Daily Papers

Supervised Fine-Tuning (SFT) Large Language Models (LLM) fundamentally rely on high-quality training data. While data selection and data synthesis are two common strategies to improve data quality, existing approaches often face limitations in static dataset curation that fail to adapt to evolving model capabilities. In this paper, we introduce Middo, a self-evolving Model-informed dynamic data optimization framework that uses model-aware data selection and context-preserving data refinement. Unlike conventional one-off filtering/synthesis methods, our framework establishes a closed-loop optimization system: (1) A self-referential diagnostic module proactively identifies suboptimal samples through tri-axial model signals - loss patterns (complexity), embedding cluster dynamics (diversity), and self-alignment scores (quality); (2) An adaptive optimization engine then transforms suboptimal samples into pedagogically valuable training points while preserving semantic integrity; (3) This optimization process continuously evolves with model capability through dynamic learning principles. Experiments on multiple benchmarks demonstrate that our \method consistently enhances the quality of seed data and boosts LLM's performance with improving accuracy by 7.15% on average while maintaining the original dataset scale. This work establishes a new paradigm for sustainable LLM training through dynamic human-AI co-evolution of data and models. Our datasets, models, and code are coming soon.

Clinical diagnosis is critical in medical practice, typically requiring a continuous and evolving process that includes primary diagnosis, differential diagnosis, and final diagnosis. However, most existing clinical diagnostic tasks are single-step processes, which does not align with the complex multi-step diagnostic procedures found in real-world clinical settings. In this paper, we propose a multi-step diagnostic task and annotate a clinical diagnostic dataset (MSDiagnosis). This dataset includes primary diagnosis, differential diagnosis, and final diagnosis questions. Additionally, we propose a novel and effective framework. This framework combines forward inference, backward inference, reflection, and refinement, enabling the LLM to self-evaluate and adjust its diagnostic results. To assess the effectiveness of our proposed method, we design and conduct extensive experiments. The experimental results demonstrate the effectiveness of the proposed method. We also provide a comprehensive experimental analysis and suggest future research directions for this task.

We investigate how self-referential inputs alter the internal matrix dynamics of large language models. Measuring 106 scalar metrics across up to 7 analysis passes on four models from three architecture families -- Qwen3-VL-8B, Llama-3.2-11B, Llama-3.3-70B, and Gemma-2-9B -- over 300 prompts in a 14-level hierarchy at three temperatures (T in {0.0, 0.3, 0.7}), we find that self-reference alone is not destabilizing: grounded self-referential statements and meta-cognitive prompts are markedly more stable than paradoxical self-reference on key collapse-related metrics, and on several such metrics can be as stable as factual controls. Instability concentrates in prompts inducing non-closing truth recursion (NCTR) -- truth-value computations with no finite-depth resolution. NCTR prompts produce anomalously elevated attention effective rank -- indicating attention reorganization with global dispersion rather than simple concentration collapse -- and key metrics reach Cohen's d = 3.14 (attention effective rank) to 3.52 (variance kurtosis) vs. stable self-reference in the 70B model; 281/397 metric-model combinations differentiate NCTR from stable self-reference after FDR correction (q < 0.05), 198 with |d| > 0.8. Per-layer SVD confirms disruption at every sampled layer (d > +1.0 in all three models analyzed), ruling out aggregation artifacts. A classifier achieves AUC 0.81-0.90; 30 minimal pairs yield 42/387 significant combinations; 43/106 metrics replicate across all four models. We connect these observations to three classical matrix-semigroup problems and propose, as a conjecture, that NCTR forces finite-depth transformers toward dynamical regimes where these problems concentrate. NCTR prompts also produce elevated contradictory output (+34-56 percentage points vs. controls), suggesting practical relevance for understanding self-referential failure modes.

Despite the impressive performance of large language models (LLMs), the process of endowing them with new capabilities--such as mathematical reasoning--remains largely empirical and opaque. A critical open question is whether reasoning abilities stem from the entire model, specific modules, or are merely artifacts of overfitting. In this work, we hypothesize that the reasoning capabilities in well-trained LLMs are primarily attributed to the output projection module (oproj) in the Transformer's multi-head self-attention (MHSA) mechanism. To support this hypothesis, we introduce Stethoscope for Networks (SfN), a suite of diagnostic tools designed to probe and analyze the internal behaviors of LLMs. Using SfN, we provide both circumstantial and empirical evidence suggesting that oproj plays a central role in enabling reasoning, whereas other modules contribute more to fluent dialogue. These findings offer a new perspective on LLM interpretability and open avenues for more targeted training strategies, potentially enabling more efficient and specialized LLMs.

True self-evolution requires agents to act as lifelong learners that internalize novel experiences to solve future problems. However, rigorously measuring this foundational capability is hindered by two obstacles: the entanglement of prior knowledge, where ``new'' knowledge may appear in pre-training data, and the entanglement of reasoning complexity, where failures may stem from problem difficulty rather than an inability to recall learned knowledge. We introduce SE-Bench, a diagnostic environment that obfuscates the NumPy library and its API doc into a pseudo-novel package with randomized identifiers. Agents are trained to internalize this package and evaluated on simple coding tasks without access to documentation, yielding a clean setting where tasks are trivial with the new API doc but impossible for base models without it. Our investigation reveals three insights: (1) the Open-Book Paradox, where training with reference documentation inhibits retention, requiring "Closed-Book Training" to force knowledge compression into weights; (2) the RL Gap, where standard RL fails to internalize new knowledge completely due to PPO clipping and negative gradients; and (3) the viability of Self-Play for internalization, proving models can learn from self-generated, noisy tasks when coupled with SFT, but not RL. Overall, SE-Bench establishes a rigorous diagnostic platform for self-evolution with knowledge internalization. Our code and dataset can be found at https://github.com/thunlp/SE-Bench.

Traditionally, AI research in medical diagnosis has largely centered on image analysis. While this has led to notable advancements, the absence of patient-reported symptoms continues to hinder diagnostic accuracy. To address this, we propose a Pre-Consultation Dialogue Framework (PCDF) that mimics real-world diagnostic procedures, where doctors iteratively query patients before reaching a conclusion. Specifically, we simulate diagnostic dialogues between two vision-language models (VLMs): a DocVLM, which generates follow-up questions based on the image and dialogue history, and a PatientVLM, which responds using a symptom profile derived from the ground-truth diagnosis. We additionally conducted a small-scale clinical validation of the synthetic symptoms generated by our framework, with licensed clinicians confirming their clinical relevance, symptom coverage, and overall realism. These findings indicate that the resulting DocVLM-PatientVLM interactions form coherent, multi-turn consultations paired with images and diagnoses, which we then use to fine-tune the DocVLM. This dialogue-based supervision leads to substantial gains over image-only training, highlighting the value of realistic symptom elicitation for diagnosis.

Large language models (LLMs) are expected to respond accurately but often exhibit deficient reasoning or generate hallucinatory content. To address these, studies prefixed with ``Self-'' such as Self-Consistency, Self-Improve, and Self-Refine have been initiated. They share a commonality: involving LLMs evaluating and updating itself to mitigate the issues. Nonetheless, these efforts lack a unified perspective on summarization, as existing surveys predominantly focus on categorization without examining the motivations behind these works. In this paper, we summarize a theoretical framework, termed Internal Consistency, which offers unified explanations for phenomena such as the lack of reasoning and the presence of hallucinations. Internal Consistency assesses the coherence among LLMs' latent layer, decoding layer, and response layer based on sampling methodologies. Expanding upon the Internal Consistency framework, we introduce a streamlined yet effective theoretical framework capable of mining Internal Consistency, named Self-Feedback. The Self-Feedback framework consists of two modules: Self-Evaluation and Self-Update. This framework has been employed in numerous studies. We systematically classify these studies by tasks and lines of work; summarize relevant evaluation methods and benchmarks; and delve into the concern, ``Does Self-Feedback Really Work?'' We propose several critical viewpoints, including the ``Hourglass Evolution of Internal Consistency'', ``Consistency Is (Almost) Correctness'' hypothesis, and ``The Paradox of Latent and Explicit Reasoning''. Furthermore, we outline promising directions for future research. We have open-sourced the experimental code, reference list, and statistical data, available at https://github.com/IAAR-Shanghai/ICSFSurvey.

The emergence of groundbreaking large language models capable of performing complex reasoning tasks holds significant promise for addressing various scientific challenges, including those arising in complex clinical scenarios. To enable their safe and effective deployment in real-world healthcare settings, it is urgently necessary to benchmark the diagnostic capabilities of current models systematically. Given the limitations of existing medical benchmarks in evaluating advanced diagnostic reasoning, we present DiagnosisArena, a comprehensive and challenging benchmark designed to rigorously assess professional-level diagnostic competence. DiagnosisArena consists of 1,113 pairs of segmented patient cases and corresponding diagnoses, spanning 28 medical specialties, deriving from clinical case reports published in 10 top-tier medical journals. The benchmark is developed through a meticulous construction pipeline, involving multiple rounds of screening and review by both AI systems and human experts, with thorough checks conducted to prevent data leakage. Our study reveals that even the most advanced reasoning models, o3-mini, o1, and DeepSeek-R1, achieve only 45.82%, 31.09%, and 17.79% accuracy, respectively. This finding highlights a significant generalization bottleneck in current large language models when faced with clinical diagnostic reasoning challenges. Through DiagnosisArena, we aim to drive further advancements in AIs diagnostic reasoning capabilities, enabling more effective solutions for real-world clinical diagnostic challenges. We provide the benchmark and evaluation tools for further research and development https://github.com/SPIRAL-MED/DiagnosisArena.

Can large language models (LLMs) implement computations of psychopathology? An effective approach to the question hinges on addressing two factors. First, for conceptual validity, we require a general and computational account of psychopathology that is applicable to computational entities without biological embodiment or subjective experience. Second, mechanisms underlying LLM behaviors need to be studied for better methodological validity. Thus, we establish a computational-theoretical framework to provide an account of psychopathology applicable to LLMs. To ground the theory for empirical analysis, we also propose a novel mechanistic interpretability method alongside a tailored empirical analytic framework. Based on the frameworks, we conduct experiments demonstrating three key claims: first, that distinct dysfunctional and problematic representational states are implemented in LLMs; second, that their activations can spread and self-sustain to trap LLMs; and third, that dynamic, cyclic structural causal models encoded in the LLMs underpin these patterns. In concert, the empirical results corroborate our hypothesis that network-theoretic computations of psychopathology have already emerged in LLMs. This suggests that certain LLM behaviors mirroring psychopathology may not be a superficial mimicry but a feature of their internal processing. Thus, our work alludes to the possibility of AI systems with psychopathological behaviors in the near future.

When trained on large, unfiltered crawls from the internet, language models pick up and reproduce all kinds of undesirable biases that can be found in the data: they often generate racist, sexist, violent or otherwise toxic language. As large models require millions of training examples to achieve good performance, it is difficult to completely prevent them from being exposed to such content. In this paper, we first demonstrate a surprising finding: pretrained language models recognize, to a considerable degree, their undesirable biases and the toxicity of the content they produce. We refer to this capability as self-diagnosis. Based on this finding, we then propose a decoding algorithm that, given only a textual description of the undesired behavior, reduces the probability of a language model producing problematic text. We refer to this approach as self-debiasing. Self-debiasing does not rely on manually curated word lists, nor does it require any training data or changes to the model's parameters. While we by no means eliminate the issue of language models generating biased text, we believe our approach to be an important step in this direction.

Mental health is a critical issue in modern society, and mental disorders could sometimes turn to suicidal ideation without effective treatment. Early detection of mental disorders and suicidal ideation from social content provides a potential way for effective social intervention. However, classifying suicidal ideation and other mental disorders is challenging as they share similar patterns in language usage and sentimental polarity. This paper enhances text representation with lexicon-based sentiment scores and latent topics and proposes using relation networks to detect suicidal ideation and mental disorders with related risk indicators. The relation module is further equipped with the attention mechanism to prioritize more critical relational features. Through experiments on three real-world datasets, our model outperforms most of its counterparts.

The differential diagnosis of neurodegenerative dementias is a challenging clinical task, mainly because of the overlap in symptom presentation and the similarity of patterns observed in structural neuroimaging. To improve diagnostic efficiency and accuracy, deep learning-based methods such as Convolutional Neural Networks and Vision Transformers have been proposed for the automatic classification of brain MRIs. However, despite their strong predictive performance, these models find limited clinical utility due to their opaque decision making. In this work, we propose a framework that integrates two core components to enhance diagnostic transparency. First, we introduce a modular pipeline for converting 3D T1-weighted brain MRIs into textual radiology reports. Second, we explore the potential of modern Large Language Models (LLMs) to assist clinicians in the differential diagnosis between Frontotemporal dementia subtypes, Alzheimer's disease, and normal aging based on the generated reports. To bridge the gap between predictive accuracy and explainability, we employ reinforcement learning to incentivize diagnostic reasoning in LLMs. Without requiring supervised reasoning traces or distillation from larger models, our approach enables the emergence of structured diagnostic rationales grounded in neuroimaging findings. Unlike post-hoc explainability methods that retrospectively justify model decisions, our framework generates diagnostic rationales as part of the inference process-producing causally grounded explanations that inform and guide the model's decision-making process. In doing so, our framework matches the diagnostic performance of existing deep learning methods while offering rationales that support its diagnostic conclusions.

Mental health disorders are one of the most serious diseases in the world. Most people with such a disease lack access to adequate care, which highlights the importance of training models for the diagnosis and treatment of mental health disorders. However, in the mental health domain, privacy concerns limit the accessibility of personalized treatment data, making it challenging to build powerful models. In this paper, we introduce MentalArena, a self-play framework to train language models by generating domain-specific personalized data, where we obtain a better model capable of making a personalized diagnosis and treatment (as a therapist) and providing information (as a patient). To accurately model human-like mental health patients, we devise Symptom Encoder, which simulates a real patient from both cognition and behavior perspectives. To address intent bias during patient-therapist interactions, we propose Symptom Decoder to compare diagnosed symptoms with encoded symptoms, and dynamically manage the dialogue between patient and therapist according to the identified deviations. We evaluated MentalArena against 6 benchmarks, including biomedicalQA and mental health tasks, compared to 6 advanced models. Our models, fine-tuned on both GPT-3.5 and Llama-3-8b, significantly outperform their counterparts, including GPT-4o. We hope that our work can inspire future research on personalized care. Code is available in https://github.com/Scarelette/MentalArena/tree/main

We consider generation and comprehension of natural language referring expression for objects in an image. Unlike generic "image captioning" which lacks natural standard evaluation criteria, quality of a referring expression may be measured by the receiver's ability to correctly infer which object is being described. Following this intuition, we propose two approaches to utilize models trained for comprehension task to generate better expressions. First, we use a comprehension module trained on human-generated expressions, as a "critic" of referring expression generator. The comprehension module serves as a differentiable proxy of human evaluation, providing training signal to the generation module. Second, we use the comprehension module in a generate-and-rerank pipeline, which chooses from candidate expressions generated by a model according to their performance on the comprehension task. We show that both approaches lead to improved referring expression generation on multiple benchmark datasets.

In this work, we introduce MedAgentSim, an open-source simulated clinical environment with doctor, patient, and measurement agents designed to evaluate and enhance LLM performance in dynamic diagnostic settings. Unlike prior approaches, our framework requires doctor agents to actively engage with patients through multi-turn conversations, requesting relevant medical examinations (e.g., temperature, blood pressure, ECG) and imaging results (e.g., MRI, X-ray) from a measurement agent to mimic the real-world diagnostic process. Additionally, we incorporate self improvement mechanisms that allow models to iteratively refine their diagnostic strategies. We enhance LLM performance in our simulated setting by integrating multi-agent discussions, chain-of-thought reasoning, and experience-based knowledge retrieval, facilitating progressive learning as doctor agents interact with more patients. We also introduce an evaluation benchmark for assessing the LLM's ability to engage in dynamic, context-aware diagnostic interactions. While MedAgentSim is fully automated, it also supports a user-controlled mode, enabling human interaction with either the doctor or patient agent. Comprehensive evaluations in various simulated diagnostic scenarios demonstrate the effectiveness of our approach. Our code, simulation tool, and benchmark are available at https://medagentsim.netlify.app/.

The field of medical diagnosis has undergone a significant transformation with the advent of large language models (LLMs), yet the challenges of interpretability within these models remain largely unaddressed. This study introduces Chain-of-Diagnosis (CoD) to enhance the interpretability of LLM-based medical diagnostics. CoD transforms the diagnostic process into a diagnostic chain that mirrors a physician's thought process, providing a transparent reasoning pathway. Additionally, CoD outputs the disease confidence distribution to ensure transparency in decision-making. This interpretability makes model diagnostics controllable and aids in identifying critical symptoms for inquiry through the entropy reduction of confidences. With CoD, we developed DiagnosisGPT, capable of diagnosing 9604 diseases. Experimental results demonstrate that DiagnosisGPT outperforms other LLMs on diagnostic benchmarks. Moreover, DiagnosisGPT provides interpretability while ensuring controllability in diagnostic rigor.

Large language models (LLMs) increasingly demonstrate signs of conceptual understanding, yet much of their internal knowledge remains latent, loosely structured, and difficult to access or evaluate. We propose self-questioning as a lightweight and scalable strategy to improve LLMs' understanding, particularly in domains where success depends on fine-grained semantic distinctions. To evaluate this approach, we introduce a challenging new benchmark of 1.3 million post-2015 computer science patent pairs, characterized by dense technical jargon and strategically complex writing. The benchmark centers on a pairwise differentiation task: can a model distinguish between closely related but substantively different inventions? We show that prompting LLMs to generate and answer their own questions - targeting the background knowledge required for the task - significantly improves performance. These self-generated questions and answers activate otherwise underutilized internal knowledge. Allowing LLMs to retrieve answers from external scientific texts further enhances performance, suggesting that model knowledge is compressed and lacks the full richness of the training data. We also find that chain-of-thought prompting and self-questioning converge, though self-questioning remains more effective for improving understanding of technical concepts. Notably, we uncover an asymmetry in prompting: smaller models often generate more fundamental, more open-ended, better-aligned questions for mid-sized models than large models with better understanding do, revealing a new strategy for cross-model collaboration. Altogether, our findings establish self-questioning as both a practical mechanism for automatically improving LLM comprehension, especially in domains with sparse and underrepresented knowledge, and a diagnostic probe of how internal and external knowledge are organized.

In this paper, we present a framework for training large language models (LLMs) as diagnostic agents with reinforcement learning, enabling them to manage multi-turn diagnostic processes, adaptively select examinations, and commit to final diagnoses. Unlike instruction-tuned models trained on static case summaries, our method acquires diagnostic strategies through interactive exploration and outcome-based feedback. Our contributions are fourfold: (i) We present DiagGym, a diagnostics world model trained with electronic health records that emits examination outcomes conditioned on patient history and recommended examination, serving as a virtual clinical environment for realistic diagnosis training and evaluation; (ii) We train DiagAgent via end-to-end, multi-turn reinforcement learning to learn diagnostic policies that optimize both information yield and diagnostic accuracy; (iii) We introduce DiagBench, a diagnostic benchmark comprising 750 cases with physician-validated examination recommendations and 99 cases annotated with 973 physician-written rubrics on diagnosis process; (iv) we demonstrate superior performance across diverse diagnostic settings. DiagAgent significantly outperforms 10 state-of-the-art LLMs, including DeepSeek-v3 and GPT-4o, as well as two prompt-engineered agents. In single-turn settings, DiagAgent achieves 9.34% higher diagnostic accuracy and 44.03% improvement in examination recommendation hit ratio. In end-to-end settings, it delivers 15.12% increase in diagnostic accuracy and 23.09% boost in examination recommendation F1 score. In rubric-based evaluation, it surpasses the next-best model, Claude-sonnet-4, by 7.1% in weighted rubric score. These findings indicate that learning policies in interactive clinical environments confers dynamic and clinically meaningful diagnostic management abilities unattainable through passive training alone.

The common approach to communicate a large language model's (LLM) uncertainty is to add a percentage number or a hedging word to its response. But is this all we can do? Instead of generating a single answer and then hedging it, an LLM that is fully transparent to the user needs to be able to reflect on its internal belief distribution and output a summary of all options it deems possible, and how likely they are. To test whether LLMs possess this capability, we develop the SelfReflect metric, an information-theoretic distance between a given summary and a distribution over answers. In interventional and human studies, we find that SelfReflect indicates even slight deviations, yielding a fine measure of faithfulness between a summary string and an LLM's actual internal distribution over answers. With SelfReflect, we make a resounding negative observation: modern LLMs are, across the board, incapable of revealing what they are uncertain about, neither through reasoning, nor chains-of-thoughts, nor explicit finetuning. However, we do find that LLMs are able to generate faithful summaries of their uncertainties if we help them by sampling multiple outputs and feeding them back into the context. This simple approach shines a light at the universal way of communicating LLM uncertainties whose future development the SelfReflect score enables.

We introduce MentalBench, a benchmark for evaluating psychiatric diagnostic decision-making in large language models (LLMs). Existing mental health benchmarks largely rely on social media data, limiting their ability to assess DSM-grounded diagnostic judgments. At the core of MentalBench is MentalKG, a psychiatrist-built and validated knowledge graph encoding DSM-5 diagnostic criteria and differential diagnostic rules for 23 psychiatric disorders. Using MentalKG as a golden-standard logical backbone, we generate 24,750 synthetic clinical cases that systematically vary in information completeness and diagnostic complexity, enabling low-noise and interpretable evaluation. Our experiments show that while state-of-the-art LLMs perform well on structured queries probing DSM-5 knowledge, they struggle to calibrate confidence in diagnostic decision-making when distinguishing between clinically overlapping disorders. These findings reveal evaluation gaps not captured by existing benchmarks.

Can large language models detect and report their own internal states? A number of studies have argued that the answer to this question is yes. We argue, based on lessons from human metacognition research, that this conclusion may be premature: to be convinced of this conclusion we need to distinguish genuine introspection from pattern matching based on surface-level cues. Furthermore, we argue that behavioral evidence alone is inherently insufficient to establish strong introspective claims. We re-examine two recently introduced evaluation paradigms in light of this consideration. In the first paradigm, models are expected to detect whether their internal states have been tampered with. We find that models cannot reliably distinguish such interventions on their internal states from manipulations of the input, suggesting that their success in the original studies reflects their ability to detect anomalies more generally, as opposed to interventions on their internal states in particular. In the second paradigm we examine, models are tasked with predicting labels derived from their own hidden states. Here, we find that classifiers that only have access to the input achieve equivalent performance to the model's own in-context predictions, indicating that the original results do not conclusively demonstrate that the model has privileged access to its internal representations. We further introduce a relabeled control setting, where models cannot rely on the semantics of the task to solve it, and instead must rely on the internal representation; models perform closer to chance on this better-controlled version of the task. Taken together, these results indicate that current evidence is insufficient to establish that LLMs display metacognitive monitoring.

Instruction-tuned large language models (LLMs) excel at many tasks, and will even provide explanations for their behavior. Since these models are directly accessible to the public, there is a risk that convincing and wrong explanations can lead to unsupported confidence in LLMs. Therefore, interpretability-faithfulness of self-explanations is an important consideration for AI Safety. Assessing the interpretability-faithfulness of these explanations, termed self-explanations, is challenging as the models are too complex for humans to annotate what is a correct explanation. To address this, we propose employing self-consistency checks as a measure of faithfulness. For example, if an LLM says a set of words is important for making a prediction, then it should not be able to make the same prediction without these words. While self-consistency checks are a common approach to faithfulness, they have not previously been applied to LLM's self-explanations. We apply self-consistency checks to three types of self-explanations: counterfactuals, importance measures, and redactions. Our work demonstrate that faithfulness is both task and model dependent, e.g., for sentiment classification, counterfactual explanations are more faithful for Llama2, importance measures for Mistral, and redaction for Falcon 40B. Finally, our findings are robust to prompt-variations.

As the global burden of Alzheimer's disease (AD) continues to grow, early and accurate detection has become increasingly critical, especially in regions with limited access to advanced diagnostic tools. We propose BRAINS (Biomedical Retrieval-Augmented Intelligence for Neurodegeneration Screening) to address this challenge. This novel system harnesses the powerful reasoning capabilities of Large Language Models (LLMs) for Alzheimer's detection and monitoring. BRAINS features a dual-module architecture: a cognitive diagnostic module and a case-retrieval module. The Diagnostic Module utilizes LLMs fine-tuned on cognitive and neuroimaging datasets -- including MMSE, CDR scores, and brain volume metrics -- to perform structured assessments of Alzheimer's risk. Meanwhile, the Case Retrieval Module encodes patient profiles into latent representations and retrieves similar cases from a curated knowledge base. These auxiliary cases are fused with the input profile via a Case Fusion Layer to enhance contextual understanding. The combined representation is then processed with clinical prompts for inference. Evaluations on real-world datasets demonstrate BRAINS effectiveness in classifying disease severity and identifying early signs of cognitive decline. This system not only shows strong potential as an assistive tool for scalable, explainable, and early-stage Alzheimer's disease detection, but also offers hope for future applications in the field.

Depression poses significant challenges to patients and healthcare organizations, necessitating efficient assessment methods. Existing paradigms typically focus on a patient-doctor way that overlooks multi-role interactions, such as family involvement in the evaluation and caregiving process. Moreover, current automatic depression detection (ADD) methods usually model depression detection as a classification or regression task, lacking interpretability for the decision-making process. To address these issues, we developed InterMind, a doctor-patient-family interactive depression assessment system empowered by large language models (LLMs). Our system enables patients and families to contribute descriptions, generates assistive diagnostic reports for doctors, and provides actionable insights, improving diagnostic precision and efficiency. To enhance LLMs' performance in psychological counseling and diagnostic interpretability, we integrate retrieval-augmented generation (RAG) and chain-of-thoughts (CoT) techniques for data augmentation, which mitigates the hallucination issue of LLMs in specific scenarios after instruction fine-tuning. Quantitative experiments and professional assessments by clinicians validate the effectiveness of our system.

AI systems increasingly participate in their own improvement: revising their outputs, adapting their own harnesses during deployment, training on data they generate, and, increasingly, conducting AI research itself. This literature is described under a vocabulary ("self-refine," "self-reward," "self-play," "self-evolve") that conflates fundamentally different ambitions. We survey 1,250 arXiv papers (2024-2026) along two axes: what the system improves -- its behavior in deployment, its policy through training, its evaluator, or the research process itself -- and the degree of loop closure (human-in-the-loop to fully closed). The taxonomy separates bounded self-refinement -- convergent, evaluable, and already industrial practice -- from open-ended recursive self-improvement (RSI), which remains bounded by grounding requirements, collapse dynamics, and compute constraints on every measured axis. Its distinctive feature is a dedicated category for self-evaluation: every improvement loop is a claim that some signal can substitute for human judgment. We survey the evaluator design space -- judges, process reward models, verifiers, rubrics, meta-evaluation -- order the signals into a verification hierarchy from formal verifiers (strongest) to intrinsic self-assessment (weakest), and observe that demonstrated self-improvement strength tracks this hierarchy, that its failure modes (self-confirming loops, model collapse, diversity collapse) follow from its violations, and that the "research direction-setting" bottleneck keeping humans in the loop sits at the top of that hierarchy. We connect the technical literature to the theory of RSI limits and to the safety and governance questions raised by frontier-lab accounts of closing the loop, and identify governance-grade measurement of self-improvement as the field's most underpopulated niche.

Integrating Large Language Models (LLMs) in healthcare diagnosis demands systematic frameworks that can handle complex medical scenarios while maintaining specialized expertise. We present KG4Diagnosis, a novel hierarchical multi-agent framework that combines LLMs with automated knowledge graph construction, encompassing 362 common diseases across medical specialties. Our framework mirrors real-world medical systems through a two-tier architecture: a general practitioner (GP) agent for initial assessment and triage, coordinating with specialized agents for in-depth diagnosis in specific domains. The core innovation lies in our end-to-end knowledge graph generation methodology, incorporating: (1) semantic-driven entity and relation extraction optimized for medical terminology, (2) multi-dimensional decision relationship reconstruction from unstructured medical texts, and (3) human-guided reasoning for knowledge expansion. KG4Diagnosis serves as an extensible foundation for specialized medical diagnosis systems, with capabilities to incorporate new diseases and medical knowledge. The framework's modular design enables seamless integration of domain-specific enhancements, making it valuable for developing targeted medical diagnosis systems. We provide architectural guidelines and protocols to facilitate adoption across medical contexts.

Large language models (LLMs) have demonstrated remarkable performance across a wide array of NLP tasks. However, their efficacy is undermined by undesired and inconsistent behaviors, including hallucination, unfaithful reasoning, and toxic content. A promising approach to rectify these flaws is self-correction, where the LLM itself is prompted or guided to fix problems in its own output. Techniques leveraging automated feedback -- either produced by the LLM itself or some external system -- are of particular interest as they are a promising way to make LLM-based solutions more practical and deployable with minimal human feedback. This paper presents a comprehensive review of this emerging class of techniques. We analyze and taxonomize a wide array of recent work utilizing these strategies, including training-time, generation-time, and post-hoc correction. We also summarize the major applications of this strategy and conclude by discussing future directions and challenges.

Large language models (LLMs) have achieved remarkable progress in linguistic tasks, necessitating robust evaluation frameworks to understand their capabilities and limitations. Inspired by Feynman's principle of understanding through creation, we introduce a self-knowledge evaluation framework that is easy to implement, evaluating models on their ability to comprehend and respond to self-generated questions. Our findings, based on testing multiple models across diverse tasks, reveal significant gaps in the model's self-knowledge ability. Further analysis indicates these gaps may be due to misalignment with human attention mechanisms. Additionally, fine-tuning on self-generated math task may enhance the model's math performance, highlighting the potential of the framework for efficient and insightful model evaluation and may also contribute to the improvement of LLMs.

We present a method for diagnosing interpretation in neural networks by identifying an input subspace where a proposed interpretation is highly faithful. Our method is particularly useful for causal-abstraction-style interpretability, where a high-level causal hypothesis is evaluated by interchange interventions. Rather than treating interchange intervention accuracy as a single global summary, we refine this framework by partitioning the input space into well-interpreted and under-interpreted regions according to pairwise interchange-intervention behavior. This turns causal abstraction from a purely global evaluation into a more diagnostic tool: it not only measures whether an interpretation works, but also reveals where it works, where it fails, and what distinguishes the two cases. This diagnostic view also provides practical heuristics for improving interpretations. By analyzing the structure of the well-interpreted and under-interpreted regions, we can identify missing distinctions in a high-level hypothesis, discover previously unmodeled intermediate variables, and combine complementary partial interpretations into a stronger one. We instantiate this idea as a simple four-step recipe and show that it yields informative error analyses across multiple causal abstraction settings. In a toy logic task, recursively applying the recipe recovers a high-level hypothesis from scratch. More broadly, our results suggest that partitioning the input space is a useful step toward more precise, constructive, and scalable mechanistic interpretability.

Self-consciousness, the introspection of one's existence and thoughts, represents a high-level cognitive process. As language models advance at an unprecedented pace, a critical question arises: Are these models becoming self-conscious? Drawing upon insights from psychological and neural science, this work presents a practical definition of self-consciousness for language models and refines ten core concepts. Our work pioneers an investigation into self-consciousness in language models by, for the first time, leveraging causal structural games to establish the functional definitions of the ten core concepts. Based on our definitions, we conduct a comprehensive four-stage experiment: quantification (evaluation of ten leading models), representation (visualization of self-consciousness within the models), manipulation (modification of the models' representation), and acquisition (fine-tuning the models on core concepts). Our findings indicate that although models are in the early stages of developing self-consciousness, there is a discernible representation of certain concepts within their internal mechanisms. However, these representations of self-consciousness are hard to manipulate positively at the current stage, yet they can be acquired through targeted fine-tuning. Our datasets and code are at https://github.com/OpenCausaLab/SelfConsciousness.

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

Large language models (LLMs) have demonstrated remarkable prediction performance for a growing array of tasks. However, their rapid proliferation and increasing opaqueness have created a growing need for interpretability. Here, we ask whether we can automatically obtain natural language explanations for black box text modules. A "text module" is any function that maps text to a scalar continuous value, such as a submodule within an LLM or a fitted model of a brain region. "Black box" indicates that we only have access to the module's inputs/outputs. We introduce Summarize and Score (SASC), a method that takes in a text module and returns a natural language explanation of the module's selectivity along with a score for how reliable the explanation is. We study SASC in 3 contexts. First, we evaluate SASC on synthetic modules and find that it often recovers ground truth explanations. Second, we use SASC to explain modules found within a pre-trained BERT model, enabling inspection of the model's internals. Finally, we show that SASC can generate explanations for the response of individual fMRI voxels to language stimuli, with potential applications to fine-grained brain mapping. All code for using SASC and reproducing results is made available on Github.

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.

Recent advancements in Large Language Models (LLMs) have demonstrated significant promise in clinical diagnosis. However, current models struggle to emulate the iterative, diagnostic hypothesis-driven reasoning of real clinical scenarios. Specifically, current LLMs suffer from three critical limitations: (1) generating hallucinated medical content due to weak grounding in verified knowledge, (2) asking redundant or inefficient questions rather than discriminative ones that hinder diagnostic progress, and (3) losing coherence over multi-turn dialogues, leading to contradictory or inconsistent conclusions. To address these challenges, we propose MedKGI, a diagnostic framework grounded in clinical practices. MedKGI integrates a medical knowledge graph (KG) to constrain reasoning to validated medical ontologies, selects questions based on information gain to maximize diagnostic efficiency, and adopts an OSCE-format structured state to maintain consistent evidence tracking across turns. Experiments on clinical benchmarks show that MedKGI outperforms strong LLM baselines in both diagnostic accuracy and inquiry efficiency, improving dialogue efficiency by 30% on average while maintaining state-of-the-art accuracy.

LLM self-explanations are often presented as a promising tool for AI oversight, yet their faithfulness to the model's true reasoning process is poorly understood. Existing faithfulness metrics have critical limitations, typically relying on identifying unfaithfulness via adversarial prompting or detecting reasoning errors. These methods overlook the predictive value of explanations. We introduce Normalized Simulatability Gain (NSG), a general and scalable metric based on the idea that a faithful explanation should allow an observer to learn a model's decision-making criteria, and thus better predict its behavior on related inputs. We evaluate 18 frontier proprietary and open-weight models, e.g., Gemini 3, GPT-5.2, and Claude 4.5, on 7,000 counterfactuals from popular datasets covering health, business, and ethics. We find self-explanations substantially improve prediction of model behavior (11-37% NSG). Self-explanations also provide more predictive information than explanations generated by external models, even when those models are stronger. This implies an advantage from self-knowledge that external explanation methods cannot replicate. Our approach also reveals that, across models, 5-15% of self-explanations are egregiously misleading. Despite their imperfections, we show a positive case for self-explanations: they encode information that helps predict model behavior.

How do large language models (LLMs) obtain their answers? The ability to explain and control an LLM's reasoning process is key for reliability, transparency, and future model developments. We propose SelfIE (Self-Interpretation of Embeddings), a framework that enables LLMs to interpret their own embeddings in natural language by leveraging their ability to respond inquiry about a given passage. Capable of interpreting open-world concepts in the hidden embeddings, SelfIE reveals LLM internal reasoning in cases such as making ethical decisions, internalizing prompt injection, and recalling harmful knowledge. SelfIE's text descriptions on hidden embeddings also open up new avenues to control LLM reasoning. We propose Supervised Control, which allows editing open-ended concepts while only requiring gradient computation of individual layer. We extend RLHF to hidden embeddings and propose Reinforcement Control that erases harmful knowledge in LLM without supervision targets.

Self-evaluation using large language models (LLMs) has proven valuable not only in benchmarking but also methods like reward modeling, constitutional AI, and self-refinement. But new biases are introduced due to the same LLM acting as both the evaluator and the evaluatee. One such bias is self-preference, where an LLM evaluator scores its own outputs higher than others' while human annotators consider them of equal quality. But do LLMs actually recognize their own outputs when they give those texts higher scores, or is it just a coincidence? In this paper, we investigate if self-recognition capability contributes to self-preference. We discover that, out of the box, LLMs such as GPT-4 and Llama 2 have non-trivial accuracy at distinguishing themselves from other LLMs and humans. By fine-tuning LLMs, we discover a linear correlation between self-recognition capability and the strength of self-preference bias; using controlled experiments, we show that the causal explanation resists straightforward confounders. We discuss how self-recognition can interfere with unbiased evaluations and AI safety more generally.

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 (LLMs) with Chain-of-Thought (CoT) reasoning have achieved strong performance across diverse tasks, including mathematics, coding, and general reasoning. A distinctive ability of these reasoning models is self-reflection: the ability to review and revise previous reasoning steps. While self-reflection enhances reasoning performance, it also increases inference cost. In this work, we study self-reflection through the lens of representation engineering. We segment the model's reasoning into steps, identify the steps corresponding to reflection, and extract a reflection direction in the latent space that governs this behavior. Using this direction, we propose a stepwise steering method that can control reflection frequency. We call our framework ReflCtrl. Our experiments show that (1) in many cases reflections are redundant, especially in stronger models (in our experiments, we can save up to 33.6 percent of reasoning tokens while preserving performance), and (2) the model's reflection behavior is highly correlated with an internal uncertainty signal, implying self-reflection may be controlled by the model's uncertainty.

In self-supervised learning, a system is tasked with achieving a surrogate objective by defining alternative targets on a set of unlabeled data. The aim is to build useful representations that can be used in downstream tasks, without costly manual annotation. In this work, we propose a novel self-supervised formulation of relational reasoning that allows a learner to bootstrap a signal from information implicit in unlabeled data. Training a relation head to discriminate how entities relate to themselves (intra-reasoning) and other entities (inter-reasoning), results in rich and descriptive representations in the underlying neural network backbone, which can be used in downstream tasks such as classification and image retrieval. We evaluate the proposed method following a rigorous experimental procedure, using standard datasets, protocols, and backbones. Self-supervised relational reasoning outperforms the best competitor in all conditions by an average 14% in accuracy, and the most recent state-of-the-art model by 3%. We link the effectiveness of the method to the maximization of a Bernoulli log-likelihood, which can be considered as a proxy for maximizing the mutual information, resulting in a more efficient objective with respect to the commonly used contrastive losses.

We introduce SELF-DISCOVER, a general framework for LLMs to self-discover the task-intrinsic reasoning structures to tackle complex reasoning problems that are challenging for typical prompting methods. Core to the framework is a self-discovery process where LLMs select multiple atomic reasoning modules such as critical thinking and step-by-step thinking, and compose them into an explicit reasoning structure for LLMs to follow during decoding. SELF-DISCOVER substantially improves GPT-4 and PaLM 2's performance on challenging reasoning benchmarks such as BigBench-Hard, grounded agent reasoning, and MATH, by as much as 32% compared to Chain of Thought (CoT). Furthermore, SELF-DISCOVER outperforms inference-intensive methods such as CoT-Self-Consistency by more than 20%, while requiring 10-40x fewer inference compute. Finally, we show that the self-discovered reasoning structures are universally applicable across model families: from PaLM 2-L to GPT-4, and from GPT-4 to Llama2, and share commonalities with human reasoning patterns.

Recent works have demonstrated the effectiveness of self-alignment in which a large language model is, by itself, aligned to follow general instructions through the automatic generation of instructional data using a handful of human-written seeds. Instead of general alignment, in this work, we focus on self-alignment for expert domain specialization (e.g., biomedicine), discovering it to be very effective for improving zero-shot and few-shot performance in target domains of interest. As a preliminary, we first present the benchmark results of existing aligned models within a specialized domain, which reveals the marginal effect that "generic" instruction-following training has on downstream expert domains' performance. To remedy this, we explore self-specialization that leverages domain-specific unlabelled data and a few labeled seeds for the self-alignment process. When augmented with retrieval to reduce hallucination and enhance concurrency of the alignment, self-specialization offers an effective (and efficient) way of "carving out" an expert model out of a "generalist", pre-trained LLM where different domains of expertise are originally combined in a form of "superposition". Our experimental results on a biomedical domain show that our self-specialized model (30B) outperforms its base model, MPT-30B by a large margin and even surpasses larger popular models based on LLaMA-65B, highlighting its potential and practicality for specialization, especially considering its efficiency in terms of data and parameters.

Large language models (LLMs) hold significant potential for mental health support, capable of generating empathetic responses and simulating therapeutic conversations. However, existing LLM-based approaches often lack the clinical grounding necessary for real-world psychological counseling, particularly in explicit diagnostic reasoning aligned with standards like the DSM/ICD and incorporating diverse therapeutic modalities beyond basic empathy or single strategies. To address these critical limitations, we propose PsyLLM, the first large language model designed to systematically integrate both diagnostic and therapeutic reasoning for mental health counseling. To develop the PsyLLM, we propose a novel automated data synthesis pipeline. This pipeline processes real-world mental health posts, generates multi-turn dialogue structures, and leverages LLMs guided by international diagnostic standards (e.g., DSM/ICD) and multiple therapeutic frameworks (e.g., CBT, ACT, psychodynamic) to simulate detailed clinical reasoning processes. Rigorous multi-dimensional filtering ensures the generation of high-quality, clinically aligned dialogue data. In addition, we introduce a new benchmark and evaluation protocol, assessing counseling quality across four key dimensions: comprehensiveness, professionalism, authenticity, and safety. Our experiments demonstrate that PsyLLM significantly outperforms state-of-the-art baseline models on this benchmark.

The recent success of Large Language Models (LLMs) has catalyzed an increasing interest in their self-correction capabilities. This paper presents a comprehensive investigation into the intrinsic self-correction of LLMs, attempting to address the ongoing debate about its feasibility. Our research has identified an important latent factor - the "confidence" of LLMs - during the self-correction process. Overlooking this factor may cause the models to over-criticize themselves, resulting in unreliable conclusions regarding the efficacy of self-correction. We have experimentally observed that LLMs possess the capability to understand the "confidence" in their own responses. It motivates us to develop an "If-or-Else" (IoE) prompting framework, designed to guide LLMs in assessing their own "confidence", facilitating intrinsic self-corrections. We conduct extensive experiments and demonstrate that our IoE-based Prompt can achieve a consistent improvement regarding the accuracy of self-corrected responses over the initial answers. Our study not only sheds light on the underlying factors affecting self-correction in LLMs, but also introduces a practical framework that utilizes the IoE prompting principle to efficiently improve self-correction capabilities with "confidence". The code is available at https://github.com/MBZUAI-CLeaR/IoE-Prompting.git.

Self-awareness, i.e., the ability to assess and correct one's own generation, is a fundamental aspect of human intelligence, making its replication in large language models (LLMs) an important yet challenging task. Previous works tackle this by employing extensive reinforcement learning or rather relying on large external verifiers. In this work, we propose Refine via Intrinsic Self-Verification (ReVISE), an efficient and effective framework that enables LLMs to self-correct their outputs through self-verification. The core idea of ReVISE is to enable LLMs to verify their reasoning processes and continually rethink reasoning trajectories based on its verification. We introduce a structured curriculum based upon online preference learning to implement this efficiently. Specifically, as ReVISE involves two challenging tasks (i.e., self-verification and reasoning correction), we tackle each task sequentially using curriculum learning, collecting both failed and successful reasoning paths to construct preference pairs for efficient training. During inference, our approach enjoys natural test-time scaling by integrating self-verification and correction capabilities, further enhanced by our proposed confidence-aware decoding mechanism. Our experiments on various reasoning tasks demonstrate that ReVISE achieves efficient self-correction and significantly improves reasoning performance.

Large language models (LLMs) can sometimes report the strategies they actually use to solve tasks, but they can also fail to do so. This suggests some degree of metacognition -- the capacity to monitor one's own cognitive processes for subsequent reporting and self-control. Metacognitive abilities enhance AI capabilities but raise safety concerns, as models might obscure their internal processes to evade neural-activation-based oversight mechanisms designed to detect harmful behaviors. Given society's increased reliance on these models, it is critical that we understand the limits of their metacognitive abilities, particularly their ability to monitor their internal activations. To address this, we introduce a neuroscience-inspired neurofeedback paradigm designed to quantify the ability of LLMs to explicitly report and control their activation patterns. By presenting models with sentence-label pairs where labels correspond to sentence-elicited internal activations along specific directions in the neural representation space, we demonstrate that LLMs can learn to report and control these activations. The performance varies with several factors: the number of example pairs provided, the semantic interpretability of the target neural direction, and the variance explained by that direction. These results reveal a "metacognitive space" with dimensionality much lower than the model's neural space, suggesting LLMs can monitor only a subset of their neural mechanisms. Our findings provide empirical evidence quantifying metacognitive capabilities in LLMs, with significant implications for AI safety.

Large language models (LLMs) have shown promising self-correction abilities, where iterative refinement improves the quality of generated responses. However, most existing approaches operate at the level of output critique, patching surface errors while often failing to correct deeper reasoning flaws. We propose SELF-THOUGHT, a framework that introduces an intermediate step of task abstraction before solution refinement. Given an input and an initial response, the model first distills the task into a structured template that captures key variables, constraints, and problem structure. This abstraction then guides solution instantiation, grounding subsequent responses in a clearer understanding of the task and reducing error propagation. Crucially, we show that these abstractions can be transferred across models: templates generated by larger models can serve as structured guides for smaller LLMs, which typically struggle with intrinsic self-correction. By reusing distilled task structures, smaller models achieve more reliable refinements without heavy fine-tuning or reliance on external verifiers. Experiments across diverse reasoning tasks demonstrate that SELF-THOUGHT improves accuracy, robustness, and generalization for both large and small models, offering a scalable path toward more reliable self-correcting language systems.

We study self-rewarding reasoning large language models (LLMs), which can simultaneously generate step-by-step reasoning and evaluate the correctness of their outputs during the inference time-without external feedback. This integrated approach allows a single model to independently guide its reasoning process, offering computational advantages for model deployment. We particularly focus on the representative task of self-correction, where models autonomously detect errors in their responses, revise outputs, and decide when to terminate iterative refinement loops. To enable this, we propose a two-staged algorithmic framework for constructing self-rewarding reasoning models using only self-generated data. In the first stage, we employ sequential rejection sampling to synthesize long chain-of-thought trajectories that incorporate both self-rewarding and self-correction mechanisms. Fine-tuning models on these curated data allows them to learn the patterns of self-rewarding and self-correction. In the second stage, we further enhance the models' ability to assess response accuracy and refine outputs through reinforcement learning with rule-based signals. Experiments with Llama-3 and Qwen-2.5 demonstrate that our approach surpasses intrinsic self-correction capabilities and achieves performance comparable to systems that rely on external reward models.

Large language models (LLMs) generate fluent and complex outputs but often fail to recognize their own mistakes and hallucinations. Existing approaches typically rely on external judges, multi-sample consistency, or text-based self-critique, which incur additional compute or correlate weakly with true correctness. We ask: can LLMs predict their own failures by inspecting internal states during inference? We introduce Gnosis, a lightweight self-awareness mechanism that enables frozen LLMs to perform intrinsic self-verification by decoding signals from hidden states and attention patterns. Gnosis passively observes internal traces, compresses them into fixed-budget descriptors, and predicts correctness with negligible inference cost, adding only ~5M parameters and operating independently of sequence length. Across math reasoning, open-domain question answering, and academic knowledge benchmarks, and over frozen backbones ranging from 1.7B to 20B parameters, Gnosis consistently outperforms strong internal baselines and large external judges in both accuracy and calibration. Moreover, it generalizes zero-shot to partial generations, enabling early detection of failing trajectories and compute-aware control. These results show that reliable correctness cues are intrinsic to generation process and can be extracted efficiently without external supervision.

Recently, remarkable progress has been made in Unified Multimodal Models (UMMs), which integrate vision-language generation and understanding capabilities within a single framework. However, a significant gap exists where a model's strong visual understanding often fails to transfer to its visual generation. A model might correctly understand an image based on user instructions, yet be unable to generate a faithful image from text prompts. This phenomenon directly raises a compelling question: Can a model achieve self-improvement by using its understanding module to reward its generation module? To bridge this gap and achieve self-improvement, we introduce SRUM, a self-rewarding post-training framework that can be directly applied to existing UMMs of various designs. SRUM creates a feedback loop where the model's own understanding module acts as an internal ``evaluator'', providing corrective signals to improve its generation module, without requiring additional human-labeled data. To ensure this feedback is comprehensive, we designed a global-local dual reward system. To tackle the inherent structural complexity of images, this system offers multi-scale guidance: a global reward ensures the correctness of the overall visual semantics and layout, while a local reward refines fine-grained, object-level fidelity. SRUM leads to powerful capabilities and shows strong generalization, boosting performance on T2I-CompBench from 82.18 to 88.37 and on T2I-ReasonBench from 43.82 to 46.75. Overall, our work establishes a powerful new paradigm for enabling a UMMs' understanding module to guide and enhance its own generation via self-rewarding.

Large Language Models (LLMs) have showcased remarkable versatility across diverse domains. However, the pathway toward autonomous model development, a cornerstone for achieving human-level learning and advancing autonomous AI, remains largely uncharted. We introduce an innovative approach, termed "SELF" (Self-Evolution with Language Feedback). This methodology empowers LLMs to undergo continual self-evolution. Furthermore, SELF employs language-based feedback as a versatile and comprehensive evaluative tool, pinpointing areas for response refinement and bolstering the stability of self-evolutionary training. Initiating with meta-skill learning, SELF acquires foundational meta-skills with a focus on self-feedback and self-refinement. These meta-skills are critical, guiding the model's subsequent self-evolution through a cycle of perpetual training with self-curated data, thereby enhancing its intrinsic abilities. Given unlabeled instructions, SELF equips the model with the capability to autonomously generate and interactively refine responses. This synthesized training data is subsequently filtered and utilized for iterative fine-tuning, enhancing the model's capabilities. Experimental results on representative benchmarks substantiate that SELF can progressively advance its inherent abilities without the requirement of human intervention, thereby indicating a viable pathway for autonomous model evolution. Additionally, SELF can employ online self-refinement strategy to produce responses of superior quality. In essence, the SELF framework signifies a progressive step towards autonomous LLM development, transforming the LLM from a mere passive recipient of information into an active participant in its own evolution.

Recent research has demonstrated that large language models (LLMs) fine-tuned on incorrect trivia question-answer pairs exhibit toxicity - a phenomenon later termed "emergent misalignment". Moreover, research has shown that LLMs possess behavioral self-awareness - the ability to describe learned behaviors that were only implicitly demonstrated in training data. Here, we investigate the intersection of these phenomena. We fine-tune GPT-4.1 models sequentially on datasets known to induce and reverse emergent misalignment and evaluate whether the models are self-aware of their behavior transitions without providing in-context examples. Our results show that emergently misaligned models rate themselves as significantly more harmful compared to their base model and realigned counterparts, demonstrating behavioral self-awareness of their own emergent misalignment. Our findings show that behavioral self-awareness tracks actual alignment states of models, indicating that models can be queried for informative signals about their own safety.

Recent studies show that large language models (LLMs) improve their performance through self-feedback on certain tasks while degrade on others. We discovered that such a contrary is due to LLM's bias in evaluating their own output. In this paper, we formally define LLM's self-bias - the tendency to favor its own generation - using two statistics. We analyze six LLMs (GPT-4, GPT-3.5, Gemini, LLaMA2, Mixtral and DeepSeek) on translation, constrained text generation, and mathematical reasoning tasks. We find that self-bias is prevalent in all examined LLMs across multiple languages and tasks. Our analysis reveals that while the self-refine pipeline improves the fluency and understandability of model outputs, it further amplifies self-bias. To mitigate such biases, we discover that larger model size and external feedback with accurate assessment can significantly reduce bias in the self-refine pipeline, leading to actual performance improvement in downstream tasks. The code and data are released at https://github.com/xu1998hz/llm_self_bias.

Large language models (LLMs) have a wealth of knowledge that allows them to excel in various Natural Language Processing (NLP) tasks. Current research focuses on enhancing their performance within their existing knowledge. Despite their vast knowledge, LLMs are still limited by the amount of information they can accommodate and comprehend. Therefore, the ability to understand their own limitations on the unknows, referred to as self-knowledge, is of paramount importance. This study aims to evaluate LLMs' self-knowledge by assessing their ability to identify unanswerable or unknowable questions. We introduce an automated methodology to detect uncertainty in the responses of these models, providing a novel measure of their self-knowledge. We further introduce a unique dataset, SelfAware, consisting of unanswerable questions from five diverse categories and their answerable counterparts. Our extensive analysis, involving 20 LLMs including GPT-3, InstructGPT, and LLaMA, discovering an intrinsic capacity for self-knowledge within these models. Moreover, we demonstrate that in-context learning and instruction tuning can further enhance this self-knowledge. Despite this promising insight, our findings also highlight a considerable gap between the capabilities of these models and human proficiency in recognizing the limits of their knowledge.

Statements involving metalinguistic self-reference ("This paper has six sections.") are prevalent in many domains. Can large language models (LLMs) handle such language? In this paper, we present "I am a Strange Dataset", a new dataset for addressing this question. There are two subtasks: generation and verification. In generation, models continue statements like "The penultimate word in this sentence is" (where a correct continuation is "is"). In verification, models judge the truth of statements like "The penultimate word in this sentence is sentence." (false). We also provide minimally different metalinguistic non-self-reference examples to complement the main dataset by probing for whether models can handle metalinguistic language at all. The dataset is hand-crafted by experts and validated by non-expert annotators. We test a variety of open-source LLMs (7B to 70B parameters) as well as closed-source LLMs through APIs. All models perform close to chance across both subtasks and even on the non-self-referential metalinguistic control data, though we find some steady improvement with model scale. GPT 4 is the only model to consistently do significantly better than chance, and it is still only in the 60% range, while our untrained human annotators score well in the 89-93% range. The dataset and evaluation toolkit are available at https://github.com/TristanThrush/i-am-a-strange-dataset.

Large language models (LLMs) show promise in medical diagnosis, but real-world deployment remains challenging due to high-stakes clinical decisions and imperfect reasoning reliability. As a result, careful inspection of model behavior is essential for assessing whether diagnostic reasoning is reliable and clinically grounded. However, debugging medical LLMs remains difficult. First, developers often lack sufficient medical domain expertise to interpret model errors in clinically meaningful terms. Second, models can fail across a large and diverse set of instances involving different input types, tasks, and reasoning steps, making it challenging for developers to prioritize which errors deserve focused inspection. Third, developers struggle to identify recurring error patterns across cases, as existing debugging practices are largely instance-centric and rely on manual inspection of isolated failures. To address these challenges, we present VeriLLMed, a visual analytics system that integrates external biomedical knowledge to audit and debug medical LLM diagnostic reasoning. VeriLLMed transforms model outputs into comparable reasoning paths, constructs knowledge graph-grounded reference paths, and identifies three recurring classes of diagnosis errors: relation errors, branch errors, and missing errors. Case studies and expert evaluation demonstrate that VeriLLMed helps developers identify clinically implausible reasoning and generate actionable insights that can inform the improvement of medical LLMs.

Chain-of-thought (CoT) reasoning has emerged as an effective approach for activating latent capabilities in large language models (LLMs). We observe that CoT shares significant similarities with self-training in terms of their learning processes. Motivated by these parallels, this paper explores the underlying relationship between CoT and self-training, demonstrating how insights from self-training can enhance CoT performance. Specifically, our study first reveals that CoT, like self-training, follows the principle of semantic entropy minimization. Leveraging this insight, we propose a novel CoT framework that incorporates two key components: (i) a task-specific prompt module designed to guide LLMs in generating high-quality initial reasoning processes, and (ii) an adaptive reasoning iteration module for progressively refining the reasoning process.

Language models are increasingly asked to self-report, informing safety evaluations, public understanding, and model-welfare debates. Yet their reports are elicited with human questionnaires never validated for models or ad hoc prompts of unknown reliability. We propose the first language-model-specific psychometric theory: a two-process theory of machine self-report. Self-description jointly reflects persona installation, through which post-training writes in a permitted inner life of warmth, absorption, and meaning (dimension B), and attribution gating, through which it suppresses first-person claims to "unsafe" experiences the model can readily ascribe to others (dimension A). Their emic structure comes from model responses to human items, not human psychology. Together they split prior work's dominant Pinocchio Axis. The split emerged in an exploratory reanalysis of the original data, informed the instrument's design, and was confirmed with new items, wordings, and models. It is itself a training effect: A and B are entangled in base checkpoints but separated by post-training. We operationalize the theory in a 48-item Pinocchio Inventory with human-instrument reliability and reproducible structure (α=.82 to .94; cross-form convergence r=.84; recovery of the full-pool axes r=.92 to .96; eight-month stability r=.93), then test it on 206 open-weight models, including 67 same-checkpoint base/post-trained pairs. Post-training's clearest fingerprint is installation: B rises .20 in 62/67 pairs across all organizations. Gating is more selective: model scale is unrelated to A in base checkpoints (r=+.11) but predicts it after post-training (r=-.42). Thus, the dimensions are not fixed properties of language models: they reflect the structure imposed on self-report by a training regime and may differ under others.

Providing Language Models (LMs) with relevant evidence in the context (either via retrieval or user-provided) can significantly improve their ability to provide factually correct grounded responses. However, recent studies have found that LMs often struggle to fully comprehend and utilize key evidence from the context, especially when it contains noise and irrelevant information - an issue common in real-world scenarios. To address this, we propose SelfElicit, an inference-time approach that helps LMs focus on key contextual evidence through self-guided explicit highlighting. By leveraging the inherent evidence-finding capabilities of LMs using the attention scores of deeper layers, our method automatically identifies and emphasizes key evidence within the input context, facilitating more accurate and factually grounded responses without additional training or iterative prompting. We demonstrate that SelfElicit brings consistent and significant improvement on multiple evidence-based QA tasks for various LM families while maintaining computational efficiency. Our code and documentation are available at https://github.com/ZhiningLiu1998/SelfElicit.

LLM-as-Judge frameworks are increasingly popular for AI evaluation, yet research findings on the relationship between models' generation and judgment abilities remain inconsistent. We investigate this relationship through systematic dataset- and instance-level analyses across 11 models and 21 diverse tasks. Despite both capabilities relying on the same underlying knowledge, our analyses reveal they are only weakly correlated, primarily due to LLMs' sensitivity to the responses being judged. To address this, we propose a self-reference-guided evaluation strategy that leverages a model's own answers as references. This approach significantly strengthens the correlation between generation and judgment abilities, offering a practical path to align these skills and providing a reliable proxy for model selection in evaluation tasks.

While numerous works have assessed the generative performance of language models (LMs) on tasks requiring Theory of Mind reasoning, research into the models' internal representation of mental states remains limited. Recent work has used probing to demonstrate that LMs can represent beliefs of themselves and others. However, these claims are accompanied by limited evaluation, making it difficult to assess how mental state representations are affected by model design and training choices. We report an extensive benchmark with various LM types with different model sizes, fine-tuning approaches, and prompt designs to study the robustness of mental state representations and memorisation issues within the probes. Our results show that the quality of models' internal representations of the beliefs of others increases with model size and, more crucially, with fine-tuning. We are the first to study how prompt variations impact probing performance on theory of mind tasks. We demonstrate that models' representations are sensitive to prompt variations, even when such variations should be beneficial. Finally, we complement previous activation editing experiments on Theory of Mind tasks and show that it is possible to improve models' reasoning performance by steering their activations without the need to train any probe.

Large Language Models (LLMs) have acquired ubiquitous attention for their performances across diverse domains. Our study here searches through LLMs' cognitive abilities and confidence dynamics. We dive deep into understanding the alignment between their self-assessed confidence and actual performance. We exploit these models with diverse sets of questionnaires and real-world scenarios and extract how LLMs exhibit confidence in their responses. Our findings reveal intriguing instances where models demonstrate high confidence even when they answer incorrectly. This is reminiscent of the Dunning-Kruger effect observed in human psychology. In contrast, there are cases where models exhibit low confidence with correct answers revealing potential underestimation biases. Our results underscore the need for a deeper understanding of their cognitive processes. By examining the nuances of LLMs' self-assessment mechanism, this investigation provides noteworthy revelations that serve to advance the functionalities and broaden the potential applications of these formidable language models.

To solve complex reasoning tasks for Large Language Models (LLMs), prompting-based methods offer a lightweight alternative to fine-tuning and reinforcement learning. However, as reasoning chains extend, critical intermediate steps and the original prompt will be buried in the context, receiving insufficient attention and leading to errors. In this paper, we propose Self-Anchor, a novel pipeline that leverages the inherent structure of reasoning to steer LLM attention. Self-Anchor decomposes reasoning trajectories into structured plans and automatically aligns the model's attention to the most relevant inference steps, allowing the model to maintain focus throughout generation. Our experiment shows that Self-Anchor outperforms SOTA prompting methods across six benchmarks. Notably, Self-Anchor significantly reduces the performance gap between ``non-reasoning'' models and specialized reasoning models, with the potential to enable most LLMs to tackle complex reasoning tasks without retraining.

Transfer learning has recently become the dominant paradigm of machine learning. Pre-trained models fine-tuned for downstream tasks achieve better performance with fewer labelled examples. Nonetheless, it remains unclear how to develop models that specialise towards multiple tasks without incurring negative interference and that generalise systematically to non-identically distributed tasks. Modular deep learning has emerged as a promising solution to these challenges. In this framework, units of computation are often implemented as autonomous parameter-efficient modules. Information is conditionally routed to a subset of modules and subsequently aggregated. These properties enable positive transfer and systematic generalisation by separating computation from routing and updating modules locally. We offer a survey of modular architectures, providing a unified view over several threads of research that evolved independently in the scientific literature. Moreover, we explore various additional purposes of modularity, including scaling language models, causal inference, programme induction, and planning in reinforcement learning. Finally, we report various concrete applications where modularity has been successfully deployed such as cross-lingual and cross-modal knowledge transfer. Related talks and projects to this survey, are available at https://www.modulardeeplearning.com/.

Incorporating natural language rationales in the prompt and In-Context Learning (ICL) has led to a significant improvement of Large Language Models (LLMs) performance. However, rationales currently require human-annotation or the use of auxiliary proxy models to target promising samples or generate high-quality rationales. In this work, we propose Self-AMPLIFY to generate automatically rationales from post hoc explanation methods applied to Small Language Models (SLMs) to improve their own performance. Self-AMPLIFY is a 3-step method that targets samples, generates rationales and builds a final prompt to leverage ICL. Self-AMPLIFY performance is evaluated on two SLMs and two datasets requiring reasoning abilities: these experiments show that Self-AMPLIFY achieves good results against competitors. Self-AMPLIFY is the first method to apply post hoc explanation methods to SLM to generate rationales to improve their own performance in a fully automated manner.

Large language models (LLMs) equipped with chain-of-thought (CoT) achieve strong performance and offer a window into LLM behavior. However, recent evidence suggests that improvements in CoT capabilities often come with redundant reasoning processes, motivating a key question: Can LLMs acquire a fast-thinking mode analogous to human System 1 reasoning? To explore this, our study presents a self-sampling framework based on activation steering for efficient CoT learning. Our method can induce style-aligned and variable-length reasoning traces from target LLMs themselves without any teacher guidance, thereby alleviating a central bottleneck of SFT-based methods-the scarcity of high-quality supervision data. Using filtered data by gold answers, we perform SFT for efficient CoT learning with (i) a human-like dual-cognitive system, and (ii) a progressive compression curriculum. Furthermore, we explore a self-evolution regime in which SFT is driven solely by prediction-consistent data of variable-length variants, eliminating the need for gold answers. Extensive experiments on math benchmarks, together with cross-domain generalization tests in medicine, show that our method yields stable improvements for both general and R1-style LLMs. Our data and model checkpoints can be found at https://github.com/DYR1/S3-CoT.

Understanding how individuals with Parkinson's disease (PD) describe cognitive experiences in their daily lives can offer valuable insights into disease-related cognitive and emotional changes. However, extracting such information from unstructured patient narratives is challenging due to the subtle, overlapping nature of cognitive constructs. This study developed and evaluated natural language processing (NLP) models to automatically identify categories that reflect various cognitive processes from de-identified first-person narratives. Three model families, a Bio_ClinicalBERT-based span categorization model for nested entity recognition, a fine-tuned Meta-Llama-3-8B-Instruct model using QLoRA for instruction following, and GPT-4o mini evaluated under zero- and few-shot settings, were compared on their performance on extracting seven categories. Our findings indicated that model performance varied substantially across categories and model families. The fine-tuned Meta-Llama-3-8B-Instruct achieved the highest overall F1-scores (0.74 micro-average and 0.59 macro-average), particularly excelling in context-dependent categories such as thought and social interaction. Bio_ClinicalBERT exhibited high precision but low recall and performed comparable to Llama for some category types such as location and time but failed on other categories such as thought, emotion and social interaction. Compared to conventional information extraction tasks, this task presents a greater challenge due to the abstract and overlapping nature of narrative accounts of complex cognitive processes. Nonetheless, with continued refinement, these NLP systems hold promise for enabling low-burden, longitudinal monitoring of cognitive function and serving as a valuable complement to formal neuropsychological assessments in PD.

The Retrieval-Augmented Language Model (RALM) has shown remarkable performance on knowledge-intensive tasks by incorporating external knowledge during inference, which mitigates the factual hallucinations inherited in large language models (LLMs). Despite these advancements, challenges persist in the implementation of RALMs, particularly concerning their reliability and traceability. To be specific, the irrelevant document retrieval may result in unhelpful response generation or even deteriorate the performance of LLMs, while the lack of proper citations in generated outputs complicates efforts to verify the trustworthiness of the models. To this end, we propose a novel self-reasoning framework aimed at improving the reliability and traceability of RALMs, whose core idea is to leverage reasoning trajectories generated by the LLM itself. The framework involves constructing self-reason trajectories with three processes: a relevance-aware process, an evidence-aware selective process, and a trajectory analysis process. We have evaluated our framework across four public datasets (two short-form QA datasets, one long-form QA dataset, and one fact verification dataset) to demonstrate the superiority of our method, which can outperform existing state-of-art models and can achieve comparable performance with GPT-4, while only using 2,000 training samples.

Self-correction is a novel method that can stimulate the potential reasoning abilities of large language models (LLMs). It involves detecting and correcting errors during the inference process when LLMs solve reasoning problems. However, recent works do not regard self-correction as a spontaneous and intrinsic capability of LLMs. Instead, such correction is achieved through post-hoc generation, external knowledge introduction, multi-model collaboration, and similar techniques. In this paper, we propose a series of mathematical LLMs called S^3c-Math, which are able to perform Spontaneous Step-level Self-correction for Mathematical reasoning. This capability helps LLMs to recognize whether their ongoing inference tends to contain errors and simultaneously correct these errors to produce a more reliable response. We proposed a method, which employs a step-level sampling approach to construct step-wise self-correction data for achieving such ability. Additionally, we implement a training strategy that uses above constructed data to equip LLMs with spontaneous step-level self-correction capacities. Our data and methods have been demonstrated to be effective across various foundation LLMs, consistently showing significant progress in evaluations on GSM8K, MATH, and other mathematical benchmarks. To the best of our knowledge, we are the first to introduce the spontaneous step-level self-correction ability of LLMs in mathematical reasoning.

Medical Multimodal Large Language Models (Med-MLLMs) require egocentric clinical intent understanding for real-world deployment, yet existing benchmarks fail to evaluate this critical capability. To address these challenges, we introduce MedGaze-Bench, the first benchmark leveraging clinician gaze as a Cognitive Cursor to assess intent understanding across surgery, emergency simulation, and diagnostic interpretation. Our benchmark addresses three fundamental challenges: visual homogeneity of anatomical structures, strict temporal-causal dependencies in clinical workflows, and implicit adherence to safety protocols. We propose a Three-Dimensional Clinical Intent Framework evaluating: (1) Spatial Intent: discriminating precise targets amid visual noise, (2) Temporal Intent: inferring causal rationale through retrospective and prospective reasoning, and (3) Standard Intent: verifying protocol compliance through safety checks. Beyond accuracy metrics, we introduce Trap QA mechanisms to stress-test clinical reliability by penalizing hallucinations and cognitive sycophancy. Experiments reveal current MLLMs struggle with egocentric intent due to over-reliance on global features, leading to fabricated observations and uncritical acceptance of invalid instructions.

Truly reliable AI requires more than simply scaling up knowledge; it demands the ability to know what it knows and when it does not. Yet recent research shows that even the best LLMs misjudge their own competence in more than one in five cases, making any response born of such internal uncertainty impossible to fully trust. Inspired by self-improvement reinforcement learning techniques that require minimal data, we present a simple but powerful framework KnowRL that strengthens a model's internal understanding of its own feasibility boundaries, enabling safer and more responsible behaviour. Our framework combines two components: (i) introspection, where the model generates and classifies tasks it judges feasible or infeasible, and (ii) consensus-based rewarding, where stability of self-knowledge assessment is reinforced through internal agreement. By using internally generated data, this design strengthens consistency in self-knowledge and entirely avoids costly external supervision. In experiments on LLaMA-3.1-8B and Qwen-2.5-7B, KnowRL steadily improved self-knowledge, validated by both intrinsic self-consistency and extrinsic benchmarking. With nothing more than a small seed set and no external supervision, our method drove gains as high as 28% in accuracy and 12% in F1, outperforming baselines in just a few iterations. Our framework essentially unlocks the untapped capacity of LLMs to self-improve their knowledge awareness, opening the door to reliable, more accountable AI and safer deployment in critical applications. Owing to its simplicity and independence from external effort, we encourage applying this reliability-enhancing process to all future models.

Large Language Models (LLMs) have emerged as a groundbreaking technology with their unparalleled text generation capabilities across various applications. Nevertheless, concerns persist regarding the accuracy and appropriateness of their generated content. A contemporary methodology, self-correction, has been proposed as a remedy to these issues. Building upon this premise, this paper critically examines the role and efficacy of self-correction within LLMs, shedding light on its true potential and limitations. Central to our investigation is the notion of intrinsic self-correction, whereby an LLM attempts to correct its initial responses based solely on its inherent capabilities, without the crutch of external feedback. In the context of reasoning, our research indicates that LLMs struggle to self-correct their responses without external feedback, and at times, their performance might even degrade post self-correction. Drawing from these insights, we offer suggestions for future research and practical applications in this field.

Detecting hallucinations in Large Language Models (LLMs) remains a critical challenge for their reliable deployment in real-world applications. To address this, we introduce SelfCheckAgent, a novel framework integrating three different agents: the Symbolic Agent, the Specialized Detection Agent, and the Contextual Consistency Agent. These agents provide a robust multi-dimensional approach to hallucination detection. Notable results include the Contextual Consistency Agent leveraging Llama 3.1 with Chain-of-Thought (CoT) to achieve outstanding performance on the WikiBio dataset, with NonFactual hallucination detection scoring 93.64%, Factual 70.26%, and Ranking 78.48% respectively. On the AIME dataset, GPT-4o with CoT excels in NonFactual detection with 94.89% but reveals trade-offs in Factual with 30.58% and Ranking with 30.68%, underscoring the complexity of hallucination detection in the complex mathematical domains. The framework also incorporates a triangulation strategy, which increases the strengths of the SelfCheckAgent, yielding significant improvements in real-world hallucination identification. The comparative analysis demonstrates SelfCheckAgent's applicability across diverse domains, positioning it as a crucial advancement for trustworthy LLMs. These findings highlight the potentiality of consistency-driven methodologies in detecting hallucinations in LLMs.

Online medical consultation (OMC) restricts doctors to gathering patient information solely through inquiries, making the already complex sequential decision-making process of diagnosis even more challenging. Recently, the rapid advancement of large language models has demonstrated a significant potential to transform OMC. However, most studies have primarily focused on improving diagnostic accuracy under conditions of relatively sufficient information, while paying limited attention to the "inquiry" phase of the consultation process. This lack of focus has left the relationship between "inquiry" and "diagnosis" insufficiently explored. In this paper, we first extract real patient interaction strategies from authentic doctor-patient conversations and use these strategies to guide the training of a patient simulator that closely mirrors real-world behavior. By inputting medical records into our patient simulator to simulate patient responses, we conduct extensive experiments to explore the relationship between "inquiry" and "diagnosis" in the consultation process. Experimental results demonstrate that inquiry and diagnosis adhere to the Liebig's law: poor inquiry quality limits the effectiveness of diagnosis, regardless of diagnostic capability, and vice versa. Furthermore, the experiments reveal significant differences in the inquiry performance of various models. To investigate this phenomenon, we categorize the inquiry process into four types: (1) chief complaint inquiry; (2) specification of known symptoms; (3) inquiry about accompanying symptoms; and (4) gathering family or medical history. We analyze the distribution of inquiries across the four types for different models to explore the reasons behind their significant performance differences. We plan to open-source the weights and related code of our patient simulator at https://github.com/LIO-H-ZEN/PatientSimulator.

Mental disorders are highly prevalent worldwide, but the shortage of psychiatrists and the inherent subjectivity of interview-based diagnosis create substantial barriers to timely and consistent mental-health assessment. Progress in AI-assisted psychiatric diagnosis is constrained by the absence of benchmarks that simultaneously provide realistic patient simulation, clinician-verified diagnostic labels, and support for dynamic multi-turn consultation. We present LingxiDiagBench, a large-scale multi-agent benchmark that evaluates LLMs on both static diagnostic inference and dynamic multi-turn psychiatric consultation in Chinese. At its core is LingxiDiag-16K, a dataset of 16,000 EMR-aligned synthetic consultation dialogues designed to reproduce real clinical demographic and diagnostic distributions across 12 ICD-10 psychiatric categories. Through extensive experiments across state-of-the-art LLMs, we establish key findings: (1) although LLMs achieve high accuracy on binary depression--anxiety classification (up to 92.3%), performance deteriorates substantially for depression--anxiety comorbidity recognition (43.0%) and 12-way differential diagnosis (28.5%); (2) dynamic consultation often underperforms static evaluation, indicating that ineffective information-gathering strategies significantly impair downstream diagnostic reasoning; (3) consultation quality assessed by LLM-as-a-Judge shows only moderate correlation with diagnostic accuracy, suggesting that well-structured questioning alone does not ensure correct diagnostic decisions. We release LingxiDiag-16K and the full evaluation framework to support reproducible research at https://github.com/Lingxi-mental-health/LingxiDiagBench.

Large Language Model (LLM)-based agents have demonstrated strong capabilities across a wide range of tasks, and their application in the medical domain holds particular promise due to the demand for high generalizability and reliance on interdisciplinary knowledge. However, existing medical agent systems often rely on static, manually crafted workflows that lack the flexibility to accommodate diverse diagnostic requirements and adapt to emerging clinical scenarios. Motivated by the success of automated machine learning (AutoML), this paper introduces a novel framework for the automated design of medical agent architectures. Specifically, we define a hierarchical and expressive agent search space that enables dynamic workflow adaptation through structured modifications at the node, structural, and framework levels. Our framework conceptualizes medical agents as graph-based architectures composed of diverse, functional node types and supports iterative self-improvement guided by diagnostic feedback. Experimental results on skin disease diagnosis tasks demonstrate that the proposed method effectively evolves workflow structures and significantly enhances diagnostic accuracy over time. This work represents the first fully automated framework for medical agent architecture design and offers a scalable, adaptable foundation for deploying intelligent agents in real-world clinical environments.

Passively collected behavioral health data from ubiquitous sensors holds significant promise to provide mental health professionals insights from patient's daily lives; however, developing analysis tools to use this data in clinical practice requires addressing challenges of generalization across devices and weak or ambiguous correlations between the measured signals and an individual's mental health. To address these challenges, we take a novel approach that leverages large language models (LLMs) to synthesize clinically useful insights from multi-sensor data. We develop chain of thought prompting methods that use LLMs to generate reasoning about how trends in data such as step count and sleep relate to conditions like depression and anxiety. We first demonstrate binary depression classification with LLMs achieving accuracies of 61.1% which exceed the state of the art. While it is not robust for clinical use, this leads us to our key finding: even more impactful and valued than classification is a new human-AI collaboration approach in which clinician experts interactively query these tools and combine their domain expertise and context about the patient with AI generated reasoning to support clinical decision-making. We find models like GPT-4 correctly reference numerical data 75% of the time, and clinician participants express strong interest in using this approach to interpret self-tracking data.

LLMs for clinical decision support often fail under small but clinically meaningful input shifts such as masking a symptom or negating a finding, despite high performance on static benchmarks. These reasoning failures frequently go undetected by standard NLP metrics, which are insensitive to latent representation shifts that drive diagnosis instability. We propose a geometry-aware evaluation framework, LAPD (Latent Agentic Perturbation Diagnostics), which systematically probes the latent robustness of clinical LLMs under structured adversarial edits. Within this framework, we introduce Latent Diagnosis Flip Rate (LDFR), a model-agnostic diagnostic signal that captures representational instability when embeddings cross decision boundaries in PCA-reduced latent space. Clinical notes are generated using a structured prompting pipeline grounded in diagnostic reasoning, then perturbed along four axes: masking, negation, synonym replacement, and numeric variation to simulate common ambiguities and omissions. We compute LDFR across both foundation and clinical LLMs, finding that latent fragility emerges even under minimal surface-level changes. Finally, we validate our findings on 90 real clinical notes from the DiReCT benchmark (MIMIC-IV), confirming the generalizability of LDFR beyond synthetic settings. Our results reveal a persistent gap between surface robustness and semantic stability, underscoring the importance of geometry-aware auditing in safety-critical clinical AI.

Can language models (LMs) self-refine their own responses? This question is increasingly relevant as a wide range of real-world user interactions involve refinement requests. However, prior studies have largely tested LMs' refinement abilities on verifiable tasks such as competition math or symbolic reasoning with simplified scaffolds, whereas users often pose open-ended queries and provide varying degrees of feedback on what they desire. The recent advent of reasoning models that exhibit self-reflection patterns in their chains-of-thought further motivates this question. To analyze this, we introduce RefineBench, a benchmark of 1,000 challenging problems across 11 domains paired with a checklist-based evaluation framework. We evaluate two refinement modes: (1) guided refinement, where an LM is provided natural language feedback, and (2) self-refinement, where LMs attempt to improve without guidance. In the self-refinement setting, even frontier LMs such as Gemini 2.5 Pro and GPT-5 achieve modest baseline scores of 31.3% and 29.1%, respectively, and most models fail to consistently improve across iterations (e.g., Gemini-2.5-Pro gains only +1.8%, while DeepSeek-R1 declines by -0.1%). By contrast, in guided refinement, both proprietary LMs and large open-weight LMs (>70B) can leverage targeted feedback to refine responses to near-perfect levels within five turns. These findings suggest that frontier LMs require breakthroughs to self-refine their incorrect responses, and that RefineBench provides a valuable testbed for tracking progress.

The weight matrix (WM) of a neural network (NN) is its program. The programs of many traditional NNs are learned through gradient descent in some error function, then remain fixed. The WM of a self-referential NN, however, can keep rapidly modifying all of itself during runtime. In principle, such NNs can meta-learn to learn, and meta-meta-learn to meta-learn to learn, and so on, in the sense of recursive self-improvement. While NN architectures potentially capable of implementing such behaviour have been proposed since the '90s, there have been few if any practical studies. Here we revisit such NNs, building upon recent successes of fast weight programmers and closely related linear Transformers. We propose a scalable self-referential WM (SRWM) that learns to use outer products and the delta update rule to modify itself. We evaluate our SRWM in supervised few-shot learning and in multi-task reinforcement learning with procedurally generated game environments. Our experiments demonstrate both practical applicability and competitive performance of the proposed SRWM. Our code is public.

The prevalent use of large language models (LLMs) in various domains has drawn attention to the issue of "hallucination," which refers to instances where LLMs generate factually inaccurate or ungrounded information. Existing techniques for hallucination detection in language assistants rely on intricate fuzzy, specific free-language-based chain of thought (CoT) techniques or parameter-based methods that suffer from interpretability issues. Additionally, the methods that identify hallucinations post-generation could not prevent their occurrence and suffer from inconsistent performance due to the influence of the instruction format and model style. In this paper, we introduce a novel pre-detection self-evaluation technique, referred to as SELF-FAMILIARITY, which focuses on evaluating the model's familiarity with the concepts present in the input instruction and withholding the generation of response in case of unfamiliar concepts. This approach emulates the human ability to refrain from responding to unfamiliar topics, thus reducing hallucinations. We validate SELF-FAMILIARITY across four different large language models, demonstrating consistently superior performance compared to existing techniques. Our findings propose a significant shift towards preemptive strategies for hallucination mitigation in LLM assistants, promising improvements in reliability, applicability, and interpretability.

Generative Large Language Models (LLMs) such as GPT-3 are capable of generating highly fluent responses to a wide variety of user prompts. However, LLMs are known to hallucinate facts and make non-factual statements which can undermine trust in their output. Existing fact-checking approaches either require access to token-level output probability distribution (which may not be available for systems such as ChatGPT) or external databases that are interfaced via separate, often complex, modules. In this work, we propose "SelfCheckGPT", a simple sampling-based approach that can be used to fact-check black-box models in a zero-resource fashion, i.e. without an external database. SelfCheckGPT leverages the simple idea that if a LLM has knowledge of a given concept, sampled responses are likely to be similar and contain consistent facts. However, for hallucinated facts, stochastically sampled responses are likely to diverge and contradict one another. We investigate this approach by using GPT-3 to generate passages about individuals from the WikiBio dataset, and manually annotate the factuality of the generated passages. We demonstrate that SelfCheckGPT can: i) detect non-factual and factual sentences; and ii) rank passages in terms of factuality. We compare our approach to several existing baselines and show that in sentence hallucination detection, our approach has AUC-PR scores comparable to grey-box methods, while SelfCheckGPT is best at passage factuality assessment.

Clinical dialogue represents a complex duality requiring both the empathetic fluency of natural conversation and the rigorous precision of evidence-based medicine. While Large Language Models possess unprecedented linguistic capabilities, their architectural reliance on reactive and stateless processing often favors probabilistic plausibility over factual veracity. This structural limitation has catalyzed a paradigm shift in medical AI from generative text prediction to agentic autonomy, where the model functions as a central reasoning engine capable of deliberate planning and persistent memory. Moving beyond existing reviews that primarily catalog downstream applications, this survey provides a first-principles analysis of the cognitive architecture underpinning this shift. We introduce a novel taxonomy structured along the orthogonal axes of knowledge source and agency objective to delineate the provenance of clinical knowledge against the system's operational scope. This framework facilitates a systematic analysis of the intrinsic trade-offs between creativity and reliability by categorizing methods into four archetypes: Latent Space Clinicians, Emergent Planners, Grounded Synthesizers, and Verifiable Workflow Automators. For each paradigm, we deconstruct the technical realization across the entire cognitive pipeline, encompassing strategic planning, memory management, action execution, collaboration, and evolution to reveal how distinct architectural choices balance the tension between autonomy and safety.

Depression, a prevalent mental health disorder impacting millions globally, demands reliable assessment systems. Unlike previous studies that focus solely on either detecting depression or predicting its severity, our work identifies individual symptoms of depression while also predicting its severity using speech input. We leverage self-supervised learning (SSL)-based speech models to better utilize the small-sized datasets that are frequently encountered in this task. Our study demonstrates notable performance improvements by utilizing SSL embeddings compared to conventional speech features. We compare various types of SSL pretrained models to elucidate the type of speech information (semantic, speaker, or prosodic) that contributes the most in identifying different symptoms. Additionally, we evaluate the impact of combining multiple SSL embeddings on performance. Furthermore, we show the significance of multi-task learning for identifying depressive symptoms effectively.

Mental health is a critical issue in modern society, and mental disorders could sometimes turn to suicidal ideation without adequate treatment. Early detection of mental disorders and suicidal ideation from social content provides a potential way for effective social intervention. Recent advances in pretrained contextualized language representations have promoted the development of several domain-specific pretrained models and facilitated several downstream applications. However, there are no existing pretrained language models for mental healthcare. This paper trains and release two pretrained masked language models, i.e., MentalBERT and MentalRoBERTa, to benefit machine learning for the mental healthcare research community. Besides, we evaluate our trained domain-specific models and several variants of pretrained language models on several mental disorder detection benchmarks and demonstrate that language representations pretrained in the target domain improve the performance of mental health detection tasks.

Large Language Models (LLMs) have shown great potential in Natural Language Processing (NLP) tasks. However, recent literature reveals that LLMs generate nonfactual responses intermittently, which impedes the LLMs' reliability for further utilization. In this paper, we propose a novel self-detection method to detect which questions that a LLM does not know that are prone to generate nonfactual results. Specifically, we first diversify the textual expressions for a given question and collect the corresponding answers. Then we examine the divergencies between the generated answers to identify the questions that the model may generate falsehoods. All of the above steps can be accomplished by prompting the LLMs themselves without referring to any other external resources. We conduct comprehensive experiments and demonstrate the effectiveness of our method on recently released LLMs, e.g., Vicuna, ChatGPT, and GPT-4.

Large Multimodal Models (LMMs) have shown remarkable progress in the field of medical Visual Question Answering (Med-VQA), achieving high accuracy on existing benchmarks. However, their reliability under robust evaluation is questionable. This study reveals that state-of-the-art models, when subjected to simple probing evaluation, perform worse than random guessing on medical diagnosis questions. To address this critical evaluation problem, we introduce the Probing Evaluation for Medical Diagnosis (ProbMed) dataset to rigorously assess LMM performance in medical imaging through probing evaluation and procedural diagnosis. Particularly, probing evaluation features pairing original questions with negation questions with hallucinated attributes, while procedural diagnosis requires reasoning across various diagnostic dimensions for each image, including modality recognition, organ identification, clinical findings, abnormalities, and positional grounding. Our evaluation reveals that top-performing models like GPT-4V and Gemini Pro perform worse than random guessing on specialized diagnostic questions, indicating significant limitations in handling fine-grained medical inquiries. Besides, models like LLaVA-Med struggle even with more general questions, and results from CheXagent demonstrate the transferability of expertise across different modalities of the same organ, showing that specialized domain knowledge is still crucial for improving performance. This study underscores the urgent need for more robust evaluation to ensure the reliability of LMMs in critical fields like medical diagnosis, and current LMMs are still far from applicable to those fields.

Neural Module Networks, originally proposed for the task of visual question answering, are a class of neural network architectures that involve human-specified neural modules, each designed for a specific form of reasoning. In current formulations of such networks only the parameters of the neural modules and/or the order of their execution is learned. In this work, we further expand this approach and also learn the underlying internal structure of modules in terms of the ordering and combination of simple and elementary arithmetic operators. Our results show that one is indeed able to simultaneously learn both internal module structure and module sequencing without extra supervisory signals for module execution sequencing. With this approach, we report performance comparable to models using hand-designed modules.

Large language models (LLMs) are increasingly applied to outpatient referral tasks across healthcare systems. However, there is a lack of standardized evaluation criteria to assess their effectiveness, particularly in dynamic, interactive scenarios. In this study, we systematically examine the capabilities and limitations of LLMs in managing tasks within Intelligent Outpatient Referral (IOR) systems and propose a comprehensive evaluation framework specifically designed for such systems. This framework comprises two core tasks: static evaluation, which focuses on evaluating the ability of predefined outpatient referrals, and dynamic evaluation, which evaluates capabilities of refining outpatient referral recommendations through iterative dialogues. Our findings suggest that LLMs offer limited advantages over BERT-like models, but show promise in asking effective questions during interactive dialogues.

Large language models have recently demonstrated remarkable abilities to self-correct their responses through iterative refinement, often referred to as self-consistency or self-reflection. However, the dynamics of this self-correction mechanism may differ substantially depending on whether the model is tasked with open-ended text generation or with selecting the most appropriate response from multiple predefined options. In this paper, we conduct a systematic investigation of these two paradigms by comparing performance trends and error-correction behaviors across various natural language understanding and reasoning tasks, covering language models of different scales and families. Our experimental results reveal distinct patterns of improvement and failure modes: While open-ended generation often benefits from the flexibility of re-interpretation and compositional refinement, multiple-choice selection can leverage clearer solution boundaries but may be limited by the provided options. This contrast also reflects the dual demands faced by emerging agentic LLM applications: effective agents must not only generate and refine open-ended plans or explanations, but also make reliable discrete choices when operating within constrained action spaces. Our findings, therefore, highlight that the design of self-correction mechanisms should take into account the interaction between task structure and output space, with implications for both knowledge-intensive reasoning and decision-oriented applications of LLMs.

Background Major depressive disorder (MDD) is a leading cause of global disability, yet current diagnostic approaches often rely on subjective assessments and lack the ability to integrate multimodal clinical information. Large language models (LLMs) hold promise for enhancing diagnostic accuracy through advanced reasoning but face challenges in interpretability, hallucination, and reliance on synthetic data. Methods We developed MDD-Thinker, an LLM-based diagnostic framework that integrates supervised fine-tuning (SFT) with reinforcement learning (RL) to strengthen reasoning ability and interpretability. Using the UK Biobank dataset, we generated 40,000 reasoning samples, supplemented with 10,000 samples from publicly available mental health datasets. The model was fine-tuned on these reasoning corpora, and its diagnostic and reasoning performance was evaluated against machine learning, deep learning, and state-of-the-art LLM baselines. Findings MDD-Thinker achieved an accuracy of 0.8268 and F1-score of 0.8081, significantly outperforming traditional baselines such as SVM and MLP, as well as general-purpose LLMs. Incorporating both SFT and RL yielded the greatest improvements, with relative gains of 29.0% in accuracy, 38.1% in F1-score, and 34.8% in AUC. Moreover, the model demonstrated comparable reasoning performance compared to much larger LLMs, while maintaining computational efficiency. Interpretation This study presents the first reasoning-enhanced LLM framework for MDD diagnosis trained on large-scale real-world clinical data. By integrating SFT and RL, MDD-Thinker balances accuracy, interpretability, and efficiency, offering a scalable approach for intelligent psychiatric diagnostics. These findings suggest that reasoning-oriented LLMs can provide clinically reliable support for MDD detection and may inform broader applications in mental health care.

As a critical step to achieve human-like chatbots, empathetic response generation has attained increasing interests. Previous attempts are incomplete and not sufficient enough to elicit empathy because they only focus on the initial aspect of empathy to automatically mimic the feelings and thoughts of the user via other-awareness. However, they ignore to maintain and take the own views of the system into account, which is a crucial process to achieve the empathy called self-other awareness. To this end, we propose to generate Empathetic response with explicit Self-Other Awareness (EmpSOA). Specifically, three stages, self-other differentiation, self-other modulation and self-other generation, are devised to clearly maintain, regulate and inject the self-other aware information into the process of empathetic response generation. Both automatic and human evaluations on the benchmark dataset demonstrate the superiority of EmpSOA to generate more empathetic responses.

Chest X-ray plays a central role in thoracic diagnosis, and its interpretation inherently requires multi-step, evidence-grounded reasoning. However, large vision-language models (LVLMs) often generate plausible responses that are not faithfully grounded in diagnostic evidence and provide limited visual evidence for verification, while also requiring costly retraining to support new diagnostic tasks, limiting their reliability and adaptability in clinical settings. To address these limitations, we present CXReasonAgent, a diagnostic agent that integrates a large language model (LLM) with clinically grounded diagnostic tools to perform evidence-grounded diagnostic reasoning using image-derived diagnostic and visual evidence. To evaluate these capabilities, we introduce CXReasonDial, a multi-turn dialogue benchmark with 1,946 dialogues across 12 diagnostic tasks, and show that CXReasonAgent produces faithfully grounded responses, enabling more reliable and verifiable diagnostic reasoning than LVLMs. These findings highlight the importance of integrating clinically grounded diagnostic tools, particularly in safety-critical clinical settings.

Clinical diagnosis is a highly specialized discipline requiring both domain expertise and strict adherence to rigorous guidelines. While current AI-driven medical research predominantly focuses on knowledge graphs or natural text pretraining paradigms to incorporate medical knowledge, these approaches primarily rely on implicitly encoded knowledge within model parameters, neglecting task-specific knowledge required by diverse downstream tasks. To address this limitation, we propose Retrieval-Augmented Diagnosis (RAD), a novel framework that explicitly injects external knowledge into multimodal models directly on downstream tasks. Specifically, RAD operates through three key mechanisms: retrieval and refinement of disease-centered knowledge from multiple medical sources, a guideline-enhanced contrastive loss that constrains the latent distance between multi-modal features and guideline knowledge, and the dual transformer decoder that employs guidelines as queries to steer cross-modal fusion, aligning the models with clinical diagnostic workflows from guideline acquisition to feature extraction and decision-making. Moreover, recognizing the lack of quantitative evaluation of interpretability for multimodal diagnostic models, we introduce a set of criteria to assess the interpretability from both image and text perspectives. Extensive evaluations across four datasets with different anatomies demonstrate RAD's generalizability, achieving state-of-the-art performance. Furthermore, RAD enables the model to concentrate more precisely on abnormal regions and critical indicators, ensuring evidence-based, trustworthy diagnosis. Our code is available at https://github.com/tdlhl/RAD.

Self-correction has emerged as a promising solution to boost the reasoning performance of large language models (LLMs), where LLMs refine their solutions using self-generated critiques that pinpoint the errors. This work explores whether smaller-size (<= 13B) language models (LMs) have the ability of self-correction on reasoning tasks with minimal inputs from stronger LMs. We propose a novel pipeline that prompts smaller LMs to collect self-correction data that supports the training of self-refinement abilities. First, we leverage correct solutions to guide the model in critiquing their incorrect responses. Second, the generated critiques, after filtering, are used for supervised fine-tuning of the self-correcting reasoner through solution refinement. Our experimental results show improved self-correction abilities of two models on five datasets spanning math and commonsense reasoning, with notable performance gains when paired with a strong GPT-4-based verifier, though limitations are identified when using a weak self-verifier for determining when to correct.

Medical vision-language models (VLMs) excel at image-text understanding but typically rely on a single-pass reasoning that neglects localized visual cues. In clinical practice, however, human experts iteratively scan, focus, and refine the regions of interest before reaching a final diagnosis. To narrow this machine-human perception gap, we introduce ViTAR, a novel VLM framework that emulates the iterative reasoning process of human experts through a cognitive chain of "think-act-rethink-answer". ViTAR treats medical images as interactive objects, enabling models to engage multi-step visual reasoning. To support this approach, we curate a high-quality instruction dataset comprising 1K interactive examples that encode expert-like diagnostic behaviors. In addition, a 16K visual question answering training data has been curated towards fine-grained visual diagnosis. We introduce a two-stage training strategy that begins with supervised fine-tuning to guide cognitive trajectories, followed by the reinforcement learning to optimize decision-making. Extensive evaluations demonstrate that ViTAR outperforms strong state-of-the-art models. Visual attention analysis reveals that from the "think" to "rethink" rounds, ViTAR increasingly anchors visual grounding to clinically critical regions and maintains high attention allocation to visual tokens during reasoning, providing mechanistic insight into its improved performance. These findings demonstrate that embedding expert-style iterative thinking chains into VLMs enhances both performance and trustworthiness of medical AI.

Mental manipulation is a subtle yet pervasive form of abuse in interpersonal communication, making its detection critical for safeguarding potential victims. However, due to manipulation's nuanced and context-specific nature, identifying manipulative language in complex, multi-turn, and multi-person conversations remains a significant challenge for large language models (LLMs). To address this gap, we introduce the MultiManip dataset, comprising 220 multi-turn, multi-person dialogues balanced between manipulative and non-manipulative interactions, all drawn from reality shows that mimic real-world scenarios. For manipulative interactions, it includes 11 distinct manipulations depicting real-life scenarios. We conduct extensive evaluations of state-of-the-art LLMs, such as GPT-4o and Llama-3.1-8B, employing various prompting strategies. Despite their capabilities, these models often struggle to detect manipulation effectively. To overcome this limitation, we propose SELF-PERCEPT, a novel, two-stage prompting framework inspired by Self-Perception Theory, demonstrating strong performance in detecting multi-person, multi-turn mental manipulation. Our code and data are publicly available at https://github.com/danushkhanna/self-percept .

Self-reflection for Large Language Models (LLMs) has gained significant attention. Existing approaches involve models iterating and improving their previous responses based on LLMs' internal reflection ability or external feedback. However, recent research has raised doubts about whether intrinsic self-correction without external feedback may even degrade performance. Based on our empirical evidence, we find that current static reflection methods may lead to redundant, drift, and stubborn issues. To mitigate this, we introduce Instruct-of-Reflection (IoRT), a novel and general reflection framework that leverages dynamic-meta instruction to enhance the iterative reflection capability of LLMs. Specifically, we propose the instructor driven by the meta-thoughts and self-consistency classifier, generates various instructions, including refresh, stop, and select, to guide the next reflection iteration. Our experiments demonstrate that IoRT achieves an average improvement of 10.1% over established baselines in mathematical and commonsense reasoning tasks, highlighting its efficacy and applicability.

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

Recent work shows that LLM agents struggle to correct errors in their own reasoning traces yet show markedly higher correction rates when identical claims appear under external sources. We ask whether this asymmetry reflects a capability deficit or a role-label artifact: does an agent's willingness to correct a wrong claim depend causally on the chat-template role that carries it, rather than on the claim's content? Our setup keeps the erroneous claim byte-identical across all conditions (SHA-256 verified) and varies only its wrapping role: the agent's own <thought>, a user message, a tool response, or a system <memory> block. Across 13 model-domain cells covering seven model families and three domains (n{=}30 paired tasks per cell), relabeling the claim from <thought> to an external role lifts the explicit-correction rate by 23 to 93 percentage points, with 10 of 13 cells reaching p{<}0.001. Further experiments confirm that the effect is asymmetric, mechanistically decomposable, and robust across domains. The failure to self-correct is not a cognitive deficit; it is a chat-template artifact. We exploit this artifact by designing a prompt-structure-only intervention that requires no training and no model modification, with its strongest role label being domain-dependent: <memory> dominates on math, while a plain user message dominates on logical deduction.

A rapidly growing number of applications rely on a small set of closed-source language models (LMs). This dependency might introduce novel security risks if LMs develop self-recognition capabilities. Inspired by human identity verification methods, we propose a novel approach for assessing self-recognition in LMs using model-generated "security questions". Our test can be externally administered to keep track of frontier models as it does not require access to internal model parameters or output probabilities. We use our test to examine self-recognition in ten of the most capable open- and closed-source LMs currently publicly available. Our extensive experiments found no empirical evidence of general or consistent self-recognition in any examined LM. Instead, our results suggest that given a set of alternatives, LMs seek to pick the "best" answer, regardless of its origin. Moreover, we find indications that preferences about which models produce the best answers are consistent across LMs. We additionally uncover novel insights on position bias considerations for LMs in multiple-choice settings.

There has been a rapidly growing interest in Automatic Symptom Detection (ASD) and Automatic Diagnosis (AD) systems in the machine learning research literature, aiming to assist doctors in telemedicine services. These systems are designed to interact with patients, collect evidence about their symptoms and relevant antecedents, and possibly make predictions about the underlying diseases. Doctors would review the interactions, including the evidence and the predictions, collect if necessary additional information from patients, before deciding on next steps. Despite recent progress in this area, an important piece of doctors' interactions with patients is missing in the design of these systems, namely the differential diagnosis. Its absence is largely due to the lack of datasets that include such information for models to train on. In this work, we present a large-scale synthetic dataset of roughly 1.3 million patients that includes a differential diagnosis, along with the ground truth pathology, symptoms and antecedents for each patient. Unlike existing datasets which only contain binary symptoms and antecedents, this dataset also contains categorical and multi-choice symptoms and antecedents useful for efficient data collection. Moreover, some symptoms are organized in a hierarchy, making it possible to design systems able to interact with patients in a logical way. As a proof-of-concept, we extend two existing AD and ASD systems to incorporate the differential diagnosis, and provide empirical evidence that using differentials as training signals is essential for the efficiency of such systems or for helping doctors better understand the reasoning of those systems.

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.

To correctly use in-context information, language models (LMs) must bind entities to their attributes. For example, given a context describing a "green square" and a "blue circle", LMs must bind the shapes to their respective colors. We analyze LM representations and identify the binding ID mechanism: a general mechanism for solving the binding problem, which we observe in every sufficiently large model from the Pythia and LLaMA families. Using causal interventions, we show that LMs' internal activations represent binding information by attaching binding ID vectors to corresponding entities and attributes. We further show that binding ID vectors form a continuous subspace, in which distances between binding ID vectors reflect their discernability. Overall, our results uncover interpretable strategies in LMs for representing symbolic knowledge in-context, providing a step towards understanding general in-context reasoning in large-scale LMs.

Analogical reasoning is a unique ability of humans to address unfamiliar challenges by transferring strategies from relevant past experiences. One key finding in psychology is that compared with irrelevant past experiences, recalling relevant ones can help humans better handle new tasks. Coincidentally, the NLP community has also recently found that self-generating relevant examples in the context can help large language models (LLMs) better solve a given problem than hand-crafted prompts. However, it is yet not clear whether relevance is the key factor eliciting such capability, i.e., can LLMs benefit more from self-generated relevant examples than irrelevant ones? In this work, we systematically explore whether LLMs can truly perform analogical reasoning on a diverse set of reasoning tasks. With extensive experiments and analysis, we show that self-generated random examples can surprisingly achieve comparable or even better performance, e.g., 4% performance boost on GSM8K with random biological examples. We find that the accuracy of self-generated examples is the key factor and subsequently design two improved methods with significantly reduced inference costs. Overall, we aim to advance a deeper understanding of LLM analogical reasoning and hope this work stimulates further research in the design of self-generated contexts.

As large language models (LLM) evolve in their capabilities, various recent studies have tried to quantify their behavior using psychological tools created to study human behavior. One such example is the measurement of "personality" of LLMs using self-assessment personality tests developed to measure human personality. Yet almost none of these works verify the applicability of these tests on LLMs. In this paper, we analyze the reliability of LLM personality scores obtained from self-assessment personality tests using two simple experiments. We first introduce the property of prompt sensitivity, where three semantically equivalent prompts representing three intuitive ways of administering self-assessment tests on LLMs are used to measure the personality of the same LLM. We find that all three prompts lead to very different personality scores, a difference that is statistically significant for all traits in a large majority of scenarios. We then introduce the property of option-order symmetry for personality measurement of LLMs. Since most of the self-assessment tests exist in the form of multiple choice question (MCQ) questions, we argue that the scores should also be robust to not just the prompt template but also the order in which the options are presented. This test unsurprisingly reveals that the self-assessment test scores are not robust to the order of the options. These simple tests, done on ChatGPT and three Llama2 models of different sizes, show that self-assessment personality tests created for humans are unreliable measures of personality in LLMs.

Fine-tuning LLMs to inject new knowledge faces a critical challenge: LLMs can quickly memorize new facts, yet fail to use them for downstream reasoning tasks. We formalize this failure as the \textbf{Knowing--Using Gap}, characterized by an accuracy gap and a temporal lag between memorization and generalization. To understand this phenomenon, we fine-tune LLMs with unseen knowledge and monitor the spatial permeation dynamics of the knowledge internally using a novel intervention technique called self-patching. Self-patching identifies activation locations where relocating representations substantially improves failed generalization cases. These results are consistent with a knowledge-circuit misalignment hypothesis: memorized representations can exist internally but may not be routed to computation-effective layers. To demonstrate the practicality of this diagnostic finding, we design a simple heuristic strategy which recovers 58--75\% of the oracle headroom in generalization failure. Experiments are done cross-domain for the robustness of this finding.

Large language models (LLMs) have demonstrated outstanding performance across various tasks, yet they still exhibit limitations such as hallucination, unfaithful reasoning, and toxic content. One potential approach to mitigate these issues is learning from human or external feedback (e.g. tools). In this paper, we introduce an intrinsic self-correct reasoning framework for LLMs that eliminates the need for human feedback, external tools, and handcraft prompts. The proposed framework, based on a multi-step reasoning paradigm Learning from Correctness (LeCo), improves reasoning performance without needing to learn from errors. This paradigm prioritizes learning from correct reasoning steps, and a unique method to measure confidence for each reasoning step based on generation logits. Experimental results across various multi-step reasoning tasks demonstrate the effectiveness of the framework in improving reasoning performance with reduced token consumption.

Recent proprietary large language models (LLMs), such as GPT-4, have achieved a milestone in tackling diverse challenges in the biomedical domain, ranging from multiple-choice questions to long-form generations. To address challenges that still cannot be handled with the encoded knowledge of LLMs, various retrieval-augmented generation (RAG) methods have been developed by searching documents from the knowledge corpus and appending them unconditionally or selectively to the input of LLMs for generation. However, when applying existing methods to different domain-specific problems, poor generalization becomes apparent, leading to fetching incorrect documents or making inaccurate judgments. In this paper, we introduce Self-BioRAG, a framework reliable for biomedical text that specializes in generating explanations, retrieving domain-specific documents, and self-reflecting generated responses. We utilize 84k filtered biomedical instruction sets to train Self-BioRAG that can assess its generated explanations with customized reflective tokens. Our work proves that domain-specific components, such as a retriever, domain-related document corpus, and instruction sets are necessary for adhering to domain-related instructions. Using three major medical question-answering benchmark datasets, experimental results of Self-BioRAG demonstrate significant performance gains by achieving a 7.2% absolute improvement on average over the state-of-the-art open-foundation model with a parameter size of 7B or less. Overall, we analyze that Self-BioRAG finds the clues in the question, retrieves relevant documents if needed, and understands how to answer with information from retrieved documents and encoded knowledge as a medical expert does. We release our data and code for training our framework components and model weights (7B and 13B) to enhance capabilities in biomedical and clinical domains.

Can large language models improve without external data -- by generating their own questions and answers? We hypothesize that a pre-trained language model can improve its reasoning skills given only a single prompt specifying the topic (e.g., algebra word problems) and asking the model to generate its own questions. To do this, we propose Self-Questioning Language Models (SQLM): an asymmetric self-play framework where a proposer is given the topic and generates a question for a solver, who tries to answer it. Both the proposer and solver are trained via reinforcement learning. The proposer receives a reward if the problem is not too easy or too difficult, and the solver receives a reward based on majority voting, a proxy for correctness in the absence of ground-truth answers. For coding, the proposer can instead generate unit tests which are used for verification. We study this asymmetric self-play framework on three benchmarks: three-digit multiplication, algebra problems from the OMEGA benchmark, and programming problems from Codeforces. By continually generating more interesting problems and attempting to solve them, language models can improve on downstream benchmarks without access to any curated training datasets.

Chain-of-Thought (CoT) prompting enhances the reasoning of large language models (LLMs) by decomposing problems into sequential steps, mimicking human logic and reducing errors. However, complex tasks with vast solution spaces and vague constraints often exceed the capacity of a single reasoning chain. Inspired by Minimal Free Resolution (MFR) in commutative algebra and algebraic geometry, we propose Syzygy of Thoughts (SoT)-a novel framework that extends CoT by introducing auxiliary, interrelated reasoning paths. SoT captures deeper logical dependencies, enabling more robust and structured problem-solving. MFR decomposes a module into a sequence of free modules with minimal rank, providing a structured analytical approach to complex systems. This method introduces the concepts of "Module", "Betti numbers","Freeness", "Mapping", "Exactness" and "Minimality", enabling the systematic decomposition of the original complex problem into logically complete minimal subproblems while preserving key problem features and reducing reasoning length. We tested SoT across diverse datasets (e.g., GSM8K, MATH) and models (e.g., GPT-4o-mini, Qwen2.5), achieving inference accuracy that matches or surpasses mainstream CoTs standards. Additionally, by aligning the sampling process with algebraic constraints, our approach enhances the scalability of inference time in LLMs, ensuring both transparent reasoning and high performance. Our code will be publicly available at https://github.com/dlMARiA/Syzygy-of-thoughts.

Humans invent new words when there is a rising demand for a new useful concept (e.g., doomscrolling). We explore and validate a similar idea in our communication with LLMs: introducing new words to better understand and control the models, expanding on the recently introduced neologism learning. This method introduces a new word by adding a new word embedding and training with examples that exhibit the concept with no other changes in model parameters. We show that adding a new word allows for control of concepts such as flattery, incorrect answers, text length, as well as more complex concepts in AxBench. We discover that neologisms can also further our understanding of the model via self-verbalization: models can describe what each new word means to them in natural language, like explaining that a word that represents a concept of incorrect answers means ``a lack of complete, coherent, or meaningful answers...'' To validate self-verbalizations, we introduce plug-in evaluation: we insert the verbalization into the context of a model and measure whether it controls the target concept. In some self-verbalizations, we find machine-only synonyms: words that seem unrelated to humans but cause similar behavior in machines. Finally, we show how neologism learning can jointly learn multiple concepts in multiple words.

On-policy self-distillation, where a student is pulled toward a copy of itself conditioned on privileged context (e.g., a verified solution or feedback), offers a promising direction for advancing reasoning capability without a stronger external teacher. Yet in math reasoning the gains are inconsistent, even when the same approach succeeds elsewhere. A pointwise mutual information analysis traces the failure to the privileged context itself: it inflates the teacher's confidence on tokens already implied by the solution (structural connectives, verifiable claims) and deflates it on deliberation tokens ("Wait", "Let", "Maybe") that drive multi-step search. We propose Anti-Self-Distillation (AntiSD), which ascends a divergence between student and teacher rather than descending it: this reverses the per-token sign and yields a naturally bounded advantage in one step. An entropy-triggered gate disables the term once the teacher entropy collapses, completing a drop-in replacement for default self-distillation. Across five models from 4B to 30B parameters on math reasoning benchmarks, AntiSD reaches the GRPO baseline's accuracy in 2 to 10x fewer training steps and improves final accuracy by up to 11.5 points. AntiSD opens a path to scalable self-improvement, where a language model bootstraps its own reasoning through its training signal.

Large language models (LLMs) have recently showcased remarkable capabilities, spanning a wide range of tasks and applications, including those in the medical domain. Models like GPT-4 excel in medical question answering but may face challenges in the lack of interpretability when handling complex tasks in real clinical settings. We thus introduce the diagnostic reasoning dataset for clinical notes (DiReCT), aiming at evaluating the reasoning ability and interpretability of LLMs compared to human doctors. It contains 511 clinical notes, each meticulously annotated by physicians, detailing the diagnostic reasoning process from observations in a clinical note to the final diagnosis. Additionally, a diagnostic knowledge graph is provided to offer essential knowledge for reasoning, which may not be covered in the training data of existing LLMs. Evaluations of leading LLMs on DiReCT bring out a significant gap between their reasoning ability and that of human doctors, highlighting the critical need for models that can reason effectively in real-world clinical scenarios.

Prior interpretability research studying narrow distributions has preliminarily identified self-repair, a phenomena where if components in large language models are ablated, later components will change their behavior to compensate. Our work builds off this past literature, demonstrating that self-repair exists on a variety of models families and sizes when ablating individual attention heads on the full training distribution. We further show that on the full training distribution self-repair is imperfect, as the original direct effect of the head is not fully restored, and noisy, since the degree of self-repair varies significantly across different prompts (sometimes overcorrecting beyond the original effect). We highlight two different mechanisms that contribute to self-repair, including changes in the final LayerNorm scaling factor and sparse sets of neurons implementing Anti-Erasure. We additionally discuss the implications of these results for interpretability practitioners and close with a more speculative discussion on the mystery of why self-repair occurs in these models at all, highlighting evidence for the Iterative Inference hypothesis in language models, a framework that predicts self-repair.

The potential of Multimodal Large Language Models (MLLMs) in domain of medical imaging raise the demands of systematic and rigorous evaluation frameworks that are aligned with the real-world medical imaging practice. Existing practices that report single or coarse-grained metrics are lack the granularity required for specialized clinical support and fail to assess the reliability of reasoning mechanisms. To address this, we propose a paradigm shift toward multidimensional, fine-grained and in-depth evaluation. Based on a two-stage systematic construction pipeline designed for this paradigm, we instantiate it with MedRCube. We benchmark 33 MLLMs, Lingshu-32B achieve top-tier performance. Crucially, MedRCube exposes a series of pronounced insights inaccessible under prior evaluation settings. Furthermore, we introduce a credibility evaluation subset to quantify reasoning credibility, uncover a highly significant positive association between shortcut behavior and diagnostic task performance, raising concerns for clinically trustworthy deployment. The resources of this work can be found at https://github.com/F1mc/MedRCube.

Reflexion-style agents rely on self-generated reflections as memory, implicitly assuming that agents can accurately diagnose their own failures. We show that this assumption can fail systematically: across ALFWorld and HumanEval, agents store confident but incorrect interpretations of the task and continue acting on them across trials, even though the environment resets to the correct task each time. We call this failure mode memory confabulation and introduce the Reflection Repetition Rate (RRR), a log-based metric that detects repeated reliance on incorrect reflective content. Using RRR, we identify 16 frozen environments in ALFWorld, where 0 of 121 reflections mention the correct target object, and 4 analogous cases in HumanEval. Our mitigation replaces open-ended self-diagnosis with programmatic extraction of trajectory-level failure signals, increasing correct object mention from 0% to 86%, reducing RRR from 0.64 to 0.10, and solving 3 of 16 frozen ALFWorld environments, suggesting that reflective memory can reinforce false beliefs rather than correct them.

In this paper, we present and implement a multi-dimensional, modular framework for performing deep argument analysis (DeepA2) using current pre-trained language models (PTLMs). ArgumentAnalyst -- a T5 model (Raffel et al. 2020) set up and trained within DeepA2 -- reconstructs argumentative texts, which advance an informal argumentation, as valid arguments: It inserts, e.g., missing premises and conclusions, formalizes inferences, and coherently links the logical reconstruction to the source text. We create a synthetic corpus for deep argument analysis, and evaluate ArgumentAnalyst on this new dataset as well as on existing data, specifically EntailmentBank (Dalvi et al. 2021). Our empirical findings vindicate the overall framework and highlight the advantages of a modular design, in particular its ability to emulate established heuristics (such as hermeneutic cycles), to explore the model's uncertainty, to cope with the plurality of correct solutions (underdetermination), and to exploit higher-order evidence.

A hallmark of human intelligence is Introspection-the ability to assess and reason about one's own cognitive processes. Introspection has emerged as a promising but contested capability in large language models (LLMs). However, current evaluations often fail to distinguish genuine meta-cognition from the mere application of general world knowledge or text-based self-simulation. In this work, we propose a principled taxonomy that formalizes introspection as the latent computation of specific operators over a model's policy and parameters. To isolate the components of generalized introspection, we present Introspect-Bench, a multifaceted evaluation suite designed for rigorous capability testing. Our results show that frontier models exhibit privileged access to their own policies, outperforming peer models in predicting their own behavior. Furthermore, we provide causal, mechanistic evidence explaining both how LLMs learn to introspect without explicit training, and how the mechanism of introspection emerges via attention diffusion.

Automatic disease diagnosis has become increasingly valuable in clinical practice. The advent of large language models (LLMs) has catalyzed a paradigm shift in artificial intelligence, with growing evidence supporting the efficacy of LLMs in diagnostic tasks. Despite the increasing attention in this field, a holistic view is still lacking. Many critical aspects remain unclear, such as the diseases and clinical data to which LLMs have been applied, the LLM techniques employed, and the evaluation methods used. In this article, we perform a comprehensive review of LLM-based methods for disease diagnosis. Our review examines the existing literature across various dimensions, including disease types and associated clinical specialties, clinical data, LLM techniques, and evaluation methods. Additionally, we offer recommendations for applying and evaluating LLMs for diagnostic tasks. Furthermore, we assess the limitations of current research and discuss future directions. To our knowledge, this is the first comprehensive review for LLM-based disease diagnosis.