Nicoleta-Nina Basoc

Nicoleta-Nina Basoc, Adrian Cosma, Emilian Radoi

Vision-language models (VLMs) achieve strong benchmark results, yet can exhibit systematic perceptual weaknesses: structured, large changes to pixel values can cause confident yet nonsensical predictions, even when the underlying scene remains easily recognizable to humans. We study this gap using Spatial Colour Mixing, a programmatic family of colour distortions that overlays structured patterns (in both RGB and Ostwald colour systems) onto natural images. We introduce a framework of eight spatial colour mixing variants and evaluate nine VLMs across three model families on four datasets. Across models and datasets, accuracy degrades sharply with increasing distortion, and scaling the language model does not reliably mitigate the failure. In a human study with 61 participants on an animal recognition dataset, humans substantially outperform VLMs under the same distortions. Finally, we show that a simple human-inspired preprocessing step recovers a meaningful portion of performance for several distortion types, motivating perception-aware preprocessing and tool-use as practical strategies for improving VLM robustness.

Adrian Cosma, Nicoleta-Nina Basoc, Andrei Niculae et al.

Text-based telemedicine increasingly relies on lightweight patient feedback, however, such feedback primarily reflects perceived communication quality rather than medical accuracy. We introduce an LM-guided counterfactual recommendation pipeline that discovers and refines interpretable communication features such as tone, personalization, actionability and completeness in addressing patient concerns, without interfering with the medical content. These features are used together with patient-doctor interaction metadata to estimate positive feedback. At inference time, the system searches over low-cost ordinal feature changes and recommends minimal communication changes predicted to increase the probability of positive feedback, while independent auditor models test whether these gains generalize beyond the selection model. Across interactions, recommendations yield a mean +6.41% gain in predicted positive feedback probability under independent auditors, and are non-negative for 93.31% of recommendations. These results suggest that small, interpretable communication changes can capture most predicted gains while preserving the doctor's control over medical reasoning and final wording.