Dirk Hovy

Hiba Arnaout, Anmol Goel, H. Andrew Schwartz et al.

Although artificial intelligence (AI) shows growing promise for mental health care, current approaches to evaluating AI tools in this domain remain fragmented and poorly aligned with clinical practice, social context, and first-hand user experience. This paper argues for a rethinking of responsible evaluation -- what is measured, by whom, and for what purpose -- by introducing an interdisciplinary framework that integrates clinical soundness, social context, and equity, providing a structured basis for evaluation. Through an analysis of 135 recent *CL publications, we identify recurring limitations, including over-reliance on generic metrics that do not capture clinical validity, therapeutic appropriateness, or user experience, limited participation from mental health professionals, and insufficient attention to safety and equity. To address these gaps, we propose a taxonomy of AI mental health support types -- assessment-, intervention-, and information synthesis-oriented -- each with distinct risks and evaluative requirements, and illustrate its use through case studies.

Elisa Bassignana, Mike Zhang, Dirk Hovy et al.

Humans adjust their linguistic style to the audience they are addressing. However, the extent to which LLMs adapt to different social contexts is largely unknown. As these models increasingly mediate human-to-human communication, their failure to adapt to diverse styles can perpetuate stereotypes and marginalize communities whose linguistic norms are less closely mirrored by the models, thereby reinforcing social stratification. We study the extent to which LLMs integrate into social media communication across different socioeconomic status (SES) communities. We collect a novel dataset from Reddit and YouTube, stratified by SES. We prompt four LLMs with incomplete text from that corpus and compare the LLM-generated completions to the originals along 94 sociolinguistic metrics, including syntactic, rhetorical, and lexical features. LLMs modulate their style with respect to SES to only a minor extent, often resulting in approximation or caricature, and tend to emulate the style of upper SES more effectively. Our findings (1) show how LLMs risk amplifying linguistic hierarchies and (2) call into question their validity for agent-based social simulation, survey experiments, and any research relying on language style as a social signal.