1981
DOI: 10.1037/0022-006x.49.3.323
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Impediments to accurate clinical judgment and possible ways to minimize their impact.

Abstract: Recent research in cognitive psychology has begun to uncover some of the factors that make clinical judgment a difficult task. Five impediments to accurate judgment were discussed: inability to assess covariation, influence of preconceived notions, lack of awareness of one's judgmental processes, overconfidence, and the hindsight bias. To minimize the impact of these impediments, three strategies were suggested: active consideration of alternative outcomes, increased attention to certain types of usually ignor… Show more

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Cited by 296 publications
(225 citation statements)
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References 29 publications
(40 reference statements)
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“…The pairs of P(D IH) and P(DI-H) that are the crux ofthe DD and QD research are simply two of the marginal probabilities of that 2 X 2 table. It is commonly believed that a major contributor to the illusory correlation effect is the tendency of subjects to discount as irrelevant all cause-absent data (Arkes, 1981). This strategy leaves the subject with the information needed to construct P(D IH) but not with the information needed to construct P(D I-H), which is consistent with our explanation of the pseudodiagnosticity effect.…”
Section: Relation To Other Laboratory Taskssupporting
confidence: 79%
See 1 more Smart Citation
“…The pairs of P(D IH) and P(DI-H) that are the crux ofthe DD and QD research are simply two of the marginal probabilities of that 2 X 2 table. It is commonly believed that a major contributor to the illusory correlation effect is the tendency of subjects to discount as irrelevant all cause-absent data (Arkes, 1981). This strategy leaves the subject with the information needed to construct P(D IH) but not with the information needed to construct P(D I-H), which is consistent with our explanation of the pseudodiagnosticity effect.…”
Section: Relation To Other Laboratory Taskssupporting
confidence: 79%
“…Another related phenomenon that is readily observed in the laboratory is illusory correlation, one manifestation of which is the tendency to report relationships when none exists (Arkes, 1981;Chapman & Chapman, 1969;Crocker, 1981). The DD and QD experimental paradigms bear a close formal relation to the typical illusory correlation paradigm.…”
Section: Relation To Other Laboratory Tasksmentioning
confidence: 99%
“…Clinical experts often show overconfidence in initial diagnoses (Arkes, 1981), which can lead to an increased focus on the most probable diagnostic category. Hence, it was important in the present study to compare expert and novice confidence in category identification and examine its effects on multiple-category reasoning.…”
Section: Construction Of Case Vignettesmentioning
confidence: 99%
“…A few suggestions do exist for how forensic clinicians might consider the impact of bias, such as actively generating alternative conclusions, identifying and using relevant base rates, minimizing the role of memory, and identifying and weighing the most valid sources of data (Arkes, 1981;Arkes, Faust, Guilmette, & Hart, 1988;Borum, Otto, & Golding, 1993).…”
mentioning
confidence: 99%