. We construct DKEC using three online medical knowledge sources and evaluate it on a real-world Emergency Medical Services (EMS) dataset and a public electronic health record (EHR) dataset. Results show that DKEC outperforms the state-of-the-art label-wise attention networks and transformer models of different sizes, particularly for the few-shot classes. More importantly, it helps the smaller language models achieve comparable performance to large language models.

DKEC: Domain Knowledge Enhanced Multi-Label Classification for Diagnosis Prediction

People tend to distribute information evenly in language production for better and clearer communication. In this study, we compared essays written by second language (L2) learners with various native language (L1) backgrounds to investigate how they distribute information in their non-native L2 production. Analyses of surprisal and constancy of entropy rate indicated that writers with higher L2 proficiency can reduce the expected uncertainty of language production while still conveying informative content. However, the uniformity of information distribution showed less variability among different groups of L2 speakers, suggesting that this feature may be universal in L2 essay writing and less affected by L2 writers’ variability in L1 background and L2 proficiency.

Learning to Write Rationally: How Information Is Distributed in Non-native Speakers’ Essays

The proliferation of Large Language Models (LLMs) poses challenges in detecting and mitigating digital deception, as these models can emulate human conversational patterns and facilitate chat-based social engineering (CSE) attacks. This study investigates the dual capabilities of LLMs as both facilitators and defenders against CSE threats. We develop a novel dataset, $\textbf{SEConvo}$, simulating CSE scenarios in academic and recruitment contexts, and designed to examine how LLMs can be exploited in these situations. Our findings reveal that, while off-the-shelf LLMs generate high-quality CSE content, their detection capabilities are suboptimal, leading to increased operational costs for defense. In response, we propose $\textbf{ConvoSentinel}$, a modular defense pipeline that improves detection at both the message and the conversation levels, offering enhanced adaptability and cost-effectiveness. The retrieval-augmented module in $\textbf{ConvoSentinel}$ identifies malicious intent by comparing messages to a database of similar conversations, enhancing CSE detection at all stages. Our study highlights the need for advanced strategies to leverage LLMs in cybersecurity. Our code and data are available at this GitHub repository: https://github.com/lynneeai/ConvoSentinel.git.

Defending Against Social Engineering Attacks in the Age of LLMs

Systems with both language comprehension and generation capabilities can benefit from the tight connection between the two. This work studies coupling comprehension and generation with focus on continually learning from interaction with users. We propose techniques to tightly integrate the two capabilities for both learning and inference. We situate our studies in two-player reference games, and deploy various models for thousands of interactions with human users, while learning from interaction feedback signals. We show dramatic improvements in performance over time, with comprehension-generation coupling leading to performance improvements up to 26% in absolute terms and up to 17% higher accuracies compared to a non-coupled system. Our analysis also shows coupling has substantial qualitative impact on the system's language, making it significantly more human-like.

Learning from Feedback with Coupled Comprehension and Generation

In text generation, hallucinations refer to the generation of seemingly coherent text that contradicts established knowledge. One compelling hypothesis is that hallucinations occur when a language model is given a generation task outside its parametric knowledge (due to rarity, recency, domain, etc.). A common strategy to address this limitation is to infuse the language models with retrieval mechanisms, providing the model with relevant knowledge for the task. In this paper, we leverage the planning capabilities of instruction-tuned LLMs and analyze how planning can be used to guide retrieval to further reduce the frequency of hallucinations. We empirically evaluate several variations of our proposed approach on long-form text generation tasks. By improving the coverage of relevant facts, plan-guided retrieval and generation can produce more informative responses while providing a higher rate of attribution to source documents.

Analysis of Plan-based Retrieval for Grounded Text Generation

The reasoning abilities of Large Language Models (LLMs) are becoming a central focus of study in NLP. In this paper, we consider the case of syllogistic reasoning, an area of deductive reasoning studied extensively in logic and cognitive psychology. Previous research has shown that pre-trained LLMs exhibit reasoning biases, such as content effects, avoid answering that no conclusion follows, align with human difficulties, and struggle with multi-step reasoning. We contribute to this research line by systematically investigating the effects of chain-of-thought reasoning, in-context learning (ICL), and supervised fine-tuning (SFT) on syllogistic reasoning, considering syllogisms with conclusions that support or violate world knowledge and with multiple premises. Crucially, we go beyond the standard focus on accuracy, with an in-depth analysis of the conclusions generated by the models. Our results suggest that the behavior of pre-trained LLMs can be explained by heuristics studied in cognitive science and that both ICL and SFT improve model performance on valid inferences, although only the latter can mitigate most reasoning biases while being consistent.

A Systematic Analysis of Large Language Models as Soft Reasoners: The Case of Syllogistic Inferences

Keyword mnemonics are memorable explanations that link new terms to simpler keywords.
Prior work generates mnemonics for students, but they do not train models using mnemonics students prefer and aid learning.
We build SMART, a mnemonic generator trained on feedback from real students learning new terms.
To train SMART, we first fine-tune LLaMA-2 on a curated set of user-written mnemonics.
We then use LLM alignment to enhance SMART: we deploy mnemonics generated by SMART in a flashcard app to find preferences on mnemonics students favor.
We gather 2684 preferences from 45 students across two types: **expressed** (inferred from ratings) and **observed** (inferred from student learning), yielding three key findings.
First, expressed and observed preferences disagree; what students *think* is helpful does not always capture what is *truly* helpful.
Second, Bayesian models can synthesize complementary data from multiple preference types into a single effectiveness signal.
SMART is tuned via Direct Preference Optimization on this signal, which resolves ties and missing labels in the typical method of pairwise comparisons, augmenting data for LLM output quality gains. 
Third, mnemonic experts assess SMART as matching GPT-4 at much lower deployment costs, showing the utility of capturing diverse student feedback to align LLMs in education.

A SMART Mnemonic Sounds like "Glue Tonic": Mixing LLMs with Student Feedback to Make Mnemonic Learning Stick

Hallucination detection is a challenging task for large language models (LLMs), and existing studies heavily rely on powerful closed-source LLMs such as GPT-4. In this paper, we propose an autonomous LLM-based agent framework, called HaluAgent, which enables relatively smaller LLMs (e.g. Baichuan2-Chat 7B) to actively select suitable tools for detecting multiple hallucination types such as text, code, and mathematical expression. In HaluAgent, we integrate the LLM, multi-functional toolbox, and design a fine-grained three-stage detection framework along with memory mechanism. To facilitate the effectiveness of HaluAgent, we leverage existing Chinese and English datasets to synthesize detection trajectories for fine-tuning, which endows HaluAgent with the capability for bilingual hallucination detection. Extensive experiments demonstrate that only using 2K samples for tuning LLMs, HaluAgent can perform hallucination detection on various types of tasks and datasets, achieving performance comparable to or even higher than GPT-4 without tool enhancements on both in-domain and out-of-domain datasets.

Small Agent Can Also Rock! Empowering Small Language Models as Hallucination Detector

Literature search questions, such as “where can I find research on the evaluation of consistency in generated summaries?” pose significant challenges for modern search engines and retrieval systems. These questions often require a deep understanding of research concepts and the ability to reason over entire articles. In this work, we introduce LitSearch, a retrieval benchmark comprising 597 realistic literature search queries about recent ML and NLP papers. LitSearch is constructed using a combination of (1) questions generated by GPT-4 based on paragraphs containing inline citations from research papers and (2) questions about recently published papers, manually written by their authors. All LitSearch questions were manually examined or edited by experts to ensure high quality. We extensively benchmark state-of-the-art retrieval models and also evaluate two LLM-based reranking pipelines. We find a significant performance gap between BM25 and state-of-the-art dense retrievers, with a 24.8% difference in absolute recall@5. The LLM-based reranking strategies further improve the best-performing dense retriever by 4.4%. Additionally, commercial search engines and research tools like Google Search perform poorly on LitSearch, lagging behind the best dense retriever by 32 points. Taken together, these results show that LitSearch is an informative new testbed for retrieval systems while catering to a real-world use case.

LitSearch: A Retrieval Benchmark for Scientific Literature Search

Dense retrieval has become a prominent method to obtain relevant context or world knowledge in open-domain NLP tasks. When we use a learned dense retriever on a retrieval corpus at inference time, an often-overlooked design choice is the retrieval unit in which the corpus is indexed, e.g. document, passage, or sentence. We discover that the retrieval unit choice significantly impacts the performance of both retrieval and downstream tasks. Distinct from the typical approach of using passages or sentences, we introduce a novel retrieval unit, proposition, for dense retrieval. Propositions are defined as atomic expressions within text, each encapsulating a distinct factoid and presented in a concise, self-contained natural language format. We conduct an empirical comparison of different retrieval granularity. Our experiments reveal that indexing a corpus by fine-grained units such as propositions significantly outperforms passage-level units in retrieval tasks. Moreover, constructing prompts with fine-grained retrieved units for retrieval-augmented language models improves the performance of downstream QA tasks given a specific computation budget.

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DKEC: Domain Knowledge Enhanced Multi-Label Classification for Diagnosis Prediction

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