# They're All Doctors: Synthesizing Diverse Counterfactuals to Mitigate Associative Bias

arXiv: https://arxiv.org/abs/2406.11331 · HTML: https://mlsanity.com/paper/2406.11331/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Placed in Social bias and fairness in VLMs, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 53 of its 61 references that are in the map.
- First posted on arXiv 17 Jun 2024.

## Placed in

- Multimodal LLMs / vision-language models / [Social bias and fairness in VLMs](https://mlsanity.com/mllm/social-bias-and-fairness-in-vlms/)

## Builds on (most cited first, 30 of 53)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Microsoft COCO: Common Objects in Context](https://mlsanity.com/paper/1405.0312/) (2014)
- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [SDXL: Improving Latent Diffusion Models for High-Resolution Image Synthesis](https://mlsanity.com/paper/2307.01952/) (2023)
- [BLIP: Bootstrapping Language-Image Pre-training for Unified Vision-Language Understanding and Generation](https://mlsanity.com/paper/2201.12086/) (2022)
- [LAION-5B: An open large-scale dataset for training next generation image-text models](https://mlsanity.com/paper/2210.08402/) (2022)
- [Scaling Up Visual and Vision-Language Representation Learning With Noisy Text Supervision](https://mlsanity.com/paper/2102.05918/) (2021)
- [SegFormer: Simple and Efficient Design for Semantic Segmentation with Transformers](https://mlsanity.com/paper/2105.15203/) (2021)
- [ViLBERT: Pretraining Task-Agnostic Visiolinguistic Representations for Vision-and-Language Tasks](https://mlsanity.com/paper/1908.02265/) (2019)
- [Beyond the Imitation Game: Quantifying and extrapolating the capabilities of language models](https://mlsanity.com/paper/2206.04615/) (2022)
- [LAION-400M: Open Dataset of CLIP-Filtered 400 Million Image-Text Pairs](https://mlsanity.com/paper/2111.02114/) (2021)
- [Datasheets for Datasets](https://mlsanity.com/paper/1803.09010/) (2018)
- [ViLT: Vision-and-Language Transformer Without Convolution or Region Supervision](https://mlsanity.com/paper/2102.03334/) (2021)
- [StereoSet: Measuring stereotypical bias in pretrained language models](https://mlsanity.com/paper/2004.09456/) (2020)
- [What Makes for Good Views for Contrastive Learning?](https://mlsanity.com/paper/2005.10243/) (2020)
- [Robust fine-tuning of zero-shot models](https://mlsanity.com/paper/2109.01903/) (2021)
- [Adversarial Diffusion Distillation](https://mlsanity.com/paper/2311.17042/) (2023)
- [CLIP4Clip: An Empirical Study of CLIP for End to End Video Clip Retrieval](https://mlsanity.com/paper/2104.08860/) (2021)
- [FLAVA: A Foundational Language And Vision Alignment Model](https://mlsanity.com/paper/2112.04482/) (2021)
- [ClipCap: CLIP Prefix for Image Captioning](https://mlsanity.com/paper/2111.09734/) (2021)
- [SLIP: Self-supervision meets Language-Image Pre-training](https://mlsanity.com/paper/2112.12750/) (2021)
- [Visual Classification via Description from Large Language Models](https://mlsanity.com/paper/2210.07183/) (2022)
- [What does a platypus look like? Generating customized prompts for zero-shot image classification](https://mlsanity.com/paper/2209.03320/) (2022)
- [Stable Bias: Analyzing Societal Representations in Diffusion Models](https://mlsanity.com/paper/2303.11408/) (2023)
- [Improving CLIP Training with Language Rewrites](https://mlsanity.com/paper/2305.20088/) (2023)
- [StableRep: Synthetic Images from Text-to-Image Models Make Strong Visual Representation Learners](https://mlsanity.com/paper/2306.00984/) (2023)
- [Are We Modeling the Task or the Annotator? An Investigation of Annotator Bias in Natural Language Understanding Datasets](https://mlsanity.com/paper/1908.07898/) (2019)
- [Pic2Word: Mapping Pictures to Words for Zero-shot Composed Image Retrieval](https://mlsanity.com/paper/2302.03084/) (2023)

## Built on by (most cited first, 3 of 3)

- [Bias Is a Subspace, Not a Coordinate: A Geometric Rethinking of Post-hoc Debiasing in Vision-Language Models](https://mlsanity.com/paper/2511.18123/) (2025)
- [Is What You Ask For What You Get? Investigating Concept Associations in Text-to-Image Models](https://mlsanity.com/paper/2410.04634/) (2024)
- [Selective Test-Time Debiasing for CLIP via Reward Gating](https://mlsanity.com/paper/2607.00423/) (2026)

## Abstract (arXiv)

Vision Language Models (VLMs) such as CLIP are powerful models; however they can exhibit unwanted biases, making them less safe when deployed directly in applications such as text-to-image, text-to-video retrievals, reverse search, or classification tasks. In this work, we propose a novel framework to generate synthetic counterfactual images to create a diverse and balanced dataset that can be used to fine-tune CLIP. Given a set of diverse synthetic base images from text-to-image models, we leverage off-the-shelf segmentation and inpainting models to place humans with diverse visual appearances in context. We show that CLIP trained on such datasets learns to disentangle the human appearance from the context of an image, i.e., what makes a doctor is not correlated to the person's visual appearance, like skin color or body type, but to the context, such as background, the attire they are wearing, or the objects they are holding. We demonstrate that our fine-tuned CLIP model, CFα, improves key fairness metrics such as MaxSkew, MinSkew, and NDKL by 40-66% for image retrieval tasks, while still achieving similar levels of performance in downstream tasks. We show that, by design, our model retains maximal compatibility with the original CLIP models, and can be easily controlled to support different accuracy versus fairness trade-offs in a plug-n-play fashion.