Tamjid Fahim


2026

Automating the classification of psychological defense mechanisms is a critical yet challenging frontier in clinical natural language processing. General-purpose Large Language Models (LLMs) struggle to apply fine-grained ordinal frameworks like the Defense Mechanism Rating Scales due to the implicit nature of clinical cues and a fundamental clinical reasoning gap. These models exhibit severe extreme response bias, systematically gravitating toward the scale’s endpoints while failing to resolve nuanced, mid-level defenses. In this paper, we present our third-place system for the PsyDefDetect Shared Task at BioNLP 2026, designed specifically to overcome this failure mode. We propose a hybrid architecture that synergizes label-flattened generative retrieval with an LLM classifier fine-tuned via the distillation of supervised clinical reasoning traces. This dual approach, grounding decisions in rubric criteria while leveraging task-specific supervision, successfully mitigates the observed bias, achieving an accuracy of 67.37% and a macro-F1 of 39.56%. Our work provides empirical evidence that tightly integrating targeted clinical supervision with dynamic rubric-grounded retrieval significantly outperforms the raw parameter scale of un-tuned foundation models.