Automated main concept generation for narrative discourse assessment in aphasia

We present an interesting application of narrative understanding in the clinical assessment of aphasia, where story retelling tasks are used to evaluate a patient's communication abilities.This clinical setting provides a framework to help operationalize narrative discourse analysis and an application-focused evaluation method for narrative understanding systems.In particular, we highlight the use of main concepts (MCs)-a list of statements that capture a story's gist-for aphasic discourse analysis.We then propose automatically generating MCs from novel stories, which experts can edit manually, thus enabling wider adaptation of current assessment tools.We further develop a prompt ensemble method using large language models (LLMs) to automatically generate MCs for a novel story.We evaluate our method on an existing narrative summarization dataset to establish its intrinsic validity.We further apply it to a set of stories that have been annotated with MCs through extensive analysis of retells from non-aphasic and aphasic participants (Kurland et al., 2021(Kurland et al., , 2025)).Our results show that our proposed method can generate most of the gold-standard MCs for stories from this dataset.Finally, we release this dataset of stories with annotated MCs to spur more research in this area. 1