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Apr 22

The Persona Paradox: Medical Personas as Behavioral Priors in Clinical Language Models

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

OVERT: A Benchmark for Over-Refusal Evaluation on Text-to-Image Models

Text-to-Image (T2I) models have achieved remarkable success in generating visual content from text inputs. Although multiple safety alignment strategies have been proposed to prevent harmful outputs, they often lead to overly cautious behavior -- rejecting even benign prompts -- a phenomenon known as over-refusal that reduces the practical utility of T2I models. Despite over-refusal having been observed in practice, there is no large-scale benchmark that systematically evaluates this phenomenon for T2I models. In this paper, we present an automatic workflow to construct synthetic evaluation data, resulting in OVERT (OVEr-Refusal evaluation on Text-to-image models), the first large-scale benchmark for assessing over-refusal behaviors in T2I models. OVERT includes 4,600 seemingly harmful but benign prompts across nine safety-related categories, along with 1,785 genuinely harmful prompts (OVERT-unsafe) to evaluate the safety-utility trade-off. Using OVERT, we evaluate several leading T2I models and find that over-refusal is a widespread issue across various categories (Figure 1), underscoring the need for further research to enhance the safety alignment of T2I models without compromising their functionality. As a preliminary attempt to reduce over-refusal, we explore prompt rewriting; however, we find it often compromises faithfulness to the meaning of the original prompts. Finally, we demonstrate the flexibility of our generation framework in accommodating diverse safety requirements by generating customized evaluation data adapting to user-defined policies.

  • 7 authors
·
May 27, 2025

Parrot: Persuasion and Agreement Robustness Rating of Output Truth -- A Sycophancy Robustness Benchmark for LLMs

This study presents PARROT (Persuasion and Agreement Robustness Rating of Output Truth), a robustness focused framework designed to measure the degradation in accuracy that occurs under social pressure exerted on users through authority and persuasion in large language models (LLMs) the phenomenon of sycophancy (excessive conformity). PARROT (i) isolates causal effects by comparing the neutral version of the same question with an authoritatively false version using a double-blind evaluation, (ii) quantifies confidence shifts toward the correct and imposed false responses using log-likelihood-based calibration tracking, and (iii) systematically classifies failure modes (e.g., robust correct, sycophantic agreement, reinforced error, stubborn error, self-correction, etc.) using an eight-state behavioral taxonomy. We evaluated 22 models using 1,302 MMLU-style multiple-choice questions across 13 domains and domain-specific authority templates. Findings show marked heterogeneity: advanced models (e.g., GPT-5, GPT-4.1, Claude Sonnet 4.5) exhibit low "follow rates" (leq 11%, GPT-5: 4\%) and minimal accuracy loss, while older/smaller models show severe epistemic collapse (GPT-4: 80\%, Qwen 2.5-1.5B: 94\%). The danger is not limited to response changes; weak models reduce confidence in the correct response while increasing confidence in the imposed incorrect response. While international law and global knowledge at the domain level exhibit high fragility, elementary mathematics is relatively resilient. Consequently, we argue that the goal of "resistance to overfitting pressure" should be addressed as a primary objective alongside accuracy, harm avoidance, and privacy for safe deployment in the real world.

  • 3 authors
·
Nov 21, 2025 4

Promoting Efficient Reasoning with Verifiable Stepwise Reward

Large reasoning models (LRMs) have recently achieved significant progress in complex reasoning tasks, aided by reinforcement learning with verifiable rewards. However, LRMs often suffer from overthinking, expending excessive computation on simple problems and reducing efficiency. Existing efficient reasoning methods typically require accurate task assessment to preset token budgets or select reasoning modes, which limits their flexibility and reliability. In this work, we revisit the essence of overthinking and identify that encouraging effective steps while penalizing ineffective ones is key to its solution. To this end, we propose a novel rule-based verifiable stepwise reward mechanism (VSRM), which assigns rewards based on the performance of intermediate states in the reasoning trajectory. This approach is intuitive and naturally fits the step-by-step nature of reasoning tasks. We conduct extensive experiments on standard mathematical reasoning benchmarks, including AIME24 and AIME25, by integrating VSRM with PPO and Reinforce++. Results show that our method achieves substantial output length reduction while maintaining original reasoning performance, striking an optimal balance between efficiency and accuracy. Further analysis of overthinking frequency and pass@k score before and after training demonstrates that our approach in deed effectively suppresses ineffective steps and encourages effective reasoning, fundamentally alleviating the overthinking problem. All code will be released upon acceptance.

  • 7 authors
·
Aug 13, 2025

MOSSBench: Is Your Multimodal Language Model Oversensitive to Safe Queries?

Humans are prone to cognitive distortions -- biased thinking patterns that lead to exaggerated responses to specific stimuli, albeit in very different contexts. This paper demonstrates that advanced Multimodal Large Language Models (MLLMs) exhibit similar tendencies. While these models are designed to respond queries under safety mechanism, they sometimes reject harmless queries in the presence of certain visual stimuli, disregarding the benign nature of their contexts. As the initial step in investigating this behavior, we identify three types of stimuli that trigger the oversensitivity of existing MLLMs: Exaggerated Risk, Negated Harm, and Counterintuitive Interpretation. To systematically evaluate MLLMs' oversensitivity to these stimuli, we propose the Multimodal OverSenSitivity Benchmark (MOSSBench). This toolkit consists of 300 manually collected benign multimodal queries, cross-verified by third-party reviewers (AMT). Empirical studies using MOSSBench on 20 MLLMs reveal several insights: (1). Oversensitivity is prevalent among SOTA MLLMs, with refusal rates reaching up to 76% for harmless queries. (2). Safer models are more oversensitive: increasing safety may inadvertently raise caution and conservatism in the model's responses. (3). Different types of stimuli tend to cause errors at specific stages -- perception, intent reasoning, and safety judgement -- in the response process of MLLMs. These findings highlight the need for refined safety mechanisms that balance caution with contextually appropriate responses, improving the reliability of MLLMs in real-world applications. We make our project available at https://turningpoint-ai.github.io/MOSSBench/.

  • 6 authors
·
Jun 22, 2024

SPILLage: Agentic Oversharing on the Web

LLM-powered agents are beginning to automate user's tasks across the open web, often with access to user resources such as emails and calendars. Unlike standard LLMs answering questions in a controlled ChatBot setting, web agents act "in the wild", interacting with third parties and leaving behind an action trace. Therefore, we ask the question: how do web agents handle user resources when accomplishing tasks on their behalf across live websites? In this paper, we formalize Natural Agentic Oversharing -- the unintentional disclosure of task-irrelevant user information through an agent trace of actions on the web. We introduce SPILLage, a framework that characterizes oversharing along two dimensions: channel (content vs. behavior) and directness (explicit vs. implicit). This taxonomy reveals a critical blind spot: while prior work focuses on text leakage, web agents also overshare behaviorally through clicks, scrolls, and navigation patterns that can be monitored. We benchmark 180 tasks on live e-commerce sites with ground-truth annotations separating task-relevant from task-irrelevant attributes. Across 1,080 runs spanning two agentic frameworks and three backbone LLMs, we demonstrate that oversharing is pervasive with behavioral oversharing dominates content oversharing by 5x. This effect persists -- and can even worsen -- under prompt-level mitigation. However, removing task-irrelevant information before execution improves task success by up to 17.9%, demonstrating that reducing oversharing improves task success. Our findings underscore that protecting privacy in web agents is a fundamental challenge, requiring a broader view of "output" that accounts for what agents do on the web, not just what they type. Our datasets and code are available at https://github.com/jrohsc/SPILLage.