@inproceedings{lim-kim-2026-anonpsy,
    title = "Anonpsy: A Graph-Based Framework for Structure-Preserving De-identification of Psychiatric Narratives",
    author = "Lim, Kyungho  and
      Kim, Byung-Hoon",
    editor = "Liakata, Maria  and
      Moreira, Viviane P.  and
      Zhang, Jiajun  and
      Jurgens, David",
    booktitle = "Findings of the {A}ssociation for {C}omputational {L}inguistics: {ACL} 2026",
    month = jul,
    year = "2026",
    address = "San Diego, California, United States",
    publisher = "Association for Computational Linguistics",
    url = "https://preview.aclanthology.org/ingest-acl/2026.findings-acl.963/",
    pages = "19288--19311",
    ISBN = "979-8-89176-395-1",
    abstract = "Psychiatric narratives encode patient identity not only through explicit identifiers but also through idiosyncratic life events embedded in clinical structure. Existing de-identification approaches, including PHI masking and LLM-based synthetic rewriting, operate at the text level and offer limited control over which semantic elements are preserved or altered. We introduce \textbf{Anonpsy}, a de-identification framework that reformulates the task as graph-guided semantic rewriting. Anonpsy (1) converts each narrative into a semantic graph encoding clinical entities, temporal anchors, and typed relations; (2) applies graph-constrained perturbations that modify identifying context while preserving clinical structure; and (3) regenerates text via graph-conditioned LLM generation. Evaluated on 90 clinician-authored psychiatric case narratives, Anonpsy preserves diagnostic fidelity while achieving consistently low re-identification risk under expert, semantic, and GPT-5-based evaluations. Compared with a strong LLM-only rewriting baseline, Anonpsy yields substantially lower semantic similarity and identifiability. These results demonstrate that explicit structural representations combined with constrained generation provide an effective approach to de-identification for psychiatric narratives."
}