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Paper · arXiv

Measuring What Matters!! Assessing Therapeutic Principles in Mental-Health Conversation

The increasing use of large language models in mental health applications calls for principled evaluation frameworks that assess alignment with psychotherapeutic best practices beyond surface-level fluency. While recent systems exhibit conversational competence, they lack structured mechanisms to evaluate adherence to core therapeutic principles. In this paper, we study the problem of evaluating AI-generated therapist-like responses for clinically grounded appropriateness and effectiveness. We assess each therapists utterance along six therapeutic principles: non-judgmental acceptance, warmth, respect for autonomy, active listening, reflective understanding, and situational appropriatenes...

AuthorsAbdullah Mazhar, Het Riteshkumar Shah, Aseem Srivastava et al.
Primary categorycs.CL
Published7 April 2026
Last updated at source14 April 2026
cs.CL
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