{"id":"https://openalex.org/W7164006340","doi":"https://doi.org/10.48550/arxiv.2606.08254","title":"SSR: Can Simulated Patients Learn to Stigmatize Themselves? Modeling Self-Stigma through Internal Monologue","display_name":"SSR: Can Simulated Patients Learn to Stigmatize Themselves? Modeling Self-Stigma through Internal Monologue","publication_year":2026,"publication_date":"2026-06-06","ids":{"openalex":"https://openalex.org/W7164006340","doi":"https://doi.org/10.48550/arxiv.2606.08254"},"language":null,"primary_location":{"id":"doi:10.48550/arxiv.2606.08254","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2606.08254","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.2606.08254","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5138240510","display_name":"Kunyao Lan","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lan, Kunyao","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5121393252","display_name":"Bingrui Jin","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jin, Bingrui","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138215425","display_name":"Zichen Zhu","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zhu, Zichen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5138267160","display_name":"Mengyue Wu","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Wu, Mengyue","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":0.4129999876022339,"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":0.4129999876022339,"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/T13702","display_name":"Machine Learning in Healthcare","score":0.21850000321865082,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T12488","display_name":"Mental Health via Writing","score":0.09539999812841415,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/stigma","display_name":"Stigma (botany)","score":0.5983999967575073},{"id":"https://openalex.org/keywords/mental-health","display_name":"Mental health","score":0.4991999864578247},{"id":"https://openalex.org/keywords/key","display_name":"Key (lock)","score":0.4618000090122223},{"id":"https://openalex.org/keywords/expression","display_name":"Expression (computer science)","score":0.37689998745918274},{"id":"https://openalex.org/keywords/internalization","display_name":"Internalization","score":0.3725999891757965},{"id":"https://openalex.org/keywords/work","display_name":"Work (physics)","score":0.35249999165534973},{"id":"https://openalex.org/keywords/mental-model","display_name":"Mental model","score":0.3424000144004822}],"concepts":[{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.5983999967575073},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5277000069618225},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5157999992370605},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.4991999864578247},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.4618000090122223},{"id":"https://openalex.org/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","level":1,"score":0.38909998536109924},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.3824000060558319},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.37779998779296875},{"id":"https://openalex.org/C90559484","wikidata":"https://www.wikidata.org/wiki/Q778379","display_name":"Expression (computer science)","level":2,"score":0.37689998745918274},{"id":"https://openalex.org/C139770010","wikidata":"https://www.wikidata.org/wiki/Q1339807","display_name":"Internalization","level":3,"score":0.3725999891757965},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.35249999165534973},{"id":"https://openalex.org/C2982912361","wikidata":"https://www.wikidata.org/wiki/Q1851867","display_name":"Mental model","level":2,"score":0.3424000144004822},{"id":"https://openalex.org/C2781437451","wikidata":"https://www.wikidata.org/wiki/Q1137326","display_name":"Social stigma","level":3,"score":0.3328999876976013},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.33149999380111694},{"id":"https://openalex.org/C2776674806","wikidata":"https://www.wikidata.org/wiki/Q12135","display_name":"Mental illness","level":3,"score":0.3221000134944916},{"id":"https://openalex.org/C156325361","wikidata":"https://www.wikidata.org/wiki/Q1152864","display_name":"Grounded theory","level":3,"score":0.3075000047683716},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.2980000078678131},{"id":"https://openalex.org/C2164484","wikidata":"https://www.wikidata.org/wiki/Q5170150","display_name":"Core (optical fiber)","level":2,"score":0.29580000042915344},{"id":"https://openalex.org/C166735990","wikidata":"https://www.wikidata.org/wiki/Q1750812","display_name":"Human factors and ergonomics","level":3,"score":0.2946000099182129},{"id":"https://openalex.org/C137293760","wikidata":"https://www.wikidata.org/wiki/Q3621696","display_name":"Language model","level":2,"score":0.2736999988555908},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.25780001282691956}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.48550/arxiv.2606.08254","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2606.08254","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.2606.08254","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2606.08254","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":{"Simulating":[0],"patients":[1],"with":[2,89,99],"large":[3],"language":[4],"models":[5,46],"(LLMs)":[6],"is":[7,74],"a":[8,21,59,78,103,143],"promising":[9],"tool":[10],"for":[11,150],"mental":[12,86],"health":[13,87],"training,":[14],"but":[15],"existing":[16],"approaches":[17],"fail":[18],"to":[19,110],"capture":[20],"key":[22],"clinical":[23,151],"reality:":[24],"self-stigma.":[25],"Patients":[26],"experiencing":[27],"self-stigma,":[28],"the":[29,65,75],"internalization":[30],"of":[31,69,77,117],"negative":[32],"stereotypes,":[33],"often":[34],"exhibit":[35],"context-sensitive":[36],"resistance,":[37],"such":[38],"as":[39,48],"avoidance,":[40],"denial,":[41],"or":[42,50],"self-blame,":[43],"which":[44],"current":[45],"render":[47],"static":[49],"uniformly":[51],"compliant":[52],"behavior.":[53],"To":[54],"address":[55],"this,":[56],"we":[57,84,106],"introduce":[58],"novel":[60],"simulation":[61,149],"framework":[62],"grounded":[63],"in":[64],"psychological":[66],"3A1H":[67],"model":[68],"self-stigmatization.":[70],"Our":[71],"core":[72],"innovation":[73],"creation":[76],"\\textbf{Stigmatized":[79],"Self-Reflection}":[80],"(\\textbf{SSR})":[81],"dataset,":[82],"where":[83],"augment":[85],"dialogues":[88],"internal":[90],"monologues":[91],"that":[92,125],"reflect":[93],"stigma-aware":[94],"reasoning.":[95],"By":[96],"fine-tuning":[97],"LLMs":[98],"this":[100],"data":[101],"using":[102],"chain-of-thought":[104],"approach,":[105],"train":[107],"patient":[108,138],"agents":[109],"dynamically":[111],"adjust":[112],"their":[113],"level":[114],"and":[115,135,153],"expression":[116],"stigma":[118,148],"based":[119],"on":[120],"conversational":[121],"triggers.":[122],"Evaluations":[123],"demonstrate":[124],"our":[126],"approach":[127],"significantly":[128],"outperforms":[129],"specialized":[130],"baselines,":[131],"generating":[132],"more":[133],"authentic":[134],"situationally":[136],"appropriate":[137],"responses.":[139],"This":[140],"work":[141],"provides":[142],"crucial":[144],"step":[145],"towards":[146],"realistic":[147],"training":[152],"empathetic":[154],"dialogue":[155],"systems.":[156]},"counts_by_year":[],"updated_date":"2026-07-01T06:00:48.157686","created_date":"2026-06-10T00:00:00"}