{"id":"https://openalex.org/W7161257191","doi":"https://doi.org/10.48550/arxiv.2605.14660","title":"MindGap: A Conversational AI Framework for Upstream Neuroplastic Intervention in Post-Traumatic Stress Disorder","display_name":"MindGap: A Conversational AI Framework for Upstream Neuroplastic Intervention in Post-Traumatic Stress Disorder","publication_year":2026,"publication_date":"2026-05-14","ids":{"openalex":"https://openalex.org/W7161257191","doi":"https://doi.org/10.48550/arxiv.2605.14660"},"language":null,"primary_location":{"id":"doi:10.48550/arxiv.2605.14660","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2605.14660","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"type":"preprint","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.48550/arxiv.2605.14660","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5136225639","display_name":"Eranga Bandara","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bandara, Eranga","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134104520","display_name":"Ross Gore","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gore, Ross","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134123680","display_name":"Asanga Gunaratna","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gunaratna, Asanga","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136268652","display_name":"Ravi Mukkamala","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mukkamala, Ravi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026291206","display_name":"Nihal Siriwardanagea","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Siriwardanagea, Nihal","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134124453","display_name":"Sachini Rajapakse","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rajapakse, Sachini","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123882076","display_name":"Isurunima Kularathna","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kularathna, Isurunima","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124027707","display_name":"Pramoda Karunarathna","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Karunarathna, Pramoda","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136172100","display_name":"Wathsala Herath","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Herath, Wathsala","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136104917","display_name":"Chalani Rajapakse","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rajapakse, Chalani","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136247550","display_name":"Sachin Shetty","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shetty, Sachin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136218823","display_name":"Anita H. Clayton","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Clayton, Anita H.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045933338","display_name":"Christopher K. Rhea","orcid":"https://orcid.org/0000-0001-7256-4508"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rhea, Christopher K.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113823913","display_name":"Ng Wee Keong","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Keong, Ng Wee","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136237254","display_name":"Kasun De Zoysa","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"De Zoysa, Kasun","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035652325","display_name":"Amin Hass","orcid":"https://orcid.org/0009-0001-1115-8060"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hass, Amin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086009232","display_name":"Shaifali Kaushik","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kaushik, Shaifali","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136211856","display_name":"Preston Samuel","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Samuel, Preston","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5001108575","display_name":"Atmaram Yarlagadda","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yarlagadda, Atmaram","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.25529998540878296,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.25529998540878296,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12488","display_name":"Mental Health via Writing","score":0.1981000006198883,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":0.16130000352859497,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/neuroplasticity","display_name":"Neuroplasticity","score":0.6809999942779541},{"id":"https://openalex.org/keywords/cognitive-reframing","display_name":"Cognitive reframing","score":0.6532999873161316},{"id":"https://openalex.org/keywords/psychological-intervention","display_name":"Psychological intervention","score":0.5059999823570251},{"id":"https://openalex.org/keywords/intervention","display_name":"Intervention (counseling)","score":0.4878999888896942},{"id":"https://openalex.org/keywords/cognition","display_name":"Cognition","score":0.4726000130176544},{"id":"https://openalex.org/keywords/feeling","display_name":"Feeling","score":0.45329999923706055},{"id":"https://openalex.org/keywords/distress","display_name":"Distress","score":0.42559999227523804},{"id":"https://openalex.org/keywords/mediator","display_name":"Mediator","score":0.4074999988079071},{"id":"https://openalex.org/keywords/hebbian-theory","display_name":"Hebbian theory","score":0.40459999442100525}],"concepts":[{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.7002999782562256},{"id":"https://openalex.org/C47611674","wikidata":"https://www.wikidata.org/wiki/Q849491","display_name":"Neuroplasticity","level":2,"score":0.6809999942779541},{"id":"https://openalex.org/C187029079","wikidata":"https://www.wikidata.org/wiki/Q958679","display_name":"Cognitive reframing","level":2,"score":0.6532999873161316},{"id":"https://openalex.org/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","level":1,"score":0.5246999859809875},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5059999823570251},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.4878999888896942},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.4726000130176544},{"id":"https://openalex.org/C122980154","wikidata":"https://www.wikidata.org/wiki/Q205555","display_name":"Feeling","level":2,"score":0.45329999923706055},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.42559999227523804},{"id":"https://openalex.org/C2107291","wikidata":"https://www.wikidata.org/wiki/Q14886885","display_name":"Mediator","level":2,"score":0.4074999988079071},{"id":"https://openalex.org/C111437709","wikidata":"https://www.wikidata.org/wiki/Q1277874","display_name":"Hebbian theory","level":3,"score":0.40459999442100525},{"id":"https://openalex.org/C81444415","wikidata":"https://www.wikidata.org/wiki/Q7243535","display_name":"Priming (agriculture)","level":3,"score":0.398499995470047},{"id":"https://openalex.org/C191172861","wikidata":"https://www.wikidata.org/wiki/Q7899321","display_name":"Upstream (networking)","level":2,"score":0.382999986410141},{"id":"https://openalex.org/C2776941364","wikidata":"https://www.wikidata.org/wiki/Q9751533","display_name":"Midstream","level":3,"score":0.37700000405311584},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.3675000071525574},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.35019999742507935},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.33980000019073486},{"id":"https://openalex.org/C2778159538","wikidata":"https://www.wikidata.org/wiki/Q16920843","display_name":"Traumatic stress","level":2,"score":0.33629998564720154},{"id":"https://openalex.org/C188147891","wikidata":"https://www.wikidata.org/wiki/Q147638","display_name":"Cognitive science","level":1,"score":0.32899999618530273},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.31929999589920044},{"id":"https://openalex.org/C128061179","wikidata":"https://www.wikidata.org/wiki/Q1170729","display_name":"Preconscious","level":3,"score":0.3009999990463257},{"id":"https://openalex.org/C94487597","wikidata":"https://www.wikidata.org/wiki/Q11101","display_name":"Sensory system","level":2,"score":0.29829999804496765},{"id":"https://openalex.org/C21036866","wikidata":"https://www.wikidata.org/wiki/Q181767","display_name":"Stress (linguistics)","level":2,"score":0.29429998993873596},{"id":"https://openalex.org/C186720457","wikidata":"https://www.wikidata.org/wiki/Q7087","display_name":"Consciousness","level":2,"score":0.2863999903202057},{"id":"https://openalex.org/C2779018934","wikidata":"https://www.wikidata.org/wiki/Q1129653","display_name":"Everyday life","level":2,"score":0.2775999903678894},{"id":"https://openalex.org/C141633740","wikidata":"https://www.wikidata.org/wiki/Q7450996","display_name":"Sense of agency","level":2,"score":0.2687000036239624},{"id":"https://openalex.org/C137176749","wikidata":"https://www.wikidata.org/wiki/Q4105337","display_name":"Psychological resilience","level":2,"score":0.26759999990463257},{"id":"https://openalex.org/C107418235","wikidata":"https://www.wikidata.org/wiki/Q1520565","display_name":"Human multitasking","level":2,"score":0.2662999927997589},{"id":"https://openalex.org/C1337776","wikidata":"https://www.wikidata.org/wiki/Q1941955","display_name":"Facilitation","level":2,"score":0.2506999969482422}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.48550/arxiv.2605.14660","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2605.14660","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"Preprint"}],"best_oa_location":{"id":"doi:10.48550/arxiv.2605.14660","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2605.14660","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Post-Traumatic":[0],"Stress":[1],"Disorder":[2],"(PTSD)":[3],"is":[4],"fundamentally":[5],"a":[6,83,102,210],"neuroplastic":[7,92],"problem":[8],"traumatic":[9],"contact":[10],"events":[11],"encode":[12],"over-reactive":[13],"neural":[14,77],"pathways":[15],"through":[16,96,131,209],"Hebbian":[17],"long-term":[18,181],"potentiation,":[19],"producing":[20,188],"hair-triggered":[21],"amygdala-HPA":[22],"stress":[23],"cascades":[24],"that":[25,73,89,106,120],"fire":[26],"before":[27,147],"conscious":[28],"awareness":[29],"can":[30],"intercept":[31],"them.":[32],"Existing":[33],"therapeutic":[34,126],"approaches,":[35],"prolonged":[36],"exposure,":[37],"EMDR,":[38],"cognitive":[39],"behavioural":[40],"therapy,":[41],"operate":[42],"predominantly":[43],"downstream":[44,194],"of":[45,99,125,135,184],"the":[46,69,97,108,112,117,123,143,158,162,167,185],"reactive":[47,118,148,186],"cascade,":[48],"teaching":[49],"patients":[50,130],"to":[51,172],"tolerate":[52],"or":[53],"reframe":[54],"distress":[55],"after":[56],"it":[57,151,217],"has":[58],"arisen.":[59],"While":[60],"clinically":[61],"valuable,":[62],"these":[63],"suppression-based":[64],"approaches":[65],"do":[66],"not":[67,229],"produce":[68],"upstream":[70,190],"pathway":[71],"dissolution":[72,191],"constitutes":[74],"lasting":[75],"structural":[76],"reorganisation.":[78],"This":[79],"paper":[80],"proposes":[81],"MindGap,":[82],"privacy-preserving":[84],"on-device":[85,198],"conversational":[86],"AI":[87],"framework":[88,105],"delivers":[90,204],"structured":[91],"rehabilitation":[93],"for":[94],"PTSD":[95],"practice":[98],"dependent":[100],"origination,":[101],"Buddhist":[103],"psychological":[104],"identifies":[107],"precise":[109],"moment":[110],"between":[111],"pre-cognitive":[113],"affective":[114,145],"signal":[115,146],"and":[116,160,178,222],"elaboration":[119],"follows":[121],"as":[122,152],"site":[124],"intervention.":[127],"MindGap":[128,203],"guides":[129],"three":[132],"progressive":[133],"layers":[134],"observation":[136],"at":[137],"this":[138],"feeling":[139],"tone":[140],"gap:":[141],"noticing":[142],"bare":[144],"elaboration,":[149],"recognising":[150,161],"self-arising":[153],"rather":[154,192],"than":[155,193],"caused":[156],"by":[157],"stimulus,":[159],"conditioned":[163],"implicit":[164],"belief":[165],"beneath":[166],"feeling.":[168],"Each":[169],"layer":[170],"corresponds":[171],"progressively":[173,179],"deeper":[174,180],"prefrontal":[175],"regulatory":[176],"engagement":[177],"depression-mediated":[182],"weakening":[183],"pathway,":[187],"genuine":[189],"suppression.":[195],"Running":[196],"entirely":[197],"with":[199],"no":[200],"data":[201],"egress,":[202],"daily":[205],"calibrated":[206],"exposure":[207],"sessions":[208],"fine-tuned":[211],"lightweight":[212],"large":[213],"language":[214],"model,":[215],"making":[216],"deployable":[218],"in":[219],"sensitive":[220],"clinical":[221],"military":[223],"contexts":[224],"where":[225],"cloud-based":[226],"solutions":[227],"are":[228],"permitted.":[230]},"counts_by_year":[],"updated_date":"2026-07-01T06:00:48.157686","created_date":"2026-05-16T00:00:00"}
