NeurIPS 2026 论文列表

Conference on Neural Information Processing Systems

录用类型

6,437篇论文

按官方录用论文列表统计,可能与会议公布的数字略有出入。

  • Oral
    991.5%
  • Spotlight
    2403.7%
  • Poster
    6,09894.7%

浏览全部论文

MilliVid: Adaptive Latents for Long-Range Consistency in Video Generation

Ishaan Chandratreya, David Charatan, Basile Van Hoorick, Sergey Zakharov, Vitor Guizilini, Phillip Isola, Vincent Sitzmann

展开摘要

Transformer-based video generative models have become increasingly realistic, but long-horizon consistency remains challenging to achieve because even a few dozen frames create impractically long sequence lengths. We show that this issue can be mitigated by generating video using coarse-to-fine rollout within a multi-scale token space. Our approach is simple: first, we pre-train an adaptive autoencoder that compresses each frame into a hierarchy of tokens, with levels ranging from the typical latent resolution to only a handful of tokens per frame. This yields a hierarchy in which the coarsest levels capture the most consequential information—such as scene layout and semantics—while finer levels add high-frequency appearance and texture. Then, we train a video diffusion model to generate these tokens using coarse-to-fine rollout. By carefully controlling the level of detail at which frames are generated and used as context during each rollout step, we are able to preserve long-range consistency in geometry and object permanence while expending less compute on long-term consistency of less perceptually relevant details. We validate this approach using a custom long-horizon Minecraft dataset, where it produces substantially more consistent rollouts compared to strong baselines. We hope this perspective opens new opportunities for long-term consistent video generation.

Poster
MicroWorld: Empowering Multimodal Large Language Models to Bridge the Microscopic Domain Gap with Multimodal Attribute Graph

Manyu Li, Ruian He, Chenxi Ma, Weimin Tan, Bo Yan

展开摘要

Multimodal large language models (MLLMs) show remarkable potential for scientific reasoning, yet their performance in specialized domains such as microscopy remains limited by the scarcity of domain-specific training data and the difficulty of encoding fine-grained expert knowledge into model parameters. To bridge the gap, we introduce MicroWorld, a framework that constructs a multimodal attributed property graph (MAPG) from large-scale scientific image-caption corpora and leverages it to augment MLLM reasoning at inference time without any domain-specific fine-tuning. MicroWorld extracts biomedical entities and relations via scispaCy or LLM-based triplet mining, aligns images and entities in a shared embedding space using Qwen3-VL-Embedding, and assembles a knowledge graph comprising approximately 111K nodes and 346K typed edges spanning eight relation categories. At inference time, a graph-augmented retrieval pipeline matches query entities to the MAPG and injects structured knowledge context into the MLLM prompt. On the MicroVQA benchmark, MicroWorld improves the reasoning performance of Qwen3-VL-8B-Instruct by 37.5%, outperforming GPT-5 by 13.0% to achieve a new state-of-the-art. Furthermore, it yields a 6.0% performance gain on the MicroBench benchmark. Extensive experiments demonstrate the enhanced generalization capability introduced by MicroWorld. A qualitative case study further reveals both the mechanisms through which structured knowledge improves reasoning and the failure modes that point to promising future directions. Code and data are available at anonymous GitHub.

Poster
MiCo: Microstructure-Consistent Flow Matching for Diffusion MRI Angular Super-Resolution

Zhixuan Zhou, Tingting Dan, Guorong Wu

展开摘要

Diffusion-weighted MRI (dMRI) requires densely sampling $q$-space across many directions and shells, leading to long scan times that limit clinical use. Angular super-resolution (ASR) recovers a dense signal from a sparse acquisition, enabling substantially shorter scans. We propose a physics-guided flow matching framework for ASR built on a basic fact about dMRI: under the cumulant expansion, the diffusion signal naturally splits into a known linear function of the $q$-vectors plus a residual carrying higher-order angular detail. We exploit this twice. First, we initialize the flow from a closed-form dense DTI estimate, recasting ASR as residual flow matching from a physically meaningful starting point rather than uninformative noise. Second, we impose a microstructure-consistency loss, rooted in the physical principle that any two diffusion-weighted signals from the same voxel must be explained by a single underlying set of microstructural parameters. Together, these designs anchor predictions wherever the acquisition is informative while leaving the learned prior to model crossing-fiber and higher-order angular detail. On the Human Connectome Project (HCP-YA) and UK Biobank, our method matches or surpasses analytical baselines and recent deep learning methods on signal reconstruction, kurtosis scalar maps, and fiber-orientation reconstruction under aggressive subsampling.

Poster
Metropolis-Scale Road Network Datasets for Fine-Grained Urban Traffic Modeling

Fedor Velikonivtsev, Oleg Platonov, Ekaterina Alimaskina, Gleb Bazhenov, Liudmila Prokhorenkova

展开摘要

Modeling traffic dynamics is a critical challenge for urban computing, with applications from real-time traffic management to infrastructure planning. However, progress in this area is fundamentally constrained by a lack of large-scale public datasets that capture the subtle properties of real city road networks. Existing benchmarks are often limited by their small scale, reliance on sparse highway traffic sensors, absence of true road connectivity information, and lack of information about road properties. To address this issue, we introduce datasets representing fine-grained road networks of two major cities, which are unique in their scale (up to 100,000 road segments), use of real road connectivity, presence of time series measurements for both traffic speed and volume at a 5-minute resolution, and inclusion of rich static road attributes. These datasets enable in-depth analysis of spatiotemporal traffic patterns and can serve as benchmarks for various ML applications. As a practical demonstration of the utility of our datasets and the challenges they present, we use them for the task of traffic forecasting. The size of the real-world road networks in our datasets reveals significant scalability issues in current traffic forecasting models. To address them, we propose a simple and efficient baseline that not only scales to large road graphs but also achieves forecasting performance competitive with other established spatiotemporal models. We hope that the proposed datasets will serve as a foundational resource for a broad range of research in traffic modeling, urban computing, and smart city development.

Poster
Metropolis-Adjusted Diffusion Models

Kevin H Lam, Tyler Farghly, Christopher Williams, Jun Yang, Yee Whye Teh, Arnaud Doucet

展开摘要

Sampling from score-based diffusion models incurs bias due to both time discretisation and the approximation of the score function. A common strategy for reducing this bias is to apply corrector steps based on the unadjusted Langevin algorithm (ULA) at each noise level within a predictor-corrector framework. However, ULA is itself a \emph{biased} sampler, as it discretises a continuous diffusion process. In this work, we consider \emph{adjusted} Langevin correctors that employ Metropolis--Hastings (MH) or Barker's accept-reject steps to correct for this bias. Since the target density ratio typically required by MH-based algorithms is unavailable, we propose methods that instead utilise the score function to compute the correct acceptance probability. We introduce the first exact method for adjusting Langevin corrections in diffusion models, based on a two-coin Bernoulli factory algorithm. We also propose an efficient approximation based on Simpson's rule that achieves accuracy of order $5/2$ in the step size at near-zero marginal cost. We demonstrate that these procedures improve sample quality on both synthetic and image datasets, yielding consistent gains in Fr\'echet Inception Distance on the latter.

Poster
Metric Depth Estimation from Arbitrarily Degraded Low-Resolution Depth Prompts

Kun Wang, Yun Zhu, Pan Zhou, Na Zhao

展开摘要

We propose AdaDS, a generalizable framework for prompted metric depth estimation, which estimates high-resolution metric depth from images and arbitrarily degraded low-resolution depth prompts. This setting is commonly studied as depth super-resolution, where existing methods typically regress depth values directly and often exhibit artifacts under severe or unknown depth degradation. In contrast, AdaDS exploits the contraction property of Gaussian smoothing: as noise accumulates in the forward diffusion process, the distributional discrepancy between degraded depth prompts and their high-quality counterparts progressively diminishes, eventually approaching an isotropic Gaussian prior. Leveraging this property, AdaDS estimates refinement uncertainty to adaptively select a starting timestep in the reverse diffusion trajectory, and subsequently injects tailored noise to place the intermediate sample in a high-probability region of the target posterior distribution. This strategy enables the generative prior of a pre-trained diffusion model to dominate the estimation process even when upstream prompt refinements are imperfect. Extensive experiments on real-world and synthetic benchmarks demonstrate AdaDS's superior zero-shot generalization and robustness to diverse degradation patterns compared with state-of-the-art methods.

Poster
Metaphor Is Not All Attention Needs

Olga Sorokoletova, Francesco Giarrusso, Giacomo De Luca, Piercosma Bisconti Lucidi, Matteo Prandi, Federico Pierucci, Marcello Galisai, Vincenzo Suriani, Daniele Nardi

展开摘要

Large language models are increasingly deployed in safety-critical and user-facing applications, where their ability to resist harmful instructions is essential. Although post-training aims to make models robust against many jailbreak strategies, recent evidence shows that stylistic reformulations, such as poetic transformation, can still bypass safety mechanisms with alarming effectiveness. This raises a central question: why do literary jailbreaks succeed? In this work, we investigate whether their effectiveness depends on specific poetic devices, on a failure to recognize literary formatting, or on deeper changes in how models process stylistically irregular prompts. We address this problem through an interpretability analysis of attention patterns. Our analysis proceeds in three steps: we perform input-level ablation studies to assess the contribution of individual and combinations of rhetorical devices; we construct a novel interpretable vector representation of attention maps; we cluster these representations and train linear probes to predict both safety outcomes and literary format. Our results show that models distinguish poetic from prose formats with high accuracy, yet struggle to predict jailbreak success within each format. Clustering further reveals clear separation by literary format, but not by safety label. These findings indicate that jailbreak success is not caused by a failure to recognize poetic formatting; rather, poetic prompts induce distinct processing patterns that remain largely independent of harmful-content detection. Overall, literary jailbreaks appear to misalign large language models not through any single poetic device, but through accumulated stylistic and structural irregularities that alter prompt processing and avoid lexical triggers considered during post-training. This suggests that robustness requires safety mechanisms that account for style-induced shifts in model behavior. We use Qwen3-14B as a representative open-weight case study for all reported experiments.

Poster
MetaLoop: Benchmarking the Full Metacognitive Loop in LLMs

Nora Petrova, John Burden, Jerome Wynne

展开摘要

We introduce MetaLoop, a seven-task benchmark that evaluates the full metacognitive loop in large language models: monitoring one's own uncertainty, translating that signal into action (abstaining, switching strategies, correcting errors), and updating from feedback. Existing evaluations test these components in isolation; MetaLoop produces integrated per-model profiles across all three. Evaluating 12 frontier models alongside 460 human participants, we find that (1) accuracy does not predict metacognitive ability (high-accuracy models routinely approve their own errors); (2) models universally produce calibration signals but fail to act on them; (3) forced self-explanation distinguishes genuine self-monitoring from brittle pattern-matching; and (4) humans and LLMs both show monitoring–control gaps but with different failure modes (humans are loss-averse, models overconfident), with clarification detection as the one clear human advantage. We release the benchmark, scoring code, model outputs, and human data.

Poster
MetaKE: Meta-Learning for Knowledge Editing Toward a Better Accuracy-Editability Trade-off

Shuxin Liu, Di Gao, Ou Wu

展开摘要

Existing locate-then-edit Knowledge Editing (KE) methods typically decompose editing into two stages: upstream target representation optimization and downstream constrained parameter optimization. The optimization across the two stages is disconnected: upstream applies uniform regularization without observing downstream realization of the planned residual, hindering a refined accuracy–editability trade-off. Since this realization is request-specific and depends on downstream constraints, uniform regularization can over-shrink high-association requests, causing insufficient editing, while it can under-regularize low-association requests, producing over-large planned residuals that reduce downstream editability. To bridge this disconnect, we propose $\textbf{MetaKE}$ ($\textbf{Meta}$-learning for $\textbf{K}$nowledge $\textbf{E}$diting), a new framework that unifies upstream and downstream stages into a bi-level optimization problem. The inner level optimizes parameter updates for the target representation, while the outer level optimizes representation using feedback from downstream constraints, achieving a better semantic accuracy-editability trade-off. To avoid costly multi-layer backpropagation, we introduce a Structural Gradient Proxy to approximate and propagate this feedback. Extensive experiments show that MetaKE outperforms strong baselines, offering a new perspective on KE. Code at: https://anonymous.4open.science/r/MetaKE-C160.

Poster
Meta-memorization and memorization scaling laws in transformers

Alex Nguyen, Kenneth Norman, Gautam Reddy

展开摘要

Larger transformers can memorize more data, with a capacity (in bits) that scales roughly linearly with parameter count. Counterintuitively, larger models also memorize *faster*, requiring fewer repetitions of a sequence during training before it is perfectly memorized. We reproduce both memorization scaling laws in transformers trained on unstructured sequences, demonstrating that efficient memorization is not due to a larger model's superior ability to learn structure in data. Rapid memorization is due to a *meta-memorization* effect, where models trained to memorize a large set of random sequences learn to memorize novel sequences more quickly. The rate $r(t)$ at which models memorize grows with training time $t$ as a power-law $r(t) \sim t^{\beta}$ with a fixed exponent $\beta$ but an increasing upper cutoff across model scales. In one-layer models, we trace the origin of meta-memorization to structured attention heads that convey length-invariant sequence information to MLPs where memorized sequences are stored. Meta-memorization is explained using a simplified model of a dense associative memory where retrieval is constrained by an attentional bottleneck. Put together, our results suggest transformers dynamically acquire reusable mechanisms that enable highly efficient storage and retrieval of memories.

Poster
Meta-TTRL: A Metacognitive Framework for Self-Improving Test-Time Reinforcement Learning for T2I Generation in Unified Multimodal Models

Lit Sin Tan, Junzhe Chen, Xiaolong Fu, Lichen Ma, Junshi Huang, Jianzhong Shi, Yan Li, Lijie Wen

展开摘要

Test-time scaling (TTS) improves text-to-image (T2I) generation in unified multimodal models (UMMs), but existing TTS methods typically rely on frozen-parameter search or sampling, yielding only ephemeral, instance-level improvements. We propose Meta-TTRL, a metacognitive test-time reinforcement learning (TTRL) framework that converts test-time generation experience into learning signals, enabling UMMs to self-improve during T2I generation without external reward models. Meta-TTRL formulates test-time learning as a closed-loop interaction between an object-level generator and a meta-level introspector. The introspector decomposes prompts into structured verification rubrics and produces confidence-enhanced intrinsic monitoring signals, which are used to optimize the generator policy through reinforcement learning (RL). Extensive experiments demonstrate that Meta-TTRL generalizes well across three representative UMMs, including Janus-Pro-7B, BAGEL, and Qwen-Image, achieving significant gains on compositional reasoning tasks and multiple T2I benchmarks with limited data. Further analyses with external introspectors, RL leakage, and alternative monitoring signals reveal a key principle for effective TTRL: metacognitive synergy, where monitoring signals must align with the model's own optimization regime.

Poster
Meta-Reinforcement Learning with Zero-Shot Reinforcement Learning

Jake Grigsby, Siddhant Agarwal, Yu Lei, Leonidas Varveropoulos, Yuke Zhu

展开摘要

Meta-reinforcement learning (meta-RL) agents adapt to novel tasks from test-time experience, but require diverse training sets of environments and reward functions that are expensive to construct. Behavior Foundation Models (BFMs) learn policies from reward-free data that are capable of zero-shot RL (ZSRL), adapting to new objectives at test time when given a large reward-labeled dataset. Recent work has shown that BFM task inference can be performed online, making BFMs and meta-RL direct competitors for generalization in fixed environments. We ask whether BFMs can be extended to adapt to novel reward functions in novel environments, and identify four key limitations: environment identification, online data collection, test-time exploration-exploitation, and mixed reward supervision. We study these subproblems through toy domains, standard BFM benchmarks, and simulated humanoid locomotion, then propose a unified framework that addresses all four. The resulting method, MetaBFM, is a hybrid RL agent spanning meta-RL, ZSRL, and intrinsic exploration. During training, MetaBFM combines supervised reward-following with unsupervised reward-free learning; at test time, it interpolates between exploration, exploitation, and ZSRL-style reward inference. We evaluate MetaBFM on two toy meta-RL domains and at scale in MetaWorld, showing that hybrid meta-RL/ZSRL agents can learn more general behavior from the same set of reward functions and may reduce the need for future meta-RL domains to hand-design diverse training sets.

Poster
Meta-Learning Preferences for Multilingual LLM Alignment

Jiaying Lin, Seongho Son, Nam P Tran, Long Tran-thanh, Ilija Bogunovic, Debmalya Mandal

展开摘要

Unequal availability of human preference data across languages poses a significant challenge for aligning large language models in multilingual settings. To address the lack of sufficient data in low-resource language alignment, we propose a meta-learning framework for Reinforcement Learning from Human Feedback and Direct Preference Optimization. By leveraging preference data from other languages, our framework learns a transferable initialization that enables effective adaptation to a target language with minimal data. We provide theoretical guarantees for both the meta-reward modeling and meta-policy optimization settings, and empirically demonstrate the effectiveness of our approach on multilingual benchmarks. In an extremely low-resource setting with only 100 target-language preference samples, our approach achieves up to $28\%$ win-rate improvements over baseline methods, and consistently outperforms baselines across multiple target languages and model scales. Our approaches retain these advantages across different combinations of meta-training languages and varying linguistic distances from the target languages.

Poster
Meta-Cognitive Memory Policy Optimization for Long-Horizon LLM Agents

Ziyan Liu, Zhezheng Hao, Yeqiu Chen, Hong Wang, JingRen Hou, Ruiyi Ding, Yongkang Yang, Wence Ji, Wei Xia, Feng Liu

展开摘要

Memory-augmented LLM agents tackle complex long-horizon tasks by recursively summarizing interaction trajectories into compact memory. However, existing approaches typically train these memory policies using outcome-based reinforcement learning, failing to localize where intermediate memory quality degrades. As interactions unfold, ambiguous recursive summaries progressively discard or blur task-relevant information. This exacerbates belief deviation, obscuring the agent’s estimate of the latent task state and ultimately derailing long-horizon reasoning. We therefore argue that memory optimization should focus not merely on trajectory-level success, but on the clarity of the belief induced by intermediate summaries. To this end, we introduce Belief Entropy, a self-supervised proxy that probes how uncertain the model remains about the latent task state given its current memory. Based on this proxy, we propose Metacognitive Memory Policy Optimization (MMPO). Instead of relying only on sparse outcome-based signals, MMPO provides fine-grained, memory-specific supervision by explicitly penalizing summaries that induce high epistemic uncertainty. Experiments show that MMPO consistently outperforms existing methods on diverse long-horizon tasks, maintaining 97.1% performance even when scaled to 1.75M-token contexts.

Poster
Meta$^n$: Recursive Self-Improvement through Emergent Depth

Zae Myung Kim, Young-Jun Lee, Seungyeon Jwa, Dongyeop Kang

展开摘要

Self-improving LLM agents typically improve answers, not the $\textit{process}$ by which answers are improved: their search loops and mutation rules are held fixed by design. We introduce $meta^n$, a framework for $\textit{recursive}$ self-improvement in which a single universal meta-operation $\Omega$ is applied repeatedly to build a hierarchy of meta-layers whose depth is sized by convergence rather than prescribed. Each layer observes execution traces from below, diagnoses failure patterns, and emits executable code (strategic guidance via pre-processing and reusable functions via a code library) whose effects cascade downward. Inter-layer conditioning permits up to $\prod_{d=2}^{n} k_d$ effective strategy-tactic combinations across $n$ layers rather than $\sum_d k_d$. An evolutionary orchestration mode maintains a growing archive of candidate chains with fitness-weighted parent selection and cross-candidate inspiration. Across seven benchmarks (combinatorial optimization, two text classification tasks, terminal agent tasks, mathematical discovery, symbolic regression, algorithm speedup), $meta^n$ beats prior self-improving agents on all five (of seven) benchmarks where they apply, with the largest gap on CO-Bench (0.849 test vs. Gödel Agent's 0.000 and OpenEvolve's 0.816). Layers specialize without prescription and their roles emerge at depth: generic primitives at depth 2 propagate as cross-task callables, task-aware routing emerges at depth 3, and deeper layers refine via specialization. Code and data will be released publicly.

Poster
Meta Inverse Prompting for Video Generative Models

Yerin Jung, Jongheon Jeong

展开摘要

Recent advances in video generative models have enabled flexible conditional generation and editing pipelines, such as text-to-video, image-to-video, and reference-guided synthesis. However, these workflows are inherently one-directional, mapping conditions to videos without providing a mechanism to invert this process. In complex media production settings, the ability to recover controllable textual conditions from a given video is highly desirable, yet remains underexplored. While inverse prompting has been studied for image generation, directly extending these approaches to video is challenging due to the need to capture temporal dynamics beyond static appearance, as well as the substantial computational cost of per-video optimization. In this work, we propose the first practical framework for efficient video inverse prompting. Specifically, we formulate inverse prompting as a meta-learning problem and introduce Meta Video Inverse Prompting (MVIP), which learns a meta-prompt optimized over temporal dimensions to enable fast and effective prompt inference. Our approach amortizes the inversion process, eliminating the need for costly iterative optimization at test time. Experimental results demonstrate that MVIP recovers higher-quality inverse prompts with significantly improved reconstruction fidelity compared to image-based inversion and iterative captioning baselines, while achieving substantial gains in efficiency.

Poster
Mesh-Free Convolution: Learned Spectral Attenuation and Transport

Niloufar Zakariaei, Manav Manav, Eldad Haber

展开摘要

Learning solution operators for partial differential equations (PDEs) requires models that can represent spatial structure across grids and scales. This becomes especially important in time-dependent problems, where the learned operator is often used autoregressively: each predicted state is fed back as input to predict future states. In this setting, small spatial errors can be repeatedly propagated through the learned dynamics, leading to instability and drift, vitiating long-term solution fidelity. We propose Mesh-Free Convolutions (MFCs), filters defined in continuous space and discretized only at evaluation time. This allows the same learned filters to be applied across resolutions. Rather than imposing a grid-dependent stencil or a fixed spectral cutoff, MFCs learn smooth scale-dependent filtering and include directional terms for transport-like behavior. Across fluid-dynamics and weather-forecasting benchmarks, MFC-based models produce stable long-horizon rollouts, transfer reliably across resolutions, and better preserve long-time statistics. These results suggest that continuous, mesh-free filtering is a useful inductive bias for PDE operator learning, especially in autoregressive prediction.

Poster
Mesh Invaiant Infinite Dimensional Adaptive MCMC for Latent Gaussian Processes

Jonas Wallin, Sreekar Vadlamani

展开摘要

We introduce mesh-invariant adaptive Markov chain Monte Carlo methods for Gaussian-process posteriors arising in infinite-dimensional Bayesian inference. In function-space MCMC, posterior distributions are defined by a change of measure with respect to a Gaussian prior, making absolute continuity essential for valid proposal construction. Standard adaptive schemes that modify means or scales in the full discretized space can destroy this property, leading to proposal measures that become singular in the infinite-dimensional limit. To avoid this, we adapt only an active finite-dimensional subspace of the Gaussian-process representation while preserving the prior dynamics on inactive coordinates. This yields two adaptive proposals, pCNLV and pCNMV, which extend preconditioned Crank--Nicolson and Crank--Nicolson Langevin methods by learning posterior scale, and in pCNMV also posterior mean structure, on the data-informed subspace without introducing discretization-dependent Gaussian density ratios. The resulting samplers retain the mesh robustness of function-space methods while improving efficiency through local adaptation. Experiments on a Darcy-flow inverse problem and Bayesian logistic regression demonstrate consistent efficiency gains, including an approximately fourfold improvement in effective sampling efficiency for Darcy flow.

Poster
Merging RLVR-Trained Experts via Policy-Shift-Guided Spectral Alignment

Geeho Kim, MINSIK CHOI, Kyle Min, Young Geun Kim, Bohyung Han

展开摘要

We propose Policy-Shift-Guided Spectral Alignment (PSA), a retraining-free method for merging RLVR post-trained language-model experts by guiding spectral subspace selection with token-level expert-base policy shifts. We first show that existing SFT-oriented merging techniques under-preserve the sparse, directional changes in next-token probabilities that distinguish RLVR experts from the pretrained base. To address this challenge, PSA scores calibration tokens by expert--base probability difference under the same prefix, and converts probability-shift-weighted input activations into column weights. These weights define a weighted SVD objective that prioritizes update directions active on high-shift tokens. After low-rank truncation, PSA applies cross-expert polar alignment to the truncated task-vector bases and restores each expert's per-layer Frobenius scale before aggregation. Experiments on Qwen2.5-7B and Qwen3-1.7B across three RLVR tasks show that PSA consistently outperforms strong merging baselines while preserving expert-level capabilities in a unified model.

Poster
MentalHospital: A Virtual Environment for Evaluating Psychiatric Clinical Encounters

Yuming Yang, Xiao Sun, Yuanwei Zou, Zhengxiao Wu, Jiang Zhong, Haoyang Zeng, Jingwang Huang, Kaiwen Wei

展开摘要

Large language models (LLMs) have shown strong performance on isolated psychiatric tasks, including dialogue, diagnosis, and treatment planning, yet existing benchmarks rarely simulate complete psychiatric clinical encounters. We introduce **MentalHospital**, a virtual evaluation environment for LLM-based psychiatric clinical encounters. MentalHospital instantiates the Subjective Interviewing, Objective Examination, Diagnostic Assessment, and Treatment Planning (S.O.A.P.) workflow, using skill-augmented standardized patients constructed from 1,193 de-identified psychiatric electronic health record (EHR) cases spanning all major ICD-11 categories and 76 disorders. Each encounter is assessed through a dual-track protocol that combines objective comparison against EHR-derived references with subjective assessment of clinical process quality. To scale specialist judgment, we develop **MentalEval**, five domain-specific evaluators covering communication empathy, interviewing professionalism, clinical-note quality, diagnostic rigor, and treatment appropriateness, trained with rubric-grounded SFT and expert-guided DPO. Survey responses from 22 clinicians support MentalHospital's clinical fidelity (3.88/5), while MentalEval achieves strong expert alignment with an average QWK of 0.944. Benchmarking shows that even the strongest LLM trails clinicians by 37.28 percentage points in objective psychiatric competence, with mental status assessment as a key bottleneck.

Poster