Daily Papers

This study explores the impact of AI-generated digital self-clones on improving online presentation skills. We carried out a mixed-design experiment involving 44 international students, comparing self-recorded videos (control) with self-clone videos (AI group) for English presentation practice. The AI videos utilized voice cloning, face swapping, lip-sync, and body-language simulation to refine participants' original presentations in terms of repetition, filler words, and pronunciation. Machine-rated scores indicated enhancements in speech performance for both groups. Though the groups didn't significantly differ, the AI group exhibited a heightened depth of reflection, self-compassion, and a meaningful transition from a corrective to an enhancive approach to self-critique. Within the AI group, congruence between self-perception and AI self-clones resulted in diminished speech anxiety and increased enjoyment. Our findings recommend the ethical employment of digital self-clones to enhance the emotional and cognitive facets of skill development.

Mental distress like depression and anxiety contribute to the largest proportion of the global burden of diseases. Automated diagnosis systems of such disorders, empowered by recent innovations in Artificial Intelligence, can pave the way to reduce the sufferings of the affected individuals. Development of such systems requires information-rich and balanced corpora. In this work, we introduce a novel mental distress analysis audio dataset DEPAC, labeled based on established thresholds on depression and anxiety standard screening tools. This large dataset comprises multiple speech tasks per individual, as well as relevant demographic information. Alongside, we present a feature set consisting of hand-curated acoustic and linguistic features, which were found effective in identifying signs of mental illnesses in human speech. Finally, we justify the quality and effectiveness of our proposed audio corpus and feature set in predicting depression severity by comparing the performance of baseline machine learning models built on this dataset with baseline models trained on other well-known depression corpora.

Anxiety is a common mental health condition characterised by excessive worry, fear and apprehension about everyday situations. Even with significant progress over the past few years, predicting anxiety from electroencephalographic (EEG) signals, specifically using error-related negativity (ERN), still remains challenging. Following the PRISMA protocol, this paper systematically reviews 54 research papers on using EEG and ERN markers for anxiety detection published in the last 10 years (2013 -- 2023). Our analysis highlights the wide usage of traditional machine learning, such as support vector machines and random forests, as well as deep learning models, such as convolutional neural networks and recurrent neural networks across different data types. Our analysis reveals that the development of a robust and generic anxiety prediction method still needs to address real-world challenges, such as task-specific setup, feature selection and computational modelling. We conclude this review by offering potential future direction for non-invasive, objective anxiety diagnostics, deployed across diverse populations and anxiety sub-types.

This paper presents Att-HACK, the first large database of acted speech with social attitudes. Available databases of expressive speech are rare and very often restricted to the primary emotions: anger, joy, sadness, fear. This greatly limits the scope of the research on expressive speech. Besides, a fundamental aspect of speech prosody is always ignored and missing from such databases: its variety, i.e. the possibility to repeat an utterance while varying its prosody. This paper represents a first attempt to widen the scope of expressivity in speech, by providing a database of acted speech with social attitudes: friendly, seductive, dominant, and distant. The proposed database comprises 25 speakers interpreting 100 utterances in 4 social attitudes, with 3-5 repetitions each per attitude for a total of around 30 hours of speech. The Att-HACK is freely available for academic research under a Creative Commons Licence.

Sentence stress refers to emphasis, placed on specific words within a spoken utterance to highlight or contrast an idea, or to introduce new information. It is often used to imply an underlying intention that is not explicitly stated. Recent advances in speech-aware language models (SLMs) have enabled direct processing of audio, allowing models to bypass transcription and access the full richness of the speech signal and perform audio reasoning tasks such as spoken question answering. Despite the crucial role of sentence stress in shaping meaning and speaker intent, it remains largely overlooked in evaluation and development of such models. In this work, we address this gap by introducing StressTest, a benchmark specifically designed to evaluate a model's ability to distinguish between interpretations of spoken sentences based on the stress pattern. We assess the performance of several leading SLMs and find that, despite their overall capabilities, they perform poorly on such tasks. To overcome this limitation, we propose a novel synthetic data generation pipeline, and create Stress17k, a training set that simulates change of meaning implied by stress variation. Then, we empirically show that optimizing models with this synthetic dataset aligns well with real-world recordings and enables effective finetuning of SLMs. Results suggest, that our finetuned model, StresSLM, significantly outperforms existing models on both sentence stress reasoning and detection tasks. Code, models, data, and audio samples - pages.cs.huji.ac.il/adiyoss-lab/stresstest.

Large Language Models (LLMs) are usually aligned with "human values/preferences" to prevent harmful output. Discussions around the alignment of Large Language Models (LLMs) generally focus on preventing harmful outputs. However, in this paper, we argue that in health-related queries, over-alignment-leading to overly cautious responses-can itself be harmful, especially for people with anxiety and obsessive-compulsive disorder (OCD). This is not only unethical but also dangerous to the user, both mentally and physically. We also showed qualitative results that some LLMs exhibit varying degrees of alignment. Finally, we call for the development of LLMs with stronger reasoning capabilities that provide more tailored and nuanced responses to health queries. Warning: This paper contains materials that could trigger health anxiety or OCD.

Large audio-language models (LALMs) extend text-based LLMs with auditory understanding, offering new opportunities for multimodal applications. While their perception, reasoning, and task performance have been widely studied, their safety alignment under paralinguistic variation remains underexplored. This work systematically investigates the role of speaker emotion. We construct a dataset of malicious speech instructions expressed across multiple emotions and intensities, and evaluate several state-of-the-art LALMs. Our results reveal substantial safety inconsistencies: different emotions elicit varying levels of unsafe responses, and the effect of intensity is non-monotonic, with medium expressions often posing the greatest risk. These findings highlight an overlooked vulnerability in LALMs and call for alignment strategies explicitly designed to ensure robustness under emotional variation, a prerequisite for trustworthy deployment in real-world settings.

Psychotherapy or counseling is typically conducted through spoken conversation between a therapist and a client. Analyzing the speech characteristics of psychotherapeutic interactions can help understand the factors associated with effective psychotherapy. This paper introduces CUEMPATHY, a large-scale speech dataset collected from actual counseling sessions. The dataset consists of 156 counseling sessions involving 39 therapist-client dyads. The process of speech data collection, subjective ratings (one observer and two client ratings), and transcription are described. An automatic speech and text processing system is developed to locate the time stamps of speaker turns in each session. Examining the relationships among the three subjective ratings suggests that observer and client ratings have no significant correlation, while the client-rated measures are significantly correlated. The intensity similarity between the therapist and the client, measured by the averaged absolute difference of speaker-turn-level intensities, is associated with the psychotherapy outcomes. Recent studies on the acoustic and linguistic characteristics of the CUEMPATHY are introduced.

Range anxiety is a major concern of battery electric vehicles (BEVs) users or potential users. Previous work has explored the influential factors of distance-related range anxiety. However, time-related range anxiety has rarely been explored. The time cost when charging or waiting to charge the BEVs can negatively impact BEV users' experience. As a preliminary attempt, this survey study investigated time-related anxiety by observing BEV users' charging decisions in scenarios when both battery level and time cost are of concern. We collected and analyzed responses from 217 BEV users in mainland China. The results revealed that time-related anxiety exists and could affect users' charging decisions. Further, users' charging decisions can be a result of the trade-off between distance-related and time-related anxiety, and can be moderated by several external factors (e.g., regions and individual differences). The findings can support the optimization of charge station distribution and EV charge recommendation algorithms.

We aim to evaluate the efficacy of traditional machine learning and large language models (LLMs) in classifying anxiety and depression from long conversational transcripts. We fine-tune both established transformer models (BERT, RoBERTa, Longformer) and more recent large models (Mistral-7B), trained a Support Vector Machine with feature engineering, and assessed GPT models through prompting. We observe that state-of-the-art models fail to enhance classification outcomes compared to traditional machine learning methods.

Background:Speech patterns have emerged as potential diagnostic markers for conditions with varying etiologies. Machine learning (ML) presents an opportunity to harness these patterns for accurate disease diagnosis. Objective: This review synthesized findings from studies exploring ML's capability in leveraging speech for the diagnosis of neurological, laryngeal and mental disorders. Methods: A systematic examination of 564 articles was conducted with 91 articles included in the study, which encompassed a wide spectrum of conditions, ranging from voice pathologies to mental and neurological disorders. Methods for speech classifications were assessed based on the relevant studies and scored between 0-10 based on the reported diagnostic accuracy of their ML models. Results: High diagnostic accuracies were consistently observed for laryngeal disorders, dysarthria, and changes related to speech in Parkinsons disease. These findings indicate the robust potential of speech as a diagnostic tool. Disorders like depression, schizophrenia, mild cognitive impairment and Alzheimers dementia also demonstrated high accuracies, albeit with some variability across studies. Meanwhile, disorders like OCD and autism highlighted the need for more extensive research to ascertain the relationship between speech patterns and the respective conditions. Conclusion: ML models utilizing speech patterns demonstrate promising potential in diagnosing a range of mental, laryngeal, and neurological disorders. However, the efficacy varies across conditions, and further research is needed. The integration of these models into clinical practice could potentially revolutionize the evaluation and diagnosis of a number of different medical conditions.

It is widely accepted that information derived from analyzing speech (the acoustic signal) and language production (words and sentences) serves as a useful window into the health of an individual's cognitive ability. In fact, most neuropsychological testing batteries have a component related to speech and language where clinicians elicit speech from patients for subjective evaluation across a broad set of dimensions. With advances in speech signal processing and natural language processing, there has been recent interest in developing tools to detect more subtle changes in cognitive-linguistic function. This work relies on extracting a set of features from recorded and transcribed speech for objective assessments of speech and language, early diagnosis of neurological disease, and tracking of disease after diagnosis. With an emphasis on cognitive and thought disorders, in this paper we provide a review of existing speech and language features used in this domain, discuss their clinical application, and highlight their advantages and disadvantages. Broadly speaking, the review is split into two categories: language features based on natural language processing and speech features based on speech signal processing. Within each category, we consider features that aim to measure complementary dimensions of cognitive-linguistics, including language diversity, syntactic complexity, semantic coherence, and timing. We conclude the review with a proposal of new research directions to further advance the field.

Some speech recognition tasks, such as automatic speech recognition (ASR), are approaching or have reached human performance in many reported metrics. Yet, they continue to struggle in complex, real-world, situations, such as with distanced speech. Previous challenges have released datasets to address the issue of distanced ASR, however, the focus remains primarily on distance, specifically relying on multi-microphone array systems. Here we present the B(asic) E(motion) R(andom phrase) S(hou)t(s) (BERSt) dataset. The dataset contains almost 4 hours of English speech from 98 actors with varying regional and non-native accents. The data was collected on smartphones in the actors homes and therefore includes at least 98 different acoustic environments. The data also includes 7 different emotion prompts and both shouted and spoken utterances. The smartphones were places in 19 different positions, including obstructions and being in a different room than the actor. This data is publicly available for use and can be used to evaluate a variety of speech recognition tasks, including: ASR, shout detection, and speech emotion recognition (SER). We provide initial benchmarks for ASR and SER tasks, and find that ASR degrades both with an increase in distance and shout level and shows varied performance depending on the intended emotion. Our results show that the BERSt dataset is challenging for both ASR and SER tasks and continued work is needed to improve the robustness of such systems for more accurate real-world use.

Student mental health is a sensitive issue that necessitates special attention. A primary concern is the student-to-counselor ratio, which surpasses the recommended standard of 250:1 in most universities. This imbalance results in extended waiting periods for in-person consultations, which cause suboptimal treatment. Significant efforts have been directed toward developing mental health dialogue systems utilizing the existing open-source mental health-related datasets. However, currently available datasets either discuss general topics or various strategies that may not be viable for direct application due to numerous ethical constraints inherent in this research domain. To address this issue, this paper introduces a specialized mental health dataset that emphasizes the active listening strategy employed in conversation for counseling, also named as ConvCounsel. This dataset comprises both speech and text data, which can facilitate the development of a reliable pipeline for mental health dialogue systems. To demonstrate the utility of the proposed dataset, this paper also presents the NYCUKA, a spoken mental health dialogue system that is designed by using the ConvCounsel dataset. The results show the merit of using this dataset.

Depressive and anxiety disorders are widespread, necessitating timely identification and management. Recent advances in Large Language Models (LLMs) offer potential solutions, yet high costs and ethical concerns about training data remain challenges. This paper introduces a pipeline for synthesizing clinical interviews, resulting in 1,157 interactive dialogues (PsyInterview), and presents EmoScan, an LLM-based emotional disorder screening system. EmoScan distinguishes between coarse (e.g., anxiety or depressive disorders) and fine disorders (e.g., major depressive disorders) and conducts high-quality interviews. Evaluations showed that EmoScan exceeded the performance of base models and other LLMs like GPT-4 in screening emotional disorders (F1-score=0.7467). It also delivers superior explanations (BERTScore=0.9408) and demonstrates robust generalizability (F1-score of 0.67 on an external dataset). Furthermore, EmoScan outperforms baselines in interviewing skills, as validated by automated ratings and human evaluations. This work highlights the importance of scalable data-generative pipelines for developing effective mental health LLM tools.

Warning: This paper may contain texts with uncomfortable content. Large Language Models (LLMs) have achieved remarkable performance in various tasks, including those involving multimodal data like speech. However, these models often exhibit biases due to the nature of their training data. Recently, more Speech Large Language Models (SLLMs) have emerged, underscoring the urgent need to address these biases. This study introduces Spoken Stereoset, a dataset specifically designed to evaluate social biases in SLLMs. By examining how different models respond to speech from diverse demographic groups, we aim to identify these biases. Our experiments reveal significant insights into their performance and bias levels. The findings indicate that while most models show minimal bias, some still exhibit slightly stereotypical or anti-stereotypical tendencies.

Emotion expression is one of the essential traits of conversations. It may be self-related or caused by another speaker. The variety of reasons may serve as a source of the further emotion causes: conversation history, speaker's emotional state, etc. Inspired by the most recent advances in Chain-of-Thought, in this work, we exploit the existing three-hop reasoning approach (THOR) to perform large language model instruction-tuning for answering: emotion states (THOR-state), and emotion caused by one speaker to the other (THOR-cause). We equip THOR-cause with the reasoning revision (rr) for devising a reasoning path in fine-tuning. In particular, we rely on the annotated speaker emotion states to revise reasoning path. Our final submission, based on Flan-T5-base (250M) and the rule-based span correction technique, preliminary tuned with THOR-state and fine-tuned with THOR-cause-rr on competition training data, results in 3rd and 4th places (F1-proportional) and 5th place (F1-strict) among 15 participating teams. Our THOR implementation fork is publicly available: https://github.com/nicolay-r/THOR-ECAC

Stuttering is a speech disorder where the natural flow of speech is interrupted by blocks, repetitions or prolongations of syllables, words and phrases. The majority of existing automatic speech recognition (ASR) interfaces perform poorly on utterances with stutter, mainly due to lack of matched training data. Synthesis of speech with stutter thus presents an opportunity to improve ASR for this type of speech. We describe Stutter-TTS, an end-to-end neural text-to-speech model capable of synthesizing diverse types of stuttering utterances. We develop a simple, yet effective prosody-control strategy whereby additional tokens are introduced into source text during training to represent specific stuttering characteristics. By choosing the position of the stutter tokens, Stutter-TTS allows word-level control of where stuttering occurs in the synthesized utterance. We are able to synthesize stutter events with high accuracy (F1-scores between 0.63 and 0.84, depending on stutter type). By fine-tuning an ASR model on synthetic stuttered speech we are able to reduce word error by 5.7% relative on stuttered utterances, with only minor (<0.2% relative) degradation for fluent utterances.

In this paper, we show that when spoken language models (SLMs) are instructed to speak in a specific speaking style at the beginning of a multi-turn conversation, they cannot maintain the required speaking styles after several turns of interaction; we refer to this as the style amnesia of SLMs. We focus on paralinguistic speaking styles, including emotion, accent, volume, and speaking speed. We evaluate three proprietary and two open-source SLMs, demonstrating that none of these models can maintain a consistent speaking style when instructed to do so. We further show that when SLMs are asked to recall the style instruction in later turns, they can recall the style instruction, but they fail to express it throughout the conversation. We also show that explicitly asking the model to recall the style instruction can partially mitigate style amnesia. In addition, we examine various prompting strategies and find that SLMs struggle to follow the required style when the instruction is placed in system messages rather than user messages, which contradicts the intended function of system prompts.

Online mental health support communities have grown in recent years for providing accessible mental and emotional health support through volunteer counselors. Despite millions of people participating in chat support on these platforms, the clinical effectiveness of these communities on mental health symptoms remains unknown. Furthermore, although volunteers receive some training based on established therapeutic skills studied in face-to-face environments such as active listening and motivational interviewing, it remains understudied how the usage of these skills in this online context affects people's mental health status. In our work, we collaborate with one of the largest online peer support platforms and use both natural language processing and machine learning techniques to measure how one-on-one support chats affect depression and anxiety symptoms. We measure how the techniques and characteristics of support providers, such as using affirmation, empathy, and past experience on the platform, affect support-seekers' mental health changes. We find that online peer support chats improve both depression and anxiety symptoms with a statistically significant but relatively small effect size. Additionally, support providers' techniques such as emphasizing the autonomy of the client lead to better mental health outcomes. However, we also found that some behaviors (e.g. persuading) are actually harmful to depression and anxiety outcomes. Our work provides key understanding for mental health care in the online setting and designing training systems for online support providers.

Laughing, sighing, stuttering, and other forms of paralanguage do not contribute any direct lexical meaning to speech, but they provide crucial propositional context that aids semantic and pragmatic processes such as irony. It is thus important for artificial social agents to both understand and be able to generate speech with semantically-important paralanguage. Most speech datasets do not include transcribed non-lexical speech sounds and disfluencies, while those that do are typically multi-speaker datasets where each speaker provides relatively little audio. This makes it challenging to train conversational Text-to-Speech (TTS) synthesis models that include such paralinguistic components. We thus present DisfluencySpeech, a studio-quality labeled English speech dataset with paralanguage. A single speaker recreates nearly 10 hours of expressive utterances from the Switchboard-1 Telephone Speech Corpus (Switchboard), simulating realistic informal conversations. To aid the development of a TTS model that is able to predictively synthesise paralanguage from text without such components, we provide three different transcripts at different levels of information removal (removal of non-speech events, removal of non-sentence elements, and removal of false starts), as well as benchmark TTS models trained on each of these levels.

Spoken language conveys meaning not only through words but also through intonation, emotion, and emphasis. Sentence stress, the emphasis placed on specific words within a sentence, is crucial for conveying speaker intent and has been extensively studied in linguistics. In this work, we introduce WHISTRESS, an alignment-free approach for enhancing transcription systems with sentence stress detection. To support this task, we propose TINYSTRESS-15K, a scalable, synthetic training data for the task of sentence stress detection which resulted from a fully automated dataset creation process. We train WHISTRESS on TINYSTRESS-15K and evaluate it against several competitive baselines. Our results show that WHISTRESS outperforms existing methods while requiring no additional input priors during training or inference. Notably, despite being trained on synthetic data, WHISTRESS demonstrates strong zero-shot generalization across diverse benchmarks. Project page: https://pages.cs.huji.ac.il/adiyoss-lab/whistress.

This study explores voice cloning to generate synthetic speech replicating the unique patterns of individuals with dysarthria. Using the TORGO dataset, we address data scarcity and privacy challenges in speech-language pathology. Our contributions include demonstrating that voice cloning preserves dysarthric speech characteristics, analyzing differences between real and synthetic data, and discussing implications for diagnostics, rehabilitation, and communication. We cloned voices from dysarthric and control speakers using a commercial platform, ensuring gender-matched synthetic voices. A licensed speech-language pathologist (SLP) evaluated a subset for dysarthria, speaker gender, and synthetic indicators. The SLP correctly identified dysarthria in all cases and speaker gender in 95% but misclassified 30% of synthetic samples as real, indicating high realism. Our results suggest synthetic speech effectively captures disordered characteristics and that voice cloning has advanced to produce high-quality data resembling real speech, even to trained professionals. This has critical implications for healthcare, where synthetic data can mitigate data scarcity, protect privacy, and enhance AI-driven diagnostics. By enabling the creation of diverse, high-quality speech datasets, voice cloning can improve generalizable models, personalize therapy, and advance assistive technologies for dysarthria. We publicly release our synthetic dataset to foster further research and collaboration, aiming to develop robust models that improve patient outcomes in speech-language pathology.

The rapid advancements in speech technologies over the past two decades have led to human-level performance in tasks like automatic speech recognition (ASR) for fluent speech. However, the efficacy of these models diminishes when applied to atypical speech, such as stuttering. This paper introduces AS-70, the first publicly available Mandarin stuttered speech dataset, which stands out as the largest dataset in its category. Encompassing conversational and voice command reading speech, AS-70 includes verbatim manual transcription, rendering it suitable for various speech-related tasks. Furthermore, baseline systems are established, and experimental results are presented for ASR and stuttering event detection (SED) tasks. By incorporating this dataset into the model fine-tuning, significant improvements in the state-of-the-art ASR models, e.g., Whisper and Hubert, are observed, enhancing their inclusivity in addressing stuttered speech.

Depression, a prevalent mental health disorder impacting millions globally, demands reliable assessment systems. Unlike previous studies that focus solely on either detecting depression or predicting its severity, our work identifies individual symptoms of depression while also predicting its severity using speech input. We leverage self-supervised learning (SSL)-based speech models to better utilize the small-sized datasets that are frequently encountered in this task. Our study demonstrates notable performance improvements by utilizing SSL embeddings compared to conventional speech features. We compare various types of SSL pretrained models to elucidate the type of speech information (semantic, speaker, or prosodic) that contributes the most in identifying different symptoms. Additionally, we evaluate the impact of combining multiple SSL embeddings on performance. Furthermore, we show the significance of multi-task learning for identifying depressive symptoms effectively.

Speech patterns have been identified as potential diagnostic markers for neuropsychiatric conditions. However, most studies only compare a single clinical group to healthy controls, whereas clinical practice often requires differentiating between multiple potential diagnoses (multiclass settings). To address this, we assembled a dataset of repeated recordings from 420 participants (67 with major depressive disorder, 106 with schizophrenia and 46 with autism, as well as matched controls), and tested the performance of a range of conventional machine learning models and advanced Transformer models on both binary and multiclass classification, based on voice and text features. While binary models performed comparably to previous research (F1 scores between 0.54-0.75 for autism spectrum disorder, ASD; 0.67-0.92 for major depressive disorder, MDD; and 0.71-0.83 for schizophrenia); when differentiating between multiple diagnostic groups performance decreased markedly (F1 scores between 0.35-0.44 for ASD, 0.57-0.75 for MDD, 0.15-0.66 for schizophrenia, and 0.38-0.52 macro F1). Combining voice and text-based models yielded increased performance, suggesting that they capture complementary diagnostic information. Our results indicate that models trained on binary classification may learn to rely on markers of generic differences between clinical and non-clinical populations, or markers of clinical features that overlap across conditions, rather than identifying markers specific to individual conditions. We provide recommendations for future research in the field, suggesting increased focus on developing larger transdiagnostic datasets that include more fine-grained clinical features, and that can support the development of models that better capture the complexity of neuropsychiatric conditions and naturalistic diagnostic assessment.

This article details the advances made to a system that uses artificial intelligence to identify alarming student responses. This system is built into our assessment platform to assess whether a student's response indicates they are a threat to themselves or others. Such responses may include details concerning threats of violence, severe depression, suicide risks, and descriptions of abuse. Driven by advances in natural language processing, the latest model is a fine-tuned language model trained on a large corpus consisting of student responses and supplementary texts. We demonstrate that the use of a language model delivers a substantial improvement in accuracy over the previous iterations of this system.

Human beings often experience stress, which can significantly influence their performance. This study explores whether Large Language Models (LLMs) exhibit stress responses similar to those of humans and whether their performance fluctuates under different stress-inducing prompts. To investigate this, we developed a novel set of prompts, termed StressPrompt, designed to induce varying levels of stress. These prompts were derived from established psychological frameworks and carefully calibrated based on ratings from human participants. We then applied these prompts to several LLMs to assess their responses across a range of tasks, including instruction-following, complex reasoning, and emotional intelligence. The findings suggest that LLMs, like humans, perform optimally under moderate stress, consistent with the Yerkes-Dodson law. Notably, their performance declines under both low and high-stress conditions. Our analysis further revealed that these StressPrompts significantly alter the internal states of LLMs, leading to changes in their neural representations that mirror human responses to stress. This research provides critical insights into the operational robustness and flexibility of LLMs, demonstrating the importance of designing AI systems capable of maintaining high performance in real-world scenarios where stress is prevalent, such as in customer service, healthcare, and emergency response contexts. Moreover, this study contributes to the broader AI research community by offering a new perspective on how LLMs handle different scenarios and their similarities to human cognition.

The performance of Automatic Speech Recognition (ASR) systems has constantly increased in state-of-the-art development. However, performance tends to decrease considerably in more challenging conditions (e.g., background noise, multiple speaker social conversations) and with more atypical speakers (e.g., children, non-native speakers or people with speech disorders), which signifies that general improvements do not necessarily transfer to applications that rely on ASR, e.g., educational software for younger students or language learners. In this study, we focus on the gap in performance between recognition results for native and non-native, read and spontaneous, Swedish utterances transcribed by different ASR services. We compare the recognition results using Word Error Rate and analyze the linguistic factors that may generate the observed transcription errors.

Depression is a critical concern in global mental health, prompting extensive research into AI-based detection methods. Among various AI technologies, Large Language Models (LLMs) stand out for their versatility in mental healthcare applications. However, their primary limitation arises from their exclusive dependence on textual input, which constrains their overall capabilities. Furthermore, the utilization of LLMs in identifying and analyzing depressive states is still relatively untapped. In this paper, we present an innovative approach to integrating acoustic speech information into the LLMs framework for multimodal depression detection. We investigate an efficient method for depression detection by integrating speech signals into LLMs utilizing Acoustic Landmarks. By incorporating acoustic landmarks, which are specific to the pronunciation of spoken words, our method adds critical dimensions to text transcripts. This integration also provides insights into the unique speech patterns of individuals, revealing the potential mental states of individuals. Evaluations of the proposed approach on the DAIC-WOZ dataset reveal state-of-the-art results when compared with existing Audio-Text baselines. In addition, this approach is not only valuable for the detection of depression but also represents a new perspective in enhancing the ability of LLMs to comprehend and process speech signals.

Several studies have shown that speech and language features, automatically extracted from clinical interviews or spontaneous discourse, have diagnostic value for mental disorders such as schizophrenia and bipolar disorder. They typically make use of a large feature set to train a classifier for distinguishing between two groups of interest, i.e. a clinical and control group. However, a purely data-driven approach runs the risk of overfitting to a particular data set, especially when sample sizes are limited. Here, we first down-select the set of language features to a small subset that is related to a well-validated test of functional ability, the Social Skills Performance Assessment (SSPA). This helps establish the concurrent validity of the selected features. We use only these features to train a simple classifier to distinguish between groups of interest. Linear regression reveals that a subset of language features can effectively model the SSPA, with a correlation coefficient of 0.75. Furthermore, the same feature set can be used to build a strong binary classifier to distinguish between healthy controls and a clinical group (AUC = 0.96) and also between patients within the clinical group with schizophrenia and bipolar I disorder (AUC = 0.83).

Despite recent advancements in speech recognition, there are still difficulties in accurately transcribing conversational and emotional speech in noisy and reverberant acoustic environments. This poses a particular challenge in the search and rescue (SAR) domain, where transcribing conversations among rescue team members is crucial to support real-time decision-making. The scarcity of speech data and associated background noise in SAR scenarios make it difficult to deploy robust speech recognition systems. To address this issue, we have created and made publicly available a German speech dataset called RescueSpeech. This dataset includes real speech recordings from simulated rescue exercises. Additionally, we have released competitive training recipes and pre-trained models. Our study indicates that the current level of performance achieved by state-of-the-art methods is still far from being acceptable.

Hallucinations of deep neural models are amongst key challenges in automatic speech recognition (ASR). In this paper, we investigate hallucinations of the Whisper ASR model induced by non-speech audio segments present during inference. By inducting hallucinations with various types of sounds, we show that there exists a set of hallucinations that appear frequently. We then study hallucinations caused by the augmentation of speech with such sounds. Finally, we describe the creation of a bag of hallucinations (BoH) that allows to remove the effect of hallucinations through the post-processing of text transcriptions. The results of our experiments show that such post-processing is capable of reducing word error rate (WER) and acts as a good safeguard against problematic hallucinations.

There is a growing need for diverse, high-quality stuttered speech data, particularly in the context of Indian languages. This paper introduces Project Boli, a multi-lingual stuttered speech dataset designed to advance scientific understanding and technology development for individuals who stutter, particularly in India. The dataset constitutes (a) anonymized metadata (gender, age, country, mother tongue) and responses to a questionnaire about how stuttering affects their daily lives, (b) captures both read speech (using the Rainbow Passage) and spontaneous speech (through image description tasks) for each participant and (c) includes detailed annotations of five stutter types: blocks, prolongations, interjections, sound repetitions and word repetitions. We present a comprehensive analysis of the dataset, including the data collection procedure, experience summarization of people who stutter, severity assessment of stuttering events and technical validation of the collected data. The dataset is released as an open access to further speech technology development.

End-to-end speech-in speech-out dialogue systems are emerging as a powerful alternative to traditional ASR-LLM-TTS pipelines, generating more natural, expressive responses with significantly lower latency. However, these systems remain prone to hallucinations due to limited factual grounding. While text-based dialogue systems address this challenge by integrating tools such as web search and knowledge graph APIs, we introduce the first approach to extend tool use directly into speech-in speech-out systems. A key challenge is that tool integration substantially increases response latency, disrupting conversational flow. To mitigate this, we propose Streaming Retrieval-Augmented Generation (Streaming RAG), a novel framework that reduces user-perceived latency by predicting tool queries in parallel with user speech, even before the user finishes speaking. Specifically, we develop a post-training pipeline that teaches the model when to issue tool calls during ongoing speech and how to generate spoken summaries that fuse audio queries with retrieved text results, thereby improving both accuracy and responsiveness. To evaluate our approach, we construct AudioCRAG, a benchmark created by converting queries from the publicly available CRAG dataset into speech form. Experimental results demonstrate that our streaming RAG approach increases QA accuracy by up to 200% relative (from 11.1% to 34.2% absolute) and further enhances user experience by reducing tool use latency by 20%. Importantly, our streaming RAG approach is modality-agnostic and can be applied equally to typed input, paving the way for more agentic, real-time AI assistants.

Speech Language Models (SLMs) enable natural interactions via spoken instructions, which more effectively capture user intent by detecting nuances in speech. The richer speech signal introduces new security risks compared to text-based models, as adversaries can better bypass safety mechanisms by injecting imperceptible noise to speech. We analyze adversarial attacks and find that SLMs are substantially more vulnerable to jailbreak attacks, which can achieve a perfect 100% attack success rate in some instances. To improve security, we propose post-hoc patching defenses used to intervene during inference by modifying the SLM's activations that improve robustness up to 99% with (i) negligible impact on utility and (ii) without any re-training. We conduct ablation studies to maximize the efficacy of our defenses and improve the utility/security trade-off, validated with large-scale benchmarks unique to SLMs.

Introduction: Electronic health records (EHR) are a critical medium through which patient stigmatization is perpetuated among healthcare teams. Methods: We identified linguistic features of doubt markers and stigmatizing labels in MIMIC-III EHR via expanded lexicon matching and supervised learning classifiers. Predictors of rates of linguistic features were assessed using Poisson regression models. Results: We found higher rates of stigmatizing labels per chart among patients who were Black or African American (RR: 1.16), patients with Medicare/Medicaid or government-run insurance (RR: 2.46), self-pay (RR: 2.12), and patients with a variety of stigmatizing disease and mental health conditions. Patterns among doubt markers were similar, though male patients had higher rates of doubt markers (RR: 1.25). We found increased stigmatizing labels used by nurses (RR: 1.40), and social workers (RR: 2.25), with similar patterns of doubt markers. Discussion: Stigmatizing language occurred at higher rates among historically stigmatized patients, perpetuated by multiple provider types.

Psychological corpora in NLP are collections of texts used to analyze human psychology, emotions, and mental health. These texts allow researchers to study psychological constructs, detect mental health issues and analyze emotional language. However, mental health data can be difficult to collect correctly from social media, due to suppositions made by the collectors. A more pragmatic strategy involves gathering data through open-ended questions and then assessing this information with self-report screening surveys. This method was employed successfully for English, a language with a lot of psychological NLP resources. However, this cannot be stated for Romanian, which currently has no open-source mental health corpus. To address this gap, we have created the first corpus for depression and anxiety in Romanian, by utilizing a form with 6 open-ended questions along with the standardized PHQ-9 and GAD-7 screening questionnaires. Consisting of the texts of 205 respondents and although it may seem small, PsihoRo is a first step towards understanding and analyzing texts regarding the mental health of the Romanian population. We employ statistical analysis, text analysis using Romanian LIWC, emotion detection and topic modeling to show what are the most important features of this newly introduced resource to the NLP community.

The recent advancements in Large Language Models (LLMs) have garnered widespread acclaim for their remarkable emerging capabilities. However, the issue of hallucination has parallelly emerged as a by-product, posing significant concerns. While some recent endeavors have been made to identify and mitigate different types of hallucination, there has been a limited emphasis on the nuanced categorization of hallucination and associated mitigation methods. To address this gap, we offer a fine-grained discourse on profiling hallucination based on its degree, orientation, and category, along with offering strategies for alleviation. As such, we define two overarching orientations of hallucination: (i) factual mirage (FM) and (ii) silver lining (SL). To provide a more comprehensive understanding, both orientations are further sub-categorized into intrinsic and extrinsic, with three degrees of severity - (i) mild, (ii) moderate, and (iii) alarming. We also meticulously categorize hallucination into six types: (i) acronym ambiguity, (ii) numeric nuisance, (iii) generated golem, (iv) virtual voice, (v) geographic erratum, and (vi) time wrap. Furthermore, we curate HallucInation eLiciTation (HILT), a publicly available dataset comprising of 75,000 samples generated using 15 contemporary LLMs along with human annotations for the aforementioned categories. Finally, to establish a method for quantifying and to offer a comparative spectrum that allows us to evaluate and rank LLMs based on their vulnerability to producing hallucinations, we propose Hallucination Vulnerability Index (HVI). We firmly believe that HVI holds significant value as a tool for the wider NLP community, with the potential to serve as a rubric in AI-related policy-making. In conclusion, we propose two solution strategies for mitigating hallucinations.

Widely deployed large language models (LLMs) can produce convincing yet incorrect outputs, potentially misleading users who may rely on them as if they were correct. To reduce such overreliance, there have been calls for LLMs to communicate their uncertainty to end users. However, there has been little empirical work examining how users perceive and act upon LLMs' expressions of uncertainty. We explore this question through a large-scale, pre-registered, human-subject experiment (N=404) in which participants answer medical questions with or without access to responses from a fictional LLM-infused search engine. Using both behavioral and self-reported measures, we examine how different natural language expressions of uncertainty impact participants' reliance, trust, and overall task performance. We find that first-person expressions (e.g., "I'm not sure, but...") decrease participants' confidence in the system and tendency to agree with the system's answers, while increasing participants' accuracy. An exploratory analysis suggests that this increase can be attributed to reduced (but not fully eliminated) overreliance on incorrect answers. While we observe similar effects for uncertainty expressed from a general perspective (e.g., "It's not clear, but..."), these effects are weaker and not statistically significant. Our findings suggest that using natural language expressions of uncertainty may be an effective approach for reducing overreliance on LLMs, but that the precise language used matters. This highlights the importance of user testing before deploying LLMs at scale.

Background: Rapid advancements in natural language processing have led to the development of large language models with the potential to revolutionize mental health care. These models have shown promise in assisting clinicians and providing support to individuals experiencing various psychological challenges. Objective: This study aims to compare the performance of two large language models, GPT-4 and Chat-GPT, in responding to a set of 18 psychological prompts, to assess their potential applicability in mental health care settings. Methods: A blind methodology was employed, with a clinical psychologist evaluating the models' responses without knowledge of their origins. The prompts encompassed a diverse range of mental health topics, including depression, anxiety, and trauma, to ensure a comprehensive assessment. Results: The results demonstrated a significant difference in performance between the two models (p > 0.05). GPT-4 achieved an average rating of 8.29 out of 10, while Chat-GPT received an average rating of 6.52. The clinical psychologist's evaluation suggested that GPT-4 was more effective at generating clinically relevant and empathetic responses, thereby providing better support and guidance to potential users. Conclusions: This study contributes to the growing body of literature on the applicability of large language models in mental health care settings. The findings underscore the importance of continued research and development in the field to optimize these models for clinical use. Further investigation is necessary to understand the specific factors underlying the performance differences between the two models and to explore their generalizability across various populations and mental health conditions.

The limited availability of psychologists necessitates efficient identification of individuals requiring urgent mental healthcare. This study explores the use of Natural Language Processing (NLP) pipelines to analyze text data from online mental health forums used for consultations. By analyzing forum posts, these pipelines can flag users who may require immediate professional attention. A crucial challenge in this domain is data privacy and scarcity. To address this, we propose utilizing readily available curricular texts used in institutes specializing in mental health for pre-training the NLP pipelines. This helps us mimic the training process of a psychologist. Our work presents CASE-BERT that flags potential mental health disorders based on forum text. CASE-BERT demonstrates superior performance compared to existing methods, achieving an f1 score of 0.91 for Depression and 0.88 for Anxiety, two of the most commonly reported mental health disorders. Our code is publicly available.

Large Language Models (LLMs) often generate outputs that lack grounding in real-world facts, a phenomenon known as hallucinations. Prior research has associated hallucinations with model uncertainty, leveraging this relationship for hallucination detection and mitigation. In this paper, we challenge the underlying assumption that all hallucinations are associated with uncertainty. Using knowledge detection and uncertainty measurement methods, we demonstrate that models can hallucinate with high certainty even when they have the correct knowledge. We further show that high-certainty hallucinations are consistent across models and datasets, distinctive enough to be singled out, and challenge existing mitigation methods. Our findings reveal an overlooked aspect of hallucinations, emphasizing the need to understand their origins and improve mitigation strategies to enhance LLM safety. The code is available at https://github.com/technion-cs-nlp/Trust_me_Im_wrong .

Like students facing hard exam questions, large language models sometimes guess when uncertain, producing plausible yet incorrect statements instead of admitting uncertainty. Such "hallucinations" persist even in state-of-the-art systems and undermine trust. We argue that language models hallucinate because the training and evaluation procedures reward guessing over acknowledging uncertainty, and we analyze the statistical causes of hallucinations in the modern training pipeline. Hallucinations need not be mysterious -- they originate simply as errors in binary classification. If incorrect statements cannot be distinguished from facts, then hallucinations in pretrained language models will arise through natural statistical pressures. We then argue that hallucinations persist due to the way most evaluations are graded -- language models are optimized to be good test-takers, and guessing when uncertain improves test performance. This "epidemic" of penalizing uncertain responses can only be addressed through a socio-technical mitigation: modifying the scoring of existing benchmarks that are misaligned but dominate leaderboards, rather than introducing additional hallucination evaluations. This change may steer the field toward more trustworthy AI systems.

Mental health remains a challenging problem all over the world, with issues like depression, anxiety becoming increasingly common. Large Language Models (LLMs) have seen a vast application in healthcare, specifically in answering medical questions. However, there is a lack of standard benchmarking datasets for question answering (QA) in mental health. Our work presents a novel multiple choice dataset, MHQA (Mental Health Question Answering), for benchmarking Language models (LMs). Previous mental health datasets have focused primarily on text classification into specific labels or disorders. MHQA, on the other hand, presents question-answering for mental health focused on four key domains: anxiety, depression, trauma, and obsessive/compulsive issues, with diverse question types, namely, factoid, diagnostic, prognostic, and preventive. We use PubMed abstracts as the primary source for QA. We develop a rigorous pipeline for LLM-based identification of information from abstracts based on various selection criteria and converting it into QA pairs. Further, valid QA pairs are extracted based on post-hoc validation criteria. Overall, our MHQA dataset consists of 2,475 expert-verified gold standard instances called MHQA-gold and ~56.1k pairs pseudo labeled using external medical references. We report F1 scores on different LLMs along with few-shot and supervised fine-tuning experiments, further discussing the insights for the scores.

There is a growing literature on reasoning by large language models (LLMs), but the discussion on the uncertainty in their responses is still lacking. Our aim is to assess the extent of confidence that LLMs have in their answers and how it correlates with accuracy. Confidence is measured (i) qualitatively in terms of persistence in keeping their answer when prompted to reconsider, and (ii) quantitatively in terms of self-reported confidence score. We investigate the performance of three LLMs -- GPT4o, GPT4-turbo and Mistral -- on two benchmark sets of questions on causal judgement and formal fallacies and a set of probability and statistical puzzles and paradoxes. Although the LLMs show significantly better performance than random guessing, there is a wide variability in their tendency to change their initial answers. There is a positive correlation between qualitative confidence and accuracy, but the overall accuracy for the second answer is often worse than for the first answer. There is a strong tendency to overstate the self-reported confidence score. Confidence is only partially explained by the underlying token-level probability. The material effects of prompting on qualitative confidence and the strong tendency for overconfidence indicate that current LLMs do not have any internally coherent sense of confidence.

Objectives: While Large Language Models (LLMs) have been widely used to assist clinicians and support patients, no existing work has explored dialogue systems for standard diagnostic interviews and assessments. This study aims to bridge the gap in mental healthcare accessibility by developing an LLM-powered dialogue system that replicates clinician behavior. Materials and Methods: We introduce TRUST, a framework of cooperative LLM modules capable of conducting formal diagnostic interviews and assessments for Post-Traumatic Stress Disorder (PTSD). To guide the generation of appropriate clinical responses, we propose a Dialogue Acts schema specifically designed for clinical interviews. Additionally, we develop a patient simulation approach based on real-life interview transcripts to replace time-consuming and costly manual testing by clinicians. Results: A comprehensive set of evaluation metrics is designed to assess the dialogue system from both the agent and patient simulation perspectives. Expert evaluations by conversation and clinical specialists show that TRUST performs comparably to real-life clinical interviews. Discussion: Our system performs at the level of average clinicians, with room for future enhancements in communication styles and response appropriateness. Conclusions: Our TRUST framework shows its potential to facilitate mental healthcare availability.

Many recent improvements in NLP stem from the development and use of large pre-trained language models (PLMs) with billions of parameters. Large model sizes makes computational cost one of the main limiting factors for training and evaluating such models; and has raised severe concerns about the sustainability, reproducibility, and inclusiveness for researching PLMs. These concerns are often based on personal experiences and observations. However, there had not been any large-scale surveys that investigate them. In this work, we provide a first attempt to quantify these concerns regarding three topics, namely, environmental impact, equity, and impact on peer reviewing. By conducting a survey with 312 participants from the NLP community, we capture existing (dis)parities between different and within groups with respect to seniority, academia, and industry; and their impact on the peer reviewing process. For each topic, we provide an analysis and devise recommendations to mitigate found disparities, some of which already successfully implemented. Finally, we discuss additional concerns raised by many participants in free-text responses.

Africa has a very low doctor-to-patient ratio. At very busy clinics, doctors could see 30+ patients per day -- a heavy patient burden compared with developed countries -- but productivity tools such as clinical automatic speech recognition (ASR) are lacking for these overworked clinicians. However, clinical ASR is mature, even ubiquitous, in developed nations, and clinician-reported performance of commercial clinical ASR systems is generally satisfactory. Furthermore, the recent performance of general domain ASR is approaching human accuracy. However, several gaps exist. Several publications have highlighted racial bias with speech-to-text algorithms and performance on minority accents lags significantly. To our knowledge, there is no publicly available research or benchmark on accented African clinical ASR, and speech data is non-existent for the majority of African accents. We release AfriSpeech, 200hrs of Pan-African English speech, 67,577 clips from 2,463 unique speakers across 120 indigenous accents from 13 countries for clinical and general domain ASR, a benchmark test set, with publicly available pre-trained models with SOTA performance on the AfriSpeech benchmark.

In today's interconnected globe, moving abroad is more and more prevalent, whether it's for employment, refugee resettlement, or other causes. Language difficulties between natives and immigrants present a common issue on a daily basis, especially in medical domain. This can make it difficult for patients and doctors to communicate during anamnesis or in the emergency room, which compromises patient care. The goal of the HYKIST Project is to develop a speech translation system to support patient-doctor communication with ASR and MT. ASR systems have recently displayed astounding performance on particular tasks for which enough quantities of training data are available, such as LibriSpeech. Building a good model is still difficult due to a variety of speaking styles, acoustic and recording settings, and a lack of in-domain training data. In this thesis, we describe our efforts to construct ASR systems for a conversational telephone speech recognition task in the medical domain for Vietnamese language to assist emergency room contact between doctors and patients across linguistic barriers. In order to enhance the system's performance, we investigate various training schedules and data combining strategies. We also examine how best to make use of the little data that is available. The use of publicly accessible models like XLSR-53 is compared to the use of customized pre-trained models, and both supervised and unsupervised approaches are utilized using wav2vec 2.0 as architecture.

Spontaneous speech has many affective and pragmatic functions that are interesting and challenging to model in TTS. However, the presence of reduced articulation, fillers, repetitions, and other disfluencies in spontaneous speech make the text and acoustics less aligned than in read speech, which is problematic for attention-based TTS. We propose a TTS architecture that can rapidly learn to speak from small and irregular datasets, while also reproducing the diversity of expressive phenomena present in spontaneous speech. Specifically, we add utterance-level prosody control to an existing neural HMM-based TTS system which is capable of stable, monotonic alignments for spontaneous speech. We objectively evaluate control accuracy and perform perceptual tests that demonstrate that prosody control does not degrade synthesis quality. To exemplify the power of combining prosody control and ecologically valid data for reproducing intricate spontaneous speech phenomena, we evaluate the system's capability of synthesizing two types of creaky voice. Audio samples are available at https://www.speech.kth.se/tts-demos/prosodic-hmm/

Despite improvements in performances on different natural language generation tasks, deep neural models are prone to hallucinating facts that are incorrect or nonexistent. Different hypotheses are proposed and examined separately for different tasks, but no systematic explanations are available across these tasks. In this study, we draw connections between hallucinations and predictive uncertainty in conditional language generation. We investigate their relationship in both image captioning and data-to-text generation and propose a simple extension to beam search to reduce hallucination. Our analysis shows that higher predictive uncertainty corresponds to a higher chance of hallucination. Epistemic uncertainty is more indicative of hallucination than aleatoric or total uncertainties. It helps to achieve better results of trading performance in standard metric for less hallucination with the proposed beam search variant.

Depression has proven to be a significant public health issue, profoundly affecting the psychological well-being of individuals. If it remains undiagnosed, depression can lead to severe health issues, which can manifest physically and even lead to suicide. Generally, Diagnosing depression or any other mental disorder involves conducting semi-structured interviews alongside supplementary questionnaires, including variants of the Patient Health Questionnaire (PHQ) by Clinicians and mental health professionals. This approach places significant reliance on the experience and judgment of trained physicians, making the diagnosis susceptible to personal biases. Given that the underlying mechanisms causing depression are still being actively researched, physicians often face challenges in diagnosing and treating the condition, particularly in its early stages of clinical presentation. Recently, significant strides have been made in Artificial neural computing to solve problems involving text, image, and speech in various domains. Our analysis has aimed to leverage these state-of-the-art (SOTA) models in our experiments to achieve optimal outcomes leveraging multiple modalities. The experiments were performed on the Extended Distress Analysis Interview Corpus Wizard of Oz dataset (E-DAIC) corpus presented in the Audio/Visual Emotion Challenge (AVEC) 2019 Challenge. The proposed solutions demonstrate better results achieved by Proprietary and Open-source Large Language Models (LLMs), which achieved a Root Mean Square Error (RMSE) score of 3.98 on Textual Modality, beating the AVEC 2019 challenge baseline results and current SOTA regression analysis architectures. Additionally, the proposed solution achieved an accuracy of 71.43% in the classification task. The paper also includes a novel audio-visual multi-modal network that predicts PHQ-8 scores with an RMSE of 6.51.

Navigating certain communication situations can be challenging due to individuals' lack of skills and the interference of strong emotions. However, effective learning opportunities are rarely accessible. In this work, we conduct a human-centered study that uses language models to simulate bespoke communication training and provide just-in-time feedback to support the practice and learning of interpersonal effectiveness skills. We apply the interpersonal effectiveness framework from Dialectical Behavioral Therapy (DBT), DEAR MAN, which focuses on both conversational and emotional skills. We present IMBUE, an interactive training system that provides feedback 25% more similar to experts' feedback, compared to that generated by GPT-4. IMBUE is the first to focus on communication skills and emotion management simultaneously, incorporate experts' domain knowledge in providing feedback, and be grounded in psychology theory. Through a randomized trial of 86 participants, we find that IMBUE's simulation-only variant significantly improves participants' self-efficacy (up to 17%) and reduces negative emotions (up to 25%). With IMBUE's additional just-in-time feedback, participants demonstrate 17% improvement in skill mastery, along with greater enhancements in self-efficacy (27% more) and reduction of negative emotions (16% more) compared to simulation-only. The improvement in skill mastery is the only measure that is transferred to new and more difficult situations; situation specific training is necessary for improving self-efficacy and emotion reduction.

Despite their success in speech processing, neural networks often operate as black boxes, prompting the question: what informs their decisions, and how can we interpret them? This work examines this issue in the context of lexical stress. A dataset of English disyllabic words was automatically constructed from read and spontaneous speech. Several Convolutional Neural Network (CNN) architectures were trained to predict stress position from a spectrographic representation of disyllabic words lacking minimal stress pairs (e.g., initial stress WAllet, final stress exTEND), achieving up to 92% accuracy on held-out test data. Layerwise Relevance Propagation (LRP), a technique for CNN interpretability analysis, revealed that predictions for held-out minimal pairs (PROtest vs. proTEST ) were most strongly influenced by information in stressed versus unstressed syllables, particularly the spectral properties of stressed vowels. However, the classifiers also attended to information throughout the word. A feature-specific relevance analysis is proposed, and its results suggest that our best-performing classifier is strongly influenced by the stressed vowel's first and second formants, with some evidence that its pitch and third formant also contribute. These results reveal deep learning's ability to acquire distributed cues to stress from naturally occurring data, extending traditional phonetic work based around highly controlled stimuli.

The recent advancements in artificial intelligence highlight the potential of language models in psychological health support. While models trained on data from mental health service platform have achieved preliminary success, challenges persist in areas such as data scarcity, quality, and ensuring a solid foundation in psychological techniques. To address these challenges, this study introduces a novel approach to enhance the precision and efficacy of psychological support through large language models. Specifically, we design a specific prompt derived from principles of Cognitive Behavioral Therapy (CBT) and have generated the CBT QA dataset, specifically for Chinese psychological health Q&A based on CBT structured intervention strategies. Unlike previous methods, our dataset emphasizes professional and structured response. Utilizing this dataset, we fine-tuned the large language model, giving birth to CBT-LLM, the large-scale language model specifically designed for Cognitive Behavioral Therapy techniques. Empirical evaluations demonstrate that CBT-LLM excels in generating structured, professional, and highly relevant responses in psychological health support tasks, showcasing its practicality and quality. The model is available on Hugging Face: https://huggingface.co/Hongbin37/CBT-LLM.

Hallucinations are a type of output error produced by deep neural networks. While this has been studied in natural language processing, they have not been researched previously in automatic speech recognition. Here, we define hallucinations in ASR as transcriptions generated by a model that are semantically unrelated to the source utterance, yet still fluent and coherent. The similarity of hallucinations to probable natural language outputs of the model creates a danger of deception and impacts the credibility of the system. We show that commonly used metrics, such as word error rates, cannot differentiate between hallucinatory and non-hallucinatory models. To address this, we propose a perturbation-based method for assessing the susceptibility of an automatic speech recognition (ASR) model to hallucination at test time, which does not require access to the training dataset. We demonstrate that this method helps to distinguish between hallucinatory and non-hallucinatory models that have similar baseline word error rates. We further explore the relationship between the types of ASR errors and the types of dataset noise to determine what types of noise are most likely to create hallucinatory outputs. We devise a framework for identifying hallucinations by analysing their semantic connection with the ground truth and their fluency. Finally, we discover how to induce hallucinations with a random noise injection to the utterance.

Large Language Models (LLMs) have acquired ubiquitous attention for their performances across diverse domains. Our study here searches through LLMs' cognitive abilities and confidence dynamics. We dive deep into understanding the alignment between their self-assessed confidence and actual performance. We exploit these models with diverse sets of questionnaires and real-world scenarios and extract how LLMs exhibit confidence in their responses. Our findings reveal intriguing instances where models demonstrate high confidence even when they answer incorrectly. This is reminiscent of the Dunning-Kruger effect observed in human psychology. In contrast, there are cases where models exhibit low confidence with correct answers revealing potential underestimation biases. Our results underscore the need for a deeper understanding of their cognitive processes. By examining the nuances of LLMs' self-assessment mechanism, this investigation provides noteworthy revelations that serve to advance the functionalities and broaden the potential applications of these formidable language models.

Recent progress in large language models (LLMs) has enabled them to express their confidence in natural language, enhancing transparency and reliability. However, their confidence often exhibits overconfidence, the cause of which remains poorly understood. In this work, we conduct a detailed analysis of the dynamics underlying verbalized confidence and identify answer-independence as a key factor, defined as the model's failure to condition confidence on its own answer. To address this, we propose ADVICE (Answer-Dependent Verbalized Confidence Estimation), a fine-tuning framework that facilitates answer-grounded confidence estimation. Extensive experiments show that ADVICE substantially improves confidence calibration while preserving task performance. Further analyses confirm that ADVICE strengthens answer-groundedness, leading to more balanced and well-calibrated confidence distributions. Our findings shed light on the origin of overconfidence and establish a framework for more trustworthy confidence verbalization.

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.

Large language models (LLMs), including ChatGPT, Bard, and Llama, have achieved remarkable successes over the last two years in a range of different applications. In spite of these successes, there exist concerns that limit the wide application of LLMs. A key problem is the problem of hallucination. Hallucination refers to the fact that in addition to correct responses, LLMs can also generate seemingly correct but factually incorrect responses. This report aims to present a comprehensive review of the current literature on both hallucination detection and hallucination mitigation. We hope that this report can serve as a good reference for both engineers and researchers who are interested in LLMs and applying them to real world tasks.

The delayed access to specialized psychiatric assessments and care for patients at risk of suicidal tendencies in emergency departments creates a notable gap in timely intervention, hindering the provision of adequate mental health support during critical situations. To address this, we present a non-invasive, speech-based approach for automatic suicide risk assessment. For our study, we have collected a novel dataset of speech recordings from 20 patients from which we extract three sets of features, including wav2vec, interpretable speech and acoustic features, and deep learning-based spectral representations. We proceed by conducting a binary classification to assess suicide risk in a leave-one-subject-out fashion. Our most effective speech model achieves a balanced accuracy of 66.2,%. Moreover, we show that integrating our speech model with a series of patients' metadata, such as the history of suicide attempts or access to firearms, improves the overall result. The metadata integration yields a balanced accuracy of 94.4,%, marking an absolute improvement of 28.2,%, demonstrating the efficacy of our proposed approaches for automatic suicide risk assessment in emergency medicine.

Despite regulations imposed by nations and social media platforms, such as recent EU regulations targeting digital violence, abusive content persists as a significant challenge. Existing approaches primarily rely on binary solutions, such as outright blocking or banning, yet fail to address the complex nature of abusive speech. In this work, we propose a more comprehensive approach called Demarcation scoring abusive speech based on four aspect -- (i) severity scale; (ii) presence of a target; (iii) context scale; (iv) legal scale -- and suggesting more options of actions like detoxification, counter speech generation, blocking, or, as a final measure, human intervention. Through a thorough analysis of abusive speech regulations across diverse jurisdictions, platforms, and research papers we highlight the gap in preventing measures and advocate for tailored proactive steps to combat its multifaceted manifestations. Our work aims to inform future strategies for effectively addressing abusive speech online.

Human spoken communication involves not only lexical content but also non-verbal vocalizations (NVs) such as laughter, sighs, and coughs, which convey emotions, intentions, and social signals. However, most existing speech systems focus solely on verbal content and lack the ability to understand and generate such non-verbal cues, reducing the emotional intelligence and communicative richness of spoken interfaces. In this work, we introduce NonVerbalSpeech-38K, a large and diverse dataset for non-verbal speech generation and understanding, collected from real-world media and annotated using an automatic pipeline. The dataset contains 38,718 samples (about 131 hours) with 10 categories of non-verbal cues, such as laughter, sniff, and throat clearing. We further validate the dataset by fine-tuning state-of-the-art models, including F5-TTS and Qwen2-Audio, demonstrating its effectiveness in non-verbal speech generation and understanding tasks. Our contributions are threefold: (1) We propose a practical pipeline for building natural and diverse non-verbal speech datasets; (2) We release a large-scale dataset to advance research on non-verbal speech generation and understanding; (3) We validate the dataset's effectiveness by demonstrating improvements in both non-verbal speech synthesis and captioning, thereby facilitating richer human-computer interaction.

While the last decade has witnessed significant advancements in Automatic Speech Recognition (ASR) systems, performance of these systems for individuals with speech disabilities remains inadequate, partly due to limited public training data. To bridge this gap, the 2025 Interspeech Speech Accessibility Project (SAP) Challenge was launched, utilizing over 400 hours of SAP data collected and transcribed from more than 500 individuals with diverse speech disabilities. Hosted on EvalAI and leveraging the remote evaluation pipeline, the SAP Challenge evaluates submissions based on Word Error Rate and Semantic Score. Consequently, 12 out of 22 valid teams outperformed the whisper-large-v2 baseline in terms of WER, while 17 teams surpassed the baseline on SemScore. Notably, the top team achieved the lowest WER of 8.11\%, and the highest SemScore of 88.44\% at the same time, setting new benchmarks for future ASR systems in recognizing impaired speech.

Abusive language is a growing concern in many social media platforms. Repeated exposure to abusive speech has created physiological effects on the target users. Thus, the problem of abusive language should be addressed in all forms for online peace and safety. While extensive research exists in abusive speech detection, most studies focus on English. Recently, many smearing incidents have occurred in India, which provoked diverse forms of abusive speech in online space in various languages based on the geographic location. Therefore it is essential to deal with such malicious content. In this paper, to bridge the gap, we demonstrate a large-scale analysis of multilingual abusive speech in Indic languages. We examine different interlingual transfer mechanisms and observe the performance of various multilingual models for abusive speech detection for eight different Indic languages. We also experiment to show how robust these models are on adversarial attacks. Finally, we conduct an in-depth error analysis by looking into the models' misclassified posts across various settings. We have made our code and models public for other researchers.

We release Rasa, the first multilingual expressive TTS dataset for any Indian language, which contains 10 hours of neutral speech and 1-3 hours of expressive speech for each of the 6 Ekman emotions covering 3 languages: Assamese, Bengali, & Tamil. Our ablation studies reveal that just 1 hour of neutral and 30 minutes of expressive data can yield a Fair system as indicated by MUSHRA scores. Increasing neutral data to 10 hours, with minimal expressive data, significantly enhances expressiveness. This offers a practical recipe for resource-constrained languages, prioritizing easily obtainable neutral data alongside smaller amounts of expressive data. We show the importance of syllabically balanced data and pooling emotions to enhance expressiveness. We also highlight challenges in generating specific emotions, e.g., fear and surprise.

In this paper, we present a 170.83 hour Indian English spontaneous speech dataset. Lack of Indian English speech data is one of the major hindrances in developing robust speech systems which are adapted to the Indian speech style. Moreover this scarcity is even more for spontaneous speech. This corpus is crowd sourced over varied Indian nativities, genders and age groups. Traditional spontaneous speech collection strategies involve capturing of speech during interviewing or conversations. In this study, we use images as stimuli to induce spontaneity in speech. Transcripts for 23 hours is generated and validated which can serve as a spontaneous speech ASR benchmark. Quality of the corpus is validated with voice activity detection based segmentation, gender verification and image semantic correlation. Which determines a relationship between image stimulus and recorded speech using caption keywords derived from Image2Text model and high occurring words derived from whisper ASR generated transcripts.

Disclaimer: Samples in this paper may be harmful and cause discomfort! Patronizing and condescending language (PCL) is a form of speech directed at vulnerable groups. As an essential branch of toxic language, this type of language exacerbates conflicts and confrontations among Internet communities and detrimentally impacts disadvantaged groups. Traditional pre-trained language models (PLMs) perform poorly in detecting PCL due to its implicit toxicity traits like hypocrisy and false sympathy. With the rise of large language models (LLMs), we can harness their rich emotional semantics to establish a paradigm for exploring implicit toxicity. In this paper, we introduce PclGPT, a comprehensive LLM benchmark designed specifically for PCL. We collect, annotate, and integrate the Pcl-PT/SFT dataset, and then develop a bilingual PclGPT-EN/CN model group through a comprehensive pre-training and supervised fine-tuning staircase process to facilitate implicit toxic detection. Group detection results and fine-grained detection from PclGPT and other models reveal significant variations in the degree of bias in PCL towards different vulnerable groups, necessitating increased societal attention to protect them.

Large language models (LLMs) have received much attention and shown their potential in digital health, while their application in mental health is subject to ongoing debate. This systematic review aims to summarize and characterize the use of LLMs in mental health by investigating the strengths and limitations of the latest work in LLMs and discusses the challenges and opportunities for early screening, digital interventions, and other clinical applications in mental health. Following PRISMA guidelines, we examined English articles from PubMed, DBLP Computer Science Bibliography, and IEEE Xplore, published between 1 January 2017, and 1 September 2023, focusing on mental health and LLMs. The review analyzed 32 articles, including mental health analysis using social media datasets (n=13), mental health chatbots (n=10), and other mental health applications (n=9). Findings reveal LLMs' effectiveness in mental health issue detection and the enhancement of telepsychological services through personalised healthcare. Nonetheless, risks like text inconsistencies, hallucinatory content, and the lack of an ethical framework raise concerns about their clinical use. Despite these challenges, the advancement of LLMs underscores their potential as innovative clinical tools, necessitating further research and development. The review emphasizes that LLMs should complement, not replace, professional mental health services.

A major risk of using language models in practical applications is their tendency to hallucinate incorrect statements. Hallucinations are often attributed to knowledge gaps in LMs, but we hypothesize that in some cases, when justifying previously generated hallucinations, LMs output false claims that they can separately recognize as incorrect. We construct three question-answering datasets where ChatGPT and GPT-4 often state an incorrect answer and offer an explanation with at least one incorrect claim. Crucially, we find that ChatGPT and GPT-4 can identify 67% and 87% of their own mistakes, respectively. We refer to this phenomenon as hallucination snowballing: an LM over-commits to early mistakes, leading to more mistakes that it otherwise would not make.

Large audio-language models (LALMs) have achieved near-human performance in sentence-level transcription and emotion recognition. However, existing evaluations focus mainly on surface-level perception, leaving the capacity of models for contextual and inference-driven reasoning in speech-based scenarios insufficiently examined. To address this gap, we introduce SpeechR, a unified benchmark for evaluating reasoning over speech in large audio-language models. SpeechR evaluates models along three key dimensions: factual retrieval, procedural inference, and normative judgment. It includes three distinct evaluation formats. The multiple-choice version measures answer selection accuracy. The generative version assesses the coherence and logical consistency of reasoning chains. The acoustic-feature version investigates whether variations in stress and emotion affect reasoning performance. Evaluations on eleven state-of-the-art LALMs reveal that high transcription accuracy does not translate into strong reasoning capabilities. SpeechR establishes a structured benchmark for evaluating reasoning in spoken language, enabling more targeted analysis of model capabilities across diverse dialogue-based tasks.

Recent progress in large language models (LLMs) has enabled understanding of both speech and non-speech audio, but exposing new safety risks emerging from complex audio inputs that are inadequately handled by current safeguards. We introduce SACRED-Bench (Speech-Audio Composition for RED-teaming) to evaluate the robustness of LLMs under complex audio-based attacks. Unlike existing perturbation-based methods that rely on noise optimization or white-box access, SACRED-Bench exploits speech-audio composition mechanisms. SACRED-Bench adopts three mechanisms: (a) speech overlap and multi-speaker dialogue, which embeds harmful prompts beneath or alongside benign speech; (b) speech-audio mixture, which imply unsafe intent via non-speech audio alongside benign speech or audio; and (c) diverse spoken instruction formats (open-ended QA, yes/no) that evade text-only filters. Experiments show that, even Gemini 2.5 Pro, the state-of-the-art proprietary LLM, still exhibits 66% attack success rate in SACRED-Bench test set, exposing vulnerabilities under cross-modal, speech-audio composition attacks. To bridge this gap, we propose SALMONN-Guard, a safeguard LLM that jointly inspects speech, audio, and text for safety judgments, reducing attack success down to 20%. Our results highlight the need for audio-aware defenses for the safety of multimodal LLMs. The benchmark and SALMONN-Guard checkpoints can be found at https://huggingface.co/datasets/tsinghua-ee/SACRED-Bench. Warning: this paper includes examples that may be offensive or harmful.

In recent years, we have observed a rapid advancement in speech language models (SpeechLLMs), catching up with humans' listening and reasoning abilities. SpeechLLMs have demonstrated impressive spoken dialog question-answering (SQA) performance in benchmarks like Gaokao, the English listening test of the college entrance exam in China, which seemingly requires understanding both the spoken content and voice characteristics of speakers in a conversation. However, after carefully examining Gaokao's questions, we find the correct answers to many questions can be inferred from the conversation transcript alone, i.e.\ without speaker segmentation and identification. Our evaluation of state-of-the-art models Qwen-Audio and WavLLM on both Gaokao and our proposed "What Do You Like?" dataset shows a significantly higher accuracy in these context-based questions than in identity-critical questions, which can only be answered reliably with correct speaker identification. The results and analysis suggest that when solving SQA, the current SpeechLLMs exhibit limited speaker awareness from the audio and behave similarly to an LLM reasoning from the conversation transcription without sound. We propose that tasks focused on identity-critical questions could offer a more accurate evaluation framework of SpeechLLMs in SQA.