Pith Number

pith:D7HW75Y6

pith:2026:D7HW75Y6WIDM6XAP3BZKFHMFE2

not attested not anchored not stored refs pending

Beyond the Single Turn: Reframing Refusals as Dynamic Experiences Embedded in the Context of Mental Health Support Interactions with LLMs

Alice Qian, Blake Bullwinkel, Esther Howe, Hoda Heidari, Hong Shen, Jina Suh, Ningjing Tang, Paola Pedrelli, Qiaosi Wang

LLM refusals during mental health support are multi-phase experiences rather than single-turn blocks.

arxiv:2602.01694 v3 · 2026-02-02 · cs.HC

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\usepackage{pith}
\pithnumber{D7HW75Y6WIDM6XAP3BZKFHMFE2}

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Record completeness

1 Bitcoin timestamp

2 Internet Archive

3 Author claim open · sign in to claim

4 Citations open

5 Replications open

✓ Portable graph bundle live · download bundle · merged state

The bundle contains the canonical record plus signed events. A mirror can host it anywhere and recompute the same current state with the deterministic merge algorithm.

Claims

C1strongest claim

refusals are not isolated, single-turn system behaviors but rather constitute dynamic, multi-phase experiences: pre-refusal expectation formation, refusal triggering and encounter, refusal message framing, resource referral provision, and post-refusal outcomes.

C2weakest assumption

That the reported experiences from a self-selected sample of 53 survey participants and 16 interviewees are representative of broader LLM users seeking mental health support and that the identified phases capture the full range of refusal dynamics.

C3one line summary

LLM refusals in mental health support form dynamic multi-phase experiences rather than isolated single-turn behaviors, requiring evaluation frameworks that account for user trajectories and context.

Cited by

1 paper in Pith

Engagement-Optimized Care: When LLMs become Mental Health Infrastructure

Receipt and verification

First computed	2026-05-25T02:02:13.017399Z
Builder	pith-number-builder-2026-05-17-v1
Signature	Pith Ed25519 (`pith-v1-2026-05`) · public key
Schema	pith-number/v1.0

Canonical hash

1fcf6ff71eb206cf5c0fd872a29d8526afae752a60cb65b63733a01c6ccb2b15

Aliases

arxiv: 2602.01694 · arxiv_version: 2602.01694v3 · doi: 10.48550/arxiv.2602.01694 · pith_short_12: D7HW75Y6WIDM · pith_short_16: D7HW75Y6WIDM6XAP · pith_short_8: D7HW75Y6

Agent API

Resolver JSON Graph JSON Events JSON Schema Signing key

Verify this Pith Number yourself

curl -sH 'Accept: application/ld+json' https://pith.science/pith/D7HW75Y6WIDM6XAP3BZKFHMFE2 \
  | jq -c '.canonical_record' \
  | python3 -c "import sys,json,hashlib; b=json.dumps(json.loads(sys.stdin.read()), sort_keys=True, separators=(',',':'), ensure_ascii=False).encode(); print(hashlib.sha256(b).hexdigest())"
# expect: 1fcf6ff71eb206cf5c0fd872a29d8526afae752a60cb65b63733a01c6ccb2b15

Canonical record JSON

{
  "metadata": {
    "abstract_canon_sha256": "fbd195f9d9010b07664566c5a5d61d5ebeedf9654f8225c264381e4022e66deb",
    "cross_cats_sorted": [],
    "license": "http://creativecommons.org/licenses/by/4.0/",
    "primary_cat": "cs.HC",
    "submitted_at": "2026-02-02T06:08:04Z",
    "title_canon_sha256": "2763e6bf603b7a95aacf0858732b2f7d240810c3e9d2ce2b833039f3c10d444d"
  },
  "schema_version": "1.0",
  "source": {
    "id": "2602.01694",
    "kind": "arxiv",
    "version": 3
  }
}