Care-Conditioned Neuromodulation for Autonomy-Preserving Supportive Dialogue Agents

Reinforcement learning (RL) for large language models (LLMs) has shown strong performance in single-turn tasks, but extending it to multi-turn interaction remains challenging due to sparse rewards and poor per-turn credit assignment. In emotional support dialogues, responses shape future user states, so matched-state step-wise comparison is unavailable, while trajectory-level supervision is insufficient. We propose MICA (Multi-granularity Intertemporal Credit Assignment), a critic-free RL framework for multi-turn emotional support tasks. MICA derives both immediate and delayed credit from a shared potential function over the user's structured support state. Incremental Distance Reward measures the per-turn decrease in residual distance to the target state, while its Monte Carlo return captures delayed effects. After scope-specific normalization, the two signals form a mixed advantage for stable per-turn optimization without matched-state comparisons, rollout trees, or a learned critic. On EMPA, EQ-Bench, and EmoBench with Qwen2.5-7B-Instruct and Qwen3-8B/14B/32B, MICA consistently outperforms GRPO and REINFORCE++, achieving up to +42.5 on EMPA, while adding no rollout cost and remaining robust to reward judges. These results show that turn-aware credit assignment enables effective and practical multi-turn RL for interactive LLMs.

Language models are increasingly being deployed for conversational support in informal caregiving contexts, where interactions often extend beyond information-seeking: caregivers seek emotional reassurance, guidance, and help, while navigating uncertain, relationally complex care decisions. Yet most safety evaluations assess model behavior under generic prompts, leaving a critical question unexamined: does a model's safety profile change with its support role? We study this by operationalizing four expert-reviewed support roles grounded in social support theory: Inform, Coach, Relate, and Listen, and comparing them against two baseline controls: a basic prompting condition and a retrieval-augmented generation (RAG) condition. We evaluate across three language models (GPT-4o-mini, Llama-3.1-8B-Instruct, and MedGemma-1.5-4b-it) on 5,000 real-world queries from online Alzheimer's Disease and Related Dementias (ADRD) communities. We find that the LLM's support role systematically shapes both the prevalence and composition of interactional risks. Furthermore, a human evaluation study reveals a perceived quality--safety tension: more directive, information-oriented roles are rated as more helpful and trustworthy despite exhibiting elevated interactional risk profiles. We release ~90,000 support role-conditioned model responses with risk annotations as an ecologically grounded resource for research on safer LLM-mediated conversational support.

Despite remarkable capability in multi-modal understanding, deploying Multi-modal Large Language Models (MLLMs) in open-ended conversational scenarios introduces safety risks that remain poorly addressed by existing alignment methods. Unlike simple malicious visual question and answer (VQA) pairs , multi-turn interactions enable adversaries to incrementally reconstruct harmful intent across dialogues, progressively bypassing safety constraints in ways that are difficult to detect at any individual turn. Meanwhile, conventional reinforcement learning from human feedback (RLHF) approaches are unsuitable for this situation: designed primarily for VQA tasks, they neither capture cross-turn risk dynamics nor scale efficiently without costly manual preference annotation. To close this gap, we introduce MINT-Safe, an open-source visual multi-turn training dataset comprising 11,270 multi-image dialogues and 500 refusal VQA pairs, constructed via multi-agent interaction with text-to-image (T2I) tool-call augmentation. Building on MINT-Safe, we propose TAD-Align, a dialogue safety alignment framework centered on a turn-aware dual-objective reward function. Rather than treating all dialogue turns uniformly, TAD-Align leverages rollout-based safety score variance to dynamically identify turns where the model exhibits inconsistent safety behavior, and adaptively up-weights these turns during optimization. Experiments on Qwen2.5-VL-7B-Instruct and LLaVA-NeXT-7B demonstrate reductions of over 10% in Attack Success Rate (ASR), alongside improvements of at least 8% in harmlessness and 13% in helpfulness on multi-modal multi-turn safety benchmarks, while preserving general model capabilities.