88.3CLJun 4
What's in a Name? Morphological Shortcuts by LLMs in PharmacologyKaijie Mo, Thomas Yang, Chantal Shaib et al.
The morphological form of a word can often give cues to its meaning, but purely relying on these mappings can lead to overgeneralization in high-stakes domains. In the medical domain, for instance, LLMs can confidently reason about fictitious drugs from their affixes alone (e.g., wugcillin) and generate plausible-looking clinical content. We present a behavioral and mechanistic study of LLM "affix heuristics" in pharmacology. Using fictitious drug names built from real affixes, we show that affix signals alone elicit class-level pharmacological responses. We introduce a framework for identifying whether a model's drug semantics are driven mainly by the affix, the stem, or the drug name as a whole. Applied across 653 drugs, our framework reveals that models often induce drug meaning primarily through affix cues, yet rarely explicitly indicate this reliance, and sometimes incorrectly conflate properties among affix-sharing drugs. Activation patching across models further localizes this behavior to early-mid layers. These findings show that morphological shortcuts pose a subtle but measurable risk to safety.
86.4CLApr 19
Faithfulness vs. Safety: Evaluating LLM Behavior Under Counterfactual Medical EvidenceKaijie Mo, Siddhartha Venkatayogi, Chantal Shaib et al.
In high-stakes domains like medicine, it may be generally desirable for models to faithfully adhere to the context provided. But what happens if the context does not align with model priors or safety protocols? In this paper, we investigate how LLMs behave and reason when presented with counterfactual (or even adversarial) medical evidence. We first construct MedCounterFact, a counterfactual medical QA dataset that requires the models to answer clinical comparison questions (i.e., judge the efficacy of certain treatments, with evidence consisting of randomized controlled trials provided as context). In MedCounterFact, real-world medical interventions within the questions and evidence are systematically replaced with four types of counterfactual stimuli, ranging from unknown words to toxic substances. Our evaluation across multiple frontier LLMs on MedCounterFact reveals that in the presence of counterfactual evidence, existing models overwhelmingly accept such "evidence" at face value even when it is dangerous or implausible, and provide confident and uncaveated answers. While it may be prudent to draw a boundary between faithfulness and safety, our findings suggest that models arguably overemphasize the former.
CLOct 19, 2025
Does Visual Grounding Enhance the Understanding of Embodied Knowledge in Large Language Models?Zhihui Yang, Yupei Wang, Kaijie Mo et al.
Despite significant progress in multimodal language models (LMs), it remains unclear whether visual grounding enhances their understanding of embodied knowledge compared to text-only models. To address this question, we propose a novel embodied knowledge understanding benchmark based on the perceptual theory from psychology, encompassing visual, auditory, tactile, gustatory, olfactory external senses, and interoception. The benchmark assesses the models' perceptual abilities across different sensory modalities through vector comparison and question-answering tasks with over 1,700 questions. By comparing 30 state-of-the-art LMs, we surprisingly find that vision-language models (VLMs) do not outperform text-only models in either task. Moreover, the models perform significantly worse in the visual dimension compared to other sensory dimensions. Further analysis reveals that the vector representations are easily influenced by word form and frequency, and the models struggle to answer questions involving spatial perception and reasoning. Our findings underscore the need for more effective integration of embodied knowledge in LMs to enhance their understanding of the physical world.