United States

Entrainment, the responsive communication between interacting individuals, is a crucial process in building a strong relationship between a mental health therapist and their client, leading to positive therapeutic outcomes. However, so far entrainment has not been investigated as a measure of efficacy of large language models (LLMs) delivering mental health therapy. In this work, we evaluate the linguistic entrainment of an LLM (ChatGPT 3.5-turbo) in a mental health dialog setting. We first validate computational measures of linguistic entrainment with two measures of the quality of client self-disclosures: intimacy and engagement (p &lt; 0.05). We then compare the linguistic entrainment of the LLM to trained therapists and non-expert online peer supporters in a cognitive behavioral therapy (CBT) setting. We show that the LLM is outperformed by humans with respect to linguistic entrainment (p &lt; 0.001). These results support the need to be cautious in using LLMs out-of-the-box for mental health applications.

NAACL 2025

Using Linguistic Entrainment to Evaluate Large Language Models for use in Cognitive Behavioral Therapy

linguistic entrainment

cognitive behavioral therapy (cbt)

large language model (llm)

## Welcome to 2024 Annual Conference of the North American Chapter of the Association for Computational Linguistics!
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Katrin Erk 
The University of Texas at Austin 
NAACL-2024 General Chair 
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NAACL 2024

2024 Annual Conference of the North American Chapter of the Association for Computational Linguistics

Entrainment, the responsive communication between interacting individuals, is a crucial process in building a strong relationship between a mental health therapist and their client, leading to positive therapeutic outcomes. However, so far entrainment has not been investigated as a measure of efficacy of large language models (LLMs) delivering mental health therapy. In this work, we evaluate the linguistic entrainment of an LLM (ChatGPT 3.5-turbo) in a mental health dialog setting. We first validate computational measures of linguistic entrainment with two measures of the quality of client self-disclosures: intimacy and engagement (p < 0.05). We then compare the linguistic entrainment of the LLM to trained therapists and non-expert online peer supporters in a cognitive behavioral therapy (CBT) setting. We show that the LLM is outperformed by humans with respect to linguistic entrainment (p < 0.001). These results support the need to be cautious in using LLMs out-of-the-box for mental health applications.

poster

### Welcome to 2025 Annual Conference of the Nations of the Americas Chapter of the Association for Computational Linguistics

Welcome to the 2025 meeting of the Nations of the Americas Chapter of the Association for Computational Linguistics! I am proud to help organize the first NAACL conference to carry the new name of our organization, one that emphasizes inclusion for all of the Americas. I am also pleased to welcome you to Albuquerque, New Mexico, a state whose unique blend of cultural influences will make for an excellent backdrop for NAACL 2025, especially with this year’s special theme on NLP in a Multicultural World. 
**[Continue reading...](https://drive.google.com/file/d/1jX-qGhqVSZZCIrAnJaz798pflu5Irrdn/view?usp=sharing)**

*- Colin Cherry, Google, NAACL 2025 General Chair* 

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Welcome to 2025 Annual Conference of the Nations of the Americas Chapter of the Association for Computational Linguistics

Video Question Answering (VideoQA) is a challenging task that requires understanding complex visual and temporal relationships within videos to answer questions accurately. In this work, we introduce **ReasVQA** (Reasoning-enhanced Video Question Answering), a novel approach that leverages reasoning processes generated by Multimodal Large Language Models (MLLMs) to improve the performance of VideoQA models. Our approach consists of three phases: reasoning generation, reasoning refinement, and learning from reasoning. First, we generate detailed reasoning processes using additional MLLMs, and second refine them via a filtering step to ensure data quality. Finally, we use the reasoning data, which might be in an imperfect form, to guide the VideoQA model via multi-task learning, on how to interpret and answer questions based on a given video. We evaluate ReasVQA on three popular benchmarks, and our results establish new state-of-the-art performance with significant improvements of +2.9 on NExT-QA, +7.3 on STAR, and +5.9 on IntentQA. Our findings demonstrate the supervising benefits of integrating reasoning processes into VideoQA. Further studies validate each component of our method, also with different backbones and MLLMs, and again highlight the advantages of this simple but effective method. We offer a new perspective on enhancing VideoQA performance by utilizing advanced reasoning techniques, setting a new benchmark in this research field.

ReasVQA: Advancing VideoQA with Imperfect Reasoning Process

Recent work has demonstrated that the unequal representation of cultures and socioeconomic groups in training data leads to biased Large Multi-modal (LMM) models. To improve LMM model performance on underrepresented data, we propose and evaluate several prompting strategies using non-English, geographic, and socioeconomic attributes. We show that these geographic and socioeconomic integrated prompts favor retrieving topic appearances commonly found in data from low-income households across different countries leading to improved LMM model performance on lower-income data. Our analyses identify and highlight contexts where these strategies yield the most improvements.

Uplifting Lower-Income Data: Strategies for Socioeconomic Perspective Shifts in Large Multi-modal Models

Previous research on multimodal entity linking (MEL) has primarily employed contrastive learning as the primary objective. However, using the rest of the batch as negative samples without careful consideration, these studies risk leveraging easy features and potentially overlook essential details that make entities unique. In this work, we propose JD-CCL (Jaccard Distance-based Conditional Contrastive Learning), a novel approach designed to enhance the ability to match multimodal entity linking models. JD-CCL leverages meta-information to select negative samples with similar attributes, making the linking task more challenging and robust. Additionally, to address the limitations caused by the variations within the visual modality among mentions and entities, we introduce a novel method, CVaCPT (Contextual Visual-aid Controllable Patch Transform). It enhances visual representations by incorporating multi-view synthetic images and contextual textual representations to scale and shift patch representations. Experimental results on benchmark MEL datasets demonstrate the strong effectiveness of our approach.

Enhancing Multimodal Entity Linking with Jaccard Distance-based Conditional Contrastive Learning and Contextual Visual Augmentation

Contrastive Language-Image Pre-training (CLIP) has become the standard for cross- modal image-text representation learning. Improving CLIP typically requires additional data and retraining with new loss functions, but these demands raise resource and time costs, limiting practical use. In this work, we introduce HELIP, a cost-effective strategy that improves CLIP models by exploiting challenging text-image pairs within existing datasets in continuous training. This eliminates the need for additional data or extensive retraining. Moreover, HELIP integrates effortlessly into current training pipelines with minimal code modifications, allowing for quick and seamless implementation. On comprehensive benchmarks, HELIP consistently boosts existing models. In particular, within just two epochs of training, it improves zero-shot classification accuracy on ImageNet for SLIP models pre-trained on CC3M, CC12M, and YFCC15M datasets by 3.05%, 4.47%, and 10.1% , respectively. In addition, on fine-grained classification datasets, HELIP improves the zero-shot performance of CLIP and SLIP by an average of 8.4% and 18.6%, and their linear probe performance by an average of 9.5% and 3.0%.

Getting More Juice Out of Your Data: Hard Pair Refinement Enhances Visual-Language Models Without Extra Data

Vision and language navigation (VLN) is a challenging task towards the creation of embodied agents that requires spatial and temporal reasoning over the instructions provided in natural language and aligning them with the visual perception of an environment. Although a number of methods and approaches have been developed, none achieves human level performance in outdoor settings (by up to 75 percent). The contributions of visual and language modalities to the success of VLN have been studied, however here we focus on an overlooked property of routes and show that navigational instructions can be represented as patterns of actions that also describe trajectory shapes. Through carefully crafted experiments, we show that agents generalization to unseen environments depends not only on visual and linguistic features, but also on the shape of trajectories presented to the model during the fine-tuning. Our experiments show that the diversity of patterns of actions during training is a key contributor to high success rates for agents. Last, we propose a solution based on data augmentation that fills the gap in missing patterns of training data. Our findings will guide researchers towards improved practices in the development and evaluation of VLN datasets and agents.

Follow the Beaten Path: The Role of Route Patterns on Vision-Language Navigation Agents Generalization Abilities

Symbolic planners can discover a sequence of actions from initial to goal states given expert-defined, domain-specific logical action semantics. Large Language Models (LLMs) can directly generate such sequences, but limitations in reasoning and state-tracking often result in plans that are insufficient or unexecutable. We propose Predicting Semantics of Actions with Language Models (PSALM), which automatically learns action semantics by leveraging the strengths of both symbolic planners and LLMs. PSALM repeatedly proposes and executes plans, using the LLM to partially generate plans and to infer domain-specific action semantics based on execution outcomes. PSALM maintains a belief over possible action semantics that is iteratively updated until a goal state is reached. Experiments on~7 environments show that when learning just from one goal, PSALM boosts plan success rate from 36.4% (on Claude-3.5) to 100%, and explores the environment more efficiently than prior work to infer ground truth domain action semantics.

Language Models Can Infer Action Semantics for Symbolic Planners from Environment Feedback

This paper presents the Korean National Educational Test Benchmark (KoNET), a new benchmark designed to evaluate Multimodal Generative AI Systems using Korean national educational tests. KoNET comprises four exams: the Korean Elementary General Educational Development Test (KoEGED), Middle (KoMGED), High (KoHGED), and College Scholastic Ability Test (KoCSAT). These exams are renowned for their rigorous standards and diverse questions, facilitating a comprehensive analysis of AI performance across different educational levels. By focusing on Korean, KoNET provides insights into model performance in less-explored languages. We assess a range of models—open-source, open-access, and closed APIs—by examining difficulties, subject diversity, and human error rates. The code and dataset builder will be made fully open-source.

Evaluating Multimodal Generative AI with Korean Educational Standards

**Multimodal Chain of Thought (MCoT)** is a popular prompting strategy for improving the performance of multimodal large language models (MLLMs) across a range of complex reasoning tasks. Despite its popularity, there is a notable absence of automated methods for evaluating the quality of reasoning steps in MCoT. To address this gap, we propose **Multimodal Chain-of-Thought Evaluation (MiCEval)**, a framework designed to assess the correctness of reasoning chains by evaluating the quality of both the description and each reasoning step. The evaluation of the description component focuses on the accuracy of the image descriptions, while the reasoning step evaluates the quality of each step as it is conditionally generated based on the preceding steps. MiCEval is built upon a fine-grained dataset with annotations that rate each step according to correctness, relevance, and informativeness. Extensive experiments on four state-of-the-art MLLMs show that step-wise evaluations using MiCEval align more closely with human judgments compared to existing methods based on cosine similarity or fine-tuning approaches. MiCEval datasets and code can be found at: [https://anonymous_github/MicEval](https://anonymous.4open.science/r/MiCEval-847F/README.md).

MiCEval: Unveiling Multimodal Chain of Thought's Quality via Image Description and Reasoning Steps

Multimodal Large Language Models (MLLMs) have demonstrated impressive abilities across various tasks, including visual question answering and chart comprehension, yet existing benchmarks for chart-related tasks fall short in capturing the complexity of real-world multi-chart scenarios. Current benchmarks primarily focus on single-chart tasks, neglecting the multi-hop reasoning required to extract and integrate information from multiple charts, which is essential in practical applications. To fill this gap, we introduce MultiChartQA, a benchmark that evaluates MLLMs' capabilities in four key areas: direct question answering, parallel question answering, comparative reasoning, and sequential reasoning. Our evaluation of a wide range of MLLMs reveals significant performance gaps compared to humans. These results highlight the challenges in multi-chart comprehension and the potential of MultiChartQA to drive advancements in this field. Our code and data are available at https://github.com/Zivenzhu/Multi-chart-QA.

MultiChartQA: Benchmarking Vision-Language Models on Multi-Chart Problems

While mainstream vision-language models (VLMs) have advanced rapidly in understanding image-level information, they still lack the ability to focus on specific areas designated by humans. Rather, they typically rely on large volumes of high-quality image-text paired data to learn and generate posterior attention maps. To address this critical issue, we propose leveraging visual prompts—simple visual markers in various forms—to guide and enhance the formation of region-specific attention. Thus, we introduce **MedVP**, a pioneering framework that integrates medical entity extraction, visual prompt generation, and dataset adaptation for visual prompt-guided fine-tuning. We successfully outperform recent state-of-the-art large models across multiple medical VQA datasets. Extensive experiments and Human evaluation are conducted to analyze the impact of different visual prompt forms and how they contribute to performance improvement. The results demonstrate both the effectiveness and clinical significance of our approach.

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