Training language models in simulation for psychiatric intake
Samuel Schmidgall, Tim Strother, Alex Bijamov, Min Woo Sun, Anil Palepu, Akshay Goel, Ulysse Marteau-Ferey, Théo Moutakanni 等 56 位作者
AI 速览：作者报告，在模拟环境中进行多轮强化学习训练，可提升语言模型在结构化精神科接诊中的表现，包括病史采集、鉴别诊断和初始管理计划。
In psychiatric practice, the clinical intake interview remains a primary diagnostic instrument, requiring the clinician to establish rapport while disentangling complex, overlapping presentations. Here, we show that multi-turn reinforcement learning (RL) in simulation environments improves language model performance on structured text-based psychiatric intake, spanning history-taking, differential diagnosis, and initial management planning. In a randomized, double-blind crossover study ($N = 60$ matched scenario pairs, 120 encounters) comparing the RL-trained agent against its identically prompted base model, 32 board-certified psychiatrists role-played standardized patients while a separate panel of 15 independent, board-certified psychiatrists scored the de-identified transcripts. The trained agent outperformed the base model in 76.7% of matched scenario pairs ($p < 0.0001$), with gains on an adapted clinical-examination rubric ($d_z = 0.77$, $p < 0.0001$), patient-centered communication (82.0% vs. 65.2%, $p < 0.001$), and differential diagnosis appropriateness (68.3% vs. 33.3%, $p < 0.001$). Across 127 psychiatrist-validated simulated intake scenarios, the trained agent nearly doubled its base model's clinical rubric score (0.706 vs. 0.379; composite reward 0.564 vs. 0.294, $p < 0.0001$). To systematically probe conversational safety, we established two Delphi-consensus taxonomies, of clinical safety risks and relational competencies, from which 256 challenging adversarial presentations were derived; we find that training in simulation environments more than halved under-triage of acute safety risks (12.9% vs. 30.5%, $p < 0.0001$). Simulation environments thus provide a controlled testbed for training and stress-testing psychiatric conversational agents, with gains that transferred to psychiatrist-enacted encounters, though residual gaps require safeguards and clinician oversight.
Hazel H. Kim, Jakub Binkowski, Ekaterina Fadeeva, Juan David Guerra, Yijie Hao, Zheng Yi Ho, Baixiang Huang, Buyun Liang 等 25 位作者
Hallucination remains one of the most critical challenges in deploying large language models (LLMs) reliably and safely. Yet the term is used inconsistently across the research community. We argue for a strict definition of hallucinations in LLMs. First, hallucinations should be confident incorrectness, kept separate from expressed uncertainty (UNK)1. UNK reveals that the model may be wrong, whereas a hallucination does not reveal it and is therefore more dangerous in practice. Conflating the two obscures their distinct behaviors and makes them hard to study. Second, hallucinations should be split by a simple re-elicitation test: does any semantically equivalent prompt recover the correct response? This test probes whether the relevant knowledge2 is accessible. If none does, the knowledge is likely absent or inaccessible, and the error type is a confabulation (CF) that likely requires external knowledge or retraining; if some does, the knowledge is accessible from the model but applied inconsistently, and the error type is a semantic illusion (SI) that simple prompt or decoding changes can mitigate3. Re-evaluating 14 recent hallucination methods under this taxonomy yields three findings. (1) Detection methods flag UNK more often than hallucinated responses (i.e., SI and CF). (2) Mitigation methods are far more effective for SI than for CF. (3) Latent signals are more informative than output-level signals for CF. An audit of recent hallucination papers shows that most conflate these categories. We recommend reporting CF, SI, and UNK separately, and introduce a practical labeling protocol that needs only a modest number of semantically equivalent prompts.
Bowen Yang, Kaiming Jin national university of singaore, National University of Singapore, Zhenyu Wu, Zhaoyang Liu Hong Kong University of Science and Technology and Shanghai AI Laboratory, Qiushi Sun University of Hong Kong, Zehao Li University of Science and Technology of China, JingJing Xie, Zhoumianze Liu 等 15 位作者
While Vision-Language Models (VLMs) have significantly advanced Computer-Using Agents (CUAs), current agentic frameworks struggle with robustness in novel domains and long-horizon workflows due to the absence of visual-aware tutorial retrieval and the lack of granular control over historical visual context curation and pruning. To bridge these gaps, we introduce OS-Symphony, a holistic framework that comprises an Orchestrator coordinating two key innovations for robust automation: (1) a Reflection-Memory Agent that utilizes milestone-driven long-term memory to enable trajectory-level self-correction, effectively mitigating visual context loss in long-horizon tasks; (2) Versatile Tool Agents featuring a Multimodal Searcher that adopts a “SeeAct” paradigm to navigate a browser-based sandbox to synthesize live, visually aligned tutorials, thereby resolving fidelity issues in unseen scenarios. Experimental results demonstrate that OS-Symphony delivers substantial performance gains across varying model scales, establishing new state-of-the-art results on three online benchmarks, notably achieving 65.84% on OSWorld. All research assets will be made publicly available.
尚无 AI 解读，展示原文摘要
cs.CL · cs.AI · cs.CV
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Ailiang Lin, Zhuoyun Li, Yusong Wang Institute of Science Tokyo, Kotaro Funakoshi Institute of Science Tokyo, Manabu Okumura
Decoder-only large language models (LLMs) have been increasingly adopted to build embedding models for diverse tasks. To overcome the inherent limitations of causal attention in representation learning, many existing methods modify the attention mechanism to be bidirectional, potentially undermining LLMs’ ability to extract semantic information acquired during pre-training. Meanwhile, leading unidirectional approaches often rely on extra input text to generate contextualized embeddings, inevitably increasing computational costs. In this work, we propose Causal2Vec, a general-purpose embedding model tailored to enhance the performance of decoder-only LLMs without altering their original architectures or introducing significant computational overhead. Specifically, we first employ a lightweight BERT-style model to pre-encode the input text into a single Contextual token, which is then prepended to the LLM’s input sequence, allowing each token to capture contextualized information even without attending to future tokens. Furthermore, to mitigate the recency bias introduced by last-token pooling, we concatenate the last hidden states of Contextual and EOS tokens as the final text embedding. In practice, Causal2Vec achieves a new state-of-the-art performance on the MTEB benchmark among models trained solely on publicly available retrieval datasets.
尚无 AI 解读，展示原文摘要
cs.CL
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Boxuan Wang, Zhuoyun Li, Xinmiao Huang, Xiaowei Huang University of Liverpool, Yi Dong
This paper primarily demonstrates a method to quantitatively assess the alignment between multi-step, structured reasoning in large language models and human preferences. We introduce the Alignment Score, a semantic-level metric that compares a model-produced chain of thought traces with a human-preferred reference by constructing semantic-entropy-based matrices over intermediate steps and measuring their divergence. Our analysis shows that Alignment Score tracks task accuracy across models and hop depths, and peaks at 2-hop reasoning. Empirical results further indicate that misalignment at greater reasoning depths is driven mainly by alignment errors such as thematic shift and redundant reasoning. Viewing chain sampling as drawing from a distribution over reasoning paths, we empirically demonstrate a strong and consistent correlation between Alignment Score and accuracy, readability, and coherence, supporting its use as a diagnostic signal. The code is available.
尚无 AI 解读，展示原文摘要
cs.CL
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Xing Ma, Yangjie Zhou National University of Singapore, Wu Sun, Zihan Liu, Jingwen Leng Shanghai Jiao Tong University, Yun Lin Shanghai Jiao Tong University, Shixuan Sun Shanghai Jiaotong University, Minyi Guo Shanghai Jiao Tong University 等 9 位作者
Efficient CUDA implementations of attention mechanisms are critical to modern deep learning systems, yet supporting diverse and evolving attention variants remains challenging. Existing frameworks and compilers trade performance for flexibility, while expert-written kernels achieve high efficiency but are difficult to adapt. Recent work explores large language models (LLMs) for GPU kernel generation, but prior studies report unstable correctness and significant performance gaps for complex operators such as attention.We present CuBridge, an LLM-based framework that adapts expert-written attention kernels through a structured lift–transfer–lower workflow. CuBridge starts from expert-written CUDA attention kernels and lifts them into an executable intermediate representation that makes execution orchestration explicit while abstracting low-level CUDA syntax. Given a user-provided PyTorch specification, CuBridge generates and verifies a target IR program, then reconstructs optimized CUDA code via reference-guided lowering. Across diverse attention variants and GPU platforms, CuBridge consistently produces correct kernels and substantially outperforms general frameworks, compiler-based approaches, and prior LLM-based methods.
尚无 AI 解读，展示原文摘要
cs.CL
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Jianwen Chen University of North Carolina at Chapel Hill, Xinyu Yang Carnegie Mellon University, Peng Xia Department of Computer Science, University of North Carolina at Chapel Hill, Arian Azarang University of North Carolina at Chapel Hill, Yueh Z Lee University of North Carolina at Chapel Hill, Gang Li, Hongtu Zhu, Yun Li University of North Carolina at Chapel Hill 等 10 位作者
Large language models (LLMs) have demonstrated strong performance and rapid progress in a wide range of medical reasoning tasks.However, their sequential autoregressive decoding forces inherently parallel clinical reasoning, such as differential diagnosis, into a single linear reasoning path, limiting both efficiency and reliability for complex medical problems.To address this, we propose MedVerse, a reasoning framework for complex medical inference that reformulates medical reasoning as a parallelizable directed acyclic graph (DAG) process based on Petri Net theory.The framework adopts a full-stack design across data, model architecture, and system execution.For data creation, we introduce the MedVerse Curator, an automated pipeline that synthesizes knowledge-grounded medical reasoning path and transforms them into Petri Net–structured representations.At the architectural level, we propose a topology-aware attention mechanism with adaptive position indices that supports parallel reasoning while preserving logical consistency.Systematically, we develop a customized inference engine that supports parallel execution without additional overhead.Empirical evaluations show that MedVerse improves strong general-purpose LLMs by up to 8.9%. Compared to specialized medical LLMs, MedVerse achieves comparable performance with improved clinical reliability, while delivering a 1.3\times reduction in inference latency and a 1.7\times increase in generation throughput, enabled by its parallel decoding capability.
尚无 AI 解读，展示原文摘要
cs.CL
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Yanghao Zhou, Haitian Li, Rexar Lin, Heyan Huang Beijing Institute of Technology, Jinxing Zhou Mohamed bin Zayed University of Artificial Intelligence, Changsen Yuan, Tian Lan Alibaba Group, Ziqin Zhou Canva 等 15 位作者
Recent advances in text-to-audio-video (T2AV) generation have enabled models to synthesize audio-visual videos with multi-participant dialogues. However, existing evaluation benchmarks remain largely designed for human-recorded videos or single-speaker settings. As a result, structural failures in generated multi-talker dialogue videos, such as identity drift, unnatural turn transitions, and audio-visual misalignment, cannot be effectively diagnosed. To address this issue, we introduce MTAVG-Bench, a failure-driven diagnostic benchmark for multi-talker dialogue-centric audio-video generation. MTAVG-Bench is built via a semi-automatic pipeline, where 1.8k videos are generated using mainstream T2AV models with carefully designed prompts, yielding 2.4k manually annotated QA pairs for fine-grained failure diagnosis. The benchmark evaluates multi-speaker dialogue generation at four levels: audio-visual signal fidelity, temporal attribute consistency, social interaction, and cinematic expression. Built on a hierarchical failure taxonomy and a targeted QA protocol, MTAVG-Bench is primarily designed to evaluate whether proprietary and open-source omni-models can reliably identify failure modes in multi-speaker T2AV outputs. We benchmark 12 proprietary and open-source omni-models on MTAVG-Bench, with Gemini 3 Pro achieving the strongest overall performance, while leading open-source models remain competitive in signal fidelity and consistency. Overall, MTAVG-Bench enables fine-grained failure analysis for rigorous model comparison and targeted video generation refinement.
尚无 AI 解读，展示原文摘要
cs.CL
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Wenkai Wang, Xiyun Li, Hongcan Guo ByteDance Inc., Wenhao Yu OpenAI, Tianqing Fang Tencent AI Lab, Haitao Mi Tencent AI Lab, Dong Yu CapitalOne, Shengyu Zhang Zhejiang University
Graphical User Interface (GUI) grounding requires mapping natural language instructions to precise pixel coordinates. However, due to visually homogeneous elements and dense layouts, models typically grasp semantic intent yet fail to achieve precise localization. While scaling sampling attempts (Pass@k) reveals potential gains, static self-consistency strategies derived from geometric clustering often yield limited improvements, as the model’s predictions tend to be spatially dispersed. In this paper, we propose replacing static consistency strategies with a learnable selection mechanism that selects the optimal target by critiquing its own proposals rendered on the screenshot. Given the significant disparity between the model’s grounding and critiquing capabilities, we propose a co-evolving Propose-and-Critic framework. To jointly optimize these, we introduce a maturity-aware adaptive co-evolutionary reinforcement learning paradigm. This approach dynamically balances the training objectives of proposer and critic, where the diversity of the proposer’s outputs enhances critic robustness, while the critic’s maturing discrimination capability conversely unlocks the proposer’s potential for extensive spatial exploration, fostering the mutual reinforcement and co-evolution of both capabilities, thereby ensuring generalizability to adapt to diverse and complex interface layouts. Extensive experiments over 6 benchmarks show that our method significantly enhances both capabilities.
尚无 AI 解读，展示原文摘要
cs.CL
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Yida Cai Tsinghua University, Ranjuexiao Hu, Huiyuan Xie, Chenyang Li, Yun Liu, Yuxiao Ye, Zhenghao Liu Northeastern University, Weixing Shen 等 9 位作者
Legal relations serve as an important analytical framework for dispute resolution in civil cases. However, legal relations in Chinese civil cases remain underexplored in the field of legal AI, largely due to the absence of comprehensive schemas. In this work, we first introduce a comprehensive schema for legal relations in civil cases, which contains a hierarchical taxonomy and definitions of arguments. Based on this schema, we formulate a legal relation extraction task and present LexRel, an expert-annotated benchmark for legal relation extraction in the Chinese civil law domain. We use LexRel to evaluate state-of-the-art large language models (LLMs) on legal relation extraction, showing that current LLMs exhibit significant limitations in accurately identifying civil legal relations. Furthermore, we demonstrate that explicitly incorporating information about legal relations leads to promising performance gains on other downstream legal AI tasks.
尚无 AI 解读，展示原文摘要
cs.CL
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Andrew Sellergren, Sahar Kazemzadeh, Tiam Jaroensri, Atilla Kiraly, Madeleine Traverse, Timo Kohlberger, Shawn Xu, Fayaz Jamil 等 81 位作者
Artificial intelligence (AI) has significant potential in healthcare applications, but its training and deployment faces challenges due to healthcare's diverse data, complex tasks, and the need to preserve privacy. Foundation models that perform well on medical tasks and require less task-specific tuning data are critical to accelerate the development of healthcare AI applications. We introduce MedGemma, a collection of medical vision-language foundation models based on Gemma 3 4B and 27B. MedGemma demonstrates advanced medical understanding and reasoning on images and text, significantly exceeding the performance of similar-sized generative models and approaching the performance of task-specific models, while maintaining the general capabilities of the Gemma 3 base models. For out-of-distribution tasks, MedGemma achieves 2.6-10% improvement on medical multimodal question answering, 15.5-18.1% improvement on chest X-ray finding classification, and 10.8% improvement on agentic evaluations compared to the base models. Fine-tuning MedGemma further improves performance in subdomains, reducing errors in electronic health record information retrieval by 50% and reaching comparable performance to existing specialized state-of-the-art methods for pneumothorax classification and histopathology patch classification. We additionally introduce MedSigLIP, a medically-tuned vision encoder derived from SigLIP. MedSigLIP powers the visual understanding capabilities of MedGemma and as an encoder achieves comparable or better performance than specialized medical image encoders. Taken together, the MedGemma collection provides a strong foundation of medical image and text capabilities, with potential to significantly accelerate medical research and development of downstream applications. The MedGemma collection, including tutorials and model weights, can be found at https://goo.gle/medgemma.
Peter Brodeur, Jacob M. Koshy, Anil Palepu, Khaled Saab, Ava Homiar, Roma Ruparel, Charles Wu, Ryutaro Tanno 等 48 位作者
Large language model (LLM)-based AI systems have shown promise for patient-facing diagnostic and management conversations in simulated settings. Translating these systems into clinical practice requires assessment in real-world workflows with rigorous safety oversight. We report a prospective, single-arm feasibility study of an LLM-based conversational AI, the Articulate Medical Intelligence Explorer (AMIE), conducting clinical history taking and presentation of potential diagnoses for patients to discuss with their provider at urgent care appointments at a leading academic medical center. 100 adult patients completed an AMIE text-chat interaction up to 5 days before their appointment. We sought to assess the conversational safety and quality, patient and clinician experience, and clinical reasoning capabilities compared to primary care providers (PCPs). Human safety supervisors monitored all patient-AMIE interactions in real time and did not need to intervene to stop any consultations based on pre-defined criteria. Patients reported high satisfaction and their attitudes towards AI improved after interacting with AMIE (p < 0.001). PCPs found AMIE's output useful with a positive impact on preparedness. AMIE's differential diagnosis (DDx) included the final diagnosis, per chart review 8 weeks post-encounter, in 90% of cases, with 75% top-3 accuracy. Blinded assessment of AMIE and PCP DDx and management (Mx) plans suggested similar overall DDx and Mx plan quality, without significant differences for DDx (p = 0.6) and appropriateness and safety of Mx (p = 0.1 and 1.0, respectively). PCPs outperformed AMIE in the practicality (p = 0.003) and cost effectiveness (p = 0.004) of Mx. While further research is needed, this study demonstrates the initial feasibility, safety, and user acceptance of conversational AI in a real-world setting, representing crucial steps towards clinical translation.