China

Large Language Models (LLMs) have shown promising performance on diverse medical benchmarks, highlighting their potential in supporting real-world clinical tasks. Retrieval-Augmented Generation (RAG) has emerged as a key approach for mitigating knowledge gaps and hallucinations by incorporating external medical information. However, RAG still struggles with complex medical questions that require intensive reasoning, as surface-level input often fails to reflect the true knowledge needs of the task. Existing methods typically focus on refining queries without explicitly modeling the reasoning process, limiting their ability to retrieve and integrate clinically relevant knowledge. In this work, we propose RAR², a joint learning framework that improves both Reasoning-Augmented Retrieval and Retrieval-Augmented Reasoning. RAR² constructs a thought process to uncover implicit knowledge requirements and uses it to guide retrieval and answer generation. We build a training dataset of mixed preference pairs and apply Direct Preference Optimization (DPO) to train the model. Moreover, we design two test-time scaling strategies to explore the boundaries of our framework. Experiments demonstrate the effectiveness of RAR² across several biomedical question answering datasets, outperforming RAG baselines with or without fine-tuning.

EMNLP 2025

RAR²: Retrieval-Augmented Medical Reasoning via Thought-Driven Retrieval

medical question answering

retrieval-augmented generation

### Welcome to 2025 Annual Conference of the Nations of the Americas Chapter of the Association for Computational Linguistics

Welcome to the 2025 meeting of the Nations of the Americas Chapter of the Association for Computational Linguistics! I am proud to help organize the first NAACL conference to carry the new name of our organization, one that emphasizes inclusion for all of the Americas. I am also pleased to welcome you to Albuquerque, New Mexico, a state whose unique blend of cultural influences will make for an excellent backdrop for NAACL 2025, especially with this year’s special theme on NLP in a Multicultural World. 
**[Continue reading...](https://drive.google.com/file/d/1jX-qGhqVSZZCIrAnJaz798pflu5Irrdn/view?usp=sharing)**

*- Colin Cherry, Google, NAACL 2025 General Chair* 

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NAACL 2025

Welcome to 2025 Annual Conference of the Nations of the Americas Chapter of the Association for Computational Linguistics

poster

## Welcome!
"I am excited to welcome you to this year’s edition of the Conference on Empirical Methods in Natural Language Processing! Importantly, it marks the 30th edition of EMNLP. With over 8,000 submissions, more than 3,000 accepted papers, and thousands of attendees, we have come a long way from that first
workshop, which had 14 accepted papers. As the field looks ahead, Suzhou is the fitting location for celebrating this milestone: rooted in a long literary tradition, yet modern and forward-looking, and home to a large share of the NLP community." 

*Message from the General Chair, Dirk Hovy*

Celebrate 30 Years of EMNLP! 
EMNLP 2025 will be held in Suzhou, China from November 5th to November 9th, 2025.

The choice of a suitable visual language projector (VLP) is critical to the successful training of large visual language models (LVLMs). Mainstream VLPs can be broadly categorized into compressed and uncompressed projectors, and each offering distinct advantages in performance and computational efficiency. However, their security implications have not been thoroughly examined. Our comprehensive evaluation reveals significant differences in their security profiles: compressed projectors exhibit substantial vulnerabilities, allowing adversaries to successfully compromise LVLMs even with minimal knowledge of structural information. In stark contrast, uncompressed projectors demonstrate robust security properties and do not introduce additional vulnerabilities. These findings provide critical guidance for researchers in selecting optimal VLPs that enhance the security and reliability of visual language models. The code will be released.

The Security Threat of Compressed Projectors in Large Vision-Language Models

The behavior of Large Language Models (LLMs) when facing contextual information that conflicts with their internal parametric knowledge is inconsistent, with no generally accepted explanation for the expected outcome distribution. Recent work has identified in autoregressive transformer models a class of neurons -- called textitentropy neurons -- that produce a significant effect on the model output entropy while having an overall moderate impact on the ranking of the predicted tokens. In this paper, we investigate the preliminary claim that these neurons are involved in inhibiting context copying behavior in transformers by looking at their role in resolving conflicts between contextual and parametric information. We show that textitentropy neurons are responsible for suppressing context copying across a range of LLMs, and that ablating them leads to a significant change in the generation process. These results enhance our understanding of the internal dynamics of LLMs when handling conflicting information.

Context Copying Modulation: The Role of Entropy Neurons in Managing Parametric and Contextual Knowledge Conflicts

Rhetorical strategies are central to persuasive communication, from political discourse and marketing to legal argumentation. However, analysis of rhetorical strategies has been limited by reliance on human annotation, which is costly, inconsistent, difficult to scale. Their associated datasets are often limited to specific topics and strategies, posing challenges for robust model development. We propose a novel framework that leverages large language models (LLMs) to automatically generate and label synthetic debate data based on a four-part rhetorical typology (causal, empirical, emotional, moral). We fine-tune transformer-based classifiers on this LLM-labeled dataset and validate its performance against human-labeled data on this dataset and on multiple external corpora. Our model achieves high performance and strong generalization across topical domains. We illustrate two applications with the fine-tuned model: (1) the improvement in persuasiveness prediction from incorporating rhetorical strategy labels, and (2) analyzing temporal and partisan shifts in rhetorical strategies in U.S. Presidential debates (1960–2020), revealing increased use of affective over cognitive argument in U.S. Presidential debates.

A Generalizable Rhetorical Strategy Annotation Model Using LLM-based Debate Simulation and Labelling

Large Language Models (LLMs) are widely used for a variety of tasks such as text generation, ranking, and decision-making. However, their outputs can be influenced by various forms of biases. One such bias is positional bias, where models prioritize items based on their position within a given prompt rather than their content or quality, impacting on how LLMs interpret and weigh information, potentially compromising fairness, reliability, and robustness. To assess positional bias, we prompt a range of LLMs to generate descriptions for a list of topics, systematically permuting their order and analyzing variations in the responses. Our analysis shows that ranking position affects structural features and coherence, with some LLMs also reordering or omitting topics. Nonetheless, the impact of positional bias varies across different LLMs and topics, indicating an interplay with other related biases.

Characterizing Positional Bias in Large Language Models: A Multi-Model Evaluation of Prompt Order Effects

Recent advances in large language models (LLMs) have shown potential in clinical text summarization, but their ability to handle long patient trajectories with multi-modal data spread across time remains underexplored. This study systematically evaluates several state-of-the-art open-source LLMs, their Retrieval Augmented Generation (RAG) variants and chain-of-thought (CoT) prompting on long-context clinical summarization and prediction. We examine their ability to synthesize structured and unstructured Electronic Health Records (EHR) data while reasoning over temporal coherence, by re-engineering existing tasks, including discharge summarization and diagnosis prediction from two publicly available EHR datasets. Our results indicate that long context windows improve input integration but do not consistently enhance clinical reasoning, and LLMs are still struggling with temporal progression and rare disease prediction. While RAG shows improvements in hallucination in some cases, it does not fully address these limitations. Our work fills the gap in long clinical text summarization, establishing a foundation for evaluating LLMs with multi-modal data and temporal reasoning.

Large Language Models with Temporal Reasoning for Longitudinal Clinical Summarization and Prediction

The growing adoption of synthetic data in healthcare is driven by privacy concerns, limited access to real-world data, and high annotation costs. This work explores the use of synthetic Prolonged Exposure (PE) therapy conversations for Post-Traumatic Stress Disorder (PTSD) as a scalable alternative for training and evaluating clinical models. We systematically compare real and synthetic dialogues using linguistic, structural, and protocol-specific metrics, including turn-taking patterns and treatment fidelity. We introduce and evaluate PE-specific metrics derived from linguistic analysis and semantic modeling, offering a novel framework for assessing clinical fidelity beyond surface fluency. Our findings show that while synthetic data holds promise for mitigating data scarcity and protecting patient privacy, it often struggles to capture the subtle dynamics of therapeutic interactions. Synthetic therapy dialogues closely match the structural features of real conversations (e.g., speaker switch ratio: 0.98 vs. 0.99), but often fails to adequately reflect key fidelity markers such as distress monitoring. This work highlights gaps in current evaluation frameworks and advocate for fidelity-aware metrics that go beyond surface fluency to uncover clinically significant failures. Our findings clarify where synthetic data can effectively complement real-world datasets—and where critical limitations remain.

How Real Are Synthetic Therapy Conversations? Evaluating Fidelity in Prolonged Exposure Dialogues

Dialogue agents based on large language models (LLMs) have shown promising performance in engaging in proactive dialogue, owing to their capability of strategy planning. However, existing approaches to proactive dialogue face several limitations: limited strategy coverage, preference bias in planning, and reliance on costly additional training. To address these, we propose PRINCIPLES: a structured, non-parametric resource for strategy planning in proactive dialogue. We derive PRINCIPLES through self-play simulations in offline time. PRINCIPLES serves as reusable knowledge that guides strategy planning at inference time, eliminating the need for additional training and data annotation. We evaluate PRINCIPLES in both emotional supporting and persuasion domains, demonstrating its consistent improvements over strong baselines. Furthermore, PRINCIPLES maintains its robustness across extended and more diverse evaluation settings.

PRINCIPLES: Synthetic Strategy Memory for Proactive Dialogue Agents

Human expertise in chemistry and biomedicine relies on contextual molecular understanding, a capability that large language models (LLMs) can extend through fine-grained alignment between molecular structures and text. Recent multimodal learning advances focus on cross-modal alignment, but existing molecule-text models ignore complementary information in different molecular views and rely on single-view representations, limiting molecular understanding. Moreover, naïve multi-view alignment strategies face two challenges: (1) \textit{separate aligned spaces} with inconsistent mappings between molecule and text embeddings, and that (2) existing loss objectives \textit{fail to preserve }complementary information for fine-grained alignment. This can limit the LLM's ability to fully understand the molecular properties. To address these issues, we propose MV-CLAM, a novel framework that aligns multi-view molecular representations into a unified textual space using a multi-query transformer (MQ-Former). Our approach ensures cross-view consistency while a token-level contrastive loss preserves diverse molecular features across textual queries. MV-CLAM enhances molecular reasoning, improving retrieval and captioning accuracy. The source code of MV-CLAM is available in \url{https://anonymous.4open.science/r/mv-clam-emnlp-EF0E/}.

MV-CLAM: Multi-View Molecular Interpretation with Cross-Modal Projection via Language Model

Large language models (LLMs) can lead to undesired consequences when misaligned with human values, especially in scenarios involving complex and sensitive social biases. Previous studies have revealed the misalignment of LLMs with human values using expert-designed or agent-based emulated bias scenarios. However, it remains unclear whether the alignment of LLMs with human values differs across different types of scenarios (e.g., scenarios containing negative vs. non-negative questions). In this study, we investigate the alignment of LLMs with human values regarding social biases (HVSB) in different types of bias scenarios. Through extensive analysis of 12 LLMs from four model families and four datasets, we demonstrate that LLMs with large model parameter scales do not necessarily have lower misalignment rate and attack success rate. Moreover, LLMs show a certain degree of alignment preference for specific types of scenarios and the LLMs from the same model family tend to have higher judgment consistency. In addition, we study the understanding capacity of LLMs with their explanations of HVSB. We find no significant differences in the understanding of HVSB across LLMs. We also find LLMs prefer their own generated explanations. Additionally, we endow smaller language models (LMs) with the ability to explain HVSB. The generation results show that the explanations generated by the fine-tuned smaller LMs are more readable, but have a relatively lower agreeability.

Do LLMs Align Human Values Regarding Social Biases? Judging and Explaining Social Biases with LLMs

Domain generalization person re-identification (DG-ReID) aims to train models on source domains and generalize to unseen target domains. While patch-based Vision Transformers have achieved success in capturing fine-grained visual features, they often overlook global semantic structure and suffer from feature entanglement, leading to overfitting across domains. Meanwhile, natural language provides high-level semantic abstraction but lacks spatial precision for fine-grained alignment. We propose PVTNL (Prompting Vision Transformers with Natural Language), a novel framework for generalizable person re-identification. PVTNL leverages the pre-trained vision-language model BLIP to extract aligned visual and textual embeddings. Specifically, we utilize body-part cues to segment images into semantically coherent regions and align them with corresponding natural language descriptions. These region-level textual prompts are encoded and injected as soft prompts into the Vision Transformer to guide localized feature learning. Notably, our language module is retained during inference, enabling persistent semantic grounding that enhances cross-domain generalization. Extensive experiments on standard DG-ReID benchmarks demonstrate that PVTNL achieves state-of-the-art performance. Ablation studies further confirm the effectiveness of body-part-level alignment, soft language prompting, and the benefit of preserving language guidance at inference time.

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