R. Padman
Publications
The Model Says Walk: How Surface Heuristics Override Implicit Constraints in LLM Reasoning
Large language models systematically fail when a salient surface cue conflicts with an unstated feasibility constraint. We study this through a diagnose-measure-bridge-treat framework. Causal-behavioral analysis of the ``car wash problem'' across six models reveals approximately context-independent sigmoid heuristics: the distance cue exerts 8.7 to 38 times more influence than the goal, and token-level attribution shows patterns more consistent with keyword associations than compositional inference. The Heuristic Override Benchmark (HOB) -- 500 instances spanning 4 heuristic by 5 constraint families with minimal pairs and explicitness gradients -- demonstrates generality across 14 models: under strict evaluation (10/10 correct), no model exceeds 75%, and presence constraints are hardest (44%). A minimal hint (e.g., emphasizing the key object) recovers +15 pp on average, suggesting the failure lies in constraint inference rather than missing knowledge; 12/14 models perform worse when the constraint is removed (up to -39 pp), revealing conservative bias. Parametric probes confirm that the sigmoid pattern generalizes to cost, efficiency, and semantic-similarity heuristics; goal-decomposition prompting recovers +6 to 9 pp by forcing models to enumerate preconditions before answering. Together, these results characterize heuristic override as a systematic reasoning vulnerability and provide a benchmark for measuring progress toward resolving it.
When Documents Disagree: Measuring Institutional Variation in Transplant Guidance with Retrieval-Augmented Language Models
Patient education materials for solid-organ transplantation vary substantially across U.S. centers, yet no systematic method exists to quantify this heterogeneity at scale. We introduce a framework that grounds the same patient questions in different centers' handbooks using retrieval-augmented language models and compares the resulting answers using a five-label consistency taxonomy. Applied to 102 handbooks from 23 centers and 1,115 benchmark questions, the framework quantifies heterogeneity across four dimensions: question, topic, organ, and center. We find that 20.8% of non-absent pairwise comparisons exhibit clinically meaningful divergence, concentrated in condition monitoring and lifestyle topics. Coverage gaps are even more prominent: 96.2% of question-handbook pairs miss relevant content, with reproductive health at 95.1% absence. Center-level divergence profiles are stable and interpretable, where heterogeneity reflects systematic institutional differences, likely due to patient diversity. These findings expose an information gap in transplant patient education materials, with document-grounded medical question answering highlighting opportunities for content improvement.
Consistency of Large Reasoning Models Under Multi-Turn Attacks
Large reasoning models with reasoning capabilities achieve state-of-the-art performance on complex tasks, but their robustness under multi-turn adversarial pressure remains underexplored. We evaluate nine frontier reasoning models under adversarial attacks. Our findings reveal that reasoning confers meaningful but incomplete robustness: most reasoning models studied significantly outperform instruction-tuned baselines, yet all exhibit distinct vulnerability profiles, with misleading suggestions universally effective and social pressure showing model-specific efficacy. Through trajectory analysis, we identify five failure modes (Self-Doubt, Social Conformity, Suggestion Hijacking, Emotional Susceptibility, and Reasoning Fatigue) with the first two accounting for 50% of failures. We further demonstrate that Confidence-Aware Response Generation (CARG), effective for standard LLMs, fails for reasoning models due to overconfidence induced by extended reasoning traces; counterintuitively, random confidence embedding outperforms targeted extraction. Our results highlight that reasoning capabilities do not automatically confer adversarial robustness and that confidence-based defenses require fundamental redesign for reasoning models.
Consistency of Large Reasoning Models Under Multi-Turn Attacks
Large reasoning models with reasoning capabilities achieve state-of-the-art performance on complex tasks, but their robustness under multi-turn adversarial pressure remains underexplored. We evaluate nine frontier reasoning models under adversarial attacks. Our findings reveal that reasoning confers meaningful but incomplete robustness: most reasoning models studied significantly outperform instruction-tuned baselines, yet all exhibit distinct vulnerability profiles, with misleading suggestions universally effective and social pressure showing model-specific efficacy. Through trajectory analysis, we identify five failure modes (Self-Doubt, Social Conformity, Suggestion Hijacking, Emotional Susceptibility, and Reasoning Fatigue) with the first two accounting for 50% of failures. We further demonstrate that Confidence-Aware Response Generation (CARG), effective for standard LLMs, fails for reasoning models due to overconfidence induced by extended reasoning traces; counterintuitively, random confidence embedding outperforms targeted extraction. Our results highlight that reasoning capabilities do not automatically confer adversarial robustness and that confidence-based defenses require fundamental redesign for reasoning models.
Closing Reasoning Gaps in Clinical Agents with Differential Reasoning Learning
Clinical decision support requires not only correct answers but also clinically valid reasoning. We propose Differential Reasoning Learning (DRL), a framework that improves clinical agents by learning from reasoning discrepancies. From reference reasoning rationales (e.g., physician-authored clinical rationale, clinical guidelines, or outputs from more capable models) and the agent's free-form chain-of-thought (CoT), DRL extracts reasoning graphs as directed acyclic graphs (DAGs) and performs a clinically weighted graph edit distance (GED)-based discrepancy analysis. An LLM-as-a-judge aligns semantically equivalent nodes and diagnoses discrepancies between graphs. These graph-level discrepancy diagnostics are converted into natural-language instructions and stored in a Differential Reasoning Knowledge Base (DR-KB). At inference, we retrieve top-$k$ instructions via Retrieval-Augmented Generation (RAG) to augment the agent prompt and patch likely logic gaps. Evaluation on open medical question answering (QA) benchmarks and a Return Visit Admissions (RVA) prediction task from internal clinical data demonstrates gains over baselines, improving both final-answer accuracy and reasoning fidelity. Ablation studies confirm gains from infusing reference reasoning rationales and the top-$k$ retrieval strategy. Clinicians' review of the output provides further assurance of the approach. Together, results suggest that DRL supports more reliable clinical decision-making in complex reasoning scenarios and offers a practical mechanism for deployment under limited token budgets.