Changye Li

Changye Li, Weizhe Xu, Trevor Cohen et al. · uw

The evidence is growing that machine and deep learning methods can learn the subtle differences between the language produced by people with various forms of cognitive impairment such as dementia and cognitively healthy individuals. Valuable public data repositories such as TalkBank have made it possible for researchers in the computational community to join forces and learn from each other to make significant advances in this area. However, due to variability in approaches and data selection strategies used by various researchers, results obtained by different groups have been difficult to compare directly. In this paper, we present TRESTLE (\textbf{T}oolkit for \textbf{R}eproducible \textbf{E}xecution of \textbf{S}peech \textbf{T}ext and \textbf{L}anguage \textbf{E}xperiments), an open source platform that focuses on two datasets from the TalkBank repository with dementia detection as an illustrative domain. Successfully deployed in the hackallenge (Hackathon/Challenge) of the International Workshop on Health Intelligence at AAAI 2022, TRESTLE provides a precise digital blueprint of the data pre-processing and selection strategies that can be reused via TRESTLE by other researchers seeking comparable results with their peers and current state-of-the-art (SOTA) approaches.

Changye Li, David Knopman, Weizhe Xu et al. · uw

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.

Changye Li, Trevor Cohen, Serguei Pakhomov · uw

Linguistic anomalies detectable in spontaneous speech have shown promise for various clinical applications including screening for dementia and other forms of cognitive impairment. The feasibility of deploying automated tools that can classify language samples obtained from speech in large-scale clinical settings depends on the ability to capture and automatically transcribe the speech for subsequent analysis. However, the impressive performance of self-supervised learning (SSL) automatic speech recognition (ASR) models with curated speech data is not apparent with challenging speech samples from clinical settings. One of the key questions for successfully applying ASR models for clinical applications is whether imperfect transcripts they generate provide sufficient information for downstream tasks to operate at an acceptable level of accuracy. In this study, we examine the relationship between the errors produced by several deep learning ASR systems and their impact on the downstream task of dementia classification. One of our key findings is that, paradoxically, ASR systems with relatively high error rates can produce transcripts that result in better downstream classification accuracy than classification based on verbatim transcripts.

Ruyuan Wan, Changye Li, Ting-Hao 'Kenneth' Huang · uw

Coded language is an important part of human communication. It refers to cases where users intentionally encode meaning so that the surface text differs from the intended meaning and must be decoded to be understood. Current language models handle coded language poorly. Progress has been limited by the lack of real-world datasets and clear taxonomies. This paper introduces CodedLang, a dataset of 7,744 Chinese Google Maps reviews, including 900 reviews with span-level annotations of coded language. We developed a seven-class taxonomy that captures common encoding strategies, including phonetic, orthographic, and cross-lingual substitutions. We benchmarked language models on coded language detection, classification, and review rating prediction. Results show that even strong models can fail to identify or understand coded language. Because many coded expressions rely on pronunciation-based strategies, we further conducted a phonetic analysis of coded and decoded forms. Our code and dataset are publicly available. Together, our results highlight coded language as an important and underexplored challenge for real-world NLP systems.

Feng Chen, Justin Tauscher, Changye Li et al.

Speech monologues recorded in naturalistic settings provide opportunities to characterize mental illness phenomenology and detect symptom exacerbation. Large language models (LLMs) offer new possibilities for automating this process, as they require annotated data primarily for evaluation rather than training. In this paper, we present a novel automated, multi-agent LLM pipeline for the fine-grained, multi-label extraction of language suggestive of delusional beliefs, associated affective responses, and behavioral responses from transcripts of naturalistic audio diaries collected from people with moderate persecutory ideation. Evaluating an ensemble of three foundation models, we demonstrate that detailed diagnostic prompt instructions successfully reduce false positives for delusional theme classification, but also constrain the interpretation of affective or behavioral responses. Furthermore, comparing multi-agent adjudication frameworks shows that complex conversational debate between agents diminishes accuracy on clinically ambiguous text by inducing premature consensus. Instead, majority voting establishes robust performance (Micro F1 of 0.872 and 0.779 for delusion detection and classification respectively). This work provides a validated and scalable pipeline for the automated detection and characterization of content suggesting delusional beliefs in naturalistic speech.

Changye Li, Trevor Cohen, Serguei Pakhomov · uw

Automatic speech recognition (ASR) models trained on large amounts of audio data are now widely used to convert speech to written text in a variety of applications from video captioning to automated assistants used in healthcare and other domains. As such, it is important that ASR models and their use is fair and equitable. Prior work examining the performance of commercial ASR systems on the Corpus of Regional African American Language (CORAAL) demonstrated significantly worse ASR performance on African American English (AAE). The current study seeks to understand the factors underlying this disparity by examining the performance of the current state-of-the-art neural network based ASR system (Whisper, OpenAI) on the CORAAL dataset. Two key findings have been identified as a result of the current study. The first confirms prior findings of significant dialectal variation even across neighboring communities, and worse ASR performance on AAE that can be improved to some extent with fine-tuning of ASR models. The second is a novel finding not discussed in prior work on CORAAL: differences in audio recording practices within the dataset have a significant impact on ASR accuracy resulting in a ``confounding by provenance'' effect in which both language use and recording quality differ by study location. These findings highlight the need for further systematic investigation to disentangle the effects of recording quality and inherent linguistic diversity when examining the fairness and bias present in neural ASR models, as any bias in ASR accuracy may have negative downstream effects on disparities in various domains of life in which ASR technology is used.

Guanqi Zhan, Changye Li, Zhijian Liu et al.

Visual grounding is an essential capability of Visual Language Models (VLMs) to understand the real physical world. Previous state-of-the-art grounding visual language models usually have large model sizes, making them heavy for deployment and slow for inference. However, we notice that the sizes of visual encoders are nearly the same for small and large VLMs and the major difference is the sizes of the language models. Small VLMs fall behind larger VLMs in grounding because of the difference in language understanding capability rather than visual information handling. To mitigate the gap, we introduce 'Efficient visual Grounding language Models' (EGM): a method to scale the test-time computation (#generated tokens). Scaling the test-time computation of a small model is deployment-friendly, and yields better end-to-end latency as the cost of each token is much cheaper compared to directly running a large model. On the RefCOCO benchmark, our EGM-Qwen3-VL-8B demonstrates 91.4 IoU with an average of 737ms (5.9x faster) latency while Qwen3-VL-235B demands 4,320ms to achieve 90.5 IoU. To validate our approach's generality, we further set up a new amodal grounding setting that requires the model to predict both the visible and occluded parts of the objects. Experiments show our method can consistently and significantly improve the vanilla grounding and amodal grounding capabilities of small models to be on par with or outperform the larger models, thereby improving the efficiency for visual grounding.

Changye Li, Weizhe Xu, Trevor Cohen et al. · uw

\textbf{Objectives}: We aimed to investigate how errors from automatic speech recognition (ASR) systems affect dementia classification accuracy, specifically in the ``Cookie Theft'' picture description task. We aimed to assess whether imperfect ASR-generated transcripts could provide valuable information for distinguishing between language samples from cognitively healthy individuals and those with Alzheimer's disease (AD). \textbf{Methods}: We conducted experiments using various ASR models, refining their transcripts with post-editing techniques. Both these imperfect ASR transcripts and manually transcribed ones were used as inputs for the downstream dementia classification. We conducted comprehensive error analysis to compare model performance and assess ASR-generated transcript effectiveness in dementia classification. \textbf{Results}: Imperfect ASR-generated transcripts surprisingly outperformed manual transcription for distinguishing between individuals with AD and those without in the ``Cookie Theft'' task. These ASR-based models surpassed the previous state-of-the-art approach, indicating that ASR errors may contain valuable cues related to dementia. The synergy between ASR and classification models improved overall accuracy in dementia classification. \textbf{Conclusion}: Imperfect ASR transcripts effectively capture linguistic anomalies linked to dementia, improving accuracy in classification tasks. This synergy between ASR and classification models underscores ASR's potential as a valuable tool in assessing cognitive impairment and related clinical applications.

Derun Li, Changye Li, Yue Wang et al.

Generating human-like and adaptive trajectories is essential for autonomous driving in dynamic environments. While generative models have shown promise in synthesizing feasible trajectories, they often fail to capture the nuanced variability of personalized driving styles due to dataset biases and distributional shifts. To address this, we introduce TrajHF, a human feedback-driven finetuning framework for generative trajectory models, designed to align motion planning with diverse driving styles. TrajHF incorporates multi-conditional denoiser and reinforcement learning with human feedback to refine multi-modal trajectory generation beyond conventional imitation learning. This enables better alignment with human driving preferences while maintaining safety and feasibility constraints. TrajHF achieves performance comparable to the state-of-the-art on NavSim benchmark. TrajHF sets a new paradigm for personalized and adaptable trajectory generation in autonomous driving.

Hantao Lou, Changye Li, Jiaming Ji et al.

With the integration of image modality, the semantic space of multimodal large language models (MLLMs) is more complex than text-only models, making their interpretability more challenging and their alignment less stable, particularly susceptible to low-quality data, which can lead to inconsistencies between modalities, hallucinations, and biased outputs. As a result, developing interpretability methods for MLLMs is crucial for improving alignment quality and efficiency. In text-only LLMs, Sparse Autoencoders (SAEs) have gained attention for their ability to interpret latent representations. However, extending SAEs to multimodal settings presents new challenges due to modality fusion and the difficulty of isolating cross-modal representations. To address these challenges, we introduce SAE-V, a mechanistic interpretability framework that extends the SAE paradigm to MLLMs. By identifying and analyzing interpretable features along with their corresponding data, SAE-V enables fine-grained interpretation of both model behavior and data quality, facilitating a deeper understanding of cross-modal interactions and alignment dynamics. Moreover, by utilizing cross-modal feature weighting, SAE-V provides an intrinsic data filtering mechanism to enhance model alignment without requiring additional models. Specifically, when applied to the alignment process of MLLMs, SAE-V-based data filtering methods could achieve more than 110% performance with less than 50% data. Our results highlight SAE-V's ability to enhance interpretability and alignment in MLLMs, providing insights into their internal mechanisms.

Feng Chen, Weizhe Xu, Changye Li et al.

Formal thought disorder (FTD), a hallmark of schizophrenia spectrum disorders, manifests as incoherent speech and poses challenges for clinical assessment. Traditional clinical rating scales, though validated, are resource-intensive and lack scalability. Automated speech analysis with automatic speech recognition (ASR) allows for objective quantification of linguistic and temporal features of speech, offering scalable alternatives. The use of utterance timestamps in ASR captures pause dynamics, which are thought to reflect the cognitive processes underlying speech production. However, the utility of integrating these ASR-derived features for assessing FTD severity requires further evaluation. This study integrates pause features with semantic coherence metrics across three datasets: naturalistic self-recorded diaries (AVH, n = 140), structured picture descriptions (TOPSY, n = 72), and dream narratives (PsyCL, n = 43). We evaluated pause related features alongside established coherence measures, using support vector regression (SVR) to predict clinical FTD scores. Key findings demonstrate that pause features alone robustly predict the severity of FTD. Integrating pause features with semantic coherence metrics enhanced predictive performance compared to semantic-only models, with integration of independent models achieving correlations up to \r{ho} = 0.649 and AUC = 83.71% for severe cases detection (TOPSY, with best \r{ho} = 0.584 and AUC = 79.23% for semantic-only models). The performance gains from semantic and pause features integration held consistently across all contexts, though the nature of pause patterns was dataset-dependent. These findings suggest that frameworks combining temporal and semantic analyses provide a roadmap for refining the assessment of disorganized speech and advance automated speech analysis in psychosis.

Zhecheng Sheng, Xiruo Ding, Brian Hur et al. · uw

Deep transformer models have been used to detect linguistic anomalies in patient transcripts for early Alzheimer's disease (AD) screening. While pre-trained neural language models (LMs) fine-tuned on AD transcripts perform well, little research has explored the effects of the gender of the speakers represented by these transcripts. This work addresses gender confounding in dementia detection and proposes two methods: the $\textit{Extended Confounding Filter}$ and the $\textit{Dual Filter}$, which isolate and ablate weights associated with gender. We evaluate these methods on dementia datasets with first-person narratives from patients with cognitive impairment and healthy controls. Our results show transformer models tend to overfit to training data distributions. Disrupting gender-related weights results in a deconfounded dementia classifier, with the trade-off of slightly reduced dementia detection performance.

Changye Li, Zhecheng Sheng, Trevor Cohen et al. · uw

Alzheimer's Disease (AD) dementia is a progressive neurodegenerative disease that negatively impacts patients' cognitive ability. Previous studies have demonstrated that changes in naturalistic language samples can be useful for early screening of AD dementia. However, the nature of language deficits often requires test administrators to use various speech elicitation techniques during spontaneous language assessments to obtain enough propositional utterances from dementia patients. This could lead to the ``observer's effect'' on the downstream analysis that has not been fully investigated. Our study seeks to quantify the influence of test administrators on linguistic features in dementia assessment with two English corpora the ``Cookie Theft'' picture description datasets collected at different locations and test administrators show different levels of administrator involvement. Our results show that the level of test administrator involvement significantly impacts observed linguistic features in patient speech. These results suggest that many of significant linguistic features in the downstream classification task may be partially attributable to differences in the test administration practices rather than solely to participants' cognitive status. The variations in test administrator behavior can lead to systematic biases in linguistic data, potentially confounding research outcomes and clinical assessments. Our study suggests that there is a need for a more standardized test administration protocol in the development of responsible clinical speech analytics frameworks.

Changye Li, Weizhe Xu, Serguei Pakhomov et al. · uw

Disorganized thinking is a key diagnostic indicator of schizophrenia-spectrum disorders. Recently, clinical estimates of the severity of disorganized thinking have been shown to correlate with measures of how difficult speech transcripts would be for large language models (LLMs) to predict. However, LLMs' deployment challenges -- including privacy concerns, computational and financial costs, and lack of transparency of training data -- limit their clinical utility. We investigate whether smaller neural language models can serve as effective alternatives for detecting positive formal thought disorder, using the same sliding window based perplexity measurements that proved effective with larger models. Surprisingly, our results show that smaller models are more sensitive to linguistic differences associated with formal thought disorder than their larger counterparts. Detection capability declines beyond a certain model size and context length, challenging the common assumption of ``bigger is better'' for LLM-based applications. Our findings generalize across audio diaries and clinical interview speech samples from individuals with psychotic symptoms, suggesting a promising direction for developing efficient, cost-effective, and privacy-preserving screening tools that can be deployed in both clinical and naturalistic settings.

Jiaming Ji, Kaile Wang, Tianyi Qiu et al.

Large language models (LLMs) may exhibit unintended or undesirable behaviors. Recent works have concentrated on aligning LLMs to mitigate harmful outputs. Despite these efforts, some anomalies indicate that even a well-conducted alignment process can be easily circumvented, whether intentionally or accidentally. Does alignment fine-tuning yield have robust effects on models, or are its impacts merely superficial? In this work, we make the first exploration of this phenomenon from both theoretical and empirical perspectives. Empirically, we demonstrate the $\mathbf{elasticity}$ of post-alignment models, i.e., the tendency to revert to the behavior distribution formed during the pre-training phase upon further fine-tuning. Leveraging compression theory, we formally deduce that fine-tuning disproportionately undermines alignment relative to pre-training, potentially by orders of magnitude. We validate the presence of elasticity through experiments on models of varying types and scales. Specifically, we find that model performance declines rapidly before reverting to the pre-training distribution, after which the rate of decline drops significantly. Furthermore, we further reveal that elasticity positively correlates with the increased model size and the expansion of pre-training data. Our findings underscore the need to address the inherent elasticity of LLMs to mitigate their resistance to alignment. The model weight and code are available at pku-lm-resist-alignment.github.io.

Changye Li, Zhecheng Sheng, Trevor Cohen et al.

As artificial neural networks grow in complexity, understanding their inner workings becomes increasingly challenging, which is particularly important in healthcare applications. The intrinsic evaluation metrics of autoregressive neural language models (NLMs), perplexity (PPL), can reflect how "surprised" an NLM model is at novel input. PPL has been widely used to understand the behavior of NLMs. Previous findings show that changes in PPL when masking attention layers in pre-trained transformer-based NLMs reflect linguistic anomalies associated with Alzheimer's disease dementia. Building upon this, we explore a novel bidirectional attention head ablation method that exhibits properties attributed to the concepts of cognitive and brain reserve in human brain studies, which postulate that people with more neurons in the brain and more efficient processing are more resilient to neurodegeneration. Our results show that larger GPT-2 models require a disproportionately larger share of attention heads to be masked/ablated to display degradation of similar magnitude to masking in smaller models. These results suggest that the attention mechanism in transformer models may present an analogue to the notions of cognitive and brain reserve and could potentially be used to model certain aspects of the progression of neurodegenerative disorders and aging.