Large language models (LLMs) hold promise for therapeutic interventions, yet most existing datasets rely solely on text, overlooking non-verbal emotional cues essential to real-world therapy. To address this, we introduce a multimodal dataset of 1,441 publicly sourced therapy session videos containing both dialogue and non-verbal signals such as facial expressions and vocal tone. Inspired by Hochschild’s concept of emotional labor, we propose a computational formulation of emotional dissonance—the mismatch between facial and vocal emotion—and use it to guide emotionally aware prompting. Our experiments show that integrating multimodal cues, especially dissonance, improves the quality of generated interventions. We also find that LLM-based evaluators misalign with expert assessments in this domain, highlighting the need for human-centered evaluation. Data and code will be released to support future research.

Research in vision and language has made considerable progress thanks to benchmarks such as COCO. COCO captions focused on unambiguous facts in English; ArtEmis introduced subjective emotions and ArtELingo introduced some multilinguality (Chinese and Arabic). However we believe there should be more multilinguality. Hence, we present ArtELingo-28, a vision-language benchmark that spans 28 languages and encompasses approximately 200,000 annotations (140 annotations per image). Traditionally, vision research focused on unambiguous class labels, whereas ArtELingo-28 emphasizes diversity of opinions over languages and cultures. The challenge is to build machine learning systems that assign emotional captions to images. Baseline results will be presented for three novel conditions: Zero-Shot, Few-Shot and One-vs-All Zero-Shot. We find that cross-lingual transfer is more successful for culturally-related languages. Data and code will be made publicly available.