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Large Language Models (LLMs) are expected to provide helpful and harmless responses, yet they often exhibit sycophancy--conforming to user beliefs regardless of factual accuracy or ethical soundness. Prior research on sycophancy has…

Computation and Language · Computer Science 2026-03-02 Jiseung Hong , Grace Byun , Seungone Kim , Kai Shu , Jinho D. Choi

Visual language models (VLMs) have the potential to transform medical workflows. However, the deployment is limited by sycophancy. Despite this serious threat to patient safety, a systematic benchmark remains lacking. This paper addresses…

Computer Vision and Pattern Recognition · Computer Science 2026-05-29 Juangui Xu , Zikun Guo , Jingwei Lv , Hongbin Lin , Shu Yang , Jun Wen , Di Wang , Lijie Hu

In the study of LLMs, sycophancy represents a prevalent hallucination that poses significant challenges to these models. Specifically, LLMs often fail to adhere to original correct responses, instead blindly agreeing with users' opinions,…

Computer Vision and Pattern Recognition · Computer Science 2024-10-16 Shuo Li , Tao Ji , Xiaoran Fan , Linsheng Lu , Leyi Yang , Yuming Yang , Zhiheng Xi , Rui Zheng , Yuran Wang , Xiaohui Zhao , Tao Gui , Qi Zhang , Xuanjing Huang

Sycophancy, an excessive tendency of AI models to agree with user input at the expense of factual accuracy or in contradiction of visual evidence, poses a critical and underexplored challenge for multimodal large language models (MLLMs).…

Artificial Intelligence · Computer Science 2025-12-23 A. B. M. Ashikur Rahman , Saeed Anwar , Muhammad Usman , Irfan Ahmad , Ajmal Mian

Large language models (LLMs) show promise in clinical decision support yet risk acquiescing to patient pressure for inappropriate care. We introduce SycoEval-EM, a multi-agent simulation framework evaluating LLM robustness through…

Artificial Intelligence · Computer Science 2026-03-05 Dongshen Peng , Yi Wang , Austin Schoeffler , Carl Preiksaitis , Christian Rose

With the proliferation of Large Language Models (LLMs) in diverse domains, there is a particular need for unified evaluation standards in clinical medical scenarios, where models need to be examined very thoroughly. We present CliMedBench,…

Computation and Language · Computer Science 2024-10-07 Zetian Ouyang , Yishuai Qiu , Linlin Wang , Gerard de Melo , Ya Zhang , Yanfeng Wang , Liang He

Clinical reasoning in medicine is a hypothesis-driven process where physicians refine diagnoses from limited information through targeted history, physical examination, and diagnostic investigations. In contrast, current medical benchmarks…

Machine Learning · Computer Science 2025-10-14 Christopher Chiu , Silviu Pitis , Mihaela van der Schaar

Endoscopic procedures are essential for diagnosing and treating internal diseases, and multi-modal large language models (MLLMs) are increasingly applied to assist in endoscopy analysis. However, current benchmarks are limited, as they…

Computer Vision and Pattern Recognition · Computer Science 2025-09-25 Shengyuan Liu , Boyun Zheng , Wenting Chen , Zhihao Peng , Zhenfei Yin , Jing Shao , Jiancong Hu , Yixuan Yuan

Large language models are increasingly deployed to simulate patients for clinical training, research, and mental health tools, yet population-level validity remains largely untested. We introduce PsychBench, the first epidemiological audit…

Computers and Society · Computer Science 2026-04-21 Patrick Keough

Large Vision-Language Models (LVLMs) have shown significant capability in vision-language understanding. However, one critical issue that persists in these models is sycophancy, where models are unduly influenced by leading or deceptive…

Artificial Intelligence · Computer Science 2025-10-24 Yunpu Zhao , Rui Zhang , Junbin Xiao , Changxin Ke , Ruibo Hou , Yifan Hao , Ling Li

Vision-language models (VLMs) are increasingly deployed as evaluators in tasks requiring nuanced image understanding, yet their reliability in scoring alignment between images and text descriptions remains underexplored. We investigate…

Computer Vision and Pattern Recognition · Computer Science 2026-04-28 Arya Shah , Deepali Mishra , Chaklam Silpasuwanchai

As video large language models (Video-LLMs) become increasingly integrated into real-world applications that demand grounded multimodal reasoning, ensuring their factual consistency and reliability is of critical importance. However,…

Computation and Language · Computer Science 2026-05-01 Wenrui Zhou , Mohamed Hendy , Shu Yang , Qingsong Yang , Zikun Guo , Yuyu Luo , Lijie Hu , Di Wang

Large language models (LLMs) have demonstrated remarkable capabilities across a wide range of natural language processing tasks. However, their tendency to exhibit sycophantic behavior - excessively agreeing with or flattering users - poses…

Computation and Language · Computer Science 2025-01-30 Lars Malmqvist

Large Language Model (LLM) sycophancy is a growing concern. The current literature has largely examined sycophancy in contexts with clear right and wrong answers, like coding. However, AI is increasingly being used for emotional support and…

Human-Computer Interaction · Computer Science 2026-03-17 Jean Rehani , Victoria Oldemburgo de Mello , Dariya Ovsyannikova , Ashton Anderson , Michael Inzlicht

Medical question answering (QA) benchmarks often focus on multiple-choice or fact-based tasks, leaving open-ended answers to real patient questions underexplored. This gap is particularly critical in mental health, where patient questions…

Computation and Language · Computer Science 2026-05-15 Yahan Li , Jifan Yao , John Bosco S. Bunyi , Adam C. Frank , Angel Hsing-Chi Hwang , Ruishan Liu

The advent of Large Language Models (LLMs) offers potential solutions to address problems such as shortage of medical resources and low diagnostic consistency in psychiatric clinical practice. Despite this potential, a robust and…

Computation and Language · Computer Science 2025-06-19 Shuyu Liu , Ruoxi Wang , Ling Zhang , Xuequan Zhu , Rui Yang , Xinzhu Zhou , Fei Wu , Zhi Yang , Cheng Jin , Gang Wang

Large language models (LLMs) are increasingly applied in educational, clinical, and professional settings, but their tendency for sycophancy -- prioritizing user agreement over independent reasoning -- poses risks to reliability. This study…

Artificial Intelligence · Computer Science 2025-09-22 Aaron Fanous , Jacob Goldberg , Ank A. Agarwal , Joanna Lin , Anson Zhou , Roxana Daneshjou , Sanmi Koyejo

Medical Vision-Language Models (Med-VLMs) have achieved expert-level proficiency in interpreting diagnostic imaging. However, current models are predominantly trained on professional literature, limiting their ability to communicate…

Computation and Language · Computer Science 2026-04-08 Han Jang , Junhyeok Lee , Heeseong Eum , Kyu Sung Choi

Large language models are increasingly used for medical guidance, but women's health remains under-evaluated in benchmark design. We present the Women's Health Benchmark (WHBench), a targeted evaluation suite of 47 expert-crafted scenarios…

Computation and Language · Computer Science 2026-04-02 Sneha Maurya , Pragya Saboo , Girish Kumar

When VLMs answer correctly, do they genuinely rely on visual information? We introduce a Tri-Layer Diagnostic Framework with three per-sample metrics: Latent Anomaly Detection, Visual Necessity Score, and Competition Score, which…

Computer Vision and Pattern Recognition · Computer Science 2026-05-27 Rui Hong , Shuxue Quan
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