Synthia Wang

Synthia Wang, Sai Teja Peddinti, Nina Taft et al.

Large Language Models (LLMs) such as ChatGPT can infer personal attributes from seemingly innocuous text, raising privacy risks beyond memorized data leakage. While prior work has demonstrated these risks, little is known about how users estimate and respond. We conducted a survey with 240 U.S. participants who judged text snippets for inference risks, reported concern levels, and attempted rewrites to block inference. We compared their rewrites with those generated by ChatGPT and Rescriber, a state-of-the-art sanitization tool. Results show that participants struggled to anticipate inference, performing a little better than chance. User rewrites were effective in just 28\% of cases - better than Rescriber but worse than ChatGPT. We examined our participants' rewriting strategies, and observed that while paraphrasing was the most common strategy it is also the least effective; instead abstraction and adding ambiguity were more successful. Our work highlights the importance of inference-aware design in LLM interactions.

Synthia Wang, Yuwei Cheng, Austin Song et al.

Limited access to mental health care has motivated the use of digital tools and conversational agents powered by large language models (LLMs), yet their quality and reception remain unclear. We present a study comparing therapist-written responses to those generated by ChatGPT, Gemini, and Llama for real patient questions. Text analysis showed that LLMs produced longer, more readable, and lexically richer responses with a more positive tone, while therapist responses were more often written in the first person. In a survey with 150 users and 23 licensed therapists, participants rated LLM responses as clearer, more respectful, and more supportive than therapist-written answers. Yet, both groups of participants expressed a stronger preference for human therapist support. These findings highlight the promise and limitations of LLMs in mental health, underscoring the need for designs that balance their communicative strengths with concerns of trust, privacy, and accountability.