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Feb 25

VideoHallucer: Evaluating Intrinsic and Extrinsic Hallucinations in Large Video-Language Models

Recent advancements in Multimodal Large Language Models (MLLMs) have extended their capabilities to video understanding. Yet, these models are often plagued by "hallucinations", where irrelevant or nonsensical content is generated, deviating from the actual video context. This work introduces VideoHallucer, the first comprehensive benchmark for hallucination detection in large video-language models (LVLMs). VideoHallucer categorizes hallucinations into two main types: intrinsic and extrinsic, offering further subcategories for detailed analysis, including object-relation, temporal, semantic detail, extrinsic factual, and extrinsic non-factual hallucinations. We adopt an adversarial binary VideoQA method for comprehensive evaluation, where pairs of basic and hallucinated questions are crafted strategically. By evaluating eleven LVLMs on VideoHallucer, we reveal that i) the majority of current models exhibit significant issues with hallucinations; ii) while scaling datasets and parameters improves models' ability to detect basic visual cues and counterfactuals, it provides limited benefit for detecting extrinsic factual hallucinations; iii) existing models are more adept at detecting facts than identifying hallucinations. As a byproduct, these analyses further instruct the development of our self-PEP framework, achieving an average of 5.38% improvement in hallucination resistance across all model architectures.

  • 5 authors
·
Jun 24, 2024 2

HalluLens: LLM Hallucination Benchmark

Large language models (LLMs) often generate responses that deviate from user input or training data, a phenomenon known as "hallucination." These hallucinations undermine user trust and hinder the adoption of generative AI systems. Addressing hallucinations is essential for the advancement of LLMs. This paper introduces a comprehensive hallucination benchmark, incorporating both new extrinsic and existing intrinsic evaluation tasks, built upon clear taxonomy of hallucination. A major challenge in benchmarking hallucinations is the lack of a unified framework due to inconsistent definitions and categorizations. We disentangle LLM hallucination from "factuality," proposing a clear taxonomy that distinguishes between extrinsic and intrinsic hallucinations, to promote consistency and facilitate research. Extrinsic hallucinations, where the generated content is not consistent with the training data, are increasingly important as LLMs evolve. Our benchmark includes dynamic test set generation to mitigate data leakage and ensure robustness against such leakage. We also analyze existing benchmarks, highlighting their limitations and saturation. The work aims to: (1) establish a clear taxonomy of hallucinations, (2) introduce new extrinsic hallucination tasks, with data that can be dynamically regenerated to prevent saturation by leakage, (3) provide a comprehensive analysis of existing benchmarks, distinguishing them from factuality evaluations.

  • 8 authors
·
Apr 24, 2025

A Multitask, Multilingual, Multimodal Evaluation of ChatGPT on Reasoning, Hallucination, and Interactivity

This paper proposes a framework for quantitatively evaluating interactive LLMs such as ChatGPT using publicly available data sets. We carry out an extensive technical evaluation of ChatGPT using 23 data sets covering 8 different common NLP application tasks. We evaluate the multitask, multilingual and multi-modal aspects of ChatGPT based on these data sets and a newly designed multimodal dataset. We find that ChatGPT outperforms LLMs with zero-shot learning on most tasks and even outperforms fine-tuned models on some tasks. We find that it is better at understanding non-Latin script languages than generating them. It is able to generate multimodal content from textual prompts, via an intermediate code generation step. Moreover, we find that ChatGPT is 63.41% accurate on average in 10 different reasoning categories under logical reasoning, non-textual reasoning, and commonsense reasoning, hence making it an unreliable reasoner. It is, for example, better at deductive than inductive reasoning. ChatGPT suffers from hallucination problems like other LLMs and it generates more extrinsic hallucinations from its parametric memory as it does not have access to an external knowledge base. Finally, the interactive feature of ChatGPT enables human collaboration with the underlying LLM to improve its performance, i.e, 8% ROUGE-1 on summarization and 2% ChrF++ on machine translation, in a multi-turn "prompt engineering" fashion. We also release codebase for evaluation set extraction.

  • 13 authors
·
Feb 8, 2023

GRAD: Graph-Retrieved Adaptive Decoding for Hallucination Mitigation

Hallucination mitigation remains a persistent challenge for large language models (LLMs), even as model scales grow. Existing approaches often rely on external knowledge sources, such as structured databases or knowledge graphs, accessed through prompting or retrieval. However, prompt-based grounding is fragile and domain-sensitive, while symbolic knowledge integration incurs heavy retrieval and formatting costs. Motivated by knowledge graphs, we introduce Graph-Retrieved Adaptive Decoding (GRAD), a decoding-time method that grounds generation in corpus-derived evidence without retraining. GRAD constructs a sparse token transition graph by accumulating next-token logits across a small retrieved corpus in a single forward pass. During decoding, graph-retrieved logits are max-normalized and adaptively fused with model logits to favor high-evidence continuations while preserving fluency. Across three models and a range of question-answering benchmarks spanning intrinsic, extrinsic hallucination, and factuality tasks, GRAD consistently surpasses baselines, achieving up to 9.7% higher intrinsic accuracy, 8.6% lower hallucination rates, and 6.9% greater correctness compared to greedy decoding, while attaining the highest truth--informativeness product score among all methods. GRAD offers a lightweight, plug-and-play alternative to contrastive decoding and knowledge graph augmentation, demonstrating that statistical evidence from corpus-level token transitions can effectively steer generation toward more truthful and verifiable outputs.

  • 4 authors
·
Nov 5, 2025

The Troubling Emergence of Hallucination in Large Language Models -- An Extensive Definition, Quantification, and Prescriptive Remediations

The recent advancements in Large Language Models (LLMs) have garnered widespread acclaim for their remarkable emerging capabilities. However, the issue of hallucination has parallelly emerged as a by-product, posing significant concerns. While some recent endeavors have been made to identify and mitigate different types of hallucination, there has been a limited emphasis on the nuanced categorization of hallucination and associated mitigation methods. To address this gap, we offer a fine-grained discourse on profiling hallucination based on its degree, orientation, and category, along with offering strategies for alleviation. As such, we define two overarching orientations of hallucination: (i) factual mirage (FM) and (ii) silver lining (SL). To provide a more comprehensive understanding, both orientations are further sub-categorized into intrinsic and extrinsic, with three degrees of severity - (i) mild, (ii) moderate, and (iii) alarming. We also meticulously categorize hallucination into six types: (i) acronym ambiguity, (ii) numeric nuisance, (iii) generated golem, (iv) virtual voice, (v) geographic erratum, and (vi) time wrap. Furthermore, we curate HallucInation eLiciTation (HILT), a publicly available dataset comprising of 75,000 samples generated using 15 contemporary LLMs along with human annotations for the aforementioned categories. Finally, to establish a method for quantifying and to offer a comparative spectrum that allows us to evaluate and rank LLMs based on their vulnerability to producing hallucinations, we propose Hallucination Vulnerability Index (HVI). We firmly believe that HVI holds significant value as a tool for the wider NLP community, with the potential to serve as a rubric in AI-related policy-making. In conclusion, we propose two solution strategies for mitigating hallucinations.

  • 8 authors
·
Oct 7, 2023

Hallucination of Multimodal Large Language Models: A Survey

This survey presents a comprehensive analysis of the phenomenon of hallucination in multimodal large language models (MLLMs), also known as Large Vision-Language Models (LVLMs), which have demonstrated significant advancements and remarkable abilities in multimodal tasks. Despite these promising developments, MLLMs often generate outputs that are inconsistent with the visual content, a challenge known as hallucination, which poses substantial obstacles to their practical deployment and raises concerns regarding their reliability in real-world applications. This problem has attracted increasing attention, prompting efforts to detect and mitigate such inaccuracies. We review recent advances in identifying, evaluating, and mitigating these hallucinations, offering a detailed overview of the underlying causes, evaluation benchmarks, metrics, and strategies developed to address this issue. Additionally, we analyze the current challenges and limitations, formulating open questions that delineate potential pathways for future research. By drawing the granular classification and landscapes of hallucination causes, evaluation benchmarks, and mitigation methods, this survey aims to deepen the understanding of hallucinations in MLLMs and inspire further advancements in the field. Through our thorough and in-depth review, we contribute to the ongoing dialogue on enhancing the robustness and reliability of MLLMs, providing valuable insights and resources for researchers and practitioners alike. Resources are available at: https://github.com/showlab/Awesome-MLLM-Hallucination.

  • 7 authors
·
Apr 29, 2024

Large Language Models Hallucination: A Comprehensive Survey

Large language models (LLMs) have transformed natural language processing, achieving remarkable performance across diverse tasks. However, their impressive fluency often comes at the cost of producing false or fabricated information, a phenomenon known as hallucination. Hallucination refers to the generation of content by an LLM that is fluent and syntactically correct but factually inaccurate or unsupported by external evidence. Hallucinations undermine the reliability and trustworthiness of LLMs, especially in domains requiring factual accuracy. This survey provides a comprehensive review of research on hallucination in LLMs, with a focus on causes, detection, and mitigation. We first present a taxonomy of hallucination types and analyze their root causes across the entire LLM development lifecycle, from data collection and architecture design to inference. We further examine how hallucinations emerge in key natural language generation tasks. Building on this foundation, we introduce a structured taxonomy of detection approaches and another taxonomy of mitigation strategies. We also analyze the strengths and limitations of current detection and mitigation approaches and review existing evaluation benchmarks and metrics used to quantify LLMs hallucinations. Finally, we outline key open challenges and promising directions for future research, providing a foundation for the development of more truthful and trustworthy LLMs.

  • 2 authors
·
Oct 5, 2025

Tone Matters: The Impact of Linguistic Tone on Hallucination in VLMs

Vision-Language Models (VLMs) are increasingly used in safety-critical applications that require reliable visual grounding. However, these models often hallucinate details that are not present in the image to satisfy user prompts. While recent datasets and benchmarks have been introduced to evaluate systematic hallucinations in VLMs, many hallucination behaviors remain insufficiently characterized. In particular, prior work primarily focuses on object presence or absence, leaving it unclear how prompt phrasing and structural constraints can systematically induce hallucinations. In this paper, we investigate how different forms of prompt pressure influence hallucination behavior. We introduce Ghost-100, a procedurally generated dataset of synthetic scenes in which key visual details are deliberately removed, enabling controlled analysis of absence-based hallucinations. Using a structured 5-Level Prompt Intensity Framework, we vary prompts from neutral queries to toxic demands and rigid formatting constraints. We evaluate three representative open-weight VLMs: MiniCPM-V 2.6-8B, Qwen2-VL-7B, and Qwen3-VL-8B. Across all three models, hallucination rates do not increase monotonically with prompt intensity. All models exhibit reductions at higher intensity levels at different thresholds, though not all show sustained reduction under maximum coercion. These results suggest that current safety alignment is more effective at detecting semantic hostility than structural coercion, revealing model-specific limitations in handling compliance pressure. Our dataset is available at: https://github.com/bli1/tone-matters

  • 7 authors
·
Jan 10

Mapping of Subjective Accounts into Interpreted Clusters (MOSAIC): Topic Modelling and LLM applied to Stroboscopic Phenomenology

Stroboscopic light stimulation (SLS) on closed eyes typically induces simple visual hallucinations (VHs), characterised by vivid, geometric and colourful patterns. A dataset of 862 sentences, extracted from 422 open subjective reports, was recently compiled as part of the Dreamachine programme (Collective Act, 2022), an immersive multisensory experience that combines SLS and spatial sound in a collective setting. Although open reports extend the range of reportable phenomenology, their analysis presents significant challenges, particularly in systematically identifying patterns. To address this challenge, we implemented a data-driven approach leveraging Large Language Models and Topic Modelling to uncover and interpret latent experiential topics directly from the Dreamachine's text-based reports. Our analysis confirmed the presence of simple VHs typically documented in scientific studies of SLS, while also revealing experiences of altered states of consciousness and complex hallucinations. Building on these findings, our computational approach expands the systematic study of subjective experience by enabling data-driven analyses of open-ended phenomenological reports, capturing experiences not readily identified through standard questionnaires. By revealing rich and multifaceted aspects of experiences, our study broadens our understanding of stroboscopically-induced phenomena while highlighting the potential of Natural Language Processing and Large Language Models in the emerging field of computational (neuro)phenomenology. More generally, this approach provides a practically applicable methodology for uncovering subtle hidden patterns of subjective experience across diverse research domains.

  • 7 authors
·
Feb 25, 2025

A Comprehensive Survey of Hallucination Mitigation Techniques in Large Language Models

As Large Language Models (LLMs) continue to advance in their ability to write human-like text, a key challenge remains around their tendency to hallucinate generating content that appears factual but is ungrounded. This issue of hallucination is arguably the biggest hindrance to safely deploying these powerful LLMs into real-world production systems that impact people's lives. The journey toward widespread adoption of LLMs in practical settings heavily relies on addressing and mitigating hallucinations. Unlike traditional AI systems focused on limited tasks, LLMs have been exposed to vast amounts of online text data during training. While this allows them to display impressive language fluency, it also means they are capable of extrapolating information from the biases in training data, misinterpreting ambiguous prompts, or modifying the information to align superficially with the input. This becomes hugely alarming when we rely on language generation capabilities for sensitive applications, such as summarizing medical records, financial analysis reports, etc. This paper presents a comprehensive survey of over 32 techniques developed to mitigate hallucination in LLMs. Notable among these are Retrieval Augmented Generation (Lewis et al, 2021), Knowledge Retrieval (Varshney et al,2023), CoNLI (Lei et al, 2023), and CoVe (Dhuliawala et al, 2023). Furthermore, we introduce a detailed taxonomy categorizing these methods based on various parameters, such as dataset utilization, common tasks, feedback mechanisms, and retriever types. This classification helps distinguish the diverse approaches specifically designed to tackle hallucination issues in LLMs. Additionally, we analyze the challenges and limitations inherent in these techniques, providing a solid foundation for future research in addressing hallucinations and related phenomena within the realm of LLMs.

  • 7 authors
·
Jan 2, 2024

Generate, but Verify: Reducing Hallucination in Vision-Language Models with Retrospective Resampling

Vision-Language Models (VLMs) excel at visual understanding but often suffer from visual hallucinations, where they generate descriptions of nonexistent objects, actions, or concepts, posing significant risks in safety-critical applications. Existing hallucination mitigation methods typically follow one of two paradigms: generation adjustment, which modifies decoding behavior to align text with visual inputs, and post-hoc verification, where external models assess and correct outputs. While effective, generation adjustment methods often rely on heuristics and lack correction mechanisms, while post-hoc verification is complicated, typically requiring multiple models and tending to reject outputs rather than refine them. In this work, we introduce REVERSE, a unified framework that integrates hallucination-aware training with on-the-fly self-verification. By leveraging a new hallucination-verification dataset containing over 1.3M semi-synthetic samples, along with a novel inference-time retrospective resampling technique, our approach enables VLMs to both detect hallucinations during generation and dynamically revise those hallucinations. Our evaluations show that REVERSE achieves state-of-the-art hallucination reduction, outperforming the best existing methods by up to 12% on CHAIR-MSCOCO and 28% on HaloQuest. Our dataset, model, and code are available at: https://reverse-vlm.github.io.

  • 6 authors
·
Apr 17, 2025 2

Exposing Hallucinations To Suppress Them: VLMs Representation Editing With Generative Anchors

Multimodal large language models (MLLMs) have achieved remarkable success across diverse vision-language tasks, yet they remain highly susceptible to hallucinations, producing content that is fluent but inconsistent with visual evidence. Such hallucinations, spanning objects, attributes, and relations, persist even in larger models, while existing mitigation approaches often require additional finetuning, handcrafted priors, or trade-offs that compromise informativeness and scalability. To address this limitation, we propose a training-free, self-supervised method for hallucination mitigation. Our approach introduces a novel hallucination amplification mechanism: a caption is projected into the visual space via a text-to-image model to reveal implicit hallucination signals, serving as a negative anchor, while the original image provides a positive anchor. Leveraging these dual anchors, we edit decoder hidden states by pulling representations toward faithful semantics and pushing them away from hallucination directions. This correction requires no human priors or additional training costs, ensuring both effectiveness and efficiency. Extensive experiments across multiple benchmarks show that our method significantly reduces hallucinations at the object, attribute, and relation levels while largely preserving recall and caption richness, e.g., achieving a hallucination reduction by over 5% using LLaVA-v1.5-7B on CHAIR. Furthermore, results on diverse architectures, including LLaVA-NEXT-7B, Cambrian-8B, and InstructBLIP-7B, validate strong cross-architecture generalization. More importantly, when applied to hallucination-free captions, our method introduces almost no side effects, underscoring its robustness and practical plug-and-play applicability. The implementation will be publicly available.

  • 3 authors
·
Sep 26, 2025

Heaven-Sent or Hell-Bent? Benchmarking the Intelligence and Defectiveness of LLM Hallucinations

Hallucinations in large language models (LLMs) are commonly regarded as errors to be minimized. However, recent perspectives suggest that some hallucinations may encode creative or epistemically valuable content, a dimension that remains underquantified in current literature. Existing hallucination detection methods primarily focus on factual consistency, struggling to handle heterogeneous scientific tasks and balance creativity with accuracy. To address these challenges, we propose HIC-Bench, a novel evaluation framework that categorizes hallucinations into Intelligent Hallucinations (IH) and Defective Hallucinations (DH), enabling systematic investigation of their interplay in LLM creativity. HIC-Bench features three core characteristics: (1) Structured IH/DH Assessment. using a multi-dimensional metric matrix integrating Torrance Tests of Creative Thinking (TTCT) metrics (Originality, Feasibility, Value) with hallucination-specific dimensions (scientific plausibility, factual deviation); (2) Cross-Domain Applicability. spanning ten scientific domains with open-ended innovation tasks; and (3) Dynamic Prompt Optimization. leveraging the Dynamic Hallucination Prompt (DHP) to guide models toward creative and reliable outputs. The evaluation process employs multiple LLM judges, averaging scores to mitigate bias, with human annotators verifying IH/DH classifications. Experimental results reveal a nonlinear relationship between IH and DH, demonstrating that creativity and correctness can be jointly optimized. These insights position IH as a catalyst for creativity and reveal the ability of LLM hallucinations to drive scientific innovation.Additionally, the HIC-Bench offers a valuable platform for advancing research into the creative intelligence of LLM hallucinations.

  • 5 authors
·
Dec 25, 2025

Zero-Resource Hallucination Prevention for Large Language Models

The prevalent use of large language models (LLMs) in various domains has drawn attention to the issue of "hallucination," which refers to instances where LLMs generate factually inaccurate or ungrounded information. Existing techniques for hallucination detection in language assistants rely on intricate fuzzy, specific free-language-based chain of thought (CoT) techniques or parameter-based methods that suffer from interpretability issues. Additionally, the methods that identify hallucinations post-generation could not prevent their occurrence and suffer from inconsistent performance due to the influence of the instruction format and model style. In this paper, we introduce a novel pre-detection self-evaluation technique, referred to as SELF-FAMILIARITY, which focuses on evaluating the model's familiarity with the concepts present in the input instruction and withholding the generation of response in case of unfamiliar concepts. This approach emulates the human ability to refrain from responding to unfamiliar topics, thus reducing hallucinations. We validate SELF-FAMILIARITY across four different large language models, demonstrating consistently superior performance compared to existing techniques. Our findings propose a significant shift towards preemptive strategies for hallucination mitigation in LLM assistants, promising improvements in reliability, applicability, and interpretability.

  • 3 authors
·
Sep 5, 2023

HalluciDoctor: Mitigating Hallucinatory Toxicity in Visual Instruction Data

Multi-modal Large Language Models (MLLMs) tuned on machine-generated instruction-following data have demonstrated remarkable performance in various multi-modal understanding and generation tasks. However, the hallucinations inherent in machine-generated data, which could lead to hallucinatory outputs in MLLMs, remain under-explored. This work aims to investigate various hallucinations (i.e., object, relation, attribute hallucinations) and mitigate those hallucinatory toxicities in large-scale machine-generated visual instruction datasets. Drawing on the human ability to identify factual errors, we present a novel hallucination detection and elimination framework, HalluciDoctor, based on the cross-checking paradigm. We use our framework to identify and eliminate hallucinations in the training data automatically. Interestingly, HalluciDoctor also indicates that spurious correlations arising from long-tail object co-occurrences contribute to hallucinations. Based on that, we execute counterfactual visual instruction expansion to balance data distribution, thereby enhancing MLLMs' resistance to hallucinations. Comprehensive experiments on hallucination evaluation benchmarks show that our method successfully mitigates 44.6% hallucinations relatively and maintains competitive performance compared to LLaVA.The source code will be released at https://github.com/Yuqifan1117/HalluciDoctor.

  • 9 authors
·
Nov 21, 2023

Understanding Hallucinations in Diffusion Models through Mode Interpolation

Colloquially speaking, image generation models based upon diffusion processes are frequently said to exhibit "hallucinations," samples that could never occur in the training data. But where do such hallucinations come from? In this paper, we study a particular failure mode in diffusion models, which we term mode interpolation. Specifically, we find that diffusion models smoothly "interpolate" between nearby data modes in the training set, to generate samples that are completely outside the support of the original training distribution; this phenomenon leads diffusion models to generate artifacts that never existed in real data (i.e., hallucinations). We systematically study the reasons for, and the manifestation of this phenomenon. Through experiments on 1D and 2D Gaussians, we show how a discontinuous loss landscape in the diffusion model's decoder leads to a region where any smooth approximation will cause such hallucinations. Through experiments on artificial datasets with various shapes, we show how hallucination leads to the generation of combinations of shapes that never existed. Finally, we show that diffusion models in fact know when they go out of support and hallucinate. This is captured by the high variance in the trajectory of the generated sample towards the final few backward sampling process. Using a simple metric to capture this variance, we can remove over 95% of hallucinations at generation time while retaining 96% of in-support samples. We conclude our exploration by showing the implications of such hallucination (and its removal) on the collapse (and stabilization) of recursive training on synthetic data with experiments on MNIST and 2D Gaussians dataset. We release our code at https://github.com/locuslab/diffusion-model-hallucination.

  • 4 authors
·
Jun 13, 2024 1

Hallucination Score: Towards Mitigating Hallucinations in Generative Image Super-Resolution

Generative super-resolution (GSR) currently sets the state-of-the-art in terms of perceptual image quality, overcoming the "regression-to-the-mean" blur of prior non-generative models. However, from a human perspective, such models do not fully conform to the optimal balance between quality and fidelity. Instead, a different class of artifacts, in which generated details fail to perceptually match the low resolution image (LRI) or ground-truth image (GTI), is a critical but under studied issue in GSR, limiting its practical deployments. In this work, we focus on measuring, analyzing, and mitigating these artifacts (i.e., "hallucinations"). We observe that hallucinations are not well-characterized with existing image metrics or quality models, as they are orthogonal to both exact fidelity and no-reference quality. Instead, we take advantage of a multimodal large language model (MLLM) by constructing a prompt that assesses hallucinatory visual elements and generates a "Hallucination Score" (HS). We find that our HS is closely aligned with human evaluations, and also provides complementary insights to prior image metrics used for super-resolution (SR) models. In addition, we find certain deep feature distances have strong correlations with HS. We therefore propose to align the GSR models by using such features as differentiable reward functions to mitigate hallucinations.

  • 6 authors
·
Jul 18, 2025

AUTOHALLUSION: Automatic Generation of Hallucination Benchmarks for Vision-Language Models

Large vision-language models (LVLMs) hallucinate: certain context cues in an image may trigger the language module's overconfident and incorrect reasoning on abnormal or hypothetical objects. Though a few benchmarks have been developed to investigate LVLM hallucinations, they mainly rely on hand-crafted corner cases whose fail patterns may hardly generalize, and finetuning on them could undermine their validity. These motivate us to develop the first automatic benchmark generation approach, AUTOHALLUSION, that harnesses a few principal strategies to create diverse hallucination examples. It probes the language modules in LVLMs for context cues and uses them to synthesize images by: (1) adding objects abnormal to the context cues; (2) for two co-occurring objects, keeping one and excluding the other; or (3) removing objects closely tied to the context cues. It then generates image-based questions whose ground-truth answers contradict the language module's prior. A model has to overcome contextual biases and distractions to reach correct answers, while incorrect or inconsistent answers indicate hallucinations. AUTOHALLUSION enables us to create new benchmarks at the minimum cost and thus overcomes the fragility of hand-crafted benchmarks. It also reveals common failure patterns and reasons, providing key insights to detect, avoid, or control hallucinations. Comprehensive evaluations of top-tier LVLMs, e.g., GPT-4V(ision), Gemini Pro Vision, Claude 3, and LLaVA-1.5, show a 97.7% and 98.7% success rate of hallucination induction on synthetic and real-world datasets of AUTOHALLUSION, paving the way for a long battle against hallucinations.

  • 12 authors
·
Jun 16, 2024 4

Medical Hallucinations in Foundation Models and Their Impact on Healthcare

Foundation Models that are capable of processing and generating multi-modal data have transformed AI's role in medicine. However, a key limitation of their reliability is hallucination, where inaccurate or fabricated information can impact clinical decisions and patient safety. We define medical hallucination as any instance in which a model generates misleading medical content. This paper examines the unique characteristics, causes, and implications of medical hallucinations, with a particular focus on how these errors manifest themselves in real-world clinical scenarios. Our contributions include (1) a taxonomy for understanding and addressing medical hallucinations, (2) benchmarking models using medical hallucination dataset and physician-annotated LLM responses to real medical cases, providing direct insight into the clinical impact of hallucinations, and (3) a multi-national clinician survey on their experiences with medical hallucinations. Our results reveal that inference techniques such as Chain-of-Thought (CoT) and Search Augmented Generation can effectively reduce hallucination rates. However, despite these improvements, non-trivial levels of hallucination persist. These findings underscore the ethical and practical imperative for robust detection and mitigation strategies, establishing a foundation for regulatory policies that prioritize patient safety and maintain clinical integrity as AI becomes more integrated into healthcare. The feedback from clinicians highlights the urgent need for not only technical advances but also for clearer ethical and regulatory guidelines to ensure patient safety. A repository organizing the paper resources, summaries, and additional information is available at https://github.com/mitmedialab/medical hallucination.

  • 25 authors
·
Feb 25, 2025

Hallucinations in Neural Automatic Speech Recognition: Identifying Errors and Hallucinatory Models

Hallucinations are a type of output error produced by deep neural networks. While this has been studied in natural language processing, they have not been researched previously in automatic speech recognition. Here, we define hallucinations in ASR as transcriptions generated by a model that are semantically unrelated to the source utterance, yet still fluent and coherent. The similarity of hallucinations to probable natural language outputs of the model creates a danger of deception and impacts the credibility of the system. We show that commonly used metrics, such as word error rates, cannot differentiate between hallucinatory and non-hallucinatory models. To address this, we propose a perturbation-based method for assessing the susceptibility of an automatic speech recognition (ASR) model to hallucination at test time, which does not require access to the training dataset. We demonstrate that this method helps to distinguish between hallucinatory and non-hallucinatory models that have similar baseline word error rates. We further explore the relationship between the types of ASR errors and the types of dataset noise to determine what types of noise are most likely to create hallucinatory outputs. We devise a framework for identifying hallucinations by analysing their semantic connection with the ground truth and their fluency. Finally, we discover how to induce hallucinations with a random noise injection to the utterance.

  • 2 authors
·
Jan 3, 2024

RITUAL: Random Image Transformations as a Universal Anti-hallucination Lever in LVLMs

Recent advancements in Large Vision Language Models (LVLMs) have revolutionized how machines understand and generate textual responses based on visual inputs. Despite their impressive capabilities, they often produce "hallucinatory" outputs that do not accurately reflect the visual information, posing challenges in reliability and trustworthiness. Current methods such as contrastive decoding have made strides in addressing these issues by contrasting the original probability distribution of generated tokens with distorted counterparts; yet, generating visually-faithful outputs remains a challenge. In this work, we shift our focus to the opposite: What could serve as a complementary enhancement to the original probability distribution? We propose a simple, training-free method termed RITUAL to enhance robustness against hallucinations in LVLMs. Our approach employs random image transformations as complements to the original probability distribution, aiming to mitigate the likelihood of hallucinatory visual explanations by enriching the model's exposure to varied visual scenarios. Our empirical results show that while the isolated use of transformed images initially degrades performance, strategic implementation of these transformations can indeed serve as effective complements. Notably, our method is compatible with current contrastive decoding methods and does not require external models or costly self-feedback mechanisms, making it a practical addition. In experiments, RITUAL significantly outperforms existing contrastive decoding methods across several object hallucination benchmarks, including POPE, CHAIR, and MME.

  • 5 authors
·
May 28, 2024

Decoupling Contrastive Decoding: Robust Hallucination Mitigation in Multimodal Large Language Models

Although multimodal large language models (MLLMs) exhibit remarkable reasoning capabilities on complex multimodal understanding tasks, they still suffer from the notorious hallucination issue: generating outputs misaligned with obvious visual or factual evidence. Currently, training-based solutions, like direct preference optimization (DPO), leverage paired preference data to suppress hallucinations. However, they risk sacrificing general reasoning capabilities due to the likelihood displacement. Meanwhile, training-free solutions, like contrastive decoding, achieve this goal by subtracting the estimated hallucination pattern from a distorted input. Yet, these handcrafted perturbations (e.g., add noise to images) may poorly capture authentic hallucination patterns. To avoid these weaknesses of existing methods, and realize robust hallucination mitigation (i.e., maintaining general reasoning performance), we propose a novel framework: Decoupling Contrastive Decoding (DCD). Specifically, DCD decouples the learning of positive and negative samples in preference datasets, and trains separate positive and negative image projections within the MLLM. The negative projection implicitly models real hallucination patterns, which enables vision-aware negative images in the contrastive decoding inference stage. Our DCD alleviates likelihood displacement by avoiding pairwise optimization and generalizes robustly without handcrafted degradation. Extensive ablations across hallucination benchmarks and general reasoning tasks demonstrate the effectiveness of DCD, i.e., it matches DPO's hallucination suppression while preserving general capabilities and outperforms the handcrafted contrastive decoding methods.

  • 7 authors
·
Apr 8, 2025

Multi-Modal Hallucination Control by Visual Information Grounding

Generative Vision-Language Models (VLMs) are prone to generate plausible-sounding textual answers that, however, are not always grounded in the input image. We investigate this phenomenon, usually referred to as "hallucination" and show that it stems from an excessive reliance on the language prior. In particular, we show that as more tokens are generated, the reliance on the visual prompt decreases, and this behavior strongly correlates with the emergence of hallucinations. To reduce hallucinations, we introduce Multi-Modal Mutual-Information Decoding (M3ID), a new sampling method for prompt amplification. M3ID amplifies the influence of the reference image over the language prior, hence favoring the generation of tokens with higher mutual information with the visual prompt. M3ID can be applied to any pre-trained autoregressive VLM at inference time without necessitating further training and with minimal computational overhead. If training is an option, we show that M3ID can be paired with Direct Preference Optimization (DPO) to improve the model's reliance on the prompt image without requiring any labels. Our empirical findings show that our algorithms maintain the fluency and linguistic capabilities of pre-trained VLMs while reducing hallucinations by mitigating visually ungrounded answers. Specifically, for the LLaVA 13B model, M3ID and M3ID+DPO reduce the percentage of hallucinated objects in captioning tasks by 25% and 28%, respectively, and improve the accuracy on VQA benchmarks such as POPE by 21% and 24%.

  • 8 authors
·
Mar 20, 2024

Hallucination Detox: Sensitive Neuron Dropout (SeND) for Large Language Model Training

As large language models (LLMs) become increasingly deployed across various industries, concerns regarding their reliability, particularly due to hallucinations-outputs that are factually inaccurate or irrelevant to user input-have grown. Our research investigates the relationship between the training process and the emergence of hallucinations to address a key gap in existing research that focuses primarily on post hoc detection and mitigation strategies. Using models from the Pythia suite (70M-12B parameters) and several hallucination detection metrics, we analyze hallucination trends throughout training and explore LLM internal dynamics. We introduce SEnsitive Neuron Dropout (SeND), a novel training protocol designed to mitigate hallucinations by reducing variance during training. SeND achieves this by deterministically dropping neurons with significant variability on a dataset, referred to as Sensitive Neurons. In addition, we develop an unsupervised hallucination detection metric, Efficient EigenScore (EES), which approximates the traditional EigenScore in 2x speed. This efficient metric is integrated into our protocol, allowing SeND to be both computationally scalable and effective at reducing hallucinations. Our empirical evaluation demonstrates that our approach improves LLM reliability at test time by up to 40% compared to normal training while also providing an efficient method to improve factual accuracy when adapting LLMs to domains such as Wikipedia and Medical datasets.

  • 5 authors
·
Oct 20, 2024 2

Knowledge Overshadowing Causes Amalgamated Hallucination in Large Language Models

Hallucination is often regarded as a major impediment for using large language models (LLMs), especially for knowledge-intensive tasks. Even when the training corpus consists solely of true statements, language models still generate hallucinations in the form of amalgamations of multiple facts. We coin this phenomenon as ``knowledge overshadowing'': when we query knowledge from a language model with multiple conditions, some conditions overshadow others, leading to hallucinated outputs. This phenomenon partially stems from training data imbalance, which we verify on both pretrained models and fine-tuned models, over a wide range of LM model families and sizes.From a theoretical point of view, knowledge overshadowing can be interpreted as over-generalization of the dominant conditions (patterns). We show that the hallucination rate grows with both the imbalance ratio (between the popular and unpopular condition) and the length of dominant condition description, consistent with our derived generalization bound. Finally, we propose to utilize overshadowing conditions as a signal to catch hallucination before it is produced, along with a training-free self-contrastive decoding method to alleviate hallucination during inference. Our proposed approach showcases up to 82% F1 for hallucination anticipation and 11.2% to 39.4% hallucination control, with different models and datasets.

  • 8 authors
·
Jul 10, 2024

Taming Hallucinations: Boosting MLLMs' Video Understanding via Counterfactual Video Generation

Multimodal Large Language Models (MLLMs) have made remarkable progress in video understanding. However, they suffer from a critical vulnerability: an over-reliance on language priors, which can lead to visual ungrounded hallucinations, especially when processing counterfactual videos that defy common sense. This limitation, stemming from the intrinsic data imbalance between text and video, is challenging to address due to the substantial cost of collecting and annotating counterfactual data. To address this, we introduce DualityForge, a novel counterfactual data synthesis framework that employs controllable, diffusion-based video editing to transform real-world videos into counterfactual scenarios. By embedding structured contextual information into the video editing and QA generation processes, the framework automatically produces high-quality QA pairs together with original-edited video pairs for contrastive training. Based on this, we build DualityVidQA, a large-scale video dataset designed to reduce MLLM hallucinations. In addition, to fully exploit the contrastive nature of our paired data, we propose Duality-Normalized Advantage Training (DNA-Train), a two-stage SFT-RL training regime where the RL phase applies pair-wise ell_1 advantage normalization, thereby enabling a more stable and efficient policy optimization. Experiments on DualityVidQA-Test demonstrate that our method substantially reduces model hallucinations on counterfactual videos, yielding a relative improvement of 24.0% over the Qwen2.5-VL-7B baseline. Moreover, our approach achieves significant gains across both hallucination and general-purpose benchmarks, indicating strong generalization capability. We will open-source our dataset and code.

GD-ML AMAP-ML
·
Dec 30, 2025 6

VDGD: Mitigating LVLM Hallucinations in Cognitive Prompts by Bridging the Visual Perception Gap

Recent interest in Large Vision-Language Models (LVLMs) for practical applications is moderated by the significant challenge of hallucination or the inconsistency between the factual information and the generated text. In this paper, we first perform an in-depth analysis of hallucinations and discover several novel insights about how and when LVLMs hallucinate. From our analysis, we show that: (1) The community's efforts have been primarily targeted towards reducing hallucinations related to visual recognition (VR) prompts (e.g., prompts that only require describing the image), thereby ignoring hallucinations for cognitive prompts (e.g., prompts that require additional skills like reasoning on contents of the image). (2) LVLMs lack visual perception, i.e., they can see but not necessarily understand or perceive the input image. We analyze responses to cognitive prompts and show that LVLMs hallucinate due to a perception gap: although LVLMs accurately recognize visual elements in the input image and possess sufficient cognitive skills, they struggle to respond accurately and hallucinate. To overcome this shortcoming, we propose Visual Description Grounded Decoding (VDGD), a simple, robust, and training-free method for alleviating hallucinations. Specifically, we first describe the image and add it as a prefix to the instruction. Next, during auto-regressive decoding, we sample from the plausible candidates according to their KL-Divergence (KLD) to the description, where lower KLD is given higher preference. Experimental results on several benchmarks and LVLMs show that VDGD improves significantly over other baselines in reducing hallucinations. We also propose VaLLu, a benchmark for the comprehensive evaluation of the cognitive capabilities of LVLMs.

  • 7 authors
·
May 24, 2024

TruthPrInt: Mitigating LVLM Object Hallucination Via Latent Truthful-Guided Pre-Intervention

Object Hallucination (OH) has been acknowledged as one of the major trustworthy challenges in Large Vision-Language Models (LVLMs). Recent advancements in Large Language Models (LLMs) indicate that internal states, such as hidden states, encode the "overall truthfulness" of generated responses. However, it remains under-explored how internal states in LVLMs function and whether they could serve as "per-token" hallucination indicators, which is essential for mitigating OH. In this paper, we first conduct an in-depth exploration of LVLM internal states in relation to OH issues and discover that (1) LVLM internal states are high-specificity per-token indicators of hallucination behaviors. Moreover, (2) different LVLMs encode universal patterns of hallucinations in common latent subspaces, indicating that there exist "generic truthful directions" shared by various LVLMs. Based on these discoveries, we propose Truthful-Guided Pre-Intervention (TruthPrInt) that first learns the truthful direction of LVLM decoding and then applies truthful-guided inference-time intervention during LVLM decoding. We further propose ComnHallu to enhance both cross-LVLM and cross-data hallucination detection transferability by constructing and aligning hallucination latent subspaces. We evaluate TruthPrInt in extensive experimental settings, including in-domain and out-of-domain scenarios, over popular LVLMs and OH benchmarks. Experimental results indicate that TruthPrInt significantly outperforms state-of-the-art methods. Codes will be available at https://github.com/jinhaoduan/TruthPrInt.

  • 9 authors
·
Mar 13, 2025 2

Analyzing and Mitigating Object Hallucination: A Training Bias Perspective

As scaling up training data has significantly improved the general multimodal capabilities of Large Vision-Language Models (LVLMs), they still suffer from the hallucination issue, generating text that is inconsistent with the visual input. This phenomenon motivates us to systematically investigate the role of training data in hallucination. We introduce a new benchmark, POPEv2, which consists of counterfactual images collected from the training data of LVLMs with certain objects masked. Through comprehensive evaluation on POPEv2, we find that current LVLMs suffer from training bias: they fail to fully leverage their training data and hallucinate more frequently on images seen during training. Specifically, they perform poorly on counterfactual images, often incorrectly answering ``Yes'' to questions about masked objects. To understand this issue, we conduct probing experiments on the models' internal components, revealing that this training bias is primarily located in the language modeling (LM) head. Based on these findings, we propose Obliviate, an efficient and lightweight unlearning method designed to mitigate object hallucination via training bias unlearning. Obliviate identifies the discrepancy between ground-truth labels and model outputs on the training data as a proxy for bias and adopts a parameter- and data-efficient fine-tuning strategy that only updates the LM head. Extensive experiments demonstrate the effectiveness of our approach. While only reusing the training data and updating approximately 2\% of the parameters, Obliviate significantly reduces hallucination across both discriminative and generative tasks. Furthermore, it demonstrates strong scalability with respect to both model size (2B to 72B) and training data volume, and exhibits promising generalization to hallucination types beyond object-level hallucination. Our code and data will be publicly released.

  • 5 authors
·
Aug 6, 2025

MIRAGE: Assessing Hallucination in Multimodal Reasoning Chains of MLLM

Multimodal hallucination in multimodal large language models (MLLMs) restricts the correctness of MLLMs. However, multimodal hallucinations are multi-sourced and arise from diverse causes. Existing benchmarks fail to adequately distinguish between perception-induced hallucinations and reasoning-induced hallucinations. This failure constitutes a significant issue and hinders the diagnosis of multimodal reasoning failures within MLLMs. To address this, we propose the {\dataset} benchmark, which isolates reasoning hallucinations by constructing questions where input images are correctly perceived by MLLMs yet reasoning errors persist. {\dataset} introduces multi-granular evaluation metrics: accuracy, factuality, and LLMs hallucination score for hallucination quantification. Our analysis reveals that (1) the model scale, data scale, and training stages significantly affect the degree of logical, fabrication, and factual hallucinations; (2) current MLLMs show no effective improvement on spatial hallucinations caused by misinterpreted spatial relationships, indicating their limited visual reasoning capabilities; and (3) question types correlate with distinct hallucination patterns, highlighting targeted challenges and potential mitigation strategies. To address these challenges, we propose {\method}, a method that combines curriculum reinforcement fine-tuning to encourage models to generate logic-consistent reasoning chains by stepwise reducing learning difficulty, and collaborative hint inference to reduce reasoning complexity. {\method} establishes a baseline on {\dataset}, and reduces the logical hallucinations in original base models.

  • 6 authors
·
May 30, 2025

ELV-Halluc: Benchmarking Semantic Aggregation Hallucinations in Long Video Understanding

Video multimodal large language models (Video-MLLMs) have achieved remarkable progress in video understanding. However, they remain vulnerable to hallucination-producing content inconsistent with or unrelated to video inputs. Previous video hallucination benchmarks primarily focus on short-videos. They attribute hallucinations to factors such as strong language priors, missing frames, or vision-language biases introduced by the visual encoder. While these causes indeed account for most hallucinations in short videos, they still oversimplify the cause of hallucinations. Sometimes, models generate incorrect outputs but with correct frame-level semantics. We refer to this type of hallucination as Semantic Aggregation Hallucination (SAH), which arises during the process of aggregating frame-level semantics into event-level semantic groups. Given that SAH becomes particularly critical in long videos due to increased semantic complexity across multiple events, it is essential to separate and thoroughly investigate the causes of this type of hallucination. To address the above issues, we introduce ELV-Halluc, the first benchmark dedicated to long-video hallucination, enabling a systematic investigation of SAH. Our experiments confirm the existence of SAH and show that it increases with semantic complexity. Additionally, we find that models are more prone to SAH on rapidly changing semantics. Moreover, we discuss potential approaches to mitigate SAH. We demonstrate that positional encoding strategy contributes to alleviating SAH, and further adopt DPO strategy to enhance the model's ability to distinguish semantics within and across events. To support this, we curate a dataset of 8K adversarial data pairs and achieve improvements on both ELV-Halluc and Video-MME, including a substantial 27.7% reduction in SAH ratio.

  • 8 authors
·
Aug 29, 2025 1

OmniDPO: A Preference Optimization Framework to Address Omni-Modal Hallucination

Recently, Omni-modal large language models (OLLMs) have sparked a new wave of research, achieving impressive results in tasks such as audio-video understanding and real-time environment perception. However, hallucination issues still persist. Similar to the bimodal setting, the priors from the text modality tend to dominate, leading OLLMs to rely more heavily on textual cues while neglecting visual and audio information. In addition, fully multimodal scenarios introduce new challenges. Most existing models align visual or auditory modalities with text independently during training, while ignoring the intrinsic correlations between video and its corresponding audio. This oversight results in hallucinations when reasoning requires interpreting hidden audio cues embedded in video content. To address these challenges, we propose OmniDPO, a preference-alignment framework designed to mitigate hallucinations in OLLMs. Specifically, OmniDPO incorporates two strategies: (1) constructing text-preference sample pairs to enhance the model's understanding of audio-video interactions; and (2) constructing multimodal-preference sample pairs to strengthen the model's attention to visual and auditory information. By tackling both challenges, OmniDPO effectively improves multimodal grounding and reduces hallucination. Experiments conducted on two OLLMs demonstrate that OmniDPO not only effectively mitigates multimodal hallucinations but also significantly enhances the models' reasoning capabilities across modalities. All code and datasets will be released upon paper acceptance.

  • 9 authors
·
Aug 31, 2025

BEAF: Observing BEfore-AFter Changes to Evaluate Hallucination in Vision-language Models

Vision language models (VLMs) perceive the world through a combination of a visual encoder and a large language model (LLM). The visual encoder, pre-trained on large-scale vision-text datasets, provides zero-shot generalization to visual data, and the LLM endows its high reasoning ability to VLMs. It leads VLMs to achieve high performance on wide benchmarks without fine-tuning, exhibiting zero or few-shot capability. However, recent studies show that VLMs are vulnerable to hallucination. This undesirable behavior degrades reliability and credibility, thereby making users unable to fully trust the output from VLMs. To enhance trustworthiness and better tackle the hallucination of VLMs, we curate a new evaluation dataset, called the BEfore-AFter hallucination dataset (BEAF), and introduce new metrics: True Understanding (TU), IGnorance (IG), StuBbornness (SB), and InDecision (ID). Unlike prior works that focus only on constructing questions and answers, the key idea of our benchmark is to manipulate visual scene information by image editing models and to design the metrics based on scene changes. This allows us to clearly assess whether VLMs correctly understand a given scene by observing the ability to perceive changes. We also visualize image-wise object relationship by virtue of our two-axis view: vision and text. Upon evaluating VLMs with our dataset, we observed that our metrics reveal different aspects of VLM hallucination that have not been reported before. Project page: https://beafbench.github.io/

  • 4 authors
·
Jul 18, 2024

Grounding or Guessing? Visual Signals for Detecting Hallucinations in Sign Language Translation

Hallucination, where models generate fluent text unsupported by visual evidence, remains a major flaw in vision-language models and is particularly critical in sign language translation (SLT). In SLT, meaning depends on precise grounding in video, and gloss-free models are especially vulnerable because they map continuous signer movements directly into natural language without intermediate gloss supervision that serves as alignment. We argue that hallucinations arise when models rely on language priors rather than visual input. To capture this, we propose a token-level reliability measure that quantifies how much the decoder uses visual information. Our method combines feature-based sensitivity, which measures internal changes when video is masked, with counterfactual signals, which capture probability differences between clean and altered video inputs. These signals are aggregated into a sentence-level reliability score, providing a compact and interpretable measure of visual grounding. We evaluate the proposed measure on two SLT benchmarks (PHOENIX-2014T and CSL-Daily) with both gloss-based and gloss-free models. Our results show that reliability predicts hallucination rates, generalizes across datasets and architectures, and decreases under visual degradations. Beyond these quantitative trends, we also find that reliability distinguishes grounded tokens from guessed ones, allowing risk estimation without references; when combined with text-based signals (confidence, perplexity, or entropy), it further improves hallucination risk estimation. Qualitative analysis highlights why gloss-free models are more susceptible to hallucinations. Taken together, our findings establish reliability as a practical and reusable tool for diagnosing hallucinations in SLT, and lay the groundwork for more robust hallucination detection in multimodal generation.

  • 7 authors
·
Oct 21, 2025

HalluDial: A Large-Scale Benchmark for Automatic Dialogue-Level Hallucination Evaluation

Large Language Models (LLMs) have significantly advanced the field of Natural Language Processing (NLP), achieving remarkable performance across diverse tasks and enabling widespread real-world applications. However, LLMs are prone to hallucination, generating content that either conflicts with established knowledge or is unfaithful to the original sources. Existing hallucination benchmarks primarily focus on sentence- or passage-level hallucination detection, neglecting dialogue-level evaluation, hallucination localization, and rationale provision. They also predominantly target factuality hallucinations while underestimating faithfulness hallucinations, often relying on labor-intensive or non-specialized evaluators. To address these limitations, we propose HalluDial, the first comprehensive large-scale benchmark for automatic dialogue-level hallucination evaluation. HalluDial encompasses both spontaneous and induced hallucination scenarios, covering factuality and faithfulness hallucinations. The benchmark includes 4,094 dialogues with a total of 146,856 samples. Leveraging HalluDial, we conduct a comprehensive meta-evaluation of LLMs' hallucination evaluation capabilities in information-seeking dialogues and introduce a specialized judge language model, HalluJudge. The high data quality of HalluDial enables HalluJudge to achieve superior or competitive performance in hallucination evaluation, facilitating the automatic assessment of dialogue-level hallucinations in LLMs and providing valuable insights into this phenomenon. The dataset and the code are available at https://github.com/FlagOpen/HalluDial.

  • 7 authors
·
Jun 11, 2024

HaluMem: Evaluating Hallucinations in Memory Systems of Agents

Memory systems are key components that enable AI systems such as LLMs and AI agents to achieve long-term learning and sustained interaction. However, during memory storage and retrieval, these systems frequently exhibit memory hallucinations, including fabrication, errors, conflicts, and omissions. Existing evaluations of memory hallucinations are primarily end-to-end question answering, which makes it difficult to localize the operational stage within the memory system where hallucinations arise. To address this, we introduce the Hallucination in Memory Benchmark (HaluMem), the first operation level hallucination evaluation benchmark tailored to memory systems. HaluMem defines three evaluation tasks (memory extraction, memory updating, and memory question answering) to comprehensively reveal hallucination behaviors across different operational stages of interaction. To support evaluation, we construct user-centric, multi-turn human-AI interaction datasets, HaluMem-Medium and HaluMem-Long. Both include about 15k memory points and 3.5k multi-type questions. The average dialogue length per user reaches 1.5k and 2.6k turns, with context lengths exceeding 1M tokens, enabling evaluation of hallucinations across different context scales and task complexities. Empirical studies based on HaluMem show that existing memory systems tend to generate and accumulate hallucinations during the extraction and updating stages, which subsequently propagate errors to the question answering stage. Future research should focus on developing interpretable and constrained memory operation mechanisms that systematically suppress hallucinations and improve memory reliability.

MemTensor MemTensor
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Nov 5, 2025 3

Mitigating Object Hallucinations via Sentence-Level Early Intervention

Multimodal large language models (MLLMs) have revolutionized cross-modal understanding but continue to struggle with hallucinations - fabricated content contradicting visual inputs. Existing hallucination mitigation methods either incur prohibitive computational costs or introduce distribution mismatches between training data and model outputs. We identify a critical insight: hallucinations predominantly emerge at the early stages of text generation and propagate through subsequent outputs. To address this, we propose **SENTINEL** (**S**entence-level **E**arly i**N**tervention **T**hrough **IN**-domain pr**E**ference **L**earning), a framework that eliminates dependency on human annotations. Specifically, we first bootstrap high-quality in-domain preference pairs by iteratively sampling model outputs, validating object existence through cross-checking with two open-vocabulary detectors, and classifying sentences into hallucinated/non-hallucinated categories. Subsequently, we use context-coherent positive samples and hallucinated negative samples to build context-aware preference data iteratively. Finally, we train models using a context-aware preference loss (C-DPO) that emphasizes discriminative learning at the sentence level where hallucinations initially manifest. Experimental results show that SENTINEL can reduce hallucinations by over 90\% compared to the original model and outperforms the previous state-of-the-art method on both hallucination benchmarks and general capabilities benchmarks, demonstrating its superiority and generalization ability. The models, datasets, and code are available at https://github.com/pspdada/SENTINEL.

  • 4 authors
·
Jul 16, 2025 2

Detection and Mitigation of Hallucination in Large Reasoning Models: A Mechanistic Perspective

Large Reasoning Models (LRMs) have shown impressive capabilities in multi-step reasoning tasks. However, alongside these successes, a more deceptive form of model error has emerged--Reasoning Hallucination--where logically coherent but factually incorrect reasoning traces lead to persuasive yet faulty conclusions. Unlike traditional hallucinations, these errors are embedded within structured reasoning, making them more difficult to detect and potentially more harmful. In this work, we investigate reasoning hallucinations from a mechanistic perspective. We propose the Reasoning Score, which quantifies the depth of reasoning by measuring the divergence between logits obtained from projecting late layers of LRMs to the vocabulary space, effectively distinguishing shallow pattern-matching from genuine deep reasoning. Using this score, we conduct an in-depth analysis on the ReTruthQA dataset and identify two key reasoning hallucination patterns: early-stage fluctuation in reasoning depth and incorrect backtracking to flawed prior steps. These insights motivate our Reasoning Hallucination Detection (RHD) framework, which achieves state-of-the-art performance across multiple domains. To mitigate reasoning hallucinations, we further introduce GRPO-R, an enhanced reinforcement learning algorithm that incorporates step-level deep reasoning rewards via potential-based shaping. Our theoretical analysis establishes stronger generalization guarantees, and experiments demonstrate improved reasoning quality and reduced hallucination rates.

  • 5 authors
·
May 19, 2025

Fact-Controlled Diagnosis of Hallucinations in Medical Text Summarization

Hallucinations in large language models (LLMs) during summarization of patient-clinician dialogues pose significant risks to patient care and clinical decision-making. However, the phenomenon remains understudied in the clinical domain, with uncertainty surrounding the applicability of general-domain hallucination detectors. The rarity and randomness of hallucinations further complicate their investigation. In this paper, we conduct an evaluation of hallucination detection methods in the medical domain, and construct two datasets for the purpose: A fact-controlled Leave-N-out dataset -- generated by systematically removing facts from source dialogues to induce hallucinated content in summaries; and a natural hallucination dataset -- arising organically during LLM-based medical summarization. We show that general-domain detectors struggle to detect clinical hallucinations, and that performance on fact-controlled hallucinations does not reliably predict effectiveness on natural hallucinations. We then develop fact-based approaches that count hallucinations, offering explainability not available with existing methods. Notably, our LLM-based detectors, which we developed using fact-controlled hallucinations, generalize well to detecting real-world clinical hallucinations. This research contributes a suite of specialized metrics supported by expert-annotated datasets to advance faithful clinical summarization systems.

  • 12 authors
·
May 31, 2025

Capturing Gaze Shifts for Guidance: Cross-Modal Fusion Enhancement for VLM Hallucination Mitigation

Vision language models (VLMs) often generate hallucination, i.e., content that cannot be substantiated by either textual or visual inputs. Prior work primarily attributes this to over-reliance on linguistic prior knowledge rather than visual inputs. Some methods attempt to mitigate hallucination by amplifying visual token attention proportionally to their attention scores. However, these methods overlook the visual attention sink problem, where attention is frequently misallocated to task-irrelevant visual regions, and neglect cross-modal fusion balance by enhancing only visual attention without adjusting attention to the user query. This can result in amplifying incorrect areas while failing to properly interpret the user query. To address these challenges, we propose a simple yet effective method called Gaze Shift-Guided Cross-modal Fusion Enhancement (GIFT). GIFT pre-computes a holistic visual saliency map by tracking positive changes in visual attention, or "gaze shifts", during user query comprehension, and leverages this map to amplify attention to both salient visual information and the user query at each decoding step. This reduces the impact of visual attention sink, as irrelevant tokens exhibit minimal shifts, while ensuring balanced cross-modal fusion for well-integrated representation. Extensive experiments show that GIFT effectively mitigates hallucination in VLMs across both generative and classification tasks, achieving up to 20.7% improvement over greedy decoding, while maintaining general vision-language performance with low computational overhead.

  • 4 authors
·
Oct 24, 2025