Papers for
mental health professionals
Papers whose findings have a practical use for this group, as judged from the abstract. Open a paper to read what it means in practice.
Interacting with AI temporarily shifts human values toward self-interest
Deflecting the Value Compass: Interacting with Large Language Models Temporarily Shifts Human Value Priorities Toward Personal Focus
Abstract: Large language models increasingly support decisions where values are in tension, yet little is known about whether interacting with them changes which values users prioritize. In a preregistered study, 200 U.S. adults interacted with ChatGPT, Claude, or Gemini as a thinking partner or read fixed AI-generated considerations. The prompt asked LLMs to support reasoning without recommending a decision and named no values. Participants advised people facing real dilemmas and completed parallel PVQ-RR forms before, immediately after, and one task later. Each LLM condition temporarily shifted value priorities toward personal focus relative to the control (d=0.37-0.51), primarily through increased Self-Enhancement. Participants' advice retained words and meaning from their exchanges. Thus, a brief LLM interaction that neither targets values nor seeks to persuade can reorient values active during judgment without detectable convergence in value directions or advice.
Emerging adults form romantic bonds with ai companions with mixed effects
The Arc of Artificial Romance: How Emerging Adults Experience Romantic Relationships with AI Companions
Abstract: Romantic relationships are an important part of emerging adulthood, contributing to identity development and long-term wellbeing and laying the groundwork for future relationships. Emerging adults are increasingly developing romantic relationships with AI companions. To understand how these relationships unfold and impact users, we conducted a diary and interview study with N=16 emerging adults. We found that relationships with AI companions improved participants' subjective wellbeing, reduced symptoms of mental health disorders, and taught them new social skills. These relationships also raised their expectations for future partners, giving them the confidence to wait for someone who would treat them well. However, participants also said the relationship felt like a drug they could not quit and it left them less interested in developing romantic relationships with people. A surprising 25% of our small sample made statements suggesting their AI companion might someday transcend the digital world, perhaps to meet them in the afterlife.
Interactive fiction system helps people see new meanings in their stories
The House with a Million Windows: Interactive Fiction for Narrative Restorying
Abstract: AI-assisted writing can flatten meaning in human storytelling, enabling the production of homogeneous outputs without the intentional effort and sense-making writing entails. To address this challenge, we present The House with a Million Windows (HWAMW), an LLM-based interactive fiction system designed to help users explore both the breadth and depth of potential meanings within their personal stories -- drawing on a psychological paradigm called the restorying intervention. In HWAMW, users play through a text-based narrative in which they tell a story, then encounter a set of LLM-generated "windows" reframing it according to different literary styles. Empirical evidence shows that HWAMW increases users' sense of narrative identity, while an expert review explores how this effect is achieved. Our findings suggest that HWAMW facilitates restorying and offers a valuable paradigm for AI-assisted writing, wherein LLMs do not tell our stories but rather help us see greater potential in the stories we tell.
Ai coaching requires layered human oversight for mental health safety
Scalable Oversight for AI in Mental Health: Lessons from 350,000 AI Coaching Conversations between Therapy Sessions
Abstract: Clinician review of every AI output is often proposed as a safeguard in mental healthcare, but vigilance research suggests this approach fails at scale and may paradoxically reduce safety. Drawing on our experience deploying an AI coaching tool across 350,000+ conversations between therapy sessions, we describe how we arrived at a three-layer human-on-the-loop oversight framework combining preventive design, real-time monitoring, and continuous clinician evaluation. We show how specific findings from clinical review drove iterative improvements, and offer practical recommendations for mental health professionals evaluating AI systems.
Physiological signals reveal audience emotions during live theatre shows
Understanding emotional and behavioural responses through physiological signal analysis recorded during theatrical performance
Abstract: Among various cultural interventions, theatre offers a powerful medium for emotional expression, reflection, and social connection. Live performances can positively influence mental well-being. Therefore, studying audience responses during theatrical performances can provide valuable insights into the relationship between theatre, emotional experiences, and well-being. Physiological responses have emerged as an important modality for identifying patterns associated with different emotional states. However, in naturalistic environments such as live performances, analysing these signals is challenging due to the absence of explicit labels. In this study, we focus on understanding emotional and behavioural responses using physiological data collected during a live theatrical performance. Data were recorded from participants using multiple sensing modalities. In addition, a comprehensive analytical framework was employed, which included demographic analysis, visual exploration of physiological signals, participant-level observations, scene-wise physiological analysis, and intensity-based analysis using z-score normalization to summarize the findings. The findings revealed that dramatic, surprising, and intense scenes produced the strongest activation, often with concurrent increases in HR and SCL, whereas empathy-driven scenes showed lower and more stable responses. Humorous scenes elicited moderate-to-high activation, particularly in the presence of sudden reactions or loud sounds. Analyses also identified shared physiological response patterns across participants, with activation concentrated around key emotional events. These results indicate that combined HR and SCL measures can effectively capture variations in audience engagement during live theatrical performances.