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Researcher profile

Trevor Cohen

Trevor Cohen contributes to research discovery and scholarly infrastructure.

ResearcherAffiliation not importedOpen to collaborate
Computation and LanguageMachine LearningArtificial IntelligenceHuman-Computer InteractionInformation Retrieval

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Published work

8 published item(s)

preprint2026arXiv

DeconDTN-Toolkit: A Library for Evaluation and Enhancement of Robustness to Provenance Shift

Despite the burgeoning body of work on distribution shifts, provenance shift-where the relationship between data source and label changes at deployment-remains poorly understood and under-addressed. In this paper, we establish a formal connection between provenance shift, counterfactual invariance, and invariant learning to derive a learning objective for robustness. We then introduce \textsc{DeconDTN-Toolkit}, a specialized evaluation and remediation suite designed to simulate provenance shifts of varying degrees while maintaining the training protocol and the infrastructure of existing benchmarks. We reveal the vulnerability of Empirical Risk Minimization under provenance shift, introduce a robust out-of-distribution performance indicator, and conduct a comprehensive evaluation on existing algorithms. Our work provides both the theoretical grounding and the practical tools necessary to characterize the problem of confounding by provenance, and implementations of methods to mitigate it.

0 citations0 reviewsNo code linkedOpen access
preprint2026arXiv

Detecting PTSD in Clinical Interviews: A Comparative Analysis of NLP Methods and Large Language Models

Post-Traumatic Stress Disorder (PTSD) remains underdiagnosed in clinical settings, presenting opportunities for automated detection to identify patients. This study evaluates natural language processing approaches for detecting PTSD from clinical interview transcripts. We compared general and mental health-specific transformer models (BERT/RoBERTa), embedding-based methods (SentenceBERT/LLaMA), and large language model prompting strategies (zero-shot/few-shot/chain-of-thought) using the DAIC-WOZ dataset. Domain-specific end-to-end models significantly outperformed general models (Mental-RoBERTa AUPRC=0.675+/-0.084 vs. RoBERTa-base 0.599+/-0.145). SentenceBERT embeddings with neural networks achieved the highest overall performance (AUPRC=0.758+/-0.128). Few-shot prompting using DSM-5 criteria yielded competitive results with two examples (AUPRC=0.737). Performance varied significantly across symptom severity and comorbidity status with depression, with higher accuracy for severe PTSD cases and patients with comorbid depression. Our findings highlight the potential of domain-adapted embeddings and LLMs for scalable screening while underscoring the need for improved detection of nuanced presentations and offering insights for developing clinically viable AI tools for PTSD assessment.

0 citations0 reviewsNo code linkedOpen access
preprint2026arXiv

When Prompts Interact: Assessing Prompt Arithmetic for Deconfounding under Distribution Shift

In classification tasks, models may rely on confounding variables to achieve strong in-distribution performance, capturing spurious features that fail under distribution shift. This shortcut behavior leads to substantial degradation in out-of-distribution settings. Task arithmetic offers a potential solution by removing unwanted signals via subtraction of secondary model updates, but it typically requires full fine-tuning, which is computationally expensive. Prompt tuning provides a parameter-efficient alternative by adapting models through a small set of trainable virtual tokens. Task arithmetic on the resulting prompts presents an appealing alternative to operations on entire models, but the extent to which this approach can limit reliance on spurious features remains to be established. In this work, we study whether composing soft prompts through task arithmetic improves robustness to confounding shifts. We propose Hybrid Prompt Arithmetic (HyPA), which combines task prompts with linearized confounder prompts to counteract spurious correlations. Across multiple benchmarks, HyPA consistently improves the robustness-performance trade-off relative to prompt-arithmetic baselines under distribution shift. We further analyze how HyPA affects hidden representations and find evidence consistent with it mitigating confounding either by reducing the influence of confounder signals on predictions or by suppressing them in the representation. These results establish HyPA as a parameter-efficient and promising approach for improving robustness under confounding shifts in the evaluated setting.

0 citations0 reviewsNo code linkedOpen access
preprint2024arXiv

Bridging the Skills Gap: Evaluating an AI-Assisted Provider Platform to Support Care Providers with Empathetic Delivery of Protocolized Therapy

Despite the high prevalence and burden of mental health conditions, there is a global shortage of mental health providers. Artificial Intelligence (AI) methods have been proposed as a way to address this shortage, by supporting providers with less extensive training as they deliver care. To this end, we developed the AI-Assisted Provider Platform (A2P2), a text-based virtual therapy interface that includes a response suggestion feature, which supports providers in delivering protocolized therapies empathetically. We studied providers with and without expertise in mental health treatment delivering a therapy session using the platform with (intervention) and without (control) AI-assistance features. Upon evaluation, the AI-assisted system significantly decreased response times by 29.34% (p=0.002), tripled empathic response accuracy (p=0.0001), and increased goal recommendation accuracy by 66.67% (p=0.001) across both user groups compared to the control. Both groups rated the system as having excellent usability.

0 citations0 reviewsNo code linkedOpen access
preprint2022arXiv

Automated Lay Language Summarization of Biomedical Scientific Reviews

Health literacy has emerged as a crucial factor in making appropriate health decisions and ensuring treatment outcomes. However, medical jargon and the complex structure of professional language in this domain make health information especially hard to interpret. Thus, there is an urgent unmet need for automated methods to enhance the accessibility of the biomedical literature to the general population. This problem can be framed as a type of translation problem between the language of healthcare professionals, and that of the general public. In this paper, we introduce the novel task of automated generation of lay language summaries of biomedical scientific reviews, and construct a dataset to support the development and evaluation of automated methods through which to enhance the accessibility of the biomedical literature. We conduct analyses of the various challenges in solving this task, including not only summarization of the key points but also explanation of background knowledge and simplification of professional language. We experiment with state-of-the-art summarization models as well as several data augmentation techniques, and evaluate their performance using both automated metrics and human assessment. Results indicate that automatically generated summaries produced using contemporary neural architectures can achieve promising quality and readability as compared with reference summaries developed for the lay public by experts (best ROUGE-L of 50.24 and Flesch-Kincaid readability score of 13.30). We also discuss the limitations of the current attempt, providing insights and directions for future work.

0 citations0 reviewsNo code linkedOpen access
preprint2022arXiv

GPT-D: Inducing Dementia-related Linguistic Anomalies by Deliberate Degradation of Artificial Neural Language Models

Deep learning (DL) techniques involving fine-tuning large numbers of model parameters have delivered impressive performance on the task of discriminating between language produced by cognitively healthy individuals, and those with Alzheimer's disease (AD). However, questions remain about their ability to generalize beyond the small reference sets that are publicly available for research. As an alternative to fitting model parameters directly, we propose a novel method by which a Transformer DL model (GPT-2) pre-trained on general English text is paired with an artificially degraded version of itself (GPT-D), to compute the ratio between these two models' \textit{perplexities} on language from cognitively healthy and impaired individuals. This technique approaches state-of-the-art performance on text data from a widely used "Cookie Theft" picture description task, and unlike established alternatives also generalizes well to spontaneous conversations. Furthermore, GPT-D generates text with characteristics known to be associated with AD, demonstrating the induction of dementia-related linguistic anomalies. Our study is a step toward better understanding of the relationships between the inner workings of generative neural language models, the language that they produce, and the deleterious effects of dementia on human speech and language characteristics.

0 citations0 reviewsNo code linkedOpen access
preprint2020arXiv

A Tale of Two Perplexities: Sensitivity of Neural Language Models to Lexical Retrieval Deficits in Dementia of the Alzheimer's Type

In recent years there has been a burgeoning interest in the use of computational methods to distinguish between elicited speech samples produced by patients with dementia, and those from healthy controls. The difference between perplexity estimates from two neural language models (LMs) - one trained on transcripts of speech produced by healthy participants and the other trained on transcripts from patients with dementia - as a single feature for diagnostic classification of unseen transcripts has been shown to produce state-of-the-art performance. However, little is known about why this approach is effective, and on account of the lack of case/control matching in the most widely-used evaluation set of transcripts (DementiaBank), it is unclear if these approaches are truly diagnostic, or are sensitive to other variables. In this paper, we interrogate neural LMs trained on participants with and without dementia using synthetic narratives previously developed to simulate progressive semantic dementia by manipulating lexical frequency. We find that perplexity of neural LMs is strongly and differentially associated with lexical frequency, and that a mixture model resulting from interpolating control and dementia LMs improves upon the current state-of-the-art for models trained on transcript text exclusively.

0 citations0 reviewsNo code linkedOpen access
preprint2020arXiv

Retrofitting Vector Representations of Adverse Event Reporting Data to Structured Knowledge to Improve Pharmacovigilance Signal Detection

Adverse drug events (ADE) are prevalent and costly. Clinical trials are constrained in their ability to identify potential ADEs, motivating the development of spontaneous reporting systems for post-market surveillance. Statistical methods provide a convenient way to detect signals from these reports but have limitations in leveraging relationships between drugs and ADEs given their discrete count-based nature. A previously proposed method, aer2vec, generates distributed vector representations of ADE report entities that capture patterns of similarity but cannot utilize lexical knowledge. We address this limitation by retrofitting aer2vec drug embeddings to knowledge from RxNorm and developing a novel retrofitting variant using vector rescaling to preserve magnitude. When evaluated in the context of a pharmacovigilance signal detection task, aer2vec with retrofitting consistently outperforms disproportionality metrics when trained on minimally preprocessed data. Retrofitting with rescaling results in further improvements in the larger and more challenging of two pharmacovigilance reference sets used for evaluation.

0 citations0 reviewsNo code linkedOpen access