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When Correct Beliefs Collapse: Epistemic Resilience of LLMs under Clinical Pressure
来源日期（仅到月份） 2026-07
来源记录日期 2026-07
雷达观测 2026-11-01 22:02
摘要
Despite strong medical benchmark accuracy, LLMs can exhibit severe multi-turn sycophancy in clinical dialogue, abandoning initial correct diagnosis under escalating pressure. We propose Med-Stress, a targeted stress test framework that evaluates belief stability under escalating pressure. Across nine frontier large language models (LLMs), we find a clear dissociation between medical knowledge and robustness: high initial diagnostic capability does not imply high belief stability, yielding large knowledge-robustness gaps for several LLMs. To mitigate this failure mode, we propose a lightweight inference-time defense, RBED (Role-Based Epistemic Defense), and R-FT (Resilience-oriented Fine-Tuning), a training-time approach that internalizes evidence-based resistance to pressure. Experiments show that R-FT nearly eliminates belief change and substantially improves robustness.
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记录 #1 · 2026-07 · 最新观测版本
When Correct Beliefs Collapse: Epistemic Resilience of LLMs under Clinical Pressure
Despite strong medical benchmark accuracy, LLMs can exhibit severe multi-turn sycophancy in clinical dialogue, abandoning initial correct diagnosis under escalating pressure. We propose Med-Stress, a targeted stress test framework that evaluates belief stability under escalating pressure. Across nine frontier large language models (LLMs), we find a clear dissociation between medical knowledge and robustness: high initial diagnostic capability does not imply high belief stability, yielding large knowledge-robustness gaps for several LLMs. To mitigate this failure mode, we propose a lightweight inference-time defense, RBED (Role-Based Epistemic Defense), and R-FT (Resilience-oriented Fine-Tuning), a training-time approach that internalizes evidence-based resistance to pressure. Experiments show that R-FT nearly eliminates belief change and substantially improves robustness.
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