PAIR: Prompt-Aware margIn Ranking for Counselor Reflection Scoring in Motivational Interviewing
Do June Min, Verónica Pérez-Rosas, Kenneth Resnicow, Rada Mihalcea
Abstract
Reflections are a core verbal skill used by mental health counselors to express understanding and acknowledgement of the client's experience and concerns. In this paper, we propose a system for the automatic evaluation of counselor reflections. Specifically, our system takes as input one dialog turn containing a client prompt likely leading to a reflection and a counselor response to it, and outputs a numeric score indicating the quality of the reflection made by the counselor. We compile a dataset consisting of reflections portraying different levels of reflective listening skills, and propose Prompt-Aware margIn Ranking (PAIR), a novel framework for reflection scoring that contrasts positive and negative prompt and response pairs using adhoc multi-gap and prompt-aware margin ranking losses. Through empirical evaluations and deployment of our system in a real-life educational environment, we show that our scoring model outperforms several baselines on different metrics, and can be used to provide useful feedback to counseling trainees.
Ask about this paper
Your agent reads all of it.
Lune indexed this paper to the last equation, along with the top-tier papers that cite it. Ask a question and the answer quotes them.
Cited by top-tier papers9
- Facilitating Self-Guided Mental Health Interventions Through Human-Language Model Interaction: A Case Study of Cognitive RestructuringAshish Sharma, Kevin Rushton, Inna Wanyin Lin, Theresa Nguyen et al.CHI 2024 · 104 citations
- GPTCoach: Towards LLM-Based Physical Activity CoachingMatthew Jörke, Shardul Sapkota, Lyndsea Warkenthien, Niklas Vainio et al.CHI 2025 · 89 citations
- Cognitive Reframing of Negative Thoughts through Human-Language Model InteractionAshish Sharma, Kevin Rushton, Inna E. Lin, David Wadden et al.ACL 2023 · 32 citations
- Helping the Helper : Supporting Peer Counselors via AI-Empowered Practice and FeedbackShang-Ling Hsu, Raj Sanjay Shah, Prathik Senthil, Zahra Ashktorab et al.CSCW 2025 · 20 citations
- Multi-Level Feedback Generation with Large Language Models for Empowering Novice Peer CounselorsAlicja Chaszczewicz, Raj Sanjay Shah, Ryan Louie, Bruce A. Arnow et al.ACL 2024 · 12 citations
Builds on5
- Poly-encoders: Architectures and Pre-training Strategies for Fast and Accurate Multi-sentence ScoringSamuel Humeau, Kurt Shuster, Marie-Anne Lachaux, Jason WestonICLR 2020 · 316 citations
- Towards Facilitating Empathic Conversations in Online Mental Health Support: A Reinforcement Learning ApproachAshish Sharma, Inna W. Lin, Adam S. Miner, David C. Atkins et al.WWW 2021 · 183 citations
- The World is Not Binary: Learning to Rank with Grayscale Data for Dialogue Response SelectionZibo Lin, Deng Cai, Yan Wang, Xiaojiang Liu et al.EMNLP 2020 · 32 citations
- The Summary Loop: Learning to Write Abstractive Summaries Without ExamplesPhilippe Laban, Andrew Hsi, John F. Canny, Marti A. HearstACL 2020 · 26 citations
- A Computational Approach to Understanding Empathy Expressed in Text-Based Mental Health SupportAshish Sharma, Adam S. Miner, David C. Atkins, Tim AlthoffEMNLP 2020 · 21 citations
Related papers
- Facilitating Counselor Reflective Learning with a Real-time Annotation toolTianying Chen, Michael Xieyang Liu, Emily Ding, Emma O'Neil et al.CHI 2023 · 10 citations
- Scaffolding Empathy: Training Counselors with Simulated Patients and Utterance-level Performance VisualizationsIan Steenstra, Farnaz Nouraei, Timothy W. BickmoreCHI 2025 · 30 citations
- Can LLM-Simulated Practice and Feedback Upskill Human Counselors? A Randomized Study with 90+ Novice CounselorsRyan Louie, Raj Sanjay Shah, Ifdita Hasan Orney, Juan Pablo Pacheco et al.CHI 2026 · 7 citations
- Are Experts Needed? On Human Evaluation of Counselling Reflection GenerationZixiu Wu, Simone Balloccu, Ehud Reiter, Rim Helaoui et al.ACL 2023 · 4 citations
- Understanding Client Reactions in Online Mental Health CounselingAnqi Li, Lizhi Ma, Yaling Mei, Hongliang He et al.ACL 2023 · 8 citations
