# An Interactive Vision Language Platform for Cognitive Remediation in Schizophrenia

arXiv: https://arxiv.org/abs/2607.22721 · HTML: https://mlsanity.com/paper/2607.22721/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Hallucination mitigation in LVLMs, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 10 of its 21 references that are in the map.
- First posted on arXiv 21 Jul 2026.

## Placed in

- Multimodal LLMs / vision-language models / [Hallucination mitigation in LVLMs](https://mlsanity.com/mllm/hallucination-mitigation-in-lvlms/)

## Builds on (most cited first, 10 of 10)

- [Sentence-BERT: Sentence Embeddings using Siamese BERT-Networks](https://mlsanity.com/paper/1908.10084/) (2019)
- [RT-2: Vision-Language-Action Models Transfer Web Knowledge to Robotic Control](https://mlsanity.com/paper/2307.15818/) (2023)
- [CIDEr: Consensus-based Image Description Evaluation](https://mlsanity.com/paper/1411.5726/) (2014)
- [Video-LLaMA: An Instruction-tuned Audio-Visual Language Model for Video Understanding](https://mlsanity.com/paper/2306.02858/) (2023)
- [LlamaFactory: Unified Efficient Fine-Tuning of 100+ Language Models](https://mlsanity.com/paper/2403.13372/) (2024)
- [Video-ChatGPT: Towards Detailed Video Understanding via Large Vision and Language Models](https://mlsanity.com/paper/2306.05424/) (2023)
- [VideoCLIP: Contrastive Pre-training for Zero-shot Video-Text Understanding](https://mlsanity.com/paper/2109.14084/) (2021)
- [3D-VLA: A 3D Vision-Language-Action Generative World Model](https://mlsanity.com/paper/2403.09631/) (2024)
- [GPT4Scene: Understand 3D Scenes from Videos with Vision-Language Models](https://mlsanity.com/paper/2501.01428/) (2025)
- [GraphCoT-VLA: A 3D Spatial-Aware Reasoning Vision-Language-Action Model for Robotic Manipulation with Ambiguous Instructions](https://mlsanity.com/paper/2508.07650/) (2025)

## Abstract (arXiv)

Cognitive remediation tasks often require patients to perform structured actions involving object manipulation and sequential reasoning. For patients diagnosed with schizophrenia, these tasks are crucial for addressing severe cognitive deficits. However, evaluating the correctness of these physical actions generally relies on manual observation by clinicians, which introduces subjectivity and limits the scalability of therapeutic interventions. In this paper, we propose an automated framework based on Vision-Language Models for action verification in cognitive remediation tasks tailored for schizophrenia rehabilitation. The proposed system relies on a camera-monitored tabletop environment composed of structured miniature scenes including roads, a roundabout, a park, and toy vehicles. Patients receive audio instructions describing goal-oriented spatial actions to perform by manipulating a toy vehicle. These interactive physical activities are specifically designed to stimulate targeted cognitive functions, such as sustained attention, motor coordination, spatial navigation, and cognitive flexibility. To verify the correctness of the performed actions without requiring continuous clinical oversight, the system analyzes the video feed tracking the patient's hand and toy movements. A fine-tuned Vision-Language Model interprets the recorded video sequences and generates semantic descriptions of the observed activities, enabling high-level verification of the executed actions with respect to the initial textual instructions. A dedicated dataset of 4634 tabletop cognitive remediation video scenarios was collected to evaluate the proposed approach. Experimental results demonstrate that our specialized framework effectively bridges low-level physical telemetry with high-level clinical feedback, presenting a scalable and objective solution for advanced cognitive rehabilitation.