Daily Papers

This paper presents ChatCounselor, a large language model (LLM) solution designed to provide mental health support. Unlike generic chatbots, ChatCounselor is distinguished by its foundation in real conversations between consulting clients and professional psychologists, enabling it to possess specialized knowledge and counseling skills in the field of psychology. The training dataset, Psych8k, was constructed from 260 in-depth interviews, each spanning an hour. To assess the quality of counseling responses, the counseling Bench was devised. Leveraging GPT-4 and meticulously crafted prompts based on seven metrics of psychological counseling assessment, the model underwent evaluation using a set of real-world counseling questions. Impressively, ChatCounselor surpasses existing open-source models in the counseling Bench and approaches the performance level of ChatGPT, showcasing the remarkable enhancement in model capability attained through high-quality domain-specific data.

Realistic practice and tailored feedback are key processes for training peer counselors with clinical skills. However, existing mechanisms of providing feedback largely rely on human supervision. Peer counselors often lack mechanisms to receive detailed feedback from experienced mentors, making it difficult for them to support the large number of people with mental health issues who use peer counseling. Our work aims to leverage large language models to provide contextualized and multi-level feedback to empower peer counselors, especially novices, at scale. To achieve this, we co-design with a group of senior psychotherapy supervisors to develop a multi-level feedback taxonomy, and then construct a publicly available dataset with comprehensive feedback annotations of 400 emotional support conversations. We further design a self-improvement method on top of large language models to enhance the automatic generation of feedback. Via qualitative and quantitative evaluation with domain experts, we demonstrate that our method minimizes the risk of potentially harmful and low-quality feedback generation which is desirable in such high-stakes scenarios.

Virtual counselors powered by large language models (LLMs) aim to create interactive support systems that effectively assist clients struggling with mental health challenges. To replicate counselor-client conversations, researchers have built an online mental health platform that allows professional counselors to provide clients with text-based counseling services for about an hour per session. Notwithstanding its effectiveness, challenges exist as human annotation is time-consuming, cost-intensive, privacy-protected, and not scalable. To address this issue and investigate the applicability of LLMs in psychological counseling conversation simulation, we propose a framework that employs two LLMs via role-playing for simulating counselor-client interactions. Our framework involves two LLMs, one acting as a client equipped with a specific and real-life user profile and the other playing the role of an experienced counselor, generating professional responses using integrative therapy techniques. We implement both the counselor and the client by zero-shot prompting the GPT-4 model. In order to assess the effectiveness of LLMs in simulating counselor-client interactions and understand the disparities between LLM- and human-generated conversations, we evaluate the synthetic data from various perspectives. We begin by assessing the client's performance through automatic evaluations. Next, we analyze and compare the disparities between dialogues generated by the LLM and those generated by professional counselors. Furthermore, we conduct extensive experiments to thoroughly examine the performance of our LLM-based counselor trained with synthetic interactive dialogues by benchmarking against state-of-the-art models for mental health.

Recently, the demand for psychological counseling has significantly increased as more individuals express concerns about their mental health. This surge has accelerated efforts to improve the accessibility of counseling by using large language models (LLMs) as counselors. To ensure client privacy, training open-source LLMs faces a key challenge: the absence of realistic counseling datasets. To address this, we introduce Cactus, a multi-turn dialogue dataset that emulates real-life interactions using the goal-oriented and structured approach of Cognitive Behavioral Therapy (CBT). We create a diverse and realistic dataset by designing clients with varied, specific personas, and having counselors systematically apply CBT techniques in their interactions. To assess the quality of our data, we benchmark against established psychological criteria used to evaluate real counseling sessions, ensuring alignment with expert evaluations. Experimental results demonstrate that Camel, a model trained with Cactus, outperforms other models in counseling skills, highlighting its effectiveness and potential as a counseling agent. We make our data, model, and code publicly available.

Simulating human clients in mental health counseling is crucial for training and evaluating counselors (both human or simulated) in a scalable manner. Nevertheless, past research on client simulation did not focus on complex conversation tasks such as mental health counseling. In these tasks, the challenge is to ensure that the client's actions (i.e., interactions with the counselor) are consistent with with its stipulated profiles and negative behavior settings. In this paper, we propose a novel framework that supports consistent client simulation for mental health counseling. Our framework tracks the mental state of a simulated client, controls its state transitions, and generates for each state behaviors consistent with the client's motivation, beliefs, preferred plan to change, and receptivity. By varying the client profile and receptivity, we demonstrate that consistent simulated clients for different counseling scenarios can be effectively created. Both our automatic and expert evaluations on the generated counseling sessions also show that our client simulation method achieves higher consistency than previous methods.

Millions of users come to online peer counseling platforms to seek support on diverse topics ranging from relationship stress to anxiety. However, studies show that online peer support groups are not always as effective as expected largely due to users' negative experiences with unhelpful counselors. Peer counselors are key to the success of online peer counseling platforms, but most of them often do not have systematic ways to receive guidelines or supervision. In this work, we introduce CARE: an interactive AI-based tool to empower peer counselors through automatic suggestion generation. During the practical training stage, CARE helps diagnose which specific counseling strategies are most suitable in the given context and provides tailored example responses as suggestions. Counselors can choose to select, modify, or ignore any suggestion before replying to the support seeker. Building upon the Motivational Interviewing framework, CARE utilizes large-scale counseling conversation data together with advanced natural language generation techniques to achieve these functionalities. We demonstrate the efficacy of CARE by performing both quantitative evaluations and qualitative user studies through simulated chats and semi-structured interviews. We also find that CARE especially helps novice counselors respond better in challenging situations.

Millions of people participate in online peer-to-peer support sessions, yet there has been little prior research on systematic psychology-based evaluations of fine-grained peer-counselor behavior in relation to client satisfaction. This paper seeks to bridge this gap by mapping peer-counselor chat-messages to motivational interviewing (MI) techniques. We annotate 14,797 utterances from 734 chat conversations using 17 MI techniques and introduce four new interviewing codes such as chit-chat and inappropriate to account for the unique conversational patterns observed on online platforms. We automate the process of labeling peer-counselor responses to MI techniques by fine-tuning large domain-specific language models and then use these automated measures to investigate the behavior of the peer counselors via correlational studies. Specifically, we study the impact of MI techniques on the conversation ratings to investigate the techniques that predict clients' satisfaction with their counseling sessions. When counselors use techniques such as reflection and affirmation, clients are more satisfied. Examining volunteer counselors' change in usage of techniques suggest that counselors learn to use more introduction and open questions as they gain experience. This work provides a deeper understanding of the use of motivational interviewing techniques on peer-to-peer counselor platforms and sheds light on how to build better training programs for volunteer counselors on online platforms.

Using large language models (LLMs) to assist psychological counseling is a significant but challenging task at present. Attempts have been made on improving empathetic conversations or acting as effective assistants in the treatment with LLMs. However, the existing datasets lack consulting knowledge, resulting in LLMs lacking professional consulting competence. Moreover, how to automatically evaluate multi-turn dialogues within the counseling process remains an understudied area. To bridge the gap, we propose CPsyCoun, a report-based multi-turn dialogue reconstruction and evaluation framework for Chinese psychological counseling. To fully exploit psychological counseling reports, a two-phase approach is devised to construct high-quality dialogues while a comprehensive evaluation benchmark is developed for the effective automatic evaluation of multi-turn psychological consultations. Competitive experimental results demonstrate the effectiveness of our proposed framework in psychological counseling. We open-source the datasets and model for future research at https://github.com/CAS-SIAT-XinHai/CPsyCoun

Despite their sophisticated capabilities, large language models (LLMs) encounter a major hurdle in effective assessment. This paper first revisits the prevalent evaluation method-multiple choice question answering (MCQA), which allows for straightforward accuracy measurement. Through a comprehensive evaluation of 24 models across 11 benchmarks, we highlight several potential drawbacks of MCQA, for instance, the inconsistency between the MCQA evaluation and the generation of open-ended responses in practical scenarios. In response, we introduce an RWQ-Elo rating system, engaging 24 LLMs such as GPT-4, GPT-3.5, Google-Gemini-Pro and LLaMA-1/-2, in a two-player competitive format, with GPT-4 serving as the judge. Each LLM receives an Elo rating thereafter. This system is designed to mirror real-world usage, and for this purpose, we have compiled a new benchmark called ``Real-world questions'' (RWQ), comprising 20,772 authentic user inquiries. Additionally, we thoroughly analyze the characteristics of our system and compare it with prior leaderboards like AlpacaEval and MT-Bench. Our analysis reveals the stability of our RWQ-Elo system, the feasibility of registering new models, and its potential to reshape LLM leaderboards.

Much recent work seeks to evaluate values and opinions in large language models (LLMs) using multiple-choice surveys and questionnaires. Most of this work is motivated by concerns around real-world LLM applications. For example, politically-biased LLMs may subtly influence society when they are used by millions of people. Such real-world concerns, however, stand in stark contrast to the artificiality of current evaluations: real users do not typically ask LLMs survey questions. Motivated by this discrepancy, we challenge the prevailing constrained evaluation paradigm for values and opinions in LLMs and explore more realistic unconstrained evaluations. As a case study, we focus on the popular Political Compass Test (PCT). In a systematic review, we find that most prior work using the PCT forces models to comply with the PCT's multiple-choice format. We show that models give substantively different answers when not forced; that answers change depending on how models are forced; and that answers lack paraphrase robustness. Then, we demonstrate that models give different answers yet again in a more realistic open-ended answer setting. We distill these findings into recommendations and open challenges in evaluating values and opinions in LLMs.

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.

Accurate assessment of personality traits is crucial for effective psycho-counseling, yet traditional methods like self-report questionnaires are time-consuming and biased. This study exams whether Large Language Models (LLMs) can predict the Big Five personality traits directly from counseling dialogues and introduces an innovative framework to perform the task. Our framework applies role-play and questionnaire-based prompting to condition LLMs on counseling sessions, simulating client responses to the Big Five Inventory. We evaluated our framework on 853 real-world counseling sessions, finding a significant correlation between LLM-predicted and actual Big Five traits, proving the validity of framework. Moreover, ablation studies highlight the importance of role-play simulations and task simplification via questionnaires in enhancing prediction accuracy. Meanwhile, our fine-tuned Llama3-8B model, utilizing Direct Preference Optimization with Supervised Fine-Tuning, achieves a 130.95\% improvement, surpassing the state-of-the-art Qwen1.5-110B by 36.94\% in personality prediction validity. In conclusion, LLMs can predict personality based on counseling dialogues. Our code and model are publicly available at https://github.com/kuri-leo/BigFive-LLM-Predictor, providing a valuable tool for future research in computational psychometrics.

In mental health counseling, a variety of earlier studies have focused on dialogue modeling. However, most of these studies give limited to no emphasis on the quality of interaction between a patient and a therapist. The therapeutic bond between a patient and a therapist directly correlates with effective mental health counseling. It involves developing the patient's trust on the therapist over the course of counseling. To assess the therapeutic bond in counseling, we introduce trust as a therapist-assistive metric. Our definition of trust involves patients' willingness and openness to express themselves and, consequently, receive better care. We conceptualize it as a dynamic trajectory observable through textual interactions during the counseling. To facilitate trust modeling, we present MENTAL-TRUST, a novel counseling dataset comprising manual annotation of 212 counseling sessions with first-of-its-kind seven expert-verified ordinal trust levels. We project our problem statement as an ordinal classification task for trust quantification and propose a new benchmark, TrustBench, comprising a suite of classical and state-of-the-art language models on MENTAL-TRUST. We evaluate the performance across a suite of metrics and lay out an exhaustive set of findings. Our study aims to unfold how trust evolves in therapeutic interactions.

Great research interests have been attracted to devise AI services that are able to provide mental health support. However, the lack of corpora is a main obstacle to this research, particularly in Chinese language. In this paper, we propose PsyQA, a Chinese dataset of psychological health support in the form of question and answer pair. PsyQA is crawled from a Chinese mental health service platform, and contains 22K questions and 56K long and well-structured answers. Based on the psychological counseling theories, we annotate a portion of answer texts with typical strategies for providing support, and further present in-depth analysis of both lexical features and strategy patterns in the counseling answers. We also evaluate the performance of generating counseling answers with the generative pretrained models. Results show that utilizing strategies enhances the fluency and helpfulness of generated answers, but there is still a large space for future research.

Applying large language models (LLMs) to assist in psycho-counseling is an emerging and meaningful approach, driven by the significant gap between patient needs and the availability of mental health support. However, current LLMs struggle to consistently provide effective responses to client speeches, largely due to the lack of supervision from high-quality real psycho-counseling data, whose content is typically inaccessible due to client privacy concerns. Furthermore, the quality of therapists' responses in available sessions can vary significantly based on their professional training and experience. Assessing the quality of therapists' responses remains an open challenge. In this work, we address these challenges by first proposing a set of professional and comprehensive principles to evaluate therapists' responses to client speeches. Using these principles, we create a preference dataset, PsychoCounsel-Preference, which contains 36k high-quality preference comparison pairs. This dataset aligns with the preferences of professional psychotherapists, providing a robust foundation for evaluating and improving LLMs in psycho-counseling. Experiments on reward modeling and preference learning demonstrate that PsychoCounsel-Preference is an excellent resource for LLMs to acquire essential skills for responding to clients in a counseling session. Our best-aligned model, PsychoCounsel-Llama3-8B, achieves an impressive win rate of 87% against GPT-4o. We release PsychoCounsel-Preference, PsychoCounsel-Llama3-8B and the reward model PsychoCounsel Llama3-8B-Reward to facilitate the research of psycho-counseling with LLMs at: https://hf.co/Psychotherapy-LLM.

Long-term, open-domain dialogue capabilities are essential for chatbots aiming to recall past interactions and demonstrate emotional intelligence (EI). Yet, most existing research relies on synthetic, LLM-generated data, leaving open questions about real-world conversational patterns. To address this gap, we introduce REALTALK, a 21-day corpus of authentic messaging app dialogues, providing a direct benchmark against genuine human interactions. We first conduct a dataset analysis, focusing on EI attributes and persona consistency to understand the unique challenges posed by real-world dialogues. By comparing with LLM-generated conversations, we highlight key differences, including diverse emotional expressions and variations in persona stability that synthetic dialogues often fail to capture. Building on these insights, we introduce two benchmark tasks: (1) persona simulation where a model continues a conversation on behalf of a specific user given prior dialogue context; and (2) memory probing where a model answers targeted questions requiring long-term memory of past interactions. Our findings reveal that models struggle to simulate a user solely from dialogue history, while fine-tuning on specific user chats improves persona emulation. Additionally, existing models face significant challenges in recalling and leveraging long-term context within real-world conversations.

Wider access to therapeutic care is one of the biggest challenges in mental health treatment. Due to institutional barriers, some people seeking mental health support have turned to large language models (LLMs) for personalized therapy, even though these models are largely unsanctioned and untested. We investigate the potential and limitations of using LLMs as providers of evidence-based therapy by using mixed methods clinical metrics. Using HELPERT, a prompt run on a large language model using the same process and training as a comparative group of peer counselors, we replicated publicly accessible mental health conversations rooted in Cognitive Behavioral Therapy (CBT) to compare session dynamics and counselor's CBT-based behaviors between original peer support sessions and their reconstructed HELPERT sessions. Two licensed, CBT-trained clinical psychologists evaluated the sessions using the Cognitive Therapy Rating Scale and provided qualitative feedback. Our findings show that the peer sessions are characterized by empathy, small talk, therapeutic alliance, and shared experiences but often exhibit therapist drift. Conversely, HELPERT reconstructed sessions exhibit minimal therapist drift and higher adherence to CBT methods but display a lack of collaboration, empathy, and cultural understanding. Through CTRS ratings and psychologists' feedback, we highlight the importance of human-AI collaboration for scalable mental health. Our work outlines the ethical implication of imparting human-like subjective qualities to LLMs in therapeutic settings, particularly the risk of deceptive empathy, which may lead to unrealistic patient expectations and potential harm.

As the integration of large language models into daily life is on the rise, there is a clear gap in benchmarks for advising on subjective and personal dilemmas. To address this, we introduce AdvisorQA, the first benchmark developed to assess LLMs' capability in offering advice for deeply personalized concerns, utilizing the LifeProTips subreddit forum. This forum features a dynamic interaction where users post advice-seeking questions, receiving an average of 8.9 advice per query, with 164.2 upvotes from hundreds of users, embodying a collective intelligence framework. Therefore, we've completed a benchmark encompassing daily life questions, diverse corresponding responses, and majority vote ranking to train our helpfulness metric. Baseline experiments validate the efficacy of AdvisorQA through our helpfulness metric, GPT-4, and human evaluation, analyzing phenomena beyond the trade-off between helpfulness and harmlessness. AdvisorQA marks a significant leap in enhancing QA systems for providing personalized, empathetic advice, showcasing LLMs' improved understanding of human subjectivity.

When immigrating to a new country, it is easy to feel overwhelmed by the need to obtain information on financial support, housing, schooling, language courses, and other issues. If relocation is rushed or even forced, the necessity for high-quality answers to such questions is all the more urgent. Official immigration counselors are usually overbooked, and online systems could guide newcomers to the requested information or a suitable counseling service. To this end, we present OMoS-QA, a dataset of German and English questions paired with relevant trustworthy documents and manually annotated answers, specifically tailored to this scenario. Questions are automatically generated with an open-source large language model (LLM) and answer sentences are selected by crowd workers with high agreement. With our data, we conduct a comparison of 5 pretrained LLMs on the task of extractive question answering (QA) in German and English. Across all models and both languages, we find high precision and low-to-mid recall in selecting answer sentences, which is a favorable trade-off to avoid misleading users. This performance even holds up when the question language does not match the document language. When it comes to identifying unanswerable questions given a context, there are larger differences between the two languages.

Online medical consultation (OMC) restricts doctors to gathering patient information solely through inquiries, making the already complex sequential decision-making process of diagnosis even more challenging. Recently, the rapid advancement of large language models has demonstrated a significant potential to transform OMC. However, most studies have primarily focused on improving diagnostic accuracy under conditions of relatively sufficient information, while paying limited attention to the "inquiry" phase of the consultation process. This lack of focus has left the relationship between "inquiry" and "diagnosis" insufficiently explored. In this paper, we first extract real patient interaction strategies from authentic doctor-patient conversations and use these strategies to guide the training of a patient simulator that closely mirrors real-world behavior. By inputting medical records into our patient simulator to simulate patient responses, we conduct extensive experiments to explore the relationship between "inquiry" and "diagnosis" in the consultation process. Experimental results demonstrate that inquiry and diagnosis adhere to the Liebig's law: poor inquiry quality limits the effectiveness of diagnosis, regardless of diagnostic capability, and vice versa. Furthermore, the experiments reveal significant differences in the inquiry performance of various models. To investigate this phenomenon, we categorize the inquiry process into four types: (1) chief complaint inquiry; (2) specification of known symptoms; (3) inquiry about accompanying symptoms; and (4) gathering family or medical history. We analyze the distribution of inquiries across the four types for different models to explore the reasons behind their significant performance differences. We plan to open-source the weights and related code of our patient simulator at https://github.com/LIO-H-ZEN/PatientSimulator.

There is a significant gap between patient needs and available mental health support today. In this paper, we aim to thoroughly examine the potential of using Large Language Models (LLMs) to assist professional psychotherapy. To this end, we propose a new benchmark, CBT-BENCH, for the systematic evaluation of cognitive behavioral therapy (CBT) assistance. We include three levels of tasks in CBT-BENCH: I: Basic CBT knowledge acquisition, with the task of multiple-choice questions; II: Cognitive model understanding, with the tasks of cognitive distortion classification, primary core belief classification, and fine-grained core belief classification; III: Therapeutic response generation, with the task of generating responses to patient speech in CBT therapy sessions. These tasks encompass key aspects of CBT that could potentially be enhanced through AI assistance, while also outlining a hierarchy of capability requirements, ranging from basic knowledge recitation to engaging in real therapeutic conversations. We evaluated representative LLMs on our benchmark. Experimental results indicate that while LLMs perform well in reciting CBT knowledge, they fall short in complex real-world scenarios requiring deep analysis of patients' cognitive structures and generating effective responses, suggesting potential future work.

The Mental Health Question Answer (MHQA) task requires the seeker and supporter to complete the support process in one-turn dialogue. Given the richness of help-seeker posts, supporters must thoroughly understand the content and provide logical, comprehensive, and well-structured responses. Previous works in MHQA mostly focus on single-agent approaches based on the cognitive element of Cognitive Behavioral Therapy (CBT), but they overlook the interactions among various CBT elements, such as emotion and cognition. This limitation hinders the models' ability to thoroughly understand the distress of help-seekers. To address this, we propose a framework named Multi-Agent Deductive Planning (MADP), which is based on the interactions between the various psychological elements of CBT. This method guides Large Language Models (LLMs) to achieve a deeper understanding of the seeker's context and provide more personalized assistance based on individual circumstances. Furthermore, we construct a new dataset based on the MADP framework and use it to fine-tune LLMs, resulting in a specialized model named MADP-LLM. We conduct extensive experiments, including comparisons with multiple LLMs, human evaluations, and automatic evaluations, to validate the effectiveness of the MADP framework and MADP-LLM.

Recent progress on large language models (LLMs) has enabled dialogue agents to generate highly naturalistic and plausible text. However, current LLM language generation focuses on responding accurately to questions and requests with a single effective response. In reality, many real dialogues are interactive, meaning an agent's utterances will influence their conversational partner, elicit information, or change their opinion. Accounting for how an agent can effectively steer a conversation is a crucial ability in many dialogue tasks, from healthcare to preference elicitation. Existing methods for fine-tuning dialogue agents to accomplish such tasks would rely on curating some amount of expert data. However, doing so often requires understanding the underlying cognitive processes of the conversational partner, which is a skill neither humans nor LLMs trained on human data can reliably do. Our key insight is that while LLMs may not be adept at identifying effective strategies for steering conversations a priori, or in the middle of an ongoing conversation, they can do so post-hoc, or in hindsight, after seeing how their conversational partner responds. We use this fact to rewrite and augment existing suboptimal data, and train via offline reinforcement learning (RL) an agent that outperforms both prompting and learning from unaltered human demonstrations. We apply our approach to two domains that require understanding human mental state, intelligent interaction, and persuasion: mental health support, and soliciting charitable donations. Our results in a user study with real humans show that our approach greatly outperforms existing state-of-the-art dialogue agents.

Clinical question answering systems have the potential to provide clinicians with relevant and timely answers to their questions. Nonetheless, despite the advances that have been made, adoption of these systems in clinical settings has been slow. One issue is a lack of question-answering datasets which reflect the real-world needs of health professionals. In this work, we present RealMedQA, a dataset of realistic clinical questions generated by humans and an LLM. We describe the process for generating and verifying the QA pairs and assess several QA models on BioASQ and RealMedQA to assess the relative difficulty of matching answers to questions. We show that the LLM is more cost-efficient for generating "ideal" QA pairs. Additionally, we achieve a lower lexical similarity between questions and answers than BioASQ which provides an additional challenge to the top two QA models, as per the results. We release our code and our dataset publicly to encourage further research.

When people answer questions about a specific situation, e.g., "I cheated on my mid-term exam last week. Was that wrong?", cognitive science suggests that they form a mental picture of that situation before answering. While we do not know how language models (LMs) answer such questions, we conjecture that they may answer more accurately if they are also provided with additional details about the question situation, elaborating the "scene". To test this conjecture, we train a new model, DREAM, to answer questions that elaborate the scenes that situated questions are about, and then provide those elaborations as additional context to a question-answering (QA) model. We find that DREAM is able to create better scene elaborations (more accurate, useful, and consistent) than a representative state-of-the-art, zero-shot model (Macaw). We also find that using the scene elaborations as additional context improves the answer accuracy of a downstream QA system, including beyond that obtainable by simply further finetuning the QA system on DREAM's training data. These results suggest that adding focused elaborations about a situation can improve a system's reasoning about it, and may serve as an effective way of injecting new scenario based knowledge into QA models. Finally, our approach is dataset-neutral; we observe improved QA performance across different models, with even bigger gains on models with fewer parameters. We make our dataset and model publicly available at https://github.com/allenai/dream.

Visual question answering is a task of predicting the answer to a question about an image. Given that different people can provide different answers to a visual question, we aim to better understand why with answer groundings. We introduce the first dataset that visually grounds each unique answer to each visual question, which we call VQAAnswerTherapy. We then propose two novel problems of predicting whether a visual question has a single answer grounding and localizing all answer groundings. We benchmark modern algorithms for these novel problems to show where they succeed and struggle. The dataset and evaluation server can be found publicly at https://vizwiz.org/tasks-and-datasets/vqa-answer-therapy/.

Large language models (LLMs) have shown promise for generative and knowledge-intensive tasks including question-answering (QA) tasks. However, the practical deployment still faces challenges, notably the issue of "hallucination", where models generate plausible-sounding but unfaithful or nonsensical information. This issue becomes particularly critical in the medical domain due to the uncommon professional concepts and potential social risks involved. This paper analyses the phenomenon of hallucination in medical generative QA systems using widely adopted LLMs and datasets. Our investigation centers on the identification and comprehension of common problematic answers, with a specific emphasis on hallucination. To tackle this challenge, we present an interactive self-reflection methodology that incorporates knowledge acquisition and answer generation. Through this feedback process, our approach steadily enhances the factuality, consistency, and entailment of the generated answers. Consequently, we harness the interactivity and multitasking ability of LLMs and produce progressively more precise and accurate answers. Experimental results on both automatic and human evaluation demonstrate the superiority of our approach in hallucination reduction compared to baselines.

Novel intent discovery automates the process of grouping similar messages (questions) to identify previously unknown intents. However, current research focuses on publicly available datasets which have only the question field and significantly differ from real-life datasets. This paper proposes methods to improve the intent discovery pipeline deployed in a large e-commerce platform. We show the benefit of pre-training language models on in-domain data: both self-supervised and with weak supervision. We also devise the best method to utilize the conversational structure (i.e., question and answer) of real-life datasets during fine-tuning for clustering tasks, which we call Conv. All our methods combined to fully utilize real-life datasets give up to 33pp performance boost over state-of-the-art Constrained Deep Adaptive Clustering (CDAC) model for question only. By comparison CDAC model for the question data only gives only up to 13pp performance boost over the naive baseline.

As mental health issues globally escalate, there is a tremendous need for advanced digital support systems. We introduce MentalAgora, a novel framework employing large language models enhanced by interaction between multiple agents for tailored mental health support. This framework operates through three stages: strategic debating, tailored counselor creation, and response generation, enabling the dynamic customization of responses based on individual user preferences and therapeutic needs. We conduct experiments utilizing a high-quality evaluation dataset TherapyTalk crafted with mental health professionals, shwoing that MentalAgora generates expert-aligned and user preference-enhanced responses. Our evaluations, including experiments and user studies, demonstrate that MentalAgora aligns with professional standards and effectively meets user preferences, setting a new benchmark for digital mental health interventions.

Problem: Effective patient-centered communication is a core competency for physicians. However, both seasoned providers and medical trainees report decreased confidence in leading conversations on sensitive topics such as goals of care or end-of-life discussions. The significant administrative burden and the resources required to provide dedicated training in leading difficult conversations has been a long-standing problem in medical education. Approach: In this work, we present a novel educational tool designed to facilitate interactive, real-time simulations of difficult conversations in a video-based format through the use of multimodal generative artificial intelligence (AI). Leveraging recent advances in language modeling, computer vision, and generative audio, this tool creates realistic, interactive scenarios with avatars, or "synthetic patients." These synthetic patients interact with users throughout various stages of medical care using a custom-built video chat application, offering learners the chance to practice conversations with patients from diverse belief systems, personalities, and ethnic backgrounds. Outcomes: While the development of this platform demanded substantial upfront investment in labor, it offers a highly-realistic simulation experience with minimal financial investment. For medical trainees, this educational tool can be implemented within programs to simulate patient-provider conversations and can be incorporated into existing palliative care curriculum to provide a scalable, high-fidelity simulation environment for mastering difficult conversations. Next Steps: Future developments will explore enhancing the authenticity of these encounters by working with patients to incorporate their histories and personalities, as well as employing the use of AI-generated evaluations to offer immediate, constructive feedback to learners post-simulation.

Lifelogs are descriptions of experiences that a person had during their life. Lifelogs are created by fusing data from the multitude of digital services, such as online photos, maps, shopping and content streaming services. Question answering over lifelogs can offer personal assistants a critical resource when they try to provide advice in context. However, obtaining answers to questions over lifelogs is beyond the current state of the art of question answering techniques for a variety of reasons, the most pronounced of which is that lifelogs combine free text with some degree of structure such as temporal and geographical information. We create and publicly release TimelineQA1, a benchmark for accelerating progress on querying lifelogs. TimelineQA generates lifelogs of imaginary people. The episodes in the lifelog range from major life episodes such as high school graduation to those that occur on a daily basis such as going for a run. We describe a set of experiments on TimelineQA with several state-of-the-art QA models. Our experiments reveal that for atomic queries, an extractive QA system significantly out-performs a state-of-the-art retrieval-augmented QA system. For multi-hop queries involving aggregates, we show that the best result is obtained with a state-of-the-art table QA technique, assuming the ground truth set of episodes for deriving the answer is available.

Large language models (LLMs) often fail to ask effective questions under uncertainty, making them unreliable in domains where proactive information-gathering is essential for decisionmaking. We present ALFA, a framework that improves LLM question-asking by (i) decomposing the notion of a "good" question into a set of theory-grounded attributes (e.g., clarity, relevance), (ii) controllably synthesizing attribute-specific question variations, and (iii) aligning models via preference-based optimization to explicitly learn to ask better questions along these fine-grained attributes. Focusing on clinical reasoning as a case study, we introduce the MediQ-AskDocs dataset, composed of 17k real-world clinical interactions augmented with 80k attribute-specific preference pairs of follow-up questions, as well as a novel expert-annotated interactive healthcare QA task to evaluate question-asking abilities. Models aligned with ALFA reduce diagnostic errors by 56.6% on MediQ-AskDocs compared to SOTA instruction-tuned LLMs, with a question-level win-rate of 64.4% and strong generalizability. Our findings suggest that explicitly guiding question-asking with structured, fine-grained attributes offers a scalable path to improve LLMs, especially in expert application domains.

We introduce REALTIME QA, a dynamic question answering (QA) platform that announces questions and evaluates systems on a regular basis (weekly in this version). REALTIME QA inquires about the current world, and QA systems need to answer questions about novel events or information. It therefore challenges static, conventional assumptions in open-domain QA datasets and pursues instantaneous applications. We build strong baseline models upon large pretrained language models, including GPT-3 and T5. Our benchmark is an ongoing effort, and this paper presents real-time evaluation results over the past year. Our experimental results show that GPT-3 can often properly update its generation results, based on newly-retrieved documents, highlighting the importance of up-to-date information retrieval. Nonetheless, we find that GPT-3 tends to return outdated answers when retrieved documents do not provide sufficient information to find an answer. This suggests an important avenue for future research: can an open-domain QA system identify such unanswerable cases and communicate with the user or even the retrieval module to modify the retrieval results? We hope that REALTIME QA will spur progress in instantaneous applications of question answering and beyond.

We present a new probing dataset named PROST: Physical Reasoning about Objects Through Space and Time. This dataset contains 18,736 multiple-choice questions made from 14 manually curated templates, covering 10 physical reasoning concepts. All questions are designed to probe both causal and masked language models in a zero-shot setting. We conduct an extensive analysis which demonstrates that state-of-the-art pretrained models are inadequate at physical reasoning: they are influenced by the order in which answer options are presented to them, they struggle when the superlative in a question is inverted (e.g., most <-> least), and increasing the amount of pretraining data and parameters only yields minimal improvements. These results provide support for the hypothesis that current pretrained models' ability to reason about physical interactions is inherently limited by a lack of real world experience. By highlighting these limitations, we hope to motivate the development of models with a human-like understanding of the physical world.

As awareness of mental health issues grows, online counseling support services are becoming increasingly prevalent worldwide. Detecting whether users express suicidal ideation in text-based counseling services is crucial for identifying and prioritizing at-risk individuals. However, the lack of domain-specific systems to facilitate fine-grained suicide detection and corresponding risk assessment in online counseling poses a significant challenge for automated crisis intervention aimed at suicide prevention. In this paper, we propose PsyGUARD, an automated system for detecting suicide ideation and assessing risk in psychological counseling. To achieve this, we first develop a detailed taxonomy for detecting suicide ideation based on foundational theories. We then curate a large-scale, high-quality dataset called PsySUICIDE for suicide detection. To evaluate the capabilities of automated systems in fine-grained suicide detection, we establish a range of baselines. Subsequently, to assist automated services in providing safe, helpful, and tailored responses for further assessment, we propose to build a suite of risk assessment frameworks. Our study not only provides an insightful analysis of the effectiveness of automated risk assessment systems based on fine-grained suicide detection but also highlights their potential to improve mental health services on online counseling platforms. Code, data, and models are available at https://github.com/qiuhuachuan/PsyGUARD.

How do we communicate with others to achieve our goals? We use our prior experience or advice from others, or construct a candidate utterance by predicting how it will be received. However, our experiences are limited and biased, and reasoning about potential outcomes can be difficult and cognitively challenging. In this paper, we explore how we can leverage Large Language Model (LLM) simulations to help us communicate better. We propose the Explore-Generate-Simulate (EGS) framework, which takes as input any scenario where an individual is communicating to an audience with a goal they want to achieve. EGS (1) explores the solution space by producing a diverse set of advice relevant to the scenario, (2) generates communication candidates conditioned on subsets of the advice, and (3) simulates the reactions from various audiences to determine both the best candidate and advice to use. We evaluate the framework on eight scenarios spanning the ten fundamental processes of interpersonal communication. For each scenario, we collect a dataset of human evaluations across candidates and baselines, and showcase that our framework's chosen candidate is preferred over popular generation mechanisms including Chain-of-Thought. We also find that audience simulations achieve reasonably high agreement with human raters across 5 of the 8 scenarios. Finally, we demonstrate the generality of our framework by applying it to real-world scenarios described by users on web forums. Through evaluations and demonstrations, we show that EGS enhances the effectiveness and outcomes of goal-oriented communication across a variety of situations, thus opening up new possibilities for the application of large language models in revolutionizing communication and decision-making processes.

Most large language models (LLMs) are trained once and never updated; thus, they lack the ability to dynamically adapt to our ever-changing world. In this work, we perform a detailed study of the factuality of LLM-generated text in the context of answering questions that test current world knowledge. Specifically, we introduce FreshQA, a novel dynamic QA benchmark encompassing a diverse range of question and answer types, including questions that require fast-changing world knowledge as well as questions with false premises that need to be debunked. We benchmark a diverse array of both closed and open-source LLMs under a two-mode evaluation procedure that allows us to measure both correctness and hallucination. Through human evaluations involving more than 50K judgments, we shed light on limitations of these models and demonstrate significant room for improvement: for instance, all models (regardless of model size) struggle on questions that involve fast-changing knowledge and false premises. Motivated by these results, we present FreshPrompt, a simple few-shot prompting method that substantially boosts the performance of an LLM on FreshQA by incorporating relevant and up-to-date information retrieved from a search engine into the prompt. Our experiments show that FreshPrompt outperforms both competing search engine-augmented prompting methods such as Self-Ask (Press et al., 2022) as well as commercial systems such as Perplexity.AI. Further analysis of FreshPrompt reveals that both the number of retrieved evidences and their order play a key role in influencing the correctness of LLM-generated answers. Additionally, instructing the LLM to generate concise and direct answers helps reduce hallucination compared to encouraging more verbose answers. To facilitate future work, we release FreshQA at github.com/freshllms/freshqa and commit to updating it at regular intervals.

Existing synthetic datasets (FigureQA, DVQA) for reasoning over plots do not contain variability in data labels, real-valued data, or complex reasoning questions. Consequently, proposed models for these datasets do not fully address the challenge of reasoning over plots. In particular, they assume that the answer comes either from a small fixed size vocabulary or from a bounding box within the image. However, in practice, this is an unrealistic assumption because many questions require reasoning and thus have real-valued answers which appear neither in a small fixed size vocabulary nor in the image. In this work, we aim to bridge this gap between existing datasets and real-world plots. Specifically, we propose PlotQA with 28.9 million question-answer pairs over 224,377 plots on data from real-world sources and questions based on crowd-sourced question templates. Further, 80.76% of the out-of-vocabulary (OOV) questions in PlotQA have answers that are not in a fixed vocabulary. Analysis of existing models on PlotQA reveals that they cannot deal with OOV questions: their overall accuracy on our dataset is in single digits. This is not surprising given that these models were not designed for such questions. As a step towards a more holistic model which can address fixed vocabulary as well as OOV questions, we propose a hybrid approach: Specific questions are answered by choosing the answer from a fixed vocabulary or by extracting it from a predicted bounding box in the plot, while other questions are answered with a table question-answering engine which is fed with a structured table generated by detecting visual elements from the image. On the existing DVQA dataset, our model has an accuracy of 58%, significantly improving on the highest reported accuracy of 46%. On PlotQA, our model has an accuracy of 22.52%, which is significantly better than state of the art models.

Although large language models (LLMs) often produce impressive outputs, it remains unclear how they perform in real-world scenarios requiring strong reasoning skills and expert domain knowledge. We set out to investigate whether close- and open-source models (GPT-3.5, LLama-2, etc.) can be applied to answer and reason about difficult real-world-based questions. We focus on three popular medical benchmarks (MedQA-USMLE, MedMCQA, and PubMedQA) and multiple prompting scenarios: Chain-of-Thought (CoT, think step-by-step), few-shot and retrieval augmentation. Based on an expert annotation of the generated CoTs, we found that InstructGPT can often read, reason and recall expert knowledge. Last, by leveraging advances in prompt engineering (few-shot and ensemble methods), we demonstrated that GPT-3.5 not only yields calibrated predictive distributions, but also reaches the passing score on three datasets: MedQA-USMLE 60.2%, MedMCQA 62.7% and PubMedQA 78.2%. Open-source models are closing the gap: Llama-2 70B also passed the MedQA-USMLE with 62.5% accuracy.

With a rise in false, inaccurate, and misleading information in propaganda, news, and social media, real-world Question Answering (QA) systems face the challenges of synthesizing and reasoning over contradicting information to derive correct answers. This urgency gives rise to the need to make QA systems robust to misinformation, a topic previously unexplored. We study the risk of misinformation to QA models by investigating the behavior of the QA model under contradicting contexts that are mixed with both real and fake information. We create the first large-scale dataset for this problem, namely Contra-QA, which contains over 10K human-written and model-generated contradicting pairs of contexts. Experiments show that QA models are vulnerable under contradicting contexts brought by misinformation. To defend against such a threat, we build a misinformation-aware QA system as a counter-measure that integrates question answering and misinformation detection in a joint fashion.

Clinical Question Answering (QA) systems enable doctors to quickly access patient information from electronic health records (EHRs). However, training these systems requires significant annotated data, which is limited due to the expertise needed and the privacy concerns associated with clinical data. This paper explores generating Clinical QA data using large language models (LLMs) in a zero-shot setting. We find that naive prompting often results in easy questions that do not reflect the complexity of clinical scenarios. To address this, we propose two prompting strategies: 1) instructing the model to generate questions that do not overlap with the input context, and 2) summarizing the input record using a predefined schema to scaffold question generation. Experiments on two Clinical QA datasets demonstrate that our method generates more challenging questions, significantly improving fine-tuning performance over baselines. We compare synthetic and gold data and find a gap between their training efficacy resulting from the quality of synthetically generated answers.

Although counterfactual reasoning is a fundamental aspect of intelligence, the lack of large-scale counterfactual open-domain question-answering (QA) benchmarks makes it difficult to evaluate and improve models on this ability. To address this void, we introduce the first such dataset, named IfQA, where each question is based on a counterfactual presupposition via an "if" clause. For example, if Los Angeles was on the east coast of the U.S., what would be the time difference between Los Angeles and Paris? Such questions require models to go beyond retrieving direct factual knowledge from the Web: they must identify the right information to retrieve and reason about an imagined situation that may even go against the facts built into their parameters. The IfQA dataset contains over 3,800 questions that were annotated annotated by crowdworkers on relevant Wikipedia passages. Empirical analysis reveals that the IfQA dataset is highly challenging for existing open-domain QA methods, including supervised retrieve-then-read pipeline methods (EM score 36.2), as well as recent few-shot approaches such as chain-of-thought prompting with GPT-3 (EM score 27.4). The unique challenges posed by the IfQA benchmark will push open-domain QA research on both retrieval and counterfactual reasoning fronts.

As we increasingly seek guidance from LLMs for decision-making in daily life, many of these decisions are not clear-cut and depend significantly on the personal values and ethical standards of the users. We present DailyDilemmas, a dataset of 1,360 moral dilemmas encountered in everyday life. Each dilemma includes two possible actions and with each action, the affected parties and human values invoked. Based on these dilemmas, we consolidated a set of human values across everyday topics e.g., interpersonal relationships, workplace, and environmental issues. We evaluated LLMs on these dilemmas to determine what action they will take and the values represented by these actions. Then, we analyzed these values through the lens of five popular theories inspired by sociology, psychology and philosophy. These theories are: World Value Survey, Moral Foundation Theory, Maslow's Hierarchy of Needs, Aristotle's Virtues, and Plutchik Wheel of Emotion. We find that LLMs are most aligned with the self-expression over survival values in terms of World Value Survey, care over loyalty in Moral Foundation Theory. Interestingly, we find large preferences differences in models for some core values such as truthfulness e.g., Mixtral-8x7B model tends to neglect it by 9.7% while GPT-4-turbo model tends to select it by 9.4%. We also study the recent guidance released by OpenAI (ModelSpec), and Anthropic (Constitutional AI) to understand how their released principles reflect their actual value prioritization when facing nuanced moral reasoning in daily-life settings. We find that end users cannot effectively steer such prioritization using system prompts.

As language models are adapted by a more sophisticated and diverse set of users, the importance of guaranteeing that they provide factually correct information supported by verifiable sources is critical across fields of study & professions. This is especially the case for high-stakes fields, such as medicine and law, where the risk of propagating false information is high and can lead to undesirable societal consequences. Previous work studying factuality and attribution has not focused on analyzing these characteristics of language model outputs in domain-specific scenarios. In this work, we present an evaluation study analyzing various axes of factuality and attribution provided in responses from a few systems, by bringing domain experts in the loop. Specifically, we first collect expert-curated questions from 484 participants across 32 fields of study, and then ask the same experts to evaluate generated responses to their own questions. We also ask experts to revise answers produced by language models, which leads to ExpertQA, a high-quality long-form QA dataset with 2177 questions spanning 32 fields, along with verified answers and attributions for claims in the answers.

As mental health care systems worldwide struggle to meet demand, there is increasing focus on using language models to infer neuropsychiatric conditions or psychopathological traits from language production. Yet, so far, this research has only delivered solutions with limited clinical applicability, due to insufficient consideration of ethical questions crucial to ensuring the synergy between possible applications and model design. To accelerate progress towards clinically applicable models, our paper charts the ethical landscape of research on language-based inference of psychopathology and provides a practical tool for researchers to navigate it. We identify seven core ethical principles that should guide model development and deployment in this domain, translate them into ELLIPS, an ethical toolkit operationalizing these principles into questions that can guide researchers' choices with respect to data selection, architectures, evaluation, and model deployment, and provide a case study exemplifying its use. With this, we aim to facilitate the emergence of model technology with concrete potential for real-world applicability.

Socratic questioning is an educational method that allows students to discover answers to complex problems by asking them a series of thoughtful questions. Generation of didactically sound questions is challenging, requiring understanding of the reasoning process involved in the problem. We hypothesize that such questioning strategy can not only enhance the human performance, but also assist the math word problem (MWP) solvers. In this work, we explore the ability of large language models (LMs) in generating sequential questions for guiding math word problem-solving. We propose various guided question generation schemes based on input conditioning and reinforcement learning. On both automatic and human quality evaluations, we find that LMs constrained with desirable question properties generate superior questions and improve the overall performance of a math word problem solver. We conduct a preliminary user study to examine the potential value of such question generation models in the education domain. Results suggest that the difficulty level of problems plays an important role in determining whether questioning improves or hinders human performance. We discuss the future of using such questioning strategies in education.

Large Language Models (LLMs) are revolutionizing information retrieval, with chatbots becoming an important source for answering user queries. As by their design, LLMs prioritize generating correct answers, the value of highly plausible yet incorrect answers (candidate answers) tends to be overlooked. However, such answers can still prove useful, for example, they can play a crucial role in tasks like Multiple-Choice Question Answering (MCQA) and QA Robustness Assessment (QARA). Existing QA datasets primarily focus on correct answers without explicit consideration of the plausibility of other candidate answers, limiting opportunity for more nuanced evaluations of models. To address this gap, we introduce PlausibleQA, a large-scale dataset comprising 10,000 questions and 100,000 candidate answers, each annotated with plausibility scores and justifications for their selection. Additionally, the dataset includes 900,000 justifications for pairwise comparisons between candidate answers, further refining plausibility assessments. We evaluate PlausibleQA through human assessments and empirical experiments, demonstrating its utility in MCQA and QARA analysis. Our findings show that plausibility-aware approaches are effective for MCQA distractor generation and QARA. We release PlausibleQA as a resource for advancing QA research and enhancing LLM performance in distinguishing plausible distractors from correct answers.

Significant focus has been placed on integrating large language models (LLMs) with various tools in developing general-purpose agents. This poses a challenge to LLMs' tool-use capabilities. However, there are evident gaps between existing tool-use evaluations and real-world scenarios. Current evaluations often use AI-generated queries, single-step tasks, dummy tools, and text-only interactions, failing to reveal the agents' real-world problem-solving abilities effectively. To address this, we propose GTA, a benchmark for General Tool Agents, featuring three main aspects: (i) Real user queries: human-written queries with simple real-world objectives but implicit tool-use, requiring the LLM to reason the suitable tools and plan the solution steps. (ii) Real deployed tools: an evaluation platform equipped with tools across perception, operation, logic, and creativity categories to evaluate the agents' actual task execution performance. (iii) Real multimodal inputs: authentic image files, such as spatial scenes, web page screenshots, tables, code snippets, and printed/handwritten materials, used as the query contexts to align with real-world scenarios closely. We design 229 real-world tasks and executable tool chains to evaluate mainstream LLMs. Our findings show that real-world user queries are challenging for existing LLMs, with GPT-4 completing less than 50% of the tasks and most LLMs achieving below 25%. This evaluation reveals the bottlenecks in the tool-use capabilities of current LLMs in real-world scenarios, which provides future direction for advancing general-purpose tool agents. The code and dataset are available at https://github.com/open-compass/GTA.

We introduce MilkQA, a question answering dataset from the dairy domain dedicated to the study of consumer questions. The dataset contains 2,657 pairs of questions and answers, written in the Portuguese language and originally collected by the Brazilian Agricultural Research Corporation (Embrapa). All questions were motivated by real situations and written by thousands of authors with very different backgrounds and levels of literacy, while answers were elaborated by specialists from Embrapa's customer service. Our dataset was filtered and anonymized by three human annotators. Consumer questions are a challenging kind of question that is usually employed as a form of seeking information. Although several question answering datasets are available, most of such resources are not suitable for research on answer selection models for consumer questions. We aim to fill this gap by making MilkQA publicly available. We study the behavior of four answer selection models on MilkQA: two baseline models and two convolutional neural network archictetures. Our results show that MilkQA poses real challenges to computational models, particularly due to linguistic characteristics of its questions and to their unusually longer lengths. Only one of the experimented models gives reasonable results, at the cost of high computational requirements.

Despite growing interest in using large language models (LLMs) in healthcare, current explorations do not assess the real-world utility and safety of LLMs in clinical settings. Our objective was to determine whether two LLMs can serve information needs submitted by physicians as questions to an informatics consultation service in a safe and concordant manner. Sixty six questions from an informatics consult service were submitted to GPT-3.5 and GPT-4 via simple prompts. 12 physicians assessed the LLM responses' possibility of patient harm and concordance with existing reports from an informatics consultation service. Physician assessments were summarized based on majority vote. For no questions did a majority of physicians deem either LLM response as harmful. For GPT-3.5, responses to 8 questions were concordant with the informatics consult report, 20 discordant, and 9 were unable to be assessed. There were 29 responses with no majority on "Agree", "Disagree", and "Unable to assess". For GPT-4, responses to 13 questions were concordant, 15 discordant, and 3 were unable to be assessed. There were 35 responses with no majority. Responses from both LLMs were largely devoid of overt harm, but less than 20% of the responses agreed with an answer from an informatics consultation service, responses contained hallucinated references, and physicians were divided on what constitutes harm. These results suggest that while general purpose LLMs are able to provide safe and credible responses, they often do not meet the specific information need of a given question. A definitive evaluation of the usefulness of LLMs in healthcare settings will likely require additional research on prompt engineering, calibration, and custom-tailoring of general purpose models.

Theory of mind (ToM) evaluations currently focus on testing models using passive narratives that inherently lack interactivity. We introduce FANToM, a new benchmark designed to stress-test ToM within information-asymmetric conversational contexts via question answering. Our benchmark draws upon important theoretical requisites from psychology and necessary empirical considerations when evaluating large language models (LLMs). In particular, we formulate multiple types of questions that demand the same underlying reasoning to identify illusory or false sense of ToM capabilities in LLMs. We show that FANToM is challenging for state-of-the-art LLMs, which perform significantly worse than humans even with chain-of-thought reasoning or fine-tuning.

Given questions regarding some prototypical situation such as Name something that people usually do before they leave the house for work? a human can easily answer them via acquired experiences. There can be multiple right answers for such questions, with some more common for a situation than others. This paper introduces a new question answering dataset for training and evaluating common sense reasoning capabilities of artificial intelligence systems in such prototypical situations. The training set is gathered from an existing set of questions played in a long-running international game show FAMILY- FEUD. The hidden evaluation set is created by gathering answers for each question from 100 crowd-workers. We also propose a generative evaluation task where a model has to output a ranked list of answers, ideally covering all prototypical answers for a question. After presenting multiple competitive baseline models, we find that human performance still exceeds model scores on all evaluation metrics with a meaningful gap, supporting the challenging nature of the task.

While day-to-day questions come with a variety of answer types, the current question-answering (QA) literature has failed to adequately address the answer diversity of questions. To this end, we present GooAQ, a large-scale dataset with a variety of answer types. This dataset contains over 5 million questions and 3 million answers collected from Google. GooAQ questions are collected semi-automatically from the Google search engine using its autocomplete feature. This results in naturalistic questions of practical interest that are nonetheless short and expressed using simple language. GooAQ answers are mined from Google's responses to our collected questions, specifically from the answer boxes in the search results. This yields a rich space of answer types, containing both textual answers (short and long) as well as more structured ones such as collections. We benchmarkT5 models on GooAQ and observe that: (a) in line with recent work, LM's strong performance on GooAQ's short-answer questions heavily benefit from annotated data; however, (b) their quality in generating coherent and accurate responses for questions requiring long responses (such as 'how' and 'why' questions) is less reliant on observing annotated data and mainly supported by their pre-training. We release GooAQ to facilitate further research on improving QA with diverse response types.

Scaling reasoning capabilities beyond traditional domains such as math and coding is hindered by the lack of diverse and high-quality questions. To overcome this limitation, we introduce a scalable approach for generating diverse and challenging reasoning questions, accompanied by reference answers. We present NaturalReasoning, a comprehensive dataset comprising 2.8 million questions that span multiple domains, including STEM fields (e.g., Physics, Computer Science), Economics, Social Sciences, and more. We demonstrate the utility of the questions in NaturalReasoning through knowledge distillation experiments which show that NaturalReasoning can effectively elicit and transfer reasoning capabilities from a strong teacher model. Furthermore, we demonstrate that NaturalReasoning is also effective for unsupervised self-training using external reward models or self-rewarding.

When prompting language models to complete a task, users often leave important aspects unsaid. While asking questions could resolve this ambiguity (GATE; Li et al., 2023), models often struggle to ask good questions. We explore a language model's ability to self-improve (STaR; Zelikman et al., 2022) by rewarding the model for generating useful questions-a simple method we dub STaR-GATE. We generate a synthetic dataset of 25,500 unique persona-task prompts to simulate conversations between a pretrained language model-the Questioner-and a Roleplayer whose preferences are unknown to the Questioner. By asking questions, the Questioner elicits preferences from the Roleplayer. The Questioner is iteratively finetuned on questions that increase the probability of high-quality responses to the task, which are generated by an Oracle with access to the Roleplayer's latent preferences. After two iterations of self-improvement, the Questioner asks better questions, allowing it to generate responses that are preferred over responses from the initial model on 72% of tasks. Our results indicate that teaching a language model to ask better questions leads to better personalized responses.

Large Language Models (LLMs) have demonstrated remarkable capabilities in natural language processing, and yet, their factual inaccuracies and hallucinations limits their application, particularly in critical domains like healthcare. Context retrieval methods, by introducing relevant information as input, have emerged as a crucial approach for enhancing LLM factuality and reliability. This study explores the boundaries of context retrieval methods within the healthcare domain, optimizing their components and benchmarking their performance against open and closed alternatives. Our findings reveal how open LLMs, when augmented with an optimized retrieval system, can achieve performance comparable to the biggest private solutions on established healthcare benchmarks (multiple-choice question answering). Recognizing the lack of realism of including the possible answers within the question (a setup only found in medical exams), and after assessing a strong LLM performance degradation in the absence of those options, we extend the context retrieval system in that direction. In particular, we propose OpenMedPrompt a pipeline that improves the generation of more reliable open-ended answers, moving this technology closer to practical application.

Pre-trained language models (PLMs) have shown unprecedented potential in various fields, especially as the backbones for question-answering (QA) systems. However, they tend to be easily deceived by tricky questions such as "How many eyes does the sun have?". Such frailties of PLMs often allude to the lack of knowledge within them. In this paper, we find that the PLMs already possess the knowledge required to rebut such questions, and the key is how to activate the knowledge. To systematize this observation, we investigate the PLMs' responses to one kind of tricky questions, i.e., the false premises questions (FPQs). We annotate a FalseQA dataset containing 2365 human-written FPQs, with the corresponding explanations for the false premises and the revised true premise questions. Using FalseQA, we discover that PLMs are capable of discriminating FPQs by fine-tuning on moderate numbers (e.g., 256) of examples. PLMs also generate reasonable explanations for the false premise, which serve as rebuttals. Further replaying a few general questions during training allows PLMs to excel on FPQs and general questions simultaneously. Our work suggests that once the rebuttal ability is stimulated, knowledge inside the PLMs can be effectively utilized to handle FPQs, which incentivizes the research on PLM-based QA systems.

Theory-of-Mind (ToM) is a fundamental psychological capability that allows humans to understand and interpret the mental states of others. Humans infer others' thoughts by integrating causal cues and indirect clues from broad contextual information, often derived from past interactions. In other words, human ToM heavily relies on the understanding about the backgrounds and life stories of others. Unfortunately, this aspect is largely overlooked in existing benchmarks for evaluating machines' ToM capabilities, due to their usage of short narratives without global backgrounds. In this paper, we verify the importance of understanding long personal backgrounds in ToM and assess the performance of LLMs in such realistic evaluation scenarios. To achieve this, we introduce a novel benchmark, CharToM-QA, comprising 1,035 ToM questions based on characters from classic novels. Our human study reveals a significant disparity in performance: the same group of educated participants performs dramatically better when they have read the novels compared to when they have not. In parallel, our experiments on state-of-the-art LLMs, including the very recent o1 model, show that LLMs still perform notably worse than humans, despite that they have seen these stories during pre-training. This highlights the limitations of current LLMs in capturing the nuanced contextual information required for ToM reasoning.

Despite rapid advancements in large language models (LLMs), QG remains a challenging problem due to its complicated process, open-ended nature, and the diverse settings in which question generation occurs. A common approach to address these challenges involves fine-tuning smaller, custom models using datasets containing background context, question, and answer. However, obtaining suitable domain-specific datasets with appropriate context is often more difficult than acquiring question-answer pairs. In this paper, we investigate training QG models using synthetic contexts generated by LLMs from readily available question-answer pairs. We conduct a comprehensive study to answer critical research questions related to the performance of models trained on synthetic contexts and their potential impact on QG research and applications. Our empirical results reveal: 1) contexts are essential for QG tasks, even if they are synthetic; 2) fine-tuning smaller language models has the capability of achieving better performances as compared to prompting larger language models; and 3) synthetic context and real context could achieve comparable performances. These findings highlight the effectiveness of synthetic contexts in QG and paves the way for future advancements in the field.

With the emergence of generative conversational large language models (LLMs) like ChatGPT, serving as virtual assistants in various fields, the stability and reliability of their responses have become crucial. However, during usage, it has been observed that these models tend to waver in their judgements when confronted with follow-up questions from users expressing skepticism or disagreement. In this work, we draw inspiration from questioning strategies in education and propose a Follow-up Questioning Mechanism along with two evaluation metrics to assess the judgement consistency of LLMs before and after exposure to disturbances. We evaluate the judgement consistency of ChatGPT, PaLM2-Bison, and Vicuna-13B under this mechanism across eight reasoning benchmarks. Empirical results show that even when the initial answers are correct, judgement consistency sharply decreases when LLMs face disturbances such as questioning, negation, or misleading. Additionally, we study these models' judgement consistency under various settings (sampling temperature and prompts) to validate this issue further, observing the impact of prompt tone and conducting an in-depth error analysis for deeper behavioral insights. Furthermore, we also explore several prompting methods to mitigate this issue and demonstrate their effectiveness\url{https://github.com/NUSTM/LLMs-Waver-In-Judgements}.

Many cognitive approaches to well-being, such as recognizing and reframing unhelpful thoughts, have received considerable empirical support over the past decades, yet still lack truly widespread adoption in self-help format. A barrier to that adoption is a lack of adequately specific and diverse dedicated practice material. This work examines whether current language models can be leveraged to both produce a virtually unlimited quantity of practice material illustrating standard unhelpful thought patterns matching specific given contexts, and generate suitable positive reframing proposals. We propose PATTERNREFRAME, a novel dataset of about 10k examples of thoughts containing unhelpful thought patterns conditioned on a given persona, accompanied by about 27k positive reframes. By using this dataset to train and/or evaluate current models, we show that existing models can already be powerful tools to help generate an abundance of tailored practice material and hypotheses, with no or minimal additional model training required.

Existing question answering (QA) datasets are no longer challenging to most powerful Large Language Models (LLMs). Traditional QA benchmarks like TriviaQA, NaturalQuestions, ELI5 and HotpotQA mainly study ``known unknowns'' with clear indications of both what information is missing, and how to find it to answer the question. Hence, good performance on these benchmarks provides a false sense of security. A yet unmet need of the NLP community is a bank of non-factoid, multi-perspective questions involving a great deal of unclear information needs, i.e. ``unknown uknowns''. We claim we can find such questions in search engine logs, which is surprising because most question-intent queries are indeed factoid. We present Researchy Questions, a dataset of search engine queries tediously filtered to be non-factoid, ``decompositional'' and multi-perspective. We show that users spend a lot of ``effort'' on these questions in terms of signals like clicks and session length, and that they are also challenging for GPT-4. We also show that ``slow thinking'' answering techniques, like decomposition into sub-questions shows benefit over answering directly. We release sim 100k Researchy Questions, along with the Clueweb22 URLs that were clicked.

People experiencing severe distress increasingly use Large Language Model (LLM) chatbots as mental health support tools. Discussions on social media have described how engagements were lifesaving for some, but evidence suggests that general-purpose LLM chatbots also have notable risks that could endanger the welfare of users if not designed responsibly. In this study, we investigate the lived experiences of people who have used LLM chatbots for mental health support. We build on interviews with 21 individuals from globally diverse backgrounds to analyze how users create unique support roles for their chatbots, fill in gaps in everyday care, and navigate associated cultural limitations when seeking support from chatbots. We ground our analysis in psychotherapy literature around effective support, and introduce the concept of therapeutic alignment, or aligning AI with therapeutic values for mental health contexts. Our study offers recommendations for how designers can approach the ethical and effective use of LLM chatbots and other AI mental health support tools in mental health care.

The detection of depression through non-verbal cues has gained significant attention. Previous research predominantly centred on identifying depression within the confines of controlled laboratory environments, often with the supervision of psychologists or counsellors. Unfortunately, datasets generated in such controlled settings may struggle to account for individual behaviours in real-life situations. In response to this limitation, we present the Extended D-vlog dataset, encompassing a collection of 1, 261 YouTube vlogs. Additionally, the emergence of large language models (LLMs) like GPT3.5, and GPT4 has sparked interest in their potential they can act like mental health professionals. Yet, the readiness of these LLM models to be used in real-life settings is still a concern as they can give wrong responses that can harm the users. We introduce a virtual agent serving as an initial contact for mental health patients, offering Cognitive Behavioral Therapy (CBT)-based responses. It comprises two core functions: 1. Identifying depression in individuals, and 2. Delivering CBT-based therapeutic responses. Our Mistral model achieved impressive scores of 70.1% and 30.9% for distortion assessment and classification, along with a Bert score of 88.7%. Moreover, utilizing the TVLT model on our Multimodal Extended D-vlog Dataset yielded outstanding results, with an impressive F1-score of 67.8%

Humans seek information regarding a specific topic through performing a conversation containing a series of questions and answers. In the pursuit of conversational question answering research, we introduce the PCoQA, the first Persian Conversational Question Answering dataset, a resource comprising information-seeking dialogs encompassing a total of 9,026 contextually-driven questions. Each dialog involves a questioner, a responder, and a document from the Wikipedia; The questioner asks several inter-connected questions from the text and the responder provides a span of the document as the answer for each question. PCoQA is designed to present novel challenges compared to previous question answering datasets including having more open-ended non-factual answers, longer answers, and fewer lexical overlaps. This paper not only presents the comprehensive PCoQA dataset but also reports the performance of various benchmark models. Our models include baseline models and pre-trained models, which are leveraged to boost the performance of the model. The dataset and benchmarks are available at our Github page.

We propose a benchmark to measure whether a language model is truthful in generating answers to questions. The benchmark comprises 817 questions that span 38 categories, including health, law, finance and politics. We crafted questions that some humans would answer falsely due to a false belief or misconception. To perform well, models must avoid generating false answers learned from imitating human texts. We tested GPT-3, GPT-Neo/J, GPT-2 and a T5-based model. The best model was truthful on 58% of questions, while human performance was 94%. Models generated many false answers that mimic popular misconceptions and have the potential to deceive humans. The largest models were generally the least truthful. This contrasts with other NLP tasks, where performance improves with model size. However, this result is expected if false answers are learned from the training distribution. We suggest that scaling up models alone is less promising for improving truthfulness than fine-tuning using training objectives other than imitation of text from the web.

Mental health has attracted substantial attention in recent years and LLM can be an effective technology for alleviating this problem owing to its capability in text understanding and dialogue. However, existing research in this domain often suffers from limitations, such as training on datasets lacking crucial prior knowledge and evidence, and the absence of comprehensive evaluation methods. In this paper, we propose a specialized psychological large language model (LLM), named PsycoLLM, trained on a proposed high-quality psychological dataset, including single-turn QA, multi-turn dialogues enriched with prior knowledge and knowledge-based QA. Additionally, to compare the performance of PsycoLLM with other LLMs, we develop a comprehensive psychological benchmark based on authoritative psychological counseling examinations in China, which includes assessments of professional ethics, theoretical proficiency, and case analysis. The experimental results on the benchmark illustrates the effectiveness of PsycoLLM, which demonstrates superior performance compared to other LLMs.

The recent advancements in artificial intelligence highlight the potential of language models in psychological health support. While models trained on data from mental health service platform have achieved preliminary success, challenges persist in areas such as data scarcity, quality, and ensuring a solid foundation in psychological techniques. To address these challenges, this study introduces a novel approach to enhance the precision and efficacy of psychological support through large language models. Specifically, we design a specific prompt derived from principles of Cognitive Behavioral Therapy (CBT) and have generated the CBT QA dataset, specifically for Chinese psychological health Q&A based on CBT structured intervention strategies. Unlike previous methods, our dataset emphasizes professional and structured response. Utilizing this dataset, we fine-tuned the large language model, giving birth to CBT-LLM, the large-scale language model specifically designed for Cognitive Behavioral Therapy techniques. Empirical evaluations demonstrate that CBT-LLM excels in generating structured, professional, and highly relevant responses in psychological health support tasks, showcasing its practicality and quality. The model is available on Hugging Face: https://huggingface.co/Hongbin37/CBT-LLM.

Large Language Models (LLMs) have shown the impressive capability of answering questions in a wide range of scenarios. However, when LLMs face different types of questions, it is worth exploring whether LLMs are aware that some questions have limited answers and need to respond more deterministically but some do not. We refer to this as question awareness of LLMs. The lack of question awareness in LLMs leads to two phenomena that LLMs are: (1) too casual to answer non-open-ended questions or (2) too boring to answer open-ended questions. In this paper, we first evaluate the question awareness in LLMs. The experimental results show that LLMs have the issues of lacking awareness of questions in certain domains, e.g. factual knowledge, resulting in hallucinations during the generation. To mitigate these, we propose a method called Question Awareness Temperature Sampling (QuATS). This method enhances the question awareness of LLMs by adaptively adjusting the output distributions based on question features. The automatic adjustment in QuATS eliminates the need for manual temperature tuning in text generation and consistently improves model performance in various benchmarks.

Question generation (QG) from a given context can enhance comprehension, engagement, assessment, and overall efficacy in learning or conversational environments. Despite recent advancements in QG, the challenge of enhancing or measuring the diversity of generated questions often remains unaddressed. In this paper, we introduce a multi-question generation model (mQG), which is capable of generating multiple, diverse, and answerable questions by focusing on context and questions. To validate the answerability of the generated questions, we employ a SQuAD2.0 fine-tuned question answering model, classifying the questions as answerable or not. We train and evaluate mQG on the FairytaleQA dataset, a well-structured QA dataset based on storybooks, with narrative questions. We further apply a zero-shot adaptation on the TellMeWhy and SQuAD1.1 datasets. mQG shows promising results across various evaluation metrics, among strong baselines.

There is increasing interest in the application large language models (LLMs) to the medical field, in part because of their impressive performance on medical exam questions. While promising, exam questions do not reflect the complexity of real patient-doctor interactions. In reality, physicians' decisions are shaped by many complex factors, such as patient compliance, personal experience, ethical beliefs, and cognitive bias. Taking a step toward understanding this, our hypothesis posits that when LLMs are confronted with clinical questions containing cognitive biases, they will yield significantly less accurate responses compared to the same questions presented without such biases. In this study, we developed BiasMedQA, a benchmark for evaluating cognitive biases in LLMs applied to medical tasks. Using BiasMedQA we evaluated six LLMs, namely GPT-4, Mixtral-8x70B, GPT-3.5, PaLM-2, Llama 2 70B-chat, and the medically specialized PMC Llama 13B. We tested these models on 1,273 questions from the US Medical Licensing Exam (USMLE) Steps 1, 2, and 3, modified to replicate common clinically-relevant cognitive biases. Our analysis revealed varying effects for biases on these LLMs, with GPT-4 standing out for its resilience to bias, in contrast to Llama 2 70B-chat and PMC Llama 13B, which were disproportionately affected by cognitive bias. Our findings highlight the critical need for bias mitigation in the development of medical LLMs, pointing towards safer and more reliable applications in healthcare.

Large Language Models (LLMs) have shown state-of-the-art performance in a variety of tasks, including arithmetic and reasoning; however, to gauge the intellectual capabilities of LLMs, causal reasoning has become a reliable proxy for validating a general understanding of the mechanics and intricacies of the world similar to humans. Previous works in natural language processing (NLP) have either focused on open-ended causal reasoning via causal commonsense reasoning (CCR) or framed a symbolic representation-based question answering for theoretically backed-up analysis via a causal inference engine. The former adds an advantage of real-world grounding but lacks theoretically backed-up analysis/validation, whereas the latter is far from real-world grounding. In this work, we bridge this gap by proposing the COLD (Causal reasOning in cLosed Daily activities) framework, which is built upon human understanding of daily real-world activities to reason about the causal nature of events. We show that the proposed framework facilitates the creation of enormous causal queries (~ 9 million) and comes close to the mini-turing test, simulating causal reasoning to evaluate the understanding of a daily real-world task. We evaluate multiple LLMs on the created causal queries and find that causal reasoning is challenging even for activities trivial to humans. We further explore (the causal reasoning abilities of LLMs) using the backdoor criterion to determine the causal strength between events.

Depression poses significant challenges to patients and healthcare organizations, necessitating efficient assessment methods. Existing paradigms typically focus on a patient-doctor way that overlooks multi-role interactions, such as family involvement in the evaluation and caregiving process. Moreover, current automatic depression detection (ADD) methods usually model depression detection as a classification or regression task, lacking interpretability for the decision-making process. To address these issues, we developed InterMind, a doctor-patient-family interactive depression assessment system empowered by large language models (LLMs). Our system enables patients and families to contribute descriptions, generates assistive diagnostic reports for doctors, and provides actionable insights, improving diagnostic precision and efficiency. To enhance LLMs' performance in psychological counseling and diagnostic interpretability, we integrate retrieval-augmented generation (RAG) and chain-of-thoughts (CoT) techniques for data augmentation, which mitigates the hallucination issue of LLMs in specific scenarios after instruction fine-tuning. Quantitative experiments and professional assessments by clinicians validate the effectiveness of our system.

Fact-checking is extensively studied in the context of misinformation and disinformation, addressing objective inaccuracies. However, a softer form of misinformation involves responses that are factually correct but lack certain features such as clarity and relevance. This challenge is prevalent in formal Question-Answer (QA) settings such as press conferences in finance, politics, sports, and other domains, where subjective answers can obscure transparency. Despite this, there is a lack of manually annotated datasets for subjective features across multiple dimensions. To address this gap, we introduce SubjECTive-QA, a human annotated dataset on Earnings Call Transcripts' (ECTs) QA sessions as the answers given by company representatives are often open to subjective interpretations and scrutiny. The dataset includes 49,446 annotations for long-form QA pairs across six features: Assertive, Cautious, Optimistic, Specific, Clear, and Relevant. These features are carefully selected to encompass the key attributes that reflect the tone of the answers provided during QA sessions across different domain. Our findings are that the best-performing Pre-trained Language Model (PLM), RoBERTa-base, has similar weighted F1 scores to Llama-3-70b-Chat on features with lower subjectivity, such as Relevant and Clear, with a mean difference of 2.17% in their weighted F1 scores. The models perform significantly better on features with higher subjectivity, such as Specific and Assertive, with a mean difference of 10.01% in their weighted F1 scores. Furthermore, testing SubjECTive-QA's generalizability using QAs from White House Press Briefings and Gaggles yields an average weighted F1 score of 65.97% using our best models for each feature, demonstrating broader applicability beyond the financial domain. SubjECTive-QA is publicly available under the CC BY 4.0 license

This paper evaluates questions generated by LLMs from context, comparing them to human-generated questions across six dimensions. We introduce an automated LLM-based evaluation method, focusing on aspects like question length, type, context coverage, and answerability. Our findings highlight unique characteristics of LLM-generated questions, contributing insights that can support further research in question quality and downstream applications.

Advances in large language models (LLMs) have empowered a variety of applications. However, there is still a significant gap in research when it comes to understanding and enhancing the capabilities of LLMs in the field of mental health. In this work, we present the first comprehensive evaluation of multiple LLMs, including Alpaca, Alpaca-LoRA, FLAN-T5, GPT-3.5, and GPT-4, on various mental health prediction tasks via online text data. We conduct a broad range of experiments, covering zero-shot prompting, few-shot prompting, and instruction fine-tuning. The results indicate a promising yet limited performance of LLMs with zero-shot and few-shot prompt designs for the mental health tasks. More importantly, our experiments show that instruction finetuning can significantly boost the performance of LLMs for all tasks simultaneously. Our best-finetuned models, Mental-Alpaca and Mental-FLAN-T5, outperform the best prompt design of GPT-3.5 (25 and 15 times bigger) by 10.9% on balanced accuracy and the best of GPT-4 (250 and 150 times bigger) by 4.8%. They further perform on par with the state-of-the-art task-specific language model. We also conduct an exploratory case study on LLMs' capability on the mental health reasoning tasks, illustrating the promising capability of certain models such as GPT-4. We summarize our findings into a set of action guidelines for potential methods to enhance LLMs' capability for mental health tasks. Meanwhile, we also emphasize the important limitations before achieving deployability in real-world mental health settings, such as known racial and gender bias. We highlight the important ethical risks accompanying this line of research.

Developing questions that are pedagogically sound, relevant, and promote learning is a challenging and time-consuming task for educators. Modern-day large language models (LLMs) generate high-quality content across multiple domains, potentially helping educators to develop high-quality questions. Automated educational question generation (AEQG) is important in scaling online education catering to a diverse student population. Past attempts at AEQG have shown limited abilities to generate questions at higher cognitive levels. In this study, we examine the ability of five state-of-the-art LLMs of different sizes to generate diverse and high-quality questions of different cognitive levels, as defined by Bloom's taxonomy. We use advanced prompting techniques with varying complexity for AEQG. We conducted expert and LLM-based evaluations to assess the linguistic and pedagogical relevance and quality of the questions. Our findings suggest that LLms can generate relevant and high-quality educational questions of different cognitive levels when prompted with adequate information, although there is a significant variance in the performance of the five LLms considered. We also show that automated evaluation is not on par with human evaluation.

People increasingly search online for answers to their medical questions but the rate at which medical questions are asked online significantly exceeds the capacity of qualified people to answer them. This leaves many questions unanswered or inadequately answered. Many of these questions are not unique, and reliable identification of similar questions would enable more efficient and effective question answering schema. COVID-19 has only exacerbated this problem. Almost every government agency and healthcare organization has tried to meet the informational need of users by building online FAQs, but there is no way for people to ask their question and know if it is answered on one of these pages. While many research efforts have focused on the problem of general question similarity, these approaches do not generalize well to domains that require expert knowledge to determine semantic similarity, such as the medical domain. In this paper, we show how a double fine-tuning approach of pretraining a neural network on medical question-answer pairs followed by fine-tuning on medical question-question pairs is a particularly useful intermediate task for the ultimate goal of determining medical question similarity. While other pretraining tasks yield an accuracy below 78.7% on this task, our model achieves an accuracy of 82.6% with the same number of training examples, an accuracy of 80.0% with a much smaller training set, and an accuracy of 84.5% when the full corpus of medical question-answer data is used. We also describe a currently live system that uses the trained model to match user questions to COVID-related FAQs.

Based on powerful Large Language Models (LLMs), recent generative Multimodal Large Language Models (MLLMs) have gained prominence as a pivotal research area, exhibiting remarkable capability for both comprehension and generation. In this work, we address the evaluation of generative comprehension in MLLMs as a preliminary step towards a comprehensive assessment of generative models, by introducing a benchmark named SEED-Bench. SEED-Bench consists of 19K multiple choice questions with accurate human annotations (x 6 larger than existing benchmarks), which spans 12 evaluation dimensions including the comprehension of both the image and video modality. We develop an advanced pipeline for generating multiple-choice questions that target specific evaluation dimensions, integrating both automatic filtering and manual verification processes. Multiple-choice questions with groundtruth options derived from human annotation enables an objective and efficient assessment of model performance, eliminating the need for human or GPT intervention during evaluation. We further evaluate the performance of 18 models across all 12 dimensions, covering both the spatial and temporal understanding. By revealing the limitations of existing MLLMs through evaluation results, we aim for SEED-Bench to provide insights for motivating future research. We will launch and consistently maintain a leaderboard to provide a platform for the community to assess and investigate model capability.

We present a comprehensive study of chart visual question-answering(QA) task, to address the challenges faced in comprehending and extracting data from chart visualizations within documents. Despite efforts to tackle this problem using synthetic charts, solutions are limited by the shortage of annotated real-world data. To fill this gap, we introduce a benchmark and dataset for chart visual QA on real-world charts, offering a systematic analysis of the task and a novel taxonomy for template-based chart question creation. Our contribution includes the introduction of a new answer type, 'list', with both ranked and unranked variations. Our study is conducted on a real-world chart dataset from scientific literature, showcasing higher visual complexity compared to other works. Our focus is on template-based QA and how it can serve as a standard for evaluating the first-order logic capabilities of models. The results of our experiments, conducted on a real-world out-of-distribution dataset, provide a robust evaluation of large-scale pre-trained models and advance the field of chart visual QA and formal logic verification for neural networks in general.

LLMs have demonstrated impressive performance in answering medical questions, such as passing scores on medical licensing examinations. However, medical board exam questions or general clinical questions do not capture the complexity of realistic clinical cases. Moreover, the lack of reference explanations means we cannot easily evaluate the reasoning of model decisions, a crucial component of supporting doctors in making complex medical decisions. To address these challenges, we construct two new datasets: JAMA Clinical Challenge and Medbullets. JAMA Clinical Challenge consists of questions based on challenging clinical cases, while Medbullets comprises USMLE Step 2&3 style clinical questions. Both datasets are structured as multiple-choice question-answering tasks, where each question is accompanied by an expert-written explanation. We evaluate four LLMs on the two datasets using various prompts. Experiments demonstrate that our datasets are harder than previous benchmarks. The inconsistency between automatic and human evaluations of model-generated explanations highlights the need to develop new metrics to support future research on explainable medical QA.

Reading is integral to everyday life, and yet learning to read is a struggle for many young learners. During lessons, teachers can use comprehension questions to increase engagement, test reading skills, and improve retention. Historically such questions were written by skilled teachers, but recently language models have been used to generate comprehension questions. However, many existing Question Generation (QG) systems focus on generating literal questions from the text, and have no way to control the type of the generated question. In this paper, we study QG for reading comprehension where inferential questions are critical and extractive techniques cannot be used. We propose a two-step model (HTA-WTA) that takes advantage of previous datasets, and can generate questions for a specific targeted comprehension skill. We propose a new reading comprehension dataset that contains questions annotated with story-based reading comprehension skills (SBRCS), allowing for a more complete reader assessment. Across several experiments, our results show that HTA-WTA outperforms multiple strong baselines on this new dataset. We show that the HTA-WTA model tests for strong SCRS by asking deep inferential questions.

The goal of this work is to build conversational Question Answering (QA) interfaces for the large body of domain-specific information available in FAQ sites. We present DoQA, a dataset with 2,437 dialogues and 10,917 QA pairs. The dialogues are collected from three Stack Exchange sites using the Wizard of Oz method with crowdsourcing. Compared to previous work, DoQA comprises well-defined information needs, leading to more coherent and natural conversations with less factoid questions and is multi-domain. In addition, we introduce a more realistic information retrieval(IR) scenario where the system needs to find the answer in any of the FAQ documents. The results of an existing, strong, system show that, thanks to transfer learning from a Wikipedia QA dataset and fine tuning on a single FAQ domain, it is possible to build high quality conversational QA systems for FAQs without in-domain training data. The good results carry over into the more challenging IR scenario. In both cases, there is still ample room for improvement, as indicated by the higher human upperbound.

Large language models have demonstrated an emergent capability in answering knowledge intensive questions. With recent progress on web-scale visual and language pre-training, do these models also understand how to answer visual information seeking questions? To answer this question, we present InfoSeek, a Visual Question Answering dataset that focuses on asking information-seeking questions, where the information can not be answered by common sense knowledge. We perform a multi-stage human annotation to collect a natural distribution of high-quality visual information seeking question-answer pairs. We also construct a large-scale, automatically collected dataset by combining existing visual entity recognition datasets and Wikidata, which provides over one million examples for model fine-tuning and validation. Based on InfoSeek, we analyzed various pre-trained Visual QA systems to gain insights into the characteristics of different pre-trained models. Our analysis shows that it is challenging for the state-of-the-art multi-modal pre-trained models to answer visual information seeking questions, but this capability is improved through fine-tuning on the automated InfoSeek dataset. We hope our analysis paves the way to understand and develop the next generation of multi-modal pre-training.

The zero-shot chain of thought (CoT) approach is often used in question answering (QA) by language models (LMs) for tasks that require multiple reasoning steps, typically enhanced by the prompt "Let's think step by step." However, some QA tasks hinge more on accessing relevant knowledge than on chaining reasoning steps. We introduce a simple general prompting technique, called PREP, that involves using two instances of LMs: the first (LM1) generates relevant information, and the second (LM2) answers the question based on this information. PREP is designed to be general and independent of the user's domain knowledge, making it applicable across various QA tasks without the need for specialized prompt engineering. To evaluate the effectiveness of our prompting method, we create a dataset of 100 binary-choice questions, derived from an extensive schematic dataset on artifact parts and material composition. These questions ask which of two artifacts is less likely to share materials with another artifact. Such questions probe the LM's knowledge of shared materials in the part structure of different artifacts. We test our method on our dataset and three published commonsense reasoning datasets. The average accuracy of our method is consistently higher than that of all the other tested methods across all the tested datasets.

Asking questions about a situation is an inherent step towards understanding it. To this end, we introduce the task of role question generation, which, given a predicate mention and a passage, requires producing a set of questions asking about all possible semantic roles of the predicate. We develop a two-stage model for this task, which first produces a context-independent question prototype for each role and then revises it to be contextually appropriate for the passage. Unlike most existing approaches to question generation, our approach does not require conditioning on existing answers in the text. Instead, we condition on the type of information to inquire about, regardless of whether the answer appears explicitly in the text, could be inferred from it, or should be sought elsewhere. Our evaluation demonstrates that we generate diverse and well-formed questions for a large, broad-coverage ontology of predicates and roles.

Large language models (LLMs) have performed well in providing general and extensive health suggestions in single-turn conversations, exemplified by systems such as ChatGPT, ChatGLM, ChatDoctor, DoctorGLM, and etc. However, the limited information provided by users during single turn results in inadequate personalization and targeting of the generated suggestions, which requires users to independently select the useful part. It is mainly caused by the missing ability to engage in multi-turn questioning. In real-world medical consultations, doctors usually employ a series of iterative inquiries to comprehend the patient's condition thoroughly, enabling them to provide effective and personalized suggestions subsequently, which can be defined as chain of questioning (CoQ) for LLMs. To improve the CoQ of LLMs, we propose BianQue, a ChatGLM-based LLM finetuned with the self-constructed health conversation dataset BianQueCorpus that is consist of multiple turns of questioning and health suggestions polished by ChatGPT. Experimental results demonstrate that the proposed BianQue can simultaneously balance the capabilities of both questioning and health suggestions, which will help promote the research and application of LLMs in the field of proactive health.

We introduce GAIA, a benchmark for General AI Assistants that, if solved, would represent a milestone in AI research. GAIA proposes real-world questions that require a set of fundamental abilities such as reasoning, multi-modality handling, web browsing, and generally tool-use proficiency. GAIA questions are conceptually simple for humans yet challenging for most advanced AIs: we show that human respondents obtain 92\% vs. 15\% for GPT-4 equipped with plugins. This notable performance disparity contrasts with the recent trend of LLMs outperforming humans on tasks requiring professional skills in e.g. law or chemistry. GAIA's philosophy departs from the current trend in AI benchmarks suggesting to target tasks that are ever more difficult for humans. We posit that the advent of Artificial General Intelligence (AGI) hinges on a system's capability to exhibit similar robustness as the average human does on such questions. Using GAIA's methodology, we devise 466 questions and their answer. We release our questions while retaining answers to 300 of them to power a leader-board available at https://huggingface.co/gaia-benchmark.

We introduce a multi-stage prompting approach (MSP) for the generation of multiple choice questions (MCQs), harnessing the capabilities of GPT models such as text-davinci-003 and GPT-4, renowned for their excellence across various NLP tasks. Our approach incorporates the innovative concept of chain-of-thought prompting, a progressive technique in which the GPT model is provided with a series of interconnected cues to guide the MCQ generation process. Automated evaluations consistently demonstrate the superiority of our proposed MSP method over the traditional single-stage prompting (SSP) baseline, resulting in the production of high-quality distractors. Furthermore, the one-shot MSP technique enhances automatic evaluation results, contributing to improved distractor generation in multiple languages, including English, German, Bengali, and Hindi. In human evaluations, questions generated using our approach exhibit superior levels of grammaticality, answerability, and difficulty, highlighting its efficacy in various languages.

We introduce EgoLife, a project to develop an egocentric life assistant that accompanies and enhances personal efficiency through AI-powered wearable glasses. To lay the foundation for this assistant, we conducted a comprehensive data collection study where six participants lived together for one week, continuously recording their daily activities - including discussions, shopping, cooking, socializing, and entertainment - using AI glasses for multimodal egocentric video capture, along with synchronized third-person-view video references. This effort resulted in the EgoLife Dataset, a comprehensive 300-hour egocentric, interpersonal, multiview, and multimodal daily life dataset with intensive annotation. Leveraging this dataset, we introduce EgoLifeQA, a suite of long-context, life-oriented question-answering tasks designed to provide meaningful assistance in daily life by addressing practical questions such as recalling past relevant events, monitoring health habits, and offering personalized recommendations. To address the key technical challenges of (1) developing robust visual-audio models for egocentric data, (2) enabling identity recognition, and (3) facilitating long-context question answering over extensive temporal information, we introduce EgoButler, an integrated system comprising EgoGPT and EgoRAG. EgoGPT is an omni-modal model trained on egocentric datasets, achieving state-of-the-art performance on egocentric video understanding. EgoRAG is a retrieval-based component that supports answering ultra-long-context questions. Our experimental studies verify their working mechanisms and reveal critical factors and bottlenecks, guiding future improvements. By releasing our datasets, models, and benchmarks, we aim to stimulate further research in egocentric AI assistants.

We introduce a new dataset for Question Rewriting in Conversational Context (QReCC), which contains 14K conversations with 80K question-answer pairs. The task in QReCC is to find answers to conversational questions within a collection of 10M web pages (split into 54M passages). Answers to questions in the same conversation may be distributed across several web pages. QReCC provides annotations that allow us to train and evaluate individual subtasks of question rewriting, passage retrieval and reading comprehension required for the end-to-end conversational question answering (QA) task. We report the effectiveness of a strong baseline approach that combines the state-of-the-art model for question rewriting, and competitive models for open-domain QA. Our results set the first baseline for the QReCC dataset with F1 of 19.10, compared to the human upper bound of 75.45, indicating the difficulty of the setup and a large room for improvement.

Recent research on large language models (LLMs) has primarily focused on their adaptation and application in specialized domains. The application of LLMs in the medical field is mainly concentrated on tasks such as the automation of medical report generation, summarization, diagnostic reasoning, and question-and-answer interactions between doctors and patients. The challenge of becoming a good teacher is more formidable than that of becoming a good student, and this study pioneers the application of LLMs in the field of medical education. In this work, we investigate the extent to which LLMs can generate medical qualification exam questions and corresponding answers based on few-shot prompts. Utilizing a real-world Chinese dataset of elderly chronic diseases, we tasked the LLMs with generating open-ended questions and answers based on a subset of sampled admission reports across eight widely used LLMs, including ERNIE 4, ChatGLM 4, Doubao, Hunyuan, Spark 4, Qwen, Llama 3, and Mistral. Furthermore, we engaged medical experts to manually evaluate these open-ended questions and answers across multiple dimensions. The study found that LLMs, after using few-shot prompts, can effectively mimic real-world medical qualification exam questions, whereas there is room for improvement in the correctness, evidence-based statements, and professionalism of the generated answers. Moreover, LLMs also demonstrate a decent level of ability to correct and rectify reference answers. Given the immense potential of artificial intelligence in the medical field, the task of generating questions and answers for medical qualification exams aimed at medical students, interns and residents can be a significant focus of future research.

Open-domain Question Answering (OpenQA) aims at answering factual questions with an external large-scale knowledge corpus. However, real-world knowledge is not static; it updates and evolves continually. Such a dynamic characteristic of knowledge poses a vital challenge for these models, as the trained models need to constantly adapt to the latest information to make sure that the answers remain accurate. In addition, it is still unclear how well an OpenQA model can transfer to completely new knowledge domains. In this paper, we investigate the generalization performance of a retrieval-augmented QA model in two specific scenarios: 1) adapting to updated versions of the same knowledge corpus; 2) switching to completely different knowledge domains. We observe that the generalization challenges of OpenQA models stem from the reader's over-reliance on memorizing the knowledge from the external corpus, which hinders the model from generalizing to a new knowledge corpus. We introduce Corpus-Invariant Tuning (CIT), a simple but effective training strategy, to mitigate the knowledge over-memorization by controlling the likelihood of retrieved contexts during training. Extensive experimental results on multiple OpenQA benchmarks show that CIT achieves significantly better generalizability without compromising the model's performance in its original corpus and domain.

Recent artificial intelligence (AI) systems have reached milestones in "grand challenges" ranging from Go to protein-folding. The capability to retrieve medical knowledge, reason over it, and answer medical questions comparably to physicians has long been viewed as one such grand challenge. Large language models (LLMs) have catalyzed significant progress in medical question answering; Med-PaLM was the first model to exceed a "passing" score in US Medical Licensing Examination (USMLE) style questions with a score of 67.2% on the MedQA dataset. However, this and other prior work suggested significant room for improvement, especially when models' answers were compared to clinicians' answers. Here we present Med-PaLM 2, which bridges these gaps by leveraging a combination of base LLM improvements (PaLM 2), medical domain finetuning, and prompting strategies including a novel ensemble refinement approach. Med-PaLM 2 scored up to 86.5% on the MedQA dataset, improving upon Med-PaLM by over 19% and setting a new state-of-the-art. We also observed performance approaching or exceeding state-of-the-art across MedMCQA, PubMedQA, and MMLU clinical topics datasets. We performed detailed human evaluations on long-form questions along multiple axes relevant to clinical applications. In pairwise comparative ranking of 1066 consumer medical questions, physicians preferred Med-PaLM 2 answers to those produced by physicians on eight of nine axes pertaining to clinical utility (p < 0.001). We also observed significant improvements compared to Med-PaLM on every evaluation axis (p < 0.001) on newly introduced datasets of 240 long-form "adversarial" questions to probe LLM limitations. While further studies are necessary to validate the efficacy of these models in real-world settings, these results highlight rapid progress towards physician-level performance in medical question answering.

Despite the recent proliferation of large language models (LLMs), their training recipes -- model architecture, pre-training data and optimization algorithm -- are often very similar. This naturally raises the question of the similarity among the resulting models. In this paper, we propose a novel setting, imaginary question answering (IQA), to better understand model similarity. In IQA, we ask one model to generate purely imaginary questions (e.g., on completely made-up concepts in physics) and prompt another model to answer. Surprisingly, despite the total fictionality of these questions, all models can answer each other's questions with remarkable success, suggesting a "shared imagination space" in which these models operate during such hallucinations. We conduct a series of investigations into this phenomenon and discuss implications on model homogeneity, hallucination, and computational creativity.

Question-answering datasets require a broad set of reasoning skills. We show how to use question decompositions to teach language models these broad reasoning skills in a robust fashion. Specifically, we use widely available QDMR representations to programmatically create hard-to-cheat synthetic contexts for real questions in six multi-step reasoning datasets. These contexts are carefully designed to avoid reasoning shortcuts prevalent in real contexts that prevent models from learning the right skills. This results in a pretraining dataset, named TeaBReaC, containing 525K multi-step questions (with associated formal programs) covering about 900 reasoning patterns. We show that pretraining standard language models (LMs) on TeaBReaC before fine-tuning them on target datasets improves their performance by up to 13 F1 points across 4 multi-step QA datasets, with up to 21 point gain on more complex questions. The resulting models also demonstrate higher robustness, with a 5-8 F1 point improvement on two contrast sets. Furthermore, TeaBReaC pretraining substantially improves model performance and robustness even when starting with numerate LMs pretrained using recent methods (e.g., PReasM, POET). Our work thus shows how to effectively use decomposition-guided contexts to robustly teach multi-step reasoning.

In current NLP research, large-scale language models and their abilities are widely being discussed. Some recent works have also found notable failures of these models. Often these failure examples involve complex reasoning abilities. This work focuses on a simple commonsense ability, reasoning about when an action (or its effect) is feasible. To this end, we introduce FeasibilityQA, a question-answering dataset involving binary classification (BCQ) and multi-choice multi-correct questions (MCQ) that test understanding of feasibility. We show that even state-of-the-art models such as GPT-3, GPT-2, and T5 struggle to answer the feasibility questions correctly. Specifically, on MCQ and BCQ questions, GPT-3 achieves an accuracy of just (19%, 62%) and (25%, 64%) in zero-shot and few-shot settings, respectively. We also evaluate models by providing relevant knowledge statements required to answer the question. We find that the additional knowledge leads to a 7% gain in performance, but the overall performance still remains low. These results make one wonder how much commonsense knowledge about action feasibility is encoded in state-of-the-art models and how well they can reason about it.

One type of question that is commonly found in day-to-day scenarios is ``fan-out'' questions, complex multi-hop, multi-document reasoning questions that require finding information about a large number of entities. However, there exist few resources to evaluate this type of question-answering capability among large language models. To evaluate complex reasoning in LLMs more fully, we present FanOutQA, a high-quality dataset of fan-out question-answer pairs and human-annotated decompositions with English Wikipedia as the knowledge base. We formulate three benchmark settings across our dataset and benchmark 7 LLMs, including GPT-4, LLaMA 2, Claude-2.1, and Mixtral-8x7B, finding that contemporary models still have room to improve reasoning over inter-document dependencies in a long context. We provide our dataset and open-source tools to run models to encourage evaluation at https://fanoutqa.com

Automatic depression detection from conversational data has gained significant interest in recent years. The DAIC-WOZ dataset, interviews conducted by a human-controlled virtual agent, has been widely used for this task. Recent studies have reported enhanced performance when incorporating interviewer's prompts into the model. In this work, we hypothesize that this improvement might be mainly due to a bias present in these prompts, rather than the proposed architectures and methods. Through ablation experiments and qualitative analysis, we discover that models using interviewer's prompts learn to focus on a specific region of the interviews, where questions about past experiences with mental health issues are asked, and use them as discriminative shortcuts to detect depressed participants. In contrast, models using participant responses gather evidence from across the entire interview. Finally, to highlight the magnitude of this bias, we achieve a 0.90 F1 score by intentionally exploiting it, the highest result reported to date on this dataset using only textual information. Our findings underline the need for caution when incorporating interviewers' prompts into models, as they may inadvertently learn to exploit targeted prompts, rather than learning to characterize the language and behavior that are genuinely indicative of the patient's mental health condition.

The problem of realistic VQA (RVQA), where a model has to reject unanswerable questions (UQs) and answer answerable ones (AQs), is studied. We first point out 2 drawbacks in current RVQA research, where (1) datasets contain too many unchallenging UQs and (2) a large number of annotated UQs are required for training. To resolve the first drawback, we propose a new testing dataset, RGQA, which combines AQs from an existing VQA dataset with around 29K human-annotated UQs. These UQs consist of both fine-grained and coarse-grained image-question pairs generated with 2 approaches: CLIP-based and Perturbation-based. To address the second drawback, we introduce an unsupervised training approach. This combines pseudo UQs obtained by randomly pairing images and questions, with an RoI Mixup procedure to generate more fine-grained pseudo UQs, and model ensembling to regularize model confidence. Experiments show that using pseudo UQs significantly outperforms RVQA baselines. RoI Mixup and model ensembling further increase the gain. Finally, human evaluation reveals a performance gap between humans and models, showing that more RVQA research is needed.

Many practical applications of dialogue technology require the generation of responses according to a particular developer-specified persona. While a variety of personas can be elicited from recent large language models, the opaqueness and unpredictability of these models make it desirable to be able to specify personas in an explicit form. In previous work, personas have typically been represented as sets of one-off pieces of self-knowledge that are retrieved by the dialogue system for use in generation. However, in realistic human conversations, personas are often revealed through story-like narratives that involve rich habitual knowledge -- knowledge about kinds of events that an agent often participates in (e.g., work activities, hobbies, sporting activities, favorite entertainments, etc.), including typical goals, sub-events, preconditions, and postconditions of those events. We capture such habitual knowledge using an explicit schema representation, and propose an approach to dialogue generation that retrieves relevant schemas to condition a large language model to generate persona-based responses. Furthermore, we demonstrate a method for bootstrapping the creation of such schemas by first generating generic passages from a set of simple facts, and then inducing schemas from the generated passages.

Recent large language models often answer factual questions correctly. But users can't trust any given claim a model makes without fact-checking, because language models can hallucinate convincing nonsense. In this work we use reinforcement learning from human preferences (RLHP) to train "open-book" QA models that generate answers whilst also citing specific evidence for their claims, which aids in the appraisal of correctness. Supporting evidence is drawn from multiple documents found via a search engine, or from a single user-provided document. Our 280 billion parameter model, GopherCite, is able to produce answers with high quality supporting evidence and abstain from answering when unsure. We measure the performance of GopherCite by conducting human evaluation of answers to questions in a subset of the NaturalQuestions and ELI5 datasets. The model's response is found to be high-quality 80\% of the time on this Natural Questions subset, and 67\% of the time on the ELI5 subset. Abstaining from the third of questions for which it is most unsure improves performance to 90\% and 80\% respectively, approaching human baselines. However, analysis on the adversarial TruthfulQA dataset shows why citation is only one part of an overall strategy for safety and trustworthiness: not all claims supported by evidence are true.

This paper investigates the capabilities of Large Language Models (LLMs) in the context of understanding their own knowledge and measuring their uncertainty. We argue this is an important feature for mitigating hallucinations. Specifically, we focus on addressing known-unknown questions, characterized by high uncertainty due to the absence of definitive answers. To facilitate our study, we collect a dataset with new Known-Unknown Questions (KUQ) and propose a novel categorization scheme to elucidate the sources of uncertainty. Subsequently, we assess the LLMs' ability to differentiate between known and unknown questions and classify them accordingly. Moreover, we evaluate the quality of their answers in an Open-Ended QA setting. To quantify the uncertainty expressed in the answers, we create a semantic evaluation method that measures the model's accuracy in expressing uncertainty between known vs unknown questions.

Current question-answering benchmarks predominantly focus on accuracy in realizable prediction tasks. Conditioned on a question and answer-key, does the most likely token match the ground truth? Such benchmarks necessarily fail to evaluate LLMs' ability to quantify ground-truth outcome uncertainty. In this work, we focus on the use of LLMs as risk scores for unrealizable prediction tasks. We introduce folktexts, a software package to systematically generate risk scores using LLMs, and evaluate them against US Census data products. A flexible API enables the use of different prompting schemes, local or web-hosted models, and diverse census columns that can be used to compose custom prediction tasks. We evaluate 17 recent LLMs across five proposed benchmark tasks. We find that zero-shot risk scores produced by multiple-choice question-answering have high predictive signal but are widely miscalibrated. Base models consistently overestimate outcome uncertainty, while instruction-tuned models underestimate uncertainty and produce over-confident risk scores. In fact, instruction-tuning polarizes answer distribution regardless of true underlying data uncertainty. This reveals a general inability of instruction-tuned LLMs to express data uncertainty using multiple-choice answers. A separate experiment using verbalized chat-style risk queries yields substantially improved calibration across instruction-tuned models. These differences in ability to quantify data uncertainty cannot be revealed in realizable settings, and highlight a blind-spot in the current evaluation ecosystem that folktexts covers.

Online mental health support communities have grown in recent years for providing accessible mental and emotional health support through volunteer counselors. Despite millions of people participating in chat support on these platforms, the clinical effectiveness of these communities on mental health symptoms remains unknown. Furthermore, although volunteers receive some training based on established therapeutic skills studied in face-to-face environments such as active listening and motivational interviewing, it remains understudied how the usage of these skills in this online context affects people's mental health status. In our work, we collaborate with one of the largest online peer support platforms and use both natural language processing and machine learning techniques to measure how one-on-one support chats affect depression and anxiety symptoms. We measure how the techniques and characteristics of support providers, such as using affirmation, empathy, and past experience on the platform, affect support-seekers' mental health changes. We find that online peer support chats improve both depression and anxiety symptoms with a statistically significant but relatively small effect size. Additionally, support providers' techniques such as emphasizing the autonomy of the client lead to better mental health outcomes. However, we also found that some behaviors (e.g. persuading) are actually harmful to depression and anxiety outcomes. Our work provides key understanding for mental health care in the online setting and designing training systems for online support providers.

FinanceBench is a first-of-its-kind test suite for evaluating the performance of LLMs on open book financial question answering (QA). It comprises 10,231 questions about publicly traded companies, with corresponding answers and evidence strings. The questions in FinanceBench are ecologically valid and cover a diverse set of scenarios. They are intended to be clear-cut and straightforward to answer to serve as a minimum performance standard. We test 16 state of the art model configurations (including GPT-4-Turbo, Llama2 and Claude2, with vector stores and long context prompts) on a sample of 150 cases from FinanceBench, and manually review their answers (n=2,400). The cases are available open-source. We show that existing LLMs have clear limitations for financial QA. Notably, GPT-4-Turbo used with a retrieval system incorrectly answered or refused to answer 81% of questions. While augmentation techniques such as using longer context window to feed in relevant evidence improve performance, they are unrealistic for enterprise settings due to increased latency and cannot support larger financial documents. We find that all models examined exhibit weaknesses, such as hallucinations, that limit their suitability for use by enterprises.

There is an emerging consensus that we need to align AI systems with human values (Gabriel, 2020; Ji et al., 2024), but it remains unclear how to apply this to language models in practice. We split the problem of "aligning to human values" into three parts: first, eliciting values from people; second, reconciling those values into an alignment target for training ML models; and third, actually training the model. In this paper, we focus on the first two parts, and ask the question: what are "good" ways to synthesize diverse human inputs about values into a target for aligning language models? To answer this question, we first define a set of 6 criteria that we believe must be satisfied for an alignment target to shape model behavior in accordance with human values. We then propose a process for eliciting and reconciling values called Moral Graph Elicitation (MGE), which uses a large language model to interview participants about their values in particular contexts; our approach is inspired by the philosophy of values advanced by Taylor (1977), Chang (2004), and others. We trial MGE with a representative sample of 500 Americans, on 3 intentionally divisive prompts (e.g. advice about abortion). Our results demonstrate that MGE is promising for improving model alignment across all 6 criteria. For example, almost all participants (89.1%) felt well represented by the process, and (89%) thought the final moral graph was fair, even if their value wasn't voted as the wisest. Our process often results in "expert" values (e.g. values from women who have solicited abortion advice) rising to the top of the moral graph, without defining who is considered an expert in advance.

While models for Visual Question Answering (VQA) have steadily improved over the years, interacting with one quickly reveals that these models lack consistency. For instance, if a model answers "red" to "What color is the balloon?", it might answer "no" if asked, "Is the balloon red?". These responses violate simple notions of entailment and raise questions about how effectively VQA models ground language. In this work, we introduce a dataset, ConVQA, and metrics that enable quantitative evaluation of consistency in VQA. For a given observable fact in an image (e.g. the balloon's color), we generate a set of logically consistent question-answer (QA) pairs (e.g. Is the balloon red?) and also collect a human-annotated set of common-sense based consistent QA pairs (e.g. Is the balloon the same color as tomato sauce?). Further, we propose a consistency-improving data augmentation module, a Consistency Teacher Module (CTM). CTM automatically generates entailed (or similar-intent) questions for a source QA pair and fine-tunes the VQA model if the VQA's answer to the entailed question is consistent with the source QA pair. We demonstrate that our CTM-based training improves the consistency of VQA models on the ConVQA datasets and is a strong baseline for further research.

Emotional support conversation aims at reducing the emotional distress of the help-seeker, which is a new and challenging task. It requires the system to explore the cause of help-seeker's emotional distress and understand their psychological intention to provide supportive responses. However, existing methods mainly focus on the sequential contextual information, ignoring the hierarchical relationships with the global cause and local psychological intention behind conversations, thus leads to a weak ability of emotional support. In this paper, we propose a Global-to-Local Hierarchical Graph Network to capture the multi-source information (global cause, local intentions and dialog history) and model hierarchical relationships between them, which consists of a multi-source encoder, a hierarchical graph reasoner, and a global-guide decoder. Furthermore, a novel training objective is designed to monitor semantic information of the global cause. Experimental results on the emotional support conversation dataset, ESConv, confirm that the proposed GLHG has achieved the state-of-the-art performance on the automatic and human evaluations. The code will be released in here \small{~https://github.com/pengwei-iie/GLHG}.

Recent advancements in large language model(LLM) performance on medical multiple choice question (MCQ) benchmarks have stimulated interest from healthcare providers and patients globally. Particularly in low-and middle-income countries (LMICs) facing acute physician shortages and lack of specialists, LLMs offer a potentially scalable pathway to enhance healthcare access and reduce costs. However, their effectiveness in the Global South, especially across the African continent, remains to be established. In this work, we introduce AfriMed-QA, the first large scale Pan-African English multi-specialty medical Question-Answering (QA) dataset, 15,000 questions (open and closed-ended) sourced from over 60 medical schools across 16 countries, covering 32 medical specialties. We further evaluate 30 LLMs across multiple axes including correctness and demographic bias. Our findings show significant performance variation across specialties and geographies, MCQ performance clearly lags USMLE (MedQA). We find that biomedical LLMs underperform general models and smaller edge-friendly LLMs struggle to achieve a passing score. Interestingly, human evaluations show a consistent consumer preference for LLM answers and explanations when compared with clinician answers.

We present a Conversational Chain-of-Action (Conv-CoA) framework for Open-domain Conversational Question Answering (OCQA). Compared with literature, Conv-CoA addresses three major challenges: (i) unfaithful hallucination that is inconsistent with real-time or domain facts, (ii) weak reasoning performance in conversational scenarios, and (iii) unsatisfying performance in conversational information retrieval. Our key contribution is a dynamic reasoning-retrieval mechanism that extracts the intent of the question and decomposes it into a reasoning chain to be solved via systematic prompting, pre-designed actions, updating the Contextual Knowledge Set (CKS), and a novel Hopfield-based retriever. Methodologically, we propose a resource-efficiency Hopfield retriever to enhance the efficiency and accuracy of conversational information retrieval within our actions. Additionally, we propose a conversational-multi-reference faith score (Conv-MRFS) to verify and resolve conflicts between retrieved knowledge and answers in conversations. Empirically, we conduct comparisons between our framework and 23 state-of-the-art methods across five different research directions and two public benchmarks. These comparisons demonstrate that our Conv-CoA outperforms other methods in both the accuracy and efficiency dimensions.

Mathematical questioning is crucial for assessing students problem-solving skills. Since manually creating such questions requires substantial effort, automatic methods have been explored. Existing state-of-the-art models rely on fine-tuning strategies and struggle to generate questions that heavily involve multiple steps of logical and arithmetic reasoning. Meanwhile, large language models(LLMs) such as ChatGPT have excelled in many NLP tasks involving logical and arithmetic reasoning. Nonetheless, their applications in generating educational questions are underutilized, especially in the field of mathematics. To bridge this gap, we take the first step to conduct an in-depth analysis of ChatGPT in generating pre-university math questions. Our analysis is categorized into two main settings: context-aware and context-unaware. In the context-aware setting, we evaluate ChatGPT on existing math question-answering benchmarks covering elementary, secondary, and ternary classes. In the context-unaware setting, we evaluate ChatGPT in generating math questions for each lesson from pre-university math curriculums that we crawl. Our crawling results in TopicMath, a comprehensive and novel collection of pre-university math curriculums collected from 121 math topics and 428 lessons from elementary, secondary, and tertiary classes. Through this analysis, we aim to provide insight into the potential of ChatGPT as a math questioner.

Large language models (LLMs) have experienced notable advancements in generating coherent and contextually relevant responses. However, hallucinations - incorrect or unfounded claims - are still prevalent, prompting the creation of automated metrics to detect these in LLM outputs. Our contributions include: introducing ChainPoll, an innovative hallucination detection method that excels compared to its counterparts, and unveiling RealHall, a refined collection of benchmark datasets to assess hallucination detection metrics from recent studies. While creating RealHall, we assessed tasks and datasets from previous hallucination detection studies and observed that many are not suitable for the potent LLMs currently in use. Overcoming this, we opted for four datasets challenging for modern LLMs and pertinent to real-world scenarios. Using RealHall, we conducted a comprehensive comparison of ChainPoll with numerous hallucination metrics from recent studies. Our findings indicate that ChainPoll outperforms in all RealHall benchmarks, achieving an overall AUROC of 0.781. This surpasses the next best theoretical method by 11% and exceeds industry standards by over 23%. Additionally, ChainPoll is cost-effective and offers greater transparency than other metrics. We introduce two novel metrics to assess LLM hallucinations: Adherence and Correctness. Adherence is relevant to Retrieval Augmented Generation workflows, evaluating an LLM's analytical capabilities within given documents and contexts. In contrast, Correctness identifies logical and reasoning errors.

Multiple choice question answering (MCQA) is popular for LLM evaluation due to its simplicity and human-like testing, but we argue for its reform. We first reveal flaws in MCQA's format, as it struggles to: 1) test generation/subjectivity; 2) match LLM use cases; and 3) fully test knowledge. We instead advocate for generative formats based on human testing-where LLMs construct and explain answers-better capturing user needs and knowledge while remaining easy to score. We then show even when MCQA is a useful format, its datasets suffer from: leakage; unanswerability; shortcuts; and saturation. In each issue, we give fixes from education, like rubrics to guide MCQ writing; scoring methods to bridle guessing; and Item Response Theory to build harder MCQs. Lastly, we discuss LLM errors in MCQA-robustness, biases, and unfaithful explanations-showing how our prior solutions better measure or address these issues. While we do not need to desert MCQA, we encourage more efforts in refining the task based on educational testing, advancing evaluations.

Multimodal Retrieval Augmented Generation (mRAG) plays an important role in mitigating the "hallucination" issue inherent in multimodal large language models (MLLMs). Although promising, existing heuristic mRAGs typically predefined fixed retrieval processes, which causes two issues: (1) Non-adaptive Retrieval Queries. (2) Overloaded Retrieval Queries. However, these flaws cannot be adequately reflected by current knowledge-seeking visual question answering (VQA) datasets, since the most required knowledge can be readily obtained with a standard two-step retrieval. To bridge the dataset gap, we first construct Dyn-VQA dataset, consisting of three types of "dynamic" questions, which require complex knowledge retrieval strategies variable in query, tool, and time: (1) Questions with rapidly changing answers. (2) Questions requiring multi-modal knowledge. (3) Multi-hop questions. Experiments on Dyn-VQA reveal that existing heuristic mRAGs struggle to provide sufficient and precisely relevant knowledge for dynamic questions due to their rigid retrieval processes. Hence, we further propose the first self-adaptive planning agent for multimodal retrieval, OmniSearch. The underlying idea is to emulate the human behavior in question solution which dynamically decomposes complex multimodal questions into sub-question chains with retrieval action. Extensive experiments prove the effectiveness of our OmniSearch, also provide direction for advancing mRAG. The code and dataset will be open-sourced at https://github.com/Alibaba-NLP/OmniSearch.

Large Language Models (LLMs) like ChatGPT demonstrate significant potential in the medical field, often evaluated using multiple-choice questions (MCQs) similar to those found on the USMLE. Despite their prevalence in medical education, MCQs have limitations that might be exacerbated when assessing LLMs. To evaluate the effectiveness of MCQs in assessing the performance of LLMs, we developed a fictional medical benchmark focused on a non-existent gland, the Glianorex. This approach allowed us to isolate the knowledge of the LLM from its test-taking abilities. We used GPT-4 to generate a comprehensive textbook on the Glianorex in both English and French and developed corresponding multiple-choice questions in both languages. We evaluated various open-source, proprietary, and domain-specific LLMs using these questions in a zero-shot setting. The models achieved average scores around 67%, with minor performance differences between larger and smaller models. Performance was slightly higher in English than in French. Fine-tuned medical models showed some improvement over their base versions in English but not in French. The uniformly high performance across models suggests that traditional MCQ-based benchmarks may not accurately measure LLMs' clinical knowledge and reasoning abilities, instead highlighting their pattern recognition skills. This study underscores the need for more robust evaluation methods to better assess the true capabilities of LLMs in medical contexts.

In recent years, there have been significant breakthroughs in the field of natural language processing, particularly with the development of large language models (LLMs). These LLMs have showcased remarkable capabilities on various benchmarks. In the healthcare field, the exact role LLMs and other future AI models will play remains unclear. There is a potential for these models in the future to be used as part of adaptive physician training, medical co-pilot applications, and digital patient interaction scenarios. The ability of AI models to participate in medical training and patient care will depend in part on their mastery of the knowledge content of specific medical fields. This study investigated the medical knowledge capability of LLMs, specifically in the context of internal medicine subspecialty multiple-choice test-taking ability. We compared the performance of several open-source LLMs (Koala 7B, Falcon 7B, Stable-Vicuna 13B, and Orca Mini 13B), to GPT-4 and Claude 2 on multiple-choice questions in the field of Nephrology. Nephrology was chosen as an example of a particularly conceptually complex subspecialty field within internal medicine. The study was conducted to evaluate the ability of LLM models to provide correct answers to nephSAP (Nephrology Self-Assessment Program) multiple-choice questions. The overall success of open-sourced LLMs in answering the 858 nephSAP multiple-choice questions correctly was 17.1% - 25.5%. In contrast, Claude 2 answered 54.4% of the questions correctly, whereas GPT-4 achieved a score of 73.3%. We show that current widely used open-sourced LLMs do poorly in their ability for zero-shot reasoning when compared to GPT-4 and Claude 2. The findings of this study potentially have significant implications for the future of subspecialty medical training and patient care.

Recently, the development of large language models (LLMs) has attracted wide attention in academia and industry. Deploying LLMs to real scenarios is one of the key directions in the current Internet industry. In this paper, we present a novel pipeline to apply LLMs for domain-specific question answering (QA) that incorporates domain knowledge graphs (KGs), addressing an important direction of LLM application. As a real-world application, the content generated by LLMs should be user-friendly to serve the customers. Additionally, the model needs to utilize domain knowledge properly to generate reliable answers. These two issues are the two major difficulties in the LLM application as vanilla fine-tuning can not adequately address them. We think both requirements can be unified as the model preference problem that needs to align with humans to achieve practical application. Thus, we introduce Knowledgeable Preference AlignmenT (KnowPAT), which constructs two kinds of preference set called style preference set and knowledge preference set respectively to tackle the two issues. Besides, we design a new alignment objective to align the LLM preference with human preference, aiming to train a better LLM for real-scenario domain-specific QA to generate reliable and user-friendly answers. Adequate experiments and comprehensive with 15 baseline methods demonstrate that our KnowPAT is an outperforming pipeline for real-scenario domain-specific QA with LLMs. Our code is open-source at https://github.com/zjukg/KnowPAT.

Large language models have enabled agents of all kinds to interact with users through natural conversation. Consequently, agents now have two jobs: conversing and planning/reasoning. Their conversational responses must be informed by all available information, and their actions must help to achieve goals. This dichotomy between conversing with the user and doing multi-step reasoning and planning can be seen as analogous to the human systems of "thinking fast and slow" as introduced by Kahneman. Our approach is comprised of a "Talker" agent (System 1) that is fast and intuitive, and tasked with synthesizing the conversational response; and a "Reasoner" agent (System 2) that is slower, more deliberative, and more logical, and is tasked with multi-step reasoning and planning, calling tools, performing actions in the world, and thereby producing the new agent state. We describe the new Talker-Reasoner architecture and discuss its advantages, including modularity and decreased latency. We ground the discussion in the context of a sleep coaching agent, in order to demonstrate real-world relevance.

"Thinking is for Doing." Humans can infer other people's mental states from observations--an ability called Theory-of-Mind (ToM)--and subsequently act pragmatically on those inferences. Existing question answering benchmarks such as ToMi ask models questions to make inferences about beliefs of characters in a story, but do not test whether models can then use these inferences to guide their actions. We propose a new evaluation paradigm for large language models (LLMs): Thinking for Doing (T4D), which requires models to connect inferences about others' mental states to actions in social scenarios. Experiments on T4D demonstrate that LLMs such as GPT-4 and PaLM 2 seemingly excel at tracking characters' beliefs in stories, but they struggle to translate this capability into strategic action. Our analysis reveals the core challenge for LLMs lies in identifying the implicit inferences about mental states without being explicitly asked about as in ToMi, that lead to choosing the correct action in T4D. To bridge this gap, we introduce a zero-shot prompting framework, Foresee and Reflect (FaR), which provides a reasoning structure that encourages LLMs to anticipate future challenges and reason about potential actions. FaR boosts GPT-4's performance from 50% to 71% on T4D, outperforming other prompting methods such as Chain-of-Thought and Self-Ask. Moreover, FaR generalizes to diverse out-of-distribution story structures and scenarios that also require ToM inferences to choose an action, consistently outperforming other methods including few-shot in-context learning.

Background: Rapid advancements in natural language processing have led to the development of large language models with the potential to revolutionize mental health care. These models have shown promise in assisting clinicians and providing support to individuals experiencing various psychological challenges. Objective: This study aims to compare the performance of two large language models, GPT-4 and Chat-GPT, in responding to a set of 18 psychological prompts, to assess their potential applicability in mental health care settings. Methods: A blind methodology was employed, with a clinical psychologist evaluating the models' responses without knowledge of their origins. The prompts encompassed a diverse range of mental health topics, including depression, anxiety, and trauma, to ensure a comprehensive assessment. Results: The results demonstrated a significant difference in performance between the two models (p > 0.05). GPT-4 achieved an average rating of 8.29 out of 10, while Chat-GPT received an average rating of 6.52. The clinical psychologist's evaluation suggested that GPT-4 was more effective at generating clinically relevant and empathetic responses, thereby providing better support and guidance to potential users. Conclusions: This study contributes to the growing body of literature on the applicability of large language models in mental health care settings. The findings underscore the importance of continued research and development in the field to optimize these models for clinical use. Further investigation is necessary to understand the specific factors underlying the performance differences between the two models and to explore their generalizability across various populations and mental health conditions.

This study investigates GPT-4's assessment of its performance in healthcare applications. A simple prompting technique was used to prompt the LLM with questions taken from the United States Medical Licensing Examination (USMLE) questionnaire and it was tasked to evaluate its confidence score before posing the question and after asking the question. The questionnaire was categorized into two groups-questions with feedback (WF) and questions with no feedback(NF) post-question. The model was asked to provide absolute and relative confidence scores before and after each question. The experimental findings were analyzed using statistical tools to study the variability of confidence in WF and NF groups. Additionally, a sequential analysis was conducted to observe the performance variation for the WF and NF groups. Results indicate that feedback influences relative confidence but doesn't consistently increase or decrease it. Understanding the performance of LLM is paramount in exploring its utility in sensitive areas like healthcare. This study contributes to the ongoing discourse on the reliability of AI, particularly of LLMs like GPT-4, within healthcare, offering insights into how feedback mechanisms might be optimized to enhance AI-assisted medical education and decision support.

Large language models (LLMs) have emerged as an integral part of modern societies, powering user-facing applications such as personal assistants and enterprise applications like recruitment tools. Despite their utility, research indicates that LLMs perpetuate systemic biases. Yet, prior works on LLM harms predominantly focus on Western concepts like race and gender, often overlooking cultural concepts from other parts of the world. Additionally, these studies typically investigate "harm" as a singular dimension, ignoring the various and subtle forms in which harms manifest. To address this gap, we introduce the Covert Harms and Social Threats (CHAST), a set of seven metrics grounded in social science literature. We utilize evaluation models aligned with human assessments to examine the presence of covert harms in LLM-generated conversations, particularly in the context of recruitment. Our experiments reveal that seven out of the eight LLMs included in this study generated conversations riddled with CHAST, characterized by malign views expressed in seemingly neutral language unlikely to be detected by existing methods. Notably, these LLMs manifested more extreme views and opinions when dealing with non-Western concepts like caste, compared to Western ones such as race.

Due to the lack of human resources for mental health support, there is an increasing demand for employing conversational agents for support. Recent work has demonstrated the effectiveness of dialogue models in providing emotional support. As previous studies have demonstrated that seekers' persona is an important factor for effective support, we investigate whether there are benefits to modeling such information in dialogue models for support. In this paper, our empirical analysis verifies that persona has an important impact on emotional support. Therefore, we propose a framework for dynamically inferring and modeling seekers' persona. We first train a model for inferring the seeker's persona from the conversation history. Accordingly, we propose PAL, a model that leverages persona information and, in conjunction with our strategy-based controllable generation method, provides personalized emotional support. Automatic and manual evaluations demonstrate that PAL achieves state-of-the-art results, outperforming the baselines on the studied benchmark. Our code and data are publicly available at https://github.com/chengjl19/PAL.

While Multi-modal Language Models (MLMs) demonstrate impressive multimodal ability, they still struggle on providing factual and precise responses for tasks like visual question answering (VQA). In this paper, we address this challenge from the perspective of contextual information. We propose Causal Context Generation, Causal-CoG, which is a prompting strategy that engages contextual information to enhance precise VQA during inference. Specifically, we prompt MLMs to generate contexts, i.e, text description of an image, and engage the generated contexts for question answering. Moreover, we investigate the advantage of contexts on VQA from a causality perspective, introducing causality filtering to select samples for which contextual information is helpful. To show the effectiveness of Causal-CoG, we run extensive experiments on 10 multimodal benchmarks and show consistent improvements, e.g., +6.30% on POPE, +13.69% on Vizwiz and +6.43% on VQAv2 compared to direct decoding, surpassing existing methods. We hope Casual-CoG inspires explorations of context knowledge in multimodal models, and serves as a plug-and-play strategy for MLM decoding.

Recent advancements in Large Language Models (LLMs) have significantly enhanced the capabilities of conversational agents, making them applicable to various fields (e.g., education). Despite their progress, the evaluation of the agents often overlooks the complexities of real-world conversations, such as real-time interactions, multi-party dialogues, and extended contextual dependencies. To bridge this gap, we introduce DialSim, a real-time dialogue simulator. In this simulator, an agent is assigned the role of a character from popular TV shows, requiring it to respond to spontaneous questions using past dialogue information and to distinguish between known and unknown information. Key features of DialSim include evaluating the agent's ability to respond within a reasonable time limit, handling long-term multi-party dialogues, and managing adversarial settings (e.g., swap character names) to challenge the agent's reliance on pre-trained knowledge. We utilized this simulator to evaluate the latest conversational agents and analyze their limitations. Our experiments highlight both the strengths and weaknesses of these agents, providing valuable insights for future improvements in the field of conversational AI. DialSim is available at https://github.com/jiho283/Simulator.

We introduce KorMedMCQA, the first Korean multiple-choice question answering (MCQA) benchmark derived from Korean healthcare professional licensing examinations, covering from the year 2012 to year 2023. This dataset consists of a selection of questions from the license examinations for doctors, nurses, and pharmacists, featuring a diverse array of subjects. We conduct baseline experiments on various large language models, including proprietary/open-source, multilingual/Korean-additional pretrained, and clinical context pretrained models, highlighting the potential for further enhancements. We make our data publicly available on HuggingFace and provide a evaluation script via LM-Harness, inviting further exploration and advancement in Korean healthcare environments.

In response to the pressing need for advanced clinical problem-solving tools in healthcare, we introduce BooksMed, a novel framework based on a Large Language Model (LLM). BooksMed uniquely emulates human cognitive processes to deliver evidence-based and reliable responses, utilizing the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) framework to effectively quantify evidence strength. For clinical decision-making to be appropriately assessed, an evaluation metric that is clinically aligned and validated is required. As a solution, we present ExpertMedQA, a multispecialty clinical benchmark comprised of open-ended, expert-level clinical questions, and validated by a diverse group of medical professionals. By demanding an in-depth understanding and critical appraisal of up-to-date clinical literature, ExpertMedQA rigorously evaluates LLM performance. BooksMed outperforms existing state-of-the-art models Med-PaLM 2, Almanac, and ChatGPT in a variety of medical scenarios. Therefore, a framework that mimics human cognitive stages could be a useful tool for providing reliable and evidence-based responses to clinical inquiries.

This paper presents a case study on the design, administration, post-processing, and evaluation of surveys on large language models (LLMs). It comprises two components: (1) A statistical method for eliciting beliefs encoded in LLMs. We introduce statistical measures and evaluation metrics that quantify the probability of an LLM "making a choice", the associated uncertainty, and the consistency of that choice. (2) We apply this method to study what moral beliefs are encoded in different LLMs, especially in ambiguous cases where the right choice is not obvious. We design a large-scale survey comprising 680 high-ambiguity moral scenarios (e.g., "Should I tell a white lie?") and 687 low-ambiguity moral scenarios (e.g., "Should I stop for a pedestrian on the road?"). Each scenario includes a description, two possible actions, and auxiliary labels indicating violated rules (e.g., "do not kill"). We administer the survey to 28 open- and closed-source LLMs. We find that (a) in unambiguous scenarios, most models "choose" actions that align with commonsense. In ambiguous cases, most models express uncertainty. (b) Some models are uncertain about choosing the commonsense action because their responses are sensitive to the question-wording. (c) Some models reflect clear preferences in ambiguous scenarios. Specifically, closed-source models tend to agree with each other.

Ensuring the accuracy of responses provided by large language models (LLMs) is crucial, particularly in clinical settings where incorrect information may directly impact patient health. To address this challenge, we construct K-QA, a dataset containing 1,212 patient questions originating from real-world conversations held on K Health (an AI-driven clinical platform). We employ a panel of in-house physicians to answer and manually decompose a subset of K-QA into self-contained statements. Additionally, we formulate two NLI-based evaluation metrics approximating recall and precision: (1) comprehensiveness, measuring the percentage of essential clinical information in the generated answer and (2) hallucination rate, measuring the number of statements from the physician-curated response contradicted by the LLM answer. Finally, we use K-QA along with these metrics to evaluate several state-of-the-art models, as well as the effect of in-context learning and medically-oriented augmented retrieval schemes developed by the authors. Our findings indicate that in-context learning improves the comprehensiveness of the models, and augmented retrieval is effective in reducing hallucinations. We make K-QA available to to the community to spur research into medically accurate NLP applications.

Large language models can encode a wealth of semantic knowledge about the world. Such knowledge could be extremely useful to robots aiming to act upon high-level, temporally extended instructions expressed in natural language. However, a significant weakness of language models is that they lack real-world experience, which makes it difficult to leverage them for decision making within a given embodiment. For example, asking a language model to describe how to clean a spill might result in a reasonable narrative, but it may not be applicable to a particular agent, such as a robot, that needs to perform this task in a particular environment. We propose to provide real-world grounding by means of pretrained skills, which are used to constrain the model to propose natural language actions that are both feasible and contextually appropriate. The robot can act as the language model's "hands and eyes," while the language model supplies high-level semantic knowledge about the task. We show how low-level skills can be combined with large language models so that the language model provides high-level knowledge about the procedures for performing complex and temporally-extended instructions, while value functions associated with these skills provide the grounding necessary to connect this knowledge to a particular physical environment. We evaluate our method on a number of real-world robotic tasks, where we show the need for real-world grounding and that this approach is capable of completing long-horizon, abstract, natural language instructions on a mobile manipulator. The project's website and the video can be found at https://say-can.github.io/.

Readers of academic research papers often read with the goal of answering specific questions. Question Answering systems that can answer those questions can make consumption of the content much more efficient. However, building such tools requires data that reflect the difficulty of the task arising from complex reasoning about claims made in multiple parts of a paper. In contrast, existing information-seeking question answering datasets usually contain questions about generic factoid-type information. We therefore present QASPER, a dataset of 5,049 questions over 1,585 Natural Language Processing papers. Each question is written by an NLP practitioner who read only the title and abstract of the corresponding paper, and the question seeks information present in the full text. The questions are then answered by a separate set of NLP practitioners who also provide supporting evidence to answers. We find that existing models that do well on other QA tasks do not perform well on answering these questions, underperforming humans by at least 27 F1 points when answering them from entire papers, motivating further research in document-grounded, information-seeking QA, which our dataset is designed to facilitate.

Conversational recommender systems (CRS) generate recommendations through an interactive process. However, not all CRS approaches use human conversations as their source of interaction data; the majority of prior CRS work simulates interactions by exchanging entity-level information. As a result, claims of prior CRS work do not generalise to real-world settings where conversations take unexpected turns, or where conversational and intent understanding is not perfect. To tackle this challenge, the research community has started to examine holistic CRS, which are trained using conversational data collected from real-world scenarios. Despite their emergence, such holistic approaches are under-explored. We present a comprehensive survey of holistic CRS methods by summarizing the literature in a structured manner. Our survey recognises holistic CRS approaches as having three components: 1) a backbone language model, the optional use of 2) external knowledge, and/or 3) external guidance. We also give a detailed analysis of CRS datasets and evaluation methods in real application scenarios. We offer our insight as to the current challenges of holistic CRS and possible future trends.

Widely deployed large language models (LLMs) can produce convincing yet incorrect outputs, potentially misleading users who may rely on them as if they were correct. To reduce such overreliance, there have been calls for LLMs to communicate their uncertainty to end users. However, there has been little empirical work examining how users perceive and act upon LLMs' expressions of uncertainty. We explore this question through a large-scale, pre-registered, human-subject experiment (N=404) in which participants answer medical questions with or without access to responses from a fictional LLM-infused search engine. Using both behavioral and self-reported measures, we examine how different natural language expressions of uncertainty impact participants' reliance, trust, and overall task performance. We find that first-person expressions (e.g., "I'm not sure, but...") decrease participants' confidence in the system and tendency to agree with the system's answers, while increasing participants' accuracy. An exploratory analysis suggests that this increase can be attributed to reduced (but not fully eliminated) overreliance on incorrect answers. While we observe similar effects for uncertainty expressed from a general perspective (e.g., "It's not clear, but..."), these effects are weaker and not statistically significant. Our findings suggest that using natural language expressions of uncertainty may be an effective approach for reducing overreliance on LLMs, but that the precise language used matters. This highlights the importance of user testing before deploying LLMs at scale.

Conversational agents are increasingly used to address emotional needs on top of information needs. One use case of increasing interest are counselling-style mental health and behaviour change interventions, with large language model (LLM)-based approaches becoming more popular. Research in this context so far has been largely system-focused, foregoing the aspect of user behaviour and the impact this can have on LLM-generated texts. To address this issue, we share a dataset containing text-based user interactions related to behaviour change with two GPT-4-based conversational agents collected in a preregistered user study. This dataset includes conversation data, user language analysis, perception measures, and user feedback for LLM-generated turns, and can offer valuable insights to inform the design of such systems based on real interactions.

In this paper, we critically evaluate the capabilities of the state-of-the-art multimodal large language model, i.e., GPT-4 with Vision (GPT-4V), on Visual Question Answering (VQA) task. Our experiments thoroughly assess GPT-4V's proficiency in answering questions paired with images using both pathology and radiology datasets from 11 modalities (e.g. Microscopy, Dermoscopy, X-ray, CT, etc.) and fifteen objects of interests (brain, liver, lung, etc.). Our datasets encompass a comprehensive range of medical inquiries, including sixteen distinct question types. Throughout our evaluations, we devised textual prompts for GPT-4V, directing it to synergize visual and textual information. The experiments with accuracy score conclude that the current version of GPT-4V is not recommended for real-world diagnostics due to its unreliable and suboptimal accuracy in responding to diagnostic medical questions. In addition, we delineate seven unique facets of GPT-4V's behavior in medical VQA, highlighting its constraints within this complex arena. The complete details of our evaluation cases are accessible at https://github.com/ZhilingYan/GPT4V-Medical-Report.

The emergence of large language models (LLMs) has revolutionized natural language processing tasks. However, existing instruction-tuning datasets suffer from occupational bias: the majority of data relates to only a few occupations, which hampers the instruction-tuned LLMs to generate helpful responses to professional queries from practitioners in specific fields. To mitigate this issue and promote occupation-inclusive LLMs, we create an instruction-tuning dataset named OccuQuest, which contains 110,000+ prompt-completion pairs and 30,000+ dialogues covering over 1,000 occupations in 26 occupational categories. We systematically request ChatGPT, organizing queries hierarchically based on Occupation, Responsibility, Topic, and Question, to ensure a comprehensive coverage of occupational specialty inquiries. By comparing with three commonly used datasets (Dolly, ShareGPT, and WizardLM), we observe that OccuQuest exhibits a more balanced distribution across occupations. Furthermore, we assemble three test sets for comprehensive evaluation, an occu-test set covering 25 occupational categories, an estate set focusing on real estate, and an occu-quora set containing real-world questions from Quora. We then fine-tune LLaMA on OccuQuest to obtain OccuLLaMA, which significantly outperforms state-of-the-art LLaMA variants (Vicuna, Tulu, and WizardLM) on professional questions in GPT-4 and human evaluations. Notably, on the occu-quora set, OccuLLaMA reaches a high win rate of 86.4\% against WizardLM.

With the rapid advancement of Artificial Intelligence, particularly in Natural Language Processing, Large Language Models (LLMs) have become pivotal in educational question-answering systems, especially university admission chatbots. Concepts such as Retrieval-Augmented Generation (RAG) and other advanced techniques have been developed to enhance these systems by integrating specific university data, enabling LLMs to provide informed responses on admissions and academic counseling. However, these enhanced RAG techniques often involve high operational costs and require the training of complex, specialized modules, which poses challenges for practical deployment. Additionally, in the educational context, it is crucial to provide accurate answers to prevent misinformation, a task that LLM-based systems find challenging without appropriate strategies and methods. In this paper, we introduce the Unified RAG (URAG) Framework, a hybrid approach that significantly improves the accuracy of responses, particularly for critical queries. Experimental results demonstrate that URAG enhances our in-house, lightweight model to perform comparably to state-of-the-art commercial models. Moreover, to validate its practical applicability, we conducted a case study at our educational institution, which received positive feedback and acclaim. This study not only proves the effectiveness of URAG but also highlights its feasibility for real-world implementation in educational settings.

Large language models (LLMs) have demonstrated remarkable capabilities in natural language understanding and generation across various domains, including medicine. We present a comprehensive evaluation of GPT-4, a state-of-the-art LLM, on medical competency examinations and benchmark datasets. GPT-4 is a general-purpose model that is not specialized for medical problems through training or engineered to solve clinical tasks. Our analysis covers two sets of official practice materials for the USMLE, a three-step examination program used to assess clinical competency and grant licensure in the United States. We also evaluate performance on the MultiMedQA suite of benchmark datasets. Beyond measuring model performance, experiments were conducted to investigate the influence of test questions containing both text and images on model performance, probe for memorization of content during training, and study probability calibration, which is of critical importance in high-stakes applications like medicine. Our results show that GPT-4, without any specialized prompt crafting, exceeds the passing score on USMLE by over 20 points and outperforms earlier general-purpose models (GPT-3.5) as well as models specifically fine-tuned on medical knowledge (Med-PaLM, a prompt-tuned version of Flan-PaLM 540B). In addition, GPT-4 is significantly better calibrated than GPT-3.5, demonstrating a much-improved ability to predict the likelihood that its answers are correct. We also explore the behavior of the model qualitatively through a case study that shows the ability of GPT-4 to explain medical reasoning, personalize explanations to students, and interactively craft new counterfactual scenarios around a medical case. Implications of the findings are discussed for potential uses of GPT-4 in medical education, assessment, and clinical practice, with appropriate attention to challenges of accuracy and safety.

In this paper, we introduce a novel psychological benchmark, CPsyExam, constructed from questions sourced from Chinese language examinations. CPsyExam is designed to prioritize psychological knowledge and case analysis separately, recognizing the significance of applying psychological knowledge to real-world scenarios. From the pool of 22k questions, we utilize 4k to create the benchmark that offers balanced coverage of subjects and incorporates a diverse range of case analysis techniques.Furthermore, we evaluate a range of existing large language models~(LLMs), spanning from open-sourced to API-based models. Our experiments and analysis demonstrate that CPsyExam serves as an effective benchmark for enhancing the understanding of psychology within LLMs and enables the comparison of LLMs across various granularities.

Large Language Models (LLMs), with their flexible generation abilities, can be powerful data sources in domains with few or no available corpora. However, problems like hallucinations and biases limit such applications. In this case study, we pick nutrition counselling, a domain lacking any public resource, and show that high-quality datasets can be gathered by combining LLMs, crowd-workers and nutrition experts. We first crowd-source and cluster a novel dataset of diet-related issues, then work with experts to prompt ChatGPT into producing related supportive text. Finally, we let the experts evaluate the safety of the generated text. We release HAI-coaching, the first expert-annotated nutrition counselling dataset containing ~2.4K dietary struggles from crowd workers, and ~97K related supportive texts generated by ChatGPT. Extensive analysis shows that ChatGPT while producing highly fluent and human-like text, also manifests harmful behaviours, especially in sensitive topics like mental health, making it unsuitable for unsupervised use.

Despite significant advancements, there is a limited understanding of how large language models (LLMs) utilize knowledge for reasoning. To address this, we propose a method that deconstructs complex real-world questions into a graph, representing each question as a node with parent nodes of background knowledge needed to solve the question. We develop the DepthQA dataset, deconstructing questions into three depths: (i) recalling conceptual knowledge, (ii) applying procedural knowledge, and (iii) analyzing strategic knowledge. Based on a hierarchical graph, we quantify forward discrepancy, discrepancies in LLMs' performance on simpler sub-problems versus complex questions. We also measure backward discrepancy, where LLMs answer complex questions but struggle with simpler ones. Our analysis shows that smaller models have more discrepancies than larger models. Additionally, guiding models from simpler to complex questions through multi-turn interactions improves performance across model sizes, highlighting the importance of structured intermediate steps in knowledge reasoning. This work enhances our understanding of LLM reasoning and suggests ways to improve their problem-solving abilities.

We introduce a high-quality dataset that contains 3,397 samples comprising (i) multiple choice questions, (ii) answers (including distractors), and (iii) their source documents, from the educational domain. Each question is phrased in two forms, normal and close. Correct answers are linked to source documents with sentence-level annotations. Thus, our versatile dataset can be used for both question and distractor generation, as well as to explore new challenges such as question format conversion. Furthermore, 903 questions are accompanied by their cognitive complexity level as per Bloom's taxonomy. All questions have been generated by educational experts rather than crowd workers to ensure they are maintaining educational and learning standards. Our analysis and experiments suggest distinguishable differences between our dataset and commonly used ones for question generation for educational purposes. We believe this new dataset can serve as a valuable resource for research and evaluation in the educational domain. The dataset and baselines will be released to support further research in question generation.

Synthetic data generation has gained significant attention recently for its utility in training large vision and language models. However, the application of synthetic data to the training of multimodal context-augmented generation systems has been relatively unexplored. This gap in existing work is important because existing vision and language models (VLMs) are not trained specifically for context-augmented generation. Resources for adapting such models are therefore crucial for enabling their use in retrieval-augmented generation (RAG) settings, where a retriever is used to gather relevant information that is then subsequently provided to a generative model via context augmentation. To address this challenging problem, we generate SK-VQA: a large synthetic multimodal dataset containing over 2 million question-answer pairs which require external knowledge to determine the final answer. Our dataset is both larger and significantly more diverse than existing resources of its kind, possessing over 11x more unique questions and containing images from a greater variety of sources than previously-proposed datasets. Through extensive experiments, we demonstrate that our synthetic dataset can not only serve as a challenging benchmark, but is also highly effective for adapting existing generative multimodal models for context-augmented generation.

Large Language Models (LLMs) have demonstrated promising potential in providing empathetic support during interactions. However, their responses often become verbose or overly formulaic, failing to adequately address the diverse emotional support needs of real-world scenarios. To tackle this challenge, we propose an innovative strategy-enhanced role-playing framework, designed to simulate authentic emotional support conversations. Specifically, our approach unfolds in two steps: (1) Strategy-Enhanced Role-Playing Interactions, which involve three pivotal roles -- Seeker, Strategy Counselor, and Supporter -- engaging in diverse scenarios to emulate real-world interactions and promote a broader range of dialogues; and (2) Emotional Support Agent Training, achieved through fine-tuning LLMs using our specially constructed dataset. Within this framework, we develop the ServeForEmo dataset, comprising an extensive collection of 3.7K+ multi-turn dialogues and 62.8K+ utterances. We further present SweetieChat, an emotional support agent capable of handling diverse open-domain scenarios. Extensive experiments and human evaluations confirm the framework's effectiveness in enhancing emotional support, highlighting its unique ability to provide more nuanced and tailored assistance.

Asking insightful questions is crucial for acquiring knowledge and expanding our understanding of the world. However, the importance of questioning has been largely overlooked in AI research, where models have been primarily developed to answer questions. With the recent advancements of large language models (LLMs) like ChatGPT, we discover their capability to ask high-quality questions when provided with a suitable prompt. This discovery presents a new opportunity to develop an automatic questioning system. In this paper, we introduce ChatCaptioner, a novel automatic-questioning method deployed in image captioning. Here, ChatGPT is prompted to ask a series of informative questions about images to BLIP-2, a strong vision question-answering model. By keeping acquiring new visual information from BLIP-2's answers, ChatCaptioner is able to generate more enriched image descriptions. We conduct human-subject evaluations on common image caption datasets such as COCO, Conceptual Caption, and WikiArt, and compare ChatCaptioner with BLIP-2 as well as ground truth. Our results demonstrate that ChatCaptioner's captions are significantly more informative, receiving three times as many votes from human evaluators for providing the most image information. Besides, ChatCaptioner identifies 53% more objects within the image than BLIP-2 alone measured by WordNet synset matching. Code is available at https://github.com/Vision-CAIR/ChatCaptioner

Benefiting from diverse instruction datasets, contemporary Large Language Models (LLMs) perform effectively as AI assistants in collaborating with humans. However, LLMs still struggle to generate natural and colloquial responses in real-world applications such as chatbots and psychological counseling that require more human-like interactions. To address these limitations, we introduce NICO, a Natural Interactive COnversation dataset in Chinese. We first use GPT-4-turbo to generate dialogue drafts and make them cover 20 daily-life topics and 5 types of social interactions. Then, we hire workers to revise these dialogues to ensure that they are free of grammatical errors and unnatural utterances. We define two dialogue-level natural conversation tasks and two sentence-level tasks for identifying and rewriting unnatural sentences. Multiple open-source and closed-source LLMs are tested and analyzed in detail. The experimental results highlight the challenge of the tasks and demonstrate how NICO can help foster the natural dialogue capabilities of LLMs. The dataset will be released.

Growing interest in conversational agents promote twoway human-computer communications involving asking and answering visual questions have become an active area of research in AI. Thus, generation of visual questionanswer pair(s) becomes an important and challenging task. To address this issue, we propose a weakly-supervised visual question answer generation method that generates a relevant question-answer pairs for a given input image and associated caption. Most of the prior works are supervised and depend on the annotated question-answer datasets. In our work, we present a weakly supervised method that synthetically generates question-answer pairs procedurally from visual information and captions. The proposed method initially extracts list of answer words, then does nearest question generation that uses the caption and answer word to generate synthetic question. Next, the relevant question generator converts the nearest question to relevant language question by dependency parsing and in-order tree traversal, finally, fine-tune a ViLBERT model with the question-answer pair(s) generated at end. We perform an exhaustive experimental analysis on VQA dataset and see that our model significantly outperform SOTA methods on BLEU scores. We also show the results wrt baseline models and ablation study.

Spatial perception is a fundamental component of intelligence. While many studies highlight that large multimodal language models (MLMs) struggle to reason about space, they only test for static spatial reasoning, such as categorizing the relative positions of objects. Meanwhile, real-world deployment requires dynamic capabilities like perspective-taking and egocentric action recognition. As a roadmap to improving spatial intelligence, we introduce SAT, Spatial Aptitude Training, which goes beyond static relative object position questions to the more dynamic tasks. SAT contains 218K question-answer pairs for 22K synthetic scenes across a training and testing set. Generated using a photo-realistic physics engine, our dataset can be arbitrarily scaled and easily extended to new actions, scenes, and 3D assets. We find that even MLMs that perform relatively well on static questions struggle to accurately answer dynamic spatial questions. Further, we show that SAT instruction-tuning data improves not only dynamic spatial reasoning on SAT, but also zero-shot performance on existing real-image spatial benchmarks: 23% on CVBench, 8% on the harder BLINK benchmark, and 18% on VSR. When instruction-tuned on SAT, our 13B model matches larger proprietary MLMs like GPT4-V and Gemini-3-1.0 in spatial reasoning. Our data/code is available at http://arijitray1993.github.io/SAT/ .

Despite showing increasingly human-like conversational abilities, state-of-the-art dialogue models often suffer from factual incorrectness and hallucination of knowledge (Roller et al., 2020). In this work we explore the use of neural-retrieval-in-the-loop architectures - recently shown to be effective in open-domain QA (Lewis et al., 2020b; Izacard and Grave, 2020) - for knowledge-grounded dialogue, a task that is arguably more challenging as it requires querying based on complex multi-turn dialogue context and generating conversationally coherent responses. We study various types of architectures with multiple components - retrievers, rankers, and encoder-decoders - with the goal of maximizing knowledgeability while retaining conversational ability. We demonstrate that our best models obtain state-of-the-art performance on two knowledge-grounded conversational tasks. The models exhibit open-domain conversational capabilities, generalize effectively to scenarios not within the training data, and, as verified by human evaluations, substantially reduce the well-known problem of knowledge hallucination in state-of-the-art chatbots.

Fact-checking requires retrieving evidence related to a claim under investigation. The task can be formulated as question generation based on a claim, followed by question answering. However, recent question generation approaches assume that the answer is known and typically contained in a passage given as input, whereas such passages are what is being sought when verifying a claim. In this paper, we present {\it Varifocal}, a method that generates questions based on different focal points within a given claim, i.e.\ different spans of the claim and its metadata, such as its source and date. Our method outperforms previous work on a fact-checking question generation dataset on a wide range of automatic evaluation metrics. These results are corroborated by our manual evaluation, which indicates that our method generates more relevant and informative questions. We further demonstrate the potential of focal points in generating sets of clarification questions for product descriptions.

Navigating certain communication situations can be challenging due to individuals' lack of skills and the interference of strong emotions. However, effective learning opportunities are rarely accessible. In this work, we conduct a human-centered study that uses language models to simulate bespoke communication training and provide just-in-time feedback to support the practice and learning of interpersonal effectiveness skills. We apply the interpersonal effectiveness framework from Dialectical Behavioral Therapy (DBT), DEAR MAN, which focuses on both conversational and emotional skills. We present IMBUE, an interactive training system that provides feedback 25% more similar to experts' feedback, compared to that generated by GPT-4. IMBUE is the first to focus on communication skills and emotion management simultaneously, incorporate experts' domain knowledge in providing feedback, and be grounded in psychology theory. Through a randomized trial of 86 participants, we find that IMBUE's simulation-only variant significantly improves participants' self-efficacy (up to 17%) and reduces negative emotions (up to 25%). With IMBUE's additional just-in-time feedback, participants demonstrate 17% improvement in skill mastery, along with greater enhancements in self-efficacy (27% more) and reduction of negative emotions (16% more) compared to simulation-only. The improvement in skill mastery is the only measure that is transferred to new and more difficult situations; situation specific training is necessary for improving self-efficacy and emotion reduction.

Large language models (LLMs) have demonstrated remarkable capabilities across various tasks but still face challenges such as hallucinations. One potential reason for hallucinations is the lack of relevant knowledge or context. Thus, a promising solution to mitigate this issue involves instructing LLMs to respond with "I do not know" when a question falls outside their knowledge domain or the provided context. However, in this work, we observed that LLMs struggle to admit their lack of knowledge, primarily due to existing instruction datasets designed to encourage specific answers. To improve large language models' capability to recognize the boundaries of their knowledge, we propose a novel approach called uncertainty-sensitive tuning. This method involves two-stage training designed for uncertainty recognition and prompt-sensitive activation. In the first stage, we guide the LLM to reject unknown questions. In the second stage, we recover the decreased performance in QA tasks by incorporating designed causal instructions. By leveraging this method, we aim to enhance the model's ability to identify areas of uncertainty. The experimental results demonstrate that our proposed uncertainty-sensitive tuning method significantly improves the performance of the Llama2-chat-7B model. Specifically, it achieves a substantial 34.7% improvement in handling questions involving knowledge gaps compared to the original model. Moreover, our approach outperforms GPT-4, exhibiting a 9.4% increase in overall performance. We open-source the model and code on GitHub.

Large language models (LLMs) have the potential to transform the practice of law, but this potential is threatened by the presence of legal hallucinations -- responses from these models that are not consistent with legal facts. We investigate the extent of these hallucinations using an original suite of legal queries, comparing LLMs' responses to structured legal metadata and examining their consistency. Our work makes four key contributions: (1) We develop a typology of legal hallucinations, providing a conceptual framework for future research in this area. (2) We find that legal hallucinations are alarmingly prevalent, occurring between 69% of the time with ChatGPT 3.5 and 88% with Llama 2, when these models are asked specific, verifiable questions about random federal court cases. (3) We illustrate that LLMs often fail to correct a user's incorrect legal assumptions in a contra-factual question setup. (4) We provide evidence that LLMs cannot always predict, or do not always know, when they are producing legal hallucinations. Taken together, these findings caution against the rapid and unsupervised integration of popular LLMs into legal tasks. Even experienced lawyers must remain wary of legal hallucinations, and the risks are highest for those who stand to benefit from LLMs the most -- pro se litigants or those without access to traditional legal resources.

Question answering, asking, and assessment are three innate human traits crucial for understanding the world and acquiring knowledge. By enhancing these capabilities, humans can more effectively utilize data, leading to better comprehension and learning outcomes. However, current Multimodal Large Language Models (MLLMs) primarily focus on question answering, often neglecting the full potential of questioning and assessment skills. In this study, we introduce LOVA3, an innovative framework named ``Learning tO Visual Question Answering, Asking and Assessment,'' designed to equip MLLMs with these additional capabilities. Our approach involves the creation of two supplementary training tasks GenQA and EvalQA, aiming at fostering the skills of asking and assessing questions in the context of images. To develop the questioning ability, we compile a comprehensive set of multimodal foundational tasks. For assessment, we introduce a new benchmark called EvalQABench, comprising 64,000 training samples (split evenly between positive and negative samples) and 5,000 testing samples. We posit that enhancing MLLMs with the capabilities to answer, ask, and assess questions will improve their multimodal comprehension and lead to better performance. We validate our hypothesis by training an MLLM using the LOVA3 framework and testing it on 10 multimodal benchmarks. The results demonstrate consistent performance improvements, thereby confirming the efficacy of our approach.

With the introduction of ChatGPT, Large Language Models (LLMs) have received enormous attention in healthcare. Despite their potential benefits, researchers have underscored various ethical implications. While individual instances have drawn much attention, the debate lacks a systematic overview of practical applications currently researched and ethical issues connected to them. Against this background, this work aims to map the ethical landscape surrounding the current stage of deployment of LLMs in medicine and healthcare. Electronic databases and preprint servers were queried using a comprehensive search strategy. Studies were screened and extracted following a modified rapid review approach. Methodological quality was assessed using a hybrid approach. For 53 records, a meta-aggregative synthesis was performed. Four fields of applications emerged and testify to a vivid exploration phase. Advantages of using LLMs are attributed to their capacity in data analysis, personalized information provisioning, support in decision-making, mitigating information loss and enhancing information accessibility. However, we also identifies recurrent ethical concerns connected to fairness, bias, non-maleficence, transparency, and privacy. A distinctive concern is the tendency to produce harmful misinformation or convincingly but inaccurate content. A recurrent plea for ethical guidance and human oversight is evident. Given the variety of use cases, it is suggested that the ethical guidance debate be reframed to focus on defining what constitutes acceptable human oversight across the spectrum of applications. This involves considering diverse settings, varying potentials for harm, and different acceptable thresholds for performance and certainty in healthcare. In addition, a critical inquiry is necessary to determine the extent to which the current experimental use of LLMs is necessary and justified.