arXiv AI
Why LLMs Give In: Conversational Factors and Reasoning Behind Medical Sycophancy
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Untangling the Mechanisms of Misleading Context in Medical Question Answering
The paper investigates how misleading context—specifically fabricated evidence and bare assertions—affects large language models’ medical question‑answering performance. Experiments on MedMisBench show that models are more prone to adopt answers based on assertions than fabricated evidence, and that these misleading cues are often disclosed in reasoning traces but rarely in final responses. A monitor that reads open reasoning traces can detect most corrupted decisions, whereas monitoring only responses is less effective.
arXiv AI
Aug 26
Gated Activation Steering for Reducing Sycophancy & Hallucination in Medical Question Answering
The paper introduces Gated Activation Steering, an inference-time intervention that jointly mitigates hallucination and sycophancy in medical question answering. By learning separate steering directions from contrastive clinical pairs and applying them to specific attention heads, the method uses behavior‑specific gates to intervene only when needed. Experiments on EHR‑based clinical questions show that the 4‑billion‑parameter model with gated steering outperforms its unsteered counterpart and rivals larger models in resisting user pressure.
arXiv AI
Jul 31
Ask don't tell: Reducing sycophancy in large language models
arXiv:2602. 23971v4 Announce Type: replace-cross Abstract: Sycophancy, the tendency of large language models to favour user-affirming responses over critical engagement, has been identified as an alignment failure, particularly in high-stakes advisory and social contexts.
arXiv AI
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Quantifying Hallucinations in Language Language Models on Medical Textbooks
arXiv:2603. 09986v3 Announce Type: replace-cross Abstract: Hallucinations, the tendency for large language models to provide responses with factually incorrect and unsupported claims, is a serious problem within natural language processing for which we do not yet have an effective solution to mitigate against.
arXiv AI
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Looking Again: Measuring Sycophancy in the Reasoning Chains of Multimodal Models Under Pressure
arXiv:2608.28623v1 Announce Type: cross Abstract: Large multimodal reasoning models (LMRMs) are getting increasingly capable, primarily through generating explicit chain-of-thought reasoning before a...
arXiv AI
Jun 8
When Large Language Models Fail in Healthcare: Evaluating Sensitivity to Prompt Variations
arXiv:2606. 07237v1 Announce Type: cross Abstract: Large Language Models (LLMs) are increasingly used in healthcare for tasks such as clinical question answering, diagnosis support, and report summarization.