# HalluciDoctor: Mitigating Hallucinatory Toxicity in Visual Instruction Data

arXiv: https://arxiv.org/abs/2311.13614 · HTML: https://mlsanity.com/paper/2311.13614/

## Key facts

- Cited by 126 papers in the map (data through 14 Oct 2026).
- Placed in Hallucination mitigation in LVLMs, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 45 of its 57 references that are in the map.
- First posted on arXiv 22 Nov 2023.

## Placed in

- Multimodal LLMs / vision-language models / [Hallucination mitigation in LVLMs](https://mlsanity.com/mllm/hallucination-mitigation-in-lvlms/)

## Builds on (most cited first, 30 of 45)

- [High-Resolution Image Synthesis with Latent Diffusion Models](https://mlsanity.com/paper/2112.10752/) (2021)
- [Microsoft COCO: Common Objects in Context](https://mlsanity.com/paper/1405.0312/) (2014)
- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [Chain-of-Thought Prompting Elicits Reasoning in Large Language Models](https://mlsanity.com/paper/2201.11903/) (2022)
- [Visual Instruction Tuning](https://mlsanity.com/paper/2304.08485/) (2023)
- [BLIP-2: Bootstrapping Language-Image Pre-training with Frozen Image Encoders and Large Language Models](https://mlsanity.com/paper/2301.12597/) (2023)
- [Flamingo: a Visual Language Model for Few-Shot Learning](https://mlsanity.com/paper/2204.14198/) (2022)
- [BLIP: Bootstrapping Language-Image Pre-training for Unified Vision-Language Understanding and Generation](https://mlsanity.com/paper/2201.12086/) (2022)
- [Grounding DINO: Marrying DINO with Grounded Pre-Training for Open-Set Object Detection](https://mlsanity.com/paper/2303.05499/) (2023)
- [InstructBLIP: Towards General-purpose Vision-Language Models with Instruction Tuning](https://mlsanity.com/paper/2305.06500/) (2023)
- [Self-Instruct: Aligning Language Models with Self-Generated Instructions](https://mlsanity.com/paper/2212.10560/) (2022)
- [MiniGPT-4: Enhancing Vision-Language Understanding with Advanced Large Language Models](https://mlsanity.com/paper/2304.10592/) (2023)
- [Visual Genome: Connecting Language and Vision Using Crowdsourced Dense Image Annotations](https://mlsanity.com/paper/1602.07332/) (2016)
- [A Survey of Large Language Models](https://mlsanity.com/paper/2303.18223/) (2023)
- [Evaluating Object Hallucination in Large Vision-Language Models](https://mlsanity.com/paper/2305.10355/) (2023)
- [MME: A Comprehensive Evaluation Benchmark for Multimodal Large Language Models](https://mlsanity.com/paper/2306.13394/) (2023)
- [OK-VQA: A Visual Question Answering Benchmark Requiring External Knowledge](https://mlsanity.com/paper/1906.00067/) (2019)
- [mPLUG-Owl: Modularization Empowers Large Language Models with Multimodality](https://mlsanity.com/paper/2304.14178/) (2023)
- [A Survey on Multimodal Large Language Models](https://mlsanity.com/paper/2306.13549/) (2023)
- [Instruction Tuning with GPT-4](https://mlsanity.com/paper/2304.03277/) (2023)
- [Object Hallucination in Image Captioning](https://mlsanity.com/paper/1809.02156/) (2018)
- [Multimodal Few-Shot Learning with Frozen Language Models](https://mlsanity.com/paper/2106.13884/) (2021)
- [Otter: A Multi-Modal Model with In-Context Instruction Tuning](https://mlsanity.com/paper/2305.03726/) (2023)
- [nocaps: novel object captioning at scale](https://mlsanity.com/paper/1812.08658/) (2018)
- [Analyzing and Mitigating Object Hallucination in Large Vision-Language Models](https://mlsanity.com/paper/2310.00754/) (2023)
- [AlignScore: Evaluating Factual Consistency with a Unified Alignment Function](https://mlsanity.com/paper/2305.16739/) (2023)
- [Detecting and Preventing Hallucinations in Large Vision Language Models](https://mlsanity.com/paper/2308.06394/) (2023)
- [Reasoning or Reciting? Exploring the Capabilities and Limitations of Language Models Through Counterfactual Tasks](https://mlsanity.com/paper/2307.02477/) (2023)

## Built on by (most cited first, 30 of 126)

- [Hallucination of Multimodal Large Language Models: A Survey](https://mlsanity.com/paper/2404.18930/) (2024)
- [AnyEdit: Mastering Unified High-Quality Image Editing for Any Idea](https://mlsanity.com/paper/2411.15738/) (2024)
- [Devils in Middle Layers of Large Vision-Language Models: Interpreting, Detecting and Mitigating Object Hallucinations via Attention Lens](https://mlsanity.com/paper/2411.16724/) (2024)
- [IBD: Alleviating Hallucinations in Large Vision-Language Models via Image-Biased Decoding](https://mlsanity.com/paper/2402.18476/) (2024)
- [Self-Introspective Decoding: Alleviating Hallucinations for Large Vision-Language Models](https://mlsanity.com/paper/2408.02032/) (2024)
- [Calibrated Self-Rewarding Vision Language Models](https://mlsanity.com/paper/2405.14622/) (2024)
- [Look Twice Before You Answer: Memory-Space Visual Retracing for Hallucination Mitigation in Multimodal Large Language Models](https://mlsanity.com/paper/2410.03577/) (2024)
- [VidHalluc: Evaluating Temporal Hallucinations in Multimodal Large Language Models for Video Understanding](https://mlsanity.com/paper/2412.03735/) (2024)
- [CogCoM: A Visual Language Model with Chain-of-Manipulations Reasoning](https://mlsanity.com/paper/2402.04236/) (2024)
- [The Hidden Life of Tokens: Reducing Hallucination of Large Vision-Language Models via Visual Information Steering](https://mlsanity.com/paper/2502.03628/) (2025)
- [EventHallusion: Diagnosing Event Hallucinations in Video LLMs](https://mlsanity.com/paper/2409.16597/) (2024)
- [LLMDet: Learning Strong Open-Vocabulary Object Detectors under the Supervision of Large Language Models](https://mlsanity.com/paper/2501.18954/) (2025)
- [LLM-based Agents Suffer from Hallucinations: A Survey of Taxonomy, Methods, and Directions](https://mlsanity.com/paper/2509.18970/) (2025)
- [DyFo: A Training-Free Dynamic Focus Visual Search for Enhancing LMMs in Fine-Grained Visual Understanding](https://mlsanity.com/paper/2504.14920/) (2025)
- [Don't Miss the Forest for the Trees: Attentional Vision Calibration for Large Vision Language Models](https://mlsanity.com/paper/2405.17820/) (2024)
- [Seeing Far and Clearly: Mitigating Hallucinations in MLLMs with Attention Causal Decoding](https://mlsanity.com/paper/2505.16652/) (2025)
- [Distraction is All You Need for Multimodal Large Language Model Jailbreaking](https://mlsanity.com/paper/2502.10794/) (2025)
- [Limitations of Large Language Models in Clinical Problem-Solving Arising from Inflexible Reasoning](https://mlsanity.com/paper/2502.04381/) (2025)
- [Unveiling the Ignorance of MLLMs: Seeing Clearly, Answering Incorrectly](https://mlsanity.com/paper/2406.10638/) (2024)
- [ICT: Image-Object Cross-Level Trusted Intervention for Mitigating Object Hallucination in Large Vision-Language Models](https://mlsanity.com/paper/2411.15268/) (2024)
- [HumanEdit: A High-Quality Human-Rewarded Dataset for Instruction-based Image Editing](https://mlsanity.com/paper/2412.04280/) (2024)
- [Large Vision-Language Model Alignment and Misalignment: A Survey Through the Lens of Explainability](https://mlsanity.com/paper/2501.01346/) (2025)
- [Generative Multimodal Pretraining with Discrete Diffusion Timestep Tokens](https://mlsanity.com/paper/2504.14666/) (2025)
- [A Survey of Multimodal Hallucination Evaluation and Detection](https://mlsanity.com/paper/2507.19024/) (2025)
- [Securing Large Language Models: Addressing Bias, Misinformation, and Prompt Attacks](https://mlsanity.com/paper/2409.08087/) (2024)
- [Towards Agentic Recommender Systems in the Era of Multimodal Large Language Models](https://mlsanity.com/paper/2503.16734/) (2025)
- [Octopus: Alleviating Hallucination via Dynamic Contrastive Decoding](https://mlsanity.com/paper/2503.00361/) (2025)
- [Cross-Modal Attention Calibration for LVLM Hallucination Mitigation](https://mlsanity.com/paper/2501.01926/) (2025)
- [Mitigating Object Hallucinations in Large Vision-Language Models via Attention Calibration](https://mlsanity.com/paper/2502.01969/) (2025)
- [Exploring Hallucination of Large Multimodal Models in Video Understanding: Benchmark, Analysis and Mitigation](https://mlsanity.com/paper/2503.19622/) (2025)

## Abstract (arXiv)

Multi-modal Large Language Models (MLLMs) tuned on machine-generated instruction-following data have demonstrated remarkable performance in various multi-modal understanding and generation tasks. However, the hallucinations inherent in machine-generated data, which could lead to hallucinatory outputs in MLLMs, remain under-explored. This work aims to investigate various hallucinations (i.e., object, relation, attribute hallucinations) and mitigate those hallucinatory toxicities in large-scale machine-generated visual instruction datasets. Drawing on the human ability to identify factual errors, we present a novel hallucination detection and elimination framework, HalluciDoctor, based on the cross-checking paradigm. We use our framework to identify and eliminate hallucinations in the training data automatically. Interestingly, HalluciDoctor also indicates that spurious correlations arising from long-tail object co-occurrences contribute to hallucinations. Based on that, we execute counterfactual visual instruction expansion to balance data distribution, thereby enhancing MLLMs' resistance to hallucinations. Comprehensive experiments on hallucination evaluation benchmarks show that our method successfully mitigates 44.6% hallucinations relatively and maintains competitive performance compared to LLaVA. The data and code for this paper are publicly available. urlhttps://github.com/Yuqifan1117/HalluciDoctor.