A Comprehensive Review of Multimodal Facial State Analysis: Tasks, Methods, and Resources

Multimodal affective analysis aims to understand human sentiment and emotion by jointly modeling heterogeneous modalities such as text and images. However, multimodal models often fail to consistently outperform strong text-only baselines, with performance varying significantly across fusion strategies. In this work, we identify representation misalignment between independently pretrained modality encoders as a key bottleneck for effective multimodal learning, and show through controlled experiments that alignment prior to fusion is often more important than fusion complexity. To address this issue, we propose a unified multimodal affective analysis framework that leverages vision-language models (VLMs) to convert visual content into structured textual descriptions, projecting heterogeneous modalities into a shared linguistic space and enabling interpretable text-centric reasoning. To further improve robustness, we introduce a hybrid learning strategy that combines semantic token selection with a batch-level uniformity regularization objective, encouraging a more dispersed and stable global feature space while mitigating noise introduced by VLM-generated descriptions. Experiments on multiple multimodal sentiment and emotion benchmarks show that our method consistently outperforms strong unimodal and multimodal baselines, achieving state-of-the-art performance. Our analysis further highlights the critical role of representation alignment in multimodal affective learning.

Facial Expression Recognition (FER) is a fine-grained visual understanding task where reliable predictions require reasoning over localized and meaningful facial cues. Recent vision--language models (VLMs) enable natural language explanations for FER, but their reasoning is often ungrounded, producing fluent yet unverifiable rationales that are weakly tied to visual evidence and prone to hallucination, leading to poor robustness across different datasets. We propose TAG (Thinking with Action Unit Grounding), a vision--language framework that explicitly constrains multimodal reasoning to be supported by facial Action Units (AUs). TAG requires intermediate reasoning steps to be grounded in AU-related facial regions, yielding predictions accompanied by verifiable visual evidence. The model is trained via supervised fine-tuning on AU-grounded reasoning traces followed by reinforcement learning with an AU-aware reward that aligns predicted regions with external AU detectors. Evaluated on RAF-DB, FERPlus, and AffectNet, TAG consistently outperforms strong open-source and closed-source VLM baselines while simultaneously improving visual faithfulness. Ablation and preference studies further show that AU-grounded rewards stabilize reasoning and mitigate hallucination, demonstrating the importance of structured grounded intermediate representations for trustworthy multimodal reasoning in FER. The code will be available at https://github.com/would1920/FER_TAG .

Psychological evaluation relies on clinicians' observation and interpretation of a patient's emotional expression, which is susceptible to subjectivity, bias, fatigue, and inconsistency. This paper presents a multimodal emotion recognition system designed to support, rather than replace, the evaluator. The system combines facial expression recognition, speech emotion recognition, text-based emotion recognition of transcribed speech, and body movement analysis, and fuses their outputs into an emotional profile of class probabilities that is presented to the evaluator together with the overall prediction. Although the unimodal models achieve high accuracy on their benchmark test sets, a remote user study with 52 participants expressing seven emotional states shows that their accuracy falls to between 82.97% and 87.64% under realistic conditions, with individual emotional states recognised in as few as 48.08% of cases. Under the same conditions, the multimodal system achieves an accuracy of 96.43%, significantly higher than every single-modality component ($p < 10^{-4}$), with no emotional state below 92.31%. These results indicate that strong benchmark performance of a single channel does not transfer to realistic use, and that multimodal fusion provides the robustness required of a tool that supports psychological evaluation.