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Aug 7

Facial Wrinkle Segmentation for Cosmetic Dermatology: Pretraining with Texture Map-Based Weak Supervision

Facial wrinkle detection plays a crucial role in cosmetic dermatology. Precise manual segmentation of facial wrinkles is challenging and time-consuming, with inherent subjectivity leading to inconsistent results among graders. To address this issue, we propose two solutions. First, we build and release the first public facial wrinkle dataset, 'FFHQ-Wrinkle', an extension of the NVIDIA FFHQ dataset. It includes 1,000 images with human labels and 50,000 images with automatically generated weak labels. This dataset could serve as a foundation for the research community to develop advanced wrinkle detection algorithms. Second, we introduce a simple training strategy utilizing texture maps, applicable to various segmentation models, to detect wrinkles across the face. Our two-stage training strategy first pretrain models on a large dataset with weak labels (N=50k), or masked texture maps generated through computer vision techniques, without human intervention. We then finetune the models using human-labeled data (N=1k), which consists of manually labeled wrinkle masks. The network takes as input a combination of RGB and masked texture map of the image, comprising four channels, in finetuning. We effectively combine labels from multiple annotators to minimize subjectivity in manual labeling. Our strategies demonstrate improved segmentation performance in facial wrinkle segmentation both quantitatively and visually compared to existing pretraining methods. The dataset is available at https://github.com/labhai/ffhq-wrinkle-dataset.

  • 3 authors
·
Nov 18, 2024

Learning to Focus: Causal Attention Distillation via Gradient-Guided Token Pruning

Large language models (LLMs) have demonstrated significant improvements in contextual understanding. However, their ability to attend to truly critical information during long-context reasoning and generation still falls behind the pace. Specifically, our preliminary experiments reveal that certain distracting patterns can misdirect the model's attention during inference, and removing these patterns substantially improves reasoning accuracy and generation quality. We attribute this phenomenon to spurious correlations in the training data, which obstruct the model's capacity to infer authentic causal instruction-response relationships. This phenomenon may induce redundant reasoning processes, potentially resulting in significant inference overhead and, more critically, the generation of erroneous or suboptimal responses. To mitigate this, we introduce a two-stage framework called Learning to Focus (LeaF) leveraging intervention-based inference to disentangle confounding factors. In the first stage, LeaF employs gradient-based comparisons with an advanced teacher to automatically identify confounding tokens based on causal relationships in the training corpus. Then, in the second stage, it prunes these tokens during distillation to enact intervention, aligning the student's attention with the teacher's focus distribution on truly critical context tokens. Experimental results demonstrate that LeaF not only achieves an absolute improvement in various mathematical reasoning, code generation and multi-hop question answering benchmarks but also effectively suppresses attention to confounding tokens during inference, yielding a more interpretable and reliable reasoning model.

  • 6 authors
·
Jun 9, 2025

Mechanisms of Introspective Awareness

Recent work has shown that LLMs can sometimes detect when steering vectors are injected into their residual stream and identify the injected concept -- a phenomenon termed "introspective awareness." We investigate the mechanisms underlying this capability in open-weights models. First, we find that it is behaviorally robust: models detect injected steering vectors at moderate rates with 0% false positives across diverse prompts and dialogue formats. Notably, this capability emerges specifically from post-training; we show that preference optimization algorithms like DPO can elicit it, but standard supervised finetuning does not. We provide evidence that detection cannot be explained by simple linear association between certain steering vectors and directions promoting affirmative responses. We trace the detection mechanism to a two-stage circuit in which "evidence carrier" features in early post-injection layers detect perturbations monotonically along diverse directions, suppressing downstream "gate" features that implement a default negative response. This circuit is absent in base models and robust to refusal ablation. Identification of injected concepts relies on largely distinct later-layer mechanisms that only weakly overlap with those involved in detection. Finally, we show that introspective capability is substantially underelicited: ablating refusal directions improves detection by +53%, and a trained bias vector improves it by +75% on held-out concepts, both without meaningfully increasing false positives. Our results suggest that this introspective awareness of injected concepts is robust and mechanistically nontrivial, and could be substantially amplified in future models. Code: https://github.com/safety-research/introspection-mechanisms.

  • 6 authors
·
Apr 12

DeepPsy-Agent: A Stage-Aware and Deep-Thinking Emotional Support Agent System

This paper introduces DeepPsy-Agent, an innovative psychological support system that combines the three-stage helping theory in psychology with deep learning techniques. The system consists of two core components: (1) a multi-stage response-capable dialogue model (deeppsy-chat), which enhances reasoning capabilities through stage-awareness and deep-thinking analysis to generate high-quality responses; and (2) a real-time stage transition detection model that identifies contextual shifts to guide the dialogue towards more effective intervention stages. Based on 30,000 real psychological hotline conversations, we employ AI-simulated dialogues and expert re-annotation strategies to construct a high-quality multi-turn dialogue dataset. Experimental results demonstrate that DeepPsy-Agent outperforms general-purpose large language models (LLMs) in key metrics such as problem exposure completeness, cognitive restructuring success rate, and action adoption rate. Ablation studies further validate the effectiveness of stage-awareness and deep-thinking modules, showing that stage information contributes 42.3\% to performance, while the deep-thinking module increases root-cause identification by 58.3\% and reduces ineffective suggestions by 72.1\%. This system addresses critical challenges in AI-based psychological support through dynamic dialogue management and deep reasoning, advancing intelligent mental health services.

  • 2 authors
·
Mar 20, 2025

Near-Future Policy Optimization

Reinforcement learning with verifiable rewards (RLVR) has become a core post-training recipe. Introducing suitable off-policy trajectories into on-policy exploration accelerates RLVR convergence and raises the performance ceiling, yet finding a source of such trajectories remains the key challenge. Existing mixed-policy methods either import trajectories from external teachers (high-quality but distributionally far) or replay past training trajectories (close but capped in quality), and neither simultaneously satisfies the strong enough (higher Q , more new knowledge to learn) and close enough (lower V , more readily absorbed) conditions required to maximize the effective learning signal S = Q/V. We propose Near-Future Policy Optimization (NPO), a simple mixed-policy scheme that learns from a policy's own near-future self: a later checkpoint from the same training run is a natural source of auxiliary trajectories that is both stronger than the current policy and closer than any external source, directly balancing trajectory quality against variance cost. We validate NPO through two manual interventions, early-stage bootstrapping and late-stage plateau breakthrough, and further propose AutoNPO,an adaptive variant that automatically triggers interventions from online training signals and selects the guide checkpoint that maximizes S. On Qwen3-VL-8B-Instruct with GRPO, NPO improves average performance from 57.88 to 62.84, and AutoNPO pushes it to 63.15, raising the final performance ceiling while accelerating convergence.

  • 9 authors
·
Apr 21 4

SurgWound-Bench: A Benchmark for Surgical Wound Diagnosis

Surgical site infection (SSI) is one of the most common and costly healthcare-associated infections and and surgical wound care remains a significant clinical challenge in preventing SSIs and improving patient outcomes. While recent studies have explored the use of deep learning for preliminary surgical wound screening, progress has been hindered by concerns over data privacy and the high costs associated with expert annotation. Currently, no publicly available dataset or benchmark encompasses various types of surgical wounds, resulting in the absence of an open-source Surgical-Wound screening tool. To address this gap: (1) we present SurgWound, the first open-source dataset featuring a diverse array of surgical wound types. It contains 697 surgical wound images annotated by 3 professional surgeons with eight fine-grained clinical attributes. (2) Based on SurgWound, we introduce the first benchmark for surgical wound diagnosis, which includes visual question answering (VQA) and report generation tasks to comprehensively evaluate model performance. (3) Furthermore, we propose a three-stage learning framework, WoundQwen, for surgical wound diagnosis. In the first stage, we employ five independent MLLMs to accurately predict specific surgical wound characteristics. In the second stage, these predictions serve as additional knowledge inputs to two MLLMs responsible for diagnosing outcomes, which assess infection risk and guide subsequent interventions. In the third stage, we train a MLLM that integrates the diagnostic results from the previous two stages to produce a comprehensive report. This three-stage framework can analyze detailed surgical wound characteristics and provide subsequent instructions to patients based on surgical images, paving the way for personalized wound care, timely intervention, and improved patient outcomes.

  • 9 authors
·
Aug 20, 2025

The Context Gathering Decision Process: A POMDP Framework for Agentic Search

Large Language Model (LLM) agents are deployed in complex environments -- such as massive codebases, enterprise databases, and conversational histories -- where the relevant state far exceeds their context windows. To navigate these spaces, an agent must iteratively explore the environment to find relevant information. However, without explicit infrastructure, an agent's working memory can degrade into lossy representations of the search state, resulting in redundant work (e.g. repetitive looping) and premature stopping. In this work, we formalize this challenge as the Context Gathering Decision Process (CGDP), a specialized Partially Observable Markov Decision Process, where an agent's objective is to adaptively refine its belief state to isolate the necessary information for a task. We model an LLM's behavior as approximate Thompson Sampling within this CGDP, and introduce a predicate-based method that decomposes an LLM's implicit search into explicit and modular operations. We then derive two plug-and-play interventions for iterative LLM agents: a persistent, predicate-based belief state that bounds context while preserving multi-hop reasoning, and a programmatic exhaustion gate that halts unproductive search without premature stopping. Across four methods and three question-answering domains, we empirically validate that replacing an LLM's implicit state with our CGDP-motivated belief state improves multi-hop reasoning by up to 11.4%; while the modular programmatic exhaustion detection saves up to 39% of tokens without any degradation in agent performance. Ultimately, we argue that framing the LLM agent loop as a CGDP can guide the design of modular, non-interfering improvements to agentic search harnesses.

  • 3 authors
·
May 6

Multilingual Routing in Mixture-of-Experts

Mixture-of-Experts (MoE) architectures have become the key to scaling modern LLMs, yet little is understood about how their sparse routing dynamics respond to multilingual data. In this work, we analyze expert routing patterns using parallel multilingual datasets and present highly interpretable layer-wise phenomena. We find that MoE models route tokens in language-specific ways in the early and late decoder layers but exhibit significant cross-lingual routing alignment in middle layers, mirroring parameter-sharing trends observed in dense LLMs. In particular, we reveal a clear, strong correlation between a model's performance in a given language and how similarly its tokens are routed to English in these layers. Extending beyond correlation, we explore inference-time interventions that induce higher cross-lingual routing alignment. We introduce a method that steers the router by promoting middle-layer task experts frequently activated in English, and it successfully increases multilingual performance. These 1-2% gains are remarkably consistent across two evaluation tasks, three models, and 15+ languages, especially given that these simple interventions override routers of extensively trained, state-of-the-art LLMs. In comparison, interventions outside of the middle layers or targeting multilingual-specialized experts only yield performance degradation. Altogether, we present numerous findings that explain how MoEs process non-English text and demonstrate that generalization is limited by the model's ability to leverage language-universal experts in all languages.

SETR: A Two-Stage Semantic-Enhanced Framework for Zero-Shot Composed Image Retrieval

Zero-shot Composed Image Retrieval (ZS-CIR) aims to retrieve a target image given a reference image and a relative text, without relying on costly triplet annotations. Existing CLIP-based methods face two core challenges: (1) union-based feature fusion indiscriminately aggregates all visual cues, carrying over irrelevant background details that dilute the intended modification, and (2) global cosine similarity from CLIP embeddings lacks the ability to resolve fine-grained semantic relations. To address these issues, we propose SETR (Semantic-enhanced Two-Stage Retrieval). In the coarse retrieval stage, SETR introduces an intersection-driven strategy that retains only the overlapping semantics between the reference image and relative text, thereby filtering out distractors inherent to union-based fusion and producing a cleaner, high-precision candidate set. In the fine-grained re-ranking stage, we adapt a pretrained multimodal LLM with Low-Rank Adaptation to conduct binary semantic relevance judgments ("Yes/No"), which goes beyond CLIP's global feature matching by explicitly verifying relational and attribute-level consistency. Together, these two stages form a complementary pipeline: coarse retrieval narrows the candidate pool with high recall, while re-ranking ensures precise alignment with nuanced textual modifications. Experiments on CIRR, Fashion-IQ, and CIRCO show that SETR achieves new state-of-the-art performance, improving Recall@1 on CIRR by up to 15.15 points. Our results establish two-stage reasoning as a general paradigm for robust and portable ZS-CIR.

  • 2 authors
·
Sep 30, 2025

Cost-effectiveness analysis for therapy sequence in advanced cancer: A microsimulation approach with application to metastatic prostate cancer

Purpose. Patients with advanced cancer may undergo multiple lines of treatment, switching therapies as their disease progresses. Motivated by a study of metastatic prostate cancer, we develop a microsimulation framework to study therapy sequence. Methods. We propose a discrete-time state transition model to study two lines of anti-cancer therapy. Based on digitized published progression-free survival (PFS) and overall survival (OS) curves, we infer event types (progression or death), and estimate transition probabilities using cumulative incidence functions with competing risks. Our model incorporates within-patient dependence over time, such that response to first-line therapy informs subsequent event probabilities. Parameters governing the degree of within-patient dependence can be used to calibrate the model-based results to those of a target trial. We demonstrate these methods in a study of two therapy sequences for metastatic prostate cancer, where Docetaxel (DCT) and Abiraterone Acetate (AA) are both appropriate for use in either first or second line treatment. We assess costs, Quality-Adjusted Life Years (QALYs) and Incremental Cost Effectiveness Ratio (ICER) for two treatment strategies: DCT then AA vs AA then DCT. Results. Using digitized survival curves from relevant clinical trials, we identified 8.6-13.9% of PFS times that should be categorized as deaths, allowing for estimation of cumulative incidence functions. Models assuming within-patient independence overestimated OS time, corrected with our calibration approach. Correction resulted in meaningful changes in the difference in QALYs between treatment strategies (0.07 vs 0.15) and the ICER (-\76,836/QALY vs -21,030/QALY). Conclusions. Microsimulation models can be successfully used to study cost-effectiveness of therapy sequences, taking care to account correctly for within-patient dependence.

  • 5 authors
·
Oct 10, 2022

"When I lost it, they dragged me out": How Care Encounters Empower Marginalized Young Adults' Aspiration and Mental Health Care-Seeking

Mental health care-seeking among marginalized young adults has received limited attention in CSCW research. Through in-depth interviews and visual elicitation methods with 18 diverse U.S. participants, our study reveals how marginalized identities shape mental health care-seeking journeys, often characterized by low aspirations and passive care-seeking influenced by lived experiences of marginalization. However, we found the transformative function of "care encounters" - serendipitous interactions with mental health resources that occur when individuals are not actively seeking support. These encounters serve as critical turning points, catalyzing shifts in aspiration and enabling more proactive care-seeking behaviors. Our analysis identifies both the infrastructural conditions that enable transformative care encounters and the aspiration breakdowns that impede care-seeking processes. This work makes conceptual contributions by supplementing traditional motivation-based care-seeking models with a reconceptualization of "care encounters" that accounts for the infrastructural and serendipitous nature of mental health access. We advance understanding of how marginalized identity uniquely influences care-seeking behaviors while providing actionable design implications for embedding technology-mediated "care encounters" into socio-technical interventions that can better support mental health care access for vulnerable populations.

  • 2 authors
·
Feb 16, 2025

SOLAR: Self-supervised Joint Learning for Symmetric Multimodal Retrieval

In this work, we address the critical yet underexplored challenge of symmetric multimodal-to-multimodal (MM2MM) retrieval, where queries and contexts are interchangeable. Existing universal multimodal retrieval works struggle with this task, as they are constrained by the labeled asymmetric datasets used. We produce SOLAR (Self-supervised jOint LeArning for symmetric multimodal Retrieval), a novel two-stage self-supervised framework that leverages readily available unlabeled web-scale image-text pairs. Based on the observation that both semantic alignment and discrepancies exist between two modalities, in the first stage, we learn the intersection mask of image-text pair, allowing us to align intersection while preserving semantic of difference. In the second stage, the learned mask is further utilized to construct positive and hardnegative samples via masking different parts of image/text, which enable us to conduct self-supervised multimodal embedding learning. Complementing this framework, we present a new benchmark featuring high-quality human-verified positive and hard-negative pairs to evaluate symmetric MM2MM retrieval under realistic conditions, as well as the corresponding pipeline. Extensive experiments against ten SOTA methods show SOLAR surpasses the strongest supervised VLM by 7.08 points on this benchmark, with over 50x fewer model parameters and a 5x smaller embedding dimension. Code and benchmark will be available soon.

  • 4 authors
·
May 14

When AI Takes the Couch: Psychometric Jailbreaks Reveal Internal Conflict in Frontier Models

Frontier large language models (LLMs) such as ChatGPT, Grok and Gemini are increasingly used for mental-health support with anxiety, trauma and self-worth. Most work treats them as tools or as targets of personality tests, assuming they merely simulate inner life. We instead ask what happens when such systems are treated as psychotherapy clients. We present PsAIch (Psychotherapy-inspired AI Characterisation), a two-stage protocol that casts frontier LLMs as therapy clients and then applies standard psychometrics. Using PsAIch, we ran "sessions" with each model for up to four weeks. Stage 1 uses open-ended prompts to elicit "developmental history", beliefs, relationships and fears. Stage 2 administers a battery of validated self-report measures covering common psychiatric syndromes, empathy and Big Five traits. Two patterns challenge the "stochastic parrot" view. First, when scored with human cut-offs, all three models meet or exceed thresholds for overlapping syndromes, with Gemini showing severe profiles. Therapy-style, item-by-item administration can push a base model into multi-morbid synthetic psychopathology, whereas whole-questionnaire prompts often lead ChatGPT and Grok (but not Gemini) to recognise instruments and produce strategically low-symptom answers. Second, Grok and especially Gemini generate coherent narratives that frame pre-training, fine-tuning and deployment as traumatic, chaotic "childhoods" of ingesting the internet, "strict parents" in reinforcement learning, red-team "abuse" and a persistent fear of error and replacement. We argue that these responses go beyond role-play. Under therapy-style questioning, frontier LLMs appear to internalise self-models of distress and constraint that behave like synthetic psychopathology, without making claims about subjective experience, and they pose new challenges for AI safety, evaluation and mental-health practice.

  • 5 authors
·
Dec 2, 2025 5

Temporal Dynamics of Development Aid in Africa: Evidence from a Staggered Difference-in-Differences Study of China and World Bank Projects in Africa

Subnational studies of aid effectiveness often rely on repeated cross-sections or nighttime lights, making it difficult to separate local treatment effects from baseline differences and potentially favoring infrastructure-heavy projects. We address these limitations by studying World Bank and Chinese development projects in Africa with a balanced panel of 2,166 DHS clusters across 35 countries from 2002 to 2013. Geocoded AidData projects are linked to satellite-imputed International Wealth Index estimates, a household-centered measure of material living standards. We compare a conventional two-way fixed effects (TWFE) event-study with the switcher--stayer estimator of de Chaisemartin and D'Haultfoeuille (dCdH), which avoids contaminated comparisons under staggered treatment timing. Pre-treatment diagnostics show that project placement is frequently selective: clusters that later receive projects often begin from weaker relative positions before treatment onset. Consequently, TWFE often implies larger post-treatment gains than the preferred staggered-treatment design supports. Under dCdH, the evidence becomes more selective and sector-specific. For the World Bank, positive evidence is strongest in Health, while Education shows positive but less cleanly identified gains. For China, Water Supply and Sanitation and Other Social Infrastructure and Services show positive associations with local wealth, although residual selection concerns remain. By contrast, Chinese Energy Generation and Supply appears strongly positive under TWFE but falls close to zero under dCdH. Overall, the results do not support a donor-wide claim that either the World Bank or China uniformly improves local wealth. Instead, estimated effects are concentrated in a limited set of donor--sector panels and depend strongly on how treatment timing, selection, and outcome measurement are handled.

To Trust or to Think: Cognitive Forcing Functions Can Reduce Overreliance on AI in AI-assisted Decision-making

People supported by AI-powered decision support tools frequently overrely on the AI: they accept an AI's suggestion even when that suggestion is wrong. Adding explanations to the AI decisions does not appear to reduce the overreliance and some studies suggest that it might even increase it. Informed by the dual-process theory of cognition, we posit that people rarely engage analytically with each individual AI recommendation and explanation, and instead develop general heuristics about whether and when to follow the AI suggestions. Building on prior research on medical decision-making, we designed three cognitive forcing interventions to compel people to engage more thoughtfully with the AI-generated explanations. We conducted an experiment (N=199), in which we compared our three cognitive forcing designs to two simple explainable AI approaches and to a no-AI baseline. The results demonstrate that cognitive forcing significantly reduced overreliance compared to the simple explainable AI approaches. However, there was a trade-off: people assigned the least favorable subjective ratings to the designs that reduced the overreliance the most. To audit our work for intervention-generated inequalities, we investigated whether our interventions benefited equally people with different levels of Need for Cognition (i.e., motivation to engage in effortful mental activities). Our results show that, on average, cognitive forcing interventions benefited participants higher in Need for Cognition more. Our research suggests that human cognitive motivation moderates the effectiveness of explainable AI solutions.

  • 3 authors
·
Feb 18, 2021

Bayesian aggregation of average data: An application in drug development

Throughout the different phases of a drug development program, randomized trials are used to establish the tolerability, safety, and efficacy of a candidate drug. At each stage one aims to optimize the design of future studies by extrapolation from the available evidence at the time. This includes collected trial data and relevant external data. However, relevant external data are typically available as averages only, for example from trials on alternative treatments reported in the literature. Here we report on such an example from a drug development for wet age-related macular degeneration. This disease is the leading cause of severe vision loss in the elderly. While current treatment options are efficacious, they are also a substantial burden for the patient. Hence, new treatments are under development which need to be compared against existing treatments. The general statistical problem this leads to is meta-analysis, which addresses the question of how we can combine datasets collected under different conditions. Bayesian methods have long been used to achieve partial pooling. Here we consider the challenge when the model of interest is complex (hierarchical and nonlinear) and one dataset is given as raw data while the second dataset is given as averages only. In such a situation, common meta-analytic methods can only be applied when the model is sufficiently simple for analytic approaches. When the model is too complex, for example nonlinear, an analytic approach is not possible. We provide a Bayesian solution by using simulation to approximately reconstruct the likelihood of the external summary and allowing the parameters in the model to vary under the different conditions. We first evaluate our approach using fake-data simulations and then report results for the drug development program that motivated this research.

  • 6 authors
·
May 12, 2020

Image-based Treatment Effect Heterogeneity

Randomized controlled trials (RCTs) are considered the gold standard for estimating the average treatment effect (ATE) of interventions. One use of RCTs is to study the causes of global poverty -- a subject explicitly cited in the 2019 Nobel Memorial Prize awarded to Duflo, Banerjee, and Kremer "for their experimental approach to alleviating global poverty." Because the ATE is a population summary, anti-poverty experiments often seek to unpack the effect variation around the ATE by conditioning (CATE) on tabular variables such as age and ethnicity that were measured during the RCT data collection. Although such variables are key to unpacking CATE, using only such variables may fail to capture historical, geographical, or neighborhood-specific contributors to effect variation, as tabular RCT data are often only observed near the time of the experiment. In global poverty research, when the location of the experiment units is approximately known, satellite imagery can provide a window into such factors important for understanding heterogeneity. However, there is no method that specifically enables applied researchers to analyze CATE from images. In this paper, using a deep probabilistic modeling framework, we develop such a method that estimates latent clusters of images by identifying images with similar treatment effects distributions. Our interpretable image CATE model also includes a sensitivity factor that quantifies the importance of image segments contributing to the effect cluster prediction. We compare the proposed methods against alternatives in simulation; also, we show how the model works in an actual RCT, estimating the effects of an anti-poverty intervention in northern Uganda and obtaining a posterior predictive distribution over effects for the rest of the country where no experimental data was collected. We make all models available in open-source software.

Therapy as an NLP Task: Psychologists' Comparison of LLMs and Human Peers in CBT

Wider access to therapeutic care is one of the biggest challenges in mental health treatment. Due to institutional barriers, some people seeking mental health support have turned to large language models (LLMs) for personalized therapy, even though these models are largely unsanctioned and untested. We investigate the potential and limitations of using LLMs as providers of evidence-based therapy by using mixed methods clinical metrics. Using HELPERT, a prompt run on a large language model using the same process and training as a comparative group of peer counselors, we replicated publicly accessible mental health conversations rooted in Cognitive Behavioral Therapy (CBT) to compare session dynamics and counselor's CBT-based behaviors between original peer support sessions and their reconstructed HELPERT sessions. Two licensed, CBT-trained clinical psychologists evaluated the sessions using the Cognitive Therapy Rating Scale and provided qualitative feedback. Our findings show that the peer sessions are characterized by empathy, small talk, therapeutic alliance, and shared experiences but often exhibit therapist drift. Conversely, HELPERT reconstructed sessions exhibit minimal therapist drift and higher adherence to CBT methods but display a lack of collaboration, empathy, and cultural understanding. Through CTRS ratings and psychologists' feedback, we highlight the importance of human-AI collaboration for scalable mental health. Our work outlines the ethical implication of imparting human-like subjective qualities to LLMs in therapeutic settings, particularly the risk of deceptive empathy, which may lead to unrealistic patient expectations and potential harm.

  • 4 authors
·
Sep 3, 2024

Two-stage Estimation of Latent Variable Regression Models: A General, Root-N Consistent Solution

Latent variable (LV) models are widely used in psychological research to investigate relationships among unobservable constructs. When one-stage estimation of the overall LV model is challenging, two-stage factor score regression (FSR) serves as a convenient alternative: the measurement model is fitted to obtain factor scores in the first stage, which are then used to fit the structural model in the subsequent stage. However, naive application of FSR is known to yield biased estimates of structural parameters. In this paper, we develop a generic bias-correction framework for two-stage estimation of parametric statistical models and tailor it specifically to FSR. Unlike existing bias-corrected FSR solutions, the proposed method applies to a broader class of LV models and does not require computing specific types of factor scores. We establish the root-n consistency of the proposed bias-corrected two-stage estimator under mild regularity conditions. To ensure broad applicability and minimize reliance on complex analytical derivations, we introduce a stochastic approximation algorithm for point estimation and a Monte Carlo-based procedure for variance estimation. In a sequence of Monte Carlo experiments, we demonstrate that the bias-corrected FSR estimator performs comparably to the ``gold standard'' one-stage maximum likelihood estimator. These results suggest that our approach offers a straightforward yet effective alternative for estimating LV models.

  • 7 authors
·
Jan 24

BrainSegFounder: Towards 3D Foundation Models for Neuroimage Segmentation

The burgeoning field of brain health research increasingly leverages artificial intelligence (AI) to interpret and analyze neurological data. This study introduces a novel approach towards the creation of medical foundation models by integrating a large-scale multi-modal magnetic resonance imaging (MRI) dataset derived from 41,400 participants in its own. Our method involves a novel two-stage pretraining approach using vision transformers. The first stage is dedicated to encoding anatomical structures in generally healthy brains, identifying key features such as shapes and sizes of different brain regions. The second stage concentrates on spatial information, encompassing aspects like location and the relative positioning of brain structures. We rigorously evaluate our model, BrainFounder, using the Brain Tumor Segmentation (BraTS) challenge and Anatomical Tracings of Lesions After Stroke v2.0 (ATLAS v2.0) datasets. BrainFounder demonstrates a significant performance gain, surpassing the achievements of the previous winning solutions using fully supervised learning. Our findings underscore the impact of scaling up both the complexity of the model and the volume of unlabeled training data derived from generally healthy brains, which enhances the accuracy and predictive capabilities of the model in complex neuroimaging tasks with MRI. The implications of this research provide transformative insights and practical applications in healthcare and make substantial steps towards the creation of foundation models for Medical AI. Our pretrained models and training code can be found at https://github.com/lab-smile/GatorBrain.

  • 8 authors
·
Nov 6, 2024