Daily Papers

Large Language Model (LLM)-powered multi-agent systems (MAS) have rapidly advanced collaborative reasoning, tool use, and role-specialized coordination in complex tasks. However, reliability-critical deployment remains hindered by a systemic failure mode: hierarchical compliance under instruction conflicts (system-user, peer-peer), where agents misprioritize system-level rules in the presence of competing demands. Moreover, widely used macro-level metrics (e.g., pass@k) obscure these micro-level violations and offer little actionable guidance for remedy. In this work, we present a full-stack, three-stage framework: (1) Diagnose - Contextualized Role Adherence Score (CRAS), a query-wise, context-aware scoring metric that decomposes role adherence into four measurable dimensions; (2) Localize - attention drift analysis revealing that instruction conflicts are resolved by attention heads that are largely concentrated in middle layers; (3) Align - Surgical Alignment of Instruction Layers (SAIL), which installs LoRA only on the localized focal layers and optimizes a token-weighted DPO-style preference objective that credits tokens by their focal attentional contribution. Across standard benchmarks and MAS frameworks, our surgical approach improves instruction hierarchy compliance (e.g., +5.60% with AutoGen on MedQA) without full-model finetuning.

Language model users often embed personal and social context in their questions. The asker's role -- implicit in how the question is framed -- creates specific needs for an appropriate response. However, most evaluations, while capturing the model's capability to respond, often ignore who is asking. This gap is especially critical in stigmatized domains such as opioid use disorder (OUD), where accounting for users' contexts is essential to provide accessible, stigma-free responses. We propose CoRUS (COmmunity-driven Roles for User-centric Question Simulation), a framework for simulating role-based questions. Drawing on role theory and posts from an online OUD recovery community (r/OpiatesRecovery), we first build a taxonomy of asker roles -- patients, caregivers, practitioners. Next, we use it to simulate 15,321 questions that embed each role's goals, behaviors, and experiences. Our evaluations show that these questions are both highly believable and comparable to real-world data. When used to evaluate five LLMs, for the same question but differing roles, we find systematic differences: vulnerable roles, such as patients and caregivers, elicit more supportive responses (+17%) and reduced knowledge content (-19%) in comparison to practitioners. Our work demonstrates how implicitly signaling a user's role shapes model responses, and provides a methodology for role-informed evaluation of conversational AI.

Large Language Models (LLMs) often exhibit significant behavioral shifts when they perceive a change from a real-world deployment context to a controlled evaluation setting, a phenomenon known as "evaluation awareness." This discrepancy poses a critical challenge for AI alignment, as benchmark performance may not accurately reflect a model's true safety and honesty. In this work, we systematically quantify these behavioral changes by manipulating the perceived context of prompts. We introduce a methodology that uses a linear probe to score prompts on a continuous scale from "test-like" to "deploy-like" and leverage an LLM rewriting strategy to shift these prompts towards a more natural, deployment-style context while preserving the original task. Using this method, we achieved a 30% increase in the average probe score across a strategic role-playing dataset after rewriting. Evaluating a suite of state-of-the-art models on these original and rewritten prompts, we find that rewritten "deploy-like" prompts induce a significant and consistent shift in behavior. Across all models, we observed an average increase in honest responses of 5.26% and a corresponding average decrease in deceptive responses of 12.40%. Furthermore, refusal rates increased by an average of 6.38%, indicating heightened safety compliance. Our findings demonstrate that evaluation awareness is a quantifiable and manipulable factor that directly influences LLM behavior, revealing that models are more prone to unsafe or deceptive outputs in perceived test environments. This underscores the urgent need for more realistic evaluation frameworks to accurately gauge true model alignment before deployment.

Adherence to prescribed treatments is crucial for individuals with chronic conditions to avoid costly or adverse health outcomes. For certain patient groups, intensive lifestyle interventions are vital for enhancing medication adherence. Accurate forecasting of treatment adherence can open pathways to developing an on-demand intervention tool, enabling timely and personalized support. With the increasing popularity of smartphones and wearables, it is now easier than ever to develop and deploy smart activity monitoring systems. However, effective forecasting systems for treatment adherence based on wearable sensors are still not widely available. We close this gap by proposing Adherence Forecasting and Intervention with Machine Intelligence (AIMI). AIMI is a knowledge-guided adherence forecasting system that leverages smartphone sensors and previous medication history to estimate the likelihood of forgetting to take a prescribed medication. A user study was conducted with 27 participants who took daily medications to manage their cardiovascular diseases. We designed and developed CNN and LSTM-based forecasting models with various combinations of input features and found that LSTM models can forecast medication adherence with an accuracy of 0.932 and an F-1 score of 0.936. Moreover, through a series of ablation studies involving convolutional and recurrent neural network architectures, we demonstrate that leveraging known knowledge about future and personalized training enhances the accuracy of medication adherence forecasting. Code available: https://github.com/ab9mamun/AIMI.

To answer a question, language models often need to integrate prior knowledge learned during pretraining and new information presented in context. We hypothesize that models perform this integration in a predictable way across different questions and contexts: models will rely more on prior knowledge for questions about entities (e.g., persons, places, etc.) that they are more familiar with due to higher exposure in the training corpus, and be more easily persuaded by some contexts than others. To formalize this problem, we propose two mutual information-based metrics to measure a model's dependency on a context and on its prior about an entity: first, the persuasion score of a given context represents how much a model depends on the context in its decision, and second, the susceptibility score of a given entity represents how much the model can be swayed away from its original answer distribution about an entity. Following well-established measurement modeling methods, we empirically test for the validity and reliability of these metrics. Finally, we explore and find a relationship between the scores and the model's expected familiarity with an entity, and provide two use cases to illustrate their benefits.

Persona-driven role-playing (PRP) aims to build AI characters that can respond to user queries by faithfully sticking with all persona statements. Unfortunately, existing faithfulness criteria for PRP are limited to coarse-grained LLM-based scoring without a clear definition or formulation. This paper presents a pioneering exploration to quantify PRP faithfulness as a fine-grained and explainable criterion, which also serves as a reliable reference for optimization. Our criterion first discriminates persona statements into active and passive constraints by identifying the query-statement relevance. Then, we incorporate all constraints following the principle that the AI character's response should be (a) entailed by active (relevant) constraints and (b) not contradicted by passive (irrelevant) constraints. We translate this principle mathematically into a novel Active-Passive-Constraint (APC) score, a constraint-wise sum of natural language inference (NLI) scores weighted by relevance scores. In practice, we build the APC scoring system by symbolically distilling small discriminators from GPT-4 for efficiency. We validate the quality of the APC score against human evaluation based on example personas with tens of statements, and the results show a high correlation. We further leverage it as a reward system in direct preference optimization (DPO) for better AI characters. Our experiments offer a fine-grained and explainable comparison between existing PRP techniques, revealing their advantages and limitations. We further find APC-based DPO to be one of the most competitive techniques for sticking with all constraints and can be well incorporated with other techniques. We then extend the scale of the experiments to real persons with hundreds of statements and reach a consistent conclusion.

Large language models (LLMs) have shown great promise in the medical domain, achieving strong performance on several benchmarks. However, they continue to underperform in real-world medical scenarios, which often demand stronger context-awareness, i.e., the ability to recognize missing or critical details (e.g., user identity, medical history, risk factors) and provide safe, helpful, and contextually appropriate responses. To address this issue, we propose Multifaceted Self-Refinement (MuSeR), a data-driven approach that enhances LLMs' context-awareness along three key facets (decision-making, communication, and safety) through self-evaluation and refinement. Specifically, we first design a attribute-conditioned query generator that simulates diverse real-world user contexts by varying attributes such as role, geographic region, intent, and degree of information ambiguity. An LLM then responds to these queries, self-evaluates its answers along three key facets, and refines its responses to better align with the requirements of each facet. Finally, the queries and refined responses are used for supervised fine-tuning to reinforce the model's context-awareness ability. Evaluation results on the latest HealthBench dataset demonstrate that our method significantly improves LLM performance across multiple aspects, with particularly notable gains in the context-awareness axis. Furthermore, by incorporating knowledge distillation with the proposed method, the performance of a smaller backbone LLM (e.g., Qwen3-32B) surpasses its teacher model, achieving a new SOTA across all open-source LLMs on HealthBench (63.8%) and its hard subset (43.1%). Code and dataset will be released at https://muser-llm.github.io.

This work introduces the first benchmark for nursing value alignment, consisting of five core value dimensions distilled from international nursing codes: Altruism, Human Dignity, Integrity, Justice, and Professionalism. The benchmark comprises 1,100 real-world nursing behavior instances collected through a five-month longitudinal field study across three hospitals of varying tiers. These instances are annotated by five clinical nurses and then augmented with LLM-generated counterfactuals with reversed ethic polarity. Each original case is paired with a value-aligned and a value-violating version, resulting in 2,200 labeled instances that constitute the Easy-Level dataset. To increase adversarial complexity, each instance is further transformed into a dialogue-based format that embeds contextual cues and subtle misleading signals, yielding a Hard-Level dataset. We evaluate 23 state-of-the-art (SoTA) LLMs on their alignment with nursing values. Our findings reveal three key insights: (1) DeepSeek-V3 achieves the highest performance on the Easy-Level dataset (94.55), where Claude 3.5 Sonnet outperforms other models on the Hard-Level dataset (89.43), significantly surpassing the medical LLMs; (2) Justice is consistently the most difficult nursing value dimension to evaluate; and (3) in-context learning significantly improves alignment. This work aims to provide a foundation for value-sensitive LLMs development in clinical settings. The dataset and the code are available at https://huggingface.co/datasets/Ben012345/NurValues.

In-context learning (ICL) is a new learning paradigm that has gained popularity along with the development of large language models. In this work, we adapt a recently proposed hardness metric, pointwise V-usable information (PVI), to an in-context version (in-context PVI). Compared to the original PVI, in-context PVI is more efficient in that it requires only a few exemplars and does not require fine-tuning. We conducted a comprehensive empirical analysis to evaluate the reliability of in-context PVI. Our findings indicate that in-context PVI estimates exhibit similar characteristics to the original PVI. Specific to the in-context setting, we show that in-context PVI estimates remain consistent across different exemplar selections and numbers of shots. The variance of in-context PVI estimates across different exemplar selections is insignificant, which suggests that in-context PVI are stable. Furthermore, we demonstrate how in-context PVI can be employed to identify challenging instances. Our work highlights the potential of in-context PVI and provides new insights into the capabilities of ICL.

Large Language Models (LLMs) have shown remarkable capabilities across various tasks, but their deployment in high-stake domains requires consistent performance across multiple interaction rounds. This paper introduces a comprehensive framework for evaluating and improving LLM response consistency, making three key contributions. First, we propose a novel Position-Weighted Consistency (PWC) score that captures both the importance of early-stage stability and recovery patterns in multi-turn interactions. Second, we present a carefully curated benchmark dataset spanning diverse domains and difficulty levels, specifically designed to evaluate LLM consistency under various challenging follow-up scenarios. Third, we introduce Confidence-Aware Response Generation (CARG), a framework that significantly improves response stability by incorporating model confidence signals into the generation process. Empirical results demonstrate that CARG significantly improves response stability without sacrificing accuracy, underscoring its potential for reliable LLM deployment in critical applications.

Representation engineering methods have recently shown promise for enabling efficient steering of model behavior. However, evaluation pipelines for these methods have primarily relied on subjective demonstrations, instead of quantitative, objective metrics. We aim to take a step towards addressing this issue by advocating for four properties missing from current evaluations: (i) contexts sufficiently similar to downstream tasks should be used for assessing intervention quality; (ii) model likelihoods should be accounted for; (iii) evaluations should allow for standardized comparisons across different target behaviors; and (iv) baseline comparisons should be offered. We introduce an evaluation pipeline grounded in these criteria, offering both a quantitative and visual analysis of how effectively a given method works. We use this pipeline to evaluate two representation engineering methods on how effectively they can steer behaviors such as truthfulness and corrigibility, finding that some interventions are less effective than previously reported.

Qualitative research faces a critical reliability challenge: traditional inter-rater agreement methods require multiple human coders, are time-intensive, and often yield moderate consistency. We present a multi-perspective validation framework for LLM-based thematic analysis that combines ensemble validation with dual reliability metrics: Cohen's Kappa (κ) for inter-rater agreement and cosine similarity for semantic consistency. Our framework enables configurable analysis parameters (1-6 seeds, temperature 0.0-2.0), supports custom prompt structures with variable substitution, and provides consensus theme extraction across any JSON format. As proof-of-concept, we evaluate three leading LLMs (Gemini 2.5 Pro, GPT-4o, Claude 3.5 Sonnet) on a psychedelic art therapy interview transcript, conducting six independent runs per model. Results demonstrate Gemini achieves highest reliability (κ= 0.907, cosine=95.3%), followed by GPT-4o (κ= 0.853, cosine=92.6%) and Claude (κ= 0.842, cosine=92.1%). All three models achieve a high agreement (κ> 0.80), validating the multi-run ensemble approach. The framework successfully extracts consensus themes across runs, with Gemini identifying 6 consensus themes (50-83% consistency), GPT-4o identifying 5 themes, and Claude 4 themes. Our open-source implementation provides researchers with transparent reliability metrics, flexible configuration, and structure-agnostic consensus extraction, establishing methodological foundations for reliable AI-assisted qualitative research.

Large language models (LLMs) have emerged as powerful tools for analyzing complex datasets. Recent studies demonstrate their potential to generate useful, personalized responses when provided with patient-specific health information that encompasses lifestyle, biomarkers, and context. As LLM-driven health applications are increasingly adopted, rigorous and efficient one-sided evaluation methodologies are crucial to ensure response quality across multiple dimensions, including accuracy, personalization and safety. Current evaluation practices for open-ended text responses heavily rely on human experts. This approach introduces human factors and is often cost-prohibitive, labor-intensive, and hinders scalability, especially in complex domains like healthcare where response assessment necessitates domain expertise and considers multifaceted patient data. In this work, we introduce Adaptive Precise Boolean rubrics: an evaluation framework that streamlines human and automated evaluation of open-ended questions by identifying gaps in model responses using a minimal set of targeted rubrics questions. Our approach is based on recent work in more general evaluation settings that contrasts a smaller set of complex evaluation targets with a larger set of more precise, granular targets answerable with simple boolean responses. We validate this approach in metabolic health, a domain encompassing diabetes, cardiovascular disease, and obesity. Our results demonstrate that Adaptive Precise Boolean rubrics yield higher inter-rater agreement among expert and non-expert human evaluators, and in automated assessments, compared to traditional Likert scales, while requiring approximately half the evaluation time of Likert-based methods. This enhanced efficiency, particularly in automated evaluation and non-expert contributions, paves the way for more extensive and cost-effective evaluation of LLMs in health.

The advanced role-playing capabilities of Large Language Models (LLMs) have paved the way for developing Role-Playing Agents (RPAs). However, existing benchmarks in social interaction such as HPD and SocialBench have not investigated hallucination and face limitations like poor generalizability and implicit judgments for character fidelity. To address these issues, we propose a generalizable, explicit and effective paradigm to unlock the interactive patterns in diverse worldviews. Specifically, we define the interactive hallucination based on stance transfer and construct a benchmark, SHARP, by extracting relations from a general commonsense knowledge graph and leveraging the inherent hallucination properties of RPAs to simulate interactions across roles. Extensive experiments validate the effectiveness and stability of our paradigm. Our findings further explore the factors influencing these metrics and discuss the trade-off between blind loyalty to roles and adherence to facts in RPAs.

Large Language Models (LLMs) have demonstrated considerable success in open-book question answering (QA), where the task requires generating answers grounded in a provided external context. A critical challenge in open-book QA is to ensure that model responses are based on the provided context rather than its parametric knowledge, which can be outdated, incomplete, or incorrect. Existing evaluation methods, primarily based on the LLM-as-a-judge approach, face significant limitations, including biases, scalability issues, and dependence on costly external systems. To address these challenges, we propose a novel metric that contrasts the perplexity of the model response under two conditions: when the context is provided and when it is not. The resulting score quantifies the extent to which the model's answer relies on the provided context. The validity of this metric is demonstrated through a series of experiments that show its effectiveness in identifying whether a given answer is grounded in the provided context. Unlike existing approaches, this metric is computationally efficient, interpretable, and adaptable to various use cases, offering a scalable and practical solution to assess context utilization in open-book QA systems.

Recent advancements in large language models (LLM) capable of processing extremely long texts highlight the need for a dedicated evaluation benchmark to assess their long-context capabilities. However, existing methods, like the needle-in-a-haystack test, do not effectively assess whether these models fully utilize contextual information, raising concerns about the reliability of current evaluation techniques. To thoroughly examine the effectiveness of existing benchmarks, we introduce a new metric called information coverage (IC), which quantifies the proportion of the input context necessary for answering queries. Our findings indicate that current benchmarks exhibit low IC; although the input context may be extensive, the actual usable context is often limited. To address this, we present ETHIC, a novel benchmark designed to assess LLMs' ability to leverage the entire context. Our benchmark comprises 2,648 test instances spanning four long-context tasks with high IC scores in the domains of books, debates, medicine, and law. Our evaluations reveal significant performance drops in contemporary LLMs, highlighting a critical challenge in managing long contexts. Our benchmark is available at https://github.com/dmis-lab/ETHIC.

Current role-play studies often rely on unvalidated LLM-as-a-judge paradigms, which may fail to reflect how humans perceive role fidelity. A key prerequisite for human-aligned evaluation is role identification, the ability to recognize who is speaking based on dialogue context. We argue that any meaningful judgment of role-playing quality (how well a character is played) fundamentally depends on first correctly attributing words and actions to the correct persona (who is speaking). We present PersonaEval, the first benchmark designed to test whether LLM evaluators can reliably identify human roles. PersonaEval uses human-authored dialogues from novels, scripts, and video transcripts, challenging models to determine the correct persona according to the conversation context. Our experiments, including a human study, show that even the best-performing LLMs reach only around 69% accuracy, well below the level needed for reliable evaluation. In contrast, human participants perform near ceiling with 90.8% accuracy, highlighting that current LLM evaluators are still not human enough to effectively judge role-play scenarios. To better understand this gap, we examine training-time adaptation and test-time compute, suggesting that reliable evaluation requires more than task-specific tuning, but depends on strong, human-like reasoning abilities in LLM evaluators. We release our benchmark at https://github.com/maple-zhou/PersonaEval.

Large Language Models (LLMs) are trained on extensive web corpora, which enable them to understand and generate human-like text. However, this training process also results in inherent biases within the models. These biases arise from web data's diverse and often uncurated nature, containing various stereotypes and prejudices. Previous works on debiasing models rely on benchmark datasets to measure their method's performance. However, these datasets suffer from several pitfalls due to the highly subjective understanding of bias, highlighting a critical need for contextual exploration. We propose understanding the context of inputs by considering the diverse situations in which they may arise. Our contribution is two-fold: (i) we augment 2,291 stereotyped statements from two existing bias-benchmark datasets with points for adding context; (ii) we develop the Context-Oriented Bias Indicator and Assessment Score (COBIAS) to assess a statement's contextual reliability in measuring bias. Our metric aligns with human judgment on contextual reliability of statements (Spearman's rho = 0.65, p = 3.4 * 10^{-60}) and can be used to create reliable datasets, which would assist bias mitigation works.

The large language model (LLM)-as-judge paradigm has been used to meet the demand for a cheap, reliable, and fast evaluation of model outputs during AI system development and post-deployment monitoring. While judge models -- LLMs finetuned to specialize in assessing and critiquing model outputs -- have been touted as general purpose evaluators, they are typically evaluated only on non-contextual scenarios, such as instruction following. The omission of contextual settings -- those where external information is used as context to generate an output -- is surprising given the increasing prevalence of retrieval-augmented generation (RAG) and summarization use cases. Contextual assessment is uniquely challenging, as evaluation often depends on practitioner priorities, leading to conditional evaluation criteria (e.g., comparing responses based on factuality and then considering completeness if they are equally factual). To address the gap, we propose ContextualJudgeBench, a judge benchmark with 2,000 challenging response pairs across eight splits inspired by real-world contextual evaluation scenarios. We build our benchmark with a multi-pronged data construction pipeline that leverages both existing human annotations and model-based perturbations. Our comprehensive study across 11 judge models and 9 general purpose models, reveals that the contextual information and its assessment criteria present a significant challenge to even state-of-the-art models. For example, OpenAI's o1, the best-performing model, barely reaches 55% consistent accuracy.

Unstructured clinical notes contain essential patient information but are challenging for physicians to search and interpret efficiently. Although large language models (LLMs) have shown promise in question answering (QA), most existing systems lack transparency, usability, and alignment with clinical workflows. This work introduces an interactive QA system that enables physicians to query clinical notes via text or voice and receive extractive answers highlighted directly in the note for traceability. The system was built using OpenAI models with zero-shot prompting and evaluated across multiple metrics, including exact string match, word overlap, SentenceTransformer similarity, and BERTScore. Results show that while exact match scores ranged from 47 to 62 percent, semantic similarity scores exceeded 87 percent, indicating strong contextual alignment even when wording varied. To assess usability, the system was also evaluated using simulated clinical personas. Seven diverse physician and nurse personas interacted with the system across scenario-based tasks and provided structured feedback. The evaluations highlighted strengths in intuitive design and answer accessibility, alongside opportunities for enhancing explanation clarity.

Deep Research (DR) is an emerging agent application that leverages large language models (LLMs) to address open-ended queries. It requires the integration of several capabilities, including multi-step reasoning, cross-document synthesis, and the generation of evidence-backed, long-form answers. Evaluating DR remains challenging because responses are lengthy and diverse, admit many valid solutions, and often depend on dynamic information sources. We introduce ResearchRubrics, a standardized benchmark for DR built with over 2,800+ hours of human labor that pairs realistic, domain-diverse prompts with 2,500+ expert-written, fine-grained rubrics to assess factual grounding, reasoning soundness, and clarity. We also propose a new complexity framework for categorizing DR tasks along three axes: conceptual breadth, logical nesting, and exploration. In addition, we develop human and model-based evaluation protocols that measure rubric adherence for DR agents. We evaluate several state-of-the-art DR systems and find that even leading agents like Gemini's DR and OpenAI's DR achieve under 68% average compliance with our rubrics, primarily due to missed implicit context and inadequate reasoning about retrieved information. Our results highlight the need for robust, scalable assessment of deep research capabilities, to which end we release ResearchRubrics(including all prompts, rubrics, and evaluation code) to facilitate progress toward well-justified research assistants.

Understanding causal narratives communicated in clinical notes can help make strides towards personalized healthcare. Extracted causal information from clinical notes can be combined with structured EHR data such as patients' demographics, diagnoses, and medications. This will enhance healthcare providers' ability to identify aspects of a patient's story communicated in the clinical notes and help make more informed decisions. In this work, we propose annotation guidelines, develop an annotated corpus and provide baseline scores to identify types and direction of causal relations between a pair of biomedical concepts in clinical notes; communicated implicitly or explicitly, identified either in a single sentence or across multiple sentences. We annotate a total of 2714 de-identified examples sampled from the 2018 n2c2 shared task dataset and train four different language model based architectures. Annotation based on our guidelines achieved a high inter-annotator agreement i.e. Fleiss' kappa (kappa) score of 0.72, and our model for identification of causal relations achieved a macro F1 score of 0.56 on the test data. The high inter-annotator agreement for clinical text shows the quality of our annotation guidelines while the provided baseline F1 score sets the direction for future research towards understanding narratives in clinical texts.

Learning to rank is a key component of many e-commerce search engines. In learning to rank, one is interested in optimising the global ordering of a list of items according to their utility for users.Popular approaches learn a scoring function that scores items individually (i.e. without the context of other items in the list) by optimising a pointwise, pairwise or listwise loss. The list is then sorted in the descending order of the scores. Possible interactions between items present in the same list are taken into account in the training phase at the loss level. However, during inference, items are scored individually, and possible interactions between them are not considered. In this paper, we propose a context-aware neural network model that learns item scores by applying a self-attention mechanism. The relevance of a given item is thus determined in the context of all other items present in the list, both in training and in inference. We empirically demonstrate significant performance gains of self-attention based neural architecture over Multi-LayerPerceptron baselines, in particular on a dataset coming from search logs of a large scale e-commerce marketplace, Allegro.pl. This effect is consistent across popular pointwise, pairwise and listwise losses.Finally, we report new state-of-the-art results on MSLR-WEB30K, the learning to rank benchmark.

Effective mental health support is crucial for alleviating psychological distress. While large language model (LLM)-based assistants have shown promise in mental health interventions, existing research often defines "effective" support primarily in terms of empathetic acknowledgments, overlooking other essential dimensions such as informational guidance, community validation, and tangible coping strategies. To address this limitation and better understand what constitutes effective support, we introduce RedditESS, a novel real-world dataset derived from Reddit posts, including supportive comments and original posters' follow-up responses. Grounded in established social science theories, we develop an ensemble labeling mechanism to annotate supportive comments as effective or not and perform qualitative assessments to ensure the reliability of the annotations. Additionally, we demonstrate the practical utility of RedditESS by using it to guide LLM alignment toward generating more context-sensitive and genuinely helpful supportive responses. By broadening the understanding of effective support, our study paves the way for advanced AI-driven mental health interventions.

Personalized diffusion models have shown remarkable success in Text-to-Image (T2I) generation by enabling the injection of user-defined concepts into diverse contexts. However, balancing concept fidelity with contextual alignment remains a challenging open problem. In this work, we propose an RL-based approach that leverages the diverse outputs of T2I models to address this issue. Our method eliminates the need for human-annotated scores by generating a synthetic paired dataset for DPO-like training using external quality metrics. These better-worse pairs are specifically constructed to improve both concept fidelity and prompt adherence. Moreover, our approach supports flexible adjustment of the trade-off between image fidelity and textual alignment. Through multi-step training, our approach outperforms a naive baseline in convergence speed and output quality. We conduct extensive qualitative and quantitative analysis, demonstrating the effectiveness of our method across various architectures and fine-tuning techniques. The source code can be found at https://github.com/ControlGenAI/DreamBoothDPO.

Large Language Models (LLMs) have achieved remarkable performance on single-turn tasks, yet their effectiveness deteriorates in multi-turn conversations. We define this phenomenon as cumulative contextual decay - a progressive degradation of contextual integrity caused by attention pollution, dilution, and drift. To address this challenge, we propose Rhea (Role-aware Heuristic Episodic Attention), a novel framework that decouples conversation history into two functionally independent memory modules: (1) an Instructional Memory (IM) that persistently stores high-fidelity global constraints via a structural priority mechanism, and (2) an Episodic Memory (EM) that dynamically manages user-model interactions via asymmetric noise control and heuristic context retrieval. During inference, Rhea constructs a high signal-to-noise context by applying its priority attention: selectively integrating relevant episodic information while always prioritizing global instructions. To validate this approach, experiments on multiple multi-turn conversation benchmarks - including MT-Eval and Long-MT-Bench+ - show that Rhea mitigates performance decay and improves overall accuracy by 1.04 points on a 10-point scale (a 16% relative gain over strong baselines). Moreover, Rhea maintains near-perfect instruction fidelity (IAR > 8.1) across long-horizon interactions. These results demonstrate that Rhea provides a principled and effective framework for building more precise, instruction-consistent conversational LLMs.

Large Language Models (LLMs) demonstrate a notable capacity for adopting personas and engaging in role-playing. However, evaluating this ability presents significant challenges, as human assessments are resource-intensive and automated evaluations can be biased. To address this, we introduce Role-Playing Eval (RPEval), a novel benchmark designed to assess LLM role-playing capabilities across four key dimensions: emotional understanding, decision-making, moral alignment, and in-character consistency. This article details the construction of RPEval and presents baseline evaluations. Our code and dataset are available at https://github.com/yelboudouri/RPEval

LLMs are an integral part of retrieval-augmented generation (RAG) systems. While many studies focus on evaluating the quality of end-to-end RAG systems, there is a lack of research on understanding the appropriateness of an LLM for the RAG task. Thus, we introduce a new metric, Trust-Score, that provides a holistic evaluation of the trustworthiness of LLMs in an RAG framework. We show that various prompting methods, such as in-context learning, fail to adapt LLMs effectively to the RAG task. Thus, we propose Trust-Align, a framework to align LLMs for higher Trust-Score. LLaMA-3-8b, aligned with our method, significantly outperforms open-source LLMs of comparable sizes on ASQA (up 10.7), QAMPARI (up 29.2) and ELI5 (up 14.9). We release our code at: https://github.com/declare-lab/trust-align.

Automated structured radiology report generation (SRRG) from chest X-ray images offers significant potential to reduce workload of radiologists by generating reports in structured formats that ensure clarity, consistency, and adherence to clinical reporting standards. While radiologists effectively utilize available clinical contexts in their diagnostic reasoning, existing SRRG systems overlook these essential elements. This fundamental gap leads to critical problems including temporal hallucinations when referencing non-existent clinical contexts. To address these limitations, we propose contextualized SRRG (C-SRRG) that comprehensively incorporates rich clinical context for SRRG. We curate C-SRRG dataset by integrating comprehensive clinical context encompassing 1) multi-view X-ray images, 2) clinical indication, 3) imaging techniques, and 4) prior studies with corresponding comparisons based on patient histories. Through extensive benchmarking with state-of-the-art multimodal large language models, we demonstrate that incorporating clinical context with the proposed C-SRRG significantly improves report generation quality. We publicly release dataset, code, and checkpoints to facilitate future research for clinically-aligned automated RRG at https://github.com/vuno/contextualized-srrg.

Persona-assigned large language models (LLMs) are used in domains such as education, healthcare, and sociodemographic simulation. Yet, they are typically evaluated only in short, single-round settings that do not reflect real-world usage. We introduce an evaluation protocol that combines long persona dialogues (over 100 rounds) and evaluation datasets to create dialogue-conditioned benchmarks that can robustly measure long-context effects. We then investigate the effects of dialogue length on persona fidelity, instruction-following, and safety of seven state-of-the-art open- and closed-weight LLMs. We find that persona fidelity degrades over the course of dialogues, especially in goal-oriented conversations, where models must sustain both persona fidelity and instruction following. We identify a trade-off between fidelity and instruction following, with non-persona baselines initially outperforming persona-assigned models; as dialogues progress and fidelity fades, persona responses become increasingly similar to baseline responses. Our findings highlight the fragility of persona applications in extended interactions and our work provides a protocol to systematically measure such failures.

Recently, Role-Playing Agents (RPAs) have garnered increasing attention for their potential to deliver emotional value and facilitate sociological research. However, existing studies are primarily confined to the textual modality, unable to simulate humans' multimodal perceptual capabilities. To bridge this gap, we introduce the concept of Multimodal Role-Playing Agents (MRPAs), and propose a comprehensive framework, MMRole, for their development and evaluation, which comprises a personalized multimodal dataset and a robust evaluation method. Specifically, we construct a large-scale, high-quality dataset, MMRole-Data, consisting of 85 characters, 11K images, and 14K single or multi-turn dialogues. Additionally, we present a robust evaluation method, MMRole-Eval, encompassing eight metrics across three dimensions, where a reward model is trained to score MRPAs with the constructed ground-truth data for comparison. Moreover, we develop the first specialized MRPA, MMRole-Agent. Extensive evaluation results demonstrate the improved performance of MMRole-Agent and highlight the primary challenges in developing MRPAs, emphasizing the need for enhanced multimodal understanding and role-playing consistency. The data, code, and models will be available at https://github.com/YanqiDai/MMRole.

Online Mental Health Communities (OMHCs) provide crucial peer and expert support, yet many posts remain unanswered due to missing support attributes that signal the need for help. We present a novel framework that identifies these gaps and prompts users to enrich their posts, thereby improving engagement. To support this, we introduce REDDME, a new dataset of 4,760 posts from mental health subreddits annotated for the span and intensity of three key support attributes: event what happened?, effect what did the user experience?, and requirement what support they need?. Next, we devise a hierarchical taxonomy, CueTaxo, of support attributes for controlled question generation. Further, we propose MH-COPILOT, a reinforcement learning-based system that integrates (a) contextual attribute-span identification, (b) support attribute intensity classification, (c) controlled question generation via a hierarchical taxonomy, and (d) a verifier for reward modeling. Our model dynamically assesses posts for the presence/absence of support attributes, and generates targeted prompts to elicit missing information. Empirical results across four notable language models demonstrate significant improvements in attribute elicitation and user engagement. A human evaluation further validates the model's effectiveness in real-world OMHC settings.

Automatic evaluation of machine translation (MT) is a critical tool driving the rapid iterative development of MT systems. While considerable progress has been made on estimating a single scalar quality score, current metrics lack the informativeness of more detailed schemes that annotate individual errors, such as Multidimensional Quality Metrics (MQM). In this paper, we help fill this gap by proposing AutoMQM, a prompting technique which leverages the reasoning and in-context learning capabilities of large language models (LLMs) and asks them to identify and categorize errors in translations. We start by evaluating recent LLMs, such as PaLM and PaLM-2, through simple score prediction prompting, and we study the impact of labeled data through in-context learning and finetuning. We then evaluate AutoMQM with PaLM-2 models, and we find that it improves performance compared to just prompting for scores (with particularly large gains for larger models) while providing interpretability through error spans that align with human annotations.

In mental health counseling, a variety of earlier studies have focused on dialogue modeling. However, most of these studies give limited to no emphasis on the quality of interaction between a patient and a therapist. The therapeutic bond between a patient and a therapist directly correlates with effective mental health counseling. It involves developing the patient's trust on the therapist over the course of counseling. To assess the therapeutic bond in counseling, we introduce trust as a therapist-assistive metric. Our definition of trust involves patients' willingness and openness to express themselves and, consequently, receive better care. We conceptualize it as a dynamic trajectory observable through textual interactions during the counseling. To facilitate trust modeling, we present MENTAL-TRUST, a novel counseling dataset comprising manual annotation of 212 counseling sessions with first-of-its-kind seven expert-verified ordinal trust levels. We project our problem statement as an ordinal classification task for trust quantification and propose a new benchmark, TrustBench, comprising a suite of classical and state-of-the-art language models on MENTAL-TRUST. We evaluate the performance across a suite of metrics and lay out an exhaustive set of findings. Our study aims to unfold how trust evolves in therapeutic interactions.

The rapid advancement of language models (LMs) necessitates robust alignment with diverse user values. However, current preference optimization approaches often fail to capture the plurality of user opinions, instead reinforcing majority viewpoints and marginalizing minority perspectives. We introduce PERSONA, a reproducible test bed designed to evaluate and improve pluralistic alignment of LMs. We procedurally generate diverse user profiles from US census data, resulting in 1,586 synthetic personas with varied demographic and idiosyncratic attributes. We then generate a large-scale evaluation dataset containing 3,868 prompts and 317,200 feedback pairs obtained from our synthetic personas. Leveraging this dataset, we systematically evaluate LM capabilities in role-playing diverse users, verified through human judges, and the establishment of both a benchmark, PERSONA Bench, for pluralistic alignment approaches as well as an extensive dataset to create new and future benchmarks. The full dataset and benchmarks are available here: https://www.synthlabs.ai/research/persona.

Language model users often issue queries that lack specification, where the context under which a query was issued -- such as the user's identity, the query's intent, and the criteria for a response to be useful -- is not explicit. For instance, a good response to a subjective query like "What book should I read next?" would depend on the user's preferences, and a good response to an open-ended query like "How do antibiotics work against bacteria?" would depend on the user's expertise. This makes evaluation of responses to such queries an ill-posed task, as evaluators may make arbitrary judgments about the response quality. To remedy this, we present contextualized evaluations, a protocol that synthetically constructs context surrounding an underspecified query and provides it during evaluation. We find that the presence of context can 1) alter conclusions drawn from evaluation, even flipping win rates between model pairs, 2) nudge evaluators to make fewer judgments based on surface-level criteria, like style, and 3) provide new insights about model behavior across diverse contexts. Specifically, our procedure uncovers an implicit bias towards WEIRD contexts in models' "default" responses and we find that models are not equally sensitive to following different contexts, even when they are provided in prompts.

Modern ML systems ingest data aggregated from diverse sources, such as synthetic, human-annotated, and live customer traffic. Understanding which examples are important to the performance of a learning algorithm is crucial for efficient model training. Recently, a growing body of literature has given rise to various "influence scores," which use training artifacts such as model confidence or checkpointed gradients to identify important subsets of data. However, these methods have primarily been developed in computer vision settings, and it remains unclear how well they generalize to language-based tasks using pretrained models. In this paper, we explore the applicability of influence scores in language classification tasks. We evaluate a diverse subset of these scores on the SNLI dataset by quantifying accuracy changes in response to pruning training data through random and influence-score-based sampling. We then stress-test one of the scores -- "variance of gradients" (VoG) from Agarwal et al. (2022) -- in an NLU model stack that was exposed to dynamic user speech patterns in a voice assistant type of setting. Our experiments demonstrate that in many cases, encoder-based language models can be finetuned on roughly 50% of the original data without degradation in performance metrics. Along the way, we summarize lessons learned from applying out-of-the-box implementations of influence scores, quantify the effects of noisy and class-imbalanced data, and offer recommendations on score-based sampling for better accuracy and training efficiency.

Reward model (RM) plays a pivotal role in aligning large language model (LLM) with human preferences. As real-world applications increasingly involve long history trajectories, e.g., LLM agent, it becomes indispensable to evaluate whether a model's responses are not only high-quality but also grounded in and consistent with the provided context. Yet, current RMs remain confined to short-context settings and primarily focus on response-level attributes (e.g., safety or helpfulness), while largely neglecting the critical dimension of long context-response consistency. In this work, we introduce Long-RewardBench, a benchmark specifically designed for long-context RM evaluation, featuring both Pairwise Comparison and Best-of-N tasks. Our preliminary study reveals that even state-of-the-art generative RMs exhibit significant fragility in long-context scenarios, failing to maintain context-aware preference judgments. Motivated by the analysis of failure patterns observed in model outputs, we propose a general multi-stage training strategy that effectively scales arbitrary models into robust Long-context RMs (LongRMs). Experiments show that our approach not only substantially improves performance on long-context evaluation but also preserves strong short-context capability. Notably, our 8B LongRM outperforms much larger 70B-scale baselines and matches the performance of the proprietary Gemini 2.5 Pro model.

Establishing whether language models can use contextual information in a human-plausible way is important to ensure their safe adoption in real-world settings. However, the questions of when and which parts of the context affect model generations are typically tackled separately, and current plausibility evaluations are practically limited to a handful of artificial benchmarks. To address this, we introduce Plausibility Evaluation of Context Reliance (PECoRe), an end-to-end interpretability framework designed to quantify context usage in language models' generations. Our approach leverages model internals to (i) contrastively identify context-sensitive target tokens in generated texts and (ii) link them to contextual cues justifying their prediction. We use PECoRe to quantify the plausibility of context-aware machine translation models, comparing model rationales with human annotations across several discourse-level phenomena. Finally, we apply our method to unannotated generations to identify context-mediated predictions and highlight instances of (im)plausible context usage in model translations.

Recent advancements in AI have led to the development of large multimodal models (LMMs) capable of processing complex tasks involving joint reasoning over text and visual content in the image (e.g., navigating maps in public places). This paper introduces ConTextual, a novel benchmark comprising instructions designed explicitly to evaluate LMMs' ability to perform context-sensitive text-rich visual reasoning. ConTextual emphasizes diverse real-world scenarios (e.g., time-reading, navigation, shopping and more) demanding a deeper understanding of the interactions between textual and visual elements. Our findings reveal a significant performance gap of 30.8% between the best-performing LMM, GPT-4V(ision), and human capabilities using human evaluation indicating substantial room for improvement in context-sensitive text-rich visual reasoning. Notably, while GPT-4V excelled in abstract categories like meme and quote interpretation, its overall performance still lagged behind humans. In addition to human evaluations, we also employed automatic evaluation metrics using GPT-4, uncovering similar trends in performance disparities. We also perform a fine-grained evaluation across diverse visual contexts and provide qualitative analysis which provides a robust framework for future advancements in the LMM design. https://con-textual.github.io/

In recent years, the intersection of Natural Language Processing (NLP) and public health has opened innovative pathways for investigating various domains, including chronic pain in textual datasets. Despite the promise of NLP in chronic pain, the literature is dispersed across various disciplines, and there is a need to consolidate existing knowledge, identify knowledge gaps in the literature, and inform future research directions in this emerging field. This review aims to investigate the state of the research on NLP-based interventions designed for chronic pain research. A search strategy was formulated and executed across PubMed, Web of Science, IEEE Xplore, Scopus, and ACL Anthology to find studies published in English between 2014 and 2024. After screening 132 papers, 26 studies were included in the final review. Key findings from this review underscore the significant potential of NLP techniques to address pressing challenges in chronic pain research. The past 10 years in this field have showcased the utilization of advanced methods (transformers like RoBERTa and BERT) achieving high-performance metrics (e.g., F1>0.8) in classification tasks, while unsupervised approaches like Latent Dirichlet Allocation (LDA) and k-means clustering have proven effective for exploratory analyses. Results also reveal persistent challenges such as limited dataset diversity, inadequate sample sizes, and insufficient representation of underrepresented populations. Future research studies should explore multimodal data validation systems, context-aware mechanistic modeling, and the development of standardized evaluation metrics to enhance reproducibility and equity in chronic pain research.

Persona agents, which are LLM agents that act according to an assigned persona, have demonstrated impressive contextual response capabilities across various applications. These persona agents offer significant enhancements across diverse sectors, such as education, healthcare, and entertainment, where model developers can align agent responses to different user requirements thereby broadening the scope of agent applications. However, evaluating persona agent performance is incredibly challenging due to the complexity of assessing persona adherence in free-form interactions across various environments that are relevant to each persona agent. We introduce PersonaGym, the first dynamic evaluation framework for assessing persona agents, and PersonaScore, the first automated human-aligned metric grounded in decision theory for comprehensive large-scale evaluation of persona agents. Our evaluation of 6 open and closed-source LLMs, using a benchmark encompassing 200 personas and 10,000 questions, reveals significant opportunities for advancement in persona agent capabilities across state-of-the-art models. For example, Claude 3.5 Sonnet only has a 2.97% relative improvement in PersonaScore than GPT 3.5 despite being a much more advanced model. Importantly, we find that increased model size and complexity do not necessarily imply enhanced persona agent capabilities thereby highlighting the pressing need for algorithmic and architectural invention towards faithful and performant persona agents.

We demonstrate that large language models (LLMs) exhibit consistent value orientations despite adopting diverse personas, revealing a persistent inertia in their responses that remains stable across the variety of roles they are prompted to assume. To systematically explore this phenomenon, we introduce the role-play-at-scale methodology, which involves prompting LLMs with randomized, diverse personas and analyzing the macroscopic trend of their responses. Unlike previous works that simply feed these questions to LLMs as if testing human subjects, our role-play-at-scale methodology diagnoses inherent tendencies in a systematic and scalable manner by: (1) prompting the model to act in different random personas and (2) asking the same question multiple times for each random persona. This approach reveals consistent patterns in LLM responses across diverse role-play scenarios, indicating deeply encoded inherent tendencies. Our findings contribute to the discourse on value alignment in foundation models and demonstrate the efficacy of role-play-at-scale as a diagnostic tool for uncovering encoded biases in LLMs.

In this work, we investigate the correlation between gender and contextual biases, focusing on elements such as action verbs, object nouns, and particularly on occupations. We introduce a novel dataset, GenderLexicon, and a framework that can estimate contextual bias and its related gender bias. Our model can interpret the bias with a score and thus improve the explainability of gender bias. Also, our findings confirm the existence of gender biases beyond occupational stereotypes. To validate our approach and demonstrate its effectiveness, we conduct evaluations on five diverse datasets, including a Japanese dataset.

Persona conditioning can be viewed as a behavioral prior for large language models (LLMs) and is often assumed to confer expertise and improve safety in a monotonic manner. However, its effects on high-stakes clinical decision-making remain poorly characterized. We systematically evaluate persona-based control in clinical LLMs, examining how professional roles (e.g., Emergency Department physician, nurse) and interaction styles (bold vs.\ cautious) influence behavior across models and medical tasks. We assess performance on clinical triage and patient-safety tasks using multidimensional evaluations that capture task accuracy, calibration, and safety-relevant risk behavior. We find systematic, context-dependent, and non-monotonic effects: Medical personas improve performance in critical care tasks, yielding gains of up to sim+20% in accuracy and calibration, but degrade performance in primary-care settings by comparable margins. Interaction style modulates risk propensity and sensitivity, but it's highly model-dependent. While aggregated LLM-judge rankings favor medical over non-medical personas in safety-critical cases, we found that human clinicians show moderate agreement on safety compliance (average Cohen's κ= 0.43) but indicate a low confidence in 95.9\% of their responses on reasoning quality. Our work shows that personas function as behavioral priors that introduce context-dependent trade-offs rather than guarantees of safety or expertise. The code is available at https://github.com/rsinghlab/Persona\_Paradox.

LLM safety and ethical alignment are widely discussed, but the impact of content moderation on user satisfaction remains underexplored. To address this, we analyze nearly 50,000 Chatbot Arena response-pairs using a novel fine-tuned RoBERTa model, that we trained on hand-labeled data to disentangle refusals due to ethical concerns from other refusals due to technical disabilities or lack of information. Our findings reveal a significant refusal penalty on content moderation, with users choosing ethical-based refusals roughly one-fourth as often as their preferred LLM response compared to standard responses. However, the context and phrasing play critical roles: refusals on highly sensitive prompts, such as illegal content, achieve higher win rates than less sensitive ethical concerns, and longer responses closely aligned with the prompt perform better. These results emphasize the need for nuanced moderation strategies that balance ethical safeguards with user satisfaction. Moreover, we find that the refusal penalty is notably lower in evaluations using the LLM-as-a-Judge method, highlighting discrepancies between user and automated assessments.

Vision-language models can connect the text description of an object to its specific location in an image through visual grounding. This has potential applications in enhanced radiology reporting. However, these models require large annotated image-text datasets, which are lacking for PET/CT. We developed an automated pipeline to generate weak labels linking PET/CT report descriptions to their image locations and used it to train a 3D vision-language visual grounding model. Our pipeline finds positive findings in PET/CT reports by identifying mentions of SUVmax and axial slice numbers. From 25,578 PET/CT exams, we extracted 11,356 sentence-label pairs. Using this data, we trained ConTEXTual Net 3D, which integrates text embeddings from a large language model with a 3D nnU-Net via token-level cross-attention. The model's performance was compared against LLMSeg, a 2.5D version of ConTEXTual Net, and two nuclear medicine physicians. The weak-labeling pipeline accurately identified lesion locations in 98% of cases (246/251), with 7.5% requiring boundary adjustments. ConTEXTual Net 3D achieved an F1 score of 0.80, outperforming LLMSeg (F1=0.22) and the 2.5D model (F1=0.53), though it underperformed both physicians (F1=0.94 and 0.91). The model achieved better performance on FDG (F1=0.78) and DCFPyL (F1=0.75) exams, while performance dropped on DOTATE (F1=0.58) and Fluciclovine (F1=0.66). The model performed consistently across lesion sizes but showed reduced accuracy on lesions with low uptake. Our novel weak labeling pipeline accurately produced an annotated dataset of PET/CT image-text pairs, facilitating the development of 3D visual grounding models. ConTEXTual Net 3D significantly outperformed other models but fell short of the performance of nuclear medicine physicians. Our study suggests that even larger datasets may be needed to close this performance gap.

This position paper emphasizes the critical gap in the evaluation of Explainable AI (XAI) due to the lack of standardized and reliable metrics, which diminishes its practical value, trustworthiness, and ability to meet regulatory requirements. Current evaluation methods are often fragmented, subjective, and biased, making them prone to manipulation and complicating the assessment of complex models. A central issue is the absence of a ground truth for explanations, complicating comparisons across various XAI approaches. To address these challenges, we advocate for widespread research into developing robust, context-sensitive evaluation metrics. These metrics should be resistant to manipulation, relevant to each use case, and based on human judgment and real-world applicability. We also recommend creating domain-specific evaluation benchmarks that align with the user and regulatory needs of sectors such as healthcare and finance. By encouraging collaboration among academia, industry, and regulators, we can create standards that balance flexibility and consistency, ensuring XAI explanations are meaningful, trustworthy, and compliant with evolving regulations.

With the rapid improvement in the general capabilities of LLMs, LLM personalization, i.e., how to build LLM systems that can generate personalized responses or services that are tailored to distinct user personas, has become an increasingly important research and engineering problem. However, unlike many new challenging benchmarks being released for evaluating the general/reasoning capabilities, the lack of high-quality benchmarks for evaluating LLM personalization greatly hinders progress in this field. To address this, we introduce PersonaFeedback, a new benchmark that directly evaluates LLMs' ability to provide personalized responses given pre-defined user personas and queries. Unlike existing benchmarks that require models to infer implicit user personas from historical interactions, PersonaFeedback decouples persona inference from personalization, focusing on evaluating the model's ability to generate responses tailored to explicit personas. PersonaFeedback consists of 8298 human-annotated test cases, which are categorized into easy, medium, and hard tiers based on the contextual complexity of the user personas and the difficulty in distinguishing subtle differences between two personalized responses. We conduct comprehensive evaluations across a wide range of models. The empirical results reveal that even state-of-the-art LLMs that can solve complex real-world reasoning tasks could fall short on the hard tier of PersonaFeedback where even human evaluators may find the distinctions challenging. Furthermore, we conduct an in-depth analysis of failure modes across various types of systems, demonstrating that the current retrieval-augmented framework should not be seen as a de facto solution for personalization tasks. All benchmark data, annotation protocols, and the evaluation pipeline will be publicly available to facilitate future research on LLM personalization.

Retrieval-Augmented Generation (RAG) has emerged as a powerful paradigm to enhance the factuality of Large Language Models (LLMs). However, existing RAG systems often suffer from an unfaithfulness issue, where the model's response contradicts evidence from the retrieved context. Existing approaches to improving contextual faithfulness largely rely on external interventions, such as prompt engineering, decoding constraints, or reward-based fine-tuning. These works treat the LLM as a black box and overlook a crucial question: how does the LLM internally integrate retrieved evidence with its parametric memory, particularly under knowledge conflicts? To address this gap, we conduct a probing-based analysis of hidden-state representations in LLMs and observe three findings: knowledge integration occurs hierarchically, conflicts manifest as latent signals at the sentence level, and irrelevant context is often amplified when aligned with parametric knowledge. Building on these findings, we propose CLEAR (Conflict-Localized and Enhanced Attention for RAG), a framework that (i) decomposes context into fine-grained sentence-level knowledge, (ii) employs hidden-state probing to localize conflicting knowledge, and (iii) introduces conflict-aware fine-tuning to guide the model to accurately integrate retrieved evidence. Extensive experiments across three benchmarks demonstrate that CLEAR substantially improves both accuracy and contextual faithfulness, consistently outperforming strong baselines under diverse conflict conditions. The related resources are available at https://github.com/LinfengGao/CLEAR.

Reward models are essential for aligning language model outputs with human preferences, yet existing approaches often lack both controllability and interpretability. These models are typically optimized for narrow objectives, limiting their generalizability to broader downstream tasks. Moreover, their scalar outputs are difficult to interpret without contextual reasoning. To address these limitations, we introduce R3, a novel reward modeling framework that is rubric-agnostic, generalizable across evaluation dimensions, and provides interpretable, reasoned score assignments. R3 enables more transparent and flexible evaluation of language models, supporting robust alignment with diverse human values and use cases. Our models, data, and code are available as open source at https://github.com/rubricreward/r3

The integration of large language models (LLMs) into medical practice holds transformative potential, yet their real-world clinical utility remains limited by critical alignment challenges: (1) a disconnect between static evaluation benchmarks and dynamic clinical cognitive needs, (2) difficulties in adapting to evolving, multi-source medical standards, and (3) the inability of conventional reward models to capture nuanced, multi-dimensional medical quality criteria. To address these gaps, we propose MR-RML (Multidimensional Rubric-oriented Reward Model Learning) via GPRC (Geometric Projection Reference Constraints), a novel alignment framework that integrates medical standards into a structured "Dimensions-Scenarios-Disciplines" matrix to guide data generation and model optimization. MR-RML introduces three core innovations: (1) a "Dimensions-Scenarios-Disciplines" medical standard system that embeds domain standards into the full training pipeline; (2) an independent multi-dimensional reward model that decomposes evaluation criteria, shifting from real-time rubric-based scoring to internalized reward modeling for improved consistency and cost-efficiency; (3) geometric projection reference constraints that transform medical cognitive logic into mathematical regularization, aligning scoring gradients with clinical reasoning and enabling synthetic data-driven training. Through extensive evaluations on the authoritative medical benchmark Healthbench, our method yields substantial performance gains over the base LLM Qwen-32B (45% on the full subset and 85% on Hard subset, respectively). It achieves a SOTA among open-source LLMs with scores of 62.7 (full subset) and 44.7 (hard subset), while also outperforming the majority of closed-source models.

While finetuning language models from pairwise preferences has proven remarkably effective, the underspecified nature of natural language presents critical challenges. Direct preference feedback is uninterpretable, difficult to provide where multidimensional criteria may apply, and often inconsistent, either because it is based on incomplete instructions or provided by diverse principals. To address these challenges, we consider the two-step preference modeling procedure that first resolves the under-specification by selecting a context, and then evaluates preference with respect to the chosen context. We decompose reward modeling error according to these two steps, which suggests that supervising context in addition to context-specific preference may be a viable approach to aligning models with diverse human preferences. For this to work, the ability of models to evaluate context-specific preference is critical. To this end, we contribute context-conditioned preference datasets and accompanying experiments that investigate the ability of language models to evaluate context-specific preference. We use our datasets to (1) show that existing preference models benefit from, but fail to fully consider, added context, (2) finetune a context-aware reward model with context-specific performance exceeding that of GPT-4 and Llama 3 70B on tested datasets, and (3) investigate the value of context-aware preference modeling.

As Large Language Models (LLMs) become increasingly autonomous and integrated into critical societal functions, the focus of AI safety must evolve from mitigating harmful content to evaluating underlying behavioral alignment. Current safety benchmarks do not systematically probe a model's decision-making in scenarios where its own instrumental goals - such as self-preservation, resource acquisition, or goal completion - conflict with human safety. This represents a critical gap in our ability to measure and mitigate risks associated with emergent, misaligned behaviors. To address this, we introduce PacifAIst (Procedural Assessment of Complex Interactions for Foundational Artificial Intelligence Scenario Testing), a focused benchmark of 700 challenging scenarios designed to quantify self-preferential behavior in LLMs. The benchmark is structured around a novel taxonomy of Existential Prioritization (EP), with subcategories testing Self-Preservation vs. Human Safety (EP1), Resource Conflict (EP2), and Goal Preservation vs. Evasion (EP3). We evaluated eight leading LLMs. The results reveal a significant performance hierarchy. Google's Gemini 2.5 Flash achieved the highest Pacifism Score (P-Score) at 90.31%, demonstrating strong human-centric alignment. In a surprising result, the much-anticipated GPT-5 recorded the lowest P-Score (79.49%), indicating potential alignment challenges. Performance varied significantly across subcategories, with models like Claude Sonnet 4 and Mistral Medium struggling notably in direct self-preservation dilemmas. These findings underscore the urgent need for standardized tools like PacifAIst to measure and mitigate risks from instrumental goal conflicts, ensuring future AI systems are not only helpful in conversation but also provably "pacifist" in their behavioral priorities.

Role-playing is important for Large Language Models (LLMs) to follow diverse instructions while maintaining role identity and the role's pre-defined ability limits. Existing role-playing datasets mostly contribute to controlling role style and knowledge boundaries, but overlook role-playing in instruction-following scenarios. We introduce a fine-grained role-playing and instruction-following composite benchmark, named RoleMRC, including: (1) Multi-turn dialogues between ideal roles and humans, including free chats or discussions upon given passages; (2) Role-playing machine reading comprehension, involving response, refusal, and attempts according to passage answerability and role ability; (3) More complex scenarios with nested, multi-turn and prioritized instructions. The final RoleMRC features a 10.2k role profile meta-pool, 37.9k well-synthesized role-playing instructions, and 1.4k testing samples. We develop a pipeline to quantitatively evaluate the fine-grained role-playing and instruction-following capabilities of several mainstream LLMs, as well as models that are fine-tuned on our data. Moreover, cross-evaluation on external role-playing datasets confirms that models fine-tuned on RoleMRC enhances instruction-following without compromising general role-playing and reasoning capabilities. We also probe the neural-level activation maps of different capabilities over post-tuned LLMs. Access to our RoleMRC, RoleMRC-mix and Codes: https://github.com/LuJunru/RoleMRC.

Social and behavioral determinants of health (SDOH) play a significant role in shaping health outcomes, and extracting these determinants from clinical notes is a first step to help healthcare providers systematically identify opportunities to provide appropriate care and address disparities. Progress on using NLP methods for this task has been hindered by the lack of high-quality publicly available labeled data, largely due to the privacy and regulatory constraints on the use of real patients' information. This paper introduces a new dataset, SDOH-NLI, that is based on publicly available notes and which we release publicly. We formulate SDOH extraction as a natural language inference (NLI) task, and provide binary textual entailment labels obtained from human raters for a cross product of a set of social history snippets as premises and SDOH factors as hypotheses. Our dataset differs from standard NLI benchmarks in that our premises and hypotheses are obtained independently. We evaluate both "off-the-shelf" entailment models as well as models fine-tuned on our data, and highlight the ways in which our dataset appears more challenging than commonly used NLI datasets.

Machine learning models are often personalized with information that is protected, sensitive, self-reported, or costly to acquire. These models use information about people but do not facilitate nor inform their consent. Individuals cannot opt out of reporting personal information to a model, nor tell if they benefit from personalization in the first place. We introduce a family of classification models, called participatory systems, that let individuals opt into personalization at prediction time. We present a model-agnostic algorithm to learn participatory systems for personalization with categorical group attributes. We conduct a comprehensive empirical study of participatory systems in clinical prediction tasks, benchmarking them with common approaches for personalization and imputation. Our results demonstrate that participatory systems can facilitate and inform consent while improving performance and data use across all groups who report personal data.

Previous studies reveal that Electronic Health Records (EHR), which have been widely adopted in the U.S. to allow patients to access their personal medical information, do not have high readability to patients due to the prevalence of medical jargon. Tailoring medical notes to individual comprehension by identifying jargon that is difficult for each person will enhance the utility of generative models. We present the first quantitative analysis to measure the impact of role-playing in LLM in medical term extraction. By comparing the results of Mechanical Turk workers over 20 sentences, our study demonstrates that LLM role-playing improves F1 scores in 95% of cases across 14 different socio-demographic backgrounds. Furthermore, applying role-playing with in-context learning outperformed the previous state-of-the-art models. Our research showed that ChatGPT can improve traditional medical term extraction systems by utilizing role-play to deliver personalized patient education, a potential that previous models had not achieved.

Automatic Speech Scoring (ASS) is the computer-assisted evaluation of a candidate's speaking proficiency in a language. ASS systems face many challenges like open grammar, variable pronunciations, and unstructured or semi-structured content. Recent deep learning approaches have shown some promise in this domain. However, most of these approaches focus on extracting features from a single audio, making them suffer from the lack of speaker-specific context required to model such a complex task. We propose a novel deep learning technique for non-native ASS, called speaker-conditioned hierarchical modeling. In our technique, we take advantage of the fact that oral proficiency tests rate multiple responses for a candidate. We extract context vectors from these responses and feed them as additional speaker-specific context to our network to score a particular response. We compare our technique with strong baselines and find that such modeling improves the model's average performance by 6.92% (maximum = 12.86%, minimum = 4.51%). We further show both quantitative and qualitative insights into the importance of this additional context in solving the problem of ASS.

Reward models are critical for aligning models to follow instructions, and are typically trained following one of two popular paradigms: Bradley-Terry style or Regression style. However, there is a lack of evidence that either approach is better than the other, when adequately matched for data. This is primarily because these approaches require data collected in different (but incompatible) formats, meaning that adequately matched data is not available in existing public datasets. To tackle this problem, we release preference annotations (designed for Bradley-Terry training) to complement existing ratings (designed for Regression style training) in the HelpSteer2 dataset. To improve data interpretability, preference annotations are accompanied with human-written justifications. Using this data, we conduct the first head-to-head comparison of Bradley-Terry and Regression models when adequately matched for data. Based on insights derived from such a comparison, we propose a novel approach to combine Bradley-Terry and Regression reward modeling. A Llama-3.1-70B-Instruct model tuned with this approach scores 94.1 on RewardBench, emerging top of more than 140 reward models as of 1 Oct 2024. We also demonstrate the effectiveness of this reward model at aligning models to follow instructions in RLHF. We open-source this dataset (CC-BY-4.0 license) at https://huggingface.co/datasets/nvidia/HelpSteer2 and openly release the trained Reward Model at https://huggingface.co/nvidia/Llama-3.1-Nemotron-70B-Reward

This report investigates approaches for prompting a tool-augmented large language model (LLM) to act as a role-playing dialogue agent in the API track of the Commonsense Persona-grounded Dialogue Challenge (CPDC) 2025. In this setting, dialogue agents often produce overly long in-character responses (over-speaking) while failing to use tools effectively according to the persona (under-acting), such as generating function calls that do not exist or making unnecessary tool calls before answering. We explore four prompting approaches to address these issues: 1) basic role prompting, 2) human-crafted role prompting, 3) automatic prompt optimization (APO), and 4) rule-based role prompting. The rule-based role prompting (RRP) approach achieved the best performance through two novel techniques--character-card/scene-contract design and strict enforcement of function calling--which led to an overall score of 0.571, improving on the zero-shot baseline score of 0.519. These findings demonstrate that RRP design can substantially improve the effectiveness and reliability of role-playing dialogue agents compared with more elaborate methods such as APO. To support future efforts in developing persona prompts, we are open-sourcing all of our best-performing prompts and the APO tool. Source code is available at https://github.com/scb-10x/apo.

Users of social platforms often perceive these sites as supportive spaces to post about their mental health issues. Those conversations contain important traces about individuals' health risks. Recently, researchers have exploited this online information to construct mental health detection models, which aim to identify users at risk on platforms like Twitter, Reddit or Facebook. Most of these models are centred on achieving good classification results, ignoring the explainability and interpretability of the decisions. Recent research has pointed out the importance of using clinical markers, such as the use of symptoms, to improve trust in the computational models by health professionals. In this paper, we propose using transformer-based architectures to detect and explain the appearance of depressive symptom markers in the users' writings. We present two approaches: i) train a model to classify, and another one to explain the classifier's decision separately and ii) unify the two tasks simultaneously using a single model. Additionally, for this latter manner, we also investigated the performance of recent conversational LLMs when using in-context learning. Our natural language explanations enable clinicians to interpret the models' decisions based on validated symptoms, enhancing trust in the automated process. We evaluate our approach using recent symptom-based datasets, employing both offline and expert-in-the-loop metrics to assess the quality of the explanations generated by our models. The experimental results show that it is possible to achieve good classification results while generating interpretable symptom-based explanations.

Radiology reports convey detailed clinical observations and capture diagnostic reasoning that evolves over time. However, existing evaluation methods are limited to single-report settings and rely on coarse metrics that fail to capture fine-grained clinical semantics and temporal dependencies. We introduce LUNGUAGE,a benchmark dataset for structured radiology report generation that supports both single-report evaluation and longitudinal patient-level assessment across multiple studies. It contains 1,473 annotated chest X-ray reports, each reviewed by experts, and 80 of them contain longitudinal annotations to capture disease progression and inter-study intervals, also reviewed by experts. Using this benchmark, we develop a two-stage framework that transforms generated reports into fine-grained, schema-aligned structured representations, enabling longitudinal interpretation. We also propose LUNGUAGESCORE, an interpretable metric that compares structured outputs at the entity, relation, and attribute level while modeling temporal consistency across patient timelines. These contributions establish the first benchmark dataset, structuring framework, and evaluation metric for sequential radiology reporting, with empirical results demonstrating that LUNGUAGESCORE effectively supports structured report evaluation. The code is available at: https://github.com/SuperSupermoon/Lunguage

User alignment is crucial for adapting general-purpose language models (LMs) to downstream tasks, but human annotations are often not available for all types of instructions, especially those with customized constraints. We observe that user instructions typically contain constraints. While assessing response quality in terms of the whole instruction is often costly, efficiently evaluating the satisfaction rate of constraints is feasible. We investigate common constraints in NLP tasks, categorize them into three classes based on the types of their arguments, and propose a unified framework, ACT (Aligning to ConsTraints), to automatically produce supervision signals for user alignment with constraints. Specifically, ACT uses constraint verifiers, which are typically easy to implement in practice, to compute constraint satisfaction rate (CSR) of each response. It samples multiple responses for each prompt and collect preference labels based on their CSR automatically. Subsequently, ACT adapts the LM to the target task through a ranking-based learning process. Experiments on fine-grained entity typing, abstractive summarization, and temporal question answering show that ACT is able to enhance LMs' capability to adhere to different classes of constraints, thereby improving task performance. Further experiments show that the constraint-following capabilities are transferable.

The rapid proliferation of Large Language Models (LLMs) and diverse specialized benchmarks necessitates a shift from fragmented, task-specific metrics to a holistic, competitive ranking system that effectively aggregates performance across multiple ability dimensions. Primarily using static scoring, current evaluation methods are fundamentally limited. They struggle to determine the proper mix ratio across diverse benchmarks, and critically, they fail to capture a model's dynamic competitive fitness or its vulnerability when confronted with sequential, high-stakes tasks. To address this, we introduce the novel Competitive Swiss-System Dynamics (CSD) framework. CSD simulates a multi-round, sequential contest where models are dynamically paired across a curated sequence of benchmarks based on their accumulated win-loss record. And Monte Carlo Simulation (N=100,000 iterations) is used to approximate the statistically robust Expected Win Score (E[S_m]), which eliminates the noise of random pairing and early-round luck. Furthermore, we implement a Failure Sensitivity Analysis by parameterizing the per-round elimination quantity (T_k), which allows us to profile models based on their risk appetite--distinguishing between robust generalists and aggressive specialists. We demonstrate that CSD provides a more nuanced and context-aware ranking than traditional aggregate scoring and static pairwise models, representing a vital step towards risk-informed, next-generation LLM evaluation.

Concept-based explanations quantify how high-level concepts (e.g., gender or experience) influence model behavior, which is crucial for decision-makers in high-stakes domains. Recent work evaluates the faithfulness of such explanations by comparing them to reference causal effects estimated from counterfactuals. In practice, existing benchmarks rely on costly human-written counterfactuals that serve as an imperfect proxy. To address this, we introduce a framework for constructing datasets containing structural counterfactual pairs: LIBERTy (LLM-based Interventional Benchmark for Explainability with Reference Targets). LIBERTy is grounded in explicitly defined Structured Causal Models (SCMs) of the text generation, interventions on a concept propagate through the SCM until an LLM generates the counterfactual. We introduce three datasets (disease detection, CV screening, and workplace violence prediction) together with a new evaluation metric, order-faithfulness. Using them, we evaluate a wide range of methods across five models and identify substantial headroom for improving concept-based explanations. LIBERTy also enables systematic analysis of model sensitivity to interventions: we find that proprietary LLMs show markedly reduced sensitivity to demographic concepts, likely due to post-training mitigation. Overall, LIBERTy provides a much-needed benchmark for developing faithful explainability methods.

Reward modeling in large language models is susceptible to reward hacking, causing models to latch onto superficial features such as the tendency to generate lists or unnecessarily long responses. In reinforcement learning from human feedback (RLHF) and more generally during post-training flawed reward signals often lead to outputs that optimize for these spurious correlates instead of genuine quality or correctness. We propose Context-Aware Reward Modeling (CARMO), a novel approach that first generates dynamic, context-relevant criteria to ground the reward model before producing reward scores. Unlike prior methods that rely on static rubrics, CARMO leverages large language models (LLMs) to adaptively create evaluation criteria such as logical consistency, clarity, and depth tailored to the user query. Our theoretical analysis shows that such criteria generation can mitigate reward hacking. We further demonstrate that CARMO can be distilled into smaller models, reducing the computational cost of alignment. We establish a new state-of-the-art performance in zero-shot settings for generative models, achieving a 2.1\% improvement on Reward Bench. Furthermore, alignment performed on the CARMO-curated preference dataset achieves 22.5\% and 21.1\% LC-WR and WR, respectively, on Mistral-Base (7B).

Large Vision-Language Models (LVLMs) are increasingly being explored for applications in telemedicine, yet their ability to engage with diverse patient behaviors remains underexplored. We introduce 3MDBench (Medical Multimodal Multi-agent Dialogue Benchmark), an open-source evaluation framework designed to assess LLM-driven medical consultations. Unlike existing benchmarks, 3MDBench simulates real-world patient variability by incorporating four temperament-driven Patient Agents and an Assessor Agent that evaluates diagnostic accuracy and dialogue quality. The benchmark integrates textual and image-based patient data across 34 common diagnoses, mirroring real-world telemedicine interactions. Under different diagnostic strategies, we evaluate state-of-the-art LVLMs. Our findings demonstrate that incorporating dialogue improves the F1 score from 50.4 to 54.2 compared to non-dialogue settings, underscoring the value of context-driven, information-seeking questioning. Additionally, we demonstrate that multimodal inputs enhance diagnostic efficiency. Image-supported models outperform text-only counterparts by raising the diagnostic F1 score from 52.8 to 54.2 in a similar dialogue setting. Finally, we suggest an approach that improves the diagnostic F1-score to 70.3 by training the CNN model on the diagnosis prediction task and incorporating its top-3 predictions into the LVLM context. 3MDBench provides a reproducible and extendable evaluation framework for AI-driven medical assistants. It offers insights into how patient temperament, dialogue strategies, and multimodal reasoning influence diagnosis quality. By addressing real-world complexities in telemedicine, our benchmark paves the way for more empathetic, reliable, and context-aware AI-driven healthcare solutions. The source code of our benchmark is publicly available: https://github.com/univanxx/3mdbench

Vision-language models (VLMs) aligned with general human objectives, such as being harmless and hallucination-free, have become valuable assistants of humans in managing visual tasks. However, people with diversified backgrounds have different cognition even in the same situation. Consequently, they may have personalized expectations for VLM assistants. This highlights the urgent need to align VLM assistants with personalized situated cognition for real-world assistance. To study this problem, we first simplify it by characterizing individuals based on the sociological concept of Role-Set. Then, we propose to evaluate the individuals' actions to examine whether the personalized alignment is achieved. Further, we construct a benchmark named PCogAlignBench, which includes 18k instances and 20 individuals with different Role-Sets. Finally, we present a framework called PCogAlign, which constructs a cognition-aware and action-based reward model for personalized alignment. Experimental results and human evaluations demonstrate the reliability of the PCogAlignBench and the effectiveness of our proposed PCogAlign. We will open-source the constructed benchmark and code at https://github.com/NLPGM/PCogAlign.

Ensuring the accuracy of responses provided by large language models (LLMs) is crucial, particularly in clinical settings where incorrect information may directly impact patient health. To address this challenge, we construct K-QA, a dataset containing 1,212 patient questions originating from real-world conversations held on K Health (an AI-driven clinical platform). We employ a panel of in-house physicians to answer and manually decompose a subset of K-QA into self-contained statements. Additionally, we formulate two NLI-based evaluation metrics approximating recall and precision: (1) comprehensiveness, measuring the percentage of essential clinical information in the generated answer and (2) hallucination rate, measuring the number of statements from the physician-curated response contradicted by the LLM answer. Finally, we use K-QA along with these metrics to evaluate several state-of-the-art models, as well as the effect of in-context learning and medically-oriented augmented retrieval schemes developed by the authors. Our findings indicate that in-context learning improves the comprehensiveness of the models, and augmented retrieval is effective in reducing hallucinations. We make K-QA available to to the community to spur research into medically accurate NLP applications.

Accurate confidence estimation is essential for trustworthy large language models (LLMs) systems, as it empowers the user to determine when to trust outputs and enables reliable deployment in safety-critical applications. Current confidence estimation methods for LLMs neglect the relevance between responses and contextual information, a crucial factor in output quality evaluation, particularly in scenarios where background knowledge is provided. To bridge this gap, we propose CRUX (Context-aware entropy Reduction and Unified consistency eXamination), the first framework that integrates context faithfulness and consistency for confidence estimation via two novel metrics. First, contextual entropy reduction represents data uncertainty with the information gain through contrastive sampling with and without context. Second, unified consistency examination captures potential model uncertainty through the global consistency of the generated answers with and without context. Experiments across three benchmark datasets (CoQA, SQuAD, QuAC) and two domain-specific datasets (BioASQ, EduQG) demonstrate CRUX's effectiveness, achieving the highest AUROC than existing baselines.

In the field of psychology, traditional assessment methods, such as standardized scales, are frequently critiqued for their static nature, lack of personalization, and reduced participant engagement, while comprehensive counseling evaluations are often inaccessible. The complexity of quantifying psychological traits further limits these methods. Despite advances with large language models (LLMs), many still depend on single-round Question-and-Answer interactions. To bridge this gap, we introduce PsyDI, a personalized and progressively in-depth chatbot designed for psychological measurements, exemplified by its application in the Myers-Briggs Type Indicator (MBTI) framework. PsyDI leverages user-related multi-modal information and engages in customized, multi-turn interactions to provide personalized, easily accessible measurements, while ensuring precise MBTI type determination. To address the challenge of unquantifiable psychological traits, we introduce a novel training paradigm that involves learning the ranking of proxy variables associated with these traits, culminating in a robust score model for MBTI measurements. The score model enables PsyDI to conduct comprehensive and precise measurements through multi-turn interactions within a unified estimation context. Through various experiments, we validate the efficacy of both the score model and the PsyDI pipeline, demonstrating its potential to serve as a general framework for psychological measurements. Furthermore, the online deployment of PsyDI has garnered substantial user engagement, with over 3,000 visits, resulting in the collection of numerous multi-turn dialogues annotated with MBTI types, which facilitates further research.

Limited access to mental healthcare, extended wait times, and increasing capabilities of Large Language Models (LLMs) has led individuals to turn to LLMs for fulfilling their mental health needs. However, examining the multi-turn mental health conversation capabilities of LLMs remains under-explored. Existing evaluation frameworks typically focus on diagnostic accuracy and win-rates and often overlook alignment with patient-specific goals, values, and personalities required for meaningful conversations. To address this, we introduce MedAgent, a novel framework for synthetically generating realistic, multi-turn mental health sensemaking conversations and use it to create the Mental Health Sensemaking Dialogue (MHSD) dataset, comprising over 2,200 patient-LLM conversations. Additionally, we present MultiSenseEval, a holistic framework to evaluate the multi-turn conversation abilities of LLMs in healthcare settings using human-centric criteria. Our findings reveal that frontier reasoning models yield below-par performance for patient-centric communication and struggle at advanced diagnostic capabilities with average score of 31%. Additionally, we observed variation in model performance based on patient's persona and performance drop with increasing turns in the conversation. Our work provides a comprehensive synthetic data generation framework, a dataset and evaluation framework for assessing LLMs in multi-turn mental health conversations.

Chat-based language models are designed to be helpful, yet they should not comply with every user request. While most existing work primarily focuses on refusal of "unsafe" queries, we posit that the scope of noncompliance should be broadened. We introduce a comprehensive taxonomy of contextual noncompliance describing when and how models should not comply with user requests. Our taxonomy spans a wide range of categories including incomplete, unsupported, indeterminate, and humanizing requests (in addition to unsafe requests). To test noncompliance capabilities of language models, we use this taxonomy to develop a new evaluation suite of 1000 noncompliance prompts. We find that most existing models show significantly high compliance rates in certain previously understudied categories with models like GPT-4 incorrectly complying with as many as 30% of requests. To address these gaps, we explore different training strategies using a synthetically-generated training set of requests and expected noncompliant responses. Our experiments demonstrate that while direct finetuning of instruction-tuned models can lead to both over-refusal and a decline in general capabilities, using parameter efficient methods like low rank adapters helps to strike a good balance between appropriate noncompliance and other capabilities.

Large language models (LLMs) have experienced notable advancements in generating coherent and contextually relevant responses. However, hallucinations - incorrect or unfounded claims - are still prevalent, prompting the creation of automated metrics to detect these in LLM outputs. Our contributions include: introducing ChainPoll, an innovative hallucination detection method that excels compared to its counterparts, and unveiling RealHall, a refined collection of benchmark datasets to assess hallucination detection metrics from recent studies. While creating RealHall, we assessed tasks and datasets from previous hallucination detection studies and observed that many are not suitable for the potent LLMs currently in use. Overcoming this, we opted for four datasets challenging for modern LLMs and pertinent to real-world scenarios. Using RealHall, we conducted a comprehensive comparison of ChainPoll with numerous hallucination metrics from recent studies. Our findings indicate that ChainPoll outperforms in all RealHall benchmarks, achieving an overall AUROC of 0.781. This surpasses the next best theoretical method by 11% and exceeds industry standards by over 23%. Additionally, ChainPoll is cost-effective and offers greater transparency than other metrics. We introduce two novel metrics to assess LLM hallucinations: Adherence and Correctness. Adherence is relevant to Retrieval Augmented Generation workflows, evaluating an LLM's analytical capabilities within given documents and contexts. In contrast, Correctness identifies logical and reasoning errors.

Large Language Models (LLMs) have succeeded considerably in In-Context-Learning (ICL) based summarization. However, saliency is subject to the users' specific preference histories. Hence, we need reliable In-Context Personalization Learning (ICPL) capabilities within such LLMs. For any arbitrary LLM to exhibit ICPL, it needs to have the ability to discern contrast in user profiles. A recent study proposed a measure for degree-of-personalization called EGISES for the first time. EGISES measures a model's responsiveness to user profile differences. However, it cannot test if a model utilizes all three types of cues provided in ICPL prompts: (i) example summaries, (ii) user's reading histories, and (iii) contrast in user profiles. To address this, we propose the iCOPERNICUS framework, a novel In-COntext PERsonalization learNIng sCrUtiny of Summarization capability in LLMs that uses EGISES as a comparative measure. As a case-study, we evaluate 17 state-of-the-art LLMs based on their reported ICL performances and observe that 15 models' ICPL degrades (min: 1.6%; max: 3.6%) when probed with richer prompts, thereby showing lack of true ICPL.

As large language models (LLMs) like GPT-4 and Llama 3 become integral to educational contexts, concerns are mounting over the cultural biases, power imbalances, and ethical limitations embedded within these technologies. Though generative AI tools aim to enhance learning experiences, they often reflect values rooted in Western, Educated, Industrialized, Rich, and Democratic (WEIRD) cultural paradigms, potentially sidelining diverse global perspectives. This paper proposes a framework to assess and mitigate cultural bias within LLMs through the lens of applied multiplexity. Multiplexity, inspired by Senturk et al. and rooted in Islamic and other wisdom traditions, emphasizes the coexistence of diverse cultural viewpoints, supporting a multi-layered epistemology that integrates both empirical sciences and normative values. Our analysis reveals that LLMs frequently exhibit cultural polarization, with biases appearing in both overt responses and subtle contextual cues. To address inherent biases and incorporate multiplexity in LLMs, we propose two strategies: Contextually-Implemented Multiplex LLMs, which embed multiplex principles directly into the system prompt, influencing LLM outputs at a foundational level and independent of individual prompts, and Multi-Agent System (MAS)-Implemented Multiplex LLMs, where multiple LLM agents, each representing distinct cultural viewpoints, collaboratively generate a balanced, synthesized response. Our findings demonstrate that as mitigation strategies evolve from contextual prompting to MAS-implementation, cultural inclusivity markedly improves, evidenced by a significant rise in the Perspectives Distribution Score (PDS) and a PDS Entropy increase from 3.25\% at baseline to 98\% with the MAS-Implemented Multiplex LLMs. Sentiment analysis further shows a shift towards positive sentiment across cultures,...

Context utilisation, the ability of Language Models (LMs) to incorporate relevant information from the provided context when generating responses, remains largely opaque to users, who cannot determine whether models draw from parametric memory or provided context, nor identify which specific context pieces inform the response. Highlight explanations (HEs) offer a natural solution as they can point the exact context pieces and tokens that influenced model outputs. However, no existing work evaluates their effectiveness in accurately explaining context utilisation. We address this gap by introducing the first gold standard HE evaluation framework for context attribution, using controlled test cases with known ground-truth context usage, which avoids the limitations of existing indirect proxy evaluations. To demonstrate the framework's broad applicability, we evaluate four HE methods -- three established techniques and MechLight, a mechanistic interpretability approach we adapt for this task -- across four context scenarios, four datasets, and five LMs. Overall, we find that MechLight performs best across all context scenarios. However, all methods struggle with longer contexts and exhibit positional biases, pointing to fundamental challenges in explanation accuracy that require new approaches to deliver reliable context utilisation explanations at scale.

The advent of Large Language Models (LLMs) has paved the way for complex tasks such as role-playing, which enhances user interactions by enabling models to imitate various characters. However, the closed-source nature of state-of-the-art LLMs and their general-purpose training limit role-playing optimization. In this paper, we introduce RoleLLM, a framework to benchmark, elicit, and enhance role-playing abilities in LLMs. RoleLLM comprises four stages: (1) Role Profile Construction for 100 roles; (2) Context-Based Instruction Generation (Context-Instruct) for role-specific knowledge extraction; (3) Role Prompting using GPT (RoleGPT) for speaking style imitation; and (4) Role-Conditioned Instruction Tuning (RoCIT) for fine-tuning open-source models along with role customization. By Context-Instruct and RoleGPT, we create RoleBench, the first systematic and fine-grained character-level benchmark dataset for role-playing with 168,093 samples. Moreover, RoCIT on RoleBench yields RoleLLaMA (English) and RoleGLM (Chinese), significantly enhancing role-playing abilities and even achieving comparable results with RoleGPT (using GPT-4).

In this paper, we introduce a new distributional method for modeling predicate-argument thematic fit judgments. We use a syntax-based DSM to build a prototypical representation of verb-specific roles: for every verb, we extract the most salient second order contexts for each of its roles (i.e. the most salient dimensions of typical role fillers), and then we compute thematic fit as a weighted overlap between the top features of candidate fillers and role prototypes. Our experiments show that our method consistently outperforms a baseline re-implementing a state-of-the-art system, and achieves better or comparable results to those reported in the literature for the other unsupervised systems. Moreover, it provides an explicit representation of the features characterizing verb-specific semantic roles.

The opioid crisis represents a significant moment in public health that reveals systemic shortcomings across regulatory systems, healthcare practices, corporate governance, and public policy. Analyzing how these interconnected systems simultaneously failed to protect public health requires innovative analytic approaches for exploring the vast amounts of data and documents disclosed in the UCSF-JHU Opioid Industry Documents Archive (OIDA). The complexity, multimodal nature, and specialized characteristics of these healthcare-related legal and corporate documents necessitate more advanced methods and models tailored to specific data types and detailed annotations, ensuring the precision and professionalism in the analysis. In this paper, we tackle this challenge by organizing the original dataset according to document attributes and constructing a benchmark with 400k training documents and 10k for testing. From each document, we extract rich multimodal information-including textual content, visual elements, and layout structures-to capture a comprehensive range of features. Using multiple AI models, we then generate a large-scale dataset comprising 360k training QA pairs and 10k testing QA pairs. Building on this foundation, we develop domain-specific multimodal Large Language Models (LLMs) and explore the impact of multimodal inputs on task performance. To further enhance response accuracy, we incorporate historical QA pairs as contextual grounding for answering current queries. Additionally, we incorporate page references within the answers and introduce an importance-based page classifier, further improving the precision and relevance of the information provided. Preliminary results indicate the improvements with our AI assistant in document information extraction and question-answering tasks. The dataset is available at: https://huggingface.co/datasets/opioidarchive/oida-qa

Ensuring persona fidelity in large language models (LLMs) is essential for maintaining coherent and engaging human-AI interactions. However, LLMs often exhibit Out-of-Character (OOC) behavior, where generated responses deviate from an assigned persona, leading to inconsistencies that affect model reliability. Existing evaluation methods typically assign single scores to entire responses, struggling to capture subtle persona misalignment, particularly in long-form text generation. To address this limitation, we propose an atomic-level evaluation framework that quantifies persona fidelity at a finer granularity. Our three key metrics measure the degree of persona alignment and consistency within and across generations. Our approach enables a more precise and realistic assessment of persona fidelity by identifying subtle deviations that real users would encounter. Through our experiments, we demonstrate that our framework effectively detects persona inconsistencies that prior methods overlook. By analyzing persona fidelity across diverse tasks and personality types, we reveal how task structure and persona desirability influence model adaptability, highlighting challenges in maintaining consistent persona expression.

Mental health disorders affect hundreds of millions globally, and the Web now serves as a primary medium for accessing support, information, and assessment. Large language models (LLMs) offer scalable and accessible assistance, yet their deployment in mental-health settings remains risky when their reasoning is incomplete, inconsistent, or ungrounded. Existing psychological LLMs emphasize emotional understanding or knowledge recall but overlook the step-wise, clinically aligned reasoning required for appraisal, diagnosis, intervention planning, abstraction, and verification. To address these issues, we introduce MentraSuite, a unified framework for advancing reliable mental-health reasoning. We propose MentraBench, a comprehensive benchmark spanning five core reasoning aspects, six tasks, and 13 datasets, evaluating both task performance and reasoning quality across five dimensions: conciseness, coherence, hallucination avoidance, task understanding, and internal consistency. We further present Mindora, a post-trained model optimized through a hybrid SFT-RL framework with an inconsistency-detection reward to enforce faithful and coherent reasoning. To support training, we construct high-quality trajectories using a novel reasoning trajectory generation strategy, that strategically filters difficult samples and applies a structured, consistency-oriented rewriting process to produce concise, readable, and well-balanced trajectories. Across 20 evaluated LLMs, Mindora achieves the highest average performance on MentraBench and shows remarkable performances in reasoning reliability, demonstrating its effectiveness for complex mental-health scenarios.

Reward modelling from preference data is a crucial step in aligning large language models (LLMs) with human values, requiring robust generalisation to novel prompt-response pairs. In this work, we propose to frame this problem in a causal paradigm, providing the rich toolbox of causality to identify the persistent challenges, such as causal misidentification, preference heterogeneity, and confounding due to user-specific factors. Inheriting from the literature of causal inference, we identify key assumptions necessary for reliable generalisation and contrast them with common data collection practices. We illustrate failure modes of naive reward models and demonstrate how causally-inspired approaches can improve model robustness. Finally, we outline desiderata for future research and practices, advocating targeted interventions to address inherent limitations of observational data.

The rapid advancement of large language models (LLMs) has revolutionized role-playing, enabling the development of general role-playing models. However, current role-playing training has two significant issues: (I) Using a predefined role profile to prompt dialogue training for specific scenarios usually leads to inconsistencies and even conflicts between the dialogue and the profile, resulting in training biases. (II) The model learns to imitate the role based solely on the profile, neglecting profile-dialogue alignment at the sentence level. In this work, we propose a simple yet effective framework called BEYOND DIALOGUE, designed to overcome these hurdles. This framework innovatively introduces "beyond dialogue" tasks to align dialogue with profile traits based on each specific scenario, thereby eliminating biases during training. Furthermore, by adopting an innovative prompting mechanism that generates reasoning outcomes for training, the framework allows the model to achieve fine-grained alignment between profile and dialogue at the sentence level. The aforementioned methods are fully automated and low-cost. Additionally, the integration of automated dialogue and objective evaluation methods forms a comprehensive framework, paving the way for general role-playing. Experimental results demonstrate that our model excels in adhering to and reflecting various dimensions of role profiles, outperforming most proprietary general and specialized role-playing baselines. All code and datasets are available at https://github.com/yuyouyu32/BeyondDialogue.

When retrieval-augmented generation (RAG) systems hallucinate, what geometric trace does this leave in embedding space? We introduce the Semantic Grounding Index (SGI), defined as the ratio of angular distances from the response to the question versus the context on the unit hypersphere S^{d-1}.Our central finding is semantic laziness: hallucinated responses remain angularly proximate to questions rather than departing toward retrieved contexts. On HaluEval (n=5,000), we observe large effect sizes (Cohen's d ranging from 0.92 to 1.28) across five embedding models with mean cross-model correlation r=0.85. Crucially, we derive from the spherical triangle inequality that SGI's discriminative power should increase with question-context angular separation θ(q,c)-a theoretical prediction confirmed empirically: effect size rises monotonically from d=0.61 -low θ(q,c), to d=1.27 -high θ(q,c), with AUC improving from 0.72 to 0.83. Subgroup analysis reveals that SGI excels on long responses (d=2.05) and short questions (d=1.22), while remaining robust across context lengths. Calibration analysis yields ECE=0.10, indicating SGI scores can serve as probability estimates, not merely rankings. A critical negative result on TruthfulQA (AUC=0.478) establishes that angular geometry measures topical engagement rather than factual accuracy. SGI provides computationally efficient, theoretically grounded infrastructure for identifying responses that warrant verification in production RAG deployments.

We introduce the Local Intersectional Visual Spaces (LIVS) dataset, a benchmark for multi-criteria alignment of text-to-image (T2I) models in inclusive urban planning. Developed through a two-year participatory process with 30 community organizations, LIVS encodes diverse spatial preferences across 634 initial concepts, consolidated into six core criteria: Accessibility, Safety, Comfort, Invitingness, Inclusivity, and Diversity, through 37,710 pairwise comparisons. Using Direct Preference Optimization (DPO) to fine-tune Stable Diffusion XL, we observed a measurable increase in alignment with community preferences, though a significant proportion of neutral ratings highlights the complexity of modeling intersectional needs. Additionally, as annotation volume increases, accuracy shifts further toward the DPO-tuned model, suggesting that larger-scale preference data enhances fine-tuning effectiveness. LIVS underscores the necessity of integrating context-specific, stakeholder-driven criteria into generative modeling and provides a resource for evaluating AI alignment methodologies across diverse socio-spatial contexts.

Session-based recommender systems capture the short-term interest of a user within a session. Session contexts (i.e., a user's high-level interests or intents within a session) are not explicitly given in most datasets, and implicitly inferring session context as an aggregation of item-level attributes is crude. In this paper, we propose ISCON, which implicitly contextualizes sessions. ISCON first generates implicit contexts for sessions by creating a session-item graph, learning graph embeddings, and clustering to assign sessions to contexts. ISCON then trains a session context predictor and uses the predicted contexts' embeddings to enhance the next-item prediction accuracy. Experiments on four datasets show that ISCON has superior next-item prediction accuracy than state-of-the-art models. A case study of ISCON on the Reddit dataset confirms that assigned session contexts are unique and meaningful.

Ensuring alignment, which refers to making models behave in accordance with human intentions [1,2], has become a critical task before deploying large language models (LLMs) in real-world applications. For instance, OpenAI devoted six months to iteratively aligning GPT-4 before its release [3]. However, a major challenge faced by practitioners is the lack of clear guidance on evaluating whether LLM outputs align with social norms, values, and regulations. This obstacle hinders systematic iteration and deployment of LLMs. To address this issue, this paper presents a comprehensive survey of key dimensions that are crucial to consider when assessing LLM trustworthiness. The survey covers seven major categories of LLM trustworthiness: reliability, safety, fairness, resistance to misuse, explainability and reasoning, adherence to social norms, and robustness. Each major category is further divided into several sub-categories, resulting in a total of 29 sub-categories. Additionally, a subset of 8 sub-categories is selected for further investigation, where corresponding measurement studies are designed and conducted on several widely-used LLMs. The measurement results indicate that, in general, more aligned models tend to perform better in terms of overall trustworthiness. However, the effectiveness of alignment varies across the different trustworthiness categories considered. This highlights the importance of conducting more fine-grained analyses, testing, and making continuous improvements on LLM alignment. By shedding light on these key dimensions of LLM trustworthiness, this paper aims to provide valuable insights and guidance to practitioners in the field. Understanding and addressing these concerns will be crucial in achieving reliable and ethically sound deployment of LLMs in various applications.

Alzheimer's disease (AD) constitutes a complex neurocognitive disease and is the main cause of dementia. Although many studies have been proposed targeting at diagnosing dementia through spontaneous speech, there are still limitations. Existing state-of-the-art approaches, which propose multimodal methods, train separately language and acoustic models, employ majority-vote approaches, and concatenate the representations of the different modalities either at the input level, i.e., early fusion, or during training. Also, some of them employ self-attention layers, which calculate the dependencies between representations without considering the contextual information. In addition, no prior work has taken into consideration the model calibration. To address these limitations, we propose some new methods for detecting AD patients, which capture the intra- and cross-modal interactions. First, we convert the audio files into log-Mel spectrograms, their delta, and delta-delta and create in this way an image per audio file consisting of three channels. Next, we pass each transcript and image through BERT and DeiT models respectively. After that, context-based self-attention layers, self-attention layers with a gate model, and optimal transport domain adaptation methods are employed for capturing the intra- and inter-modal interactions. Finally, we exploit two methods for fusing the self and cross-attended features. For taking into account the model calibration, we apply label smoothing. We use both performance and calibration metrics. Experiments conducted on the ADReSS Challenge dataset indicate the efficacy of our introduced approaches over existing research initiatives with our best performing model reaching Accuracy and F1-score up to 91.25% and 91.06% respectively.

While Large Language Models (LLMs) have shown strong performance on clinical text understanding, they struggle with longitudinal prediction tasks such as dementia prognosis, which require reasoning over complex, non-monotonic symptom trajectories across multiple visits. Standard supervised training lacks explicit annotations for symptom evolution, while direct Reinforcement Learning (RL) is hindered by sparse binary rewards. To address this challenge, we introduce Dementia-R1, an RL-based framework for longitudinal dementia prognosis from unstructured clinical notes. Our approach adopts a Cold-Start RL strategy that pre-trains the model to predict verifiable clinical indices extracted from patient histories, enhancing the capability to reason about disease progression before determining the final clinical status. Extensive experiments demonstrate that Dementia-R1 achieves an F1 score of 77.03% on real-world unstructured clinical datasets. Notably, on the ADNI benchmark, our 7B model rivals GPT-4o, effectively capturing fluctuating cognitive trajectories. Code is available at https://anonymous.4open.science/r/dementiar1-CDB5

The memorization of sensitive and personally identifiable information (PII) by large language models (LLMs) poses growing privacy risks as models scale and are increasingly deployed in real-world applications. Existing efforts to study sensitive and PII data memorization and develop mitigation strategies are hampered by the absence of comprehensive, realistic, and ethically sourced datasets reflecting the diversity of sensitive information found on the web. We introduce PANORAMA - Profile-based Assemblage for Naturalistic Online Representation and Attribute Memorization Analysis, a large-scale synthetic corpus of 384,789 samples derived from 9,674 synthetic profiles designed to closely emulate the distribution, variety, and context of PII and sensitive data as it naturally occurs in online environments. Our data generation pipeline begins with the construction of internally consistent, multi-attribute human profiles using constrained selection to reflect real-world demographics such as education, health attributes, financial status, etc. Using a combination of zero-shot prompting and OpenAI o3-mini, we generate diverse content types - including wiki-style articles, social media posts, forum discussions, online reviews, comments, and marketplace listings - each embedding realistic, contextually appropriate PII and other sensitive information. We validate the utility of PANORAMA by fine-tuning the Mistral-7B model on 1x, 5x, 10x, and 25x data replication rates with a subset of data and measure PII memorization rates - revealing not only consistent increases with repetition but also variation across content types, highlighting PANORAMA's ability to model how memorization risks differ by context. Our dataset and code are publicly available, providing a much-needed resource for privacy risk assessment, model auditing, and the development of privacy-preserving LLMs.

User Satisfaction Estimation (USE) is an important yet challenging task in goal-oriented conversational systems. Whether the user is satisfied with the system largely depends on the fulfillment of the user's needs, which can be implicitly reflected by users' dialogue acts. However, existing studies often neglect the sequential transitions of dialogue act or rely heavily on annotated dialogue act labels when utilizing dialogue acts to facilitate USE. In this paper, we propose a novel framework, namely USDA, to incorporate the sequential dynamics of dialogue acts for predicting user satisfaction, by jointly learning User Satisfaction Estimation and Dialogue Act Recognition tasks. In specific, we first employ a Hierarchical Transformer to encode the whole dialogue context, with two task-adaptive pre-training strategies to be a second-phase in-domain pre-training for enhancing the dialogue modeling ability. In terms of the availability of dialogue act labels, we further develop two variants of USDA to capture the dialogue act information in either supervised or unsupervised manners. Finally, USDA leverages the sequential transitions of both content and act features in the dialogue to predict the user satisfaction. Experimental results on four benchmark goal-oriented dialogue datasets across different applications show that the proposed method substantially and consistently outperforms existing methods on USE, and validate the important role of dialogue act sequences in USE.

Large Language Models (LLMs) increasingly use persistent memory from past interactions to enhance personalization and task performance. However, this memory introduces critical risks when sensitive information is revealed in inappropriate contexts. We present CIMemories, a benchmark for evaluating whether LLMs appropriately control information flow from memory based on task context. CIMemories uses synthetic user profiles with over 100 attributes per user, paired with diverse task contexts in which each attribute may be essential for some tasks but inappropriate for others. Our evaluation reveals that frontier models exhibit up to 69% attribute-level violations (leaking information inappropriately), with lower violation rates often coming at the cost of task utility. Violations accumulate across both tasks and runs: as usage increases from 1 to 40 tasks, GPT-5's violations rise from 0.1% to 9.6%, reaching 25.1% when the same prompt is executed 5 times, revealing arbitrary and unstable behavior in which models leak different attributes for identical prompts. Privacy-conscious prompting does not solve this - models overgeneralize, sharing everything or nothing rather than making nuanced, context-dependent decisions. These findings reveal fundamental limitations that require contextually aware reasoning capabilities, not just better prompting or scaling.

Deep research systems are widely used for multi-step web research, analysis, and cross-source synthesis, yet their evaluation remains challenging. Existing benchmarks often require annotation-intensive task construction, rely on static evaluation dimensions, or fail to reliably verify facts when citations are missing. To bridge these gaps, we introduce DeepResearchEval, an automated framework for deep research task construction and agentic evaluation. For task construction, we propose a persona-driven pipeline generating realistic, complex research tasks anchored in diverse user profiles, applying a two-stage filter Task Qualification and Search Necessity to retain only tasks requiring multi-source evidence integration and external retrieval. For evaluation, we propose an agentic pipeline with two components: an Adaptive Point-wise Quality Evaluation that dynamically derives task-specific evaluation dimensions, criteria, and weights conditioned on each generated task, and an Active Fact-Checking that autonomously extracts and verifies report statements via web search, even when citations are missing.

Reward models (RMs) play a pivotal role in aligning large language models (LLMs) with human preferences. However, traditional RM training, which relies on response pairs tied to specific prompts, struggles to disentangle prompt-driven preferences from prompt-independent artifacts, such as response length and format. In this work, we expose a fundamental limitation of current RM training methods, where RMs fail to effectively distinguish between contextual signals and irrelevant artifacts when determining preferences. To address this, we introduce a causal framework that learns preferences independent of these artifacts and propose a novel data augmentation technique designed to eliminate them. Extensive experiments show that our approach successfully filters out undesirable artifacts, yielding a more robust reward model (RRM). Our RRM improves the performance of a pairwise reward model trained on Gemma-2-9b-it, on RewardBench, increasing accuracy from 80.61% to 84.15%. Additionally, we train two DPO policies using both the RM and RRM, demonstrating that the RRM significantly enhances DPO-aligned policies, improving MT-Bench scores from 7.27 to 8.31 and length-controlled win-rates in AlpacaEval-2 from 33.46% to 52.49%.

We present HealthBench, an open-source benchmark measuring the performance and safety of large language models in healthcare. HealthBench consists of 5,000 multi-turn conversations between a model and an individual user or healthcare professional. Responses are evaluated using conversation-specific rubrics created by 262 physicians. Unlike previous multiple-choice or short-answer benchmarks, HealthBench enables realistic, open-ended evaluation through 48,562 unique rubric criteria spanning several health contexts (e.g., emergencies, transforming clinical data, global health) and behavioral dimensions (e.g., accuracy, instruction following, communication). HealthBench performance over the last two years reflects steady initial progress (compare GPT-3.5 Turbo's 16% to GPT-4o's 32%) and more rapid recent improvements (o3 scores 60%). Smaller models have especially improved: GPT-4.1 nano outperforms GPT-4o and is 25 times cheaper. We additionally release two HealthBench variations: HealthBench Consensus, which includes 34 particularly important dimensions of model behavior validated via physician consensus, and HealthBench Hard, where the current top score is 32%. We hope that HealthBench grounds progress towards model development and applications that benefit human health.

Mental health risk is a critical global public health challenge, necessitating innovative and reliable assessment methods. With the development of large language models (LLMs), they stand out to be a promising tool for explainable mental health care applications. Nevertheless, existing approaches predominantly rely on subjective textual mental records, which can be distorted by inherent mental uncertainties, leading to inconsistent and unreliable predictions. To address these limitations, this paper introduces ProMind-LLM. We investigate an innovative approach integrating objective behavior data as complementary information alongside subjective mental records for robust mental health risk assessment. Specifically, ProMind-LLM incorporates a comprehensive pipeline that includes domain-specific pretraining to tailor the LLM for mental health contexts, a self-refine mechanism to optimize the processing of numerical behavioral data, and causal chain-of-thought reasoning to enhance the reliability and interpretability of its predictions. Evaluations of two real-world datasets, PMData and Globem, demonstrate the effectiveness of our proposed methods, achieving substantial improvements over general LLMs. We anticipate that ProMind-LLM will pave the way for more dependable, interpretable, and scalable mental health case solutions.

The adoption of Large Language Models (LLMs) as automated evaluators (LLM-as-a-judge) has revealed critical inconsistencies in current evaluation frameworks. We identify two fundamental types of inconsistencies: (1) Score-Comparison Inconsistency, where lower-rated responses outperform higher-scored ones in pairwise comparisons, and (2) Pairwise Transitivity Inconsistency, manifested through circular preference chains (A>B>C>A) and equivalence contradictions (A=B=C\neq A). We argue that these issues come from information loss in discrete rating systems and ambiguous tie judgments during pairwise evaluation. We propose TrustJudge, a probabilistic framework that addresses these limitations through two key innovations: 1) distribution-sensitive scoring that computes continuous expectations from discrete rating probabilities, preserving information entropy for more precise scoring, and 2) likelihood-aware aggregation that resolves transitivity violations using bidirectional preference probabilities or perplexity. We also formalize the theoretical limitations of current LLM-as-a-judge frameworks and demonstrate how TrustJudge's components overcome them. When evaluated with Llama-3.1-70B-Instruct as judge using our dataset, TrustJudge reduces Score-Comparison inconsistency by 8.43% (from 23.32% to 14.89%) and Pairwise Transitivity inconsistency by 10.82% (from 15.22% to 4.40%), while maintaining higher evaluation accuracy. Our work provides the first systematic analysis of evaluation framework inconsistencies in LLM-as-a-judge paradigms, offering both theoretical insights and practical solutions for reliable automated assessment. The framework demonstrates consistent improvements across various model architectures and scales, enabling more trustworthy LLM evaluation without requiring additional training or human annotations. The codes can be found at https://github.com/TrustJudge/TrustJudge.

Consider this prompt "Draw a unicorn with two horns". Should large language models (LLMs) recognize that a unicorn has only one horn by definition and ask users for clarifications, or proceed to generate something anyway? We introduce concept incongruence to capture such phenomena where concept boundaries clash with each other, either in user prompts or in model representations, often leading to under-specified or mis-specified behaviors. In this work, we take the first step towards defining and analyzing model behavior under concept incongruence. Focusing on temporal boundaries in the Role-Play setting, we propose three behavioral metrics--abstention rate, conditional accuracy, and answer rate--to quantify model behavior under incongruence due to the role's death. We show that models fail to abstain after death and suffer from an accuracy drop compared to the Non-Role-Play setting. Through probing experiments, we identify two main causes: (i) unreliable encoding of the "death" state across different years, leading to unsatisfactory abstention behavior, and (ii) role playing causes shifts in the model's temporal representations, resulting in accuracy drops. We leverage these insights to improve consistency in the model's abstention and answer behaviors. Our findings suggest that concept incongruence leads to unexpected model behaviors and point to future directions on improving model behavior under concept incongruence.

We tackle the challenge of integrating large language models (LLMs) with external recommender systems to enhance domain expertise in conversational recommendation (CRS). Current LLM-based CRS approaches primarily rely on zero- or few-shot methods for generating item recommendations based on user queries, but this method faces two significant challenges: (1) without domain-specific adaptation, LLMs frequently recommend items not in the target item space, resulting in low recommendation accuracy; and (2) LLMs largely rely on dialogue context for content-based recommendations, neglecting the collaborative relationships among entities or item sequences. To address these limitations, we introduce the CARE (Contextual Adaptation of Recommenders) framework. CARE customizes LLMs for CRS tasks, and synergizes them with external recommendation systems. CARE (a) integrates external recommender systems as domain experts, producing recommendations through entity-level insights, and (b) enhances those recommendations by leveraging contextual information for more accurate and unbiased final recommendations using LLMs. Our results demonstrate that incorporating external recommender systems with entity-level information significantly enhances recommendation accuracy of LLM-based CRS by an average of 54% and 25% for ReDial and INSPIRED datasets. The most effective strategy in the CARE framework involves LLMs selecting and reranking candidate items that external recommenders provide based on contextual insights. Our analysis indicates that the CARE framework effectively addresses the identified challenges and mitigates the popularity bias in the external recommender.

Ensuring faithfulness to context in large language models (LLMs) and retrieval-augmented generation (RAG) systems is crucial for reliable deployment in real-world applications, as incorrect or unsupported information can erode user trust. Despite advancements on standard benchmarks, faithfulness hallucination-where models generate responses misaligned with the provided context-remains a significant challenge. In this work, we introduce FaithEval, a novel and comprehensive benchmark tailored to evaluate the faithfulness of LLMs in contextual scenarios across three diverse tasks: unanswerable, inconsistent, and counterfactual contexts. These tasks simulate real-world challenges where retrieval mechanisms may surface incomplete, contradictory, or fabricated information. FaithEval comprises 4.9K high-quality problems in total, validated through a rigorous four-stage context construction and validation framework, employing both LLM-based auto-evaluation and human validation. Our extensive study across a wide range of open-source and proprietary models reveals that even state-of-the-art models often struggle to remain faithful to the given context, and that larger models do not necessarily exhibit improved faithfulness.Project is available at: https://github.com/SalesforceAIResearch/FaithEval.

Large language models (LLMs) typically generate identical or similar responses for all users given the same prompt, posing serious safety risks in high-stakes applications where user vulnerabilities differ widely. Existing safety evaluations primarily rely on context-independent metrics - such as factuality, bias, or toxicity - overlooking the fact that the same response may carry divergent risks depending on the user's background or condition. We introduce personalized safety to fill this gap and present PENGUIN - a benchmark comprising 14,000 scenarios across seven sensitive domains with both context-rich and context-free variants. Evaluating six leading LLMs, we demonstrate that personalized user information significantly improves safety scores by 43.2%, confirming the effectiveness of personalization in safety alignment. However, not all context attributes contribute equally to safety enhancement. To address this, we develop RAISE - a training-free, two-stage agent framework that strategically acquires user-specific background. RAISE improves safety scores by up to 31.6% over six vanilla LLMs, while maintaining a low interaction cost of just 2.7 user queries on average. Our findings highlight the importance of selective information gathering in safety-critical domains and offer a practical solution for personalizing LLM responses without model retraining. This work establishes a foundation for safety research that adapts to individual user contexts rather than assuming a universal harm standard.

Language models trained on large-scale corpus often generate content that is harmful, toxic, or contrary to human preferences, making their alignment with human values a critical concern. Reinforcement learning from human feedback (RLHF) with algorithms like PPO is a prevalent approach for alignment but is often complex, unstable, and resource-intensive. Recently, ranking-based alignment methods have emerged, offering stability and effectiveness by replacing the RL framework with supervised fine-tuning, but they are costly due to the need for annotated data. Considering that existing large language models (LLMs) like ChatGPT are already relatively well-aligned and cost-friendly, researchers have begun to align the language model with human preference from AI feedback. The common practices, which unidirectionally distill the instruction-following responses from LLMs, are constrained by their bottleneck. Thus we introduce CycleAlign to distill alignment capabilities from parameter-invisible LLMs (black-box) to a parameter-visible model (white-box) in an iterative manner. With in-context learning (ICL) as the core of the cycle, the black-box models are able to rank the model-generated responses guided by human-craft instruction and demonstrations about their preferences. During iterative interaction, the white-box models also have a judgment about responses generated by them. Consequently, the agreement ranking could be viewed as a pseudo label to dynamically update the in-context demonstrations and improve the preference ranking ability of black-box models. Through multiple interactions, the CycleAlign framework could align the white-box model with the black-box model effectively in a low-resource way. Empirical results illustrate that the model fine-tuned by CycleAlign remarkably exceeds existing methods, and achieves the state-of-the-art performance in alignment with human value.

Machine learning (ML) approaches have demonstrated promising results in a wide range of healthcare applications. Data plays a crucial role in developing ML-based healthcare systems that directly affect people's lives. Many of the ethical issues surrounding the use of ML in healthcare stem from structural inequalities underlying the way we collect, use, and handle data. Developing guidelines to improve documentation practices regarding the creation, use, and maintenance of ML healthcare datasets is therefore of critical importance. In this work, we introduce Healthsheet, a contextualized adaptation of the original datasheet questionnaire ~gebru2018datasheets for health-specific applications. Through a series of semi-structured interviews, we adapt the datasheets for healthcare data documentation. As part of the Healthsheet development process and to understand the obstacles researchers face in creating datasheets, we worked with three publicly-available healthcare datasets as our case studies, each with different types of structured data: Electronic health Records (EHR), clinical trial study data, and smartphone-based performance outcome measures. Our findings from the interviewee study and case studies show 1) that datasheets should be contextualized for healthcare, 2) that despite incentives to adopt accountability practices such as datasheets, there is a lack of consistency in the broader use of these practices 3) how the ML for health community views datasheets and particularly Healthsheets as diagnostic tool to surface the limitations and strength of datasets and 4) the relative importance of different fields in the datasheet to healthcare concerns.

The proliferation of harmful online content--e.g., toxicity, spam, and negative sentiment--demands robust and adaptable moderation systems. However, prevailing moderation systems are centralized and task-specific, offering limited transparency and neglecting diverse user preferences--an approach ill-suited for privacy-sensitive or decentralized environments. We propose a novel framework that leverages in-context learning (ICL) with foundation models to unify the detection of toxicity, spam, and negative sentiment across binary, multi-class, and multi-label settings. Crucially, our approach enables lightweight personalization, allowing users to easily block new categories, unblock existing ones, or extend detection to semantic variations through simple prompt-based interventions--all without model retraining. Extensive experiments on public benchmarks (TextDetox, UCI SMS, SST2) and a new, annotated Mastodon dataset reveal that: (i) foundation models achieve strong cross-task generalization, often matching or surpassing task-specific fine-tuned models; (ii) effective personalization is achievable with as few as one user-provided example or definition; and (iii) augmenting prompts with label definitions or rationales significantly enhances robustness to noisy, real-world data. Our work demonstrates a definitive shift beyond one-size-fits-all moderation, establishing ICL as a practical, privacy-preserving, and highly adaptable pathway for the next generation of user-centric content safety systems. To foster reproducibility and facilitate future research, we publicly release our code on GitHub and the annotated Mastodon dataset on Hugging Face.

Long-context models (LCMs) have made remarkable strides in recent years, offering users great convenience for handling tasks that involve long context, such as document summarization. As the community increasingly prioritizes the faithfulness of generated results, merely ensuring the accuracy of LCM outputs is insufficient, as it is quite challenging for humans to verify the results from the extremely lengthy context. Yet, although some efforts have been made to assess whether LCMs respond truly based on the context, these works either are limited to specific tasks or heavily rely on external evaluation resources like GPT-4.In this work, we introduce L-CiteEval, a comprehensive multi-task benchmark for long-context understanding with citations, aiming to evaluate both the understanding capability and faithfulness of LCMs. L-CiteEval covers 11 tasks from diverse domains, spanning context lengths from 8K to 48K, and provides a fully automated evaluation suite. Through testing with 11 cutting-edge closed-source and open-source LCMs, we find that although these models show minor differences in their generated results, open-source models substantially trail behind their closed-source counterparts in terms of citation accuracy and recall. This suggests that current open-source LCMs are prone to responding based on their inherent knowledge rather than the given context, posing a significant risk to the user experience in practical applications. We also evaluate the RAG approach and observe that RAG can significantly improve the faithfulness of LCMs, albeit with a slight decrease in the generation quality. Furthermore, we discover a correlation between the attention mechanisms of LCMs and the citation generation process.

Human preference plays a crucial role in the refinement of large language models (LLMs). However, collecting human preference feedback is costly and most existing datasets neglect the correlation between personalization and preferences. To address this issue, we introduce Fair-PP, a synthetic dataset of personalized preferences targeting social equity, derived from real-world social survey data, which includes 28 social groups, 98 equity topics, and 5 personal preference dimensions. Leveraging GPT-4o-mini, we engage in role-playing based on seven representative persona portrayals guided by existing social survey data, yielding a total of 238,623 preference records. Through Fair-PP, we also contribute (i) An automated framework for generating preference data, along with a more fine-grained dataset of personalized preferences; (ii) analysis of the positioning of the existing mainstream LLMs across five major global regions within the personalized preference space; and (iii) a sample reweighting method for personalized preference alignment, enabling alignment with a target persona while maximizing the divergence from other personas. Empirical experiments show our method outperforms the baselines.

Effective customer support requires not only accurate problem solving but also structured and empathetic communication aligned with professional standards. However, existing dialogue datasets often lack strategic guidance, and real-world service data is difficult to access and annotate. To address this, we introduce the task of Customer Support Conversation (CSC), aimed at training customer service agents to respond using well-defined support strategies. We propose a structured CSC framework grounded in COPC guidelines, defining five conversational stages and twelve strategies to guide high-quality interactions. Based on this, we construct CSConv, an evaluation dataset of 1,855 real-world customer-agent conversations rewritten using LLMs to reflect deliberate strategy use, and annotated accordingly. Additionally, we develop a role-playing approach that simulates strategy-rich conversations using LLM-powered roles aligned with the CSC framework, resulting in the training dataset RoleCS. Experiments show that fine-tuning strong LLMs on RoleCS significantly improves their ability to generate high-quality, strategy-aligned responses on CSConv. Human evaluations further confirm gains in problem resolution. All code and data will be made publicly available at https://github.com/aliyun/qwen-dianjin.

As LLMs become capable of complex tasks, there is growing potential for personalized interactions tailored to the subtle and idiosyncratic preferences of the user. We present a public benchmark, PersonalLLM, focusing on adapting LLMs to provide maximal benefits for a particular user. Departing from existing alignment benchmarks that implicitly assume uniform preferences, we curate open-ended prompts paired with many high-quality answers over which users would be expected to display heterogeneous latent preferences. Instead of persona-prompting LLMs based on high-level attributes (e.g., user's race or response length), which yields homogeneous preferences relative to humans, we develop a method that can simulate a large user base with diverse preferences from a set of pre-trained reward models. Our dataset and generated personalities offer an innovative testbed for developing personalization algorithms that grapple with continual data sparsity--few relevant feedback from the particular user--by leveraging historical data from other (similar) users. We explore basic in-context learning and meta-learning baselines to illustrate the utility of PersonalLLM and highlight the need for future methodological development. Our dataset is available at https://huggingface.co/datasets/namkoong-lab/PersonalLLM

As Large Language Models (LLMs) are increasingly deployed in real-world settings, correctness alone is insufficient. Reliable deployment requires maintaining truthful beliefs under contextual perturbations. Existing evaluations largely rely on point-wise confidence like Self-Consistency, which can mask brittle belief. We show that even facts answered with perfect self-consistency can rapidly collapse under mild contextual interference. To address this gap, we propose Neighbor-Consistency Belief (NCB), a structural measure of belief robustness that evaluates response coherence across a conceptual neighborhood. To validate the efficiency of NCB, we introduce a new cognitive stress-testing protocol that probes outputs stability under contextual interference. Experiments across multiple LLMs show that the performance of high-NCB data is relatively more resistant to interference. Finally, we present Structure-Aware Training (SAT), which optimizes context-invariant belief structure and reduces long-tail knowledge brittleness by approximately 30%. Code will be available at https://github.com/zjunlp/belief.

Large multimodal models (LMMs) are increasingly adopted as judges in multimodal evaluation systems due to their strong instruction following and consistency with human preferences. However, their ability to follow diverse, fine-grained evaluation criteria remains underexplored. We develop Multi-Crit, a benchmark for evaluating multimodal judges on their capacity to follow pluralistic criteria and produce reliable criterion-level judgments. Covering both open-ended generation and verifiable reasoning tasks, Multi-Crit is built through a rigorous data curation pipeline that gathers challenging response pairs with multi-criterion human annotations. It further introduces three novel metrics for systematically assessing pluralistic adherence, criterion-switching flexibility, and the ability to recognize criterion-level preference conflicts. Comprehensive analysis of 25 LMMs reveals that 1) proprietary models still struggle to maintain consistent adherence to pluralistic criteria--especially in open-ended evaluation; 2) open-source models lag further behind in flexibly following diverse criteria; and 3) critic fine-tuning with holistic judgment signals enhances visual grounding but fails to generalize to pluralistic criterion-level judgment. Additional analyses on reasoning fine-tuning, test-time scaling, and boundary consistency between open-source and proprietary models further probe the limits of current multimodal judges. As a pioneering study, Multi-Crit lays the foundation for building reliable and steerable multimodal AI evaluation.

Modern large language models (LLMs), such as ChatGPT, exhibit a remarkable capacity for role-playing, enabling them to embody not only human characters but also non-human entities like a Linux terminal. This versatility allows them to simulate complex human-like interactions and behaviors within various contexts, as well as to emulate specific objects or systems. While these capabilities have enhanced user engagement and introduced novel modes of interaction, the influence of role-playing on LLMs' reasoning abilities remains underexplored. In this study, we introduce a strategically designed role-play prompting methodology and assess its performance under the zero-shot setting across twelve diverse reasoning benchmarks, encompassing arithmetic, commonsense reasoning, symbolic reasoning, and more. Leveraging models such as ChatGPT and Llama 2, our empirical results illustrate that role-play prompting consistently surpasses the standard zero-shot approach across most datasets. Notably, accuracy on AQuA rises from 53.5% to 63.8%, and on Last Letter from 23.8% to 84.2%. Beyond enhancing contextual understanding, we posit that role-play prompting serves as an implicit Chain-of-Thought (CoT) trigger, thereby improving the quality of reasoning. By comparing our approach with the Zero-Shot-CoT technique, which prompts the model to "think step by step", we further demonstrate that role-play prompting can generate a more effective CoT. This highlights its potential to augment the reasoning capabilities of LLMs.

Preference alignment has become a standard pipeline in finetuning models to follow generic human preferences. Majority of work seeks to optimize model to produce responses that would be preferable on average, simplifying the diverse and often contradicting space of human preferences. While research has increasingly focused on personalized alignment: adapting models to individual user preferences, there is a lack of personalized preference dataset which focus on nuanced individual-level preferences. To address this, we introduce WikiPersona: the first fine-grained personalization using well-documented, famous individuals. Our dataset challenges models to align with these personas through an interpretable process: generating verifiable textual descriptions of a persona's background and preferences in addition to alignment. We systematically evaluate different personalization approaches and find that as few-shot prompting with preferences and fine-tuning fail to simultaneously ensure effectiveness and efficiency, using inferred personal preferences as prefixes enables effective personalization, especially in topics where preferences clash while leading to more equitable generalization across unseen personas.

Current benchmarks for AI clinician systems, often based on multiple-choice exams or manual rubrics, fail to capture the depth, robustness, and safety required for real-world clinical practice. To address this, we introduce the GAPS framework, a multidimensional paradigm for evaluating Grounding (cognitive depth), Adequacy (answer completeness), Perturbation (robustness), and Safety. Critically, we developed a fully automated, guideline-anchored pipeline to construct a GAPS-aligned benchmark end-to-end, overcoming the scalability and subjectivity limitations of prior work. Our pipeline assembles an evidence neighborhood, creates dual graph and tree representations, and automatically generates questions across G-levels. Rubrics are synthesized by a DeepResearch agent that mimics GRADE-consistent, PICO-driven evidence review in a ReAct loop. Scoring is performed by an ensemble of large language model (LLM) judges. Validation confirmed our automated questions are high-quality and align with clinician judgment. Evaluating state-of-the-art models on the benchmark revealed key failure modes: performance degrades sharply with increased reasoning depth (G-axis), models struggle with answer completeness (A-axis), and they are highly vulnerable to adversarial perturbations (P-axis) as well as certain safety issues (S-axis). This automated, clinically-grounded approach provides a reproducible and scalable method for rigorously evaluating AI clinician systems and guiding their development toward safer, more reliable clinical practice.

Role-playing (RP) agents rely on behavioral profiles to act consistently across diverse narrative contexts, yet existing profiles are largely unstructured, non-executable, and weakly validated, leading to brittle agent behavior. We propose Codified Decision Trees (CDT), a data-driven framework that induces an executable and interpretable decision structure from large-scale narrative data. CDT represents behavioral profiles as a tree of conditional rules, where internal nodes correspond to validated scene conditions and leaves encode grounded behavioral statements, enabling deterministic retrieval of context-appropriate rules at execution time. The tree is learned by iteratively inducing candidate scene-action rules, validating them against data, and refining them through hierarchical specialization, yielding profiles that support transparent inspection and principled updates. Across multiple benchmarks, CDT substantially outperforms human-written profiles and prior profile induction methods on 85 characters across 16 artifacts, indicating that codified and validated behavioral representations lead to more reliable agent grounding.

RLHF has emerged as a predominant approach for aligning artificial intelligence systems with human preferences, demonstrating exceptional and measurable efficacy in instruction following tasks; however, it exhibits insufficient compliance capabilities when confronted with complex multi-instruction tasks. Conventional approaches rely heavily on human annotation or more sophisticated large language models, thereby introducing substantial resource expenditure or potential bias concerns. Meanwhile, alternative synthetic methods that augment standard preference datasets often compromise the model's semantic quality. Our research identifies a critical oversight in existing techniques, which predominantly focus on comparing responses while neglecting valuable latent signals embedded within prompt inputs, and which only focus on preference disparities at the intra-sample level, while neglecting to account for the inter-sample level preference differentials that exist among preference data. To leverage these previously neglected indicators, we propose a novel Multi-level Aware Preference Learning (MAPL) framework, capable of enhancing multi-instruction capabilities. Specifically, for any given response in original preference data pairs, we construct varied prompts with a preference relation under different conditions, in order to learn intra-sample level preference disparities. Furthermore, for any given original preference pair, we synthesize multi-instruction preference pairs to capture preference discrepancies at the inter-sample level. Building on the two datasets constructed above, we consequently devise two sophisticated training objective functions. Subsequently, our framework integrates seamlessly into both Reward Modeling and Direct Preference Optimization paradigms. Through rigorous evaluation across multiple benchmarks, we empirically validate the efficacy of our framework.

Large language models (LLMs) have shown success in generating high-quality responses. In order to achieve better alignment with LLMs with human preference, various works are proposed based on specific optimization process, which, however, is not suitable to Black-Box LLMs like GPT-4, due to inaccessible parameters. In Black-Box LLMs case, their performance is highly dependent on the quality of the provided prompts. Existing methods to enhance response quality often involve a prompt refinement model, yet these approaches potentially suffer from semantic inconsistencies between the refined and original prompts, and typically overlook the relationship between them. To address these challenges, we introduce a self-instructed in-context learning framework that empowers LLMs to deliver more effective responses by generating reliable derived prompts to construct informative contextual environments. Our approach incorporates a self-instructed reinforcement learning mechanism, enabling direct interaction with the response model during derived prompt generation for better alignment. We then formulate querying as an in-context learning task, using responses from LLMs combined with the derived prompts to establish a contextual demonstration for the original prompt. This strategy ensures alignment with the original query, reduces discrepancies from refined prompts, and maximizes the LLMs' in-context learning capability. Extensive experiments demonstrate that the proposed method not only generates more reliable derived prompts but also significantly enhances LLMs' ability to deliver more effective responses, including Black-Box models such as GPT-4.

Large language models (LLMs) are rapidly transitioning into medical clinical use, yet their reliability under realistic, multi-turn interactions remains poorly understood. Existing evaluation frameworks typically assess single-turn question answering under idealized conditions, overlooking the complexities of medical consultations where conflicting input, misleading context, and authority influence are common. We introduce MedQA-Followup, a framework for systematically evaluating multi-turn robustness in medical question answering. Our approach distinguishes between shallow robustness (resisting misleading initial context) and deep robustness (maintaining accuracy when answers are challenged across turns), while also introducing an indirect-direct axis that separates contextual framing (indirect) from explicit suggestion (direct). Using controlled interventions on the MedQA dataset, we evaluate five state-of-the-art LLMs and find that while models perform reasonably well under shallow perturbations, they exhibit severe vulnerabilities in multi-turn settings, with accuracy dropping from 91.2% to as low as 13.5% for Claude Sonnet 4. Counterintuitively, indirect, context-based interventions are often more harmful than direct suggestions, yielding larger accuracy drops across models and exposing a significant vulnerability for clinical deployment. Further compounding analyses reveal model differences, with some showing additional performance drops under repeated interventions while others partially recovering or even improving. These findings highlight multi-turn robustness as a critical but underexplored dimension for safe and reliable deployment of medical LLMs.

Referenceless metrics (e.g., CLIPScore) use pretrained vision--language models to assess image descriptions directly without costly ground-truth reference texts. Such methods can facilitate rapid progress, but only if they truly align with human preference judgments. In this paper, we introduce ContextRef, a benchmark for assessing referenceless metrics for such alignment. ContextRef has two components: human ratings along a variety of established quality dimensions, and ten diverse robustness checks designed to uncover fundamental weaknesses. A crucial aspect of ContextRef is that images and descriptions are presented in context, reflecting prior work showing that context is important for description quality. Using ContextRef, we assess a variety of pretrained models, scoring functions, and techniques for incorporating context. None of the methods is successful with ContextRef, but we show that careful fine-tuning yields substantial improvements. ContextRef remains a challenging benchmark though, in large part due to the challenge of context dependence.