Cognitive Behavioral Therapy (CBT) provides a structured framework for understanding a user's mental state by examining the interaction between cognitive and behavioral factors. However, out-of-the-box LLMs respond fluently and empathetically, yet collapse into validation&reflection, regardless of what the user actually needs. They know theoretical CBT (scoring up to 96% accuracy on licensing exam questions) but fail to apply it effectively. We explore this gap with a knowledge-guided framework that treats CBT dialogue as controlled affective reasoning: user narratives are decomposed into Beck's Cognitive Conceptualization structure, grounded in clinical SNOMED CT concepts validated via Natural Language Inference, and a Multiple Chain-of-Thought (MCoT) strategy selection between Validation&Reflection, Socratic Questioning, or Alternative Perspectives. To measure whether such guidance actually changes behavior, we introduce the Protocol Leverage Force (F), a behavior-level metric that captures how far an intervention shifts a model away from its default response. Across three open-weight LLMs and 14 RealCBT-derived case studies, evaluated with human experts, valence-arousal trajectories, and linguistic entrainment, F shows that simply introducing protocol definitions via single chain-of-thought prompting fails to change LLM behavior, while MCoT on these definitions guides strategy selection better. Still, the effect stays within 1% (approx. 1.2-1.3%), and all models remain biased toward Validation&Reflection. These results show CBT knowledge alone does not ensure effective application, giving the affective-computing community instrumentation to measure where LLMs fall short.
Vaishnavi Sinha, Pooja Guttal, Pranay Deep Reddy Katike et al.· 0 citations
Retrieval-augmented generation (RAG) improves large language models by incorporating external knowledge without retraining, but existing methods often underuse the relational structure encoded in knowledge graphs. Graph-based RAG can capture entity relationships, yet supervised graph retrieval typically requires labeled question-answer data that may not be available for newly constructed graphs. We address this limitation with SelfGraphRAG, a framework that generates question-answer pairs directly from knowledge graph structure and uses them to train a query-conditioned graph retriever. The generated questions capture multi-hop paths and local neighborhoods, providing relational supervision without manual annotation. Experiments on multi-hop question answering and classification benchmarks show that SelfGraphRAG improves retrieval precision and downstream reasoning performance over embedding-based baselines. These results suggest that knowledge graph structure can provide useful supervision for training graph retrievers when labeled data are unavailable.