The increasing use of large language models (LLMs) in mental healthcare raises safety concerns in high-stakes therapeutic interactions. A key challenge is distinguishing therapeutic empathy from maladaptive validation, where supportive responses may inadvertently reinforce harmful beliefs or behaviors in multi-turn conversations. This risk is largely overlooked by existing red-teaming frameworks, which focus mainly on generic harms or optimization-based attacks. To address this gap, we introduce Persona-based Client Simulation Attack (PCSA), the first red-teaming framework that simulates clients in psychological counseling through coherent, persona-driven client dialogues to expose vulnerabilities in psychological safety alignment. Experiments on eight general and mental health-specialized LLMs show that PCSA substantially outperforms four competitive baselines. Perplexity analysis and human inspection further indicate that PCSA generates more natural and realistic dialogues. Our results reveal that current LLMs remain vulnerable to domain-specific adversarial tactics, providing unauthorized medical advice, reinforcing delusions, and implicitly encouraging risky actions.

Large audio-language models (LALMs) increasingly use explicit reasoning traces for complex audio understanding, yet the evaluation of reasoning quality remains underexplored. Although process-level benchmarks for process reward models (PRMs) have advanced reasoning evaluation in text and multi-modal domains, comparable evaluation for audio reasoning remains limited. In this paper, we present AudioProcessBench, a comprehensive benchmark for step-level process error identification in audio reasoning. AudioProcessBench contains diverse reasoning traces generated by 6 audio and omni language models. Each trace is segmented into discrete reasoning steps and annotated with binary step correctness and fine-grained error types. Our benchmark evaluates models under three complementary paradigms: (1) step correctness identification, (2) error-type-conditioned detection for diagnosing audio-specific verifier capacities, and (3) chain-level aggregation, where verifiers select or aggregate among multiple reasoning traces for the same question. This design enables a systematic analysis of whether current models can detect process errors, whether their weaknesses differ across audio-specific error types, and whether process verification translates into improved answer selection. AudioProcessBench provides a testbed for future research on audio reasoning verifiers, process reward models, and reliable omni-modal reasoning.

Personalized Large Language Models (PLLMs) aim to tailor responses to individual users, where a central challenge is preference reasoning: inferring query-relevant preferences from user-related history. Existing benchmarks, however, largely assume that such preference can be retrieved from semantically related history. We study an underexplored but practically important regime, profile-preference conceptual misalignment (PRCM), where observable profile cues and query-specific preferences lie in different concept spaces, making semantic retrieval inconsistent for personalization. We introduce Vibe-Bench, a benchmark with two psychology-grounded tasks, 3,504 personas and 12,239 dialogues, including a manually verified gold test set, and requires cross-concept preference reasoning beyond surface semantic overlap. Experiments with several personalization methods show that current PLLMs largely rely on shallow semantic correlations and fail to acquire robust cross-concept mappings. These findings establish PRCM as a distinct failure regime in PLLMs and position Vibe-Bench as a focused testbed for advancing preference reasoning beyond semantic matching.

Social interaction increasingly takes place in multicultural settings, where individuals may draw on multiple cultural influences and adapt their communicative behavior across contexts. Despite recent advances in equipping Large Language Models (LLMs) with social understanding capabilities, existing approaches often model culture as a static demographic attribute, limiting their ability to accommodate hybrid and dynamically expressed communicative preferences. Therefore, in this paper, we propose **DyCAC**, a training-free framework that achieves fluid social alignment by incorporating **Dy**namic **C**ultural **A**daptation with continuous **C**ognitive tracking. Rather than inferring a fixed cultural identity, DyCAC models culturally relevant communicative preferences as a time-varying mixture of population-level cultural reference profiles. This reference-based representation is further calibrated using dialogue-style signals observed in the ongoing interaction, enabling the model to capture both composite cultural influences and turn-level shifts in communicative behavior. In parallel, a memory module driven by Theory of Mind (ToM) continuously tracks the cognitive states of the interlocutor. Extensive experiments on interactive social and cultural benchmarks demonstrate the superiority of our approach. The proposed framework outperforms existing baselines, exhibiting enhanced social intelligence and broad adaptability across varied multicultural contexts.

The increasing integration of large language models (LLMs) into mental health applications necessitates robust frameworks for evaluating professional safety alignment. Current evaluative approaches primarily rely on refusal-based safety signals, which offer limited insight into the nuanced behaviors required in clinical practice. In mental health, clinically inadequate refusals can be perceived as unempathetic and discourage help-seeking. To address this gap, we move beyond refusal-centric metrics and introduce PsychEthicsBench, the first principle-grounded benchmark based on Australian psychology and psychiatry guidelines, designed to evaluate LLMs’ ethical knowledge and behavioral responses through multiple-choice and open-ended tasks with fine-grained ethicality annotations. Empirical results across 14 models reveal that refusal rates are poor indicators of ethical behavior, revealing a significant divergence between safety triggers and clinical appropriateness. Notably, we find that domain-specific fine-tuning can degrade ethical robustness, as several specialized models underperform their base backbones in ethical alignment. PsychEthicsBench provides a foundation for systematic, jurisdiction-aware evaluation of LLMs in mental health, encouraging more responsible development in this domain.

Recent advancements in large language models have revolutionized the field of psychological counseling, especially in the context of Cognitive Behavioral Therapy (CBT). While the success of CBT relies heavily on dynamic decision-making informed by the client’s real-time mental state, this aspect has often been overlooked in current research, limiting both flexibility and therapeutic outcomes. In this paper, we introduce StratCBT, a dataset specifically designed for psychological counseling conversations with CBT Strategies, consisting of 9,688 sessions and around 256K utterances, with each counselor’s response aligned with one of eight distinct strategies. The creation of StratCBT involves modeling clients based on their negative thoughts and generating high-quality counseling conversations through self-chat, incorporating realistic sessions as guidance, thereby significantly surpassing existing datasets in both general counseling and CBT-specific skills. We conduct extensive experiments to demonstrate the effectiveness of strategy-aligned generation and evaluate its efficacy in delivering professional and effective counseling with LLM-simulated clients to reflect real-world scenarios. The dataset can be obtained from https://github.com/zimuwangnlp/StratCBT.

Large Language Models (LLMs) are increasingly used in advice seeking and decision making that may affect social judgements. Despite stigma’s profound effects on people and communities, benchmarks remain scarce. Existing general-domain evaluations typically rely on static prompts and fixed-format tasks, overlooking conversational contexts and audience effects in everyday communication. To address these gaps, we introduce SDARE-Bench, the first scenario-based benchmark evaluating both stigma detection and open-ended response generation in LLMs, comprising 1,138 dyadic queries and 1,388 group dialogues. Empirical results across 8 LLMs consistently demonstrate poor identification of stigma components, especially in group dialogues. In open-ended response generation, stigma expression was substantially higher in group settings than in dyadic, with weaker resistance to stigma and more unrealistic advice. Responses were evaluated using a classifier trained on 1,392 human annotated responses. In constructed group pressure settings, stigma expression rates further increased to a striking average of 97.5%. Our findings identify stigma response as a recurring LLM safety vulnerability, especially in socially complex conversational contexts.

Culture serves as a fundamental determinant of human affective processing and profoundly shapes how individuals perceive and interpret emotional stimuli. Despite this intrinsic link extant evaluations regarding cultural alignment within Large Language Models primarily prioritize declarative knowledge such as geographical facts or established societal customs. These benchmarks remain insufficient to capture the subjective interpretative variance inherent to diverse sociocultural lenses. To address this limitation, we introduce CEDAR, a multimodal benchmark constructed entirely from scenarios capturing Culturally Elicited Distinct Affective Responses. To construct CEDAR, we implement a novel pipeline that leverages LLM-generated provisional labels to isolate instances yielding cross-cultural emotional distinctions, and subsequently derives reliable ground-truth annotations through rigorous human evaluation. The resulting benchmark comprises 10,962 instances across seven languages and 14 fine-grained emotion categories, with each language including 400 multimodal and 1,166 text-only samples. Comprehensive evaluations of 17 representative multilingual models reveal a dissociation between language consistency and cultural alignment, demonstrating that culturally grounded affective understanding remains a significant challenge for current models.

Multimodal Large Language Models (MLLMs) have shown promise in visual-textual reasoning, with Multimodal Chain-of-Thought (MCoT) prompting significantly enhancing interpretability. However, existing MCoT methods rely on rationale-rich datasets and largely focus on inter-object reasoning, overlooking the intra-object understanding crucial for image classification. To address this gap, we propose WISE, a Weak-supervision-guided Step-by-step Explanation method that augments any image classification dataset with MCoTs by reformulating the concept-based representations from Concept Bottleneck Models (CBMs) into concise, interpretable reasoning chains under weak supervision. Experiments across ten datasets show that our generated MCoTs not only improve interpretability by 37% but also lead to gains in classification accuracy when used to fine-tune MLLMs. Our work bridges concept-based interpretability and generative MCoT reasoning, providing a generalizable framework for enhancing MLLMs in fine-grained visual understanding.

Named entity recognition (NER) is a fundamental and important task in NLP, aiming at identifying named entities (NEs) from free text. Recently, since the multi-head attention mechanism applied in the Transformer model can effectively capture longer contextual information, Transformer-based models have become the mainstream methods and have achieved significant performance in this task. Unfortunately, although these models can capture effective global context information, they are still limited in the local feature and position information extraction, which is critical in NER. In this paper, to address this limitation, we propose a novel Hero-Gang Neural structure (HGN), including the Hero and Gang module, to leverage both global and local information to promote NER. Specifically, the Hero module is composed of a Transformer-based encoder to maintain the advantage of the self-attention mechanism, and the Gang module utilizes a multi-window recurrent module to extract local features and position information under the guidance of the Hero module. Afterward, the proposed multi-window attention effectively combines global information and multiple local features for predicting entity labels. Experimental results on several benchmark datasets demonstrate the effectiveness of our proposed model.

Medical imaging plays a significant role in clinical practice of medical diagnosis, where the text reports of the images are essential in understanding them and facilitating later treatments. By generating the reports automatically, it is beneficial to help lighten the burden of radiologists and significantly promote clinical automation, which already attracts much attention in applying artificial intelligence to medical domain. Previous studies mainly follow the encoder-decoder paradigm and focus on the aspect of text generation, with few studies considering the importance of cross-modal mappings and explicitly exploit such mappings to facilitate radiology report generation. In this paper, we propose a cross-modal memory networks (CMN) to enhance the encoder-decoder framework for radiology report generation, where a shared memory is designed to record the alignment between images and texts so as to facilitate the interaction and generation across modalities. Experimental results illustrate the effectiveness of our proposed model, where state-of-the-art performance is achieved on two widely used benchmark datasets, i.e., IU X-Ray and MIMIC-CXR. Further analyses also prove that our model is able to better align information from radiology images and texts so as to help generating more accurate reports in terms of clinical indicators.