Internet memes have emerged as a popular multimodal medium, yet they are increasingly weaponized to convey harmful opinions through subtle rhetorical devices like irony and metaphor. Existing detection approaches, including Multimodal Large Language Model (MLLM)-based techniques, struggle with these implicit expressions, leading to frequent misjudgments. This paper introduces PatMD, a novel approach that detects harmful memes by learning from and proactively mitigating these potential misjudgment risks. Our core idea is to move beyond superficial content-level matching and instead identify the underlying misjudgment risk patterns, proactively guiding the MLLMs to avoid known misjudgment pitfalls. We first construct a knowledge base where each meme is deconstructed into a misjudgment risk pattern explaining why it might be misjudged, either overlooking harmful undertones (false negative) or overinterpreting benign content (false positive). For a given target meme, PatMD retrieves relevant patterns and utilizes them to dynamically guide the MLLM's reasoning. Experiments on a benchmark of 6,626 memes across 5 harmful detection tasks show that PatMD outperforms state-of-the-art baselines, achieving an average of 8.30% improvement in F1-score and 7.71% improvement in accuracy, while exhibiting consistent robustness on unseen and adversarial memes.

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