Recent progress in large language models (LLMs) has opened new possibilities for mental health support, yet current approaches lack realism in simulating specialized psychotherapy and fail to capture therapeutic progression over time. Narrative therapy, which helps individuals transform problematic life stories into empowering alternatives, remains underutilized due to limited access and social stigma. We address these limitations through a comprehensive framework with two core components. First, INT (Interactive Narrative Therapist) simulates expert narrative therapists by planning therapeutic stages, guiding reflection levels, and generating contextually appropriate responses through retrieval-augmentation. Second, IMA (Innovative Moment Assessment) provides a therapy-centric evaluation method that quantifies effectiveness by tracking “Innovative Moments” (IMs), critical narrative shifts in client speech signaling therapy progress. Experimental results on 260 simulated clients and 230 human participants reveal that INT consistently outperforms standard methods in therapeutic quality and depth. We further demonstrate the effectiveness of INT in synthesizing high-quality support conversations to facilitate social applications.

Retrieval-augmented generation (RAG) often falls short when retrieved context includes confusing semi-relevant passages, or when answering questions require deep contextual understanding and reasoning. We propose an efficient fine-tuning framework, called PrismRAG, that (i) trains the model with distractor-aware QA pairs mixing gold evidence with subtle distractor passages, and (ii) instills reasoning-centric habits that make the LLM plan, rationalize, and synthesize without relying on extensive human engineered instructions. Evaluated across 12 open-book RAG QA benchmarks spanning diverse application domains and scenarios, PrismRAG improves average factuality by 5.4%, outperforming state-of-the-art solutions. Our method is being deployed in production.

Automatic International Classification of Diseases (ICD) coding plays a crucial role in the extraction of relevant information from clinical notes for proper recording and billing. One of the most important directions for boosting the performance of automatic ICD coding is modeling ICD code relations. However, current methods insufficiently model the intricate relationships among ICD codes and often overlook the importance of context in clinical notes. In this paper, we propose a novel approach, a contextualized and flexible framework, to enhance the learning of ICD code representations. Our approach, unlike existing methods, employs a dependent learning paradigm that considers the context of clinical notes in modeling all possible code relations. We evaluate our approach on six public ICD coding datasets and the experimental results demonstrate the effectiveness of our approach compared to state-of-the-art baselines.

Parameter Efficient Fine-Tuning (PEFT) offers an efficient solution for fine-tuning large pretrained language models for downstream tasks. However, most PEFT strategies are manually designed, often resulting in suboptimal performance. Recent automatic PEFT approaches aim to address this but face challenges such as search space entanglement, inefficiency, and lack of integration between parameter budgets and search processes. To overcome these issues, we introduce a novel Budget-guided Iterative search strategy for automatic PEFT (BIPEFT), significantly enhancing search efficiency. BIPEFT employs a new iterative search strategy to disentangle the binary module and rank dimension search spaces. Additionally, we design early selection strategies based on parameter budgets, accelerating the learning process by gradually removing unimportant modules and fixing rank dimensions. Extensive experiments on public benchmarks demonstrate the superior performance of BIPEFT in achieving efficient and effective PEFT for downstream tasks with a low parameter budget.

Foundation models have demonstrated remarkable capabilities in handling diverse modalities and tasks, outperforming conventional artificial intelligence (AI) approaches that are highly task-specific and modality-reliant. In the medical domain, however, the development of comprehensive foundation models is constrained by limited access to diverse modalities and stringent privacy regulations. To address these constraints, this study introduces a novel knowledge injection approach, FedKIM, designed to scale the medical foundation model within a federated learning framework. FedKIM leverages lightweight local models to extract healthcare knowledge from private data and integrates this knowledge into a centralized foundation model using a designed adaptive Multitask Multimodal Mixture Of Experts (M³OE) module. This method not only preserves privacy but also enhances the model’s ability to handle complex medical tasks involving multiple modalities. Our extensive experiments across twelve tasks in seven modalities demonstrate the effectiveness of FedKIM in various settings, highlighting its potential to scale medical foundation models without direct access to sensitive data. Source codes are available at https://github.com/XiaochenWang-PSU/FedKIM.

Reconstructing natural language from non-invasive electroencephalography (EEG) holds great promise as a language decoding technology for brain-computer interfaces (BCIs). However, EEG-based language decoding is still in its nascent stages, facing several technical issues such as: 1) Absence of a hybrid strategy that can effectively integrate cross-modality (between EEG and text) self-learning with intra-modality self-reconstruction of EEG features or textual sequences; 2) Under-utilization of large language models (LLMs) to enhance EEG-based language decoding. To address above issues, we propose the Contrastive EEG-Text Masked Autoencoder (CET-MAE), a novel model that orchestrates compound self-supervised learning across and within EEG and text through a dedicated multi-stream encoder. Furthermore, we develop a framework called E2T-PTR (EEG-to-Text decoding using Pretrained Transferable Representations), which leverages pre-trained modules alongside the EEG stream from CET-MAE and further enables an LLM (specifically BART) to decode text from EEG sequences. Comprehensive experiments conducted on the popular text-evoked EEG database, ZuCo, demonstrate the superiority of E2T-PTR, which outperforms the baseline framework in ROUGE-1 F1 and BLEU-4 scores by 8.34% and 32.21%, respectively. Our proposed pre-trained EEG-Text model shows the potential to improve downstream tasks involving EEG and text. This opens up promising avenues for its application in inner speech BCI paradigms, meriting further investigation.

Although pre-training has become a prevalent approach for addressing various biomedical tasks, the current efficacy of pre-trained models is hindered by their reliance on a limited scope of medical sources. This limitation results in data scarcity during pre-training and restricts the range of applicable downstream tasks. In response to these challenges, we develop MedCSP, a new pre-training strategy designed to bridge the gap between multimodal medical sources. MedCSP employs modality-level aggregation to unify patient data within individual sources. Additionally, leveraging temporal information and diagnosis history, MedCSP effectively captures explicit and implicit correlations between patients across different sources. To evaluate the proposed strategy, we conduct comprehensive experiments, where the experiments are based on 6 modalities from 2 real-world medical data sources, and MedCSP is evaluated on 4 tasks against 19 baselines, marking an initial yet essential step towards cross-source modeling in the medical domain.

Pretraining has proven to be a powerful technique in natural language processing (NLP), exhibiting remarkable success in various NLP downstream tasks. However, in the medical domain, existing pretrained models on electronic health records (EHR) fail to capture the hierarchical nature of EHR data, limiting their generalization capability across diverse downstream tasks using a single pretrained model. To tackle this challenge, this paper introduces a novel, general, and unified pretraining framework called MedHMP, specifically designed for hierarchically multimodal EHR data. The effectiveness of the proposed MedHMP is demonstrated through experimental results on eight downstream tasks spanning three levels. Comparisons against eighteen baselines further highlight the efficacy of our approach.

The competition of extracting COVID-19 events from Twitter is to develop systems that can automatically extract related events from tweets. The built system should identify different pre-defined slots for each event, in order to answer important questions (e.g., Who is tested positive? What is the age of the person? Where is he/she?). To tackle these challenges, we propose the Joint Event Multi-task Learning (JOELIN) model. Through a unified global learning framework, we make use of all the training data across different events to learn and fine-tune the language model. Moreover, we implement a type-aware post-processing procedure using named entity recognition (NER) to further filter the predictions. JOELIN outperforms the BERT baseline by 17.2% in micro F1.