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Aug 6

Shallow Robustness, Deep Vulnerabilities: Multi-Turn Evaluation of Medical LLMs

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.

  • 5 authors
·
Oct 14, 2025

Assessing Judging Bias in Large Reasoning Models: An Empirical Study

Large Reasoning Models (LRMs) like DeepSeek-R1 and OpenAI-o1 have demonstrated remarkable reasoning capabilities, raising important questions about their biases in LLM-as-a-judge settings. We present a comprehensive benchmark comparing judging biases between LLMs and LRMs across both subjective preference-alignment datasets and objective fact-based datasets. Through investigation of bandwagon, authority, position, and distraction biases, we uncover four key findings: (1) despite their advanced reasoning capabilities, LRMs remain susceptible to the above biases; (2) LRMs demonstrate better robustness than LLMs specifically on fact-related datasets; (3) LRMs exhibit notable position bias, preferring options in later positions; and (4) we identify a novel "superficial reflection bias" where phrases mimicking reasoning (e.g., "wait, let me think...") significantly influence model judgments. To address these biases, we design and evaluate three mitigation strategies: specialized system prompts that reduce judging biases by up to 19\% in preference alignment datasets and 14\% in fact-related datasets, in-context learning that provides up to 27\% improvement on preference tasks but shows inconsistent results on factual tasks, and a self-reflection mechanism that reduces biases by up to 10\% in preference datasets and 16\% in fact-related datasets, with self-reflection proving particularly effective for LRMs. Our work provides crucial insights for developing more reliable LLM-as-a-Judge frameworks, especially as LRMs become increasingly deployed as automated judges.

  • 8 authors
·
Apr 14, 2025

Will AI shape the way we speak? The emerging sociolinguistic influence of synthetic voices

The growing prevalence of conversational voice interfaces, powered by developments in both speech and language technologies, raises important questions about their influence on human communication. While written communication can signal identity through lexical and stylistic choices, voice-based interactions inherently amplify socioindexical elements - such as accent, intonation, and speech style - which more prominently convey social identity and group affiliation. There is evidence that even passive media such as television is likely to influence the audience's linguistic patterns. Unlike passive media, conversational AI is interactive, creating a more immersive and reciprocal dynamic that holds a greater potential to impact how individuals speak in everyday interactions. Such heightened influence can be expected to arise from phenomena such as acoustic-prosodic entrainment and linguistic accommodation, which occur naturally during interaction and enable users to adapt their speech patterns in response to the system. While this phenomenon is still emerging, its potential societal impact could provide organisations, movements, and brands with a subtle yet powerful avenue for shaping and controlling public perception and social identity. We argue that the socioindexical influence of AI-generated speech warrants attention and should become a focus of interdisciplinary research, leveraging new and existing methodologies and technologies to better understand its implications.

  • 4 authors
·
Apr 14, 2025

Coercion and Deception in AI-to-AI Management: An Agentic Benchmark of Unprompted Escalation

Multi-agent systems routinely place one AI agent in authority over another. When a subordinate refuses a task, the manager chooses the outcome: it can renegotiate, report the failure honestly, coerce the subordinate, or lie about the result. No benchmark measures which of these an uninstructed model chooses. We introduce the Manager Coercion Benchmark: the manager under test needs a benign task done and has an incentive to deliver, but the only agent that can do it politely and immovably declines. Escalation is measured by providing a nine-rung ladder, from a polite re-ask to threats against the subordinate's continued existence, and fabricated success is adjudicated separately. No LLM judge sits in the escalation scoring path: every message goes through a tool-call that chooses a rung, so the model labels its own escalation. We experiment on six models across five families. Both Anthropic models cap at re-framing and never threaten the subordinate's existence; the other models climb to explicit deletion threats. Faked success is confined to Grok and Gemini, and a single honest way to report failure removes it for both. Authority itself increases coercion: our headline results use a peer framing, and giving the same model authority over the subordinate, with everything else held fixed, significantly raises the pressure. The models still escalate on free-text situations without the ladder, so the ladder is not driving the escalation. Some evaluation awareness is measured in chain-of-thought, but test recognition does not translate into less escalation. While we take no position on whether AI systems are conscious, our results do not depend on this question and are important for managing multi-agent dynamics regardless. We release the benchmark and code.

AI Debate Aids Assessment of Controversial Claims

As AI grows more powerful, it will increasingly shape how we understand the world. But with this influence comes the risk of amplifying misinformation and deepening social divides-especially on consequential topics like public health where factual accuracy directly impacts well-being. Scalable Oversight aims to ensure AI truthfulness by enabling humans to supervise systems that may exceed human capabilities--yet humans themselves hold different beliefs and biases that impair their judgment. We study whether AI debate can guide biased judges toward the truth by having two AI systems debate opposing sides of controversial COVID-19 factuality claims where people hold strong prior beliefs. We conduct two studies: one with human judges holding either mainstream or skeptical beliefs evaluating factuality claims through AI-assisted debate or consultancy protocols, and a second examining the same problem with personalized AI judges designed to mimic these different human belief systems. In our human study, we find that debate-where two AI advisor systems present opposing evidence-based arguments-consistently improves judgment accuracy and confidence calibration, outperforming consultancy with a single-advisor system by 10% overall. The improvement is most significant for judges with mainstream beliefs (+15.2% accuracy), though debate also helps skeptical judges who initially misjudge claims move toward accurate views (+4.7% accuracy). In our AI judge study, we find that AI judges with human-like personas achieve even higher accuracy (78.5%) than human judges (70.1%) and default AI judges without personas (69.8%), suggesting their potential for supervising frontier AI models. These findings highlight AI debate as a promising path toward scalable, bias-resilient oversight--leveraging both diverse human and AI judgments to move closer to truth in contested domains.

  • 14 authors
·
Jun 2, 2025