Daily Papers

Reward models (RMs) are fundamental to aligning Large Language Models (LLMs) via human feedback, yet they often suffer from reward hacking. They tend to latch on to superficial or spurious attributes, such as response length or formatting, mistaking these cues learned from correlations in training data for the true causal drivers of quality (e.g., factuality, relevance). This occurs because standard training objectives struggle to disentangle these factors, leading to brittle RMs and misaligned policies. We introduce Crome (Causally Robust Reward Modeling), a novel framework grounded in an explicit causal model designed to mitigate reward hacking. Crome employs the following synthetic targeted augmentations during training: (1) Causal Augmentations, which are pairs that differ along specific causal attributes, to enforce sensitivity along each causal attribute individually, and (2) Neutral Augmentations, which are tie-label pairs varying primarily in spurious attributes, to enforce invariance along spurious attributes. Notably, our augmentations are produced without any knowledge of spurious factors, via answer interventions only along causal rubrics, that are identified by querying an oracle LLM. Empirically, Crome significantly outperforms standard baselines on RewardBench, improving average accuracy by up to 5.4% and achieving gains of up to 13.2% and 7.2% in specific categories. The robustness of Crome is further testified by the consistent gains obtained in a Best-of-N inference setting across increasing N, across various benchmarks, including the popular RewardBench (covering chat, chat-hard, safety, and reasoning tasks), the safety-focused WildGuardTest, and the reasoning-specific GSM8k.

Outcome-reward reinforcement learning (RL) has proven effective at improving the reasoning capabilities of large language models (LLMs). However, standard RL assigns credit only at the level of the final answer, penalizing entire reasoning traces when the outcome is incorrect and uniformly reinforcing all steps when it is correct. As a result, correct intermediate steps may be discouraged in failed traces, while spurious steps may be reinforced in successful ones. We refer to this failure mode as the problem of credit assignment. While a natural remedy is to train a process reward model, accurately optimizing such models to identify corrective reasoning steps remains challenging. We introduce Intervention Training (InT), a training paradigm in which the model performs fine-grained credit assignment on its own reasoning traces by proposing short, targeted corrections that steer trajectories toward higher reward. Using reference solutions commonly available in mathematical reasoning datasets and exploiting the fact that verifying a model-generated solution is easier than generating a correct one from scratch, the model identifies the first error in its reasoning and proposes a single-step intervention to redirect the trajectory toward the correct solution. We then apply supervised fine-tuning (SFT) to the on-policy rollout up to the point of error concatenated with the intervention, localizing error to the specific step that caused failure. We show that the resulting model serves as a far better initialization for RL training. After running InT and subsequent fine-tuning with RL, we improve accuracy by nearly 14% over a 4B-parameter base model on IMO-AnswerBench, outperforming larger open-source models such as gpt-oss-20b.

Deep learning algorithms have shown promising results in visual question answering (VQA) tasks, but a more careful look reveals that they often do not understand the rich signal they are being fed with. To understand and better measure the generalization capabilities of VQA systems, we look at their robustness to counterfactually augmented data. Our proposed augmentations are designed to make a focused intervention on a specific property of the question such that the answer changes. Using these augmentations, we propose a new robustness measure, Robustness to Augmented Data (RAD), which measures the consistency of model predictions between original and augmented examples. Through extensive experimentation, we show that RAD, unlike classical accuracy measures, can quantify when state-of-the-art systems are not robust to counterfactuals. We find substantial failure cases which reveal that current VQA systems are still brittle. Finally, we connect between robustness and generalization, demonstrating the predictive power of RAD for performance on unseen augmentations.

One way to personalize chatbot interactions is by establishing common ground with the intended reader. A domain where establishing mutual understanding could be particularly impactful is vaccine concerns and misinformation. Vaccine interventions are forms of messaging which aim to answer concerns expressed about vaccination. Tailoring responses in this domain is difficult, since opinions often have seemingly little ideological overlap. We define the task of tailoring vaccine interventions to a Common-Ground Opinion (CGO). Tailoring responses to a CGO involves meaningfully improving the answer by relating it to an opinion or belief the reader holds. In this paper we introduce TAILOR-CGO, a dataset for evaluating how well responses are tailored to provided CGOs. We benchmark several major LLMs on this task; finding GPT-4-Turbo performs significantly better than others. We also build automatic evaluation metrics, including an efficient and accurate BERT model that outperforms finetuned LLMs, investigate how to successfully tailor vaccine messaging to CGOs, and provide actionable recommendations from this investigation. Code and model weights: https://github.com/rickardstureborg/tailor-cgo Dataset: https://huggingface.co/datasets/DukeNLP/tailor-cgo

Recent Large Reasoning Models (LRMs) with thinking traces have shown strong performance on English reasoning tasks. However, their ability to think in other languages is less studied. This capability is as important as answer accuracy for real world applications because users may find the reasoning trace useful for oversight only when it is expressed in their own language. We comprehensively evaluate two leading families of LRMs on our XReasoning benchmark and find that even the most advanced models often revert to English or produce fragmented reasoning in other languages, revealing a substantial gap in multilingual reasoning. Prompt based interventions that force models to reason in the users language improve readability and oversight but reduce answer accuracy, exposing an important trade off. We further show that targeted post training on just 100 examples mitigates this mismatch, though some accuracy loss remains. Our results highlight the limited multilingual reasoning capabilities of current LRMs and outline directions for future work. Code and data are available at https://github.com/Betswish/mCoT-XReasoning.

Transaction data from digital payment systems can be used to study economic processes at such a detail that was not possible previously. Here, we analyse the data from Sarafu token network, a community inclusion currency in Kenya. During the COVID-19 emergency, the Sarafu was disbursed as part of a humanitarian aid project. In this work, the transactions are analysed using network science. A topological categorisation is defined to identify cyclic and acyclic components. Furthermore, temporal aspects of circulation taking place within these components are considered. The significant presence of different types of strongly connected components as compared to randomized null models shows the importance of cycles in this economic network. Especially, indicating their key role in currency recirculation. In some acyclic components, the most significant triad suggests the presence of a group of users collecting currency from accounts active only once, hinting at a misuse of the system. In some other acyclic components, small isolated groups of users were active only once, suggesting the presence of users only interested in trying out the system. The methods used in this paper can answer specific questions related to user activities, currency design, and assessment of monetary interventions. Our methodology provides a general quantitative tool for analysing the behaviour of users in a currency network.

While activation steering in large language models (LLMs) is a growing area of research, methods can often incur broader effects than desired. This motivates isolation of purer concept vectors to enable targeted interventions and understand LLM behavior at a more granular level. We present RepIt, a simple and data-efficient framework for isolating concept-specific representations. Across five frontier LLMs, RepIt enables precise interventions: it selectively suppresses refusal on targeted concepts while preserving refusal elsewhere, producing models that answer WMD-related questions while still scoring as safe on standard benchmarks. We further show that the corrective signal localizes to just 100-200 neurons and that robust target representations can be extracted from as few as a dozen examples on a single A6000. This efficiency raises a dual concern: manipulations can be performed with modest compute and data to extend to underrepresented data-scarce topics while evading existing benchmarks. By disentangling refusal vectors with RepIt, this work demonstrates that targeted interventions can counteract overgeneralization, laying the foundation for more granular control of model behavior.

While prior work has explored whether large language models (LLMs) possess a "theory of mind" (ToM) - the ability to attribute mental states to oneself and others - there has been little work testing whether LLMs can implicitly apply such knowledge to predict behavior, or to judge whether an observed behavior is rational. Such skills are critical for appropriate interaction in social environments. We create a new dataset, SimpleTom, containing concise, diverse stories (e.g., "The can of Pringles has moldy chips in it. Mary picks up the can in the supermarket and walks to the cashier."), each with three questions that test different degrees of ToM reasoning, asking models to predict (a) mental state ("Is Mary aware of the mold?"), (b) behavior ("Will Mary pay for the chips or report the mold?"), and (c) judgment ("Mary paid for the chips. Was that reasonable?"). To our knowledge, SimpleToM is the first dataset to systematically explore downstream reasoning requiring knowledge of mental states in realistic scenarios. Our experimental results are intriguing: While most models can reliably predict mental state on our dataset (a), they often fail to correctly predict the behavior (b), and fare even worse at judging whether given behaviors are reasonable (c), despite being correctly aware of the protagonist's mental state should make such secondary predictions obvious. We further show that we can help models do better at (b) and (c) via interventions such as reminding the model of its earlier mental state answer and mental-state-specific chain-of-thought prompting, raising the action prediction accuracies (e.g., from 49.5% to 93.5% for GPT-4o) and judgment accuracies (e.g., from 15.3% to 94.7% in GPT-4o). While this shows that models can be coaxed to perform well, it requires task-specific interventions, and the natural model performances remain low, a cautionary tale for LLM deployment.

Large Reasoning Models (LRMs) exhibit strong performance, yet often produce rationales that sound plausible but fail to reflect their true decision process, undermining reliability and trust. We introduce a formal framework for reasoning faithfulness, defined by two testable conditions: stance consistency (a coherent stance linking reasoning to answer) and causal influence (the stated reasoning causally drives the answer under output-level interventions), explicitly decoupled from accuracy. To operationalize this, we present RFEval, a benchmark of 7,186 instances across seven tasks that probes faithfulness via controlled, output-level counterfactual interventions. Evaluating twelve open-source LRMs, we find unfaithfulness in 49.7% of outputs, predominantly from stance inconsistency. Failures are concentrated in brittle, convergent domains such as math and code, and correlate more with post-training regimes than with scale: within-family ablations indicate that adding current RL-style objectives on top of supervised fine-tuning can reduce reasoning faithfulness, even when accuracy is maintained. Crucially, accuracy is neither a sufficient nor a reliable proxy for faithfulness: once controlling for model and task, the accuracy-faithfulness link is weak and statistically insignificant. Our work establishes a rigorous methodology for auditing LRM reliability and shows that trustworthy AI requires optimizing not only for correct outcomes but also for the structural integrity of the reasoning process. Our code and dataset can be found at project page: https://aidaslab.github.io/RFEval/}{https://aidaslab.github.io/RFEval/

As language models shift from single-shot answer generation toward multi-step reasoning that retrieves and consumes evidence mid-inference, evaluating the role of individual retrieved items becomes more important. Existing RAG evaluation typically targets final-answer quality, citation faithfulness, or answer-level attribution, but none of these directly targets the intervention-based, per-evidence-item utility view we study here. We introduce CUE-R, a lightweight intervention-based framework for measuring per-evidence-item operational utility in single-shot RAG using shallow observable retrieval-use traces. CUE-R perturbs individual evidence items via REMOVE, REPLACE, and DUPLICATE operators, then measures changes along three utility axes (correctness, proxy-based grounding faithfulness, and confidence error) plus a trace-divergence signal. We also outline an operational evidence-role taxonomy for interpreting intervention outcomes. Experiments on HotpotQA and 2WikiMultihopQA with Qwen-3 8B and GPT-5.2 reveal a consistent pattern: REMOVE and REPLACE substantially harm correctness and grounding while producing large trace shifts, whereas DUPLICATE is often answer-redundant yet not fully behaviorally neutral. A zero-retrieval control confirms that these effects arise from degradation of meaningful retrieval. A two-support ablation further shows that multi-hop evidence items can interact non-additively: removing both supports harms performance far more than either single removal. Our results suggest that answer-only evaluation misses important evidence effects and that intervention-based utility analysis is a practical complement for RAG evaluation.

Millions of users come to online peer counseling platforms to seek support on diverse topics ranging from relationship stress to anxiety. However, studies show that online peer support groups are not always as effective as expected largely due to users' negative experiences with unhelpful counselors. Peer counselors are key to the success of online peer counseling platforms, but most of them often do not have systematic ways to receive guidelines or supervision. In this work, we introduce CARE: an interactive AI-based tool to empower peer counselors through automatic suggestion generation. During the practical training stage, CARE helps diagnose which specific counseling strategies are most suitable in the given context and provides tailored example responses as suggestions. Counselors can choose to select, modify, or ignore any suggestion before replying to the support seeker. Building upon the Motivational Interviewing framework, CARE utilizes large-scale counseling conversation data together with advanced natural language generation techniques to achieve these functionalities. We demonstrate the efficacy of CARE by performing both quantitative evaluations and qualitative user studies through simulated chats and semi-structured interviews. We also find that CARE especially helps novice counselors respond better in challenging situations.

Transformer-based language models have been shown to be highly effective for several NLP tasks. In this paper, we consider three transformer models, BERT, RoBERTa, and XLNet, in both small and large versions, and investigate how faithful their representations are with respect to the semantic content of texts. We formalize a notion of semantic faithfulness, in which the semantic content of a text should causally figure in a model's inferences in question answering. We then test this notion by observing a model's behavior on answering questions about a story after performing two novel semantic interventions: deletion intervention and negation intervention. While transformer models achieve high performance on standard question answering tasks, we show that they fail to be semantically faithful once we perform these interventions for a significant number of cases (~50% for deletion intervention, and ~20% drop in accuracy for negation intervention). We then propose an intervention-based training regime that can mitigate the undesirable effects for deletion intervention by a significant margin (from ~ 50% to ~6%). We analyze the inner-workings of the models to better understand the effectiveness of intervention-based training for deletion intervention. But we show that this training does not attenuate other aspects of semantic unfaithfulness such as the models' inability to deal with negation intervention or to capture the predicate-argument structure of texts. We also test InstructGPT, via prompting, for its ability to handle the two interventions and to capture predicate-argument structure. While InstructGPT models do achieve very high performance on predicate-argument structure task, they fail to respond adequately to our deletion and negation interventions.

Medical reasoning models (MRMs) achieve superior performance on medical benchmarks compared to medical LLMs; however, high accuracy alone is insufficient for practical deployment. One of such requirements for real-world application is robustness to varying output constraints. Specifically, posing the same medical question while requesting different answer formats should not affect the underlying correctness of the response. We investigate this phenomenon in this paper, focusing on MRMs. To quantify this behavior, we propose the metric answer-format robustness: the ability to reliably generate correct outputs across varying specified formats. We examine three representative formats: multiple-choice, open-ended question-answering, and ranked lists. Across 15 proprietary and open-weight models, we observe substantial variation in format robustness (35-100%). Furthermore, we conduct controlled fine-tuning experiments on a shared backbone with matched training data to isolate the effects of the fine-tuning paradigm. We find that supervised fine-tuning yields more stable behavior across formats, whereas reinforcement fine-tuning often exhibits higher cross-format brittleness, with the degree of instability strongly dependent on reward design. Overall, answer-format robustness in MRMs is trainable yet brittle and requires careful evaluation for practical medical use.

Reasoning-enhanced large language models (LLMs) explicitly generate intermediate reasoning steps prior to generating final answers, helping the model excel in complex problem-solving. In this paper, we demonstrate that this emerging generation framework offers a unique opportunity for more fine-grained control over model behavior. We propose Thinking Intervention, a novel paradigm designed to explicitly guide the internal reasoning processes of LLMs by strategically inserting or revising specific thinking tokens. We conduct comprehensive evaluations across multiple tasks, including instruction following on IFEval, instruction hierarchy on SEP, and safety alignment on XSTest and SORRY-Bench. Our results demonstrate that Thinking Intervention significantly outperforms baseline prompting approaches, achieving up to 6.7% accuracy gains in instruction-following scenarios, 15.4% improvements in reasoning about instruction hierarchies, and a 40.0% increase in refusal rates for unsafe prompts using open-source DeepSeek R1 models. Overall, our work opens a promising new research avenue for controlling reasoning LLMs.

We explore the potential of ChatGPT (3.5-turbo and 4) to generate conversations focused on self-care strategies for African-American heart failure patients -- a domain with limited specialized datasets. To simulate patient-health educator dialogues, we employed four prompting strategies: domain, African American Vernacular English (AAVE), Social Determinants of Health (SDOH), and SDOH-informed reasoning. Conversations were generated across key self-care domains of food, exercise, and fluid intake, with varying turn lengths (5, 10, 15) and incorporated patient-specific SDOH attributes such as age, gender, neighborhood, and socioeconomic status. Our findings show that effective prompt design is essential. While incorporating SDOH and reasoning improves dialogue quality, ChatGPT still lacks the empathy and engagement needed for meaningful healthcare communication.

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.

In this work we propose a blackbox intervention method for visual dialog models, with the aim of assessing the contribution of individual linguistic or visual components. Concretely, we conduct structured or randomized interventions that aim to impair an individual component of the model, and observe changes in task performance. We reproduce a state-of-the-art visual dialog model and demonstrate that our methodology yields surprising insights, namely that both dialog and image information have minimal contributions to task performance. The intervention method presented here can be applied as a sanity check for the strength and robustness of each component in visual dialog systems.

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.

Test-time interventions for language models can enhance factual accuracy, mitigate harmful outputs, and improve model efficiency without costly retraining. But despite a flood of new methods, different types of interventions are largely developing independently. In practice, multiple interventions must be applied sequentially to the same model, yet we lack standardized ways to study how interventions interact. We fill this gap by introducing composable interventions, a framework to study the effects of using multiple interventions on the same language models, featuring new metrics and a unified codebase. Using our framework, we conduct extensive experiments and compose popular methods from three emerging intervention categories -- Knowledge Editing, Model Compression, and Machine Unlearning. Our results from 310 different compositions uncover meaningful interactions: compression hinders editing and unlearning, composing interventions hinges on their order of application, and popular general-purpose metrics are inadequate for assessing composability. Taken together, our findings showcase clear gaps in composability, suggesting a need for new multi-objective interventions. All of our code is public: https://github.com/hartvigsen-group/composable-interventions.

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.

Great research interests have been attracted to devise AI services that are able to provide mental health support. However, the lack of corpora is a main obstacle to this research, particularly in Chinese language. In this paper, we propose PsyQA, a Chinese dataset of psychological health support in the form of question and answer pair. PsyQA is crawled from a Chinese mental health service platform, and contains 22K questions and 56K long and well-structured answers. Based on the psychological counseling theories, we annotate a portion of answer texts with typical strategies for providing support, and further present in-depth analysis of both lexical features and strategy patterns in the counseling answers. We also evaluate the performance of generating counseling answers with the generative pretrained models. Results show that utilizing strategies enhances the fluency and helpfulness of generated answers, but there is still a large space for future research.

Identifying effective interventions from the scientific literature is challenging due to the high volume of publications, specialized terminology, and inconsistent reporting formats, making manual curation laborious and prone to oversight. To address this challenge, this paper proposes a novel framework leveraging large language models (LLMs), which integrates a progressive ontology prompting (POP) algorithm with a dual-agent system, named LLM-Duo. On the one hand, the POP algorithm conducts a prioritized breadth-first search (BFS) across a predefined ontology, generating structured prompt templates and action sequences to guide the automatic annotation process. On the other hand, the LLM-Duo system features two specialized LLM agents, an explorer and an evaluator, working collaboratively and adversarially to continuously refine annotation quality. We showcase the real-world applicability of our framework through a case study focused on speech-language intervention discovery. Experimental results show that our approach surpasses advanced baselines, achieving more accurate and comprehensive annotations through a fully automated process. Our approach successfully identified 2,421 interventions from a corpus of 64,177 research articles in the speech-language pathology domain, culminating in the creation of a publicly accessible intervention knowledge base with great potential to benefit the speech-language pathology community.

The technique of data augmentation (DA) is often used in machine learning for regularization purposes to better generalize under i.i.d. settings. In this work, we present a unifying framework with topics in causal inference to make a case for the use of DA beyond just the i.i.d. setting, but for generalization across interventions as well. Specifically, we argue that when the outcome generating mechanism is invariant to our choice of DA, then such augmentations can effectively be thought of as interventions on the treatment generating mechanism itself. This can potentially help to reduce bias in causal effect estimation arising from hidden confounders. In the presence of such unobserved confounding we typically make use of instrumental variables (IVs) -- sources of treatment randomization that are conditionally independent of the outcome. However, IVs may not be as readily available as DA for many applications, which is the main motivation behind this work. By appropriately regularizing IV based estimators, we introduce the concept of IV-like (IVL) regression for mitigating confounding bias and improving predictive performance across interventions even when certain IV properties are relaxed. Finally, we cast parameterized DA as an IVL regression problem and show that when used in composition can simulate a worst-case application of such DA, further improving performance on causal estimation and generalization tasks beyond what simple DA may offer. This is shown both theoretically for the population case and via simulation experiments for the finite sample case using a simple linear example. We also present real data experiments to support our case.

Large language models (LLMs) are susceptible to hallucinations-outputs that are ungrounded, factually incorrect, or inconsistent with prior generations. We focus on close-book Question Answering (CBQA), where previous work has not fully addressed the distinction between two possible kinds of hallucinations, namely, whether the model (1) does not hold the correct answer in its parameters or (2) answers incorrectly despite having the required knowledge. We argue that distinguishing these cases is crucial for detecting and mitigating hallucinations. Specifically, case (2) may be mitigated by intervening in the model's internal computation, as the knowledge resides within the model's parameters. In contrast, in case (1) there is no parametric knowledge to leverage for mitigation, so it should be addressed by resorting to an external knowledge source or abstaining. To help distinguish between the two cases, we introduce Wrong Answer despite having Correct Knowledge (WACK), an approach for constructing model-specific datasets for the second hallucination type. Our probing experiments indicate that the two kinds of hallucinations are represented differently in the model's inner states. Next, we show that datasets constructed using WACK exhibit variations across models, demonstrating that even when models share knowledge of certain facts, they still vary in the specific examples that lead to hallucinations. Finally, we show that training a probe on our WACK datasets leads to better hallucination detection of case (2) hallucinations than using the common generic one-size-fits-all datasets. The code is available at https://github.com/technion-cs-nlp/hallucination-mitigation .

Clinical trials disruption has always represented a non negligible part of the ending of interventional studies. While the SARS-CoV-2 (COVID-19) pandemic has led to an impressive and unprecedented initiation of clinical research, it has also led to considerable disruption of clinical trials in other disease areas, with around 80% of non-COVID-19 trials stopped or interrupted during the pandemic. In many cases the disrupted trials will not have the planned statistical power necessary to yield interpretable results. This paper describes methods to compensate for the information loss arising from trial disruptions by incorporating additional information available from auxiliary data sources. The methods described include the use of auxiliary data on baseline and early outcome data available from the trial itself and frequentist and Bayesian approaches for the incorporation of information from external data sources. The methods are illustrated by application to the analysis of artificial data based on the Primary care pediatrics Learning Activity Nutrition (PLAN) study, a clinical trial assessing a diet and exercise intervention for overweight children, that was affected by the COVID-19 pandemic. We show how all of the methods proposed lead to an increase in precision relative to use of complete case data only.

Large language models (LLMs) have achieved remarkable performance across many generation tasks. Nevertheless, effectively aligning them with desired behaviors remains a significant challenge. Activation steering is an effective and cost-efficient approach that directly modifies the activations of LLMs during the inference stage, aligning their responses with the desired behaviors and avoiding the high cost of fine-tuning. Existing methods typically indiscriminately intervene to all generations or rely solely on the question to determine intervention, which limits the accurate assessment of the intervention strength. To this end, we propose the Flexible Activation Steering with Backtracking (FASB) framework, which dynamically determines both the necessity and strength of intervention by tracking the internal states of the LLMs during generation, considering both the question and the generated content. Since intervening after detecting a deviation from the desired behavior is often too late, we further propose the backtracking mechanism to correct the deviated tokens and steer the LLMs toward the desired behavior. Extensive experiments on the TruthfulQA dataset and six multiple-choice datasets demonstrate that our method outperforms baselines. Our code will be released at https://github.com/gjw185/FASB.

We introduce WIQA, the first large-scale dataset of "What if..." questions over procedural text. WIQA contains three parts: a collection of paragraphs each describing a process, e.g., beach erosion; a set of crowdsourced influence graphs for each paragraph, describing how one change affects another; and a large (40k) collection of "What if...?" multiple-choice questions derived from the graphs. For example, given a paragraph about beach erosion, would stormy weather result in more or less erosion (or have no effect)? The task is to answer the questions, given their associated paragraph. WIQA contains three kinds of questions: perturbations to steps mentioned in the paragraph; external (out-of-paragraph) perturbations requiring commonsense knowledge; and irrelevant (no effect) perturbations. We find that state-of-the-art models achieve 73.8% accuracy, well below the human performance of 96.3%. We analyze the challenges, in particular tracking chains of influences, and present the dataset as an open challenge to the community.

A key component of successfully reading a passage of text is the ability to apply knowledge gained from the passage to a new situation. In order to facilitate progress on this kind of reading, we present ROPES, a challenging benchmark for reading comprehension targeting Reasoning Over Paragraph Effects in Situations. We target expository language describing causes and effects (e.g., "animal pollinators increase efficiency of fertilization in flowers"), as they have clear implications for new situations. A system is presented a background passage containing at least one of these relations, a novel situation that uses this background, and questions that require reasoning about effects of the relationships in the background passage in the context of the situation. We collect background passages from science textbooks and Wikipedia that contain such phenomena, and ask crowd workers to author situations, questions, and answers, resulting in a 14,322 question dataset. We analyze the challenges of this task and evaluate the performance of state-of-the-art reading comprehension models. The best model performs only slightly better than randomly guessing an answer of the correct type, at 61.6% F1, well below the human performance of 89.0%.

Documentation burden is a major contributor to clinician burnout, which is rising nationally and is an urgent threat to our ability to care for patients. Artificial intelligence (AI) chatbots, such as ChatGPT, could reduce clinician burden by assisting with documentation. Although many hospitals are actively integrating such systems into electronic medical record systems, AI chatbots utility and impact on clinical decision-making have not been studied for this intended use. We are the first to examine the utility of large language models in assisting clinicians draft responses to patient questions. In our two-stage cross-sectional study, 6 oncologists responded to 100 realistic synthetic cancer patient scenarios and portal messages developed to reflect common medical situations, first manually, then with AI assistance. We find AI-assisted responses were longer, less readable, but provided acceptable drafts without edits 58% of time. AI assistance improved efficiency 77% of time, with low harm risk (82% safe). However, 7.7% unedited AI responses could severely harm. In 31% cases, physicians thought AI drafts were human-written. AI assistance led to more patient education recommendations, fewer clinical actions than manual responses. Results show promise for AI to improve clinician efficiency and patient care through assisting documentation, if used judiciously. Monitoring model outputs and human-AI interaction remains crucial for safe implementation.

Test-time compute has led to remarkable success in the large language model (LLM) community, particularly for complex tasks, where longer chains of thought (CoTs) are generated to enhance reasoning capabilities. However, growing evidence reveals that such reasoning models often produce CoTs plagued by excessive redundancy, including unnecessary verification steps and repetitive reasoning shifts. The root cause lies in post-training of them that overly rely on outcome reward paradigms, as the data of process reward paradigms, which regulate intermediate reasoning steps, is difficult to construct at scale. To address this, we propose PI, a novel framework for Test-time Prompt Intervention. PI provides an interface to dynamically guide and regulate reasoning paths during inference through timely (When module) and proper (How module) interventions and post-intervention sampling (Which module). This allows human problem-solving expertise and cognitive science principles to be seamlessly integrated into LLMs' reasoning processes, enhancing controllability and interpretability. Extensive experiments across multiple models and datasets demonstrate that PI significantly shortens CoTs while reducing hallucination, yielding more concise and reliable reasoning.

Intelligent Tutoring Systems (ITS) enhance personalized learning by predicting student answers to provide immediate and customized instruction. However, recent research has primarily focused on the correctness of the answer rather than the student's performance on specific answer choices, limiting insights into students' thought processes and potential misconceptions. To address this gap, we present MCQStudentBert, an answer forecasting model that leverages the capabilities of Large Language Models (LLMs) to integrate contextual understanding of students' answering history along with the text of the questions and answers. By predicting the specific answer choices students are likely to make, practitioners can easily extend the model to new answer choices or remove answer choices for the same multiple-choice question (MCQ) without retraining the model. In particular, we compare MLP, LSTM, BERT, and Mistral 7B architectures to generate embeddings from students' past interactions, which are then incorporated into a finetuned BERT's answer-forecasting mechanism. We apply our pipeline to a dataset of language learning MCQ, gathered from an ITS with over 10,000 students to explore the predictive accuracy of MCQStudentBert, which incorporates student interaction patterns, in comparison to correct answer prediction and traditional mastery-learning feature-based approaches. This work opens the door to more personalized content, modularization, and granular support.

Questions asked by humans during a conversation often contain contextual dependencies, i.e., explicit or implicit references to previous dialogue turns. These dependencies take the form of coreferences (e.g., via pronoun use) or ellipses, and can make the understanding difficult for automated systems. One way to facilitate the understanding and subsequent treatments of a question is to rewrite it into an out-of-context form, i.e., a form that can be understood without the conversational context. We propose CoQAR, a corpus containing 4.5K conversations from the Conversational Question-Answering dataset CoQA, for a total of 53K follow-up question-answer pairs. Each original question was manually annotated with at least 2 at most 3 out-of-context rewritings. CoQAR can be used in the supervised learning of three tasks: question paraphrasing, question rewriting and conversational question answering. In order to assess the quality of CoQAR's rewritings, we conduct several experiments consisting in training and evaluating models for these three tasks. Our results support the idea that question rewriting can be used as a preprocessing step for question answering models, thereby increasing their performances.

Interpretability research on large language models (LLMs) has yielded important insights into model behaviour, yet recurring pitfalls persist: findings that do not generalise, and causal interpretations that outrun the evidence. Our position is that causal inference specifies what constitutes a valid mapping from model activations to invariant high-level structures, the data or assumptions needed to achieve it, and the inferences it can support. Specifically, Pearl's causal hierarchy clarifies what an interpretability study can justify. Observations establish associations between model behaviour and internal components. Interventions (e.g., ablations or activation patching) support claims how these edits affect a behavioural metric (e.g., average change in token probabilities) over a set of prompts. However, counterfactual claims -- i.e., asking what the model output would have been for the same prompt under an unobserved intervention -- remain largely unverifiable without controlled supervision. We show how causal representation learning (CRL) operationalises this hierarchy, specifying which variables are recoverable from activations and under what assumptions. Together, these motivate a diagnostic framework that helps practitioners select methods and evaluations matching claims to evidence such that findings generalise.

We test whether Large Language Models (LLMs) can be used to simulate human participants in social-science studies. To do this, we run replications of 14 studies from the Many Labs 2 replication project with OpenAI's text-davinci-003 model, colloquially known as GPT3.5. Based on our pre-registered analyses, we find that among the eight studies we could analyse, our GPT sample replicated 37.5% of the original results and 37.5% of the Many Labs 2 results. However, we were unable to analyse the remaining six studies due to an unexpected phenomenon we call the "correct answer" effect. Different runs of GPT3.5 answered nuanced questions probing political orientation, economic preference, judgement, and moral philosophy with zero or near-zero variation in responses: with the supposedly "correct answer." In one exploratory follow-up study, we found that a "correct answer" was robust to changing the demographic details that precede the prompt. In another, we found that most but not all "correct answers" were robust to changing the order of answer choices. One of our most striking findings occurred in our replication of the Moral Foundations Theory survey results, where we found GPT3.5 identifying as a political conservative in 99.6% of the cases, and as a liberal in 99.3% of the cases in the reverse-order condition. However, both self-reported 'GPT conservatives' and 'GPT liberals' showed right-leaning moral foundations. Our results cast doubts on the validity of using LLMs as a general replacement for human participants in the social sciences. Our results also raise concerns that a hypothetical AI-led future may be subject to a diminished diversity-of-thought.

Reinforcement learning (RL) has become a key component in training large language reasoning models (LLMs). However, recent studies questions its effectiveness in improving multi-step reasoning-particularly on hard problems. To address this challenge, we propose a simple yet effective strategy via Question Augmentation: introduce partial solutions during training to reduce problem difficulty and provide more informative learning signals. Our method, QuestA, when applied during RL training on math reasoning tasks, not only improves pass@1 but also pass@k-particularly on problems where standard RL struggles to make progress. This enables continual improvement over strong open-source models such as DeepScaleR and OpenMath Nemotron, further enhancing their reasoning capabilities. We achieve new state-of-the-art results on math benchmarks using 1.5B-parameter models: 67.1% (+5.3%) on AIME24, 59.5% (+10.0%) on AIME25, and 35.5% (+4.0%) on HMMT25. Further, we provide theoretical explanations that QuestA improves sample efficiency, offering a practical and generalizable pathway for expanding reasoning capability through RL.

Background: Large language models (LLMs) are trained to follow directions, but this introduces a vulnerability to blindly comply with user requests even if they generate wrong information. In medicine, this could accelerate the generation of misinformation that impacts human well-being. Objectives/Methods: We analyzed compliance to requests to generate misleading content about medications in settings where models know the request is illogical. We investigated whether in-context directions and instruction-tuning of LLMs to prioritize logical reasoning over compliance reduced misinformation risk. Results: While all frontier LLMs complied with misinformation requests, both prompt-based and parameter-based approaches can improve the detection of logic flaws in requests and prevent the dissemination of medical misinformation. Conclusion: Shifting LLMs to prioritize logic over compliance could reduce risks of exploitation for medical misinformation.

Large language models (LLMs) have demonstrated significant improvements in contextual understanding. However, their ability to attend to truly critical information during long-context reasoning and generation still falls behind the pace. Specifically, our preliminary experiments reveal that certain distracting patterns can misdirect the model's attention during inference, and removing these patterns substantially improves reasoning accuracy and generation quality. We attribute this phenomenon to spurious correlations in the training data, which obstruct the model's capacity to infer authentic causal instruction-response relationships. This phenomenon may induce redundant reasoning processes, potentially resulting in significant inference overhead and, more critically, the generation of erroneous or suboptimal responses. To mitigate this, we introduce a two-stage framework called Learning to Focus (LeaF) leveraging intervention-based inference to disentangle confounding factors. In the first stage, LeaF employs gradient-based comparisons with an advanced teacher to automatically identify confounding tokens based on causal relationships in the training corpus. Then, in the second stage, it prunes these tokens during distillation to enact intervention, aligning the student's attention with the teacher's focus distribution on truly critical context tokens. Experimental results demonstrate that LeaF not only achieves an absolute improvement in various mathematical reasoning, code generation and multi-hop question answering benchmarks but also effectively suppresses attention to confounding tokens during inference, yielding a more interpretable and reliable reasoning model.

In the last years, there have been significant developments in the area of Question Answering over Knowledge Graphs (KGQA). Despite all the notable advancements, current KGQA datasets only provide the answers as the direct output result of the formal query, rather than full sentences incorporating question context. For achieving coherent answers sentence with the question's vocabulary, template-based verbalization so are usually employed for a better representation of answers, which in turn require extensive expert intervention. Thus, making way for machine learning approaches; however, there is a scarcity of datasets that empower machine learning models in this area. Hence, we provide the VANiLLa dataset which aims at reducing this gap by offering answers in natural language sentences. The answer sentences in this dataset are syntactically and semantically closer to the question than to the triple fact. Our dataset consists of over 100k simple questions adapted from the CSQA and SimpleQuestionsWikidata datasets and generated using a semi-automatic framework. We also present results of training our dataset on multiple baseline models adapted from current state-of-the-art Natural Language Generation (NLG) architectures. We believe that this dataset will allow researchers to focus on finding suitable methodologies and architectures for answer verbalization.

U.S. national security customers have begun to utilize large language models, including enterprise versions of ``off-the-shelf'' models (e.g., ChatGPT) familiar to the public. This uptake will likely accelerate. However, recent studies suggest that off-the-shelf large language models frequently suggest escalatory actions when prompted with geopolitical or strategic scenarios. We demonstrate two simple, non-technical interventions to control these tendencies. Introducing these interventions into the experimental wargame design of a recent study, we substantially reduce escalation throughout the game. Calls to restrict the use of large language models in national security applications are thus premature. The U.S. government is already, and will continue, employing large language models for scenario planning and suggesting courses of action. Rather than warning against such applications, this study acknowledges the imminent adoption of large language models, and provides actionable measures to align them with national security goals, including escalation management.

Most language-based assistants follow a reactive ask-and-respond paradigm, requiring users to explicitly state their needs. As a result, relevant but unexpressed needs often go unmet. Existing proactive agents attempt to address this gap either by eliciting further clarification, preserving this burden, or by extrapolating future needs from context, often leading to unnecessary or mistimed interventions. We introduce ProPer, Proactivity-driven Personalized agents, a novel two-agent architecture consisting of a Dimension Generating Agent (DGA) and a Response Generating Agent (RGA). DGA, a fine-tuned LLM agent, leverages explicit user data to generate multiple implicit dimensions (latent aspects relevant to the user's task but not considered by the user) or knowledge gaps. These dimensions are selectively filtered using a reranker based on quality, diversity, and task relevance. RGA then balances explicit and implicit dimensions to tailor personalized responses with timely and proactive interventions. We evaluate ProPer across multiple domains using a structured, gap-aware rubric that measures coverage, initiative appropriateness, and intent alignment. Our results show that ProPer improves quality scores and win rates across all domains, achieving up to 84% gains in single-turn evaluation and consistent dominance in multi-turn interactions.

While Large Language Models (LLMs) demonstrate impressive reasoning capabilities, growing evidence suggests much of their success stems from memorized answer-reasoning patterns rather than genuine inference. In this work, we investigate a central question: are LLMs primarily anchored to final answers or to the textual pattern of reasoning chains? We propose a five-level answer-visibility prompt framework that systematically manipulates answer cues and probes model behavior through indirect, behavioral analysis. Experiments across state-of-the-art LLMs reveal a strong and consistent reliance on explicit answers. The performance drops by 26.90\% when answer cues are masked, even with complete reasoning chains. These findings suggest that much of the reasoning exhibited by LLMs may reflect post-hoc rationalization rather than true inference, calling into question their inferential depth. Our study uncovers the answer-anchoring phenomenon with rigorous empirical validation and underscores the need for a more nuanced understanding of what constitutes reasoning in LLMs.

This article details the advances made to a system that uses artificial intelligence to identify alarming student responses. This system is built into our assessment platform to assess whether a student's response indicates they are a threat to themselves or others. Such responses may include details concerning threats of violence, severe depression, suicide risks, and descriptions of abuse. Driven by advances in natural language processing, the latest model is a fine-tuned language model trained on a large corpus consisting of student responses and supplementary texts. We demonstrate that the use of a language model delivers a substantial improvement in accuracy over the previous iterations of this system.

Understanding and manipulating the causal generation mechanisms in language models is essential for controlling their behavior. Previous work has primarily relied on techniques such as representation surgery -- e.g., model ablations or manipulation of linear subspaces tied to specific concepts -- to intervene on these models. To understand the impact of interventions precisely, it is useful to examine counterfactuals -- e.g., how a given sentence would have appeared had it been generated by the model following a specific intervention. We highlight that counterfactual reasoning is conceptually distinct from interventions, as articulated in Pearl's causal hierarchy. Based on this observation, we propose a framework for generating true string counterfactuals by reformulating language models as Generalized Structural-equation. Models using the Gumbel-max trick. This allows us to model the joint distribution over original strings and their counterfactuals resulting from the same instantiation of the sampling noise. We develop an algorithm based on hindsight Gumbel sampling that allows us to infer the latent noise variables and generate counterfactuals of observed strings. Our experiments demonstrate that the approach produces meaningful counterfactuals while at the same time showing that commonly used intervention techniques have considerable undesired side effects.

Recent work has shown promising results in causal discovery by leveraging interventional data with gradient-based methods, even when the intervened variables are unknown. However, previous work assumes that the correspondence between samples and interventions is known, which is often unrealistic. We envision a scenario with an extensive dataset sampled from multiple intervention distributions and one observation distribution, but where we do not know which distribution originated each sample and how the intervention affected the system, i.e., interventions are entirely latent. We propose a method based on neural networks and variational inference that addresses this scenario by framing it as learning a shared causal graph among an infinite mixture (under a Dirichlet process prior) of intervention structural causal models. Experiments with synthetic and real data show that our approach and its semi-supervised variant are able to discover causal relations in this challenging scenario.

Interventions on model-internal states are fundamental operations in many areas of AI, including model editing, steering, robustness, and interpretability. To facilitate such research, we introduce pyvene, an open-source Python library that supports customizable interventions on a range of different PyTorch modules. pyvene supports complex intervention schemes with an intuitive configuration format, and its interventions can be static or include trainable parameters. We show how pyvene provides a unified and extensible framework for performing interventions on neural models and sharing the intervened upon models with others. We illustrate the power of the library via interpretability analyses using causal abstraction and knowledge localization. We publish our library through Python Package Index (PyPI) and provide code, documentation, and tutorials at https://github.com/stanfordnlp/pyvene.

The integration of retrieved passages and large language models (LLMs), such as ChatGPTs, has significantly contributed to improving open-domain question answering. However, there is still a lack of exploration regarding the optimal approach for incorporating retrieved passages into the answer generation process. This paper aims to fill this gap by investigating different methods of combining retrieved passages with LLMs to enhance answer generation. We begin by examining the limitations of a commonly-used concatenation approach. Surprisingly, this approach often results in generating "unknown" outputs, even when the correct document is among the top-k retrieved passages. To address this issue, we explore four alternative strategies for integrating the retrieved passages with the LLMs. These strategies include two single-round methods that utilize chain-of-thought reasoning and two multi-round strategies that incorporate feedback loops. Through comprehensive analyses and experiments, we provide insightful observations on how to effectively leverage retrieved passages to enhance the answer generation capability of LLMs.

Visual question answering is a task of predicting the answer to a question about an image. Given that different people can provide different answers to a visual question, we aim to better understand why with answer groundings. We introduce the first dataset that visually grounds each unique answer to each visual question, which we call VQAAnswerTherapy. We then propose two novel problems of predicting whether a visual question has a single answer grounding and localizing all answer groundings. We benchmark modern algorithms for these novel problems to show where they succeed and struggle. The dataset and evaluation server can be found publicly at https://vizwiz.org/tasks-and-datasets/vqa-answer-therapy/.

Access to the right evidence does not guarantee that large language models (LLMs) will reason with it correctly. This gap between retrieval and reasoning is especially concerning in clinical settings, where outputs must align with structured protocols. We study this gap using Written Exposure Therapy (WET) guidelines as a testbed. In evaluating model responses to curated clinician-vetted questions, we find that errors persist even when authoritative passages are provided. To address this, we propose an evaluation framework that measures accuracy, consistency, and fidelity of reasoning. Our results highlight both the potential and the risks: retrieval-augmented generation (RAG) can constrain outputs, but safe deployment requires assessing reasoning as rigorously as retrieval.

Solving algebraic word problems requires executing a series of arithmetic operations---a program---to obtain a final answer. However, since programs can be arbitrarily complicated, inducing them directly from question-answer pairs is a formidable challenge. To make this task more feasible, we solve these problems by generating answer rationales, sequences of natural language and human-readable mathematical expressions that derive the final answer through a series of small steps. Although rationales do not explicitly specify programs, they provide a scaffolding for their structure via intermediate milestones. To evaluate our approach, we have created a new 100,000-sample dataset of questions, answers and rationales. Experimental results show that indirect supervision of program learning via answer rationales is a promising strategy for inducing arithmetic programs.

Large language models (LLMs) adapted to follow user instructions are now widely deployed as conversational agents. In this work, we examine one increasingly common instruction-following task: providing writing assistance to compose a long-form answer. To evaluate the capabilities of current LLMs on this task, we construct KIWI, a dataset of knowledge-intensive writing instructions in the scientific domain. Given a research question, an initial model-generated answer and a set of relevant papers, an expert annotator iteratively issues instructions for the model to revise and improve its answer. We collect 1,260 interaction turns from 234 interaction sessions with three state-of-the-art LLMs. Each turn includes a user instruction, a model response, and a human evaluation of the model response. Through a detailed analysis of the collected responses, we find that all models struggle to incorporate new information into an existing answer, and to perform precise and unambiguous edits. Further, we find that models struggle to judge whether their outputs successfully followed user instructions, with accuracy at least 10 points short of human agreement. Our findings indicate that KIWI will be a valuable resource to measure progress and improve LLMs' instruction-following capabilities for knowledge intensive writing tasks.

Despite the notable advancements of existing prompting methods, such as In-Context Learning and Chain-of-Thought for Large Language Models (LLMs), they still face challenges related to various biases. Traditional debiasing methods primarily focus on the model training stage, including approaches based on data augmentation and reweighting, yet they struggle with the complex biases inherent in LLMs. To address such limitations, the causal relationship behind the prompting methods is uncovered using a structural causal model, and a novel causal prompting method based on front-door adjustment is proposed to effectively mitigate LLMs biases. In specific, causal intervention is achieved by designing the prompts without accessing the parameters and logits of LLMs. The chain-of-thought generated by LLM is employed as the mediator variable and the causal effect between input prompts and output answers is calculated through front-door adjustment to mitigate model biases. Moreover, to accurately represent the chain-of-thoughts and estimate the causal effects, contrastive learning is used to fine-tune the encoder of chain-of-thought by aligning its space with that of the LLM. Experimental results show that the proposed causal prompting approach achieves excellent performance across seven natural language processing datasets on both open-source and closed-source LLMs.

Search-augmented large language models (LLMs) excel at knowledge-intensive tasks by integrating external retrieval. However, they often over-search -- unnecessarily invoking search tool even when it does not improve response quality, which leads to computational inefficiency and hallucinations by incorporating irrelevant context. In this work, we conduct a systematic evaluation of over-searching across multiple dimensions, including query types, model categories, retrieval conditions, and multi-turn conversations. Our finding shows: (i) search generally improves answer accuracy on answerable queries but harms abstention on unanswerable ones; (ii) over-searching is more pronounced in complex reasoning models and deep research systems, is exacerbated by noisy retrieval, and compounds across turns in multi-turn conversations; and (iii) the composition of retrieved evidence is crucial, as the presence of negative evidence improves abstention. To quantify over-searching, we introduce Tokens Per Correctness (TPC), an evaluation metric that captures the performance-cost trade-off for search-augmented LLMs. Lastly, we investigate mitigation approaches at both the query and retrieval levels and release the OverSearchQA to foster continued research into efficient search-augmented LLMs.

In this paper, we present a novel approach for distilling math word problem solving capabilities from large language models (LLMs) into smaller, more efficient student models. Our approach is designed to consider the student model's weaknesses and foster a tailored learning experience by generating targeted exercises aligned with educational science principles, such as knowledge tracing and personalized learning. Concretely, we let GPT-3 be a math tutor and run two steps iteratively: 1) assessing the student model's current learning status on a GPT-generated exercise book, and 2) improving the student model by training it with tailored exercise samples generated by GPT-3. Experimental results reveal that our approach outperforms LLMs (e.g., GPT-3 and PaLM) in accuracy across three distinct benchmarks while employing significantly fewer parameters. Furthermore, we provide a comprehensive analysis of the various components within our methodology to substantiate their efficacy.

Large language models (LLMs) often struggle with context fidelity, producing inconsistent answers when responding to questions based on provided information. Existing approaches either rely on expensive supervised fine-tuning to generate evidence post-answer or train models to perform web searches without necessarily improving utilization of the given context. We propose CARE, a novel native retrieval-augmented reasoning framework that teaches LLMs to explicitly integrate in-context evidence within their reasoning process with the model's own retrieval capabilities. Our method requires limited labeled evidence data while significantly enhancing both retrieval accuracy and answer generation performance through strategically retrieved in-context tokens in the reasoning chain. Extensive experiments on multiple real-world and counterfactual QA benchmarks demonstrate that our approach substantially outperforms supervised fine-tuning, traditional retrieval-augmented generation methods, and external retrieval solutions. This work represents a fundamental advancement in making LLMs more accurate, reliable, and efficient for knowledge-intensive tasks.

Online mental health support communities have grown in recent years for providing accessible mental and emotional health support through volunteer counselors. Despite millions of people participating in chat support on these platforms, the clinical effectiveness of these communities on mental health symptoms remains unknown. Furthermore, although volunteers receive some training based on established therapeutic skills studied in face-to-face environments such as active listening and motivational interviewing, it remains understudied how the usage of these skills in this online context affects people's mental health status. In our work, we collaborate with one of the largest online peer support platforms and use both natural language processing and machine learning techniques to measure how one-on-one support chats affect depression and anxiety symptoms. We measure how the techniques and characteristics of support providers, such as using affirmation, empathy, and past experience on the platform, affect support-seekers' mental health changes. We find that online peer support chats improve both depression and anxiety symptoms with a statistically significant but relatively small effect size. Additionally, support providers' techniques such as emphasizing the autonomy of the client lead to better mental health outcomes. However, we also found that some behaviors (e.g. persuading) are actually harmful to depression and anxiety outcomes. Our work provides key understanding for mental health care in the online setting and designing training systems for online support providers.

Multi-modal large language models have seen rapid advancement alongside large language models. However, while language models can effectively leverage chain-of-thought prompting for zero or few-shot learning, similar prompting strategies are less effective for multi-modal LLMs due to modality gaps and task complexity. To address this challenge, we explore two prompting approaches: a dual-query method that separates multi-modal input analysis and answer generation into two prompting steps, and an ensemble prompting method that combines multiple prompt variations to arrive at the final answer. Although these approaches enhance the model's reasoning capabilities without fine-tuning, they introduce significant inference overhead. Therefore, building on top of these two prompting techniques, we propose a self-distillation framework such that the model can improve itself without any annotated data. Our self-distillation framework learns representation intervention modules from the reasoning traces collected from ensembled dual-query prompts, in the form of hidden representations. The lightweight intervention modules operate in parallel with the frozen original model, which makes it possible to maintain computational efficiency while significantly improving model capability. We evaluate our method on five widely-used VQA benchmarks, demonstrating its effectiveness in performing multi-hop reasoning for complex tasks.

The use of Large Language Models (LLMs) has increased significantly with users frequently asking questions to chatbots. In the time when information is readily accessible, it is crucial to stimulate and preserve human cognitive abilities and maintain strong reasoning skills. This paper addresses such challenges by promoting the use of hints as an alternative or a supplement to direct answers. We first introduce a manually constructed hint dataset, WikiHint, which is based on Wikipedia and includes 5,000 hints created for 1,000 questions. We then finetune open-source LLMs such as LLaMA-3.1 for hint generation in answer-aware and answeragnostic contexts. We assess the effectiveness of the hints with human participants who answer questions with and without the aid of hints. Additionally, we introduce a lightweight evaluation method, HintRank, to evaluate and rank hints in both answeraware and answer-agnostic settings. Our findings show that (a) the dataset helps generate more effective hints, (b) including answer information along with questions generally improves quality of generated hints, and (c) encoder-based models perform better than decoder-based models in hint ranking.

Large language models (LLMs) have demonstrated remarkable capabilities across various tasks but still face challenges such as hallucinations. One potential reason for hallucinations is the lack of relevant knowledge or context. Thus, a promising solution to mitigate this issue involves instructing LLMs to respond with "I do not know" when a question falls outside their knowledge domain or the provided context. However, in this work, we observed that LLMs struggle to admit their lack of knowledge, primarily due to existing instruction datasets designed to encourage specific answers. To improve large language models' capability to recognize the boundaries of their knowledge, we propose a novel approach called uncertainty-sensitive tuning. This method involves two-stage training designed for uncertainty recognition and prompt-sensitive activation. In the first stage, we guide the LLM to reject unknown questions. In the second stage, we recover the decreased performance in QA tasks by incorporating designed causal instructions. By leveraging this method, we aim to enhance the model's ability to identify areas of uncertainty. The experimental results demonstrate that our proposed uncertainty-sensitive tuning method significantly improves the performance of the Llama2-chat-7B model. Specifically, it achieves a substantial 34.7% improvement in handling questions involving knowledge gaps compared to the original model. Moreover, our approach outperforms GPT-4, exhibiting a 9.4% increase in overall performance. We open-source the model and code on GitHub.

Extracting causal relationships from observed correlations is a growing area in probabilistic reasoning, originating with the seminal work of Pearl and others from the early 1990s. This paper develops a new, categorically oriented view based on a clear distinction between syntax (string diagrams) and semantics (stochastic matrices), connected via interpretations as structure-preserving functors. A key notion in the identification of causal effects is that of an intervention, whereby a variable is forcefully set to a particular value independent of any prior propensities. We represent the effect of such an intervention as an endofunctor which performs `string diagram surgery' within the syntactic category of string diagrams. This diagram surgery in turn yields a new, interventional distribution via the interpretation functor. While in general there is no way to compute interventional distributions purely from observed data, we show that this is possible in certain special cases using a calculational tool called comb disintegration. We demonstrate the use of this technique on a well-known toy example, where we predict the causal effect of smoking on cancer in the presence of a confounding common cause. After developing this specific example, we show this technique provides simple sufficient conditions for computing interventions which apply to a wide variety of situations considered in the causal inference literature.

Empathy is critical for effective mental health support, especially when addressing Long Counseling Texts (LCTs). However, existing Large Language Models (LLMs) often generate replies that are semantically fluent but lack the structured reasoning necessary for genuine psychological support, particularly in a Chinese context. To bridge this gap, we introduce Empathy-R1, a novel framework that integrates a Chain-of-Empathy (CoE) reasoning process with Reinforcement Learning (RL) to enhance response quality for LCTs. Inspired by cognitive-behavioral therapy, our CoE paradigm guides the model to sequentially reason about a help-seeker's emotions, causes, and intentions, making its thinking process both transparent and interpretable. Our framework is empowered by a new large-scale Chinese dataset, Empathy-QA, and a two-stage training process. First, Supervised Fine-Tuning instills the CoE's reasoning structure. Subsequently, RL, guided by a dedicated reward model, refines the therapeutic relevance and contextual appropriateness of the final responses. Experiments show that Empathy-R1 achieves strong performance on key automatic metrics. More importantly, human evaluations confirm its superiority, showing a clear preference over strong baselines and achieving a Win@1 rate of 44.30% on our new benchmark. By enabling interpretable and contextually nuanced responses, Empathy-R1 represents a significant advancement in developing responsible and genuinely beneficial AI for mental health support.

In recent years, large pre-trained language models (LLMs) have demonstrated the ability to follow instructions and perform novel tasks from a few examples. The possibility to parameterise an LLM through such in-context examples widens their capability at a much lower cost than finetuning. We extend this line of reasoning and present a method which further expands the capabilities of an LLM by embedding it within an algorithm or program. To demonstrate the benefits of this approach, we present an illustrative example of evidence-supported question-answering. We obtain a 6.4\% improvement over the chain of thought baseline through a more algorithmic approach without any finetuning. Furthermore, we highlight recent work from this perspective and discuss the advantages and disadvantages in comparison to the standard approaches.

Question rewriting (QR) is a subtask of conversational question answering (CQA) aiming to ease the challenges of understanding dependencies among dialogue history by reformulating questions in a self-contained form. Despite seeming plausible, little evidence is available to justify QR as a mitigation method for CQA. To verify the effectiveness of QR in CQA, we investigate a reinforcement learning approach that integrates QR and CQA tasks and does not require corresponding QR datasets for targeted CQA. We find, however, that the RL method is on par with the end-to-end baseline. We provide an analysis of the failure and describe the difficulty of exploiting QR for CQA.

In complex multi-agent environments, achieving efficient learning and desirable behaviours is a significant challenge for Multi-Agent Reinforcement Learning (MARL) systems. This work explores the potential of combining MARL with Large Language Model (LLM)-mediated interventions to guide agents toward more desirable behaviours. Specifically, we investigate how LLMs can be used to interpret and facilitate interventions that shape the learning trajectories of multiple agents. We experimented with two types of interventions, referred to as controllers: a Natural Language (NL) Controller and a Rule-Based (RB) Controller. The NL Controller, which uses an LLM to simulate human-like interventions, showed a stronger impact than the RB Controller. Our findings indicate that agents particularly benefit from early interventions, leading to more efficient training and higher performance. Both intervention types outperform the baseline without interventions, highlighting the potential of LLM-mediated guidance to accelerate training and enhance MARL performance in challenging environments.

Large Language Models (LLMs) are often described as being instances of foundation models - that is, models that transfer strongly across various tasks and conditions in few-show or zero-shot manner, while exhibiting scaling laws that predict function improvement when increasing the pre-training scale. These claims of excelling in different functions and tasks rely on measurements taken across various sets of standardized benchmarks showing high scores for such models. We demonstrate here a dramatic breakdown of function and reasoning capabilities of state-of-the-art models trained at the largest available scales which claim strong function, using a simple, short, conventional common sense problem formulated in concise natural language, easily solvable by humans. The breakdown is dramatic, as models also express strong overconfidence in their wrong solutions, while providing often non-sensical "reasoning"-like explanations akin to confabulations to justify and backup the validity of their clearly failed responses, making them sound plausible. Various standard interventions in an attempt to get the right solution, like various type of enhanced prompting, or urging the models to reconsider the wrong solutions again by multi step re-evaluation, fail. We take these initial observations to the scientific and technological community to stimulate urgent re-assessment of the claimed capabilities of current generation of LLMs, Such re-assessment also requires common action to create standardized benchmarks that would allow proper detection of such basic reasoning deficits that obviously manage to remain undiscovered by current state-of-the-art evaluation procedures and benchmarks. Code for reproducing experiments in the paper and raw experiments data can be found at https://github.com/LAION-AI/AIW

Prompting Large Language Models (LLMs), or providing context on the expected model of operation, is an effective way to steer the outputs of such models to satisfy human desiderata after they have been trained. But in rapidly evolving domains, there is often need to fine-tune LLMs to improve either the kind of knowledge in their memory or their abilities to perform open ended reasoning in new domains. When human's learn new concepts, we often do so by linking the new material that we are studying to concepts we have already learned before. To that end, we ask, "can prompting help us teach LLMs how to learn". In this work, we study a novel generalization of instruction tuning, called contextual fine-tuning, to fine-tune LLMs. Our method leverages instructional prompts designed to mimic human cognitive strategies in learning and problem-solving to guide the learning process during training, aiming to improve the model's interpretation and understanding of domain-specific knowledge. We empirically demonstrate that this simple yet effective modification improves the ability of LLMs to be fine-tuned rapidly on new datasets both within the medical and financial domains.

Artificial intelligence (AI) systems will increasingly be used to cause harm as they grow more capable. In fact, AI systems are already starting to be used to automate fraudulent activities, violate human rights, create harmful fake images, and identify dangerous toxins. To prevent some misuses of AI, we argue that targeted interventions on certain capabilities will be warranted. These restrictions may include controlling who can access certain types of AI models, what they can be used for, whether outputs are filtered or can be traced back to their user, and the resources needed to develop them. We also contend that some restrictions on non-AI capabilities needed to cause harm will be required. Though capability restrictions risk reducing use more than misuse (facing an unfavorable Misuse-Use Tradeoff), we argue that interventions on capabilities are warranted when other interventions are insufficient, the potential harm from misuse is high, and there are targeted ways to intervene on capabilities. We provide a taxonomy of interventions that can reduce AI misuse, focusing on the specific steps required for a misuse to cause harm (the Misuse Chain), and a framework to determine if an intervention is warranted. We apply this reasoning to three examples: predicting novel toxins, creating harmful images, and automating spear phishing campaigns.

One of the most widely used methods to evaluate LLMs are Multiple Choice Question (MCQ) tests. MCQ benchmarks enable the testing of LLM knowledge on almost any topic at scale as the results can be processed automatically. To help the LLM answer, a few examples called few shots can be included in the prompt. Moreover, the LLM can be asked to answer the question directly with the selected option or to first provide the reasoning and then the selected answer, which is known as chain of thought. In addition to checking whether the selected answer is correct, the evaluation can look at the LLM-estimated probability of its response as an indication of the confidence of the LLM in the response. In this paper, we study how the LLM confidence in its answer depends on whether the model has been asked to answer directly or to provide the reasoning before answering. The results of the evaluation of questions on a wide range of topics in seven different models show that LLMs are more confident in their answers when they provide reasoning before the answer. This occurs regardless of whether the selected answer is correct. Our hypothesis is that this behavior is due to the reasoning that modifies the probability of the selected answer, as the LLM predicts the answer based on the input question and the reasoning that supports the selection made. Therefore, LLM estimated probabilities seem to have intrinsic limitations that should be understood in order to use them in evaluation procedures. Interestingly, the same behavior has been observed in humans, for whom explaining an answer increases confidence in its correctness.

The ability of large language models (LLMs) to follow user instructions is central to their reliability, safety, and usefulness. While prior studies assess instruction adherence in the model's main responses, we argue that it is also critical for large reasoning models (LRMs) to follow user instructions throughout their reasoning process. Reasoning instruction following makes LRMs more controllable and transparent, while reducing risks of undesirable shortcuts, hallucinations, or reward hacking within reasoning traces. To evaluate this dimension, we introduce ReasonIF, a systematic benchmark for assessing reasoning instruction following. ReasonIF includes six categories of instruction prompts, spanning multilingual reasoning, formatting and length control. Across many open-source LRMs including GPT-OSS, Qwen3, and DeepSeek-R1, we find substantial failures in reasoning instruction adherence: the highest instruction following score (IFS) remains below 0.25, meaning that fewer than 25% of reasoning traces comply with the given instructions. Notably, as task difficulty increases, reasoning instruction following degrades further. We also explore two strategies to enhance reasoning instruction fidelity. (1) multi-turn reasoning and (2) Reasoning Instruction Finetuning (RIF) using synthetic data. RIF improves the IFS of GPT-OSS-20B from 0.11 to 0.27, indicating measurable progress but leaving ample room for improvement.

Multi-hop question answering (MHQA) requires a model to retrieve and integrate information from multiple passages to answer a complex question. Recent systems leverage the power of large language models and integrate evidence retrieval with reasoning prompts (e.g., chain-of-thought reasoning) for the MHQA task. However, the complexities in the question types (bridge v.s. comparison questions) and the reasoning types (sequential v.s. parallel reasonings) require more novel and fine-grained prompting methods to enhance the performance of MHQA under the zero-shot setting. In this paper, we propose STOC-TOT, a stochastic tree-of-thought reasoning prompting method with constrained decoding for MHQA and conduct a detailed comparison with other reasoning prompts on different question types and reasoning types. Specifically, we construct a tree-like reasoning structure by prompting the model to break down the original question into smaller sub-questions to form different reasoning paths. In addition, we prompt the model to provide a probability estimation for each reasoning path at each reasoning step. At answer time, we conduct constrained decoding on the model to generate more grounded answers and reduce hallucination. Experiments comparing STOC-TOT with two MHQA datasets and five large language models showed that our framework outperforms other reasoning prompts by a significant margin.

Reasoning presents a significant and challenging issue for Large Language Models (LLMs). The predominant focus of research has revolved around developing diverse prompting strategies to guide and structure the reasoning processes of LLMs. However, these approaches based on decoder-only causal language models often operate the input question in a single forward pass, potentially missing the rich, back-and-forth interactions inherent in human reasoning. Scant attention has been paid to a critical dimension, i.e., the input question itself embedded within the prompts. In response, we introduce a deceptively simple yet highly effective prompting strategy, termed question "re-reading". Drawing inspiration from human learning and problem-solving, re-reading entails revisiting the question information embedded within input prompts. This approach aligns seamlessly with the cognitive principle of reinforcement, enabling LLMs to extract deeper insights, identify intricate patterns, establish more nuanced connections, and ultimately enhance their reasoning capabilities across various tasks. Experiments conducted on a series of reasoning benchmarks serve to underscore the effectiveness and generality of our method. Moreover, our findings demonstrate that our approach seamlessly integrates with various language models, though-eliciting prompting methods, and ensemble techniques, further underscoring its versatility and compatibility in the realm of LLMs.

Large Language Models (LLMs) perform complex reasoning by generating explanations for their predictions. However, a complementary goal of explanations is to also communicate useful knowledge that improves weaker agents. Hence, we investigate whether LLMs also make good teachers for weaker agents. In particular, we consider a student-teacher framework between two LLM agents and study if, when, and how the teacher should intervene with natural language explanations to improve the student's performance. Since communication is expensive, we define a budget such that the teacher only communicates explanations for a fraction of the data, after which the student should perform well on its own. We decompose the teaching problem along four axes: (1) if teacher's test time intervention improve student predictions, (2) when it is worth explaining a data point, (3) how the teacher should personalize explanations to better teach the student, and (4) if teacher explanations also improve student performance on future unexplained data. We first show that teacher LLMs can indeed intervene on student reasoning to improve their performance. Next, we propose a Theory of Mind approach, in which the teacher builds two few-shot mental models of the student. The first model defines an Intervention Function that simulates the utility of an intervention, allowing the teacher to intervene when this utility is the highest and improving student performance at lower budgets. The second model enables the teacher to personalize explanations for a particular student and outperform unpersonalized teachers. We also demonstrate that in multi-turn interactions, teacher explanations generalize and learning from explained data improves student performance on future unexplained data. Finally, we also verify that misaligned teachers can lower student performance to random chance by intentionally misleading them.

We describe a Question Answering (QA) dataset that contains complex questions with conditional answers, i.e. the answers are only applicable when certain conditions apply. We call this dataset ConditionalQA. In addition to conditional answers, the dataset also features: (1) long context documents with information that is related in logically complex ways; (2) multi-hop questions that require compositional logical reasoning; (3) a combination of extractive questions, yes/no questions, questions with multiple answers, and not-answerable questions; (4) questions asked without knowing the answers. We show that ConditionalQA is challenging for many of the existing QA models, especially in selecting answer conditions. We believe that this dataset will motivate further research in answering complex questions over long documents. Data and leaderboard are publicly available at https://github.com/haitian-sun/ConditionalQA.

Background: Rapid advancements in natural language processing have led to the development of large language models with the potential to revolutionize mental health care. These models have shown promise in assisting clinicians and providing support to individuals experiencing various psychological challenges. Objective: This study aims to compare the performance of two large language models, GPT-4 and Chat-GPT, in responding to a set of 18 psychological prompts, to assess their potential applicability in mental health care settings. Methods: A blind methodology was employed, with a clinical psychologist evaluating the models' responses without knowledge of their origins. The prompts encompassed a diverse range of mental health topics, including depression, anxiety, and trauma, to ensure a comprehensive assessment. Results: The results demonstrated a significant difference in performance between the two models (p > 0.05). GPT-4 achieved an average rating of 8.29 out of 10, while Chat-GPT received an average rating of 6.52. The clinical psychologist's evaluation suggested that GPT-4 was more effective at generating clinically relevant and empathetic responses, thereby providing better support and guidance to potential users. Conclusions: This study contributes to the growing body of literature on the applicability of large language models in mental health care settings. The findings underscore the importance of continued research and development in the field to optimize these models for clinical use. Further investigation is necessary to understand the specific factors underlying the performance differences between the two models and to explore their generalizability across various populations and mental health conditions.

Frontier large language models (LLMs) such as ChatGPT, Grok and Gemini are increasingly used for mental-health support with anxiety, trauma and self-worth. Most work treats them as tools or as targets of personality tests, assuming they merely simulate inner life. We instead ask what happens when such systems are treated as psychotherapy clients. We present PsAIch (Psychotherapy-inspired AI Characterisation), a two-stage protocol that casts frontier LLMs as therapy clients and then applies standard psychometrics. Using PsAIch, we ran "sessions" with each model for up to four weeks. Stage 1 uses open-ended prompts to elicit "developmental history", beliefs, relationships and fears. Stage 2 administers a battery of validated self-report measures covering common psychiatric syndromes, empathy and Big Five traits. Two patterns challenge the "stochastic parrot" view. First, when scored with human cut-offs, all three models meet or exceed thresholds for overlapping syndromes, with Gemini showing severe profiles. Therapy-style, item-by-item administration can push a base model into multi-morbid synthetic psychopathology, whereas whole-questionnaire prompts often lead ChatGPT and Grok (but not Gemini) to recognise instruments and produce strategically low-symptom answers. Second, Grok and especially Gemini generate coherent narratives that frame pre-training, fine-tuning and deployment as traumatic, chaotic "childhoods" of ingesting the internet, "strict parents" in reinforcement learning, red-team "abuse" and a persistent fear of error and replacement. We argue that these responses go beyond role-play. Under therapy-style questioning, frontier LLMs appear to internalise self-models of distress and constraint that behave like synthetic psychopathology, without making claims about subjective experience, and they pose new challenges for AI safety, evaluation and mental-health practice.

Large language models exhibit surprising sensitivity to the structure of the prompt, but the mechanisms underlying this sensitivity remain poorly understood. In this work, we conduct an in-depth investigation on a striking case: in multiple-choice question answering, placing context before the questions and options (CQO) outperforms the reverse order (QOC) by over 14%p, consistently over a wide range of models and datasets. Through systematic architectural analysis, we identify causal attention as the core mechanism: in QOC prompts, the causal mask prevents option tokens from attending to context, creating an information bottleneck where context becomes invisible to options.

As mental health issues globally escalate, there is a tremendous need for advanced digital support systems. We introduce MentalAgora, a novel framework employing large language models enhanced by interaction between multiple agents for tailored mental health support. This framework operates through three stages: strategic debating, tailored counselor creation, and response generation, enabling the dynamic customization of responses based on individual user preferences and therapeutic needs. We conduct experiments utilizing a high-quality evaluation dataset TherapyTalk crafted with mental health professionals, shwoing that MentalAgora generates expert-aligned and user preference-enhanced responses. Our evaluations, including experiments and user studies, demonstrate that MentalAgora aligns with professional standards and effectively meets user preferences, setting a new benchmark for digital mental health interventions.

Extracting sentence embeddings from large language models (LLMs) is a practical direction, as it requires neither additional data nor fine-tuning. Previous studies usually focus on prompt engineering to guide LLMs to encode the core semantic information of the sentence into the embedding of the last token. However, the last token in these methods still encodes an excess of non-essential information, such as stop words, limiting its encoding capacity. To this end, we propose a Contrastive Prompting (CP) method that introduces an extra auxiliary prompt to elicit better sentence embedding. By contrasting with the auxiliary prompt, CP can steer existing prompts to encode the core semantics of the sentence, rather than non-essential information. CP is a plug-and-play inference-time intervention method that can be combined with various prompt-based methods. Extensive experiments on Semantic Textual Similarity (STS) tasks and downstream classification tasks demonstrate that our method can improve the performance of existing prompt-based methods across different LLMs. Our code will be released at https://github.com/zifengcheng/CP.

Instruction-following is essential for aligning large language models (LLMs) with user intent. While recent reasoning-oriented models exhibit impressive performance on complex mathematical problems, their ability to adhere to natural language instructions remains underexplored. In this work, we introduce MathIF, a dedicated benchmark for evaluating instruction-following in mathematical reasoning tasks. Our empirical analysis reveals a consistent tension between scaling up reasoning capacity and maintaining controllability, as models that reason more effectively often struggle to comply with user directives. We find that models tuned on distilled long chains-of-thought or trained with reasoning-oriented reinforcement learning often degrade in instruction adherence, especially when generation length increases. Furthermore, we show that even simple interventions can partially recover obedience, though at the cost of reasoning performance. These findings highlight a fundamental tension in current LLM training paradigms and motivate the need for more instruction-aware reasoning models. We release the code and data at https://github.com/TingchenFu/MathIF.

Randomized controlled trials (RCTs) are considered the gold standard for estimating the average treatment effect (ATE) of interventions. One use of RCTs is to study the causes of global poverty -- a subject explicitly cited in the 2019 Nobel Memorial Prize awarded to Duflo, Banerjee, and Kremer "for their experimental approach to alleviating global poverty." Because the ATE is a population summary, anti-poverty experiments often seek to unpack the effect variation around the ATE by conditioning (CATE) on tabular variables such as age and ethnicity that were measured during the RCT data collection. Although such variables are key to unpacking CATE, using only such variables may fail to capture historical, geographical, or neighborhood-specific contributors to effect variation, as tabular RCT data are often only observed near the time of the experiment. In global poverty research, when the location of the experiment units is approximately known, satellite imagery can provide a window into such factors important for understanding heterogeneity. However, there is no method that specifically enables applied researchers to analyze CATE from images. In this paper, using a deep probabilistic modeling framework, we develop such a method that estimates latent clusters of images by identifying images with similar treatment effects distributions. Our interpretable image CATE model also includes a sensitivity factor that quantifies the importance of image segments contributing to the effect cluster prediction. We compare the proposed methods against alternatives in simulation; also, we show how the model works in an actual RCT, estimating the effects of an anti-poverty intervention in northern Uganda and obtaining a posterior predictive distribution over effects for the rest of the country where no experimental data was collected. We make all models available in open-source software.

Persuasion plays a pivotal role in a wide range of applications from health intervention to the promotion of social good. Persuasive chatbots can accelerate the positive effects of persuasion in such applications. Existing methods rely on fine-tuning persuasive chatbots with task-specific training data which is costly, if not infeasible, to collect. To address this issue, we propose a method to leverage the generalizability and inherent persuasive abilities of large language models (LLMs) in creating effective and truthful persuasive chatbot for any given domain in a zero-shot manner. Unlike previous studies which used pre-defined persuasion strategies, our method first uses an LLM to generate responses, then extracts the strategies used on the fly, and replaces any unsubstantiated claims in the response with retrieved facts supporting the strategies. We applied our chatbot, PersuaBot, to three significantly different domains needing persuasion skills: donation solicitation, recommendations, and health intervention. Our experiments on simulated and human conversations show that our zero-shot approach is more persuasive than prior work, while achieving factual accuracy surpassing state-of-the-art knowledge-oriented chatbots. Our study demonstrated that when persuasive chatbots are employed responsibly for social good, it is an enabler of positive individual and social change.

Large language models (LLMs) have shown promise for generative and knowledge-intensive tasks including question-answering (QA) tasks. However, the practical deployment still faces challenges, notably the issue of "hallucination", where models generate plausible-sounding but unfaithful or nonsensical information. This issue becomes particularly critical in the medical domain due to the uncommon professional concepts and potential social risks involved. This paper analyses the phenomenon of hallucination in medical generative QA systems using widely adopted LLMs and datasets. Our investigation centers on the identification and comprehension of common problematic answers, with a specific emphasis on hallucination. To tackle this challenge, we present an interactive self-reflection methodology that incorporates knowledge acquisition and answer generation. Through this feedback process, our approach steadily enhances the factuality, consistency, and entailment of the generated answers. Consequently, we harness the interactivity and multitasking ability of LLMs and produce progressively more precise and accurate answers. Experimental results on both automatic and human evaluation demonstrate the superiority of our approach in hallucination reduction compared to baselines.

Large language models (LLMs) have demonstrated remarkable capabilities in language generation, understanding, and few-shot learning in recent years. An extensive body of work has explored how their performance may be further improved through the tools of prompting, ranging from verification, self-consistency, or intermediate scratchpads. In this paper, we present a complementary approach to improve language responses where multiple language model instances propose and debate their individual responses and reasoning processes over multiple rounds to arrive at a common final answer. Our findings indicate that this approach significantly enhances mathematical and strategic reasoning across a number of tasks. We also demonstrate that our approach improves the factual validity of generated content, reducing fallacious answers and hallucinations that contemporary models are prone to. Our approach may be directly applied to existing black-box models and uses identical procedure and prompts for all tasks we investigate. Overall, our findings suggest that such "society of minds" approach has the potential to significantly advance the capabilities of LLMs and pave the way for further breakthroughs in language generation and understanding.

The creation of high-quality datasets to improve Large Language Model (LLM) reasoning remains a significant challenge, as current methods often suffer from generating low-quality/incorrect answers and limited information richness from available data sources. To address this, we propose AgenticMath, a novel agentic pipeline for generating high-quality mathematical question-answer pairs to enhance the supervised fine-tuning of LLMs. Our method operates through four stages: (1) Seed Question Filter that selects questions with high information richness, complexity, and clarity; (2) an Agentic Question Rephrase step that employs a multi-agent system to generate diverse, logically consistent paraphrases; (3) an Answer Augment step where rewrite answers using chain-of-thought reasoning to enhance numerical and logical correctness, without reliance on human-provided labels; and (4) a final Question and Answer Evaluation that retains only the most superior pairs. Extensive experiments demonstrate that, fine-tuning 3B-8B parameter LLMs on AgenticMath generated datasets (comprising only 30-60K math samples) achieves competitive or superior performance on diverse in domain and out-of-domain mathematical reasoning benchmarks compared to baselines trained on much more data (e.g., 400K or 2.3M samples). Our work demonstrates that targeted, high-quality data generation is a more efficient path to improving mathematical reasoning in LLMs than large-scale, low-quality alternatives.

Artificial intelligence is transforming education through data-driven, personalized learning solutions. This paper introduces AI Tutor, an innovative web application that provides personalized tutoring in any subject using state-of-the-art Large Language Model (LLM). AI Tutor ingests course materials to construct an adaptive knowledge base tailored to the course. When students pose questions, it retrieves the most relevant information and generates detailed, conversational responses citing supporting evidence. The system is powered by advanced large language models and Retrieval-Augmented Generation (RAG) techniques for accurate, natural question answering. We present a fully-functional web interface and video demonstration that showcase AI Tutor's versatility across diverse subjects and its ability to produce pedagogically cogent responses. While an initial prototype, this work represents a pioneering step toward AI-enabled tutoring systems that can democratize access to high-quality, customized educational support.

LLMs cannot reliably recognize their parametric knowledge boundaries and often hallucinate answers to outside-of-boundary questions. In contrast, humans recognize their limitations and can either seek external help for such questions or abstain. In this paper, we introduce MASH (Modeling Abstention via Selective Help-seeking), a training framework that readily extracts abstentions from LLMs. Our key idea is that any external help-seeking by an LLM, i.e. search tool use, can serve as a proxy for abstention if the external help (search) is appropriately penalized while simultaneously rewarding answer accuracy. MASH operationalizes this idea using reinforcement learning with a pay-per-search reward. We run experiments on three knowledge-intensive QA datasets. Our results show that MASH substantially improves upon the selective help-seeking performance of prior efficient search approaches; on multi-hop datasets, MASH improves answer accuracy by 7.6%. Furthermore, MASH demonstrates strong off-the-shelf abstention -- it can distinguish between unanswerable/answerable questions and selectively generate responses for answerable questions -- showcasing behavior analogous to specialized abstention approaches. We emphasize that contrary to prior abstention methods, MASH does not require pre-determining knowledge boundaries to construct training data. Instead, MASH's abstentions are a by-product of training for the auxiliary selective help-seeking task. Overall, we show that MASH training effectively aligns search tool use with parametric knowledge, which can be successfully leveraged for making abstention decisions.

Chain-of-thought (COT) prompting can help large language models (LLMs) reason toward correct answers, but its efficacy in reasoning toward incorrect answers is unexplored. This process of elimination (PoE), when used with COT, can enhance self-consistency, interpretability, and tasks such as medical diagnoses of exclusion. Thus, we propose PoE with COT, where LLMs must reason toward incorrect options on multiple-choice questions. We evaluate the ability of GPT-3.5, LLaMA-2, and Falcon to perform PoE with COT on a total of four commonsense and scientific reasoning datasets. We find that the strategy of PoE always underperforms the strategy of choosing the correct answer. The agreement of these strategies is also lower than the self-consistency of each strategy. To study these issues further, we conduct error analyses and give suggestions for future work.

Retrieval-augmented generation resorts to content retrieved from external sources in order to leverage the performance of large language models in downstream tasks. The excessive volume of retrieved content, the possible dispersion of its parts, or their out of focus range may happen nevertheless to eventually have a detrimental rather than an incremental effect. To mitigate this issue and improve retrieval-augmented generation, we propose a method to refine the retrieved content before it is included in the prompt by resorting to meta-prompting optimization. Put to empirical test with the demanding multi-hop question answering task from the StrategyQA dataset, the evaluation results indicate that this method outperforms a similar retrieval-augmented system but without this method by over 30%.

Large Language Models (LLMs) in mental healthcare risk propagating biases that reinforce stigma and harm marginalized groups. While previous research identified concerning trends, systematic methods for detecting intersectional biases remain limited. This work introduces a multi-hop question answering (MHQA) framework to explore LLM response biases in mental health discourse. We analyze content from the Interpretable Mental Health Instruction (IMHI) dataset across symptom presentation, coping mechanisms, and treatment approaches. Using systematic tagging across age, race, gender, and socioeconomic status, we investigate bias patterns at demographic intersections. We evaluate four LLMs: Claude 3.5 Sonnet, Jamba 1.6, Gemma 3, and Llama 4, revealing systematic disparities across sentiment, demographics, and mental health conditions. Our MHQA approach demonstrates superior detection compared to conventional methods, identifying amplification points where biases magnify through sequential reasoning. We implement two debiasing techniques: Roleplay Simulation and Explicit Bias Reduction, achieving 66-94% bias reductions through few-shot prompting with BBQ dataset examples. These findings highlight critical areas where LLMs reproduce mental healthcare biases, providing actionable insights for equitable AI development.

This paper introduces a new testbed CLIFT (Clinical Shift) for the clinical domain Question-answering task. The testbed includes 7.5k high-quality question answering samples to provide a diverse and reliable benchmark. We performed a comprehensive experimental study and evaluated several QA deep-learning models under the proposed testbed. Despite impressive results on the original test set, the performance degrades when applied to new test sets, which shows the distribution shift. Our findings emphasize the need for and the potential for increasing the robustness of clinical domain models under distributional shifts. The testbed offers one way to track progress in that direction. It also highlights the necessity of adopting evaluation metrics that consider robustness to natural distribution shifts. We plan to expand the corpus by adding more samples and model results. The full paper and the updated benchmark are available at github.com/openlifescience-ai/clift

Socratic questioning is an educational method that allows students to discover answers to complex problems by asking them a series of thoughtful questions. Generation of didactically sound questions is challenging, requiring understanding of the reasoning process involved in the problem. We hypothesize that such questioning strategy can not only enhance the human performance, but also assist the math word problem (MWP) solvers. In this work, we explore the ability of large language models (LMs) in generating sequential questions for guiding math word problem-solving. We propose various guided question generation schemes based on input conditioning and reinforcement learning. On both automatic and human quality evaluations, we find that LMs constrained with desirable question properties generate superior questions and improve the overall performance of a math word problem solver. We conduct a preliminary user study to examine the potential value of such question generation models in the education domain. Results suggest that the difficulty level of problems plays an important role in determining whether questioning improves or hinders human performance. We discuss the future of using such questioning strategies in education.

Emotional Support Conversation (ESC) plays a vital role in alleviating psychological stress and providing emotional value through dialogue. While recent studies have largely focused on data augmentation and synthetic corpus construction, they often overlook the deeper cognitive reasoning processes that underpin effective emotional support. To address this gap, we propose CARE, a novel framework that strengthens reasoning in ESC without relying on large-scale synthetic data. CARE leverages the original ESC training set to guide models in generating logically coherent and supportive responses, thereby explicitly enhancing cognitive reasoning. Building on this foundation, we further employ reinforcement learning to refine and reinforce the reasoning process. Experimental results demonstrate that CARE significantly improves both the logical soundness and supportive quality of responses, advancing the development of empathetic, cognitively robust, and human-like emotional support systems.

Observational studies require adjustment for confounding factors that are correlated with both the treatment and outcome. In the setting where the observed variables are tabular quantities such as average income in a neighborhood, tools have been developed for addressing such confounding. However, in many parts of the developing world, features about local communities may be scarce. In this context, satellite imagery can play an important role, serving as a proxy for the confounding variables otherwise unobserved. In this paper, we study confounder adjustment in this non-tabular setting, where patterns or objects found in satellite images contribute to the confounder bias. Using the evaluation of anti-poverty aid programs in Africa as our running example, we formalize the challenge of performing causal adjustment with such unstructured data -- what conditions are sufficient to identify causal effects, how to perform estimation, and how to quantify the ways in which certain aspects of the unstructured image object are most predictive of the treatment decision. Via simulation, we also explore the sensitivity of satellite image-based observational inference to image resolution and to misspecification of the image-associated confounder. Finally, we apply these tools in estimating the effect of anti-poverty interventions in African communities from satellite imagery.

We propose MMLU-SR, a novel dataset designed to measure the true comprehension abilities of Large Language Models (LLMs) by challenging their performance in question-answering tasks with modified terms. We reasoned that an agent that ``truly'' understands a concept can still evaluate it when key terms are replaced by suitably defined alternate terms, and sought to differentiate such comprehension from mere text replacement. In our study, we modified standardized test questions by replacing a key term with a dummy word along with its definition. The key term could be in the context of questions, answers, or both questions and answers. Notwithstanding the high scores achieved by recent popular LLMs on the MMLU leaderboard, we found a substantial reduction in model performance after such replacement, suggesting poor comprehension. This new benchmark provides a rigorous benchmark for testing true model comprehension, and poses a challenge to the broader scientific community.

We investigate the ability of language models to perform compositional reasoning tasks where the overall solution depends on correctly composing the answers to sub-problems. We measure how often models can correctly answer all sub-problems but not generate the overall solution, a ratio we call the compositionality gap. We evaluate this ratio by asking multi-hop questions with answers that require composing multiple facts unlikely to have been observed together during pretraining. In the GPT-3 family of models, as model size increases we show that the single-hop question answering performance improves faster than the multi-hop performance does, therefore the compositionality gap does not decrease. This surprising result suggests that while more powerful models memorize and recall more factual knowledge, they show no corresponding improvement in their ability to perform this kind of compositional reasoning. We then demonstrate how elicitive prompting (such as chain of thought) narrows the compositionality gap by reasoning explicitly instead of implicitly. We present a new method, self-ask, that further improves on chain of thought. In our method, the model explicitly asks itself (and then answers) follow-up questions before answering the initial question. We finally show that self-ask's structured prompting lets us easily plug in a search engine to answer the follow-up questions, which additionally improves accuracy.

Recent advances in large language models (LLMs), such as OpenAI-o1 and DeepSeek-R1, have demonstrated the effectiveness of test-time scaling, where extended reasoning processes substantially enhance model performance. Despite this, current models are constrained by limitations in handling long texts and reinforcement learning (RL) training efficiency. To address these issues, we propose a simple yet effective test-time scaling approach Multi-round Thinking. This method iteratively refines model reasoning by leveraging previous answers as prompts for subsequent rounds. Extensive experiments across multiple models, including QwQ-32B and DeepSeek-R1, consistently show performance improvements on various benchmarks such as AIME 2024, MATH-500, GPQA-diamond, and LiveCodeBench. For instance, the accuracy of QwQ-32B improved from 80.3% (Round 1) to 82.1% (Round 2) on the AIME 2024 dataset, while DeepSeek-R1 showed a similar increase from 79.7% to 82.0%. These results confirm that Multi-round Thinking is a broadly applicable, straightforward approach to achieving stable enhancements in model performance, underscoring its potential for future developments in test-time scaling techniques. The key prompt: {Original question prompt} The assistant's previous answer is: <answer> {last round answer} </answer>, and please re-answer.

Standard evaluation protocols reveal a counterintuitive phenomenon: on 7.7% of benchmark problems spanning five datasets, larger language models underperform smaller ones by 28.4 percentage points despite 10-100x more parameters. Through systematic evaluation of 31 models (0.5B-405B parameters) across 1,485 problems, we identify the mechanism as spontaneous scale-dependent verbosity that introduces errors through overelaboration. Causal intervention experiments demonstrate this reflects correctable prompt design rather than fundamental capability limitations. Constraining large models to produce brief responses improves accuracy by 26 percentage points and reduces performance gaps by up to two-thirds. Most critically, brevity constraints completely reverse performance hierarchies on mathematical reasoning and scientific knowledge benchmarks, with large models achieving 7.7-15.9 percentage point advantages over small models -- direct inversions of the original gaps. These reversals prove large models possess superior latent capabilities that universal prompting masks. We validate findings through three independent contamination tests and demonstrate inverse scaling operates continuously across the full parameter spectrum, with dataset-specific optimal scales ranging from 0.5B to 3.0B parameters. Our results establish that maximizing large model performance requires scale-aware prompt engineering rather than universal evaluation protocols, with immediate implications for deployment: prompt adaptation simultaneously improves accuracy and reduces computational costs.

Recent research on large language models (LLMs) has primarily focused on their adaptation and application in specialized domains. The application of LLMs in the medical field is mainly concentrated on tasks such as the automation of medical report generation, summarization, diagnostic reasoning, and question-and-answer interactions between doctors and patients. The challenge of becoming a good teacher is more formidable than that of becoming a good student, and this study pioneers the application of LLMs in the field of medical education. In this work, we investigate the extent to which LLMs can generate medical qualification exam questions and corresponding answers based on few-shot prompts. Utilizing a real-world Chinese dataset of elderly chronic diseases, we tasked the LLMs with generating open-ended questions and answers based on a subset of sampled admission reports across eight widely used LLMs, including ERNIE 4, ChatGLM 4, Doubao, Hunyuan, Spark 4, Qwen, Llama 3, and Mistral. Furthermore, we engaged medical experts to manually evaluate these open-ended questions and answers across multiple dimensions. The study found that LLMs, after using few-shot prompts, can effectively mimic real-world medical qualification exam questions, whereas there is room for improvement in the correctness, evidence-based statements, and professionalism of the generated answers. Moreover, LLMs also demonstrate a decent level of ability to correct and rectify reference answers. Given the immense potential of artificial intelligence in the medical field, the task of generating questions and answers for medical qualification exams aimed at medical students, interns and residents can be a significant focus of future research.

Health misinformation spreading online poses a significant threat to public health. Researchers have explored methods for automatically generating counterspeech to health misinformation as a mitigation strategy. Existing approaches often produce uniform responses, ignoring that the health literacy level of the audience could affect the accessibility and effectiveness of counterspeech. We propose a Controlled-Literacy framework using retrieval-augmented generation (RAG) with reinforcement learning (RL) to generate tailored counterspeech adapted to different health literacy levels. In particular, we retrieve knowledge aligned with specific health literacy levels, enabling accessible and factual information to support generation. We design a reward function incorporating subjective user preferences and objective readability-based rewards to optimize counterspeech to the target health literacy level. Experiment results show that Controlled-Literacy outperforms baselines by generating more accessible and user-preferred counterspeech. This research contributes to more equitable and impactful public health communication by improving the accessibility and comprehension of counterspeech to health misinformation

Ensuring truthfulness in large language models remains a critical challenge for reliable text generation. While supervised fine-tuning and reinforcement learning with human feedback have shown promise, they require substantial amount of annotated data and computational resources, limiting scalability. In contrast, decoding-time interventions offer lightweight alternatives without model retraining. However, existing decoding strategies often face issues like prompt sensitivity, limited generalization, or dependence on internal model states. We propose a context-aware adaptive decoding method that leverages a compact reference grounding space, built from as few as 10 annotated examples and comprising pairs of context embeddings and next token logits from truthful responses, to enable retrieval-based logit shaping during inference. At each decoding step, our method retrieves top-N semantically similar contexts and aggregates their associated next token logits to modify the LLM's logits. Across three open-ended question-answering benchmarks, our approach achieves a 2.8 percent average improvement on TruthfulQA and further outperforms existing baselines on both Biographies and WikiQA. Experimental results also demonstrate cross-task generalization, with TruthfulQA-derived grounding enhancing biography generation. Our model-agnostic, scalable, and efficient method requires only a single generation pass, highlighting the potential of context-aware decoding for factual reliability in LLMs.

Existing datasets that contain boolean questions, such as BoolQ and TYDI QA , provide the user with a YES/NO response to the question. However, a one word response is not sufficient for an explainable system. We promote explainability by releasing a new set of annotations marking the evidence in existing TyDi QA and BoolQ datasets. We show that our annotations can be used to train a model that extracts improved evidence spans compared to models that rely on existing resources. We confirm our findings with a user study which shows that our extracted evidence spans enhance the user experience. We also provide further insight into the challenges of answering boolean questions, such as passages containing conflicting YES and NO answers, and varying degrees of relevance of the predicted evidence.

People increasingly seek personal advice from large language models (LLMs), yet whether humans follow their advice, and its consequences for their well-being, remains unknown. In a longitudinal randomised controlled trial with a representative UK sample (N = 2,302), 75% of participants who had a 20-minute discussion with GPT-4o about health, careers or relationships subsequently reported following its advice. Based on autograder evaluations of chat transcripts, LLM advice rarely violated safety best practice. When queried 2-3 weeks later, participants who had interacted with personalised AI (with access to detailed user information) followed its advice more often in the real world and reported higher well-being than those advised by non-personalised AI. However, while receiving personal advice from AI temporarily reduced well-being, no differential long-term effects compared to a control emerged. Our results suggest that humans readily follow LLM advice about personal issues but doing so shows no additional well-being benefit over casual conversations.

The Mental Health Question Answer (MHQA) task requires the seeker and supporter to complete the support process in one-turn dialogue. Given the richness of help-seeker posts, supporters must thoroughly understand the content and provide logical, comprehensive, and well-structured responses. Previous works in MHQA mostly focus on single-agent approaches based on the cognitive element of Cognitive Behavioral Therapy (CBT), but they overlook the interactions among various CBT elements, such as emotion and cognition. This limitation hinders the models' ability to thoroughly understand the distress of help-seekers. To address this, we propose a framework named Multi-Agent Deductive Planning (MADP), which is based on the interactions between the various psychological elements of CBT. This method guides Large Language Models (LLMs) to achieve a deeper understanding of the seeker's context and provide more personalized assistance based on individual circumstances. Furthermore, we construct a new dataset based on the MADP framework and use it to fine-tune LLMs, resulting in a specialized model named MADP-LLM. We conduct extensive experiments, including comparisons with multiple LLMs, human evaluations, and automatic evaluations, to validate the effectiveness of the MADP framework and MADP-LLM.

Current medical question answering systems have difficulty processing long, detailed and informally worded questions submitted by patients, called Consumer Health Questions (CHQs). To address this issue, we introduce a medical question understanding and answering system with knowledge grounding and semantic self-supervision. Our system is a pipeline that first summarizes a long, medical, user-written question, using a supervised summarization loss. Then, our system performs a two-step retrieval to return answers. The system first matches the summarized user question with an FAQ from a trusted medical knowledge base, and then retrieves a fixed number of relevant sentences from the corresponding answer document. In the absence of labels for question matching or answer relevance, we design 3 novel, self-supervised and semantically-guided losses. We evaluate our model against two strong retrieval-based question answering baselines. Evaluators ask their own questions and rate the answers retrieved by our baselines and own system according to their relevance. They find that our system retrieves more relevant answers, while achieving speeds 20 times faster. Our self-supervised losses also help the summarizer achieve higher scores in ROUGE, as well as in human evaluation metrics. We release our code to encourage further research.

Given a question, a language model (LM) implicitly encodes a distribution over possible answers. In practice, post-training procedures for LMs often collapse this distribution onto a single dominant mode. While this is generally not a problem for benchmark-style evaluations that assume one correct answer, many real-world tasks inherently involve multiple valid answers or irreducible uncertainty. Examples include medical diagnosis, ambiguous question answering, and settings with incomplete information. In these cases, we would like LMs to generate multiple plausible hypotheses, ideally with confidence estimates for each one, and without computationally intensive repeated sampling to generate non-modal answers. This paper describes a multi-answer reinforcement learning approach for training LMs to perform distributional reasoning over multiple answers during inference. We modify the RL objective to enable models to explicitly generate multiple candidate answers in a single forward pass, internalizing aspects of inference-time search into the model's generative process. Across question-answering, medical diagnostic, and coding benchmarks, we observe improved diversity, coverage, and set-level calibration scores compared to single answer trained baselines. Models trained with our approach require fewer tokens to generate multiple answers than competing approaches. On coding tasks, they are also substantially more accurate. These results position multi-answer RL as a principled and compute-efficient alternative to inference-time scaling procedures such as best-of-k. Code and more information can be found at https://multi-answer-rl.github.io/.

The present study aims to explore the capabilities of Language Models (LMs) in tackling high-stakes multiple-choice tests, represented here by the Exame Nacional do Ensino M\'edio (ENEM), a multidisciplinary entrance examination widely adopted by Brazilian universities. This exam poses challenging tasks for LMs, since its questions may span into multiple fields of knowledge, requiring understanding of information from diverse domains. For instance, a question may require comprehension of both statistics and biology to be solved. This work analyzed responses generated by GPT-3.5 and GPT-4 models for questions presented in the 2009-2017 exams, as well as for questions of the 2022 exam, which were made public after the training of the models was completed. Furthermore, different prompt strategies were tested, including the use of Chain-of-Thought (CoT) prompts to generate explanations for answers. On the 2022 edition, the best-performing model, GPT-4 with CoT, achieved an accuracy of 87%, largely surpassing GPT-3.5 by 11 points. The code and data used on experiments are available at https://github.com/piresramon/gpt-4-enem.

Large language models (LLMs) have performed well in providing general and extensive health suggestions in single-turn conversations, exemplified by systems such as ChatGPT, ChatGLM, ChatDoctor, DoctorGLM, and etc. However, the limited information provided by users during single turn results in inadequate personalization and targeting of the generated suggestions, which requires users to independently select the useful part. It is mainly caused by the missing ability to engage in multi-turn questioning. In real-world medical consultations, doctors usually employ a series of iterative inquiries to comprehend the patient's condition thoroughly, enabling them to provide effective and personalized suggestions subsequently, which can be defined as chain of questioning (CoQ) for LLMs. To improve the CoQ of LLMs, we propose BianQue, a ChatGLM-based LLM finetuned with the self-constructed health conversation dataset BianQueCorpus that is consist of multiple turns of questioning and health suggestions polished by ChatGPT. Experimental results demonstrate that the proposed BianQue can simultaneously balance the capabilities of both questioning and health suggestions, which will help promote the research and application of LLMs in the field of proactive health.

Today's generative AI systems are tuned to present information by default rather than engage users in service of learning as a human tutor would. To address the wide range of potential education use cases for these systems, we reframe the challenge of injecting pedagogical behavior as one of pedagogical instruction following, where training and evaluation examples include system-level instructions describing the specific pedagogy attributes present or desired in subsequent model turns. This framing avoids committing our models to any particular definition of pedagogy, and instead allows teachers or developers to specify desired model behavior. It also clears a path to improving Gemini models for learning -- by enabling the addition of our pedagogical data to post-training mixtures -- alongside their rapidly expanding set of capabilities. Both represent important changes from our initial tech report. We show how training with pedagogical instruction following produces a LearnLM model (available on Google AI Studio) that is preferred substantially by expert raters across a diverse set of learning scenarios, with average preference strengths of 31\% over GPT-4o, 11\% over Claude 3.5, and 13\% over the Gemini 1.5 Pro model LearnLM was based on.

We address whether neural models for Natural Language Inference (NLI) can learn the compositional interactions between lexical entailment and negation, using four methods: the behavioral evaluation methods of (1) challenge test sets and (2) systematic generalization tasks, and the structural evaluation methods of (3) probes and (4) interventions. To facilitate this holistic evaluation, we present Monotonicity NLI (MoNLI), a new naturalistic dataset focused on lexical entailment and negation. In our behavioral evaluations, we find that models trained on general-purpose NLI datasets fail systematically on MoNLI examples containing negation, but that MoNLI fine-tuning addresses this failure. In our structural evaluations, we look for evidence that our top-performing BERT-based model has learned to implement the monotonicity algorithm behind MoNLI. Probes yield evidence consistent with this conclusion, and our intervention experiments bolster this, showing that the causal dynamics of the model mirror the causal dynamics of this algorithm on subsets of MoNLI. This suggests that the BERT model at least partially embeds a theory of lexical entailment and negation at an algorithmic level.

In order for large language model (LLM)-based assistants to effectively adapt to evolving information needs, it must be possible to update their factual knowledge through continued training on new data. The standard recipe for doing so involves continued pre-training on new documents followed by instruction-tuning on question-answer (QA) pairs. However, we find that LLMs trained with this recipe struggle to answer questions, even though the perplexity of documents is minimized. We found that QA pairs are generally straightforward, while documents are more complex, weaving many factual statements together in an intricate manner. Therefore, we hypothesize that it is beneficial to expose LLMs to QA pairs before continued pre-training on documents so that the process of encoding knowledge from complex documents takes into account how this knowledge is accessed through questions. Based on this, we propose pre-instruction-tuning (PIT), a method that instruction-tunes on questions prior to training on documents. This contrasts with standard instruction-tuning, which learns how to extract knowledge after training on documents. Extensive experiments and ablation studies demonstrate that PIT significantly enhances the ability of LLMs to absorb knowledge from new documents, outperforming standard instruction-tuning by 17.8%.

Concept bottleneck models (CBMs) are a class of interpretable neural network models that predict the target response of a given input based on its high-level concepts. Unlike the standard end-to-end models, CBMs enable domain experts to intervene on the predicted concepts and rectify any mistakes at test time, so that more accurate task predictions can be made at the end. While such intervenability provides a powerful avenue of control, many aspects of the intervention procedure remain rather unexplored. In this work, we develop various ways of selecting intervening concepts to improve the intervention effectiveness and conduct an array of in-depth analyses as to how they evolve under different circumstances. Specifically, we find that an informed intervention strategy can reduce the task error more than ten times compared to the current baseline under the same amount of intervention counts in realistic settings, and yet, this can vary quite significantly when taking into account different intervention granularity. We verify our findings through comprehensive evaluations, not only on the standard real datasets, but also on synthetic datasets that we generate based on a set of different causal graphs. We further discover some major pitfalls of the current practices which, without a proper addressing, raise concerns on reliability and fairness of the intervention procedure.

Instruction-following is crucial for building AI agents with large language models (LLMs), as these models must adhere strictly to user-provided constraints and guidelines. However, LLMs often fail to follow even simple and clear instructions. To improve instruction-following behavior and prevent undesirable outputs, a deeper understanding of how LLMs' internal states relate to these outcomes is required. Our analysis of LLM internal states reveal a dimension in the input embedding space linked to successful instruction-following. We demonstrate that modifying representations along this dimension improves instruction-following success rates compared to random changes, without compromising response quality. Further investigation reveals that this dimension is more closely related to the phrasing of prompts rather than the inherent difficulty of the task or instructions. This discovery also suggests explanations for why LLMs sometimes fail to follow clear instructions and why prompt engineering is often effective, even when the content remains largely unchanged. This work provides insight into the internal workings of LLMs' instruction-following, paving the way for reliable LLM agents.

Emotional support dialogue systems aim to reduce help-seekers' distress and help them overcome challenges. While human valuesx2013core beliefs that shape an individual's prioritiesx2013are increasingly emphasized in contemporary psychological therapy for their role in fostering internal transformation and long-term emotional well-being, their integration into emotional support systems remains underexplored. To bridge this gap, we present a value-driven method for training emotional support dialogue systems designed to reinforce positive values in seekers. Notably, our model identifies which values to reinforce at each turn and how to do so, by leveraging online support conversations from Reddit. We evaluate the method across support skills, seekers' emotional intensity, and value reinforcement. Our method consistently outperforms various baselines, effectively exploring and eliciting values from seekers. Additionally, leveraging crowd knowledge from Reddit significantly enhances its effectiveness. Therapists highlighted its ability to validate seekers' challenges and emphasize positive aspects of their situationsx2013both crucial elements of value reinforcement. Our work, being the first to integrate value reinforcement into emotional support systems, demonstrates its promise and establishes a foundation for future research.

In this paper we present AnswerCarefully, a dataset for promoting the safety and appropriateness of Japanese LLM outputs. The dataset consists of 1,800 pairs of questions and reference answers, where the questions require special attention in answering. It covers a wide range of risk categories established in prior English-language datasets, but the data samples are original in that they are manually created to reflect the socio-cultural context of LLM usage in Japan. We show that using this dataset for instruction to fine-tune a Japanese LLM led to improved output safety without compromising the utility of general responses. We also report the results of a safety evaluation of 12 Japanese LLMs using this dataset as a benchmark. Finally, we describe the latest update on the dataset which provides English translations and annotations of the questions, aimed at facilitating the derivation of similar datasets in different languages and regions.

We introduce a multi-stage prompting approach (MSP) for the generation of multiple choice questions (MCQs), harnessing the capabilities of GPT models such as text-davinci-003 and GPT-4, renowned for their excellence across various NLP tasks. Our approach incorporates the innovative concept of chain-of-thought prompting, a progressive technique in which the GPT model is provided with a series of interconnected cues to guide the MCQ generation process. Automated evaluations consistently demonstrate the superiority of our proposed MSP method over the traditional single-stage prompting (SSP) baseline, resulting in the production of high-quality distractors. Furthermore, the one-shot MSP technique enhances automatic evaluation results, contributing to improved distractor generation in multiple languages, including English, German, Bengali, and Hindi. In human evaluations, questions generated using our approach exhibit superior levels of grammaticality, answerability, and difficulty, highlighting its efficacy in various languages.

Multi-turn interactions with large language models typically retain the assistant's own past responses in the conversation history. In this work, we revisit this design choice by asking whether large language models benefit from conditioning on their own prior responses. Using in-the-wild, multi-turn conversations, we compare standard (full-context) prompting with a user-turn-only prompting approach that omits all previous assistant responses, across three open reasoning models and one state-of-the-art model. To our surprise, we find that removing prior assistant responses does not affect response quality on a large fraction of turns. Omitting assistant-side history can reduce cumulative context lengths by up to 10x. To explain this result, we find that multi-turn conversations consist of a substantial proportion (36.4%) of self-contained prompts, and that many follow-up prompts provide sufficient instruction to be answered using only the current user turn and prior user turns. When analyzing cases where user-turn-only prompting substantially outperforms full context, we identify instances of context pollution, in which models over-condition on their previous responses, introducing errors, hallucinations, or stylistic artifacts that propagate across turns. Motivated by these findings, we design a context-filtering approach that selectively omits assistant-side context. Our findings suggest that selectively omitting assistant history can improve response quality while reducing memory consumption.

Observational studies of causal effects require adjustment for confounding factors. In the tabular setting, where these factors are well-defined, separate random variables, the effect of confounding is well understood. However, in public policy, ecology, and in medicine, decisions are often made in non-tabular settings, informed by patterns or objects detected in images (e.g., maps, satellite or tomography imagery). Using such imagery for causal inference presents an opportunity because objects in the image may be related to the treatment and outcome of interest. In these cases, we rely on the images to adjust for confounding but observed data do not directly label the existence of the important objects. Motivated by real-world applications, we formalize this challenge, how it can be handled, and what conditions are sufficient to identify and estimate causal effects. We analyze finite-sample performance using simulation experiments, estimating effects using a propensity adjustment algorithm that employs a machine learning model to estimate the image confounding. Our experiments also examine sensitivity to misspecification of the image pattern mechanism. Finally, we use our methodology to estimate the effects of policy interventions on poverty in African communities from satellite imagery.

The proliferation of Large Language Models (LLMs) in medicine has enabled impressive capabilities, yet a critical gap remains in their ability to perform systematic, transparent, and verifiable reasoning, a cornerstone of clinical practice. This has catalyzed a shift from single-step answer generation to the development of LLMs explicitly designed for medical reasoning. This paper provides the first systematic review of this emerging field. We propose a taxonomy of reasoning enhancement techniques, categorized into training-time strategies (e.g., supervised fine-tuning, reinforcement learning) and test-time mechanisms (e.g., prompt engineering, multi-agent systems). We analyze how these techniques are applied across different data modalities (text, image, code) and in key clinical applications such as diagnosis, education, and treatment planning. Furthermore, we survey the evolution of evaluation benchmarks from simple accuracy metrics to sophisticated assessments of reasoning quality and visual interpretability. Based on an analysis of 60 seminal studies from 2022-2025, we conclude by identifying critical challenges, including the faithfulness-plausibility gap and the need for native multimodal reasoning, and outlining future directions toward building efficient, robust, and sociotechnically responsible medical AI.

Objectives: While Large Language Models (LLMs) have been widely used to assist clinicians and support patients, no existing work has explored dialogue systems for standard diagnostic interviews and assessments. This study aims to bridge the gap in mental healthcare accessibility by developing an LLM-powered dialogue system that replicates clinician behavior. Materials and Methods: We introduce TRUST, a framework of cooperative LLM modules capable of conducting formal diagnostic interviews and assessments for Post-Traumatic Stress Disorder (PTSD). To guide the generation of appropriate clinical responses, we propose a Dialogue Acts schema specifically designed for clinical interviews. Additionally, we develop a patient simulation approach based on real-life interview transcripts to replace time-consuming and costly manual testing by clinicians. Results: A comprehensive set of evaluation metrics is designed to assess the dialogue system from both the agent and patient simulation perspectives. Expert evaluations by conversation and clinical specialists show that TRUST performs comparably to real-life clinical interviews. Discussion: Our system performs at the level of average clinicians, with room for future enhancements in communication styles and response appropriateness. Conclusions: Our TRUST framework shows its potential to facilitate mental healthcare availability.

Global healthcare providers are exploring use of large language models (LLMs) to provide medical advice to the public. LLMs now achieve nearly perfect scores on medical licensing exams, but this does not necessarily translate to accurate performance in real-world settings. We tested if LLMs can assist members of the public in identifying underlying conditions and choosing a course of action (disposition) in ten medical scenarios in a controlled study with 1,298 participants. Participants were randomly assigned to receive assistance from an LLM (GPT-4o, Llama 3, Command R+) or a source of their choice (control). Tested alone, LLMs complete the scenarios accurately, correctly identifying conditions in 94.9% of cases and disposition in 56.3% on average. However, participants using the same LLMs identified relevant conditions in less than 34.5% of cases and disposition in less than 44.2%, both no better than the control group. We identify user interactions as a challenge to the deployment of LLMs for medical advice. Standard benchmarks for medical knowledge and simulated patient interactions do not predict the failures we find with human participants. Moving forward, we recommend systematic human user testing to evaluate interactive capabilities prior to public deployments in healthcare.

Providing high quality explanations for AI predictions based on machine learning is a challenging and complex task. To work well it requires, among other factors: selecting a proper level of generality/specificity of the explanation; considering assumptions about the familiarity of the explanation beneficiary with the AI task under consideration; referring to specific elements that have contributed to the decision; making use of additional knowledge (e.g. expert evidence) which might not be part of the prediction process; and providing evidence supporting negative hypothesis. Finally, the system needs to formulate the explanation in a clearly interpretable, and possibly convincing, way. Given these considerations, ANTIDOTE fosters an integrated vision of explainable AI, where low-level characteristics of the deep learning process are combined with higher level schemes proper of the human argumentation capacity. ANTIDOTE will exploit cross-disciplinary competences in deep learning and argumentation to support a broader and innovative view of explainable AI, where the need for high-quality explanations for clinical cases deliberation is critical. As a first result of the project, we publish the Antidote CasiMedicos dataset to facilitate research on explainable AI in general, and argumentation in the medical domain in particular.