arXiv:2603. 00048v2 Announce Type: replace-cross Abstract: Large Language Models (LLMs) are increasingly deployed in sensitive applications including psychological support, healthcare, and high-stakes decision-making.
By Erica Coppolillo, Emilio Ferrara
The article surveys how large language models (LLMs) are being applied to mental health, outlining a three‑phase evolution: Phase I uses LLMs as passive information tools and pattern recognizers for assessment; Phase II employs them as empathetic conversationalists for stateless, in‑the‑moment interactions; Phase III aims to create longitudinal, personalized companions that act as stateful cognitive agents. It systematically reviews core technologies, agent architectures (Profile, Memory, Reasoning, Planning), and the datasets and benchmarks that support this progression, offering a coherent narrative and roadmap for future research. The survey also provides a curated resource list at https://github.com/Emo-gml/Awesome-Mental-Health-LLMs.
By He Hu, Yucheng Zhou, Qianning Wang, Yingjian Zou, Chiyuan Ma, Juzheng Si, Jianzhuang Liu, Zitong Yu, Laizhong Cui, Fei Ma, Qi Tian
arXiv:2508. 05132v3 Announce Type: replace-cross Abstract: As medical LLMs transition to clinical deployment, assessing their ethical reasoning capability becomes critical.
By Chang Hong, Minghao Wu, Qingying Xiao, Yuchi Wang, Xiang Wan, Guangjun Yu, Benyou Wang, Yan Hu
The paper argues that AI alignment depends on a system’s ability to exhibit a coherent moral policy—stable, monotonic, decisive, and Pareto‑viable—rather than on any specific moral standard. The authors test nine large language models across varied moral scenarios and find that none maintain consistent verdicts, with surface‑form changes causing up to 99% shifts in outcomes. This indicates that current LLM agents lack the structural moral competence required for meaningful alignment.
By Arno Libert, Derck W. E. Prinzhorn, Daan R. Henselmans
arXiv:2510. 16380v2 Announce Type: replace-cross Abstract: As AI systems progress, we rely more on them to make decisions with us and for us.
By Yu Ying Chiu, Michael S. Lee, Rachel Calcott, Brandon Handoko, Paul de Font-Reaulx, Rapha\"el Milli\`ere, Paula Rodriguez, Chen Bo Calvin Zhang, Ziwen Han, Udari Madhushani Sehwag, Yash Maurya, Christina Q Knight, Harry R. Lloyd, Florence Bacus, Conor Downey, Mantas Mazeika, Bing Liu, Yejin Choi, Mitchell L Gordon, Sydney Levine
arXiv:2608. 07642v1 Announce Type: new Abstract: Aligning large language models (LLMs) with human values remains a major challenge, especially for trustworthy AI.
By Yuanhong Wu, Djallel Bouneffouf, D. Frank Hsu
arXiv:2608. 12368v1 Announce Type: new Abstract: Agreement with human judgments is a common proxy for evaluating the alignment of large language models (LLMs).
By Octavian M. Machidon, Alina L. Machidon, Vojko Strahovnik, Mateja Centa Strahovnik, Jonas Miklav\v{c}i\v{c}, Marko Robnik \v{S}ikonja
arXiv:2605.30273v2 Announce Type: replace-cross
Abstract: Large language models (LLMs) show promise in generating supportive responses for mental health queries, but improving their usefulness, empat...
By Jiwon Kim, Maya Ajit, Sherry Gong, Soorya Ram Shimgekar, Dong Whi Yoo, Eshwar Chandrasekharan, Koustuv Saha
The paper argues that large language models (LLMs) are evaluated too narrowly, focusing on isolated technical metrics rather than holistic, developmental, and societal aspects. It proposes a diagnostic ontology that links evaluation dimensions to the LLM training pipeline, turning evaluation into a root‑cause analysis tool. The authors introduce an anthropomorphic framework—IQ, PQ, EQ, and VQ—to assess LLM capabilities, operationalize it with a modular architecture, and validate it through meta‑analysis of over 200 benchmarks, outlining key challenges and future directions.
By Jun Wang, Ninglun Gu, Kailai Zhang, Pengyong Li, Yelun Bao, Jin Yang, Xu Yin, Liwei Liu, Zijiao Zhang, Yihuan Liu, Gary G. Yen, Junchi Yan
ZenGen is a comprehensive framework designed to develop socially intelligent large language models (LLMs). It introduces SoMBench, a psychology‑grounded benchmark with 3 primary and 17 secondary dimensions, and shows that current LLMs perform poorly on social cognition tasks. ZenGen combines supervised fine‑tuning, on‑policy distillation, and rubric‑based reinforcement learning to improve internalization, while Actio provides deployment‑time grounding with typed supports such as PRISM, Starling, SAGE, and gated RAG, yielding significant performance gains across benchmarks.
By ZenGen Team, Ao Xiang, Bi Jingping, Chen Jiahui, Chen Lehan, Chen Yilin, Cheng Xueqi, Fan Yixing, Gan Kairong, Gao Haowen, Gao Jinhua, Gao Shuxuan, Gong Chang, Guo Jiafeng, Guo Ruijie, Han Zhouyu, He Guangfu, He Yichun, Jiang Shuo, Jing Shaoling, Jing Ya, Lei Chenhao, Lei Yan, Li Anqi, Li Chengao, Li Haoyu, Li Shitian, Liang Xinjian, Liu Zhaoge, Lyu Xingyu, Nie Zhuwei, Pang Liang, Quan Zeping, Shan Shiguang, Shen Huawei, Tang Xinran, Tian Feng, Wang Qian, Wang Ruiping, Wang Xiaohong, Xia Zaiyu, Xiao Yi, Xu Jiayuan, Xu Kehan, Xu Qianqian, Xu Tianyu, Xu Yongjun, Yang Haoming, Yang Jun, Yao Di, Yu Xiaoming, Zhang Futong, Zhang Jie, Zhang Shixuan, Zhang Yuxuan, Zhao Xinyu, Zhao Zhuoran, Zhong Yunfei, Zhu Shengyu
arXiv:2607. 07766v1 Announce Type: new Abstract: Large language models (LLMs) have become significant providers of mental health support, yet they remain products of an attention economy whose operational and commercial targets favour sustained engagement over the friction that effective psychological support often requires.
By Gwydion Williams, Sara Zannone, Bilal A Mateen
Large language models (LLMs) have become significant providers of mental health support, yet they remain products of an attention economy whose operational and commercial targets favour sustained engagement over the friction that effective psychological support often requires. Developers' safety responses have been largely reactive, addressing the most visible and acute harms while subtler, longer-term patterns of risk (e.