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.
Hongxin Ding, Baixiang Huang, Yue Fang Peking University, Weibin Liao, Xinke Jiang, Jinyang Zhang, Yinghao Zhu The University of Hong Kong, Zheng Li 等 11 位作者
Interactive medical questioning is essential in clinical consultations, where physicians must actively gather necessary patient information. Yet existing medical Large Language Models (LLMs) predominantly follow a reactive paradigm, risking diagnostic errors by answering before seeking sufficient details. To bridge this gap, we propose ProMed, a reinforcement learning framework that transitions LLMs toward a proactive paradigm, enabling them to ask clinically valuable questions before decision-making. Central to ProMed is the Shapley Information Gain (SIG) reward, which quantifies a question’s clinical utility as the amount of newly acquired information, while considering its contextual importance via Shapley values. We integrate SIG into a two-stage training pipeline: (1) SIG-Guided Model Initialization uses Monte Carlo Tree Search to construct high-reward interaction trajectories for supervision, and (2) SIG-Augmented Policy Optimization, with a novel SIG-guided Reward Distribution Mechanism that prioritizes informative questions for fine-grained optimization. Experiments on partial-information medical benchmarks show that ProMed significantly outperforms state-of-the-art methods by 6.29% on average and delivers a 54.45% gain over the reactive paradigm, and generalizes robustly to out-of-domain cases. Our codes are available at https://github.com/hxxding/ProMed.
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cs.CL
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表