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StoryMI: Steerable Multi-Agent Therapeutic Dialogue Generation

Paper · 2026 · Qingyu Meng, Min Chen, Dingming Liu et al.

Summary

StoryMI targets three weaknesses of LLM-generated motivational interviewing (MI) dialogues: client personas lack concrete situational context, counseling strategy cannot be steered across turns, and standard metrics overlook clinical strategy. The framework first builds client profiles from the DSM-5 cross-cutting symptom questionnaire, where an LLM assigns item severities and short first-person rationales. It then turns each profile into a roughly 200-word situational story. Three agents run the conversation. Client and therapist agents produce utterances tagged with MI codes. An interaction manager tracks a shared dialogue state, chooses the therapist's next MI code based on the recent code history, and decides when the session ends. The evaluation combines lexical metrics, MI-specific measures of macro-level strategy, LLM judges and expert ratings. The authors report that story grounding and strategy-level control improve MI adherence and clinical plausibility. They also find that LLM judges handle structural qualities well but miss empathy and naturalness. This motivates hybrid evaluation and offers a reproducible resource for research on psychotherapy dialogue.

Key points

  • The released dataset contains 6,000 simulated MI dialogues built from 1,000 questionnaire–story pairs, covering 12 MI codes and 13 DSM-5 symptom domains (23 questionnaire items). Code and data are on GitHub (Beren-sds/StoryMI).
  • Six open- and closed-source LLMs are benchmarked within the same multi-agent workflow.
  • Two LLM judges, GLM-5 and GPT-5-Nano, were compared against human ratings. GLM-5 correlated better with humans on 4 of 6 dimensions, for example Progress (r ≈ 0.54 vs. 0.43). On Naturalness, GPT-5-Nano's correlation was near zero (r ≈ 0.01), while GLM-5's was weak but significant (ρ ≈ 0.22).
  • Models that asked more open questions received higher human empathy ratings. Different strategy profiles, either question-heavy or reflection-heavy, reached comparable human-rated quality.
  • Stated limitations:
    • The work covers MI only.
    • Validation relies on expert annotation, with no real clients involved.
    • DSM-5 profiling carries a Western bias and limits persona diversity.

Our summary of the paper, in our own words — not its text. The work belongs to its authors; read it at the links above.

 Institutions

 Fields, topics and concepts

Cite

Cite as Qingyu Meng, Min Chen, Dingming Liu, Yifan Mo, Yue Su, Xin Sun, Koen Hindriks and Jiahuan Pei. 2026. StoryMI: Steerable Multi-Agent Therapeutic Dialogue Generation. Findings of the Association for Computational Linguistics: ACL 2026.

The paper itself, not this page. BibTeX from the library's record of the work. DOI 10.18653/v1/2026.findings-acl.468

@inproceedings{meng2026storymi,
  title = {{StoryMI: Steerable Multi-Agent Therapeutic Dialogue Generation}},
  author = {Qingyu Meng, Min Chen, Dingming Liu, Yifan Mo, Yue Su, Xin Sun, Koen Hindriks and Jiahuan Pei},
  booktitle = {Findings of the Association for Computational Linguistics: ACL 2026},
  year = {2026},
  doi = {10.18653/v1/2026.findings-acl.468},
  url = {https://doi.org/10.18653/v1/2026.findings-acl.468}
}

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  44. A Definition. Given a sequence of therapist MI codes c = (c 1 , . . . , c n ) where each c i ∈ C = {reflection, question, input, other}, we compute: H(c) = − X 1 p(c) log 2 p(c) log 2 \|C obs \| find

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