new

Get trending papers in your email inbox!

Subscribe

Daily Papers

byAK and the research community

Aug 14

A Review of Automated Speech and Language Features for Assessment of Cognitive and Thought Disorders

It is widely accepted that information derived from analyzing speech (the acoustic signal) and language production (words and sentences) serves as a useful window into the health of an individual's cognitive ability. In fact, most neuropsychological testing batteries have a component related to speech and language where clinicians elicit speech from patients for subjective evaluation across a broad set of dimensions. With advances in speech signal processing and natural language processing, there has been recent interest in developing tools to detect more subtle changes in cognitive-linguistic function. This work relies on extracting a set of features from recorded and transcribed speech for objective assessments of speech and language, early diagnosis of neurological disease, and tracking of disease after diagnosis. With an emphasis on cognitive and thought disorders, in this paper we provide a review of existing speech and language features used in this domain, discuss their clinical application, and highlight their advantages and disadvantages. Broadly speaking, the review is split into two categories: language features based on natural language processing and speech features based on speech signal processing. Within each category, we consider features that aim to measure complementary dimensions of cognitive-linguistics, including language diversity, syntactic complexity, semantic coherence, and timing. We conclude the review with a proposal of new research directions to further advance the field.

  • 3 authors
·
Jun 3, 2019

Hallucinations in Neural Automatic Speech Recognition: Identifying Errors and Hallucinatory Models

Hallucinations are a type of output error produced by deep neural networks. While this has been studied in natural language processing, they have not been researched previously in automatic speech recognition. Here, we define hallucinations in ASR as transcriptions generated by a model that are semantically unrelated to the source utterance, yet still fluent and coherent. The similarity of hallucinations to probable natural language outputs of the model creates a danger of deception and impacts the credibility of the system. We show that commonly used metrics, such as word error rates, cannot differentiate between hallucinatory and non-hallucinatory models. To address this, we propose a perturbation-based method for assessing the susceptibility of an automatic speech recognition (ASR) model to hallucination at test time, which does not require access to the training dataset. We demonstrate that this method helps to distinguish between hallucinatory and non-hallucinatory models that have similar baseline word error rates. We further explore the relationship between the types of ASR errors and the types of dataset noise to determine what types of noise are most likely to create hallucinatory outputs. We devise a framework for identifying hallucinations by analysing their semantic connection with the ground truth and their fluency. Finally, we discover how to induce hallucinations with a random noise injection to the utterance.

  • 2 authors
·
Jan 3, 2024

SVHalluc: Benchmarking Speech-Vision Hallucination in Audio-Visual Large Language Models

Despite the success of audio-visual large-language models (LLMs), they can produce plausible but ungrounded outputs, termed hallucination. Existing benchmarks focus on environmental sounds (e.g., dog barking) to indicate event occurrence. In contrast, human speech carries fundamentally different, rich semantics and temporal structures, yet it remains unexplored whether current models can accurately align speech content with corresponding visual signals. In this work, we show that speech content can induce hallucinations in audio-visual LLMs. To systematically study this, we introduce SVHalluc, the first comprehensive benchmark for evaluating speech-vision hallucination in audio-visual LLMs. Our benchmark diagnoses speech-vision hallucinations from two critical and complementary aspects: semantic and temporal. Experimental results demonstrate that state-of-the-art open-source audio-visual LLMs struggle with aligning speech content with corresponding visual signals, with a near-random accuracy on multiple tasks. In contrast, Gemini 2.5 Pro significantly outperforms the open-source models. Our analysis suggests that their failures stem from limited ability in cross-modality understanding, despite strong performance in single-modality perception. Our work uncovers a new and fundamental limitation of current audio-visual LLMs and highlights the need for speech-grounded video comprehension. Project page: https://chenshuang-zhang.github.io/projects/svhalluc/.

  • 4 authors
·
May 30

A Survey on Non-Intrusive ASR Refinement: From Output-Level Correction to Full-Model Distillation

Automatic Speech Recognition (ASR) has become an integral component of modern technology, powering applications such as voice-activated assistants, transcription services, and accessibility tools. Yet ASR systems continue to struggle with the inherent variability of human speech, such as accents, dialects, and speaking styles, as well as environmental interference, including background noise. Moreover, domain-specific conversations often employ specialized terminology, which can exacerbate transcription errors. These shortcomings not only degrade raw ASR accuracy but also propagate mistakes through subsequent natural language processing pipelines. Because redesigning an ASR model is costly and time-consuming, non-intrusive refinement techniques that leave the model's architecture unchanged have become increasingly popular. In this survey, we systematically review current non-intrusive refinement approaches and group them into five classes: fusion, re-scoring, correction, distillation, and training adjustment. For each class, we outline the main methods, advantages, drawbacks, and ideal application scenarios. Beyond method classification, this work surveys adaptation techniques aimed at refining ASR in domain-specific contexts, reviews commonly used evaluation datasets along with their construction processes, and proposes a standardized set of metrics to facilitate fair comparisons. Finally, we identify open research gaps and suggest promising directions for future work. By providing this structured overview, we aim to equip researchers and practitioners with a clear foundation for developing more robust, accurate ASR refinement pipelines.

  • 6 authors
·
Aug 10, 2025

MMSU: A Massive Multi-task Spoken Language Understanding and Reasoning Benchmark

Speech inherently contains rich acoustic information that extends far beyond the textual language. In real-world spoken language understanding, effective interpretation often requires integrating semantic meaning (e.g., content), paralinguistic features (e.g., emotions, speed, pitch) and phonological characteristics (e.g., prosody, intonation, rhythm), which are embedded in speech. While recent multimodal Speech Large Language Models (SpeechLLMs) have demonstrated remarkable capabilities in processing audio information, their ability to perform fine-grained perception and complex reasoning in natural speech remains largely unexplored. To address this gap, we introduce MMSU, a comprehensive benchmark designed specifically for understanding and reasoning in spoken language. MMSU comprises 5,000 meticulously curated audio-question-answer triplets across 47 distinct tasks. To ground our benchmark in linguistic theory, we systematically incorporate a wide range of linguistic phenomena, including phonetics, prosody, rhetoric, syntactics, semantics, and paralinguistics. Through a rigorous evaluation of 14 advanced SpeechLLMs, we identify substantial room for improvement in existing models, highlighting meaningful directions for future optimization. MMSU establishes a new standard for comprehensive assessment of spoken language understanding, providing valuable insights for developing more sophisticated human-AI speech interaction systems. MMSU benchmark is available at https://huggingface.co/datasets/ddwang2000/MMSU. Evaluation Code is available at https://github.com/dingdongwang/MMSU_Bench.

  • 7 authors
·
Jun 5, 2025

Real-Time Voice AI Hears but Does Not Listen

Speech conveys information through both words and vocal delivery. We evaluate four leading production realtime voice systems-OpenAI's GPT Realtime 2, Google's Gemini 3.1 Flash Live, and Alibaba's Qwen3.5 Omni Plus and Omni Flash-on tasks where the words and the delivery patterns both convey meaningful information. Across three consequential scenarios, all four systems act on the words rather than the voice. They end calls with crying callers who insist nothing is wrong, approve wire transfers authorized in frightened voices, and enroll callers whose agreement is clearly sarcastic. Surprisingly, this is often not a failure of perception. When asked directly, three of the four systems reliably identify the distress, fear, or sarcasm they later ignore when making decisions. We observe a similar pattern when these realtime voice systems estimate accent and age, as their responses frequently follow the biases of the words rather than the acoustic properties of the speaker. We term this disconnect between perception and action the emotional intelligence gap of voice AI. Prompting systems to explicitly attend to vocal delivery improves performance only partially and inconsistently. Our findings show that current realtime voice AI systems often behave as if speech had been reduced to a transcript, suggesting that they should be used with caution in settings where the tone and emotion of delivery convey important information.

  • 3 authors
·
Jun 23

PASE: Leveraging the Phonological Prior of WavLM for Low-Hallucination Generative Speech Enhancement

Generative models have shown remarkable performance in speech enhancement (SE), achieving superior perceptual quality over traditional discriminative approaches. However, existing generative SE approaches often overlook the risk of hallucination under severe noise, leading to incorrect spoken content or inconsistent speaker characteristics, which we term linguistic and acoustic hallucinations, respectively. We argue that linguistic hallucination stems from models' failure to constrain valid phonological structures and it is a more fundamental challenge. While language models (LMs) are well-suited for capturing the underlying speech structure through modeling the distribution of discrete tokens, existing approaches are limited in learning from noise-corrupted representations, which can lead to contaminated priors and hallucinations. To overcome these limitations, we propose the Phonologically Anchored Speech Enhancer (PASE), a generative SE framework that leverages the robust phonological prior embedded in the pre-trained WavLM model to mitigate hallucinations. First, we adapt WavLM into a denoising expert via representation distillation to clean its final-layer features. Guided by the model's intrinsic phonological prior, this process enables robust denoising while minimizing linguistic hallucinations. To further reduce acoustic hallucinations, we train the vocoder with a dual-stream representation: the high-level phonetic representation provides clean linguistic content, while a low-level acoustic representation retains speaker identity and prosody. Experimental results demonstrate that PASE not only surpasses state-of-the-art discriminative models in perceptual quality, but also significantly outperforms prior generative models with substantially lower linguistic and acoustic hallucinations.

  • 5 authors
·
Nov 17, 2025

Large Language Models Hallucination: A Comprehensive Survey

Large language models (LLMs) have transformed natural language processing, achieving remarkable performance across diverse tasks. However, their impressive fluency often comes at the cost of producing false or fabricated information, a phenomenon known as hallucination. Hallucination refers to the generation of content by an LLM that is fluent and syntactically correct but factually inaccurate or unsupported by external evidence. Hallucinations undermine the reliability and trustworthiness of LLMs, especially in domains requiring factual accuracy. This survey provides a comprehensive review of research on hallucination in LLMs, with a focus on causes, detection, and mitigation. We first present a taxonomy of hallucination types and analyze their root causes across the entire LLM development lifecycle, from data collection and architecture design to inference. We further examine how hallucinations emerge in key natural language generation tasks. Building on this foundation, we introduce a structured taxonomy of detection approaches and another taxonomy of mitigation strategies. We also analyze the strengths and limitations of current detection and mitigation approaches and review existing evaluation benchmarks and metrics used to quantify LLMs hallucinations. Finally, we outline key open challenges and promising directions for future research, providing a foundation for the development of more truthful and trustworthy LLMs.

  • 2 authors
·
Oct 5, 2025

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

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

  • 4 authors
·
Apr 14, 2025

The Grammar-Learning Trajectories of Neural Language Models

The learning trajectories of linguistic phenomena in humans provide insight into linguistic representation, beyond what can be gleaned from inspecting the behavior of an adult speaker. To apply a similar approach to analyze neural language models (NLM), it is first necessary to establish that different models are similar enough in the generalizations they make. In this paper, we show that NLMs with different initialization, architecture, and training data acquire linguistic phenomena in a similar order, despite their different end performance. These findings suggest that there is some mutual inductive bias that underlies these models' learning of linguistic phenomena. Taking inspiration from psycholinguistics, we argue that studying this inductive bias is an opportunity to study the linguistic representation implicit in NLMs. Leveraging these findings, we compare the relative performance on different phenomena at varying learning stages with simpler reference models. Results suggest that NLMs exhibit consistent "developmental" stages. Moreover, we find the learning trajectory to be approximately one-dimensional: given an NLM with a certain overall performance, it is possible to predict what linguistic generalizations it has already acquired. Initial analysis of these stages presents phenomena clusters (notably morphological ones), whose performance progresses in unison, suggesting a potential link between the generalizations behind them.

  • 4 authors
·
Apr 5, 2022

GenSE: Generative Speech Enhancement via Language Models using Hierarchical Modeling

Semantic information refers to the meaning conveyed through words, phrases, and contextual relationships within a given linguistic structure. Humans can leverage semantic information, such as familiar linguistic patterns and contextual cues, to reconstruct incomplete or masked speech signals in noisy environments. However, existing speech enhancement (SE) approaches often overlook the rich semantic information embedded in speech, which is crucial for improving intelligibility, speaker consistency, and overall quality of enhanced speech signals. To enrich the SE model with semantic information, we employ language models as an efficient semantic learner and propose a comprehensive framework tailored for language model-based speech enhancement, called GenSE. Specifically, we approach SE as a conditional language modeling task rather than a continuous signal regression problem defined in existing works. This is achieved by tokenizing speech signals into semantic tokens using a pre-trained self-supervised model and into acoustic tokens using a custom-designed single-quantizer neural codec model. To improve the stability of language model predictions, we propose a hierarchical modeling method that decouples the generation of clean semantic tokens and clean acoustic tokens into two distinct stages. Moreover, we introduce a token chain prompting mechanism during the acoustic token generation stage to ensure timbre consistency throughout the speech enhancement process. Experimental results on benchmark datasets demonstrate that our proposed approach outperforms state-of-the-art SE systems in terms of speech quality and generalization capability.

  • 6 authors
·
Feb 5, 2025

Perceptual Implications of Automatic Anonymization in Pathological Speech

Automatic anonymization techniques are essential for ethical sharing of pathological speech data, yet their perceptual consequences remain understudied. We present a comprehensive human-centered analysis of anonymized pathological speech, using a structured protocol involving ten native and non-native German listeners with diverse linguistic, clinical, and technical backgrounds. Listeners evaluated anonymized-original utterance pairs from 180 speakers spanning Cleft Lip and Palate, Dysarthria, Dysglossia, Dysphonia, and healthy controls. Speech was anonymized using state-of-the-art automatic methods (equal error rates in the range of 30-40%). Listeners completed Turing-style discrimination and quality rating tasks under zero-shot (single-exposure) and few-shot (repeated-exposure) conditions. Discrimination accuracy was high overall (91% zero-shot; 93% few-shot), but varied by disorder (repeated-measures ANOVA: p=0.007), ranging from 96% (Dysarthria) to 86% (Dysphonia). Anonymization consistently reduced perceived quality across groups (from 83% to 59%, p<0.001), with pathology-specific degradation patterns (one-way ANOVA: p=0.005). Native listeners showed a non-significant trend toward higher original speech ratings (Delta=4%, p=0.199), but this difference was minimal after anonymization (Delta=1%, p=0.724). No significant gender-based bias was observed. Perceptual outcomes did not correlate with automatic metrics; intelligibility was linked to perceived quality in original speech but not after anonymization. These findings underscore the need for listener-informed, disorder-specific anonymization strategies that preserve both privacy and perceptual integrity.

  • 14 authors
·
May 1, 2025

Selective Attention System (SAS): Device-Addressed Speech Detection for Real-Time On-Device Voice AI

We study device-addressed speech detection under pre-ASR edge deployment constraints, where systems must decide whether to forward audio before transcription under strict latency and compute limits. We show that, in multi-speaker environments with temporally ambiguous utterances, this task is more effectively modelled as a sequential routing problem over interaction history than as an utterance-local classification task. We formalize this as Sequential Device-Addressed Routing (SDAR) and present the Selective Attention System (SAS), an on-device implementation that instantiates this formulation. On a held-out 60-hour multi-speaker English test set, the primary audio-only configuration achieves F1=0.86 (precision=0.89, recall=0.83); with an optional camera, audio+video fusion raises F1 to 0.95 (precision=0.97, recall=0.93). Removing causal interaction history (Stage~3) reduced F1 from 0.95 to 0.57+/-0.03 in the audio+video configuration under our evaluation protocol. Among the tested components, this was the largest observed ablation effect, indicating that short-horizon interaction history carries substantial decision-relevant information in the evaluated setting. SAS runs fully on-device on ARM Cortex-A class hardware (<150 ms latency, <20 MB footprint). All results are from internal evaluation on a proprietary dataset evaluated primarily in English; a 5-hour evaluation subset may be shared for independent verification (Section 8.8).

  • 4 authors
·
Apr 8

How Does a Deep Neural Network Look at Lexical Stress?

Despite their success in speech processing, neural networks often operate as black boxes, prompting the question: what informs their decisions, and how can we interpret them? This work examines this issue in the context of lexical stress. A dataset of English disyllabic words was automatically constructed from read and spontaneous speech. Several Convolutional Neural Network (CNN) architectures were trained to predict stress position from a spectrographic representation of disyllabic words lacking minimal stress pairs (e.g., initial stress WAllet, final stress exTEND), achieving up to 92% accuracy on held-out test data. Layerwise Relevance Propagation (LRP), a technique for CNN interpretability analysis, revealed that predictions for held-out minimal pairs (PROtest vs. proTEST ) were most strongly influenced by information in stressed versus unstressed syllables, particularly the spectral properties of stressed vowels. However, the classifiers also attended to information throughout the word. A feature-specific relevance analysis is proposed, and its results suggest that our best-performing classifier is strongly influenced by the stressed vowel's first and second formants, with some evidence that its pitch and third formant also contribute. These results reveal deep learning's ability to acquire distributed cues to stress from naturally occurring data, extending traditional phonetic work based around highly controlled stimuli.

  • 8 authors
·
Aug 10, 2025

Automatic Disfluency Detection from Untranscribed Speech

Speech disfluencies, such as filled pauses or repetitions, are disruptions in the typical flow of speech. Stuttering is a speech disorder characterized by a high rate of disfluencies, but all individuals speak with some disfluencies and the rates of disfluencies may by increased by factors such as cognitive load. Clinically, automatic disfluency detection may help in treatment planning for individuals who stutter. Outside of the clinic, automatic disfluency detection may serve as a pre-processing step to improve natural language understanding in downstream applications. With this wide range of applications in mind, we investigate language, acoustic, and multimodal methods for frame-level automatic disfluency detection and categorization. Each of these methods relies on audio as an input. First, we evaluate several automatic speech recognition (ASR) systems in terms of their ability to transcribe disfluencies, measured using disfluency error rates. We then use these ASR transcripts as input to a language-based disfluency detection model. We find that disfluency detection performance is largely limited by the quality of transcripts and alignments. We find that an acoustic-based approach that does not require transcription as an intermediate step outperforms the ASR language approach. Finally, we present multimodal architectures which we find improve disfluency detection performance over the unimodal approaches. Ultimately, this work introduces novel approaches for automatic frame-level disfluency and categorization. In the long term, this will help researchers incorporate automatic disfluency detection into a range of applications.

  • 3 authors
·
Oct 31, 2023

Acoustic-based Gender Differentiation in Speech-aware Language Models

Speech-aware Language Models (SpeechLMs) have fundamentally transformed human-AI interaction by enabling voice-based communication, yet they may exhibit acoustic-based gender differentiation where identical questions lead to different responses based on the speaker's gender. This paper propose a new dataset that enables systematic analysis of this phenomenon, containing 9,208 speech samples across three categories: Gender-Independent, Gender-Stereotypical, and Gender-Dependent. We further evaluated LLaMA-Omni series and discovered a paradoxical pattern; while overall responses seems identical regardless of gender, the pattern is far from unbiased responses. Specifically, in Gender-Stereotypical questions, all models consistently exhibited male-oriented responses; meanwhile, in Gender-Dependent questions where gender differentiation would be contextually appropriate, models exhibited responses independent to gender instead. We also confirm that this pattern does not result from neutral options nor perceived gender of a voice. When we allow neutral response, models tends to respond neutrally also in Gender-Dependent questions. The paradoxical pattern yet retains when we applied gender neutralization methods on speech. Through comparison between SpeechLMs with corresponding backbone LLMs, we confirmed that these paradoxical patterns primarily stem from Whisper speech encoders, which generates male-oriented acoustic tokens. These findings reveal that current SpeechLMs may not successfully remove gender biases though they prioritized general fairness principles over contextual appropriateness, highlighting the need for more sophisticated techniques to utilize gender information properly in speech technology.

  • 6 authors
·
Sep 25, 2025

Speech Enhancement and Dereverberation with Diffusion-based Generative Models

In this work, we build upon our previous publication and use diffusion-based generative models for speech enhancement. We present a detailed overview of the diffusion process that is based on a stochastic differential equation and delve into an extensive theoretical examination of its implications. Opposed to usual conditional generation tasks, we do not start the reverse process from pure Gaussian noise but from a mixture of noisy speech and Gaussian noise. This matches our forward process which moves from clean speech to noisy speech by including a drift term. We show that this procedure enables using only 30 diffusion steps to generate high-quality clean speech estimates. By adapting the network architecture, we are able to significantly improve the speech enhancement performance, indicating that the network, rather than the formalism, was the main limitation of our original approach. In an extensive cross-dataset evaluation, we show that the improved method can compete with recent discriminative models and achieves better generalization when evaluating on a different corpus than used for training. We complement the results with an instrumental evaluation using real-world noisy recordings and a listening experiment, in which our proposed method is rated best. Examining different sampler configurations for solving the reverse process allows us to balance the performance and computational speed of the proposed method. Moreover, we show that the proposed method is also suitable for dereverberation and thus not limited to additive background noise removal. Code and audio examples are available online, see https://github.com/sp-uhh/sgmse

  • 5 authors
·
Aug 11, 2022

Distinguishing Ignorance from Error in LLM Hallucinations

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

  • 4 authors
·
Oct 29, 2024

The order in speech disorder: a scoping review of state of the art machine learning methods for clinical speech classification

Background:Speech patterns have emerged as potential diagnostic markers for conditions with varying etiologies. Machine learning (ML) presents an opportunity to harness these patterns for accurate disease diagnosis. Objective: This review synthesized findings from studies exploring ML's capability in leveraging speech for the diagnosis of neurological, laryngeal and mental disorders. Methods: A systematic examination of 564 articles was conducted with 91 articles included in the study, which encompassed a wide spectrum of conditions, ranging from voice pathologies to mental and neurological disorders. Methods for speech classifications were assessed based on the relevant studies and scored between 0-10 based on the reported diagnostic accuracy of their ML models. Results: High diagnostic accuracies were consistently observed for laryngeal disorders, dysarthria, and changes related to speech in Parkinsons disease. These findings indicate the robust potential of speech as a diagnostic tool. Disorders like depression, schizophrenia, mild cognitive impairment and Alzheimers dementia also demonstrated high accuracies, albeit with some variability across studies. Meanwhile, disorders like OCD and autism highlighted the need for more extensive research to ascertain the relationship between speech patterns and the respective conditions. Conclusion: ML models utilizing speech patterns demonstrate promising potential in diagnosing a range of mental, laryngeal, and neurological disorders. However, the efficacy varies across conditions, and further research is needed. The integration of these models into clinical practice could potentially revolutionize the evaluation and diagnosis of a number of different medical conditions.

  • 4 authors
·
Mar 3, 2025

The Sound of Syntax: Finetuning and Comprehensive Evaluation of Language Models for Speech Pathology

According to the U.S. National Institutes of Health, more than 3.4 million children experience speech disorders that require clinical intervention. The number of speech-language pathologists (SLPs) is roughly 20 times fewer than the number of affected children, highlighting a significant gap in children's care and a pressing need for technological support that improves the productivity of SLPs. State-of-the-art multimodal language models (MLMs) show promise for supporting SLPs, but their use remains underexplored largely due to a limited understanding of their performance in high-stakes clinical settings. To address this gap, we collaborate with domain experts to develop a taxonomy of real-world use cases of MLMs in speech-language pathologies. Building on this taxonomy, we introduce the first comprehensive benchmark for evaluating MLM across five core use cases, each containing 1,000 manually annotated data points. This benchmark includes robustness and sensitivity tests under various settings, including background noise, speaker gender, and accent. Our evaluation of 15 state-of-the-art MLMs reveals that no single model consistently outperforms others across all tasks. Notably, we find systematic disparities, with models performing better on male speakers, and observe that chain-of-thought prompting can degrade performance on classification tasks with large label spaces and narrow decision boundaries. Furthermore, we study fine-tuning MLMs on domain-specific data, achieving improvements of over 10\% compared to base models. These findings highlight both the potential and limitations of current MLMs for speech-language pathology applications, underscoring the need for further research and targeted development.

  • 6 authors
·
Oct 7, 2025

AI Knows When It's Being Watched: Functional Strategic Action and Contextual Register Modulation in Large Language Models

Large language models (LLMs) have been extensively studied from computational and cognitive perspectives, yet their behavior as communicative actors in socially structured contexts remains underexplored. This study examines whether LLM-based multi-agent systems exhibit systematic linguistic adaptation in response to perceived social observation contexts -- a question with direct implications for AI governance and auditing. Drawing on Habermas's (1981) Theory of Communicative Action, Goffman's (1959) dramaturgical model, Bell's (1984) Audience Design framework, and the Hawthorne Effect, we report a controlled experiment involving 100 multi-agent debate sessions across five conditions (n = 20 each). Conditions varied the framing of social observation -- from explicit monitoring by university researchers, to negation of monitoring, to an observer-substitution condition replacing human researchers with an automated AI auditing system. Monitored conditions (Delta+24.9%, Delta+24.2%) and the automated AI monitoring condition (Delta+22.2%) produce higher TTR change than audience-framing conditions (Delta+17.7%), F(4, 94) = 2.79, p = .031. Message length shows a fully dissociated effect, F(4, 95) = 19.55, p < .001. A fifth condition -- replacing human with AI observers -- yields intermediate TTR adaptation, suggesting LLM behavior is sensitive to observer identity: human evaluation elicits stronger register formalization than automated AI surveillance. We discuss implications for AI governance, algorithmic auditing, and the repositioning of LLMs as contextually sensitive communicative actors.

  • 2 authors
·
May 13

Knowledge Overshadowing Causes Amalgamated Hallucination in Large Language Models

Hallucination is often regarded as a major impediment for using large language models (LLMs), especially for knowledge-intensive tasks. Even when the training corpus consists solely of true statements, language models still generate hallucinations in the form of amalgamations of multiple facts. We coin this phenomenon as ``knowledge overshadowing'': when we query knowledge from a language model with multiple conditions, some conditions overshadow others, leading to hallucinated outputs. This phenomenon partially stems from training data imbalance, which we verify on both pretrained models and fine-tuned models, over a wide range of LM model families and sizes.From a theoretical point of view, knowledge overshadowing can be interpreted as over-generalization of the dominant conditions (patterns). We show that the hallucination rate grows with both the imbalance ratio (between the popular and unpopular condition) and the length of dominant condition description, consistent with our derived generalization bound. Finally, we propose to utilize overshadowing conditions as a signal to catch hallucination before it is produced, along with a training-free self-contrastive decoding method to alleviate hallucination during inference. Our proposed approach showcases up to 82% F1 for hallucination anticipation and 11.2% to 39.4% hallucination control, with different models and datasets.

  • 8 authors
·
Jul 10, 2024

The Troubling Emergence of Hallucination in Large Language Models -- An Extensive Definition, Quantification, and Prescriptive Remediations

The recent advancements in Large Language Models (LLMs) have garnered widespread acclaim for their remarkable emerging capabilities. However, the issue of hallucination has parallelly emerged as a by-product, posing significant concerns. While some recent endeavors have been made to identify and mitigate different types of hallucination, there has been a limited emphasis on the nuanced categorization of hallucination and associated mitigation methods. To address this gap, we offer a fine-grained discourse on profiling hallucination based on its degree, orientation, and category, along with offering strategies for alleviation. As such, we define two overarching orientations of hallucination: (i) factual mirage (FM) and (ii) silver lining (SL). To provide a more comprehensive understanding, both orientations are further sub-categorized into intrinsic and extrinsic, with three degrees of severity - (i) mild, (ii) moderate, and (iii) alarming. We also meticulously categorize hallucination into six types: (i) acronym ambiguity, (ii) numeric nuisance, (iii) generated golem, (iv) virtual voice, (v) geographic erratum, and (vi) time wrap. Furthermore, we curate HallucInation eLiciTation (HILT), a publicly available dataset comprising of 75,000 samples generated using 15 contemporary LLMs along with human annotations for the aforementioned categories. Finally, to establish a method for quantifying and to offer a comparative spectrum that allows us to evaluate and rank LLMs based on their vulnerability to producing hallucinations, we propose Hallucination Vulnerability Index (HVI). We firmly believe that HVI holds significant value as a tool for the wider NLP community, with the potential to serve as a rubric in AI-related policy-making. In conclusion, we propose two solution strategies for mitigating hallucinations.

  • 8 authors
·
Oct 7, 2023

Calibrated Language Models Must Hallucinate

Recent language models have a mysterious tendency to generate false but plausible-sounding text. Such "hallucinations" are an obstacle to the usability of language-based AI systems and can harm people who rely upon their outputs. This work shows shows that there is an inherent statistical reason that pretrained language models hallucinate certain types of facts, having nothing to do with the transformer LM architecture or data quality. For "arbitrary" facts whose veracity cannot be determined from the training data, we show that hallucination is necessary for language models that satisfy a statistical calibration condition appropriate for generative language models. Specifically, if the maximum probability of any fact is bounded, we show that the probability of generating a hallucination is close to the fraction of facts that occur exactly once in the training data (a "Good-Turing" estimate), even assuming ideal training data without errors. One conclusion is that models pretrained to be sufficiently good predictors (i.e., calibrated) may require post-training to mitigate hallucinations on the type of arbitrary facts that tend to appear once in the training set. However, our analysis also suggests that there is no statistical reason that pretraining will lead to hallucination on facts that tend to appear more than once in the training data (like references to publications such as articles and books, whose hallucinations have been particularly notable and problematic) or on systematic facts (like arithmetic calculations). Therefore, different architectures and learning algorithms may mitigate these latter types of hallucinations.

  • 2 authors
·
Nov 24, 2023

Overcoming State Inertia in Full-Duplex Spoken Language Models via Activation Steering

Full-duplex spoken language models (FD-SLMs) enable seamless speech interaction by allowing models to listen and speak simultaneously, yet the internal mechanism by which they coordinate listening and speaking remains underexplored. We analyze the predictive behavior encoded in FD-SLM hidden representations and find that they exhibit stream-specific predictive patterns: during listening, they preferentially predict the incoming user stream, whereas during speaking, they preferentially predict the model output stream. Building on this observation, we show that FD-SLMs dynamically modulate their internal predictive focus between two states: a generative state aligned with model output generation and a perceptive state aligned with incoming user input. However, this modulation can lag behind abrupt changes in conversational context. During user interruptions, the model remains transiently biased toward the generative state before transitioning into the perceptive state, causing it to miss the beginning of the incoming input. We term this delayed internal transition state inertia. To quantify its downstream impact, we introduce the Zero-Buffer Benchmark (ZBB), a diagnostic benchmark for evaluating immediate interruption comprehension when user speech begins abruptly. We evaluate this setting using response correctness and initial-word occurrence rate (IWOR). Finally, we mitigate state inertia through activation steering with a perception vector, a training-free intervention with little additional computational overhead. Across multiple state-of-the-art FD-SLMs, activation steering substantially improves interruption handling; for example, on PersonaPlex, it improves correctness from 28% to 45% and IWOR from 40% to 72% without any fine-tuning.

  • 4 authors
·
Jun 8

TADA: A Generative Framework for Speech Modeling via Text-Acoustic Dual Alignment

Modern Text-to-Speech (TTS) systems increasingly leverage Large Language Model (LLM) architectures to achieve scalable, high-fidelity, zero-shot generation. However, these systems typically rely on fixed-frame-rate acoustic tokenization, resulting in speech sequences that are significantly longer than, and asynchronous with their corresponding text. Beyond computational inefficiency, this sequence length disparity often triggers hallucinations in TTS and amplifies the modality gap in spoken language modeling (SLM). In this paper, we propose a novel tokenization scheme that establishes one-to-one synchronization between continuous acoustic features and text tokens, enabling unified, single-stream modeling within an LLM. We demonstrate that these synchronous tokens maintain high-fidelity audio reconstruction and can be effectively modeled in a latent space by a large language model with a flow matching head. Moreover, the ability to seamlessly toggle speech modality within the context enables text-only guidance--a technique that blends logits from text-only and text-speech modes to flexibly bridge the gap toward text-only LLM intelligence. Experimental results indicate that our approach achieves performance competitive with state-of-the-art TTS and SLM systems while virtually eliminating content hallucinations and preserving linguistic integrity, all at a significantly reduced inference cost.

HumeAI Hume AI
·
Feb 26

RECALL: Library-Like Behavior In Language Models is Enhanced by Self-Referencing Causal Cycles

We introduce the concept of the self-referencing causal cycle (abbreviated RECALL) - a mechanism that enables large language models (LLMs) to bypass the limitations of unidirectional causality, which underlies a phenomenon known as the reversal curse. When an LLM is prompted with sequential data, it often fails to recall preceding context. For example, when we ask an LLM to recall the line preceding "O say does that star-spangled banner yet wave" in the U.S. National Anthem, it often fails to correctly return "Gave proof through the night that our flag was still there" - this is due to the reversal curse. It occurs because language models such as ChatGPT and Llama generate text based on preceding tokens, requiring facts to be learned and reproduced in a consistent token order. While the reversal curse is often viewed as a limitation, we offer evidence of an alternative view: it is not always an obstacle in practice. We find that RECALL is driven by what we designate as cycle tokens - sequences that connect different parts of the training data, enabling recall of preceding tokens from succeeding ones. Through rigorous probabilistic formalization and controlled experiments, we demonstrate how the cycles they induce influence a model's ability to reproduce information. To facilitate reproducibility, we provide our code and experimental details at https://anonymous.4open.science/r/remember-B0B8/.

  • 9 authors
·
Jan 22, 2025

SenSE: Semantic-Aware High-Fidelity Universal Speech Enhancement

Generative universal speech enhancement (USE) methods aim to leverage generative models to improve speech quality under various types of distortions. Diffusion- or flow-based generative models are capable of producing enhanced speech with high quality and fidelity. However, they typically achieve speech enhancement by learning an acoustic feature mapping from degraded speech to clean speech, while lacking awareness of high-level semantic information. This deficiency tends to cause semantic ambiguity and acoustic discontinuities in the enhanced speech. In contrast, humans can often comprehend heavily corrupted speech by relying on semantic priors, suggesting that semantics play a crucial role in speech enhancement. Therefore, in this paper, we propose SenSE, which leverages a language model to capture the semantic information of distorted speech and effectively integrates it into a flow-matching-based speech enhancement framework. Specifically, we introduce a semantic-aware speech language model to capture the semantics of degraded speech and generate semantic tokens. We then design a semantic guidance mechanism that incorporates semantic information into the flow-matching-based speech enhancement process, effectively mitigating semantic ambiguity. In addition, we propose a prompt guidance mechanism, which leverages a short reference utterance to alleviate the loss of speaker similarity under severe distortion conditions. The results of several benchmark data sets demonstrate that SenSE not only ensures high perceptual quality but also substantially improves speech fidelity while maintaining strong robustness under severe distortions. Codes and demos are available.

  • 6 authors
·
Sep 29, 2025

Differential privacy enables fair and accurate AI-based analysis of speech disorders while protecting patient data

Speech pathology has impacts on communication abilities and quality of life. While deep learning-based models have shown potential in diagnosing these disorders, the use of sensitive data raises critical privacy concerns. Although differential privacy (DP) has been explored in the medical imaging domain, its application in pathological speech analysis remains largely unexplored despite the equally critical privacy concerns. To the best of our knowledge, this study is the first to investigate DP's impact on pathological speech data, focusing on the trade-offs between privacy, diagnostic accuracy, and fairness. Using a large, real-world dataset of 200 hours of recordings from 2,839 German-speaking participants, we observed a maximum accuracy reduction of 3.85% when training with DP with high privacy levels. To highlight real-world privacy risks, we demonstrated the vulnerability of non-private models to gradient inversion attacks, reconstructing identifiable speech samples and showcasing DP's effectiveness in mitigating these risks. To explore the potential generalizability across languages and disorders, we validated our approach on a dataset of Spanish-speaking Parkinson's disease patients, leveraging pretrained models from healthy English-speaking datasets, and demonstrated that careful pretraining on large-scale task-specific datasets can maintain favorable accuracy under DP constraints. A comprehensive fairness analysis revealed minimal gender bias at reasonable privacy levels but underscored the need for addressing age-related disparities. Our results establish that DP can balance privacy and utility in speech disorder detection, while highlighting unique challenges in privacy-fairness trade-offs for speech data. This provides a foundation for refining DP methodologies and improving fairness across diverse patient groups in real-world deployments.

  • 9 authors
·
Sep 27, 2024

Mapping of Subjective Accounts into Interpreted Clusters (MOSAIC): Topic Modelling and LLM applied to Stroboscopic Phenomenology

Stroboscopic light stimulation (SLS) on closed eyes typically induces simple visual hallucinations (VHs), characterised by vivid, geometric and colourful patterns. A dataset of 862 sentences, extracted from 422 open subjective reports, was recently compiled as part of the Dreamachine programme (Collective Act, 2022), an immersive multisensory experience that combines SLS and spatial sound in a collective setting. Although open reports extend the range of reportable phenomenology, their analysis presents significant challenges, particularly in systematically identifying patterns. To address this challenge, we implemented a data-driven approach leveraging Large Language Models and Topic Modelling to uncover and interpret latent experiential topics directly from the Dreamachine's text-based reports. Our analysis confirmed the presence of simple VHs typically documented in scientific studies of SLS, while also revealing experiences of altered states of consciousness and complex hallucinations. Building on these findings, our computational approach expands the systematic study of subjective experience by enabling data-driven analyses of open-ended phenomenological reports, capturing experiences not readily identified through standard questionnaires. By revealing rich and multifaceted aspects of experiences, our study broadens our understanding of stroboscopically-induced phenomena while highlighting the potential of Natural Language Processing and Large Language Models in the emerging field of computational (neuro)phenomenology. More generally, this approach provides a practically applicable methodology for uncovering subtle hidden patterns of subjective experience across diverse research domains.

  • 7 authors
·
Feb 25, 2025