Response Generation for Cognitive Behavioral Therapy with Large Language Models: Comparative Study with Socratic Questioning

Fuente: arXiv
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Autores principales: Izumi, Kenta, Tanaka, Hiroki, Shidara, Kazuhiro, Adachi, Hiroyoshi, Kanayama, Daisuke, Kudo, Takashi, Nakamura, Satoshi
Formato: Preprint
Publicado: 2024
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author Izumi, Kenta
Tanaka, Hiroki
Shidara, Kazuhiro
Adachi, Hiroyoshi
Kanayama, Daisuke
Kudo, Takashi
Nakamura, Satoshi
author_facet Izumi, Kenta
Tanaka, Hiroki
Shidara, Kazuhiro
Adachi, Hiroyoshi
Kanayama, Daisuke
Kudo, Takashi
Nakamura, Satoshi
contents Dialogue systems controlled by predefined or rule-based scenarios derived from counseling techniques, such as cognitive behavioral therapy (CBT), play an important role in mental health apps. Despite the need for responsible responses, it is conceivable that using the newly emerging LLMs to generate contextually relevant utterances will enhance these apps. In this study, we construct dialogue modules based on a CBT scenario focused on conventional Socratic questioning using two kinds of LLMs: a Transformer-based dialogue model further trained with a social media empathetic counseling dataset, provided by Osaka Prefecture (OsakaED), and GPT-4, a state-of-the art LLM created by OpenAI. By comparing systems that use LLM-generated responses with those that do not, we investigate the impact of generated responses on subjective evaluations such as mood change, cognitive change, and dialogue quality (e.g., empathy). As a result, no notable improvements are observed when using the OsakaED model. When using GPT-4, the amount of mood change, empathy, and other dialogue qualities improve significantly. Results suggest that GPT-4 possesses a high counseling ability. However, they also indicate that even when using a dialogue model trained with a human counseling dataset, it does not necessarily yield better outcomes compared to scenario-based dialogues. While presenting LLM-generated responses, including GPT-4, and having them interact directly with users in real-life mental health care services may raise ethical issues, it is still possible for human professionals to produce example responses or response templates using LLMs in advance in systems that use rules, scenarios, or example responses.
format Preprint
id arxiv_https___arxiv_org_abs_2401_15966
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Response Generation for Cognitive Behavioral Therapy with Large Language Models: Comparative Study with Socratic Questioning
Izumi, Kenta
Tanaka, Hiroki
Shidara, Kazuhiro
Adachi, Hiroyoshi
Kanayama, Daisuke
Kudo, Takashi
Nakamura, Satoshi
Computation and Language
Artificial Intelligence
Dialogue systems controlled by predefined or rule-based scenarios derived from counseling techniques, such as cognitive behavioral therapy (CBT), play an important role in mental health apps. Despite the need for responsible responses, it is conceivable that using the newly emerging LLMs to generate contextually relevant utterances will enhance these apps. In this study, we construct dialogue modules based on a CBT scenario focused on conventional Socratic questioning using two kinds of LLMs: a Transformer-based dialogue model further trained with a social media empathetic counseling dataset, provided by Osaka Prefecture (OsakaED), and GPT-4, a state-of-the art LLM created by OpenAI. By comparing systems that use LLM-generated responses with those that do not, we investigate the impact of generated responses on subjective evaluations such as mood change, cognitive change, and dialogue quality (e.g., empathy). As a result, no notable improvements are observed when using the OsakaED model. When using GPT-4, the amount of mood change, empathy, and other dialogue qualities improve significantly. Results suggest that GPT-4 possesses a high counseling ability. However, they also indicate that even when using a dialogue model trained with a human counseling dataset, it does not necessarily yield better outcomes compared to scenario-based dialogues. While presenting LLM-generated responses, including GPT-4, and having them interact directly with users in real-life mental health care services may raise ethical issues, it is still possible for human professionals to produce example responses or response templates using LLMs in advance in systems that use rules, scenarios, or example responses.
title Response Generation for Cognitive Behavioral Therapy with Large Language Models: Comparative Study with Socratic Questioning
topic Computation and Language
Artificial Intelligence
url https://arxiv.org/abs/2401.15966