S^4: Operationalizing Speech Act Theory for Strategic Semi-Structured Psychiatric Interview

Guanqun Bi, Zhoufu Liu, Zhuang Chen, Dazhen Wan, Xiyao Xiao, Minlie Huang


Abstract
Psychiatric interviewing is a strategic, goal-oriented interaction that requires proactively steering the conversation to elicit latent information. However, existing methods often degenerate into rigid interrogation or aimless chitchat due to a lack of strategic planning. In this work, we introduce S4, a comprehensive framework grounded in Speech Act Theory, modeling the interview as a unified process of internal strategy (Illocution and Perlocution) and external realization (Locution). We synthesize a large-scale dataset with fine-grained psychiatric speech act annotations. Trained on this data, S4Dial employs reinforcement learning driven by long-term therapeutic effects to optimize the strategic chaining of atomic acts, aiming to maximally elicit information and maintain patient engagement. Experiments demonstrate that S4 significantly outperforms baselines, validating the effectiveness of our effect-driven strategic modeling.
Anthology ID:
2026.acl-long.1802
Volume:
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers)
Month:
July
Year:
2026
Address:
San Diego, California, United States
Editors:
Maria Liakata, Viviane P. Moreira, Jiajun Zhang, David Jurgens
Venue:
ACL
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Publisher:
Association for Computational Linguistics
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Pages:
38881–38899
Language:
URL:
https://preview.aclanthology.org/ingest-acl/2026.acl-long.1802/
DOI:
Bibkey:
Cite (ACL):
Guanqun Bi, Zhoufu Liu, Zhuang Chen, Dazhen Wan, Xiyao Xiao, and Minlie Huang. 2026. S^4: Operationalizing Speech Act Theory for Strategic Semi-Structured Psychiatric Interview. In Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers), pages 38881–38899, San Diego, California, United States. Association for Computational Linguistics.
Cite (Informal):
S^4: Operationalizing Speech Act Theory for Strategic Semi-Structured Psychiatric Interview (Bi et al., ACL 2026)
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https://preview.aclanthology.org/ingest-acl/2026.acl-long.1802.pdf
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