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Towards Facilitating Empathic Conversations in Online Mental Health Support: A Reinforcement Learning Approach

arXiv 2101.07714 ↗First posted 19 Jan 2021cs.CL cs.SIcited by 75

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Abstract (arXiv)

Online peer-to-peer support platforms enable conversations between millions of people who seek and provide mental health support. If successful, web-based mental health conversations could improve access to treatment and reduce the global disease burden. Psychologists have repeatedly demonstrated that empathy, the ability to understand and feel the emotions and experiences of others, is a key component leading to positive outcomes in supportive conversations. However, recent studies have shown that highly empathic conversations are rare in online mental health platforms. In this paper, we work towards improving empathy in online mental health support conversations. We introduce a new task of empathic rewriting which aims to transform low-empathy conversational posts to higher empathy. Learning such transformations is challenging and requires a deep understanding of empathy while maintaining conversation quality through text fluency and specificity to the conversational context. Here we propose PARTNER, a deep reinforcement learning agent that learns to make sentence-level edits to posts in order to increase the expressed level of empathy while maintaining conversation quality. Our RL agent leverages a policy network, based on a transformer language model adapted from GPT-2, which performs the dual task of generating candidate empathic sentences and adding those sentences at appropriate positions. During training, we reward transformations that increase empathy in posts while maintaining text fluency, context specificity and diversity. Through a combination of automatic and human evaluation, we demonstrate that PARTNER successfully generates more empathic, specific, and diverse responses and outperforms NLP methods from related tasks like style transfer and empathic dialogue generation. Our work has direct implications for facilitating empathic conversations on web-based platforms.

Key facts. Cited by 75 papers in the map (data through 7 Oct 2026). Builds on 35 of its 96 references that are in the map. First posted on arXiv 19 Jan 2021.

Builds on

35 of 96 references.

References · 35

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23 more
  1. 2017Style Transfer from Non-Parallel Text by Cross-Alignmentcited by 246
  2. 2018Delete, Retrieve, Generate: A Simple Approach to Sentiment and Style Transfercited by 191
  3. 2020A Computational Approach to Understanding Empathy Expressed in Text-Based Mental Health Supportcited by 182
  4. 2019Challenges in Building Intelligent Open-domain Dialog Systemscited by 147
  5. 2019What makes a good conversation? How controllable attributes affect human judgmentscited by 140
  6. 2020MIME: MIMicking Emotions for Empathetic Response Generationcited by 114
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  8. 2019Gmail Smart Compose: Real-Time Assisted Writingcited by 97
  9. 2019MoEL: Mixture of Empathetic Listenerscited by 91
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  21. 2020The Effect of Moderation on Online Mental Health Conversationscited by 12
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Cited by year (2026 to 7 Oct)

Citing papers per year: 2021: 5; 2022: 10; 2023: 19; 2024: 17; 2025: 13; 2026: 11.

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  1. 2023Can Large Language Models Transform Computational Social Science?cited by 245
  2. 2022Neural Theory-of-Mind? On the Limits of Social Intelligence in Large LMscited by 220
  3. 2021Advances and Challenges in Conversational Recommender Systems: A Surveycited by 118
  4. 2024Survey on Large Language Model-Enhanced Reinforcement Learning: Concept, Taxonomy, and Methodscited by 114
  5. 2024SOTOPIA-π: Interactive Learning of Socially Intelligent Language Agentscited by 89
  6. 2023Cognitive Reframing of Negative Thoughts through Human-Language Model Interactioncited by 77
  7. 2022Human-AI Collaboration Enables More Empathic Conversations in Text-based Peer-to-Peer Mental Health Supportcited by 68
  8. 2023Mental-LLM: Leveraging Large Language Models for Mental Health Prediction via Online Text Datacited by 66
  9. 2023Facilitating Self-Guided Mental Health Interventions Through Human-Language Model Interaction: A Case Study of Cognitive Restructuringcited by 53
  10. 2022Critic-Guided Decoding for Controlled Text Generationcited by 45
  11. 2021CoMAE: A Multi-factor Hierarchical Framework for Empathetic Response Generationcited by 42
  12. 2023Knowledge-enhanced Mixed-initiative Dialogue System for Emotional Support Conversationscited by 41
38 more
  1. 2023Reinforcement Learning-based Counter-Misinformation Response Generation: A Case Study of COVID-19 Vaccine Misinformationcited by 39
  2. 2023Benefits and Harms of Large Language Models in Digital Mental Healthcited by 39
  3. 2024Evidence-Driven Retrieval Augmented Response Generation for Online Misinformationcited by 32
  4. 2023Helping the Helper: Supporting Peer Counselors via AI-Empowered Practice and Feedbackcited by 23
  5. 2025When Large Language Models are Reliable for Judging Empathic Communicationcited by 21
  6. 2022Empathetic Dialogue Generation via Sensitive Emotion Recognition and Sensible Knowledge Selectioncited by 19
  7. 2023Vertical Federated Knowledge Transfer via Representation Distillation for Healthcare Collaboration Networkscited by 19
  8. 2022Gendered Mental Health Stigma in Masked Language Modelscited by 17
  9. 2021Towards an Online Empathetic Chatbot with Emotion Causescited by 16
  10. 2023Rethinking Large Language Models in Mental Health Applicationscited by 16
  11. 2022Empathetic Conversational Systems: A Review of Current Advances, Gaps, and Opportunitiescited by 14
  12. 2024CBT-Bench: Evaluating Large Language Models on Assisting Cognitive Behavior Therapycited by 12
  13. 2024Knowledge Planning in Large Language Models for Domain-Aligned Counseling Summarizationcited by 11
  14. 2021Transferable Persona-Grounded Dialogues via Grounded Minimal Editscited by 10
  15. 2023A Cognitive Stimulation Dialogue System with Multi-source Knowledge Fusion for Elders with Cognitive Impairmentcited by 10
  16. 2024Dynamic Reward Adjustment in Multi-Reward Reinforcement Learning for Counselor Reflection Generationcited by 10
  17. 2026RubRIX: Rubric-Driven Risk Mitigation in Caregiver-AI Interactionscited by 10
  18. 2021Exemplars-guided Empathetic Response Generation Controlled by the Elements of Human Communicationcited by 9
  19. 2022EmpHi: Generating Empathetic Responses with Human-like Intentscited by 9
  20. 2023Understanding Client Reactions in Online Mental Health Counselingcited by 9
  21. 2025Enhanced Large Language Models for Effective Screening of Depression and Anxietycited by 9
  22. 2022Mitigating Toxic Degeneration with Empathetic Data: Exploring the Relationship Between Toxicity and Empathycited by 8
  23. 2023Examining the Causal Effect of First Names on Language Models: The Case of Social Commonsense Reasoningcited by 8
  24. 2024Steering Conversational Large Language Models for Long Emotional Support Conversationscited by 8
  25. 2024MentalAgora: A Gateway to Advanced Personalized Care in Mental Health through Multi-Agent Debating and Attribute Controlcited by 8
  26. 2025SENSE-7: Taxonomy and Dataset for Measuring User Perceptions of Empathy in Sustained Human-AI Conversationscited by 8
  27. 2023Affective Conversational Agents: Understanding Expectations and Personal Influencescited by 6
  28. 2023VERVE: Template-based ReflectiVE Rewriting for MotiVational IntErviewingcited by 6
  29. 2024Can Large Language Models be Used to Provide Psychological Counselling? An Analysis of GPT-4-Generated Responses Using Role-play Dialoguescited by 6
  30. 2025The Pursuit of Empathy: Evaluating Small Language Models for PTSD Dialogue Supportcited by 6
  31. 2024Dynamic Demonstration Retrieval and Cognitive Understanding for Emotional Support Conversationcited by 5
  32. 2026PERM: Psychology-grounded Empathetic Reward Modeling for Large Language Modelscited by 5
  33. 2022A Critical Reflection and Forward Perspective on Empathy and Natural Language Processingcited by 4
  34. 2025Roleplaying with Structure: Synthetic Therapist-Client Conversation Generation from Questionnairescited by 4
  35. 2022Exploring Cross-lingual Textual Style Transfer with Large Multilingual Language Modelscited by 3
  36. 2024Towards Reliable and Empathetic Depression-Diagnosis-Oriented Chatscited by 3
  37. 2023Investigating Stylistic Profiles for the Task of Empathy Classification in Medical Narrative Essayscited by 2
  38. 2023Towards Explainable and Safe Conversational Agents for Mental Health: A Surveycited by 2

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