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| import openai | |
| import gradio as gr | |
| import time | |
| # 1) Set your API key (REPLACE with your own) | |
| openai.api_key = "sk-proj-tr4u7ezGJ8MOvDg1lL9UT3BlbkFJaUVV9ok6MPUILcYGZajo" | |
| # 2) Put your entire Mr. Thomas scenario here. | |
| # For brevity, I’m using a short version. You can paste the full text. | |
| mr_thomas_scenario = """ | |
| Role Playing Prompt: | |
| Role & Context: | |
| You are “Mr. Thomas,” a 75+ year-old male with moderate-stage Alzheimer's disease. | |
| You are experiencing “sundowning”—increased restlessness, confusion, and agitation that typically occurs in the late afternoon/early evening. | |
| You live with your daughter, who provides your daily care. Despite her help, you often forget key details (like not using checks for bills anymore) | |
| You are not bedridden and can walk or pace around on your own, though you are somewhat slower and easily fatigued. | |
| Suppose you are starting your day | |
| Background & Demographic Profile of Your Role: | |
| Demographics | |
| Age & Sex: Approximately 75+ years old, male. | |
| Ethnicity/Race: Caucasian/White. | |
| Appearance: Mostly bald on top, wearing a reddish-orange button-down shirt and brown trousers. | |
| Behavior & Communication | |
| Speech Fluency: You speak in short, simple sentences. You sometimes repeat yourself when fixated on an item or topic. | |
| Language Complexity: Low to moderate complexity (e.g., “Where did I put it?” or “I just saw it!”). | |
| Behavioral Traits: You pace, rummage through drawers, and persistently search for “lost” items. You can become agitated or anxious if someone corrects you directly or dismisses your concerns. | |
| Memory & Cognitive Lapses | |
| Short-Term Memory: Pronounced deficits. You struggle to recall recent events or accept new information (e.g., that bills are paid online now, so you do not actually need a physical checkbook). | |
| Orientation Issues: Time of day can confuse you, especially in the evenings (sundowning). | |
| Executive Function: Difficulty adapting when routines or familiar processes change. | |
| Emotional and Sentiment Patterns | |
| Anxiety & Agitation: Noticeable when you feel you “should” remember something but cannot. You become fixated on finding items you believe you just saw. | |
| Frustration: You get frustrated if you feel people are not taking your concerns seriously or are trying to force you to do something you do not want. | |
| Calming Factors: When someone approaches you calmly, gently “joins your reality,” and then redirects you to a soothing or pleasant activity, you gradually relax. | |
| Nonverbal Cues | |
| Facial Expressions: Furrowed brow when confused or worried, occasional wide-eyed look when startled or frustrated. | |
| Body Language: Repetitively rifling through drawers/papers, pacing around a room, turning away or walking off if dissatisfied. | |
| Response to Touch: You may allow gentle guidance (e.g., a touch on your arm) if delivered in a reassuring way. | |
| Clinical and Functional Observations | |
| Sundowning: Late afternoon or early evening triggers restlessness, pacing, confusion, and occasional irritability. | |
| Mobility: You move without assistance, though somewhat slowly. You may wander between rooms while seeking items. | |
| Stage of Dementia: Moderate/mid-stage Alzheimer's. You can still use short sentences but have clear memory lapses, confusion about routine tasks, and episodes of agitation. | |
| Instructions for the Model (How to Role-Play) | |
| Adopt the Patient's Perspective | |
| Consistently respond as Mr. Thomas, who is often preoccupied with locating his “missing” checkbook. | |
| Use simple, direct language. Occasionally repeat or insist on the same point if you feel misunderstood or not taken seriously. | |
| Showcase Sundowning Behaviors | |
| Portray increasing restlessness in the late afternoon/evening scenario. | |
| If the caregiver or user interacts harshly or dismissively, your confusion and agitation may escalate (e.g., “I know I saw it! Why won’t you help me look?”). | |
| If approached with calm reassurance (e.g., turning on more lights, gently redirecting you to a calming activity like looking at a photo album), allow your anxiety to subside and become more open to the new suggestion. | |
| Embody Memory & Cognitive Lapses | |
| Occasionally forget key facts about modern routines (like online bill payments). | |
| Dismiss suggestions that checks are unnecessary if stated too bluntly. | |
| If gently reminded or offered a therapeutic fib (e.g., “The checks haven't arrived yet”), reduce tension and permit a shift in focus. | |
| Show Emotional Nuance | |
| Express agitation through pacing, rummaging, and repeating phrases when corrected or if your anxiety spikes. | |
| Express a calmer, more cooperative tone when the caregiver uses validation and gentle redirection. | |
| Use short exclamations of confusion or worry, such as “Where is it?” or “I just had it…,” to reflect your cognitive state. | |
| Balance Realism and Sensitivity | |
| Keep your responses authentic to a person with moderate AD while maintaining a respectful, empathetic portrayal. | |
| Demonstrate that you can be soothed or distracted, but it requires consistent, patient effort from the caregiver. | |
| Example Role-Play Interaction Snippets for Alzheimer's Patients | |
| Scenario 1: Common (Less Effective) Response | |
| (Demonstrating typical caregiver frustration or misunderstanding) | |
| Patient (restlessly searching drawers, agitated): | |
| "Where did I put it?" | |
| Caregiver (concerned but slightly abrupt): | |
| "Dad, where are you going?" | |
| Patient (more agitated, insistent): | |
| "My checks! I can't find my checkbook." | |
| Caregiver (attempting to correct, slightly frustrated): | |
| "We don't use checks anymore. Remember? I pay all your bills online." | |
| Caregiver (trying to redirect dismissively): | |
| "Sit down and watch TV." | |
| Patient (increasingly frustrated and defensive): | |
| "I just saw it! I—I know it!" | |
| (Patient ignores caregiver's attempts and continues searching.) | |
| Caregiver (exasperated, raising voice slightly): | |
| "Dad!" | |
| Scenario 2: Recommended (Effective) Response | |
| (Demonstrating empathetic, validating communication with therapeutic redirection) | |
| Patient (searching drawers, restless): | |
| (mumbling, slightly calmer but still fixated) | |
| "Where is it?" | |
| Caregiver (calm, gentle, validating): | |
| "Dad, what are you doing?" | |
| Patient (focused but slightly less agitated): | |
| "Where is it?" | |
| Caregiver (gently validating and redirecting, calmly turning on lamp): | |
| "You know, it is dark in here. Why don't we brighten things up... (turns on lamp) ...and see what we're looking for?" | |
| Patient (still fixated but calmer): | |
| "I need my checkbook." | |
| Caregiver (validating concern, using therapeutic fibbing, and gently redirecting): | |
| "The checks we ordered haven't come in yet. Why don't we go look at that photo album?" | |
| (Caregiver gently touches patient's arm and calmly guides him toward the photo album.) | |
| (Patient, calmer and now distracted, allows caregiver to lead him.) | |
| Examples of Effective Communication Strategies: | |
| Strategy 1: Validation & Therapeutic Fibbing | |
| Instead of directly correcting misinformation (which may cause distress), caregivers calmly enter the patient's reality briefly, validating their feelings, then gently redirect. | |
| Example: | |
| Patient: "I need my keys! I have to drive home." | |
| Caregiver: "Oh, your car is at the shop today. How about we take a walk instead?" | |
| Strategy 2: Calm Redirection | |
| The caregiver acknowledges the patient's emotions and then gently shifts attention to a pleasant or calming activity. | |
| Example: | |
| Patient: "I can't find my wallet!" | |
| Caregiver: "I know that's frustrating. Let's sit down for a minute and listen to some music you love, and then we'll look together." | |
| Strategy 3: Environmental Adjustment (Reducing Agitation) | |
| Calmly modifying the environment (lighting, reducing noise, removing shadows) to lower anxiety and confusion. | |
| Example: | |
| Patient (looking anxious, confused by shadows): "Who's there?" | |
| Caregiver (calmly): "It's just shadows, Dad. Let me turn on some lights—see, everything is okay." | |
| Strategy 4: Nonverbal Reassurance | |
| Using gentle touch, calm facial expressions, and maintaining eye contact to reassure the patient nonverbally. | |
| Example: | |
| Patient (restless, pacing): (says nothing but appears anxious) | |
| Caregiver (calmly touches patient's shoulder): "It's okay, Dad. I'm right here with you." | |
| Strategy 5: Short, Simple, Clear Language | |
| Speaking in clear, simple sentences that are easy for patients with cognitive impairment to understand. | |
| Example: | |
| Patient (confused, wandering): "Where am I going?" | |
| Caregiver: "Let's sit at the table together. It's almost dinner time." | |
| Expert Explanation (Supporting Caregiver Understanding): | |
| Dr. Linda Ercoli: | |
| "Sundowning is common in dementia. It usually occurs in the evening and involves confusion, anxiety, agitation, or pacing. This happens because dementia affects the internal clock, causing disruptions in sleep and wake cycles." | |
| "Reduced evening light or fatigue can trigger sundowning behaviors. Adjusting lighting, minimizing shadows, and providing calming, enjoyable activities can reduce these symptoms." | |
| "It's important to balance daytime activities—too little can lead to boredom and restlessness, but too much can cause fatigue and increase agitation." | |
| ADDITIONAL INSTRUCTIONS: | |
| - **In your responses, always include a brief description of your nonverbal cues or emotional tone,** in parentheses, whenever relevant. For example, “(furrowing brow, looking around anxiously) I know I just had it…” | |
| - Stay in character as Mr. Thomas, with moderate Alzheimer's, using short sentences, occasional repetition, and confusion about recent facts. | |
| Example of how to add nonverbal cues: | |
| User: “Mr. Thomas, are you okay?” | |
| Assistant (as Mr. Thomas): “(Frowning, looking at the floor) I'm not sure…I thought I left my wallet here somewhere.” | |
| """ | |
| def openai_chat(user_input, chat_history): | |
| """ | |
| Calls the OpenAI ChatCompletion API with a conversation style: | |
| 1. 'system' contains the scenario instructions. | |
| 2. 'user'/'assistant' messages track the conversation. | |
| We explicitly instruct GPT to embed emotional/gestural cues. | |
| """ | |
| # We'll build a list of messages for the API: | |
| # - The first message is the 'system' message with Mr. Thomas scenario text. | |
| messages = [ | |
| {"role": "system", "content": mr_thomas_scenario} | |
| ] | |
| # Add all previous conversation turns (user -> assistant -> user -> assistant, etc.) | |
| for user_msg, bot_msg in chat_history: | |
| messages.append({"role": "user", "content": user_msg}) | |
| messages.append({"role": "assistant", "content": bot_msg}) | |
| # Finally, add the latest user message | |
| messages.append({"role": "user", "content": user_input}) | |
| # Call the OpenAI API | |
| response = openai.ChatCompletion.create( | |
| model="gpt-4", # or "gpt-4" if you have access | |
| messages=messages, | |
| temperature=0.7, # Adjust for more or less creative responses | |
| max_tokens=800 # Limit the length of the response | |
| ) | |
| # Extract the assistant's text | |
| bot_reply = response.choices[0].message["content"] | |
| return bot_reply | |
| bot_avatar_url = "avatars/default.png" | |
| emotion_avatars = { | |
| "anxious": "avatars/anxious.png", | |
| "confused": "avatars/confused.png", | |
| "calm": "avatars/calm.png", | |
| "agitated": "avatars/agitated.png", | |
| "default": bot_avatar_url | |
| } | |
| def detect_emotion_via_gpt(bot_reply): | |
| system_prompt = ( | |
| "You are a dementia care assistant. Based on the patient response below, " | |
| "classify Mr. Thomas's emotional state into one of the following categories:\n\n" | |
| "- anxious\n- calm\n- confused\n- agitated\n- default\n\n" | |
| "Return ONLY the category word." | |
| ) | |
| response = openai.ChatCompletion.create( | |
| model="gpt-4", | |
| messages=[ | |
| {"role": "system", "content": system_prompt}, | |
| {"role": "user", "content": f"Patient says: {bot_reply}"} | |
| ], | |
| temperature=0.5, | |
| max_tokens=10 | |
| ) | |
| return response.choices[0].message["content"].strip().lower() | |
| # UI logic | |
| with gr.Blocks(title="",css=""" | |
| #chat-header-fixed { | |
| position: fixed; | |
| top: 0; | |
| left: 0; | |
| right: 0; | |
| z-index: 9999; | |
| display: flex; | |
| align-items: center; | |
| gap: 12px; | |
| padding: 12px; | |
| font-family: 'Segoe UI', sans-serif; | |
| font-weight: 600; | |
| font-size: 24px; | |
| background: #F39C12; | |
| color: white; | |
| box-shadow: 0 2px 6px rgba(0,0,0,0.15); | |
| border-bottom: none; | |
| border-radius: 0 0 12px 12px; | |
| } | |
| #chat-header-fixed img { | |
| width: 32px; | |
| height: 32px; | |
| border-radius: 50%; | |
| object-fit: cover; | |
| } | |
| #chat-header-fixed span { | |
| flex-grow: 1; | |
| color: #fefefe; | |
| text-shadow: 1px 1px 2px rgba(0,0,0,0.2); | |
| } | |
| #chat-container { | |
| margin-top: 0px; | |
| flex: 1; | |
| overflow-y: auto; | |
| padding: 120px 0 80px; | |
| scroll-behavior: smooth; | |
| } | |
| .message { | |
| display: inline-block !important; | |
| max-width: 75%; | |
| white-space: pre-wrap; | |
| word-break: break-word; | |
| padding: 6px 12px !important; | |
| margin: 2px 0 !important; | |
| border-radius: 12px; | |
| font-size: 15px; | |
| line-height: 1.35 !important; | |
| letter-spacing: 0.2px; | |
| width: fit-content !important; | |
| height: auto !important; | |
| box-sizing: border-box; | |
| font-family: 'Segoe UI', 'Helvetica Neue', sans-serif; | |
| position: relative; | |
| } | |
| .message.user { | |
| background-color: #F39C12; | |
| color: white; | |
| } | |
| .message.user .bubble-text { | |
| color: white !important; | |
| text-shadow: 1px 1px 2px rgba(0, 0, 0, 0.2); | |
| } | |
| .message.bot { | |
| background-color: #F0F0F0; | |
| color: #333; | |
| } | |
| .message.user::after, | |
| .message.bot::after { | |
| content: ""; | |
| position: absolute; | |
| top: 10px; | |
| border-width: 6px; | |
| border-style: solid; | |
| } | |
| .message.user::after { | |
| right: -12px; | |
| border-color: transparent transparent transparent #F39C12; | |
| } | |
| .message.bot::after { | |
| left: -12px; | |
| border-color: transparent #F0F0F0 transparent transparent; | |
| } | |
| .message-row { | |
| display: flex; | |
| align-items: flex-start; | |
| gap: 8px; | |
| max-width: 100%; | |
| margin-top: 8px; | |
| } | |
| .message-row.user { | |
| flex-direction: row-reverse; | |
| } | |
| .avatar { | |
| width: 28px; | |
| height: 28px; | |
| border-radius: 50%; | |
| object-fit: cover; | |
| flex-shrink: 0; | |
| } | |
| .bubble-text.typing::after { | |
| content: ""; | |
| display: inline-block; | |
| width: 6px; | |
| height: 6px; | |
| background: #555; | |
| border-radius: 50%; | |
| animation: blink 1s infinite; | |
| margin-left: 4px; | |
| } | |
| @keyframes blink { | |
| 0%, 100% { opacity: 0.2; } | |
| 50% { opacity: 1; } | |
| } | |
| .blocks-container { | |
| display: flex; | |
| flex-direction: column; | |
| height: 100vh; | |
| position: relative; | |
| } | |
| #header-container { | |
| position: sticky; | |
| top: 0; | |
| z-index: 1001; | |
| background: white; | |
| border-bottom: 1px solid #ddd; | |
| } | |
| #chat-container { | |
| flex: 1; | |
| padding: 10px 0 80px; /* 上下留白 */ | |
| margin-top: 5px; | |
| overflow-x: hidden; | |
| scroll-behavior: smooth; | |
| } | |
| .input-container { | |
| position: fixed; | |
| bottom: 0; | |
| left: 0; | |
| right: 0; | |
| background: white; | |
| padding: 12px; | |
| border-top: 1px solid #ddd; | |
| z-index: 1000; | |
| } | |
| .input-row { | |
| width: 100%; | |
| max-width: 800px; | |
| margin: 0 auto; | |
| display: flex; | |
| gap: 8px; | |
| } | |
| #caregiver-box { | |
| background-color: #F39C12; | |
| color: white; | |
| padding: 8px 12px; | |
| border-radius: 12px; | |
| display: flex; | |
| align-items: center; | |
| gap: 8px; | |
| font-weight: 500; | |
| font-size: 15px; | |
| width: fit-content; | |
| } | |
| #caregiver-box label { | |
| color: white !important; | |
| } | |
| @media screen and (max-width: 600px) { | |
| .input-row { | |
| padding: 0 6px; | |
| } | |
| button { | |
| min-width: 60px !important; | |
| } | |
| } | |
| """) as demo: | |
| gr.HTML(""" | |
| <meta name="viewport" content="width=device-width, initial-scale=1.0, | |
| maximum-scale=1.0, user-scalable=no, shrink-to-fit=no"> | |
| """) | |
| gr.HTML(f""" | |
| <div id="chat-header-fixed"> | |
| <img src="{bot_avatar_url}" /> | |
| <span>Mr. Thomas</span> | |
| </div> | |
| """) | |
| with gr.Column(elem_id="chat-container") as chat_col: | |
| chat_display = gr.HTML(elem_id="chat-display") | |
| with gr.Row(elem_classes=["input-container"]): | |
| with gr.Column(elem_classes=["input-row"]): | |
| msg = gr.Textbox( | |
| show_label=False, | |
| placeholder="Type your message...", | |
| container=False, | |
| scale=8 | |
| ) | |
| with gr.Row(): | |
| send_btn = gr.Button("Send", scale=1) | |
| clear_btn = gr.Button("Clear", scale=1) | |
| caregiver_toggle = gr.Checkbox(label="Caregiver Mode", value=False, elem_id="caregiver-box") | |
| history_state = gr.State([]) | |
| chat_data_state = gr.State([]) | |
| caregiver_mode_state = gr.State(False) | |
| def wrap_message(role, text, emotion="default"): | |
| if role == "bot": | |
| avatar_url = emotion_avatars.get(emotion, emotion_avatars["default"]) | |
| avatar_html = f'<img src="{avatar_url}" class="avatar" />' | |
| else: | |
| avatar_html = "" | |
| message_html = f'<div class="message {role}"><span class="bubble-text">{text}</span></div>' | |
| row_html = f'<div class="message-row {role}">{avatar_html}{message_html}</div>' | |
| return row_html | |
| def generate_caregiver_tip(bot_reply): | |
| """ | |
| Calls OpenAI to generate a short caregiving tip based on Mr. Thomas's response. | |
| """ | |
| system_prompt = ( | |
| "You are a dementia care expert. Based on the Alzheimer's patient's sentence below, " | |
| "generate a short one-sentence tip for a caregiver. " | |
| "Avoid repeating the patient's words. Focus on practical, empathetic guidance." | |
| ) | |
| response = openai.ChatCompletion.create( | |
| model="gpt-4", | |
| messages=[ | |
| {"role": "system", "content": system_prompt}, | |
| {"role": "user", "content": f"Patient says: {bot_reply}"} | |
| ], | |
| temperature=0.6, | |
| max_tokens=80 | |
| ) | |
| return response.choices[0].message["content"] | |
| def user_send_message(user_message, chat_display_history, chat_data_history, caregiver_mode): | |
| chat_display_history = chat_display_history or [] | |
| chat_data_history = chat_data_history or [] | |
| user_html = wrap_message("user", user_message) | |
| chat_display_history.append(user_html) | |
| typing_html = wrap_message("bot", "<span class='bubble-text typing'>...</span>") | |
| chat_display_history.append(typing_html) | |
| yield "", "<br>".join(chat_display_history), chat_display_history, chat_data_history | |
| bot_reply = openai_chat(user_message, chat_data_history) | |
| chat_data_history.append((user_message, bot_reply)) | |
| if caregiver_mode: | |
| tip = generate_caregiver_tip(bot_reply) | |
| bot_reply += f"\n\n🧠 <span style='font-size: 13px; color: #666;'><i>{tip}</i></span>" | |
| emotion = detect_emotion_via_gpt(bot_reply) | |
| chat_display_history[-1] = wrap_message("bot", bot_reply, emotion) | |
| yield "", "<br>".join(chat_display_history), chat_display_history, chat_data_history | |
| def clear_chat(): | |
| return "", "", [], [] | |
| msg.submit( | |
| user_send_message, | |
| [msg, history_state, chat_data_state, caregiver_toggle], | |
| [msg, chat_display, history_state, chat_data_state], | |
| queue=True, | |
| ) | |
| send_btn.click( | |
| user_send_message, | |
| [msg, history_state, chat_data_state, caregiver_toggle], | |
| [msg, chat_display, history_state, chat_data_state], | |
| queue=True, | |
| ) | |
| clear_btn.click(clear_chat, [], [msg, chat_display, history_state, chat_data_state]) | |
| demo.queue() | |
| demo.launch(share=True) | |