Usman Naseem
Publications
Health-ORSC-Bench: A Benchmark for Measuring Over-Refusal and Safety Completion in Health Context
Safety alignment in Large Language Models is critical for healthcare; however, reliance on binary refusal boundaries often results in \emph{over-refusal} of benign queries or \emph{unsafe compliance} with harmful ones. While existing benchmarks measure these extremes, they fail to evaluate Safe Completion: the model's ability to maximise helpfulness on dual-use or borderline queries by providing safe, high-level guidance without crossing into actionable harm. We introduce \textbf{Health-ORSC-Bench}, the first large-scale benchmark designed to systematically measure \textbf{Over-Refusal} and \textbf{Safe Completion} quality in healthcare. Comprising 31,920 benign boundary prompts across seven health categories (e.g., self-harm, medical misinformation), our framework uses an automated pipeline with human validation to test models at varying levels of intent ambiguity. We evaluate 30 state-of-the-art LLMs, including GPT-5 and Claude-4, revealing a significant tension: safety-optimised models frequently refuse up to 80\% of "Hard" benign prompts, while domain-specific models often sacrifice safety for utility. Our findings demonstrate that model family and size significantly influence calibration: larger frontier models (e.g., GPT-5, Llama-4) exhibit "safety-pessimism" and higher over-refusal than smaller or MoE-based counterparts (e.g., Qwen-3-Next), highlighting that current LLMs struggle to balance refusal and compliance. Health-ORSC-Bench provides a rigorous standard for calibrating the next generation of medical AI assistants toward nuanced, safe, and helpful completions. The code and data will be released upon acceptance. \textcolor{red}{Warning: Some contents may include toxic or undesired contents.}
VISPA: Pluralistic Alignment via Automatic Value Selection and Activation
As large language models are increasingly used in high-stakes domains, it is essential that their outputs reflect not average} human preference, rather range of varying perspectives. Achieving such pluralism, however, remains challenging. Existing approaches consider limited values or rely on prompt-level interventions, lacking value control and representation. To address this, we introduce VISPA, a training-free pluralistic alignment framework, that enables direct control over value expression by dynamic selection and internal model activation steering. Across extensive empirical studies spanning multiple models and evaluation settings, we show VISPA is performant across all pluralistic alignment modes in healthcare and beyond. Further analysis reveals VISPA is adaptable with different steering initiations, model, and/or values. These results suggest that pluralistic alignment can be achieved through internal activation mechanisms, offering a scalable path toward language models that serves all.