Hallucinations in Large Vision-Language Models (LVLMs) remain a persistent challenge, often stemming from inadequate integration of visual information during multimodal reasoning. A key cause is the model’s over-reliance on textual priors and underutilization of visual cues, leading to outputs that are linguistically fluent but visually inaccurate. For example, given an image of an empty kitchen countertop, an LVLM might hallucinate a “bowl of fruit” or “cup of coffee,” relying on language associations rather than visual evidence. Most LVLMs incorporate visual features by appending them to the input stream of a pre-trained LLM and training on large-scale vision-language datasets. Our systematic analysis reveals that this strategy often leads to over-dependence on textual information due to the inherent bias of LLMs towards language-dominant representations. This imbalance skews attention towards the text over visual content, weakening the model’s ability to ground outputs in visual inputs. To address this, we propose a simple yet effective visual feature incorporation method that encourages the model to learn visually-informed textual embeddings distinct from those of the base LLM and promotes a more balanced attention distribution. Experimental results across multiple hallucination benchmarks demonstrate that our method significantly reduces hallucinations and fosters more balanced multimodal reasoning. Notably, our approach achieves substantial gains, including +9.33% on MMVP-MLLM, +2.99% on POPE-AOKVQA, up to +3.4% on Merlin, and +3% on the hard-data split of HallusionBench.

Causal inference has demonstrated significant potential to enhance Natural Language Processing (NLP) models in areas such as predictive accuracy, fairness, robustness, and explainability by capturing causal relationships among variables. The rise of generative Large Language Models (LLMs) has greatly impacted various language processing tasks. This survey focuses on research that evaluates or improves LLMs from a causal view in the following areas: reasoning capacity, fairness and safety issues, explainability, and handling multimodality. Meanwhile, LLMs can assist in causal inference tasks, such as causal relationship discovery and causal effect estimation, by leveraging their generation ability and knowledge learned during pre-training. This review explores the interplay between causal inference frameworks and LLMs from both perspectives, emphasizing their collective potential to further the development of more advanced and robust artificial intelligence systems.