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Register a new userObserving Dialogue in Therapy: Categorizing and Forecasting Behavioral Codes
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Added by
Jie Cao
Publication date
2019
fields
Informatics Engineering
and research's language is
English
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Automatically analyzing dialogue can help understand and guide behavior in domains such as counseling, where interactions are largely mediated by conversation. In this paper, we study modeling behavioral codes used to asses a psychotherapy treatment style called Motivational Interviewing (MI), which is effective for addressing substance abuse and related problems. Specifically, we address the problem of providing real-time guidance to therapists with a dialogue observer that (1) categorizes therapist and client MI behavioral codes and, (2) forecasts codes for upcoming utterances to help guide the conversation and potentially alert the therapist. For both tasks, we define neural network models that build upon recent successes in dialogue modeling. Our experiments demonstrate that our models can outperform several baselines for both tasks. We also report the results of a careful analysis that reveals the impact of the various network design tradeoffs for modeling therapy dialogue.
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During a psychotherapy session, the counselor typically adopts techniques which are codified along specific dimensions (e.g., displays warmth and confidence, or attempts to set up collaboration) to facilitate the evaluation of the session. Those constructs, traditionally scored by trained human raters, reflect the complex nature of psychotherapy and highly depend on the context of the interaction. Recent advances in deep contextualized language models offer an avenue for accurate in-domain linguistic representations which can lead to robust recognition and scoring of such psychotherapy-relevant behavioral constructs, and support quality assurance and supervision. In this work, a BERT-based model is proposed for automatic behavioral scoring of a specific type of psychotherapy, called Cognitive Behavioral Therapy (CBT), where prior work is limited to frequency-based language features and/or short text excerpts which do not capture the unique elements involved in a spontaneous long conversational interaction. The model is trained in a multi-task manner in order to achieve higher interpretability. BERT-based representations are further augmented with available therapy metadata, providing relevant non-linguistic context and leading to consistent performance improvements.
Open-domain conversation models have become good at generating natural-sounding dialogue, using very large architectures with billions of trainable parameters. The vast training data required to train these architectures aggregates many different styles, tones, and qualities. Using that data to train a single model makes it difficult to use the model as a consistent conversational agent, e.g. with a stable set of persona traits and a typical style of expression. Several architectures affording control mechanisms over generation architectures have been proposed, each with different trade-offs. However, it remains unclear whether their use in dialogue is viable, and what the trade-offs look like with the most recent state-of-the-art conversational architectures. In this work, we adapt three previously proposed controllable generation architectures to open-domain dialogue generation, controlling the style of the generation to match one among about 200 possible styles. We compare their respective performance and tradeoffs, and show how they can be used to provide insights into existing conversational datasets, and generate a varied set of styled conversation replies.
Most recently proposed approaches in dialogue state tracking (DST) leverage the context and the last dialogue states to track current dialogue states, which are often slot-value pairs. Although the context contains the complete dialogue information, the information is usually indirect and even requires reasoning to obtain. The information in the lastly predicted dialogue states is direct, but when there is a prediction error, the dialogue information from this source will be incomplete or erroneous. In this paper, we propose the Dialogue State Tracking with Multi-Level Fusion of Predicted Dialogue States and Conversations network (FPDSC). This model extracts information of each dialogue turn by modeling interactions among each turn utterance, the corresponding last dialogue states, and dialogue slots. Then the representation of each dialogue turn is aggregated by a hierarchical structure to form the passage information, which is utilized in the current turn of DST. Experimental results validate the effectiveness of the fusion network with 55.03% and 59.07% joint accuracy on MultiWOZ 2.0 and MultiWOZ 2.1 datasets, which reaches the state-of-the-art performance. Furthermore, we conduct the deleted-value and related-slot experiments on MultiWOZ 2.1 to evaluate our model.
The identification and quantification of markers in medical images is critical for diagnosis, prognosis and management of patients in clinical practice. Supervised- or weakly supervised training enables the detection of findings that are known a priori. It does not scale well, and a priori definition limits the vocabulary of markers to known entities reducing the accuracy of diagnosis and prognosis. Here, we propose the identification of anomalies in large-scale medical imaging data using healthy examples as a reference. We detect and categorize candidates for anomaly findings untypical for the observed data. A deep convolutional autoencoder is trained on healthy retinal images. The learned model generates a new feature representation, and the distribution of healthy retinal patches is estimated by a one-class support vector machine. Results demonstrate that we can identify pathologic regions in images without using expert annotations. A subsequent clustering categorizes findings into clinically meaningful classes. In addition the learned features outperform standard embedding approaches in a classification task.
Dialogue management (DM) decides the next action of a dialogue system according to the current dialogue state, and thus plays a central role in task-oriented dialogue systems. Since dialogue management requires to have access to not only local utterances, but also the global semantics of the entire dialogue session, modeling the long-range history information is a critical issue. To this end, we propose a novel Memory-Augmented Dialogue management model (MAD) which employs a memory controller and two additional memory structures, i.e., a slot-value memory and an external memory. The slot-value memory tracks the dialogue state by memorizing and updating the values of semantic slots (for instance, cuisine, price, and location), and the external memory augments the representation of hidden states of traditional recurrent neural networks through storing more context information. To update the dialogue state efficiently, we also propose slot-level attention on user utterances to extract specific semantic information for each slot. Experiments show that our model can obtain state-of-the-art performance and outperforms existing baselines.
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