@inproceedings{lim-kim-2026-anonpsy,
title = "Anonpsy: A Graph-Based Framework for Structure-Preserving De-identification of Psychiatric Narratives",
author = "Lim, Kyungho and
Kim, Byung-Hoon",
editor = "Liakata, Maria and
Moreira, Viviane P. and
Zhang, Jiajun and
Jurgens, David",
booktitle = "Findings of the {A}ssociation for {C}omputational {L}inguistics: {ACL} 2026",
month = jul,
year = "2026",
address = "San Diego, California, United States",
publisher = "Association for Computational Linguistics",
url = "https://aclanthology.org/2026.findings-acl.963/",
pages = "19288--19311",
ISBN = "979-8-89176-395-1",
abstract = "Psychiatric narratives encode patient identity not only through explicit identifiers but also through idiosyncratic life events embedded in clinical structure. Existing de-identification approaches, including PHI masking and LLM-based synthetic rewriting, operate at the text level and offer limited control over which semantic elements are preserved or altered. We introduce \textbf{Anonpsy}, a de-identification framework that reformulates the task as graph-guided semantic rewriting. Anonpsy (1) converts each narrative into a semantic graph encoding clinical entities, temporal anchors, and typed relations; (2) applies graph-constrained perturbations that modify identifying context while preserving clinical structure; and (3) regenerates text via graph-conditioned LLM generation. Evaluated on 90 clinician-authored psychiatric case narratives, Anonpsy preserves diagnostic fidelity while achieving consistently low re-identification risk under expert, semantic, and GPT-5-based evaluations. Compared with a strong LLM-only rewriting baseline, Anonpsy yields substantially lower semantic similarity and identifiability. These results demonstrate that explicit structural representations combined with constrained generation provide an effective approach to de-identification for psychiatric narratives."
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<abstract>Psychiatric narratives encode patient identity not only through explicit identifiers but also through idiosyncratic life events embedded in clinical structure. Existing de-identification approaches, including PHI masking and LLM-based synthetic rewriting, operate at the text level and offer limited control over which semantic elements are preserved or altered. We introduce Anonpsy, a de-identification framework that reformulates the task as graph-guided semantic rewriting. Anonpsy (1) converts each narrative into a semantic graph encoding clinical entities, temporal anchors, and typed relations; (2) applies graph-constrained perturbations that modify identifying context while preserving clinical structure; and (3) regenerates text via graph-conditioned LLM generation. Evaluated on 90 clinician-authored psychiatric case narratives, Anonpsy preserves diagnostic fidelity while achieving consistently low re-identification risk under expert, semantic, and GPT-5-based evaluations. Compared with a strong LLM-only rewriting baseline, Anonpsy yields substantially lower semantic similarity and identifiability. These results demonstrate that explicit structural representations combined with constrained generation provide an effective approach to de-identification for psychiatric narratives.</abstract>
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%0 Conference Proceedings
%T Anonpsy: A Graph-Based Framework for Structure-Preserving De-identification of Psychiatric Narratives
%A Lim, Kyungho
%A Kim, Byung-Hoon
%Y Liakata, Maria
%Y Moreira, Viviane P.
%Y Zhang, Jiajun
%Y Jurgens, David
%S Findings of the Association for Computational Linguistics: ACL 2026
%D 2026
%8 July
%I Association for Computational Linguistics
%C San Diego, California, United States
%@ 979-8-89176-395-1
%F lim-kim-2026-anonpsy
%X Psychiatric narratives encode patient identity not only through explicit identifiers but also through idiosyncratic life events embedded in clinical structure. Existing de-identification approaches, including PHI masking and LLM-based synthetic rewriting, operate at the text level and offer limited control over which semantic elements are preserved or altered. We introduce Anonpsy, a de-identification framework that reformulates the task as graph-guided semantic rewriting. Anonpsy (1) converts each narrative into a semantic graph encoding clinical entities, temporal anchors, and typed relations; (2) applies graph-constrained perturbations that modify identifying context while preserving clinical structure; and (3) regenerates text via graph-conditioned LLM generation. Evaluated on 90 clinician-authored psychiatric case narratives, Anonpsy preserves diagnostic fidelity while achieving consistently low re-identification risk under expert, semantic, and GPT-5-based evaluations. Compared with a strong LLM-only rewriting baseline, Anonpsy yields substantially lower semantic similarity and identifiability. These results demonstrate that explicit structural representations combined with constrained generation provide an effective approach to de-identification for psychiatric narratives.
%U https://aclanthology.org/2026.findings-acl.963/
%P 19288-19311
Markdown (Informal)
[Anonpsy: A Graph-Based Framework for Structure-Preserving De-identification of Psychiatric Narratives](https://aclanthology.org/2026.findings-acl.963/) (Lim & Kim, Findings 2026)
ACL