Make the Structure Survive: Forma Turns Synthetic Clinical Cases Into Auditable Outputs
TL;DR for operators If synthetic cases are going to support training or evaluation, surface plausibility is a weak control objective. The harder requirement is preserving the relationships that make each case meaningful. Forma tests that idea by specifying a person-specific psychological structure before generation and asking whether those directional relationships can be recovered afterward. In the full condition, an external probe reaches MCC +0.41 and AUC 0.70 for directed-edge recovery. When the structural formulation is removed, performance falls close to chance: MCC +0.03/AUC 0.52 with demographics and self-report still present, and +0.01/0.50 under zero-shot generation. ...