Do Vision-Language-Action Models Mean What They Say? On the Role of Faithfulness in Embodied Reasoning

Embodied Chain-of-Thought has emerged as a promising mechanism to enhance robot decision-making and interpretability in black-box Vision-Language Action (VLA) models. However, whether this verbalized Chain-of-Thought truthfully reflects the policy's underlying decision process remains poorly understood. We distinguish between functional reasoning, in which reasoning improves task performance, and faithful reasoning, in which reasoning truly reflects the policy's internal decision process. We argue that SoTA alignment strategies offer a necessary but insufficient notion of faithfulness, admitting reasoning whose intermediate steps can mask the causal links in action prediction through confounding factors (e.g., reasoning that is ungrounded in the environment and internally disconnected or inconsistent), restricting policy generalization. We study this gap through a human evaluation of a SoTA reasoning model for autonomous driving, revealing an inconsistent coupling between reasoning quality and downstream trajectory improvement. We then operationalize a behavioral surrogate for embodied faithfulness through a learned critic, Pinocchio, scoring observation grounding and stepwise coherence, and use this critic as a dense reward signal in post-training an embodied policy with reinforcement learning. Across withheld driving benchmarks, our post-trained planner improves faithfulness by 4% and 18% over SoTA alignment and trajectory error post-training baselines, respectively, while maintaining competitive downstream task performance. Finally, on a synthetic out-of-distribution test set, post-training for faithfulness improves policy responsiveness to rare counterfactual scenarios by 1.6x that of a SoTA policy, suggesting that faithful reasoning traces contribute to more robust, generalizable, and interpretable embodied intelligence. Project page: https://mjf-su.github.io/pinocchio/

DeferredSeg: A Multi-Expert Deferral Framework for Trustworthy Medical Image Segmentation

Segmentation models based on deep neural networks demonstrate strong generalization for medical image segmentation. However, they often exhibit overconfidence or underconfidence, leading to unreliable confidence scores for segmentation masks, especially in ambiguous regions. This undermines the trustworthiness required for clinical deployment. Motivated by the learning-to-defer (L2D) paradigm, we introduce DeferredSeg, a deferral-aware segmentation framework, i.e., a Human--AI collaboration system that determines whether to defer predictions to human experts in specific regions. DeferredSeg extends the base segmentor with an aggregated deferral predictor and additional routing channels that dynamically route each pixel to either the base segmentor or a human expert. To train this routing efficiently, we introduce a pixel-wise surrogate collaboration loss that supervises deferral decisions. In addition, to preserve spatial coherence within deferral regions, we propose a spatial-coherence loss that enforces smooth deferral masks, thereby enhancing reliability. Beyond single-expert deferral, we further extend the framework to a multi-expert setting by introducing multiple discrepancy experts for collaborative decision-making. To prevent overloading or underutilizing individual experts, we further design a load-balancing penalty that evenly distributes workload across expert branches. We evaluate DeferredSeg on three challenging medical datasets using MedSAM and CENet as the base segmentor for fair comparison. Experimental results show that DeferredSeg consistently outperforms the baseline, demonstrating its effectiveness for trustworthy dense medical segmentation. Moreover, the proposed framework is model-agnostic and can be readily applied to other segmentation architectures.