China

The severe shortage of medical doctors limits access to timely and reliable healthcare, leaving millions underserved. Large language models (LLMs) offer a potential solution but struggle in real-world clinical interactions. Many LLMs are not grounded in authoritative medical guidelines and fail to transparently manage diagnostic uncertainty. Their language is often rigid and mechanical, lacking the human-like qualities essential for patient trust. To address these challenges, we propose ***Ask Patients with Patience (APP)***, a multi-turn LLM-based medical assistant designed for grounded reasoning, transparent diagnoses, and human-centric interaction. APP enhances communication by eliciting user symptoms through empathetic dialogue, significantly improving accessibility and user engagement. It also incorporates Bayesian active learning to support transparent and adaptive diagnoses. The framework is built on verified medical guidelines, ensuring clinically grounded and evidence-based reasoning. To evaluate its performance, we develop a new benchmark that simulates realistic medical conversations using patient agents driven by profiles extracted from real-world consultation cases. We compare APP against SOTA one-shot and multi-turn LLM baselines. The results show that APP improves diagnostic accuracy, reduces uncertainty, and enhances user experience. By integrating medical expertise with transparent, human-like interaction, APP bridges the gap between AI-driven medical assistance and real-world clinical practice.

EMNLP 2025

Ask Patients with Patience: Enabling LLMs for Human-Centric Medical Dialogue with Grounded Reasoning

poster

## Welcome!
"I am excited to welcome you to this year’s edition of the Conference on Empirical Methods in Natural Language Processing! Importantly, it marks the 30th edition of EMNLP. With over 8,000 submissions, more than 3,000 accepted papers, and thousands of attendees, we have come a long way from that first
workshop, which had 14 accepted papers. As the field looks ahead, Suzhou is the fitting location for celebrating this milestone: rooted in a long literary tradition, yet modern and forward-looking, and home to a large share of the NLP community."<br>

*Message from the General Chair, Dirk Hovy*

[**Link to Conference Handbook**](https://drive.google.com/file/d/1johU5QqVVYO4RfH7QcIORr7qrVBdzdwC/view?usp=sharing)





<br>

Celebrate 30 Years of EMNLP! 
EMNLP 2025 will be held in Suzhou, China from November 5th to November 9th, 2025.

Critique Fine-Tuning (CFT) has recently emerged as a promising paradigm for unlocking the reasoning capabilities of large language models (LLMs). In this work, we introduce one-shot CFT, a highly compute-efficient approach that leverages critique data generated from a single math problem. Remarkably, this method yields significant gains in reasoning accuracy, surpassing one-shot RLVR (Reinforcement Learning with Verifiable Reward) while requiring 15 to 20 times less compute. Given one math problem, we first prompt a set of diverse small models to produce candidate solutions, then use frontier models such as GPT-4.1 to generate high-quality critiques of these responses. We fine-tune Qwen and Llama family models ranging from 1.5B to 14B parameters with CFT. With just 5 GPU hours, our models achieve up to a 16 percent absolute improvement in average accuracy across six mathematical reasoning benchmarks (for example, Qwen2.5-Math-7B improves from 26 percent to 42 percent). Furthermore, ablation studies reveal the robustness of one-shot CFT across different prompt problems. Our findings suggest an extremely compute-efficient approach to unleash the reasoning potential of LLMs.

Unleashing the Reasoning Potential of LLMs by Critique Fine-Tuning on One Problem

Recent decoding methods improve the factuality of large language models~(LLMs) by refining how the next token is selected during generation. These methods typically operate at the token level, leveraging internal representations to suppress superficial patterns. Nevertheless, LLMs remain prone to hallucinations, especially over longer contexts. In this paper, we propose Active Layer-Contrastive Decoding (ActLCD), a novel decoding strategy that actively decides when to apply contrasting layers during generation. By casting decoding as a sequential decision-making problem, ActLCD employs a reinforcement learning policy guided by a reward-aware classifier to optimize factuality beyond the token level. Our experiments demonstrate that ActLCD surpasses state-of-the-art methods across five benchmarks, showcasing its effectiveness in mitigating hallucinations in diverse generation scenarios.

Active Layer-Contrastive Decoding Reduces Hallucination in Large Language Model Generation

Large Language Models (LLMs) perform well on reasoning benchmarks but often fail when inputs alter slightly, raising concerns about the extent to which their success relies on memorization. This issue is especially acute in Chain-of-Thought (CoT) reasoning, where spurious memorized patterns can trigger intermediate errors that cascade into incorrect final answers. We introduce STIM, a novel framework for Source-aware Token-level Identification of Memorization, which attributes each token in a reasoning chain to one of multiple memorization sources – local, mid-range, or long-range – based on their statistical co-occurrence with the token in the pretraining corpus. Our token-level analysis across tasks and distributional settings reveals that models rely more on memorization in complex or long-tail cases, and that local memorization is often the dominant driver of errors, leading to up to 67% of wrong tokens. We also show that memorization scores from STIM can be effective in predicting the wrong tokens in the wrong reasoning step. STIM offers a powerful tool for diagnosing and improving model reasoning and can generalize to other structured step-wise generation tasks.

Diagnosing Memorization in Chain-of-Thought Reasoning, One Token at a Time

Existing text-to-audio (TTA) generation methods have neither systematically explored audio event relation modeling, nor proposed any new framework to enhance this capability. In this work, we systematically study audio event relation modeling in TTA generation models. We first establish a benchmark for this task by: (1) proposing a comprehensive relation corpus covering all potential relations in real-world scenarios; (2) introducing a new audio event corpus encompassing commonly heard audios; and (3) proposing new evaluation metrics to assess audio event relation modeling from various perspectives. Furthermore, we propose a gated prompt tuning strategy that significantly existing TTA models' performance in relation modeling by introducing negligible parameters.

RiTTA: Modeling Event Relations in Text-to-Audio Generation

CLIP is one of the most popular foundational models and is heavily used for many vision-language tasks. However, little is known about the inner workings of CLIP. While recent work has proposed decomposition-based interpretability methods for identifying textual descriptions of attention heads in CLIP, the implications of conceptual consistency in these text labels on interpretability and model performance has not been explored. To bridge this gap, we study the conceptual consistency of text descriptions for attention heads in CLIP-like models. We conduct extensive experiments on six different models from OpenAI and OpenCLIP which vary by size, type of pre-training data and patch size. We propose Concept Consistency Score (CCS), a novel interpretability metric that measures how consistently individual attention heads in CLIP models align with specific concepts. To assign concept labels to heads, we use in-context learning with ChatGPT, guided by a few manually-curated examples, and validate these labels using an LLM-as-a-judge approach. Our soft-pruning experiments reveal that high CCS heads are critical for preserving model performance, as pruning them leads to a significantly larger performance drop than pruning random or low CCS heads. Notably, we find that high CCS heads capture essential concepts and play a key role in out-of-domain detection, concept-specific reasoning, and video-language understanding. Moreover, we prove that high CCS heads learn spurious correlations amplifying social biases. These results position CCS as a powerful interpretability metric exposing the paradox of performance and social biases in CLIP models.

Pruning the Paradox: How CLIP’s Most Informative Heads Enhance Performance While Amplifying Bias

Guesstimation—the task of making approximate quantitative estimates about objects or events—is a common real-world skill, yet remains underexplored in large language model (LLM) research. We introduce three guesstimation datasets: MARBLES, FUTURE, and ELECPRED, spanning physical estimation (e.g., how many marbles fit in a cup) to abstract predictions (e.g., the 2024 U.S. presidential election). Inspired by the social science concept of Wisdom of Crowds (WOC)—where the median of multiple estimates improves accuracy—we propose WOC decoding for LLMs. We replicate WOC effects in human participants and find that LLMs exhibit similar benefits: median aggregation across sampled responses consistently improves accuracy over greedy and self-consistency decoding. This suggests that LLMs encode a world model that supports approximate reasoning. Our results position guesstimation as a useful probe of LLM world knowledge and highlight WOC decoding as a strategy for enhancing LLM guesstimation performance on real-world tasks.

Probing LLM World Models: Enhancing Guesstimation with Wisdom of Crowds Decoding

Large language model (LLM) agents have demonstrated remarkable potential in advancing scientific discovery. However, their capability in the fundamental yet crucial task of reproducing code from research papers, especially in the NLP domain, remains underexplored. This task includes unique complex reasoning challenges in the intellectual synthesis of abstract concepts and the comprehension of code repositories with interdependent files. Motivated by this gap, we present LMR-Bench, a comprehensive benchmark designed to systematically evaluate the capability of LLM agents on code reproduction from NLP research papers. It consists of 28 code reproduction tasks derived from 23 research papers published in top-tier NLP venues over the past five years, spanning nine fundamental categories. Models are provided with a research paper, a code repository containing one or more masked methods, and instructions for implementing these methods. We conduct extensive experiments in standalone and agent-based settings on state-of-the-art LLMs, evaluating the accuracy of unit tests and performing both LLM and human evaluation of code correctness. Experimental results reveal that even the most advanced models still exhibit persistent limitations in scientific reasoning and code synthesis, highlighting critical gaps in LLMs’ ability to autonomously reproduce scientific research. We will release our benchmark and code after publication.

LMR-BENCH: Evaluating LLM Agent's Ability on Reproducing Language Modeling Research

As LLMs are increasingly applied in socially impactful settings, concerns about gender bias have prompted growing efforts both to measure and mitigate such bias. These efforts often rely on evaluation tasks that differ from natural language distributions, as they typically involve carefully constructed task prompts that overtly or covertly signal the presence of bias-related content. In this paper, we examine how signaling the evaluative purpose of a task impacts measured gender bias in LLMs. Concretely, we test models under prompt conditions that (1) make the testing context salient, and (2) make gender-focused content salient. We then assess prompt sensitivity across four task formats with both token-probability and discrete-choice metrics. We find that even minor prompt changes can substantially alter bias outcomes, sometimes reversing their direction entirely. Discrete-choice metrics further tend to amplify bias relative to probabilistic measures. These findings do not only highlight the brittleness of LLM bias evaluations but open a new puzzle for the NLP benchmarking and development community: To what extent can well-controlled testing designs trigger testing-environment performance, and how do we construct fine-tuning data that minimizes this inference behavior towards more robust bias assessment protocols.

Measuring Bias or Measuring the Task: Understanding the Brittle Nature of LLM Gender Biases

Process-supervised reward models serve as a fine-grained function that provides detailed step-wise feedback to model responses, facilitating effective selection of reasoning trajectories for complex tasks. Despite its advantages, evaluation on PRMs remains less explored, especially in the multimodal domain. To address this gap, this paper first benchmarks current vision large language models (VLLMs) as two types of reward models: output reward models (ORMs) and process reward models (PRMs) on multiple vision-language benchmarks, which reveal that neither ORM nor PRM consistently outperforms across all tasks, and superior VLLMs do not necessarily yield better rewarding performance. To further advance evaluation, we introduce \textsc{ViLBench}, a vision-language benchmark designed to require intensive process reward signals. Notably, OpenAI's GPT-4o with Chain-of-Thought (CoT) achieves only 27.3% accuracy, indicating the benchmark's challenge for current VLLMs. Lastly, we preliminarily showcase a promising pathway towards bridging the gap between general VLLMs and reward models --- by collecting 73.6K vision-language process reward data using an enhanced tree-search algorithm, our 3B model is able to achieve an average improvement of 3.3% over standard CoT and up to 2.5% compared to its untrained counterpart on \textsc{ViLBench} by selecting OpenAI o1’s generations.

ViLBench: A Suite for Vision-Language Process Reward Modeling

Faithful generation in large language models (LLMs) is challenged by knowledge conflicts between parametric memory and external context. Existing contrastive decoding methods tuned specifically to handle conflict often lack adaptability and can degrade performance in low conflict settings. We introduce CoCoA (Confidence- and Context-Aware Adaptive Decoding), a novel token-level algorithm for principled conflict resolution and enhanced faithfulness. CoCoA resolves conflict by utilizing confidence-aware measures (entropy gap and contextual peakedness) and the generalized divergence between the parametric and contextual distributions. Crucially, CoCoA maintains strong performance even in low conflict settings. Extensive experiments across multiple LLMs on diverse Question Answering (QA), Summarization, and Long-Form Question Answering (LFQA) benchmarks demonstrate CoCoA's state-of-the-art performance over strong baselines like AdaCAD. It yields significant gains in QA accuracy, up to 9.2 points on average compared to the strong baseline AdaCAD, and improves factuality in summarization and LFQA by up to 2.5 points on average across key benchmarks. Additionally, it demonstrates superior sensitivity to conflict variations. CoCoA enables more informed, context-aware, and ultimately more faithful token generation.

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Unleashing the Reasoning Potential of LLMs by Critique Fine-Tuning on One Problem

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