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Detecting Stealth Sycophancy in Mental-Health Dialogue with Dynamic Emotional Signature Graphs

Tianze Han, Beining Xu, Hanbo Zhang, Yongming Lu

arXiv:2605.03472Published May 5, 20260 citations
  • cs.CL
  • cs.AI
  • trajectory
  • action

Abstract

As conversational AI therapists are increasingly used in psychological support settings, reliable offline evaluation of therapeutic response quality remains an open problem. This paper studies multi-domain support-dialogue evaluation without relying on large language models as final judges. We use a direct LLM judge as a baseline that reads raw dialogue text and predicts whether the target response is harmful, productive, or neutral. We find that direct LLM judges and symmetric text-similarity metrics are poorly aligned with therapeutic quality because the target label depends on clinical direction: whether the response moves the user state toward regulation or reframing, leaves it broadly unchanged, or reinforces deterioration through higher risk affect or cognitive-distortion mass. To address this issue, we propose Dynamic Emotional Signature Graphs (DESG), a model-agnostic evaluator that represents dialogue windows with decoupled clinical states and scores them using asymmetric clinical geometry. We evaluate DESG on a constructed diagnostic stress-test benchmark of 3{,}000 dialogue windows from EmpatheticDialogues, ESConv, and CRADLE-Dialogue, covering peer support, counseling dialogue, and crisis-oriented interaction. On the 600-window held-out test aggregate, DESG-Ensemble achieves 0.9353 macro-F1, exceeding ConcatANN by 1.51 percentage points, BERTScore by 19.63 points, and TRACT by 33.81 points. Feature ablations, artifact controls, a 100-window blinded adjudicator audit, and qualitative disagreement cases indicate that the clinical state manifold is the main discriminative substrate, while graph-based trajectory components provide asymmetric scoring and interpretable diagnostics rather than serving as the sole source of performance.

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