CALMRec: Causally Aligned Language Memory for Long-Horizon Recommendation

Large language models (LLMs) can summarize heterogeneous user evidence in natural language, but current LLM recommenders often collapse enduring preferences, transient intent, and exposure-induced behavior into one profile. This makes recommendation vulnerable to feedback loops: repeated exposure is mistaken for preference, immediate clicks dominate delayed satisfaction, and fluent explanations need not reflect the ranking decision. We propose our method, a model-agnostic framework for long-horizon recommendation. Our method uses a frozen multimodal language model to convert item content and feedback into evidence-grounded semantic atoms, then maintains separate short-term, long-term, and exposure memories. Propensity-weighted updates reduce policy-induced exposure bias, while a conservative offline critic reranks candidates for delayed satisfaction under a behavior-support constraint. Explanations use only influential evidence atoms and are checked by counterfactual deletion. We provide an identification result and evaluate the framework in e-commerce-like, news-like, and short-video-like environments. Across ten seeds, our method improves discounted long-term value over the strongest alternative by 6.1%, 7.6%, and 6.7%, respectively. Twenty-seed paired ablations show significant value drops after removing propensity correction (0.739 +/- 0.191) or conservative support regularization (0.523 +/- 0.234). A frozen instruction language model also more than doubles semantic-atom NDCG over TF-IDF on a held-out paraphrase benchmark.

Lesioned Multimodal Language Models Reproduce Aphasic Picture-Naming Patterns

Aphasia following stroke commonly produces systematic naming errors with characteristic profiles, but whether general-purpose language models not designed for clinical simulation can reproduce these patterns remains untested. We investigated (1) whether lesions or controlled perturbations to a multimodal language model can reproduce different types of errors in picture naming, and (2) whether the framework can reproduce the complete error profile of individual persons with aphasia (PWAs). Using LLaVA 1.6, we evaluated perturbation configurations that varied the layer, proportion, and amount of noise applied to model units. We examined 278 PWAs on the Philadelphia Naming Test, classifying responses into seven categories using a validated neural classifier. Six of seven response categories (correct, semantic, mixed, unrelated, neologism, no response errors) emerged at clinically-comparable proportions across distinct parameter space regions, with formal paraphasia being the exception. Searching the perturbation space revealed configurations that reproduced the individual error profile in at least six of seven categories for 97.8% of PWAs and in all seven categories for 79.5% of PWAs. Monte Carlo baselines confirmed that this matching reflects joint inter-category structure rather than marginal overlap. These results establish a quantitative framework for reproducing individual aphasic error patterns in picture naming. They suggest the potential for language models to serve as digital twins of individuals with post-stroke aphasia.