# ClaritySpeech: Dementia Obfuscation in Speech

arXiv: https://arxiv.org/abs/2507.09282 · HTML: https://mlsanity.com/paper/2507.09282/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 23 of its 35 references that are in the map.
- First posted on arXiv 12 Jul 2025.

## Builds on (most cited first, 23 of 23)

- [Robust Speech Recognition via Large-Scale Weak Supervision](https://mlsanity.com/paper/2212.04356/) (2022)
- [wav2vec 2.0: A Framework for Self-Supervised Learning of Speech Representations](https://mlsanity.com/paper/2006.11477/) (2020)
- [HiFi-GAN: Generative Adversarial Networks for Efficient and High Fidelity Speech Synthesis](https://mlsanity.com/paper/2010.05646/) (2020)
- [ECAPA-TDNN: Emphasized Channel Attention, Propagation and Aggregation in TDNN Based Speaker Verification](https://mlsanity.com/paper/2005.07143/) (2020)
- [UTMOS: UTokyo-SaruLab System for VoiceMOS Challenge 2022](https://mlsanity.com/paper/2204.02152/) (2022)
- [XTTS: a Massively Multilingual Zero-Shot Text-to-Speech Model](https://mlsanity.com/paper/2406.04904/) (2024)
- [StyleTTS 2: Towards Human-Level Text-to-Speech through Style Diffusion and Adversarial Training with Large Speech Language Models](https://mlsanity.com/paper/2306.07691/) (2023)
- [VoiceCraft: Zero-Shot Speech Editing and Text-to-Speech in the Wild](https://mlsanity.com/paper/2403.16973/) (2024)
- [Alzheimer's Dementia Recognition through Spontaneous Speech: The ADReSS Challenge](https://mlsanity.com/paper/2004.06833/) (2020)
- [Rethinking Evaluation in ASR: Are Our Models Robust Enough?](https://mlsanity.com/paper/2010.11745/) (2020)
- [MP-SENet: A Speech Enhancement Model with Parallel Denoising of Magnitude and Phase Spectra](https://mlsanity.com/paper/2305.13686/) (2023)
- [HierSpeech++: Bridging the Gap between Semantic and Acoustic Representation of Speech by Hierarchical Variational Inference for Zero-shot Speech Synthesis](https://mlsanity.com/paper/2311.12454/) (2023)
- [Artificial Intelligence, speech and language processing approaches to monitoring Alzheimer's Disease: a systematic review](https://mlsanity.com/paper/2010.06047/) (2020)
- [Privacy-preserving Voice Analysis via Disentangled Representations](https://mlsanity.com/paper/2007.15064/) (2020)
- [FluentSpeech: Stutter-Oriented Automatic Speech Editing with Context-Aware Diffusion Models](https://mlsanity.com/paper/2305.13612/) (2023)
- [Adversarial Disentanglement of Speaker Representation for Attribute-Driven Privacy Preservation](https://mlsanity.com/paper/2012.04454/) (2020)
- [Data Augmentation for Dementia Detection in Spoken Language](https://mlsanity.com/paper/2206.12879/) (2022)
- [Accurate synthesis of Dysarthric Speech for ASR data augmentation](https://mlsanity.com/paper/2308.08438/) (2023)
- [A Preliminary Study of a Two-Stage Paradigm for Preserving Speaker Identity in Dysarthric Voice Conversion](https://mlsanity.com/paper/2106.01415/) (2021)
- [Learning Explicit Prosody Models and Deep Speaker Embeddings for Atypical Voice Conversion](https://mlsanity.com/paper/2011.01678/) (2020)
- [Differentially Private Adversarial Auto-Encoder to Protect Gender in Voice Biometrics](https://mlsanity.com/paper/2307.02135/) (2023)
- [DiDOTS: Knowledge Distillation from Large-Language-Models for Dementia Obfuscation in Transcribed Speech](https://mlsanity.com/paper/2410.04188/) (2024)
- [Quantifying the effect of speech pathology on automatic and human speaker verification](https://mlsanity.com/paper/2406.06208/) (2024)

## Abstract (arXiv)

Dementia, a neurodegenerative disease, alters speech patterns, creating communication barriers and raising privacy concerns. Current speech technologies, such as automatic speech transcription (ASR), struggle with dementia and atypical speech, further challenging accessibility. This paper presents a novel dementia obfuscation in speech framework, ClaritySpeech, integrating ASR, text obfuscation, and zero-shot text-to-speech (TTS) to correct dementia-affected speech while preserving speaker identity in low-data environments without fine-tuning. Results show a 16% and 10% drop in mean F1 score across various adversarial settings and modalities (audio, text, fusion) for ADReSS and ADReSSo, respectively, maintaining 50% speaker similarity. We also find that our system improves WER (from 0.73 to 0.08 for ADReSS and 0.15 for ADReSSo) and speech quality from 1.65 to ~2.15, enhancing privacy and accessibility.