# Antidote: A Unified Framework for Mitigating LVLM Hallucinations in Counterfactual Presupposition and Object Perception

arXiv: https://arxiv.org/abs/2504.20468 · HTML: https://mlsanity.com/paper/2504.20468/

## Key facts

- Cited by 10 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 42 of its 49 references that are in the map.
- First posted on arXiv 29 Apr 2025.

## 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 42)

- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [Proximal Policy Optimization Algorithms](https://mlsanity.com/paper/1707.06347/) (2017)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [LLaMA: Open and Efficient Foundation Language Models](https://mlsanity.com/paper/2302.13971/) (2023)
- [Direct Preference Optimization: Your Language Model is Secretly a Reward Model](https://mlsanity.com/paper/2305.18290/) (2023)
- [Visual Instruction Tuning](https://mlsanity.com/paper/2304.08485/) (2023)
- [Scalable Diffusion Models with Transformers](https://mlsanity.com/paper/2212.09748/) (2022)
- [Improved Baselines with Visual Instruction Tuning](https://mlsanity.com/paper/2310.03744/) (2023)
- [Qwen2-VL: Enhancing Vision-Language Model's Perception of the World at Any Resolution](https://mlsanity.com/paper/2409.12191/) (2024)
- [Scaling Rectified Flow Transformers for High-Resolution Image Synthesis](https://mlsanity.com/paper/2403.03206/) (2024)
- [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)
- [InternVL: Scaling up Vision Foundation Models and Aligning for Generic Visual-Linguistic Tasks](https://mlsanity.com/paper/2312.14238/) (2023)
- [Qwen2 Technical Report](https://mlsanity.com/paper/2407.10671/) (2024)
- [MMBench: Is Your Multi-modal Model an All-around Player?](https://mlsanity.com/paper/2307.06281/) (2023)
- [Phi-3 Technical Report: A Highly Capable Language Model Locally on Your Phone](https://mlsanity.com/paper/2404.14219/) (2024)
- [Learn to Explain: Multimodal Reasoning via Thought Chains for Science Question Answering](https://mlsanity.com/paper/2209.09513/) (2022)
- [Evaluating Object Hallucination in Large Vision-Language Models](https://mlsanity.com/paper/2305.10355/) (2023)
- [MM-Vet: Evaluating Large Multimodal Models for Integrated Capabilities](https://mlsanity.com/paper/2308.02490/) (2023)
- [DeepSeek-V2: A Strong, Economical, and Efficient Mixture-of-Experts Language Model](https://mlsanity.com/paper/2405.04434/) (2024)
- [ChatGLM: A Family of Large Language Models from GLM-130B to GLM-4 All Tools](https://mlsanity.com/paper/2406.12793/) (2024)
- [MiniCPM-V: A GPT-4V Level MLLM on Your Phone](https://mlsanity.com/paper/2408.01800/) (2024)
- [M3-Embedding: Multi-Linguality, Multi-Functionality, Multi-Granularity Text Embeddings Through Self-Knowledge Distillation](https://mlsanity.com/paper/2402.03216/) (2024)
- [DeepSeek-VL: Towards Real-World Vision-Language Understanding](https://mlsanity.com/paper/2403.05525/) (2024)
- [Mitigating Object Hallucinations in Large Vision-Language Models through Visual Contrastive Decoding](https://mlsanity.com/paper/2311.16922/) (2023)
- [Object Hallucination in Image Captioning](https://mlsanity.com/paper/1809.02156/) (2018)
- [OPERA: Alleviating Hallucination in Multi-Modal Large Language Models via Over-Trust Penalty and Retrospection-Allocation](https://mlsanity.com/paper/2311.17911/) (2023)
- [Mitigating Hallucination in Large Multi-Modal Models via Robust Instruction Tuning](https://mlsanity.com/paper/2306.14565/) (2023)
- [Woodpecker: Hallucination Correction for Multimodal Large Language Models](https://mlsanity.com/paper/2310.16045/) (2023)
- [Beyond Hallucinations: Enhancing LVLMs through Hallucination-Aware Direct Preference Optimization](https://mlsanity.com/paper/2311.16839/) (2023)

## Built on by (most cited first, 10 of 10)

- [A Survey of Multimodal Hallucination Evaluation and Detection](https://mlsanity.com/paper/2507.19024/) (2025)
- [Vision-Language Introspection: Mitigating Overconfident Hallucinations in MLLMs via Interpretable Bi-Causal Steering](https://mlsanity.com/paper/2601.05159/) (2026)
- [KVSmooth: Mitigating Hallucination in Multi-modal Large Language Models through Key-Value Smoothing](https://mlsanity.com/paper/2602.04268/) (2026)
- [GHOST: Hallucination-Inducing Image Generation for Multimodal LLMs](https://mlsanity.com/paper/2509.25178/) (2025)
- [Locate-then-Sparsify: Attribution Guided Sparse Strategy for Visual Hallucination Mitigation](https://mlsanity.com/paper/2603.16284/) (2026)
- [When Prompts Override Vision: Prompt-Induced Hallucinations in LVLMs](https://mlsanity.com/paper/2604.21911/) (2026)
- [GroundCount: Grounding Vision-Language Models with Object Detection for Mitigating Counting Hallucinations](https://mlsanity.com/paper/2603.10978/) (2026)
- [When Text Hijacks Vision: Benchmarking and Mitigating Text Overlay-Induced Hallucination in Vision Language Models](https://mlsanity.com/paper/2604.17375/) (2026)
- [Hallucination Mitigation for Large Vision-Language Models via Implicit Feature Stabilization](https://mlsanity.com/paper/2608.29924/) (2026)
- [Don't Just Look, Intervene: Perturbation Based Region Labeling for VQA Images](https://mlsanity.com/paper/2609.13228/) (2026)

## Abstract (arXiv)

Large Vision-Language Models (LVLMs) have achieved impressive results across various cross-modal tasks. However, hallucinations, i.e., the models generating counterfactual responses, remain a challenge. Though recent studies have attempted to alleviate object perception hallucinations, they focus on the models' response generation, and overlooking the task question itself. This paper discusses the vulnerability of LVLMs in solving counterfactual presupposition questions (CPQs), where the models are prone to accept the presuppositions of counterfactual objects and produce severe hallucinatory responses. To this end, we introduce "Antidote", a unified, synthetic data-driven post-training framework for mitigating both types of hallucination above. It leverages synthetic data to incorporate factual priors into questions to achieve self-correction, and decouple the mitigation process into a preference optimization problem. Furthermore, we construct "CP-Bench", a novel benchmark to evaluate LVLMs' ability to correctly handle CPQs and produce factual responses. Applied to the LLaVA series, Antidote can simultaneously enhance performance on CP-Bench by over 50%, POPE by 1.8-3.3%, and CHAIR & SHR by 30-50%, all without relying on external supervision from stronger LVLMs or human feedback and introducing noticeable catastrophic forgetting issues.