Current video benchmarks for multimodal large language models (MLLMs) focus on event recognition, temporal ordering, and long-context recall, but overlook a harder capability required for expert procedural judgment: tracking how ongoing interactions update the procedural state and thereby determine the correctness of later actions. We introduce SiMing-Bench, the first benchmark for evaluating this capability from full-length clinical skill videos. It targets rubric-grounded process-level judgment of whether interaction-driven state updates preserve procedural correctness across an entire workflow. SiMing-Bench is instantiated with SiMing-Score, a physician-annotated dataset of real clinical skill examination videos spanning cardiopulmonary resuscitation, automated external defibrillator operation, and bag-mask ventilation, each paired with a standardized step-wise rubric and dual-expert labels. Across diverse open- and closed-source MLLMs, we observe consistently weak agreement with physician judgments. Moreover, weak performance on rubric-defined intermediate steps persists even when overall procedure-level correlation appears acceptable, suggesting that coarse global assessment substantially overestimates current models’ procedural judgment ability. Additional analyses with binary step judgment and step-aligned clips indicate that the bottleneck is not merely fine-grained scoring or temporal localization, but modeling how continuous interactions update procedural state over time.

Large language models are increasingly regarded as strong translators, yet it remains unclear what their success establishes beyond overall translation quality. This question is especially consequential in Chinese web novel translation, where sentence-level cultural meaning shapes tone, characterization, and reader experience. Existing evaluation provides only indirect evidence, as benchmarks emphasize overall quality and available metrics do not explicitly assess the cultural and pragmatic phenomena underlying reader experience. We introduce DITING (a mythological creature known for discerning truth), the first comprehensive evaluation framework for this problem, supported by an expert-annotated benchmark of over 18K Chinese-English sentence pairs, a reasoning-driven multi-agent evaluator, AgentEval, and a 1,440-pair meta-evaluation benchmark, MetricAlign. AgentEval achieves the strongest correlation with human judgments among eight representative automatic metrics. Applying DITING to 14 translation systems shows that current progress is selective rather than general: frontier LLMs lead overall, but their gains concentrate in a subset of dimensions, while zero-pronoun resolution remains the clearest bottleneck. Overall, our results show that aggregate rankings substantially overstate how broadly sentence-level cultural meaning has been solved in web novel translation. All the code and data in https://github.com/whunextgen/DITING.

Large Language Models (LLMs) can play a vital role in psychotherapy by adeptly handling the crucial task of cognitive reframing and overcoming challenges such as shame, distrust, therapist skill variability, and resource scarcity. Previous LLMs in cognitive reframing mainly converted negative emotions to positive ones, but these approaches have limited efficacy, often not promoting clients’ self-discovery of alternative perspectives. In this paper, we unveil the Helping and Empowering through Adaptive Language in Mental Enhancement (HealMe) model. This novel cognitive reframing therapy method effectively addresses deep-rooted negative thoughts and fosters rational, balanced perspectives. Diverging from traditional LLM methods, HealMe employs empathetic dialogue based on psychotherapeutic frameworks. It systematically guides clients through distinguishing circumstances from feelings, brainstorming alternative viewpoints, and developing empathetic, actionable suggestions. Moreover, we adopt the first comprehensive and expertly crafted psychological evaluation metrics, specifically designed to rigorously assess the performance of cognitive reframing, in both AI-simulated dialogues and real-world therapeutic conversations. Experimental results show that our model outperforms others in terms of empathy, guidance, and logical coherence, demonstrating its effectiveness and potential positive impact on psychotherapy.

The latest large language models (LLMs) such as ChatGPT, exhibit strong capabilities in automated mental health analysis. However, existing relevant studies bear several limitations, including inadequate evaluations, lack of prompting strategies, and ignorance of exploring LLMs for explainability. To bridge these gaps, we comprehensively evaluate the mental health analysis and emotional reasoning ability of LLMs on 11 datasets across 5 tasks. We explore the effects of different prompting strategies with unsupervised and distantly supervised emotional information. Based on these prompts, we explore LLMs for interpretable mental health analysis by instructing them to generate explanations for each of their decisions. We convey strict human evaluations to assess the quality of the generated explanations, leading to a novel dataset with 163 human-assessed explanations. We benchmark existing automatic evaluation metrics on this dataset to guide future related works. According to the results, ChatGPT shows strong in-context learning ability but still has a significant gap with advanced task-specific methods. Careful prompt engineering with emotional cues and expert-written few-shot examples can also effectively improve performance on mental health analysis. In addition, ChatGPT generates explanations that approach human performance, showing its great potential in explainable mental health analysis.