Multimodal CoT Reasoning

Explanations are often promoted as tools for transparency, but they can also foster confirmation bias; users may assume reasoning is correct whenever outputs appear acceptable. We study this double-edged role of Chain-of-Thought (CoT) explanations in multimodal moral scenarios by systematically perturbing reasoning chains and manipulating delivery tones. Specifically, we analyze reasoning errors in vision language models (VLMs) and how they impact user trust and the ability to detect errors. Our findings reveal two key effects: (1) users often equate trust with outcome agreement, sustaining reliance even when reasoning is flawed, and (2) the confident tone suppresses error detection while maintaining reliance, showing that delivery styles can override correctness. These results highlight how CoT explanations can simultaneously clarify and mislead, underscoring the need for NLP systems to provide explanations that encourage scrutiny and critical thinking rather than blind trust. All code will be released publicly.

Existing Causal-Why Video Question Answering (VideoQA) models often struggle with higher-order reasoning, relying on opaque, monolithic pipelines that entangle video understanding, causal inference, and answer generation. These black-box approaches offer limited interpretability and tend to depend on shallow heuristics. We propose a novel, modular paradigm that explicitly decouples causal reasoning from answer generation, introducing natural language causal chains as interpretable intermediate representations. Inspired by human cognitive models, these structured cause-effect sequences bridge low-level video content with high-level causal reasoning, enabling transparent and logically coherent inference. Our two-stage architecture comprises a Causal Chain Extractor (CCE) that generates causal chains from video-question pairs, and a Causal Chain-Driven Answerer (CCDA) that derives answers grounded in these chains. To address the lack of annotated reasoning traces, we introduce a scalable method for generating accurate causal chains from existing datasets. We construct human verified causal chains for 46K samples. We also propose CauCo, a new evaluation metric for causality-oriented captioning. Experiments on three large-scale benchmarks demonstrate that our approach not only outperforms state-of-the-art models, but also yields substantial gains in explainability, user trust, and generalization -- positioning the CCE as a reusable causal reasoning engine across diverse domains. Project page: https://paritoshparmar.github.io/chainreaction/

Compositional visual reasoning has emerged as a key research frontier in multimodal AI, aiming to endow machines with the human-like ability to decompose visual scenes, ground intermediate concepts, and perform multi-step logical inference. While early surveys focus on monolithic vision-language models or general multimodal reasoning, a dedicated synthesis of the rapidly expanding compositional visual reasoning literature is still missing. We fill this gap with a comprehensive survey spanning 2023 to 2025 that systematically reviews 260+ papers from top venues (CVPR, ICCV, NeurIPS, ICML, ACL, etc.). We first formalize core definitions and describe why compositional approaches offer advantages in cognitive alignment, semantic fidelity, robustness, interpretability, and data efficiency. Next, we trace a five-stage paradigm shift: from prompt-enhanced language-centric pipelines, through tool-enhanced LLMs and tool-enhanced VLMs, to recently minted chain-of-thought reasoning and unified agentic VLMs, highlighting their architectural designs, strengths, and limitations. We then catalog 60+ benchmarks and corresponding metrics that probe compositional visual reasoning along dimensions such as grounding accuracy, chain-of-thought faithfulness, and high-resolution perception. Drawing on these analyses, we distill key insights, identify open challenges (e.g., limitations of LLM-based reasoning, hallucination, a bias toward deductive reasoning, scalable supervision, tool integration, and benchmark limitations), and outline future directions, including world-model integration, human-AI collaborative reasoning, and richer evaluation protocols. By offering a unified taxonomy, historical roadmap, and critical outlook, this survey aims to serve as a foundational reference and inspire the next generation of compositional visual reasoning research.

Multimodal large language models (MLLMs) have recently demonstrated remarkable reasoning abilities under reinforcement learning (RL) paradigm. However, most existing multimodal medical reasoning models focus on basic reasoning, which refers to shallow inference based on visual feature matching. In contrast, real-world clinical diagnosis extends beyond basic reasoning, demanding complex reasoning that integrates heterogeneous clinical information (such as chief complaints and medical history) with multimodal medical imaging data. To bridge this gap, we introduce MM-Retinal-Reason, an ophthalmic multimodal dataset covering the full spectrum of perception and reasoning. Specifically, it is the first dataset in ophthalmology to encompass both basic and complex reasoning tasks with Chain-of-Thought (CoT) trajectories, aiming to enhance visual-centric reasoning and emulate realistic clinical decision-making. Building upon MM-Retinal-Reason, we propose OphthaReason, the first RL-enhanced ophthalmic multimodal reasoning model with step-by-step reasoning traces. To enable flexible adaptation to both basic and complex reasoning tasks, we further introduce Uncertainty-Aware Dynamic Thinking (UADT), which estimates sample-level uncertainty via entropy and dynamically modulates exploration depth through a shaped advantage mechanism. Comprehensive experiments demonstrate the effectiveness of our model on both basic and complex reasoning tasks, outperforming general-purpose MLLMs, medical MLLMs, RL-based medical MLLMs, and ophthalmic MLLMs by at least 15.47%. Project Page: link.

Current approaches for Multimodal Sentiment Analysis (MSA) primarily leverage the knowledge and reasoning capabilities of parameter-heavy (Multimodal) LLMs for classification, overlooking autonomous multimodal sentiment reasoning generation in resource-constrained environments. In this paper, we focus on the Resource-Limited Joint Multimodal Sentiment Reasoning and Classification task, JMSRC, which simultaneously performs multimodal sentiment reasoning chain generation and sentiment classification only with a lightweight model. We propose a Multimodal Chain-of-Thought Reasoning Distillation model, MulCoT-RD, designed for JMSRC that employs a "Teacher-Assistant-Student" distillation paradigm to address deployment constraints in resource-limited environments. We first leverage a high-performance Multimodal Large Language Model (MLLM) to generate the initial reasoning dataset and train a medium-sized assistant model with a multi-task learning mechanism. A lightweight student model is jointly trained to perform efficient multimodal sentiment reasoning generation and classification. Extensive experiments on four datasets demonstrate that MulCoT-RD, with only 3B parameters, achieves strong performance on JMSRC while exhibiting robust generalization and enhanced interpretability.

Recent progress in large-scale reinforcement learning (RL) has notably enhanced the reasoning capabilities of large language models (LLMs), especially in mathematical domains. However, current multimodal LLMs (MLLMs) for mathematical reasoning often rely on one-to-one image-text pairs and single-solution supervision, overlooking the diversity of valid reasoning perspectives and internal reflections. In this work, we introduce MathV-DP, a novel dataset that captures multiple diverse solution trajectories for each image-question pair, fostering richer reasoning supervision. We further propose Qwen-VL-DP, a model built upon Qwen-VL, fine-tuned with supervised learning and enhanced via group relative policy optimization (GRPO), a rule-based RL approach that integrates correctness discrimination and diversity-aware reward functions. Our method emphasizes learning from varied reasoning perspectives and distinguishing between correct yet distinct solutions. Extensive experiments on the MathVista's minitest and Math-V benchmarks demonstrate that Qwen-VL-DP significantly outperforms prior base MLLMs in both accuracy and generative diversity, highlighting the importance of incorporating diverse perspectives and reflective reasoning in multimodal mathematical reasoning.

Robotic-assisted surgery (RAS) is central to modern surgery, driving the need for intelligent systems with accurate scene understanding. Most existing surgical AI methods rely on isolated, task-specific models, leading to fragmented pipelines with limited interpretability and no unified understanding of RAS scene. Vision-Language Models (VLMs) offer strong zero-shot reasoning, but struggle with hallucinations, domain gaps and weak task-interdependency modeling. To address the lack of unified data for RAS scene understanding, we introduce SurgCoTBench, the first reasoning-focused benchmark in RAS, covering 14256 QA pairs with frame-level annotations across five major surgical tasks. Building on SurgCoTBench, we propose SurgRAW, a clinically aligned Chain-of-Thought (CoT) driven agentic workflow for zero-shot multi-task reasoning in surgery. SurgRAW employs a hierarchical reasoning workflow where an orchestrator divides surgical scene understanding into two reasoning streams and directs specialized agents to generate task-level reasoning, while higher-level agents capture workflow interdependencies or ground output clinically. Specifically, we propose a panel discussion mechanism to ensure task-specific agents collaborate synergistically and leverage on task interdependencies. Similarly, we incorporate a retrieval-augmented generation module to enrich agents with surgical knowledge and alleviate domain gaps in general VLMs. We design task-specific CoT prompts grounded in surgical domain to ensure clinically aligned reasoning, reduce hallucinations and enhance interpretability. Extensive experiments show that SurgRAW surpasses mainstream VLMs and agentic systems and outperforms a supervised model by 14.61% accuracy. Dataset and code is available at https://github.com/jinlab-imvr/SurgRAW.git .

Multimodal Large Language Models (MLLMs) have recently been applied to universal multimodal retrieval, where Chain-of-Thought (CoT) reasoning improves candidate reranking. However, existing approaches remain largely language-driven, relying on static visual encodings and lacking the ability to actively verify fine-grained visual evidence, which often leads to speculative reasoning in visually ambiguous cases. We propose V-Retrver, an evidence-driven retrieval framework that reformulates multimodal retrieval as an agentic reasoning process grounded in visual inspection. V-Retrver enables an MLLM to selectively acquire visual evidence during reasoning via external visual tools, performing a multimodal interleaved reasoning process that alternates between hypothesis generation and targeted visual verification.To train such an evidence-gathering retrieval agent, we adopt a curriculum-based learning strategy combining supervised reasoning activation, rejection-based refinement, and reinforcement learning with an evidence-aligned objective. Experiments across multiple multimodal retrieval benchmarks demonstrate consistent improvements in retrieval accuracy (with 23.0% improvements on average), perception-driven reasoning reliability, and generalization.

Humor is one of the few cognitive tasks where getting the reasoning right matters as much as getting the answer right. While recent work evaluates humor understanding on benchmarks such as the New Yorker Cartoon Caption Contest (NYCC), it largely treats it as black-box prediction, overlooking the structured reasoning processes underlying humor comprehension. We introduce IRS (Incongruity-Resolution Supervision), a framework that decomposes humor understanding into three components: Incongruity Modeling, which identifies mismatches in the visual scene; Resolution Modeling, which constructs coherent reinterpretations of these mismatches; and Preference Alignment, which evaluates candidate interpretations under human judgments. Grounded in incongruity-resolution theory and expert captionist practice, IRS supervises intermediate reasoning process through structured traces that make the path from visual perception to humorous interpretation explicit and learnable. Across 7B, 32B, and 72B models on NYCC, IRS improves performance across caption matching and ranking, with IRS-72B achieving the strongest model performance on ranking (76.10%), surpassing both non-expert human performance and all evaluated open- and closed-source multimodal baselines. Zero-shot transfer further shows that IRS learns generalizable reasoning patterns.