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Main Authors: McMillan, Teague, Dominici, Gabriele, Gjoreski, Martin, Langheinrich, Marc
Format: Preprint
Published: 2025
Subjects:
Online Access:https://arxiv.org/abs/2510.24236
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author McMillan, Teague
Dominici, Gabriele
Gjoreski, Martin
Langheinrich, Marc
author_facet McMillan, Teague
Dominici, Gabriele
Gjoreski, Martin
Langheinrich, Marc
contents Large Language Models (LLMs) often produce explanations that do not faithfully reflect the factors driving their predictions. In healthcare settings, such unfaithfulness is especially problematic: explanations that omit salient clinical cues or mask spurious shortcuts can undermine clinician trust and lead to unsafe decision support. We study how inference and training-time choices shape explanation faithfulness, focusing on factors practitioners can control at deployment. We evaluate three LLMs (GPT-4.1-mini, LLaMA 70B, LLaMA 8B) on two datasets-BBQ (social bias) and MedQA (medical licensing questions), and manipulate the number and type of few-shot examples, prompting strategies, and training procedure. Our results show: (i) both the quantity and quality of few-shot examples significantly impact model faithfulness; (ii) faithfulness is sensitive to prompting design; (iii) the instruction-tuning phase improves measured faithfulness on MedQA. These findings offer insights into strategies for enhancing the interpretability and trustworthiness of LLMs in sensitive domains.
format Preprint
id arxiv_https___arxiv_org_abs_2510_24236
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Towards Transparent Reasoning: What Drives Faithfulness in Large Language Models?
McMillan, Teague
Dominici, Gabriele
Gjoreski, Martin
Langheinrich, Marc
Computation and Language
Large Language Models (LLMs) often produce explanations that do not faithfully reflect the factors driving their predictions. In healthcare settings, such unfaithfulness is especially problematic: explanations that omit salient clinical cues or mask spurious shortcuts can undermine clinician trust and lead to unsafe decision support. We study how inference and training-time choices shape explanation faithfulness, focusing on factors practitioners can control at deployment. We evaluate three LLMs (GPT-4.1-mini, LLaMA 70B, LLaMA 8B) on two datasets-BBQ (social bias) and MedQA (medical licensing questions), and manipulate the number and type of few-shot examples, prompting strategies, and training procedure. Our results show: (i) both the quantity and quality of few-shot examples significantly impact model faithfulness; (ii) faithfulness is sensitive to prompting design; (iii) the instruction-tuning phase improves measured faithfulness on MedQA. These findings offer insights into strategies for enhancing the interpretability and trustworthiness of LLMs in sensitive domains.
title Towards Transparent Reasoning: What Drives Faithfulness in Large Language Models?
topic Computation and Language
url https://arxiv.org/abs/2510.24236