The critical therapist shortage demands scalable training solutions. Standardized Patients, the gold standard, are scarce and costly. Current LLM-based approaches focus on patient simulation for conversational realism but lack pedagogical rigor as Virtual Standardized Patients, lacking faithful reactions to clinical errors and explainable feedback. To bridge this gap, we propose PUPPET, the first neural-symbolic Virtual Standardized Patient governed by an OBSERVE-THINK-BEHAVE architecture. PUPPET externalizes LLM reasoning into a symbolic system where experts implant causal associations between intervention logic (propositional logic) and patient mental states (state machine). This allows PUPPET to behave coherently with controllable and explainable psychological dynamics: intervention logic (OBSERVE) → state transition (THINK) → response (BEHAVE). Our PUPPET-TRAINER further leverages this chain to educate trainees about intervention consequences, standardizing and scaling mental health training. Experiments across three clinical scenarios confirm that PUPPET outperforms baselines in clinical faithfulness and pedagogical value.

机器阅读理解作为自然语言理解的关键任务,受到国内外学者广泛关注。针对多项选择型阅读理解中无线索标注且涉及多步推理致使候选句抽取困难的问题,本文提出一种基于多模块联合的候选句抽取模型。首先采用部分标注数据微调预训练模型;其次通过TF-IDF递归式抽取多跳推理问题中的候选句;最后结合无监督方式进一步筛选模型预测结果降低冗余性。本文在高考语文选择题及RACE数据集上进行验证,在候选句抽取中,本文方法相比于最优基线模型F1值提升3.44%,在下游答题任务中采用候选句作为模型输入较全文输入时准确率分别提高3.68%和3.6%,上述结果证实本文所提方法有效性。