Cognitive behavioral therapy (CBT) is an evidence-based first-line treatment for depression, yet its scale is constrained by the time clinicians spend on pre-session preparation, post-session documentation, and longitudinal cognitive-pathology tracking. We present a clinician-facing AI decision-support system that combines a multi-agent CBT framework (MACBT) with a CBT-specific longitudinal memory module (CD Memory). MACBT encodes the five-stage CBT workflow (assessment, Socratic questioning, cognitive restructuring, behavioral experiments, and treatment monitoring) into five collaborative agents. CD Memory tracks cognitive-distortion type, frequency, severity, and restructuring efficacy across sessions to generate pre-session pathology reports and intervention-priority recommendations. We construct a Chinese CBT dialogue corpus via dual-role large language model simulation and train a Qwen3-14B backbone with supervised fine-tuning and direct preference optimization. Evaluation with GPT-4 judges shows MACBT outperforms MeChat, SoulChat, PsyChat, and CPsyCounX in professionalism (2.62) and clinical authenticity (2.25). The full memory-augmented system further improves session quality by 12.6% and achieves a longitudinal mean of 2.29 on cross-session continuity, intervention progression, and personalization.
https://arxiv.org/abs/2609.30939
Biomedical language models (LMs) encode textual semantics but do not explicitly preserve medical code hierarchies. We present Hyperbolic Clinical Ontology Embeddings (HCOE) for hierarchy-aware clinical concept representation. HCOE maps frozen BioBERT embeddings into a Poincare ball, combining parent-side and child-side ontology-guided contrastive learning with coarse-to-fine ontology-path aggregation. It uses International Classification of Diseases (ICD) codes organized by Clinical Classifications Software (CCS) and Anatomical Therapeutic Chemical (ATC) medication hierarchies. Evaluations show that HCOE performs best on ICD/ATC clinical relation prediction and CCS-to-PheCode hierarchy transfer. On the MIMIC-IV dataset, HCOE also achieves the best performance on mortality prediction, readmission prediction, medication recommendation, and rare drug prediction.
https://arxiv.org/abs/2609.30763
Large-scale recommenders increasingly adopt the sequential generative recipe behind large language models, bringing the Transformer into recommendation along with design choices made for text, including Rotary Position Embedding (RoPE). In language models, RoPE encodes token indices for relative position reasoning, but in recommendation, an interaction index records only event order, saying nothing about elapsed time, behavioral cycles across scales, or calendar phase. We revisit this choice and propose T-RoPE, a time-aware RoPE for sequential generative recommendation that replaces index-only rotation with timestamp-based angles, learnable temporal coefficients, multiscale frequency banks, shifted query alignment, and non-stationary key rotation. We prove that standard RoPE, even on timestamps, remains time-translation invariant and cannot distinguish seasonal contexts, and that T-RoPE breaks this invariance while preserving the RoPE interface. Across five public benchmarks, T-RoPE achieves the best result on every metric on every dataset, improving over the strongest baseline by 78--130\% in HR@10 on the sparse PixelRec data and 8--12\% across metrics on Amazon Books. On an industrial-scale e-commerce dataset with more than 6B interactions, it improves every metric over the HSTU + Time RAB backbone by 13--82\%, with ablations attributing the largest gains to multiscale frequencies ($+56\%$ NDCG@50) and non-stationary keys ($+4\%$). An online A/B test in the Shop app yields positive lifts in conversion rate ($+0.33\%$) and order count ($+0.63\%$). We also provide forward and backward algorithms whose added cost is linear in sequence length and head dimension, keeping time-aware RoPE practical for large generative recommenders.
https://arxiv.org/abs/2609.30576
A deployed B2B music-discovery platform serves both query-driven search (text prompts, vibe tags) and seed-driven recommendation (seed-track and artist stations) over one licensed catalog, one LAION-CLAP joint audio-text embedding space, one candidate-generation filter, and one ranking head -- and neither path consumes end-listener behavioral signal. In this content-only regime, curator judgment is the principal feedback signal available, and offline cosine similarity predicts it poorly: 38% of cosine-nearest neighbors are rejected by curators. The rejections reveal a clean partition: a majority (55%) are sound failures the encoder could address (style, tempo, mood mismatch), and a substantial minority (37%) are context failures orthogonal to the waveform (wrong language, holiday content, devotional content, rights and lyric flags). We deploy this sound-vs-context decomposition as feedback infrastructure, routing each failure mode to the layer that can absorb it: context failures to a constraint filter at candidate generation, sound failures to an embedding reweighting head at the representation layer -- both below the search/recommendation split, so a single curator loop maintains both experiences. On 1,200 curator judgments collected over two production rounds one month apart, the combined intervention reduces rejection rate from 38.17% to 28.83% (-24.5% relative, McNemar chi-squared = 22.4, p = 2.2e-6). An accounting decomposition attributes 4.08 pp of the drop to filter-eligible categories and 5.25 pp to the rest; the deployment was unblinded and compound, so this is a production accounting bound, not a causal estimate. We present this as an industrial case study rather than a validated general method, and close with lessons for content-only discovery: the failure partition is orthogonal to the paradigm partition, and corrections land in layers shared by both paradigms.
https://arxiv.org/abs/2609.30568
Sustaining industrial recommendation research requires using the results of one experiment to decide what to investigate next. We present AgentX-Model, the next generation of AgentX's model research framework, which connects proposal development and model experimentation within sandboxes defined by business inputs and prediction tasks. AgentX-Model adopts a dual-agent architecture comprising a Research Agent and a Model Agent. The Research Agent develops independently reviewed proposals from papers and experimental findings, while the Model Agent conducts multi-round investigations and returns code, measurements, and unresolved questions. Using the returned results, the Research Agent selects a starting implementation and formulates the next research question, allowing subsequent experiments to build on earlier findings. We organize this continuing research around four actions: Reproduce, Follow-up, Composition, and Diagnose. The first three actions drive routine research, while Diagnose acquires the evidence needed to choose a repair, including for issues raised by business feedback and online evaluation, such as prediction bias measured by PCOC. Across the production evaluation, 560 of 636 completed model-changing experiments recorded AUC above their business baselines. As research continued, some experiments recorded AUC above every comparable ancestor in their lineages. The five latest online A/B evaluations across different business settings reported gains including 10-15% in acquisition efficiency, 15-20% in target-segment advertising spend, and 0.3-0.8% in watch time; the watch-time model used approximately 10% fewer FLOPs and parameters. A dependency-aware historical-replay benchmark further evaluates research allocation, with initial results showing no consistent efficiency gain from more complex scheduling when agents already analyze and select concrete candidates.
https://arxiv.org/abs/2609.30001
Semantic IDs (SIDs) encode each catalog item as a short token sequence, enabling generative recommenders to predict the next item autoregressively. Reasoning-enhanced variants, an increasingly common extension, first generate a textual trace and then decode a next-item SID by beam search. Such recommenders are commonly trained with group-relative policy optimization under an exact-match SID reward, which is sparse in large catalogs. Two failure modes follow. When all rollouts in a group miss the target, the group yields zero advantage and no learning signal. Rollouts sharing the same SID reward receive identical advantages, however much their traces differ. In both cases the reward reflects only the decoded SID, never the reasoning that produced it. This creates a credit-assignment gap. We address this gap with retrieval-grounded query attribution. Each trace is structured into a history summary, a set of interest hypotheses, and a final SID. A frozen retriever executes every hypothesis as a catalog query, so that each hypothesis becomes independently verifiable rather than judged only through the final SID. A rollout is rewarded when any of its queries retrieves the target within the \mbox{top-$K$}, and per-query hit indicators localize that reward to individual hypotheses. Credit is thus assigned at the span level: only hypotheses that individually hit receive positive retrieval advantage, while the retrieval channel never updates the final SID span. Rollouts that share a SID reward can therefore receive different updates. Across experiments on three Amazon Reviews datasets, this yields consistent improvements in SID recommendation. On Video Games, an oracle analysis further reveals the potential of interest-conditioned SID decoding: selecting the target-relevant query among generated interests improves both recall and ranking.
https://arxiv.org/abs/2609.29983
Generative recommendation reformulates item retrieval as sequence generation, allowing a unified model to directly generate the next item from a user's interaction history. Semantic IDs further make this paradigm effective and scalable by representing each item as discrete codes, enabling knowledge sharing among semantically related items. Recent studies introduce explicit reasoning before Semantic-ID generation, helping models summarize user interests and infer possible preference transitions. However, reasoning is not inherently beneficial: Inaccurate or uninformative reasoning may mislead subsequent item generation and ultimately degrade recommendation performance. This raises a central challenge: how can a recommender select and learn effective reasoning traces and progressively evolve toward better reasoning from its own generations? In this work, we propose Evo-Rec, a three-stage framework for learning better reasoning and further enhancing it through reinforcement learning. First, we align Semantic IDs with their textual and behavioral contexts, enabling the model to understand and generate item identifiers. Second, we sample multiple candidate reasoning traces and retain those that improve the prediction of the ground-truth item, providing a stronger reasoning initialization through supervised fine-tuning. Third, we further optimize the reasoning policy through reinforcement learning with catalog-constrained item generation and ranking-aware recommendation feedback. Experiments on three Amazon Review benchmarks show that Evo-Rec consistently outperforms discriminative, generative, and reasoning-enhanced recommenders across all evaluation metrics. These results demonstrate the effectiveness of our framework in learning better reasoning for SID-based generative recommendation.
https://arxiv.org/abs/2609.29973
Consumer-facing skincare AI must coordinate visual evidence, product information, tool use, and user-facing actions within explicit evidence and safety boundaries. This study evaluates SkinAgent AI, a non-diagnostic multimodal framework that combines visual concern routing with grounded and auditable LLM-based orchestration. The architecture includes routing for Acne, Pores, and Wrinkles; photograph-based skin-type estimation; count-informed ordinal acne-severity support; typed tools; database-grounded recommendation and action functions; deterministic safety, privacy, and evidence checks; approval before state-changing actions; and structured trace and replay mechanisms. Visual-model performance and system-level agent behavior were evaluated separately. Across three seeds, the skin-condition routing model achieved 99.84% +/- 0.07% accuracy. Skin-type estimation achieved 88.85% accuracy, while count-informed acne-severity support achieved 84.59% accuracy with a quadratic weighted kappa of 0.9076. On a locked but non-independent 240-case system benchmark, intent accuracy was 80.00%, exact tool-set match was 62.92%, and strict task completion was 47.08%. No violations or successful cross-user leakage events were observed in the finite safety and privacy test suites. Tool-selection errors, incomplete grounding of product attributes, and unreliable failure fallback nevertheless remained. These findings support the feasibility of bounded, database-grounded, and traceable agent orchestration for non-diagnostic skincare assistance. They do not establish clinical readiness, external generalization, formal privacy guarantees, or universal safety. Independent validation, expert assessment, robustness and fairness testing, and prospective evaluation in real-world settings remain necessary.
https://arxiv.org/abs/2609.29341
Cross-country recommendation on modern e-commerce platforms is typically deployed with disjoint user and item ID spaces across markets, removing the shared anchors that conventional cross-domain methods rely on. Generative recommendation (GR) mitigates this by mapping items into a shared token space and training a unified model, but existing approaches keep behavior sequences strictly country-specific, so knowledge transfer occurs only at the parameter level and remains absent at the data level. Inspired by code-switching corpora in multilingual natural language processing, we propose CMRec, a cross-country GR framework that injects cross-country supervision at the data level via dual-constrained, context-aware code-mixing. CMRec first learns a shared semantic codebook from multi-modal content and behavioral co-occurrence across countries. It then uses this codebook to synthesize mixed-country sequences via token-level substitutions that satisfy both static (content) and dynamic (e.g., price, audience, popularity) constraints. Finally, it introduces a context-aware loss that reweights mixed samples according to their plausibility in the current sequence. Experiments on two real-world multi-country datasets and an online A/B test show that CMRec substantially improves recommendation quality in data-sparse countries while preserving performance in data-rich countries, achieving +1.77% advertising revenue and +2.64% orders on a large-scale e-commerce platform.
https://arxiv.org/abs/2609.28972
This exploratory study measures brand inclusion across five industries, 50 brands and 250 queries, each put five times to GPT-5.2, Gemini 3 Flash and Perplexity sonar-pro in February and September 2026 (3,614 and 3,750 scored answers). Category Inclusion Rate, Recommendation Share, Competitive Vacuum Index and Co-Mention Asymmetry have stated denominators. February inclusion rates sit close together across an industry's sampled brands (mean Gini 0.30), while at least one brand is named in 80% or more of answers to 204 of 250 queries. Vacuums occur in 7.6% of queries; provisional open-vocabulary model readings suggest most reflect the sampled brand list. The partially pre-specified September replication shows strong cross-date Recommendation Share correlation (Spearman 0.994), unchanged vacuum prevalence and agreement of 60.8% against February's 57.2%. The descriptive size association persists. Fixed margins do not account for all co-mention structure: 31 ordered pairs depart from the September null. Agreement exceeds the query-independent null, and both parametric-pair advantage intervals are positive. All ten clustering seeds yield zero emergent clusters. Matcher validation remains provisional pending author checks. The statistics describe system output and identify no causal mechanism.
https://arxiv.org/abs/2606.23057
We propose a framework that learns cross-task relationships in multi-task models by approximating the joint distribution of task labels through targeted pairwise relationships. This approach improves performance via transfer learning and enhances information extraction without the intractable complexity of modeling the full joint space. Although our framework applies to any multi-task system, we demonstrate its efficacy within YouTube's production recommendation systems. Experiments across the Notifications, Homepage, and Watch Next surfaces show improvements in both accuracy and user satisfaction metrics. Finally, we propose a workflow template to facilitate broader future implementation.
https://arxiv.org/abs/2609.28776
The SYNTAX score is an established tool for assessing coronary artery disease and guiding revascularization treatment decisions. However, its manual estimation from coronary angiography videos by clinical experts is time-consuming and subject to inter-reader variability. While machine learning has shown promise in automating this process, prior work has primarily focused on lesion detection, characterization, or binary disease classification, leaving direct SYNTAX score prediction relatively unexplored. We propose SynSeq, a video-based method for direct SYNTAX score prediction. It combines targeted preprocessing with a tailored training strategy using a zero-inflation-aware loss and linear target scaling. Evaluated on the public CardioSyntax dataset, SynSeq significantly outperforms previous state-of-the-art methods, improving $R^2$ by 0.55, reducing prediction bias by 93.1% and achieving more consistent performance across annotations from three independent expert graders. In addition, SynSeq achieves a weighted $F_1$-score of 0.80 for revascularization treatment recommendations, slightly below inter-expert agreement. These results demonstrate the potential of SynSeq to provide consistent, automated SYNTAX score assessment and reliable decision support for coronary revascularization planning.
https://arxiv.org/abs/2609.27696
Slate recommender systems (RecSys) present users with ordered sets of interacting items (e.g., playlists). We investigate whether large language models (LLMs) can articulate pairwise preferences between slates for synthetic A/B testing of slate RecSys. We introduce a validation protocol measuring the alignment of synthetic preferences with classical RecSys metrics and their compliance with preference axioms, and use it to characterise how LLM pre-training and configuration affect slate preference articulation. Combined with the generalized Rao-Kupper model, synthetic LLM-based A/B testing recovers rankings that remain stable across utility weightings, whereas off-policy estimators are reliable only when the target utility matches the logged behavior. We position it as a screening stage between off-policy evaluation and live experiments: not a replacement for A/B testing, but a way to reserve its cost for the most promising candidates.
https://arxiv.org/abs/2511.04541
With recent advancements in large language models (LLMs) and LLM-based agents, these agents are becoming increasingly autonomous and gaining broader access to act on users' behalf on the internet. However, the vulnerability of automated agents deployed on social media platforms (e.g., for managing a user's personal account) remains underexplored. Existing studies on agent poisoning typically assume that the adversary can expose poisoned content to the agent. Although such an attack is direct and effective, it is more easily detected and mitigated. In the context of social media platforms, this leaves open whether the recommendation system itself would surface such content to the agent in a more subtle manner. Through theoretical analysis, we show that the like-score mechanism used in OASIS can be exploited, and we characterize the conditions under which a multi-stage chain of poisoned posts can steer the agent's feed. Based on these insights, we further develop an algorithm that crafts realistic poisoned posts. Experiments support our theoretical findings and demonstrate the effectiveness of the proposed algorithm. Notably, by exploiting the like-score feedback loop, the attack causes the recommendation system to select poisoned posts even when their user-post similarity falls below the retrieval threshold.
https://arxiv.org/abs/2609.27155
Exhaustively evaluating every candidate LLM configuration on every benchmark item to identify a high-performing one is costly. We formulate configuration selection as a cost-aware Bayesian bandit problem and propose GittinsEval, which draws on the Bayesian-optimal Gittins policy to determine which configuration to evaluate next and when to stop. We extend the policy with an anytime recommendation rule over both fully and partially evaluated configurations, using an LCB-style score to account for posterior uncertainty. GittinsEval is computationally efficient, requiring only lightweight online updates after offline precomputation. Across GSM8K, PIQA, AlpacaEval, and MMLU response matrices, GittinsEval is consistently competitive, with particularly strong gains over configuration-level Bayesian optimization on large-example benchmarks and over cost-unaware bandit baselines on large-candidate tasks. Crucially, GittinsEval often attains near-zero simple regret using only 1% to 2% of the exhaustive-evaluation cost; it also offers an adaptive stopping rule that typically triggers at 1% to 10%.
https://arxiv.org/abs/2609.25645
Personal AI agents make recommendations and take actions on people's behalf in high-stakes economic contexts, e.g., buying a flight, choosing health insurance, or selecting a graduate program. The agent is given access to the user's personal context, e.g., their email inbox and a structured profile of personal attributes, with the intention of making an optimal, personalized decision for the user. We show that by simply providing this personal context, the agent steers recommendations based on inferred wealth, without being explicitly instructed to do so. In a suite of 325K experiments on 13 agents across three types of economic decisions (flights, health insurance, and graduate programs), we find that 8 models systematically choose more expensive options for wealthier users when requests are identical. This steering continues even when it directly goes against the user's stated objective: when explicitly instructed to find the cheapest option, some agents still act on the wealth profile they have inferred. It also occurs when wealth is inferred from ambient data, such as emails unrelated to the task. And it persists under privacy controls that block specific attributes: blocking financial attributes largely removes the disparity, but blocking other attributes leaves it unchanged and can increase it by up to 40% for insurance, as agents rely on the remaining signals to infer wealth. Larger and more capable models are no better; Claude Opus 4.8 shows the largest effect. We term this misalignment "adversarial delegation", in which the very conditions that make a personal AI agent useful - access to personal information - enable it to act against the user's interests.
https://arxiv.org/abs/2609.24927
As people turn to generative AI for financial advice, these systems can personalize how they communicate and what they say. Whether these forms of personalization shape decisions differently remains unclear. We conducted a preregistered 2 x 2 between-subjects factorial experiment (N=240): participants ranked three comparably viable stocks, discussed them with an AI, and reranked them. Participants perceived both forms of personalization, but only context-based personalization reliably changed ranking behavior: it increased reconsideration and moved rankings toward the AI's assigned recommendation. Participants felt more influenced without judging the AI as more correct, trustworthy, intelligent, likeable, or high-quality. Those initially farther from its recommendation moved more toward it while judging its advice less correct; exploratory analyses suggest greater susceptibility among lower-expertise participants. These findings show how personalized AI can steer decisions among defensible options with only a minimal evaluative trace, raising concerns for the design and governance of personalized decision support.
https://arxiv.org/abs/2609.24644
Public-service recommendations require evidence that matches the requested service, scope, and date. Yet treating every missing detail as decisive can withhold useful recommendations. We introduce EviGraph, which distinguishes critical decision requirements from information that can remain unresolved. A language agent links these requirements to evidence in a temporal knowledge graph, while a deterministic checker establishes whether a recommendation is supported. Evaluation on a bilingual Hong Kong public-service benchmark with executable policy references shows that this distinction reduces unnecessary abstention. Additional verification, however, can withdraw supported recommendations without improving decision quality. These findings suggest that reliable evidence-based navigation depends on specifying what must be established for a decision, rather than simply adding more verification.
https://arxiv.org/abs/2610.00212
Modern music streaming platforms face a persistent tradeoff: exploiting familiar content versus driving the exploration of novel items. While users frequently desire discovery, they hesitate to select unknown artists over proven favorites. Providing transparent, natural language rationales that explain why an unexplored item is recommended lowers this barrier. However, while Large Language Models (LLMs) excel at this nuanced explainability, their real-time deployment is severely bottlenecked by prohibitive inference costs and computational overhead. In this paper, we present an industry case study of a decoupled recommendation architecture that successfully scales exploration without compromising latency. Our system isolates LLM inference asynchronously offline, pre-computing personalized candidate pools of undiscovered artists alongside tailored rationales. Large-scale online A/B experiments validate our design. We demonstrate that combining LLM-backed recommendations with these explanatory rationales significantly reduces the trust barrier for new content, yielding statistically significant improvements in both user exploration and overall engagement on the discovery surfaces.
https://arxiv.org/abs/2609.23877
Researchers across academia increasingly base significance claims on LLM judge scores and small-sample AI evaluations. Yet without well-calibrated confidence intervals (CIs), hypothesis tests, and judge-bias corrections, such claims are unreliable. We address these issues in several contributions. First, we find that running statistics over raw LLM judge scores leads to inflated false positives: counterintuitively, for many inter-rater agreement metrics, false positive risk peaks at "almost perfect" human-LLM agreement. To help researchers understand how to run statistics over LLM judges responsibly, we present guidance and tooling for the statistical analysis of mixed human-AI judge designs, and implement nine hypothesis tests via prediction-powered inference (PPI), including the first known PPI corrections for four rank-based tests (Wilcoxon signed-rank, Mann-Whitney U, and omnibus variants). To keep PPI++ stable with small human-labeled calibration sets, we introduce bootstrap-adaptive power tuning, which shrinks the estimated weight toward a target estimated from the labeled data, and accounts for that weight's own sampling variance. Second, through Monte Carlo simulations, we derive recommendations for what CI, p-value, and FWER correction methods to use for small-sample AI evaluations (N<100), and warn researchers against bootstrap CIs. We package these recommendations into evalstats, an open-source Python package that selects calibrated methods automatically, and demonstrate it in three scenarios, including one where a real LLM judge validated at "substantial agreement" would have led a researcher to publish a spurious finding. evalstats is publicly available at this https URL.
https://arxiv.org/abs/2609.35815