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Applying LLM and Topic Modelling in Psychotherapeutic Contexts (2412.17449v1)

Published 23 Dec 2024 in cs.LG and cs.AI

Abstract: This study explores the use of LLMs to analyze therapist remarks in a psychotherapeutic setting. The paper focuses on the application of BERTopic, a machine learning-based topic modeling tool, to the dialogue of two different groups of therapists (classical and modern), which makes it possible to identify and describe a set of topics that consistently emerge across these groups. The paper describes in detail the chosen algorithm for BERTopic, which included creating a vector space from a corpus of therapist remarks, reducing its dimensionality, clustering the space, and creating and optimizing topic representation. Along with the automatic topical modeling by the BERTopic, the research involved an expert assessment of the findings and manual topic structure optimization. The topic modeling results highlighted the most common and stable topics in therapists speech, offering insights into how language patterns in therapy develop and remain stable across different therapeutic styles. This work contributes to the growing field of machine learning in psychotherapy by demonstrating the potential of automated methods to improve both the practice and training of therapists. The study highlights the value of topic modeling as a tool for gaining a deeper understanding of therapeutic dialogue and offers new opportunities for improving therapeutic effectiveness and clinical supervision.

Summary

  • The paper demonstrates that applying BERTopic with LLMs effectively uncovers recurring language patterns and differentiates styles in psychotherapeutic sessions.
  • It employs a robust methodology using 8,641 classical and 4,058 modern therapy session utterances with dimensionality reduction and hierarchical clustering for optimized topic extraction.
  • Results show semantic coherence scores (~0.47 and 0.431) and reveal convergent themes such as fear, empathy, and cognitive restructuring, guiding future therapeutic practices.

Analyzing Therapeutic Dialogues with BERTopic: A Study of Classical and Modern Psychotherapy

The paper "Applying LLM and Topic Modelling in Psychotherapeutic Contexts" presents an exploration into the application of LLMs and specifically the BERTopic algorithm in analyzing therapist remarks within psychotherapeutic settings. This research contributes significantly to the burgeoning intersection of machine learning and psychotherapy, focusing on two distinct groups of therapists: classical and modern. The paper highlights the utility of automated topic modeling in identifying and analyzing recurring themes in therapeutic language, ultimately providing new insights into language patterns and therapeutic techniques across different psychotherapeutic styles.

Methodology

The methodology employed involves the application of BERTopic, a topic modeling tool leveraging BERT-based embeddings, to process large volumes of recorded therapy sessions from publicly available sources including classical therapists, such as Carl Rogers and Fritz Perls, and modern practitioners across various therapeutic modalities. The corpus consisted of significant samples from both groups: 8,641 utterances for classical therapists and 4,058 for modern therapists.

The process began with data preprocessing, including segmentation, lexical normalization, and metadata cleaning. BERTopic then utilized pre-trained embeddings from the 'paraphrase-multilingual-MiniLM-L12-v2' Sentence-Transformer model to construct a vector space. The dimensionality reduction was achieved using UMAP, followed by hierarchical clustering via HDBSCAN. The resultant clusters were evaluated using the c-TF-IDF metric to ascertain the importance of words within the clusters, with the optimization of topic representation further facilitated by LLMs such as GPT.

Results

The paper's results underscored fundamental differences and similarities in the language structures between classical and modern therapists. A significant number of topics were identified in each group: 43 topics in classical therapy sessions and 46 in modern sessions. Noteworthy themes emerged, such as fear, anger management, relationship complexities, educational concerns, and self-acceptance. The analysis encompassed various therapeutic aspects like empathy, cognitive restructuring, and reframing consistently observed across the sessions.

Moreover, expert judgment and interactive visualizations helped refine and optimize the generated topic clusters. Semantic coherence scores of 0.47 and 0.431 in classical and modern therapist dialogues, respectively, indicated a high level of internal consistency within the clusters. Notably, the use of cosine similarity facilitated a comparison of topic proximities between classical and modern therapists, revealing convergent therapeutic themes across temporal divides.

Implications and Future Research

The paper demonstrates the robustness of BERTopic in deriving systematic linguistic patterns from large textual datasets in psychotherapy. This capability holds the promise for enhancing therapeutic understanding and effectiveness, offering valuable insights for clinical practice improvements and therapist training. Additionally, the work showcases the potential of integrating automated topic modeling into psychotherapy to facilitate real-time tracking of therapeutic progression and intervention efficacy.

Future research could expand on these findings by integrating client topics to enhance the understanding of client-therapist dynamics. Examining the evolution of topics throughout entire therapeutic sessions could yield deeper insights into therapeutic processes, informing more personalized and dynamic therapy strategies. The prospect of developing digital therapeutic assistants, which leverage these modeling techniques to furnish therapists with feedback and intervention suggestions, presents a promising horizon for enhancing the efficacy and efficiency of psychotherapeutic practices.

In summation, this paper reaffirms the potential of advanced machine learning techniques in processing and interpreting therapeutic dialogues. The impact of these methods in revealing intricate linguistic nuances provides a solid foundation for future explorations into the symbiosis of AI and psychotherapy.

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