As mental health issues rise among college students, there is an increasing interest and demand in leveraging Multimodal Language Models (MLLM) to enhance mental support services, yet integrating them into psychotherapy remains theoretical or non-user-centered. This study investigated the opportunities and challenges of using MLLMs within the campus psychotherapy alliance in China. Through three studies involving both therapists and student clients, we argue that the ideal role for MLLMs at this stage is as an auxiliary tool to human therapists. Users widely expect features such as triage matching and real-time emotion recognition. At the same time, for independent therapy by MLLM, concerns about capabilities and privacy ethics remain prominent, despite high demands for personalized avatars and non-verbal communication. Our findings further indicate that users' sense of social identity and perceived relative status of MLLMs significantly influence their acceptance. This study provides insights for future intelligent campus mental healthcare.

翻译：随着大学生心理健康问题的日益凸显，利用多模态大语言模型（MLLM）增强心理支持服务的兴趣与需求不断增长，然而将其整合到心理咨询实践中仍多停留于理论或非以用户为中心的设计。本研究探讨了在中国校园心理咨询联盟中使用MLLM的机遇与挑战。通过包含咨询师与学生来访者在内的三项子研究，我们认为现阶段MLLM的理想角色是作为人类咨询师的辅助工具。用户普遍期待其具备分诊匹配和实时情绪识别等功能。同时，对于MLLM独立开展咨询，尽管用户对个性化虚拟形象和非言语交流功能有较高需求，但对其能力及隐私伦理的担忧依然突出。我们的研究进一步表明，用户的社会认同感以及对MLLM的相对地位感知显著影响其接受度。本研究为未来校园智能化心理健康服务的发展提供了启示。