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arXiv 2305.02466cs.CLcs.HCcs.SI
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通过人类-语言模型交互实现消极想法的认知重构

Cognitive Reframing of Negative Thoughts through Human-Language Model Interaction

University of Washington(华盛顿大学);Mental Health America(美国心理健康协会);Allen Institute for Artificial Intelligence(艾伦人工智能研究所);Stanford University(斯坦福大学)

Ashish Sharma, Kevin Rushton, Inna Wanyin Lin, David Wadden, Khendra G. Lucas, Adam S. Miner, Theresa Nguyen, Tim Althoff

AI总结:

针对人们获取认知重构治疗受限的问题,提出含7种语言属性的重构框架与检索增强上下文学习模型,经超2000人参与的实地研究发现人们更偏好共情或具体的重构,为语言模型辅助心理健康干预提供启示。

摘要:

克服消极想法的一种已被验证的治疗技术,是用更具希望感的“重构想法”替代消极想法。尽管治疗能帮助人们练习和学习这种消极想法认知重构技术,但临床医生短缺以及心理健康相关的病耻感通常会限制人们获得治疗的机会。本文开展了一项以人为中心的研究,探究语言模型如何辅助人们重构消极想法。基于心理学文献,我们定义了一个包含7种语言属性的框架,可用于重构想法。我们开发了衡量这些属性的自动化指标,并借助心理健康从业者的专家判断对指标进行了验证。我们从从业者处收集了包含600组情境、想法和重构内容的数据集,并用其训练了一个检索增强的上下文学习模型,该模型能有效生成重构想法并控制其语言属性。为探究何为“高质量”重构,我们在一家大型心理健康网站上开展了经IRB(机构审查委员会)批准的随机实地研究,参与人数超2000名。在诸多发现中,我们表明相较于过于积极的重构,人们更偏好高度共情或具体的重构。我们的研究结果为利用语言模型辅助人们克服消极想法提供了关键启示。

英文摘要:

A proven therapeutic technique to overcome negative thoughts is to replace them with a more hopeful "reframed thought." Although therapy can help people practice and learn this Cognitive Reframing of Negative Thoughts, clinician shortages and mental health stigma commonly limit people's access to therapy. In this paper, we conduct a human-centered study of how language models may assist people in reframing negative thoughts. Based on psychology literature, we define a framework of seven linguistic attributes that can be used to reframe a thought. We develop automated metrics to measure these attributes and validate them with expert judgements from mental health practitioners. We collect a dataset of 600 situations, thoughts and reframes from practitioners and use it to train a retrieval-enhanced in-context learning model that effectively generates reframed thoughts and controls their linguistic attributes. To investigate what constitutes a "high-quality" reframe, we conduct an IRB-approved randomized field study on a large mental health website with over 2,000 participants. Amongst other findings, we show that people prefer highly empathic or specific reframes, as opposed to reframes that are overly positive. Our findings provide key implications for the use of LMs to assist people in overcoming negative thoughts.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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