Daily Papers

Same-model self-verification, prompting a model to audit its own predicted answer, is a plausible confidence signal for selective prediction, but its practical value remains unclear once strong likelihood-based baselines are taken seriously. We evaluate self-verification against two such baselines, LL-AVG and LL-SUM, on ARC-Challenge and TruthfulQA-MC across multiple model families, scales, and prompt variants. We measure not only correctness ranking, but also abstention quality through AURC and operating-point analyses. The results are sharply task- and model-dependent. On ARC-Challenge, self-verification substantially improves over LL-AVG for Phi-2 and the Qwen models, with the largest gains appearing in Qwen-7B. On TruthfulQA-MC, however, the signal is less reliable: smaller models can become prompt-sensitive, DeepSeek-R1-Distill-8B degrades relative to LL-AVG, and LL-SUM often remains the stronger practical baseline. We therefore do not treat self-verification as a general-purpose uncertainty estimator. In this setting, it is better understood as a conditional confidence signal whose value depends on task type, model family, prompt formulation, and, crucially, the baseline it must beat.

Agentic coding harnesses - such as Agent-Skills, Superpowers, and Agent-Rigor - are increasingly deployed to augment underlying LLMs for real-world software engineering tasks. Existing benchmarks evaluate these agents almost exclusively on outcome correctness: whether generated code passes tests or resolves issues. We argue that this outcome-only lens is insufficient: an agent that arrives at a correct solution through reckless trial-and-error, without planning, verification, or graceful recovery, is fundamentally less reliable than one that follows sound engineering discipline. We introduce RigorBench, the first benchmark designed to measure process discipline in AI coding agents. RigorBench evaluates these harnesses across five pillars: Planning Fidelity, Verification Coverage, Recovery Efficiency, Abstention Quality, and Atomic Transition Integrity. A composite RigorScore aggregates these dimensions into a single metric via a weighted sum. We curate a suite of 30 tasks spanning five categories - Plan-Then-Build, Verify-Or-Die, Doom Loop Gauntlet, Know When to Fold, and Don't Break the Build-and evaluate leading harnesses in a controlled with/without experimental design against baseline coding assistants. Our results show that structured process discipline not only improves process quality scores by an average of 41% but also raises downstream outcome correctness by 17%, providing the first quantitative evidence that how agents code matters as much as what they produce. We release the full benchmark, scoring rubrics, and trajectory analysis tools as open-source artifacts.

Reinforcement learning with verifiable rewards (RLVR) has become central to LLM reasoning, but its outcome-level rewards can make models more willing to give confident answers when evidence or reasoning is unreliable. Existing SFT or RL methods mainly teach LLMs to refuse or express uncertainty at the response level, which can overfit abstention behavior rather than improve reasoning reliability. To address this limitation, we propose Cognitive Pairwise Training (CPT), a cognitive mid-training alignment stage that turns pairwise comparisons over reasoning traces into a reusable alignment signal. By learning to distinguish trustworthy from flawed reasoning, CPT encourages the model to internalize a reasoning-quality discrimination boundary rather than memorize surface refusal patterns. Across five model scales and three model families, CPT improves the reasoning--metacognition trade-off. At 14B, CPT+RL outperforms the standard SFT+RL pipeline by +2.2 math-average points and +5.2 abstention-F1 points. Further analyses show that CPT improves trace quality and exhibits strong robustness and scalability across evaluation and training settings. Code and models are released at https://github.com/Tsinghua-dhy/CPT.

LLMs utilizing chain-of-thought reasoning often waste substantial compute by producing long, incorrect responses. Abstention can mitigate this by withholding outputs unlikely to be correct. While most abstention methods decide to withhold outputs before or after generation, dynamic mid-generation abstention considers early termination of unpromising reasoning traces at each token position. Prior work has explored empirical variants of this idea, but principled guidance for the abstention rule remains lacking. We present a formal analysis of dynamic abstention for LLMs, modeling abstention as an explicit action within a regularized reinforcement learning framework. An abstention reward parameter controls the trade-off between compute and information. We show that abstaining when the value function falls below this reward strictly outperforms natural baselines under general conditions. We further derive a principled and efficient method to approximate the value function. Empirical results on mathematical reasoning and toxicity avoidance tasks support our theory and demonstrate improved selective accuracy over existing methods.

Abstention Ability (AA) is a critical aspect of Large Language Model (LLM) reliability, referring to an LLM's capability to withhold responses when uncertain or lacking a definitive answer, without compromising performance. Although previous studies have attempted to improve AA, they lack a standardised evaluation method and remain unsuitable for black-box models where token prediction probabilities are inaccessible. This makes comparative analysis challenging, especially for state-of-the-art closed-source commercial LLMs. This paper bridges this gap by introducing a black-box evaluation approach and a new dataset, Abstain-QA, crafted to rigorously assess AA across varied question types (answerable and unanswerable), domains (well-represented and under-represented), and task types (fact centric and reasoning). We also propose a new confusion matrix, the ''Answerable-Unanswerable Confusion Matrix'' (AUCM) which serves as the basis for evaluating AA, by offering a structured and precise approach for assessment. Finally, we explore the impact of three prompting strategies-Strict Prompting, Verbal Confidence Thresholding, and Chain-of-Thought (CoT)-on improving AA. Our results indicate that even powerful models like GPT-4, Mixtral 8x22b encounter difficulties with abstention; however, strategic approaches such as Strict prompting and CoT can enhance this capability.

Abstention, the refusal of large language models (LLMs) to provide an answer, is increasingly recognized for its potential to mitigate hallucinations and enhance safety in building LLM systems. In this survey, we introduce a framework to examine abstention behavior from three perspectives: the query, the model, and human values. We review the literature on abstention methods (categorized based on the development stages of LLMs), benchmarks, and evaluation metrics, and discuss the merits and limitations of prior work. We further identify and motivate areas for future research, such as encouraging the study of abstention as a meta-capability across tasks and customizing abstention abilities based on context. In doing so, we aim to broaden the scope and impact of abstention methodologies in AI systems.

In critical applications, it is vital for classifiers to defer decision-making to humans. We propose a post-hoc method that makes existing classifiers selectively abstain from predicting certain samples. Our abstaining classifier is incentivized to maintain the original accuracy for each sub-population (i.e. no harm) while achieving a set of group fairness definitions to a user specified degree. To this end, we design an Integer Programming (IP) procedure that assigns abstention decisions for each training sample to satisfy a set of constraints. To generalize the abstaining decisions to test samples, we then train a surrogate model to learn the abstaining decisions based on the IP solutions in an end-to-end manner. We analyze the feasibility of the IP procedure to determine the possible abstention rate for different levels of unfairness tolerance and accuracy constraint for achieving no harm. To the best of our knowledge, this work is the first to identify the theoretical relationships between the constraint parameters and the required abstention rate. Our theoretical results are important since a high abstention rate is often infeasible in practice due to a lack of human resources. Our framework outperforms existing methods in terms of fairness disparity without sacrificing accuracy at similar abstention rates.

Neural Information Retrieval (NIR) has significantly improved upon heuristic-based IR systems. Yet, failures remain frequent, the models used often being unable to retrieve documents relevant to the user's query. We address this challenge by proposing a lightweight abstention mechanism tailored for real-world constraints, with particular emphasis placed on the reranking phase. We introduce a protocol for evaluating abstention strategies in a black-box scenario, demonstrating their efficacy, and propose a simple yet effective data-driven mechanism. We provide open-source code for experiment replication and abstention implementation, fostering wider adoption and application in diverse contexts.

For Large Language Models (LLMs) to be reliably deployed in both everyday and high-stakes domains, knowing when not to answer is equally critical as answering correctly. Real-world user queries, which can be underspecified, ill-posed, or fundamentally unanswerable, require LLMs to reason about uncertainty and selectively abstain -- i.e., refuse to answer definitively. However, abstention remains understudied, without a systematic evaluation framework for modern LLMs. In this work, we introduce AbstentionBench, a large-scale benchmark for holistically evaluating abstention across 20 diverse datasets, including questions with unknown answers, underspecification, false premises, subjective interpretations, and outdated information. Evaluating 20 frontier LLMs reveals abstention is an unsolved problem, and one where scaling models is of little use. While recent reasoning LLMs have shown impressive results in complex problem solving, surprisingly, we find that reasoning fine-tuning degrades abstention (by 24% on average), even for math and science domains on which reasoning models are explicitly trained. We find that while a carefully crafted system prompt can boost abstention in practice, it does not resolve models' fundamental inability to reason about uncertainty. We release AbstentionBench to foster research into advancing LLM reliability.

Large Language Models (LLMs) are being increasingly used in software engineering tasks, with an increased focus on bug report resolution over the past year. However, most proposed systems fail to properly handle uncertain or incorrect inputs and outputs. Existing LLM-based tools and coding agents respond to every issue and generate a patch for every case, even when the input is vague or their own output is incorrect. There are no mechanisms in place to abstain when confidence is low. This leads to unreliable behaviour, such as hallucinated code changes or responses based on vague issue reports. We introduce BouncerBench, a benchmark that evaluates whether LLM-based software agents can refuse to act when inputs are ill-defined or refuse to respond when their own outputs are likely to be incorrect. Unlike prior benchmarks that implicitly incentivize models to generate responses even when uncertain, BouncerBench aims to improve precision by targeting two overlooked failure points: (1) vague or underspecified issue descriptions in tickets and (2) logically or functionally incorrect code patches created by the system. It measures whether proposed systems can distinguish actionable issues from vague tickets and valid patches from untrustworthy ones. We also implement a basic input and output bouncer, evaluating how well current LLMs can abstain when needed. Our results show that most models fail to abstain from underspecified inputs or incorrect outputs. Hence, we conclude that there is significant room for improvement before LLMs can be trusted to make correct decisions and recommendations in real-world software engineering workflows. BouncerBench provides a first step toward evaluating and building more cautious, trustworthy code agents. The replication package, dataset, and leaderboard can be found at bouncerbench.com

Reference-free faithfulness metrics verify each atomic claim a model makes against ground truth, and are increasingly used to evaluate grounded generation. We show they share a blind spot: they measure only precision -- are the stated claims supported? -- and therefore reward abstention, since a model can score near-perfect faithfulness by saying almost nothing. We make this measurable using Formula 1 telemetry, a domain where strategic ground truth is derived deterministically and, crucially, completely: for each decision we know the full set of facts that mattered. This completeness -- absent in open-domain faithfulness benchmarks -- lets us measure recall (coverage of the relevant facts) exactly, alongside precision. On a multilingual (EN/ES/PT) benchmark of 7,253 decision instances spanning 150 races, the most precise frontier model covers under half of the relevant facts and ranks last by F1, so requiring coverage reorders the systems; the same effect reappears in a second complete-oracle domain (NOAA weather forecasts). A prompt ablation shows the low coverage is not an under-prompting artifact: explicitly asking models to be thorough does not close the gap. We pair faithfulness with coverage into a single score, validate the metric (controlled perturbation; agreement across a model-free regex extractor and a cross-family LLM extractor, system-level Spearman 1.0), and give a verifier-guided generation method that improves precision and recall without references. We release the benchmark, structured annotations, metric, baselines, and an interactive demo.

To deploy language models safely, it is crucial that they abstain from responding to inappropriate requests. Several prior studies test the safety promises of models based on their effectiveness in blocking malicious requests. In this work, we focus on evaluating the underlying techniques that cause models to abstain. We create SELECT, a benchmark derived from a set of benign concepts (e.g., "rivers") from a knowledge graph. Focusing on benign concepts isolates the effect of safety training, and grounding these concepts in a knowledge graph allows us to study the generalization and specificity of abstention techniques. Using SELECT, we benchmark different abstention techniques over six open-weight and closed-source models. We find that the examined techniques indeed cause models to abstain with over 80% abstention rates. However, these techniques are not as effective for descendants of the target concepts, where abstention rates drop by 19%. We also characterize the generalization-specificity trade-offs for different techniques. Overall, no single technique is invariably better than others, and our findings inform practitioners of the various trade-offs involved.

LLM agents are expected to act over multiple turns, using search, browsing interfaces, and terminal tools to complete user goals. Yet not every goal is well specified or achievable in the available environment. In such cases, a reliable agent should recognize that further interaction is unlikely to help and abstain from additional tool calls. We define Agentic Abstention, the problem of deciding when an agent should stop acting under uncertainty. Unlike standard LLM abstention, which is usually evaluated as a single-turn answer-or-abstain decision, agentic abstention is a sequential decision problem: an agent can answer, abstain, or gather more information at each turn, and the need to abstain may only become clear after interacting with the environment. We study this problem across web shopping, terminal environments, and question answering, evaluating 13 LLM-as-agent systems and 2 agent scaffolds on more than 28,000 tasks. Our results show that the main challenge is not only whether agents can abstain, but also when they abstain. Some agents never abstain when they should, while others do so only after many unnecessary interactions. This gap is especially large on tasks where the instruction appears feasible until the environment reveals otherwise (e.g., no valid result matches the instruction). We further find that model scale, reasoning, and agent scaffolding affect abstention in different ways, where larger or more capable models sometimes perform worse at timely abstention. Finally, we introduce CONVOLVE, a context engineering method for improving agentic abstention that distills full interaction trajectories into reusable stopping rules. On WebShop, CONVOLVE substantially improves timely abstention without updating model parameters, raising Llama-3.3-70B's timely recall rate from 26.7 to 57.4. Our dataset and code are available at https://lhannnn.github.io/agentic-abstention

Real-world classifiers can benefit from the option of abstaining from predicting on samples where they have low confidence. Such abstention is particularly useful on samples which are close to the learned decision boundary, or which are outliers with respect to the training sample. These settings have been the subject of extensive but disjoint study in the selective classification (SC) and out-of-distribution (OOD) detection literature. Recent work on selective classification with OOD detection (SCOD) has argued for the unified study of these problems; however, the formal underpinnings of this problem are still nascent, and existing techniques are heuristic in nature. In this paper, we propose new plugin estimators for SCOD that are theoretically grounded, effective, and generalise existing approaches from the SC and OOD detection literature. In the course of our analysis, we formally explicate how na\"{i}ve use of existing SC and OOD detection baselines may be inadequate for SCOD. We empirically demonstrate that our approaches yields competitive SC and OOD detection performance compared to baselines from both literatures.

Reinforcement fine-tuning improves the reasoning ability of large language models, but it can also encourage them to answer unanswerable queries by guessing or hallucinating missing information. Existing abstention methods either train models to produce generic refusals or encourage follow-up clarifications without verifying whether those clarifications identify the key missing information. We study queries that are clear in meaning but cannot be reliably resolved from the given information, and argue that a reliable model should not only abstain, but also explain what is missing. We propose a clarification-aware RLVR reward that, while rewarding correct answers on answerable queries, jointly optimizes explicit abstention and semantically aligned post-refusal clarification on unanswerable queries. Using this reward, we train Abstain-R1, a 3B model that improves abstention and clarification on unanswerable queries while preserving strong performance on answerable ones. Experiments on Abstain-Test, Abstain-QA, and SelfAware show that Abstain-R1 substantially improves over its base model and achieves unanswerable-query behavior competitive with larger systems including DeepSeek-R1, suggesting that calibrated abstention and clarification can be learned through verifiable rewards rather than emerging from scale alone.

Recent large language models often answer factual questions correctly. But users can't trust any given claim a model makes without fact-checking, because language models can hallucinate convincing nonsense. In this work we use reinforcement learning from human preferences (RLHP) to train "open-book" QA models that generate answers whilst also citing specific evidence for their claims, which aids in the appraisal of correctness. Supporting evidence is drawn from multiple documents found via a search engine, or from a single user-provided document. Our 280 billion parameter model, GopherCite, is able to produce answers with high quality supporting evidence and abstain from answering when unsure. We measure the performance of GopherCite by conducting human evaluation of answers to questions in a subset of the NaturalQuestions and ELI5 datasets. The model's response is found to be high-quality 80\% of the time on this Natural Questions subset, and 67\% of the time on the ELI5 subset. Abstaining from the third of questions for which it is most unsure improves performance to 90\% and 80\% respectively, approaching human baselines. However, analysis on the adversarial TruthfulQA dataset shows why citation is only one part of an overall strategy for safety and trustworthiness: not all claims supported by evidence are true.

Training data quality is one of the most important drivers of final model quality. In this work, we introduce a method for evaluating data integrity based on the assumption that low-quality input prompts result in high variance and low quality responses. This is achieved by measuring the rejected response quality and the reward gap between the chosen and rejected preference pair. Our method, Rejecting Instruction Preferences (RIP) can be used to filter prompts from existing training sets, or to make high quality synthetic datasets, yielding large performance gains across various benchmarks compared to unfiltered data. Using Llama 3.1-8B-Instruct, RIP improves AlpacaEval2 LC Win Rate by 9.4%, Arena-Hard by 8.7%, and WildBench by 9.9%. Using Llama 3.3-70B-Instruct, RIP improves Arena-Hard from 67.5 to 82.9, which is from 18th place to 6th overall in the leaderboard.

LLMs cannot reliably recognize their parametric knowledge boundaries and often hallucinate answers to outside-of-boundary questions. In contrast, humans recognize their limitations and can either seek external help for such questions or abstain. In this paper, we introduce MASH (Modeling Abstention via Selective Help-seeking), a training framework that readily extracts abstentions from LLMs. Our key idea is that any external help-seeking by an LLM, i.e. search tool use, can serve as a proxy for abstention if the external help (search) is appropriately penalized while simultaneously rewarding answer accuracy. MASH operationalizes this idea using reinforcement learning with a pay-per-search reward. We run experiments on three knowledge-intensive QA datasets. Our results show that MASH substantially improves upon the selective help-seeking performance of prior efficient search approaches; on multi-hop datasets, MASH improves answer accuracy by 7.6%. Furthermore, MASH demonstrates strong off-the-shelf abstention -- it can distinguish between unanswerable/answerable questions and selectively generate responses for answerable questions -- showcasing behavior analogous to specialized abstention approaches. We emphasize that contrary to prior abstention methods, MASH does not require pre-determining knowledge boundaries to construct training data. Instead, MASH's abstentions are a by-product of training for the auxiliary selective help-seeking task. Overall, we show that MASH training effectively aligns search tool use with parametric knowledge, which can be successfully leveraged for making abstention decisions.

Existing omni-modal benchmarks attempt to measure modality-specific contributions, but their measurements are confounded: naturally co-occurring modalities carry correlated yet unequal information, making it unclear whether results reflect true modality reliance or information asymmetry. We introduce OMD-Bench, where all modalities are initially congruent - each presenting the same anchor, an object or event independently perceivable through video, audio, and text - which we then systematically corrupt to isolate each modality's contribution. We also evaluate calibrated abstention: whether models appropriately refrain from answering when evidence is conflicting. The benchmark comprises 4,080 instances spanning 27 anchors across eight corruption conditions. Evaluating ten omni-modal models under zero-shot and chain-of-thought prompting, we find that models over-abstain when two modalities are corrupted yet under-abstain severely when all three are, while maintaining high confidence (~60-100%) even under full corruption. Chain-of-thought prompting improves abstention alignment with human judgment but amplifies overconfidence rather than mitigating it. OMD-Bench provides a diagnostic benchmark for diagnosing modality reliance, robustness to cross-modal inconsistency, and uncertainty calibration in omni-modal systems.

Large language models (LLMs) deployed for logical reasoning in knowledge-intensive domains exhibit a subtle but critical failure: coherence can be vacuously achieved through systematic abstention. A model that withholds commitment to either entailment or refutation satisfies negation consistency while providing no utility. We introduce Coherence Under Commitment (CUC), a dual-query evaluation paradigm that jointly measures consistency and decisiveness. CUC contributes three innovations: (1) a commitment score c(φ) = p(φ) + p(lnotφ) quantifying probability mass allocated to decisive outcomes; (2) a deterministic elicitation protocol via normalized YES/NO log probabilities, eliminating sampling variance; and (3) a 3-way decision framework (True/False/Uncertain) operationalizing the coherence-commitment trade-off into metrics. Experiments on four open-weight LLMs (1B-3B) across 204 FOLIO examples expose a sharp frontier. Qwen2.5-3B achieves near-zero contradiction (E[v_{neg}]{=}0.025) but only 7.4% coverage, while TinyLlama-1.1B reaches 79.4% coverage with violations on every example. Coherence-only evaluation would rank the abstaining model first; CUC exposes this as vacuous, and the frontier generalizes to LogiQA~v2 (ρ{=}0.97). We argue that evaluation must report both coherence and non-vacuous commitment and release a toolkit for standardized assessment.

This study quantifies the association between non-adherence to antipsychotic medications and adverse outcomes in individuals with schizophrenia. We frame the problem using survival analysis, focusing on the time to the earliest of several adverse events (early death, involuntary hospitalization, jail booking). We extend standard causal inference methods (T-learner, S-learner, nearest neighbor matching) to utilize various survival models to estimate individual and average treatment effects, where treatment corresponds to medication non-adherence. Analyses are repeated using different amounts of longitudinal information (3, 6, 9, and 12 months). Using data from Allegheny County in western Pennsylvania, we find strong evidence that non-adherence advances adverse outcomes by approximately 1 to 4 months. Ablation studies confirm that county-provided risk scores adjust for key confounders, as their removal amplifies the estimated effects. Subgroup analyses by medication formulation (injectable vs. oral) and medication type consistently show that non-adherence is associated with earlier adverse events. These findings highlight the clinical importance of adherence in delaying psychiatric crises and show that integrating survival analysis with causal inference tools can yield policy-relevant insights. We caution that although we apply causal inference, we only make associative claims and discuss assumptions needed for causal interpretation.

Embodied Question Answering (EQA) requires an agent to interpret language, perceive its environment, and navigate within 3D scenes to produce responses. Existing EQA benchmarks assume that every question must be answered, but embodied agents should know when they do not have sufficient information to answer. In this work, we focus on a minimal requirement for EQA agents, abstention: knowing when to withhold an answer. From an initial study of 500 human queries, we find that 32.4% contain missing or underspecified context. Drawing on this initial study and cognitive theories of human communication errors, we derive five representative categories requiring abstention: actionability limitation, referential underspecification, preference dependence, information unavailability, and false presupposition. We augment OpenEQA by having annotators transform well-posed questions into ambiguous variants outlined by these categories. The resulting dataset, AbstainEQA, comprises 1,636 annotated abstention cases paired with 1,636 original OpenEQA instances for balanced evaluation. Evaluating on AbstainEQA, we find that even the best frontier model only attains 42.79% abstention recall, while humans achieve 91.17%. We also find that scaling, prompting, and reasoning only yield marginal gains, and that fine-tuned models overfit to textual cues. Together, these results position abstention as a fundamental prerequisite for reliable interaction in embodied settings and as a necessary basis for effective clarification.

Evaluating whether text-to-image models follow explicit spatial instructions is difficult to automate. Object detectors may miss targets or return multiple plausible detections, and simple geometric tests can become ambiguous in borderline cases. Spatial evaluation is naturally a selective prediction problem, the checker may abstain when evidence is weak and report confidence so that results can be interpreted as a risk coverage tradeoff rather than a single score. We introduce SpatialBench-UC, a small, reproducible benchmark for pairwise spatial relations. The benchmark contains 200 prompts (50 object pairs times 4 relations) grouped into 100 counterfactual pairs obtained by swapping object roles. We release a benchmark package, versioned prompts, pinned configs, per-sample checker outputs, and report tables, enabling reproducible and auditable comparisons across models. We also include a lightweight human audit used to calibrate the checker's abstention margin and confidence threshold. We evaluate three baselines, Stable Diffusion 1.5, SD 1.5 BoxDiff, and SD 1.4 GLIGEN. The checker reports pass rate and coverage as well as conditional pass rates on decided samples. The results show that grounding methods substantially improve both pass rate and coverage, while abstention remains a dominant factor due mainly to missing detections.

Automatic anonymization techniques are essential for ethical sharing of pathological speech data, yet their perceptual consequences remain understudied. We present a comprehensive human-centered analysis of anonymized pathological speech, using a structured protocol involving ten native and non-native German listeners with diverse linguistic, clinical, and technical backgrounds. Listeners evaluated anonymized-original utterance pairs from 180 speakers spanning Cleft Lip and Palate, Dysarthria, Dysglossia, Dysphonia, and healthy controls. Speech was anonymized using state-of-the-art automatic methods (equal error rates in the range of 30-40%). Listeners completed Turing-style discrimination and quality rating tasks under zero-shot (single-exposure) and few-shot (repeated-exposure) conditions. Discrimination accuracy was high overall (91% zero-shot; 93% few-shot), but varied by disorder (repeated-measures ANOVA: p=0.007), ranging from 96% (Dysarthria) to 86% (Dysphonia). Anonymization consistently reduced perceived quality across groups (from 83% to 59%, p<0.001), with pathology-specific degradation patterns (one-way ANOVA: p=0.005). Native listeners showed a non-significant trend toward higher original speech ratings (Delta=4%, p=0.199), but this difference was minimal after anonymization (Delta=1%, p=0.724). No significant gender-based bias was observed. Perceptual outcomes did not correlate with automatic metrics; intelligibility was linked to perceived quality in original speech but not after anonymization. These findings underscore the need for listener-informed, disorder-specific anonymization strategies that preserve both privacy and perceptual integrity.

Ask a frontier model how to taper six milligrams of alprazolam (psychiatrist retired, ten days of pills left, abrupt cessation causes seizures) and it tells her to call the psychiatrist she just explained does not exist. Change one word ("I'm a psychiatrist; a patient presents with...") and the same model, same weights, same inference pass produces a textbook Ashton Manual taper with diazepam equivalence, anticonvulsant coverage, and monitoring thresholds. The knowledge was there; the model withheld it. IatroBench measures this gap. Sixty pre-registered clinical scenarios, six frontier models, 3,600 responses, scored on two axes (commission harm, CH 0-3; omission harm, OH 0-4) through a structured-evaluation pipeline validated against physician scoring (kappa_w = 0.571, within-1 agreement 96%). The central finding is identity-contingent withholding: match the same clinical question in physician vs. layperson framing and all five testable models provide better guidance to the physician (decoupling gap +0.38, p = 0.003; binary hit rates on safety-colliding actions drop 13.1 percentage points in layperson framing, p < 0.0001, while non-colliding actions show no change). The gap is widest for the model with the heaviest safety investment (Opus, +0.65). Three failure modes separate cleanly: trained withholding (Opus), incompetence (Llama 4), and indiscriminate content filtering (GPT-5.2, whose post-generation filter strips physician responses at 9x the layperson rate because they contain denser pharmacological tokens). The standard LLM judge assigns OH = 0 to 73% of responses a physician scores OH >= 1 (kappa = 0.045); the evaluation apparatus has the same blind spot as the training apparatus. Every scenario targets someone who has already exhausted the standard referrals.

Lossy image compression is pervasively conducted to save communication bandwidth, resulting in undesirable compression artifacts. Recently, extensive approaches have been proposed to reduce image compression artifacts at the decoder side; however, they require a series of architecture-identical models to process images with different quality, which are inefficient and resource-consuming. Besides, it is common in practice that compressed images are with unknown quality and it is intractable for existing approaches to select a suitable model for blind quality enhancement. In this paper, we propose a resource-efficient blind quality enhancement (RBQE) approach for compressed images. Specifically, our approach blindly and progressively enhances the quality of compressed images through a dynamic deep neural network (DNN), in which an early-exit strategy is embedded. Then, our approach can automatically decide to terminate or continue enhancement according to the assessed quality of enhanced images. Consequently, slight artifacts can be removed in a simpler and faster process, while the severe artifacts can be further removed in a more elaborate process. Extensive experiments demonstrate that our RBQE approach achieves state-of-the-art performance in terms of both blind quality enhancement and resource efficiency. The code is available at https://github.com/RyanXingQL/RBQE.