Entrainment, the responsive communication between interacting individuals, is a crucial process in building a strong relationship between a mental health therapist and their client, leading to positive therapeutic outcomes. However, so far entrainment has not been investigated as a measure of efficacy of large language models (LLMs) delivering mental health therapy. In this work, we evaluate the linguistic entrainment of an LLM (ChatGPT 3.5-turbo) in a mental health dialog setting. We first validate computational measures of linguistic entrainment with two measures of the quality of client self-disclosures: intimacy and engagement (p < 0.05). We then compare the linguistic entrainment of the LLM to trained therapists and non-expert online peer supporters in a cognitive behavioral therapy (CBT) setting. We show that the LLM is outperformed by humans with respect to linguistic entrainment (p < 0.001). These results support the need to be cautious in using LLMs out-of-the-box for mental health applications.

Language models typically tokenize text into subwords, using a deterministic, hand-engineered heuristic of combining characters into longer surface-level strings such as ‘ing’ or whole words. Recent literature has repeatedly shown the limitations of such a tokenization strategy, particularly for documents not written in English and for representing numbers. On the other extreme, byte/character-level language models are much less restricted but suffer from increased sequence description lengths and a subsequent quadratic expansion in self-attention computation. Recent attempts to compress and limit these context lengths with fixed size convolutions is helpful but completely ignores the word boundary. This paper considers an alternative ‘learn your tokens’ scheme which utilizes the word boundary to pool bytes/characters into word representations, which are fed to the primary language model, before again decoding individual characters/bytes per word in parallel. We find that our moderately expressive and moderately fast end-to-end tokenizer outperform by over ‘300%‘ both subwords and byte/character models over the intrinsic language modeling metric of next-word prediction across datasets. It particularly outshines on rare words, outperforming by a factor of 30! We extensively study the language modeling setup for all three categories of tokenizers and theoretically analyze how our end-to-end models can also be a strong trade-off in efficiency and robustness.