Event Knowledge in Large Language Models: The Gap Between the Impossible and the Unlikely

Large language models in psychiatry: Opportunities and challenges

The ability of Large Language Models (LLMs) to analyze and respond to freely written text is causing increasing excitement in the field of psychiatry; the application of such models presents unique opportunities and challenges for psychiatric applications. This review article seeks to offer a comprehensive overview of LLMs in psychiatry, their model architecture, potential use cases, and clinical considerations. LLM frameworks such as ChatGPT/GPT-4 are trained on huge amounts of text data that are sometimes fine-tuned for specific tasks. This opens up a wide range of possible psychiatric applications, such as accurately predicting individual patient risk factors for specific disorders, engaging in therapeutic intervention, and analyzing therapeutic material, to name a few. However, adoption in the psychiatric setting presents many challenges, including inherent limitations and biases in LLMs, concerns about explainability and privacy, and the potential damage resulting from produced misinformation. This review covers potential opportunities and limitations and highlights potential considerations when these models are applied in a real-world psychiatric context.

Neural Generative Models and the Parallel Architecture of Language: A Critical Review and Outlook

According to the parallel architecture, syntactic and semantic information processing are two separate streams that interact selectively during language comprehension. While considerable effort is put into psycho- and neurolinguistics to understand the interchange of processing mechanisms in human comprehension, the nature of this interaction in recent neural Large Language Models remains elusive. In this article, we revisit influential linguistic and behavioral experiments and evaluate the ability of a large language model, GPT-3, to perform these tasks. The model can solve semantic tasks autonomously from syntactic realization in a manner that resembles human behavior. However, the outcomes present a complex and variegated picture, leaving open the question of how Language Models could learn structured conceptual representations.

Driving and suppressing the human language network using large language models

Transformer models such as GPT generate human-like language and are predictive of human brain responses to language. Here, using functional-MRI-measured brain responses to 1,000 diverse sentences, we first show that a GPT-based encoding model can predict the magnitude of the brain response associated with each sentence. We then use the model to identify new sentences that are predicted to drive or suppress responses in the human language network. We show that these model-selected novel sentences indeed strongly drive and suppress the activity of human language areas in new individuals. A systematic analysis of the model-selected sentences reveals that surprisal and well-formedness of linguistic input are key determinants of response strength in the language network. These results establish the ability of neural network models to not only mimic human language but also non-invasively control neural activity in higher-level cortical areas, such as the language network.

The Breakthrough of Large Language Models Release for Medical Applications: 1-Year Timeline and Perspectives

Within the domain of Natural Language Processing (NLP), Large Language Models (LLMs) represent sophisticated models engineered to comprehend, generate, and manipulate text resembling human language on an extensive scale. They are transformer-based deep learning architectures, obtained through the scaling of model size, pretraining of corpora, and computational resources. The potential healthcare applications of these models primarily involve chatbots and interaction systems for clinical documentation management, and medical literature summarization (Biomedical NLP). The challenge in this field lies in the research for applications in diagnostic and clinical decision support, as well as patient triage. Therefore, LLMs can be used for multiple tasks within patient care, research, and education. Throughout 2023, there has been an escalation in the release of LLMs, some of which are applicable in the healthcare domain. This remarkable output is largely the effect of the customization of pre-trained models for applications like chatbots, virtual assistants, or any system requiring human-like conversational engagement. As healthcare professionals, we recognize the imperative to stay at the forefront of knowledge. However, keeping abreast of the rapid evolution of this technology is practically unattainable, and, above all, understanding its potential applications and limitations remains a subject of ongoing debate. Consequently, this article aims to provide a succinct overview of the recently released LLMs, emphasizing their potential use in the field of medicine. Perspectives for a more extensive range of safe and effective applications are also discussed. The upcoming evolutionary leap involves the transition from an AI-powered model primarily designed for answering medical questions to a more versatile and practical tool for healthcare providers such as generalist biomedical AI systems for multimodal-based calibrated decision-making processes. On the other hand, the development of more accurate virtual clinical partners could enhance patient engagement, offering personalized support, and improving chronic disease management.