Multi-View Attention Multiple-Instance Learning Enhanced by LLM Reasoning for Cognitive Distortion Detection

arXiv:2509.17292v3 Announce Type: replace-cross
Abstract: Cognitive distortions have been closely linked to mental health disorders, yet their automatic detection remains challenging due to contextual ambiguity, co-occurrence, and semantic overlap. We propose a novel framework that combines Large Language Models (LLMs) with a Multiple-Instance Learning (MIL) architecture to enhance interpretability and expression-level reasoning. Each utterance is decomposed into Emotion, Logic, and Behavior (ELB) components, which are processed by LLMs to infer multiple distortion instances, each with a predicted type, expression, and model-assigned salience score. These instances are integrated via a Multi-View Gated Attention mechanism for final classification. Experiments on Korean (KoACD) and English (Therapist QA) datasets demonstrate that incorporating ELB and LLM-inferred salience scores improves classification performance, especially for distortions with high interpretive ambiguity. Our results suggest a psychologically grounded and generalizable approach for fine-grained reasoning in mental health NLP. The dataset and implementation details are publicly accessible.