Alberto Testoni

Alberto Testoni, Iacer Calixto

Safe clinical deployment of Large Language Models (LLMs) requires not only high accuracy but also robust uncertainty calibration to ensure models defer to clinicians when appropriate. Our paper investigates how social descriptors of a patient (specifically sexual orientation and religious affiliation) distort these uncertainty signals and model accuracy. Evaluating nine general-purpose and biomedical LLMs on 2,364 medical questions and their counterfactual variants, we demonstrate that identity markers cause a "calibration crisis". "Homosexual" markers consistently trigger performance drops, and intersectional identities produce idiosyncratic, non-additive harms to calibration. Moreover, a clinician-validated case study in an open-ended generation setting confirms that these failures are not an artifact of the multiple-choice format. Our results demonstrate that the presence of social identity cues does not merely shift predictions; it affects the reliability of confidence signals, posing a significant risk to equitable care and safe deployment in confidence-based clinical workflows.

Amit Kumar Chaudhary, Alex J. Lucassen, Ioanna Tsani et al.

Decoding strategies play a crucial role in natural language generation systems. They are usually designed and evaluated in open-ended text-only tasks, and it is not clear how different strategies handle the numerous challenges that goal-oriented multimodal systems face (such as grounding and informativeness). To answer this question, we compare a wide variety of different decoding strategies and hyper-parameter configurations in a Visual Dialogue referential game. Although none of them successfully balance lexical richness, accuracy in the task, and visual grounding, our in-depth analysis allows us to highlight the strengths and weaknesses of each decoding strategy. We believe our findings and suggestions may serve as a starting point for designing more effective decoding algorithms that handle the challenges of Visual Dialogue tasks.

Alberto Testoni, Iacer Calixto

Reliable uncertainty quantification (UQ) is essential when employing large language models (LLMs) in high-risk domains such as clinical question answering (QA). In this work, we evaluate uncertainty estimation methods for clinical QA focusing, for the first time, on eleven clinical specialties and six question types, and across ten open-source LLMs (general-purpose, biomedical, and reasoning models). We analyze score-based UQ methods, present a case study introducing a novel lightweight method based on behavioral features derived from reasoning-oriented models, and examine conformal prediction as a complementary set-based approach. Our findings reveal that uncertainty reliability is not a monolithic property, but one that depends on clinical specialty and question type due to shifts in calibration and discrimination. Our results highlight the need to select or ensemble models based on their distinct, complementary strengths and clinical use.

Davide Mazzaccara, Alberto Testoni, Raffaella Bernardi

Questions are essential tools for acquiring the necessary information to complete information-seeking tasks. However, large language models (LLMs), especially open-source models, often perform poorly in generating informative questions, as measured by expected information gain (EIG). In this paper, we propose a method to enhance the informativeness of LLM-generated questions in 20-question game dialogues. We sample multiple questions from the same model (LLAMA 2-CHAT 7B) for each game and create pairs of low-EIG and high-EIG questions to apply a Direct Preference Optimization (DPO) algorithm. Our results show that this method produces more effective questions (in terms of EIG), even in domains different from those used to train the DPO model.

Alberto Testoni, Raquel Fernández

Clarification questions are an essential dialogue tool to signal misunderstanding, ambiguities, and under-specification in language use. While humans are able to resolve uncertainty by asking questions since childhood, modern dialogue systems struggle to generate effective questions. To make progress in this direction, in this work we take a collaborative dialogue task as a testbed and study how model uncertainty relates to human uncertainty -- an as yet under-explored problem. We show that model uncertainty does not mirror human clarification-seeking behavior, which suggests that using human clarification questions as supervision for deciding when to ask may not be the most effective way to resolve model uncertainty. To address this issue, we propose an approach to generating clarification questions based on model uncertainty estimation, compare it to several alternatives, and show that it leads to significant improvements in terms of task success. Our findings highlight the importance of equipping dialogue systems with the ability to assess their own uncertainty and exploit in interaction.

Alberto Testoni, Barbara Plank, Raquel Fernández

Ambiguity resolution is key to effective communication. While humans effortlessly address ambiguity through conversational grounding strategies, the extent to which current language models can emulate these strategies remains unclear. In this work, we examine referential ambiguity in image-based question answering by introducing RACQUET, a carefully curated dataset targeting distinct aspects of ambiguity. Through a series of evaluations, we reveal significant limitations and problems of overconfidence of state-of-the-art large multimodal language models in addressing ambiguity in their responses. The overconfidence issue becomes particularly relevant for RACQUET-BIAS, a subset designed to analyze a critical yet underexplored problem: failing to address ambiguity leads to stereotypical, socially biased responses. Our results underscore the urgency of equipping models with robust strategies to deal with uncertainty without resorting to undesirable stereotypes.

Alberto Testoni, Juell Sprott, Sandro Pezzelle

While human speakers use a variety of different expressions when describing the same object in an image, giving rise to a distribution of plausible labels driven by pragmatic constraints, the extent to which current Vision & Language Large Language Models (VLLMs) can mimic this crucial feature of language use is an open question. This applies to common, everyday objects, but it is particularly interesting for uncommon or novel objects for which a category label may be lacking or fuzzy. Furthermore, similar patterns of variation are observed among human speakers for highly context-sensitive expressions, such as the quantifiers 'few' or 'most'. In our work, we evaluate VLLMs (FROMAGe, BLIP-2, LLaVA) on three categories (nouns, attributes, and quantifiers) where humans show great subjective variability concerning the distribution over plausible labels, using datasets and resources mostly under-explored in previous work. Our results reveal mixed evidence on the ability of VLLMs to capture human naming preferences at generation time: while some models are good at mimicking human distributions for nouns and attributes, all of them fail to assign quantifiers, a task that requires more accurate, high-level reasoning.

Nicola Horst, Davide Mazzaccara, Antonia Schmidt et al.

Interaction between learner and feedback-giver has come into focus recently for post-training of Large Language Models (LLMs), through the use of reward models that judge the appropriateness of a model's response. In this paper, we investigate whether Dialogue Games -- goal-directed and rule-governed activities driven predominantly by verbal actions -- can also serve as a source of feedback signals for learning. We introduce Playpen, an environment for off- and online learning through Dialogue Game self-play, and investigate a representative set of post-training methods: supervised fine-tuning; direct alignment (DPO); and reinforcement learning with GRPO. We experiment with post-training a small LLM (Llama-3.1-8B-Instruct), evaluating performance on unseen instances of training games as well as unseen games, and on standard benchmarks. We find that imitation learning through SFT improves performance on unseen instances, but negatively impacts other skills, while interactive learning with GRPO shows balanced improvements without loss of skills. We release the framework and the baseline training setups to foster research in the promising new direction of learning in (synthetic) interaction.

Nathanaël Carraz Rakotonirina, Mohammed Hamdy, Jon Ander Campos et al.

Large Language Models (LLMs) are increasingly used in working environments for a wide range of tasks, excelling at solving individual problems in isolation. However, are they also able to effectively collaborate over long-term interactions? To investigate this, we introduce MemoryCode, a synthetic multi-session dataset designed to test LLMs' ability to track and execute simple coding instructions amid irrelevant information, simulating a realistic setting. While all the models we tested handle isolated instructions well, even the performance of state-of-the-art models like GPT-4o deteriorates when instructions are spread across sessions. Our analysis suggests this is due to their failure to retrieve and integrate information over long instruction chains. Our results highlight a fundamental limitation of current LLMs, restricting their ability to collaborate effectively in long interactions.

Anna Bavaresco, Raffaella Bernardi, Leonardo Bertolazzi et al.

There is an increasing trend towards evaluating NLP models with LLMs instead of human judgments, raising questions about the validity of these evaluations, as well as their reproducibility in the case of proprietary models. We provide JUDGE-BENCH, an extensible collection of 20 NLP datasets with human annotations covering a broad range of evaluated properties and types of data, and comprehensively evaluate 11 current LLMs, covering both open-weight and proprietary models, for their ability to replicate the annotations. Our evaluations show substantial variance across models and datasets. Models are reliable evaluators on some tasks, but overall display substantial variability depending on the property being evaluated, the expertise level of the human judges, and whether the language is human or model-generated. We conclude that LLMs should be carefully validated against human judgments before being used as evaluators.

Alberto Testoni, Raffaella Bernardi

Generating goal-oriented questions in Visual Dialogue tasks is a challenging and long-standing problem. State-Of-The-Art systems are shown to generate questions that, although grammatically correct, often lack an effective strategy and sound unnatural to humans. Inspired by the cognitive literature on information search and cross-situational word learning, we design Confirm-it, a model based on a beam search re-ranking algorithm that guides an effective goal-oriented strategy by asking questions that confirm the model's conjecture about the referent. We take the GuessWhat?! game as a case-study. We show that dialogues generated by Confirm-it are more natural and effective than beam search decoding without re-ranking.

Alberto Testoni, Raffaella Bernardi

When training a model on referential dialogue guessing games, the best model is usually chosen based on its task success. We show that in the popular end-to-end approach, this choice prevents the model from learning to generate linguistically richer dialogues, since the acquisition of language proficiency takes longer than learning the guessing task. By comparing models playing different games (GuessWhat, GuessWhich, and Mutual Friends), we show that this discrepancy is model- and task-agnostic. We investigate whether and when better language quality could lead to higher task success. We show that in GuessWhat, models could increase their accuracy if they learn to ground, encode, and decode also words that do not occur frequently in the training set.

Alberto Testoni, Raffaella Bernardi

Despite important progress, conversational systems often generate dialogues that sound unnatural to humans. We conjecture that the reason lies in their different training and testing conditions: agents are trained in a controlled "lab" setting but tested in the "wild". During training, they learn to generate an utterance given the human dialogue history. On the other hand, during testing, they must interact with each other, and hence deal with noisy data. We propose to fill this gap by training the model with mixed batches containing both samples of human and machine-generated dialogues. We assess the validity of the proposed method on GuessWhat?!, a visual referential game.

Hoa Trong Vu, Claudio Greco, Aliia Erofeeva et al.

Capturing semantic relations between sentences, such as entailment, is a long-standing challenge for computational semantics. Logic-based models analyse entailment in terms of possible worlds (interpretations, or situations) where a premise P entails a hypothesis H iff in all worlds where P is true, H is also true. Statistical models view this relationship probabilistically, addressing it in terms of whether a human would likely infer H from P. In this paper, we wish to bridge these two perspectives, by arguing for a visually-grounded version of the Textual Entailment task. Specifically, we ask whether models can perform better if, in addition to P and H, there is also an image (corresponding to the relevant "world" or "situation"). We use a multimodal version of the SNLI dataset (Bowman et al., 2015) and we compare "blind" and visually-augmented models of textual entailment. We show that visual information is beneficial, but we also conduct an in-depth error analysis that reveals that current multimodal models are not performing "grounding" in an optimal fashion.