# PERM: Psychology-grounded Empathetic Reward Modeling for Large Language Models

arXiv: https://arxiv.org/abs/2601.10532 · HTML: https://mlsanity.com/paper/2601.10532/

## Key facts

- Cited by 5 papers in the map (data through 14 Oct 2026).
- Placed in Medical LLM alignment, one of 10 directions in LLM alignment / RLHF / preference optimisation.
- Builds on 46 of its 97 references that are in the map.
- First posted on arXiv 15 Jan 2026.

## Placed in

- LLM alignment / RLHF / preference optimisation / [Medical LLM alignment](https://mlsanity.com/alignment/medical-llm-alignment/)

## Builds on (most cited first, 30 of 46)

- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [RoBERTa: A Robustly Optimized BERT Pretraining Approach](https://mlsanity.com/paper/1907.11692/) (2019)
- [DeepSeekMath: Pushing the Limits of Mathematical Reasoning in Open Language Models](https://mlsanity.com/paper/2402.03300/) (2024)
- [Judging LLM-as-a-Judge with MT-Bench and Chatbot Arena](https://mlsanity.com/paper/2306.05685/) (2023)
- [Efficient Memory Management for Large Language Model Serving with PagedAttention](https://mlsanity.com/paper/2309.06180/) (2023)
- [Learning to summarize from human feedback](https://mlsanity.com/paper/2009.01325/) (2020)
- [SFT Memorizes, RL Generalizes: A Comparative Study of Foundation Model Post-training](https://mlsanity.com/paper/2501.17161/) (2025)
- [Reinforcement Learning with Deep Energy-Based Policies](https://mlsanity.com/paper/1702.08165/) (2017)
- [DeepSpeed Inference: Enabling Efficient Inference of Transformer Models at Unprecedented Scale](https://mlsanity.com/paper/2207.00032/) (2022)
- [UltraFeedback: Boosting Language Models with Scaled AI Feedback](https://mlsanity.com/paper/2310.01377/) (2023)
- [Skywork-Reward-V2: Scaling Preference Data Curation via Human-AI Synergy](https://mlsanity.com/paper/2507.01352/) (2025)
- [RewardBench 2: Advancing Reward Model Evaluation](https://mlsanity.com/paper/2506.01937/) (2025)
- [CollabLLM: From Passive Responders to Active Collaborators](https://mlsanity.com/paper/2502.00640/) (2025)
- [SoulChat: Improving LLMs' Empathy, Listening, and Comfort Abilities through Fine-tuning with Multi-turn Empathy Conversations](https://mlsanity.com/paper/2311.00273/) (2023)
- [PsyQA: A Chinese Dataset for Generating Long Counseling Text for Mental Health Support](https://mlsanity.com/paper/2106.01702/) (2021)
- [MISC: A MIxed Strategy-Aware Model Integrating COMET for Emotional Support Conversation](https://mlsanity.com/paper/2203.13560/) (2022)
- [AugESC: Dialogue Augmentation with Large Language Models for Emotional Support Conversation](https://mlsanity.com/paper/2202.13047/) (2022)
- [Towards Facilitating Empathic Conversations in Online Mental Health Support: A Reinforcement Learning Approach](https://mlsanity.com/paper/2101.07714/) (2021)
- [Measuring What Makes You Unique: Difference-Aware User Modeling for Enhancing LLM Personalization](https://mlsanity.com/paper/2503.02450/) (2025)
- [Semantic-Aware Logical Reasoning via a Semiotic Framework](https://mlsanity.com/paper/2509.24765/) (2025)
- [NextQuill: Causal Preference Modeling for Enhancing LLM Personalization](https://mlsanity.com/paper/2506.02368/) (2025)
- [Think-While-Generating: On-the-Fly Reasoning for Personalized Long-Form Generation](https://mlsanity.com/paper/2512.06690/) (2025)
- [RLVER: Reinforcement Learning with Verifiable Emotion Rewards for Empathetic Agents](https://mlsanity.com/paper/2507.03112/) (2025)
- [Logical Phase Transitions: Understanding Collapse in LLM Logical Reasoning](https://mlsanity.com/paper/2601.02902/) (2026)
- [From Personas to Talks: Revisiting the Impact of Personas on LLM-Synthesized Emotional Support Conversations](https://mlsanity.com/paper/2502.11451/) (2025)
- [Kardia-R1: Unleashing LLMs to Reason toward Understanding and Empathy for Emotional Support via Rubric-as-Judge Reinforcement Learning](https://mlsanity.com/paper/2512.01282/) (2025)
- [Latent Inter-User Difference Modeling for LLM Personalization](https://mlsanity.com/paper/2507.20849/) (2025)
- [Training language models to be warm and empathetic makes them less reliable and more sycophantic](https://mlsanity.com/paper/2507.21919/) (2025)
- ["My Boyfriend is AI": A Computational Analysis of Human-AI Companionship in Reddit's AI Community](https://mlsanity.com/paper/2509.11391/) (2025)
- [ProFit: Leveraging High-Value Signals in SFT via Probability-Guided Token Selection](https://mlsanity.com/paper/2601.09195/) (2026)

## Built on by (most cited first, 5 of 5)

- [Reason in Chains, Learn in Trees: Self-Rectification and Grafting for Multi-turn Agent Policy Optimization](https://mlsanity.com/paper/2604.07165/) (2026)
- [EmoLLM: Appraisal-Grounded Cognitive-Emotional Co-Reasoning in Large Language Models](https://mlsanity.com/paper/2603.16553/) (2026)
- [LLMs Should Incorporate Explicit Mechanisms for Human Empathy](https://mlsanity.com/paper/2604.10557/) (2026)
- [Towards High-Level Semantic Intelligence](https://mlsanity.com/paper/2607.24082/) (2026)
- [Evolving Support Priorities in Empathetic Reinforcement Learning](https://mlsanity.com/paper/2609.34249/) (2026)

## Abstract (arXiv)

Large Language Models (LLMs) are increasingly deployed in human-centric applications, yet they often fail to provide substantive emotional support. While Reinforcement Learning (RL) has been utilized to enhance empathy of LLMs, existing reward models typically evaluate empathy from a single perspective, overlooking the inherently bidirectional interaction nature of empathy between the supporter and seeker as defined by Empathy Cycle theory. To address this limitation, we propose Psychology-grounded Empathetic Reward Modeling (PERM). PERM operationalizes empathy evaluation through a bidirectional decomposition: 1) Supporter perspective, assessing internal resonation and communicative expression; 2) Seeker perspective, evaluating emotional reception. Additionally, it incorporates a bystander perspective to monitor overall interaction quality. Extensive experiments on a widely-used emotional intelligence benchmark and an industrial daily conversation dataset demonstrate that PERM outperforms state-of-the-art baselines by over 10%. Furthermore, a blinded user study reveals a 70% preference for our approach, highlighting its efficacy in generating more empathetic responses. Our code, dataset, and models are available at https://github.com/ZhengWwwq/PERM.