# Visual Language Models show widespread visual deficits on neuropsychological tests

arXiv: https://arxiv.org/abs/2504.10786 · HTML: https://mlsanity.com/paper/2504.10786/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Placed in Multimodal reasoning, one of 17 directions in LLM reasoning.
- Builds on 44 of its 83 references that are in the map.
- First posted on arXiv 15 Apr 2025.

## Placed in

- LLM reasoning / [Multimodal reasoning](https://mlsanity.com/lr/multimodal-reasoning/)
- Multimodal LLMs / vision-language models / [VLM benchmarks and visual reasoning](https://mlsanity.com/mllm/vlm-benchmarks-and-visual-reasoning/)

## Builds on (most cited first, 30 of 44)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [DINOv2: Learning Robust Visual Features without Supervision](https://mlsanity.com/paper/2304.07193/) (2023)
- [Emerging Properties in Self-Supervised Vision Transformers](https://mlsanity.com/paper/2104.14294/) (2021)
- [Flamingo: a Visual Language Model for Few-Shot Learning](https://mlsanity.com/paper/2204.14198/) (2022)
- [Parameter-Efficient Transfer Learning for NLP](https://mlsanity.com/paper/1902.00751/) (2019)
- [Sigmoid Loss for Language Image Pre-Training](https://mlsanity.com/paper/2303.15343/) (2023)
- [ViLBERT: Pretraining Task-Agnostic Visiolinguistic Representations for Vision-and-Language Tasks](https://mlsanity.com/paper/1908.02265/) (2019)
- [MMMU: A Massive Multi-discipline Multimodal Understanding and Reasoning Benchmark for Expert AGI](https://mlsanity.com/paper/2311.16502/) (2023)
- [ChartQA: A Benchmark for Question Answering about Charts with Visual and Logical Reasoning](https://mlsanity.com/paper/2203.10244/) (2022)
- [DocVQA: A Dataset for VQA on Document Images](https://mlsanity.com/paper/2007.00398/) (2020)
- [RISE: Randomized Input Sampling for Explanation of Black-box Models](https://mlsanity.com/paper/1806.07421/) (2018)
- [Eyes Wide Shut? Exploring the Visual Shortcomings of Multimodal LLMs](https://mlsanity.com/paper/2401.06209/) (2024)
- [The Dawn of LMMs: Preliminary Explorations with GPT-4V(ision)](https://mlsanity.com/paper/2309.17421/) (2023)
- [Multimodal Few-Shot Learning with Frozen Language Models](https://mlsanity.com/paper/2106.13884/) (2021)
- [VLMEvalKit: An Open-Source Toolkit for Evaluating Large Multi-Modality Models](https://mlsanity.com/paper/2407.11691/) (2024)
- [Using cognitive psychology to understand GPT-3](https://mlsanity.com/paper/2206.14576/) (2022)
- [Tip-Adapter: Training-free Adaption of CLIP for Few-shot Classification](https://mlsanity.com/paper/2207.09519/) (2022)
- [Visual CoT: Advancing Multi-Modal Language Models with a Comprehensive Dataset and Benchmark for Chain-of-Thought Reasoning](https://mlsanity.com/paper/2403.16999/) (2024)
- [On the Binding Problem in Artificial Neural Networks](https://mlsanity.com/paper/2012.05208/) (2020)
- [An Introduction to Vision-Language Modeling](https://mlsanity.com/paper/2405.17247/) (2024)
- [Vision language models are blind: Failing to translate detailed visual features into words](https://mlsanity.com/paper/2407.06581/) (2024)
- [Does Prompt Formatting Have Any Impact on LLM Performance?](https://mlsanity.com/paper/2411.10541/) (2024)
- [Low-Rank Few-Shot Adaptation of Vision-Language Models](https://mlsanity.com/paper/2405.18541/) (2024)
- [Interpreting and Editing Vision-Language Representations to Mitigate Hallucinations](https://mlsanity.com/paper/2410.02762/) (2024)
- [From CLIP to DINO: Visual Encoders Shout in Multi-modal Large Language Models](https://mlsanity.com/paper/2310.08825/) (2023)
- [Understanding the Limits of Vision Language Models Through the Lens of the Binding Problem](https://mlsanity.com/paper/2411.00238/) (2024)
- [A Survey of Prompt Engineering Methods in Large Language Models for Different NLP Tasks](https://mlsanity.com/paper/2407.12994/) (2024)
- [Neither hype nor gloom do DNNs justice](https://mlsanity.com/paper/2312.05355/) (2023)
- [Tables as Texts or Images: Evaluating the Table Reasoning Ability of LLMs and MLLMs](https://mlsanity.com/paper/2402.12424/) (2024)

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

- [The Limits of Learning from Pictures and Text: Vision-Language Models and Embodied Scene Understanding](https://mlsanity.com/paper/2603.26589/) (2026)
- [Using profiles of cognitive capability to assess AI suitability for workplace tasks](https://mlsanity.com/paper/2608.25623/) (2026)
- [Human-Like Attention? A Psychophysical Comparison of Visual Search in Humans and MLLMs](https://mlsanity.com/paper/2610.05463/) (2026)

## Abstract (arXiv)

Visual Language Models (VLMs) show remarkable performance in visual reasoning tasks, successfully tackling college-level challenges that require high-level understanding of images. However, some recent reports of VLMs struggling to reason about elemental visual concepts like orientation, position, continuity, and occlusion suggest a potential gulf between human and VLM vision. Here we use the toolkit of neuropsychology to systematically assess the capabilities of three state-of-the-art VLMs across visual domains. Using 51 tests drawn from six clinical and experimental batteries, we characterise the visual abilities of leading VLMs relative to normative performance in healthy adults. While the models excel in straightforward object recognition tasks, we find widespread deficits in low- and mid-level visual abilities that would be considered clinically significant in humans. These selective deficits, profiled through validated test batteries, suggest that an artificial system can achieve complex object recognition without developing foundational visual concepts that in humans require no explicit training.