Adaptive LLM Agents: Toward Personalized Empathetic Care

Fuente: arXiv
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Main Authors: Singh, Priyanka, Von Mammen, Sebastian
Format: Preprint
Published: 2025
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author Singh, Priyanka
Von Mammen, Sebastian
author_facet Singh, Priyanka
Von Mammen, Sebastian
contents Current mental-health conversational systems are usually based on fixed, generic dialogue patterns. This paper proposes an adaptive framework based on large language models that aims to personalize therapeutic interaction according to a user's psychological state, quantified with the Acceptance of Illness Scale (AIS). The framework defines three specialized agents, L, M, and H, each linked to a different level of illness acceptance, and adjusts conversational behavior over time using continuous feedback signals. The AIS-stratified architecture is treated as a diegetic prototype placed in a plausible near-future setting and examined through the method of design fiction. By embedding the architecture in narrative scenarios, the study explores how such agents might influence access to care and therapeutic relationship. The goal is to show how clinically informed personalization, technical feasibility, and speculative scenario analysis can together inform the responsible design of LLM-based companions for mental-health support.
format Preprint
id arxiv_https___arxiv_org_abs_2511_20080
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Adaptive LLM Agents: Toward Personalized Empathetic Care
Singh, Priyanka
Von Mammen, Sebastian
Human-Computer Interaction
Current mental-health conversational systems are usually based on fixed, generic dialogue patterns. This paper proposes an adaptive framework based on large language models that aims to personalize therapeutic interaction according to a user's psychological state, quantified with the Acceptance of Illness Scale (AIS). The framework defines three specialized agents, L, M, and H, each linked to a different level of illness acceptance, and adjusts conversational behavior over time using continuous feedback signals. The AIS-stratified architecture is treated as a diegetic prototype placed in a plausible near-future setting and examined through the method of design fiction. By embedding the architecture in narrative scenarios, the study explores how such agents might influence access to care and therapeutic relationship. The goal is to show how clinically informed personalization, technical feasibility, and speculative scenario analysis can together inform the responsible design of LLM-based companions for mental-health support.
title Adaptive LLM Agents: Toward Personalized Empathetic Care
topic Human-Computer Interaction
url https://arxiv.org/abs/2511.20080