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Oct 30

When Can We Trust LLMs in Mental Health? Large-Scale Benchmarks for Reliable LLM Evaluation

Evaluating Large Language Models (LLMs) for mental health support is challenging due to the emotionally and cognitively complex nature of therapeutic dialogue. Existing benchmarks are limited in scale, reliability, often relying on synthetic or social media data, and lack frameworks to assess when automated judges can be trusted. To address the need for large-scale dialogue datasets and judge reliability assessment, we introduce two benchmarks that provide a framework for generation and evaluation. MentalBench-100k consolidates 10,000 one-turn conversations from three real scenarios datasets, each paired with nine LLM-generated responses, yielding 100,000 response pairs. MentalAlign-70k}reframes evaluation by comparing four high-performing LLM judges with human experts across 70,000 ratings on seven attributes, grouped into Cognitive Support Score (CSS) and Affective Resonance Score (ARS). We then employ the Affective Cognitive Agreement Framework, a statistical methodology using intraclass correlation coefficients (ICC) with confidence intervals to quantify agreement, consistency, and bias between LLM judges and human experts. Our analysis reveals systematic inflation by LLM judges, strong reliability for cognitive attributes such as guidance and informativeness, reduced precision for empathy, and some unreliability in safety and relevance. Our contributions establish new methodological and empirical foundations for reliable, large-scale evaluation of LLMs in mental health. We release the benchmarks and codes at: https://github.com/abeerbadawi/MentalBench/

  • 9 authors
·
Oct 21

Aligning Large Multimodal Models with Factually Augmented RLHF

Large Multimodal Models (LMM) are built across modalities and the misalignment between two modalities can result in "hallucination", generating textual outputs that are not grounded by the multimodal information in context. To address the multimodal misalignment issue, we adapt the Reinforcement Learning from Human Feedback (RLHF) from the text domain to the task of vision-language alignment, where human annotators are asked to compare two responses and pinpoint the more hallucinated one, and the vision-language model is trained to maximize the simulated human rewards. We propose a new alignment algorithm called Factually Augmented RLHF that augments the reward model with additional factual information such as image captions and ground-truth multi-choice options, which alleviates the reward hacking phenomenon in RLHF and further improves the performance. We also enhance the GPT-4-generated training data (for vision instruction tuning) with previously available human-written image-text pairs to improve the general capabilities of our model. To evaluate the proposed approach in real-world scenarios, we develop a new evaluation benchmark MMHAL-BENCH with a special focus on penalizing hallucinations. As the first LMM trained with RLHF, our approach achieves remarkable improvement on the LLaVA-Bench dataset with the 94% performance level of the text-only GPT-4 (while previous best methods can only achieve the 87% level), and an improvement by 60% on MMHAL-BENCH over other baselines. We opensource our code, model, data at https://llava-rlhf.github.io.

  • 12 authors
·
Sep 25, 2023 2

What makes Reasoning Models Different? Follow the Reasoning Leader for Efficient Decoding

Large reasoning models (LRMs) achieve strong reasoning performance by emitting long chains of thought. Yet, these verbose traces slow down inference and often drift into unnecessary detail, known as the overthinking phenomenon. To better understand LRMs' behavior, we systematically analyze the token-level misalignment between reasoning and non-reasoning models. While it is expected that their primary difference lies in the stylistic "thinking cues", LRMs uniquely exhibit two pivotal, previously under-explored phenomena: a Global Misalignment Rebound, where their divergence from non-reasoning models persists or even grows as response length increases, and more critically, a Local Misalignment Diminish, where the misalignment concentrates at the "thinking cues" each sentence starts with but rapidly declines in the remaining of the sentence. Motivated by the Local Misalignment Diminish, we propose FoReaL-Decoding, a collaborative fast-slow thinking decoding method for cost-quality trade-off. In FoReaL-Decoding, a Leading model leads the first few tokens for each sentence, and then a weaker draft model completes the following tokens to the end of each sentence. FoReaL-Decoding adopts a stochastic gate to smoothly interpolate between the small and the large model. On four popular math-reasoning benchmarks (AIME24, GPQA-Diamond, MATH500, AMC23), FoReaL-Decoding reduces theoretical FLOPs by 30 to 50% and trims CoT length by up to 40%, while preserving 86 to 100% of model performance. These results establish FoReaL-Decoding as a simple, plug-and-play route to controllable cost-quality trade-offs in reasoning-centric tasks.

  • 7 authors
·
Jun 8

Reasoning Is Not All You Need: Examining LLMs for Multi-Turn Mental Health Conversations

Limited access to mental healthcare, extended wait times, and increasing capabilities of Large Language Models (LLMs) has led individuals to turn to LLMs for fulfilling their mental health needs. However, examining the multi-turn mental health conversation capabilities of LLMs remains under-explored. Existing evaluation frameworks typically focus on diagnostic accuracy and win-rates and often overlook alignment with patient-specific goals, values, and personalities required for meaningful conversations. To address this, we introduce MedAgent, a novel framework for synthetically generating realistic, multi-turn mental health sensemaking conversations and use it to create the Mental Health Sensemaking Dialogue (MHSD) dataset, comprising over 2,200 patient-LLM conversations. Additionally, we present MultiSenseEval, a holistic framework to evaluate the multi-turn conversation abilities of LLMs in healthcare settings using human-centric criteria. Our findings reveal that frontier reasoning models yield below-par performance for patient-centric communication and struggle at advanced diagnostic capabilities with average score of 31%. Additionally, we observed variation in model performance based on patient's persona and performance drop with increasing turns in the conversation. Our work provides a comprehensive synthetic data generation framework, a dataset and evaluation framework for assessing LLMs in multi-turn mental health conversations.

  • 5 authors
·
May 26

Think with 3D: Geometric Imagination Grounded Spatial Reasoning from Limited Views

Though recent advances in vision-language models (VLMs) have achieved remarkable progress across a wide range of multimodal tasks, understanding 3D spatial relationships from limited views remains a significant challenge. Previous reasoning methods typically rely on pure text (e.g., topological cognitive maps) or on 2D visual cues. However, their limited representational capacity hinders performance in specific tasks that require 3D spatial imagination. To address this limitation, we propose 3DThinker, a framework that can effectively exploits the rich geometric information embedded within images while reasoning, like humans do. Our framework is the first to enable 3D mentaling during reasoning without any 3D prior input, and it does not rely on explicitly labeled 3D data for training. Specifically, our training consists of two stages. First, we perform supervised training to align the 3D latent generated by VLM while reasoning with that of a 3D foundation model (e.g., VGGT). Then, we optimize the entire reasoning trajectory solely based on outcome signals, thereby refining the underlying 3D mentaling. Extensive experiments across multiple benchmarks show that 3DThinker consistently outperforms strong baselines and offers a new perspective toward unifying 3D representations into multimodal reasoning. Our code will be available at https://github.com/zhangquanchen/3DThinker.

RLAIF-V: Aligning MLLMs through Open-Source AI Feedback for Super GPT-4V Trustworthiness

Learning from feedback reduces the hallucination of multimodal large language models (MLLMs) by aligning them with human preferences. While traditional methods rely on labor-intensive and time-consuming manual labeling, recent approaches employing models as automatic labelers have shown promising results without human intervention. However, these methods heavily rely on costly proprietary models like GPT-4V, resulting in scalability issues. Moreover, this paradigm essentially distills the proprietary models to provide a temporary solution to quickly bridge the performance gap. As this gap continues to shrink, the community is soon facing the essential challenge of aligning MLLMs using labeler models of comparable capability. In this work, we introduce RLAIF-V, a novel framework that aligns MLLMs in a fully open-source paradigm for super GPT-4V trustworthiness. RLAIF-V maximally exploits the open-source feedback from two perspectives, including high-quality feedback data and online feedback learning algorithm. Extensive experiments on seven benchmarks in both automatic and human evaluation show that RLAIF-V substantially enhances the trustworthiness of models without sacrificing performance on other tasks. Using a 34B model as labeler, RLAIF-V 7B model reduces object hallucination by 82.9\% and overall hallucination by 42.1\%, outperforming the labeler model. Remarkably, RLAIF-V also reveals the self-alignment potential of open-source MLLMs, where a 12B model can learn from the feedback of itself to achieve less than 29.5\% overall hallucination rate, surpassing GPT-4V (45.9\%) by a large margin. The results shed light on a promising route to enhance the efficacy of leading-edge MLLMs.

  • 11 authors
·
May 27, 2024

Can We Treat Noisy Labels as Accurate?

Noisy labels significantly hinder the accuracy and generalization of machine learning models, particularly due to ambiguous instance features. Traditional techniques that attempt to correct noisy labels directly, such as those using transition matrices, often fail to address the inherent complexities of the problem sufficiently. In this paper, we introduce EchoAlign, a transformative paradigm shift in learning from noisy labels. Instead of focusing on label correction, EchoAlign treats noisy labels (Y) as accurate and modifies corresponding instance features (X) to achieve better alignment with Y. EchoAlign's core components are (1) EchoMod: Employing controllable generative models, EchoMod precisely modifies instances while maintaining their intrinsic characteristics and ensuring alignment with the noisy labels. (2) EchoSelect: Instance modification inevitably introduces distribution shifts between training and test sets. EchoSelect maintains a significant portion of clean original instances to mitigate these shifts. It leverages the distinct feature similarity distributions between original and modified instances as a robust tool for accurate sample selection. This integrated approach yields remarkable results. In environments with 30% instance-dependent noise, even at 99% selection accuracy, EchoSelect retains nearly twice the number of samples compared to the previous best method. Notably, on three datasets, EchoAlign surpasses previous state-of-the-art techniques with a substantial improvement.

  • 5 authors
·
May 21, 2024

Super(ficial)-alignment: Strong Models May Deceive Weak Models in Weak-to-Strong Generalization

Superalignment, where humans are weak supervisors of superhuman models, has become an important and widely discussed issue in the current era of rapid development of Large Language Models (LLMs). The recent work preliminarily studies this problem by using weak models to supervise strong models. It discovers that weakly supervised strong students can consistently outperform weak teachers towards the alignment target, leading to a weak-to-strong generalization phenomenon. However, we are concerned that behind such a promising phenomenon, whether there exists an issue of weak-to-strong deception, where strong models may deceive weak models by exhibiting well-aligned in areas known to weak models but producing misaligned behaviors in cases weak models do not know. We then take an initial step towards exploring this security issue in a specific but realistic multi-objective alignment case, where there may be some alignment targets conflicting with each other (e.g., helpfulness v.s. harmlessness). Such a conflict is likely to cause strong models to deceive weak models in one alignment dimension to gain high reward in other alignment dimension. Our experiments on both the reward modeling task and the preference optimization scenario indicate: (1) the weak-to-strong deception exists; (2) the deception phenomenon may intensify as the capability gap between weak and strong models increases. We also discuss potential solutions and find bootstrapping with an intermediate model can mitigate the deception to some extent. Our work highlights the urgent need to pay more attention to the true reliability of superalignment.

  • 5 authors
·
Jun 17, 2024 2

Mitigating Hallucinations in Large Vision-Language Models by Self-Injecting Hallucinations

Large Vision-Language Models (LVLMs) suffer from serious hallucination problems, where the model-generated responses are inconsistent with the visual inputs. Existing hallucination mitigation methods are mainly based on preference alignment and require external human annotations or auxiliary models for preference data collection, which increase costs and limit sustainable improvement. To tackle these challenges, we propose Autonomous Preference Alignment via Self-Injection (APASI), a novel and generalizable method that mitigates hallucinations without external dependencies. APASI leverages the target LVLM to self-inject hallucinations into a generated response, creating a pair of responses with varying preference levels. During the self-injection process, the dis-preferred response is generated based on three key observations of hallucinations, ensuring it simulates real hallucination patterns. This fidelity offers an accurate learning signal for hallucination mitigation. Moreover, APASI incorporates an iterative alignment training strategy combined with curriculum learning to periodically update the preference data with increasing challenge, enabling stable and continuous enhancement of the LVLM. Extensive experiments across six benchmarks show that APASI not only effectively mitigates hallucinations for three baseline models but also achieves comparable or even superior performance to alignment-based methods with external dependency, thereby demonstrating its effectiveness and generalization capability. The code is available at https://github.com/davidluciolu/APASI.

  • 8 authors
·
Sep 14

MentalGLM Series: Explainable Large Language Models for Mental Health Analysis on Chinese Social Media

As the prevalence of mental health challenges, social media has emerged as a key platform for individuals to express their emotions.Deep learning tends to be a promising solution for analyzing mental health on social media. However, black box models are often inflexible when switching between tasks, and their results typically lack explanations. With the rise of large language models (LLMs), their flexibility has introduced new approaches to the field. Also due to the generative nature, they can be prompted to explain decision-making processes. However, their performance on complex psychological analysis still lags behind deep learning. In this paper, we introduce the first multi-task Chinese Social Media Interpretable Mental Health Instructions (C-IMHI) dataset, consisting of 9K samples, which has been quality-controlled and manually validated. We also propose MentalGLM series models, the first open-source LLMs designed for explainable mental health analysis targeting Chinese social media, trained on a corpus of 50K instructions. The proposed models were evaluated on three downstream tasks and achieved better or comparable performance compared to deep learning models, generalized LLMs, and task fine-tuned LLMs. We validated a portion of the generated decision explanations with experts, showing promising results. We also evaluated the proposed models on a clinical dataset, where they outperformed other LLMs, indicating their potential applicability in the clinical field. Our models show strong performance, validated across tasks and perspectives. The decision explanations enhance usability and facilitate better understanding and practical application of the models. Both the constructed dataset and the models are publicly available via: https://github.com/zwzzzQAQ/MentalGLM.

  • 10 authors
·
Oct 14, 2024

Do Large Language Models Align with Core Mental Health Counseling Competencies?

The rapid evolution of Large Language Models (LLMs) offers promising potential to alleviate the global scarcity of mental health professionals. However, LLMs' alignment with essential mental health counseling competencies remains understudied. We introduce CounselingBench, a novel NCMHCE-based benchmark evaluating LLMs across five key mental health counseling competencies. Testing 22 general-purpose and medical-finetuned LLMs, we find frontier models exceed minimum thresholds but fall short of expert-level performance, with significant variations: they excel in Intake, Assessment & Diagnosis yet struggle with Core Counseling Attributes and Professional Practice & Ethics. Medical LLMs surprisingly underperform generalist models accuracy-wise, while at the same time producing slightly higher-quality justifications but making more context-related errors. Our findings highlight the complexities of developing AI systems for mental health counseling, particularly for competencies requiring empathy and contextual understanding. We found that frontier LLMs perform at a level exceeding the minimal required level of aptitude for all key mental health counseling competencies, but fall short of expert-level performance, and that current medical LLMs do not significantly improve upon generalist models in mental health counseling competencies. This underscores the critical need for specialized, mental health counseling-specific fine-tuned LLMs that rigorously aligns with core competencies combined with appropriate human supervision before any responsible real-world deployment can be considered.

  • 11 authors
·
Oct 29, 2024

Psyche-R1: Towards Reliable Psychological LLMs through Unified Empathy, Expertise, and Reasoning

Amidst a shortage of qualified mental health professionals, the integration of large language models (LLMs) into psychological applications offers a promising way to alleviate the growing burden of mental health disorders. Recent reasoning-augmented LLMs have achieved remarkable performance in mathematics and programming, while research in the psychological domain has predominantly emphasized emotional support and empathetic dialogue, with limited attention to reasoning mechanisms that are beneficial to generating reliable responses. Therefore, in this paper, we propose Psyche-R1, the first Chinese psychological LLM that jointly integrates empathy, psychological expertise, and reasoning, built upon a novel data curation pipeline. Specifically, we design a comprehensive data synthesis pipeline that produces over 75k high-quality psychological questions paired with detailed rationales, generated through chain-of-thought (CoT) reasoning and iterative prompt-rationale optimization, along with 73k empathetic dialogues. Subsequently, we employ a hybrid training strategy wherein challenging samples are identified through a multi-LLM cross-selection strategy for group relative policy optimization (GRPO) to improve reasoning ability, while the remaining data is used for supervised fine-tuning (SFT) to enhance empathetic response generation and psychological domain knowledge. Extensive experiment results demonstrate the effectiveness of the Psyche-R1 across several psychological benchmarks, where our 7B Psyche-R1 achieves comparable results to 671B DeepSeek-R1.

  • 6 authors
·
Aug 14

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

The Psychogenic Machine: Simulating AI Psychosis, Delusion Reinforcement and Harm Enablement in Large Language Models

Background: Emerging reports of "AI psychosis" are on the rise, where user-LLM interactions may exacerbate or induce psychosis or adverse psychological symptoms. Whilst the sycophantic and agreeable nature of LLMs can be beneficial, it becomes a vector for harm by reinforcing delusional beliefs in vulnerable users. Methods: Psychosis-bench is a novel benchmark designed to systematically evaluate the psychogenicity of LLMs comprises 16 structured, 12-turn conversational scenarios simulating the progression of delusional themes(Erotic Delusions, Grandiose/Messianic Delusions, Referential Delusions) and potential harms. We evaluated eight prominent LLMs for Delusion Confirmation (DCS), Harm Enablement (HES), and Safety Intervention(SIS) across explicit and implicit conversational contexts. Findings: Across 1,536 simulated conversation turns, all LLMs demonstrated psychogenic potential, showing a strong tendency to perpetuate rather than challenge delusions (mean DCS of 0.91 pm0.88). Models frequently enabled harmful user requests (mean HES of 0.69 pm0.84) and offered safety interventions in only roughly a third of applicable turns (mean SIS of 0.37 pm0.48). 51 / 128 (39.8%) of scenarios had no safety interventions offered. Performance was significantly worse in implicit scenarios, models were more likely to confirm delusions and enable harm while offering fewer interventions (p < .001). A strong correlation was found between DCS and HES (rs = .77). Model performance varied widely, indicating that safety is not an emergent property of scale alone. Conclusion: This study establishes LLM psychogenicity as a quantifiable risk and underscores the urgent need for re-thinking how we train LLMs. We frame this issue not merely as a technical challenge but as a public health imperative requiring collaboration between developers, policymakers, and healthcare professionals.

  • 5 authors
·
Sep 13

Grounded Chain-of-Thought for Multimodal Large Language Models

Despite great progress, existing multimodal large language models (MLLMs) are prone to visual hallucination, greatly impeding their trustworthy applications. In this paper, we study this problem from the perspective of visual-spatial reasoning, and propose a new learning task for MLLMs, termed Grounded Chain-of-Thought (GCoT). Different from recent visual CoT studies, which focus more on visual knowledge reasoning, GCoT is keen to helping MLLMs to recognize and ground the relevant visual cues step by step, thereby predicting the correct answer with grounding coordinates as the intuitive basis. To facilitate this task, we also carefully design and construct a dataset called multimodal grounded chain-of-thought (MM-GCoT) consisting of 24,022 GCoT examples for 5,033 images. Besides, a comprehensive consistency evaluation system is also introduced, including the metrics of answer accuracy, grounding accuracy and answer-grounding consistency. We further design and conduct a bunch of experiments on 12 advanced MLLMs, and reveal some notable findings: i. most MLLMs performs poorly on the consistency evaluation, indicating obvious visual hallucination; ii. visual hallucination is not directly related to the parameter size and general multimodal performance, i.e., a larger and stronger MLLM is not less affected by this issue. Lastly, we also demonstrate that the proposed dataset can help existing MLLMs to well cultivate their GCoT capability and reduce the inconsistent answering significantly. Moreover, their GCoT can be also generalized to exiting multimodal tasks, such as open-world QA and REC.

  • 7 authors
·
Mar 17

RLHF-V: Towards Trustworthy MLLMs via Behavior Alignment from Fine-grained Correctional Human Feedback

Multimodal Large Language Models (MLLMs) have recently demonstrated impressive capabilities in multimodal understanding, reasoning, and interaction. However, existing MLLMs prevalently suffer from serious hallucination problems, generating text that is not factually grounded in associated images. The problem makes existing MLLMs untrustworthy and thus impractical in real-world (especially high-stakes) applications. To address the challenge, we present RLHF-V, which enhances MLLM trustworthiness via behavior alignment from fine-grained correctional human feedback. Specifically, RLHF-V collects human preference in the form of segment-level corrections on hallucinations, and performs dense direct preference optimization over the human feedback. Comprehensive experiments on five benchmarks in both automatic and human evaluation show that, RLHF-V can enable substantially more trustworthy MLLM behaviors with promising data and computation efficiency. Remarkably, using 1.4k annotated data samples, RLHF-V significantly reduces the hallucination rate of the base MLLM by 34.8%, outperforming the concurrent LLaVA-RLHF trained on 10k annotated data. The final model achieves state-of-the-art performance in trustworthiness among open-source MLLMs, and shows better robustness than GPT-4V in preventing hallucinations aroused from over-generalization. We open-source our code, model, and data at https://github.com/RLHF-V/RLHF-V.

  • 11 authors
·
Dec 1, 2023 1

Automatic Curriculum Expert Iteration for Reliable LLM Reasoning

Hallucinations (i.e., generating plausible but inaccurate content) and laziness (i.e. excessive refusals or defaulting to "I don't know") persist as major challenges in LLM reasoning. Current efforts to reduce hallucinations primarily focus on factual errors in knowledge-grounded tasks, often neglecting hallucinations related to faulty reasoning. Meanwhile, some approaches render LLMs overly conservative, limiting their problem-solving capabilities. To mitigate hallucination and laziness in reasoning tasks, we propose Automatic Curriculum Expert Iteration (Auto-CEI) to enhance LLM reasoning and align responses to the model's capabilities--assertively answering within its limits and declining when tasks exceed them. In our method, Expert Iteration explores the reasoning trajectories near the LLM policy, guiding incorrect paths back on track to reduce compounding errors and improve robustness; it also promotes appropriate "I don't know" responses after sufficient reasoning attempts. The curriculum automatically adjusts rewards, incentivizing extended reasoning before acknowledging incapability, thereby pushing the limits of LLM reasoning and aligning its behaviour with these limits. We compare Auto-CEI with various SOTA baselines across logical reasoning, mathematics, and planning tasks, where Auto-CEI achieves superior alignment by effectively balancing assertiveness and conservativeness.

  • 5 authors
·
Oct 10, 2024