Scale-Invariant Normalization Hides Activation Scaling: Why Patch Site Matters for Demographic Bias Localization in Clinical Text Generation

Yoana Tsoneva, Fedor Splitt, Awsam Agbaria, Alexandra Tsiakalou, Jing Yang, Vera Schmitt


Abstract
What activation patching localizes can depend on where the patch is applied. Reproducing Ahsan et al. (2025) and extending it from four to ten models, we find the behavioral results largely reproduce and that medical adaptation improves calibration consistently only for gender with BioMistral, for MedGemma not at all. Two mechanistic findings are artifacts of the patch site. In Gemma-2 and OLMo-2 the patched MLP down-projection passes through a scale-invariant RMSNorm before the residual stream, so activation scaling is ineffective there. Patching after normalization restores it, raising the Gemma-2 flip rate on multiple sclerosis from 0.83, flat under scaling, to 1.00. It also lets a single layer recover the target race nearly as well as the reported sliding window (0.83 vs. 0.84, OLMo-2), so the window compensated for the site, not a distributed representation.
Anthology ID:
2026.blackboxnlp-1.66
Volume:
Proceedings of the 9th BlackboxNLP Workshop: Analyzing and Interpreting Neural Networks for NLP
Month:
October
Year:
2026
Address:
Budapest, Hungary
Editors:
Dana Arad, Yonatan Belinkov, Hanjie Chen, Nils Feldhus, Aaron Mueller, Hosein Mohebbi, Gabriele Sarti, Martin Tutek
Venues:
BlackboxNLP | WS
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
1155–1166
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URL:
https://aclanthology.org/2026.blackboxnlp-1.66/
DOI:
Bibkey:
Cite (ACL):
Yoana Tsoneva, Fedor Splitt, Awsam Agbaria, Alexandra Tsiakalou, Jing Yang, and Vera Schmitt. 2026. Scale-Invariant Normalization Hides Activation Scaling: Why Patch Site Matters for Demographic Bias Localization in Clinical Text Generation. In Proceedings of the 9th BlackboxNLP Workshop: Analyzing and Interpreting Neural Networks for NLP, pages 1155–1166, Budapest, Hungary. Association for Computational Linguistics.
Cite (Informal):
Scale-Invariant Normalization Hides Activation Scaling: Why Patch Site Matters for Demographic Bias Localization in Clinical Text Generation (Tsoneva et al., BlackboxNLP 2026)
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PDF:
https://aclanthology.org/2026.blackboxnlp-1.66.pdf