Filippo Cenacchi

Filippo Cenacchi, Longbing Cao, Runze Yang

Calibration is usually evaluated in aggregate, but the most dangerous failures are often local: predictions that remain highly confident despite being wrong. We study this failure mode as false-confidence concentration, the extent to which confident errors occupy compact, discoverable regions of prediction space. We introduce FALCON-Discover, a post-hoc, model-agnostic framework that ranks predictions using discrepancy signals from confidence, local support, neighborhood agreement, and perturbation stability. Across seven binary tabular datasets, four seeds, five-fold cross-fitting, and strong learners including XGBoost and CatBoost, we find that false-confidence concentration is recurrent but regime-dependent. At the main confidence threshold, discrepancy-based ranking substantially outperforms the strongest validation-selected calibration or trust-scoring baseline in the strongest regimes, while raw confidence recovers little dangerous-error mass. The best detector varies across datasets: learned discrepancy is strongest when multiple cues must be combined, whereas stability-centered ranking works best when local decisional fragility dominates. These results show that dangerous overconfidence is better treated as a family-level discovery problem than as a single-score calibration problem, and motivate calibration strategies that explicitly target regions where confidence, support, and stability diverge.

Filippo Cenacchi, Deborah Richards, Longbing Cao

Depression and post traumatic stress disorder (PTSD) often co-occur with connected symptoms, complicating automated assessment, which is often binary and disorder specific. Clinically useful diagnosis needs severity aware cross disorder estimates and decision support explanations. Our unified tri modal affective severity framework synchronizes and fuses interview text with sentence level transformer embeddings, audio with log Mel statistics with deltas, and facial signals with action units, gaze, head and pose descriptors to output graded severities for diagnosing both depression (PHQ-8; 5 classes) and PTSD (3 classes). Standardized features are fused via a calibrated late fusion classifier, yielding per disorder probabilities and feature-level attributions. This severity aware tri-modal affective fusion approach is demoed on multi disorder concurrent depression and PTSD assessment. Stratified cross validation on DAIC derived corpora outperforms unimodal/ablation baselines. The fused model matches the strongest unimodal baseline on accuracy and weighted F1, while improving decision curve utility and robustness under noisy or missing modalities. For PTSD specifically, fusion reduces regression error and improves class concordance. Errors cluster between adjacent severities; extreme classes are identified reliably. Ablations show text contributes most to depression severity, audio and facial cues are critical for PTSD, whereas attributions align with linguistic and behavioral markers. Our approach offers reproducible evaluation and clinician in the loop support for affective clinical decision making.