@inproceedings{li-etal-2024-understanding-therapeutic,
title = "Understanding the Therapeutic Relationship between Counselors and Clients in Online Text-based Counseling using {LLM}s",
author = "Li, Anqi and
Lu, Yu and
Song, Nirui and
Zhang, Shuai and
Ma, Lizhi and
Lan, Zhenzhong",
editor = "Al-Onaizan, Yaser and
Bansal, Mohit and
Chen, Yun-Nung",
booktitle = "Findings of the Association for Computational Linguistics: EMNLP 2024",
month = nov,
year = "2024",
address = "Miami, Florida, USA",
publisher = "Association for Computational Linguistics",
url = "https://aclanthology.org/2024.findings-emnlp.69",
pages = "1280--1303",
abstract = "Robust therapeutic relationships between counselors and clients are fundamental to counseling effectiveness. The assessment of therapeutic alliance is well-established in traditional face-to-face therapy but may not directly translate to text-based settings. With millions of individuals seeking support through online text-based counseling, understanding the relationship in such contexts is crucial.In this paper, we present an automatic approach using large language models (LLMs) to understand the development of therapeutic alliance in text-based counseling. We adapt a theoretically grounded framework specifically to the context of online text-based counseling and develop comprehensive guidelines for characterizing the alliance. We collect a comprehensive counseling dataset and conduct multiple expert evaluations on a subset based on this framework. Our LLM-based approach, combined with guidelines and simultaneous extraction of supportive evidence underlying its predictions, demonstrates effectiveness in identifying the therapeutic alliance. Through further LLM-based evaluations on additional conversations, our findings underscore the challenges counselors face in cultivating strong online relationships with clients. Furthermore, we demonstrate the potential of LLM-based feedback mechanisms to enhance counselors{'} ability to build relationships, supported by a small-scale proof-of-concept.",
}
<?xml version="1.0" encoding="UTF-8"?>
<modsCollection xmlns="http://www.loc.gov/mods/v3">
<mods ID="li-etal-2024-understanding-therapeutic">
<titleInfo>
<title>Understanding the Therapeutic Relationship between Counselors and Clients in Online Text-based Counseling using LLMs</title>
</titleInfo>
<name type="personal">
<namePart type="given">Anqi</namePart>
<namePart type="family">Li</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Yu</namePart>
<namePart type="family">Lu</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Nirui</namePart>
<namePart type="family">Song</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Shuai</namePart>
<namePart type="family">Zhang</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Lizhi</namePart>
<namePart type="family">Ma</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Zhenzhong</namePart>
<namePart type="family">Lan</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<originInfo>
<dateIssued>2024-11</dateIssued>
</originInfo>
<typeOfResource>text</typeOfResource>
<relatedItem type="host">
<titleInfo>
<title>Findings of the Association for Computational Linguistics: EMNLP 2024</title>
</titleInfo>
<name type="personal">
<namePart type="given">Yaser</namePart>
<namePart type="family">Al-Onaizan</namePart>
<role>
<roleTerm authority="marcrelator" type="text">editor</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Mohit</namePart>
<namePart type="family">Bansal</namePart>
<role>
<roleTerm authority="marcrelator" type="text">editor</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Yun-Nung</namePart>
<namePart type="family">Chen</namePart>
<role>
<roleTerm authority="marcrelator" type="text">editor</roleTerm>
</role>
</name>
<originInfo>
<publisher>Association for Computational Linguistics</publisher>
<place>
<placeTerm type="text">Miami, Florida, USA</placeTerm>
</place>
</originInfo>
<genre authority="marcgt">conference publication</genre>
</relatedItem>
<abstract>Robust therapeutic relationships between counselors and clients are fundamental to counseling effectiveness. The assessment of therapeutic alliance is well-established in traditional face-to-face therapy but may not directly translate to text-based settings. With millions of individuals seeking support through online text-based counseling, understanding the relationship in such contexts is crucial.In this paper, we present an automatic approach using large language models (LLMs) to understand the development of therapeutic alliance in text-based counseling. We adapt a theoretically grounded framework specifically to the context of online text-based counseling and develop comprehensive guidelines for characterizing the alliance. We collect a comprehensive counseling dataset and conduct multiple expert evaluations on a subset based on this framework. Our LLM-based approach, combined with guidelines and simultaneous extraction of supportive evidence underlying its predictions, demonstrates effectiveness in identifying the therapeutic alliance. Through further LLM-based evaluations on additional conversations, our findings underscore the challenges counselors face in cultivating strong online relationships with clients. Furthermore, we demonstrate the potential of LLM-based feedback mechanisms to enhance counselors’ ability to build relationships, supported by a small-scale proof-of-concept.</abstract>
<identifier type="citekey">li-etal-2024-understanding-therapeutic</identifier>
<location>
<url>https://aclanthology.org/2024.findings-emnlp.69</url>
</location>
<part>
<date>2024-11</date>
<extent unit="page">
<start>1280</start>
<end>1303</end>
</extent>
</part>
</mods>
</modsCollection>
%0 Conference Proceedings
%T Understanding the Therapeutic Relationship between Counselors and Clients in Online Text-based Counseling using LLMs
%A Li, Anqi
%A Lu, Yu
%A Song, Nirui
%A Zhang, Shuai
%A Ma, Lizhi
%A Lan, Zhenzhong
%Y Al-Onaizan, Yaser
%Y Bansal, Mohit
%Y Chen, Yun-Nung
%S Findings of the Association for Computational Linguistics: EMNLP 2024
%D 2024
%8 November
%I Association for Computational Linguistics
%C Miami, Florida, USA
%F li-etal-2024-understanding-therapeutic
%X Robust therapeutic relationships between counselors and clients are fundamental to counseling effectiveness. The assessment of therapeutic alliance is well-established in traditional face-to-face therapy but may not directly translate to text-based settings. With millions of individuals seeking support through online text-based counseling, understanding the relationship in such contexts is crucial.In this paper, we present an automatic approach using large language models (LLMs) to understand the development of therapeutic alliance in text-based counseling. We adapt a theoretically grounded framework specifically to the context of online text-based counseling and develop comprehensive guidelines for characterizing the alliance. We collect a comprehensive counseling dataset and conduct multiple expert evaluations on a subset based on this framework. Our LLM-based approach, combined with guidelines and simultaneous extraction of supportive evidence underlying its predictions, demonstrates effectiveness in identifying the therapeutic alliance. Through further LLM-based evaluations on additional conversations, our findings underscore the challenges counselors face in cultivating strong online relationships with clients. Furthermore, we demonstrate the potential of LLM-based feedback mechanisms to enhance counselors’ ability to build relationships, supported by a small-scale proof-of-concept.
%U https://aclanthology.org/2024.findings-emnlp.69
%P 1280-1303
Markdown (Informal)
[Understanding the Therapeutic Relationship between Counselors and Clients in Online Text-based Counseling using LLMs](https://aclanthology.org/2024.findings-emnlp.69) (Li et al., Findings 2024)
ACL