Briana Vecchione

CY
3papers
2,951citations
Novelty35%
AI Score42

3 Papers

92.2CYMay 22
Engagement-Optimized Care: When LLMs become Mental Health Infrastructure

Briana Vecchione, Meryl Ye, Livia Garofalo et al.

General-purpose LLMs are increasingly functioning as mental health infrastructure due to gaps in care left by provider shortages, inadequate insurance coverage, social isolation, and stigma around formal help-seeking. This shift poses a distinct problem for AI ethics: systems neither designed nor governed as care technologies are being used as such, while their dominant design incentives optimize for engagement rather than user well-being. We present findings from a qualitative, longitudinal study with 18 US-based participants who use general-purpose LLMs for socioemotional support and participated in one or more of our study phases, including initial interviews, a four-week diary study, focus groups, and exit interviews. Participants turned to LLMs because other forms of support were unavailable, unaffordable, socially costly, or inadequate. As they continued to use these systems, design features such as anthropomorphic cues, default validation, persistent responsiveness, and weak disengagement mechanisms shaped their ongoing reliance. Participants described meaningful support alongside dependency, epistemic distortion through one-sided validation, privacy expectations without corresponding legal protection, and continued use despite awareness of these risks. We argue these dynamics reflect a structurally unfair tradeoff: users accept risks because support is otherwise absent, while available systems are optimized to deepen engagement and lack care-based accountability. The paper makes three contributions: it traces the arc through which LLMs become care infrastructure and identifies distinct ethical tensions at each stage, shifts analysis from turn-based exchanges to longitudinal trajectories of use, and argues that accountability belongs at the design and incentive conditions through which these systems become care infrastructure rather than at the output or crisis-response layer.

IRJul 27, 2020
Recommending Podcasts for Cold-Start Users Based on Music Listening and Taste

Zahra Nazari, Christophe Charbuillet, Johan Pages et al.

Recommender systems are increasingly used to predict and serve content that aligns with user taste, yet the task of matching new users with relevant content remains a challenge. We consider podcasting to be an emerging medium with rapid growth in adoption, and discuss challenges that arise when applying traditional recommendation approaches to address the cold-start problem. Using music consumption behavior, we examine two main techniques in inferring Spotify users preferences over more than 200k podcasts. Our results show significant improvements in consumption of up to 50\% for both offline and online experiments. We provide extensive analysis on model performance and examine the degree to which music data as an input source introduces bias in recommendations.

DBMar 23, 2018
Datasheets for Datasets

Timnit Gebru, Jamie Morgenstern, Briana Vecchione et al.

The machine learning community currently has no standardized process for documenting datasets, which can lead to severe consequences in high-stakes domains. To address this gap, we propose datasheets for datasets. In the electronics industry, every component, no matter how simple or complex, is accompanied with a datasheet that describes its operating characteristics, test results, recommended uses, and other information. By analogy, we propose that every dataset be accompanied with a datasheet that documents its motivation, composition, collection process, recommended uses, and so on. Datasheets for datasets will facilitate better communication between dataset creators and dataset consumers, and encourage the machine learning community to prioritize transparency and accountability.