Parkinson's disease (PD) is the second most common neurodegenerative disorder. Typical machine learning screening methods require PD labels, but the available data is limited by privacy concerns and the need for expert annotation. We propose a label-free face-plus-voice PD screen built entirely on frozen pretrained encoders--a face-expression Vision Transformer and HuBERT--in which no PD label touches any fit; the reference is training controls only. The voice modality uses a synthetic-dysarthria contrastive activation addition (CAA) direction built from time-stretch and breathy degradation of healthy speech; the face modality uses a k-nearest-neighbor anomaly score to the control embedding cluster. We introduce the alignment principle, a post-hoc analysis showing that a synthetic-degradation CAA detector works when the cosine similarity between the synthetic and real disease directions exceeds zero. Measured on the YouTubePD benchmark, this cosine is +0.37 for voice (CAA works, AUROC 0.765) and -0.48 for face (CAA fails; anomaly succeeds, AUROC 0.751). Equal-weight late fusion reaches AUROC 0.802 (95% CI [0.70,0.89]) with NPV 0.95, supporting a rule-out triage interpretation. An overfitting audit shows the voice detector transfers cleanly, while the face-side--and thus fused--AUROC is potentially optimistic pending external validation.
Although Large Language Models (LLMs) demonstrate remarkable multilingual fluency, their internal knowledge representations remain disproportionately biased toward high-resource languages. This leads to cross-lingual factual inconsistency, where they shift their empirical answer distributions based solely on the prompt language. We investigate whether these biases can be mitigated at inference time, forcing an English-prompted model to answer as if it were queried in target languages (German, Spanish, Bulgarian), and evaluate four intervention strategies: zero-shot contextual steering (persona prompting), internal representation manipulation via Contrastive Activation Addition (CAA), and lightweight weight modification via Direct Preference Optimization (DPO) trained on benchmark-derived factual data as well as conceptual generalization data. To assess alignment, we curate a multilingual factual dataset alongside a novel generalization benchmark comprising culturally rooted queries to determine whether factual interventions transfer to broader target-centric preferences. Experiments on Gemma 3 12B Instruct reveal persona prompting to be the strongest overall intervention, balancing efficacy, safety, and out-of-domain generalization. While CAA yields sharp inconsistency benchmark shifts, it is configuration-sensitive and risks knowledge degradation. DPO-based adapters offer permanent, yet narrower and less transferable gains. These findings suggest that cross-lingual inconsistency is at least partly a selection problem, and that simple contextual interventions may outperform more invasive methods for robust, transferable alignment.