Xiao Sun
Publications
M$^3$R-Bench: A Unified Benchmark for Evidence-Grounded Multimodal Metaphor Understanding
Metaphor enables the understanding of abstract concepts through cross-domain mappings while conveying affective attitudes. In multimodal scenarios, visual and textual information jointly construct Target--Source mappings, requiring both conceptual understanding and cross-modal reasoning. However, existing benchmarks mainly evaluate metaphor understanding through isolated subtasks and lack evidence-grounded explanations, making it difficult to assess whether models establish mappings grounded in visual and textual cues.To address these limitations, we introduce M$^3$R-Bench, a unified and evidence-grounded benchmark containing 1,000 image--text instances with human-verified annotations. Guided by Conceptual Metaphor Theory and theories of nonliteral language understanding, M$^3$R-Bench provides joint annotations for metaphor occurrence, Target--Source mapping, sentiment, and stage-wise explanations following ``evidence identification--mapping establishment--sentiment inference.''Evaluations on M$^3$R-Bench reveal that existing models often overlook visual evidence, rely on superficial textual cues, and produce inaccurate Target--Source mappings, exposing a cross-modal evidence--mapping mismatch. To address this mismatch, we propose M$^3$R-Reasoner, which combines curriculum-based reasoning supervision with task-aware reinforcement learning to align model reasoning with metaphor interpretation. Experiments show that, with only an 8B-parameter backbone, M$^3$R-Reasoner outperforms larger proprietary MLLMs across four unified-task metrics and improves Visual Evidence and Sentiment Justification scores over GPT-5.5 by 28.45 and 30.11 points, respectively, while surpassing Claude-Sonnet-4.6 by 8.00 points in mean rubric score. The dataset and code are available at https://github.com/hongshi4/M3R-Bench.
MentalHospital: A Virtual Environment for Evaluating Psychiatric Clinical Encounters
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 $\textbf{MentalHospital}$, 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 $\textbf{MentalEval}$, 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.
MentalSeek-Dx: Towards Progressive Hypothetico-Deductive Reasoning for Real-world Psychiatric Diagnosis
Mental health disorders represent a burgeoning global public health challenge. While Large Language Models (LLMs) have demonstrated potential in psychiatric assessment, their clinical utility is severely constrained by benchmarks that lack ecological validity and fine-grained diagnostic supervision. To bridge this gap, we introduce \textbf{MentalDx Bench}, the first benchmark dedicated to disorder-level psychiatric diagnosis within real-world clinical settings. Comprising 712 de-identified electronic health records annotated by board-certified psychiatrists under ICD-11 guidelines, the benchmark covers 76 disorders across 16 diagnostic categories. Evaluation of 18 LLMs reveals a critical \textit{paradigm misalignment}: strong performance at coarse diagnostic categorization contrasts with systematic failure at disorder-level diagnosis, underscoring a gap between pattern-based modeling and clinical hypothetico-deductive reasoning. In response, we propose \textbf{MentalSeek-Dx}, a medical-specialized LLM trained to internalize this clinical reasoning process through supervised trajectory construction and curriculum-based reinforcement learning. Experiments on MentalDx Bench demonstrate that MentalSeek-Dx achieves state-of-the-art (SOTA) performance with only 14B parameters, establishing a clinically grounded framework for reliable psychiatric diagnosis.