患者体验中的认知偏差:第二部分. 使用自适应工具箱进行调整
Christine J Ko1, Jeffrey R Gehlhausen1, Jeffrey M Cohen1
1Department of Dermatology, Yale University, New Haven, Connecticut.
Journal of the American Academy of Dermatology
|April 8, 2024
概括
意识到认知偏见是减少医疗错误的关键. 一个"适应性工具箱"的策略可以帮助医生在不确定性下做出更好的决定.
科学领域:
- 医疗决策的制定能力
- 认知心理学 认知心理学
- 医生认知能力 医生认知能力
背景情况:
- 认知偏见可能导致医疗错误.
- 了解认知陷是缓解问题的第一步.
- 医生决策往往发生在不确定性的条件下.
研究的目的:
- 讨论医疗决策中的元认知和认知偏见.
- 为了呈现一个
主要方法:
- 关于认知偏见和决策策略的文献综述.
- 对元认知方法的讨论.
- 探索"适应性工具箱"的概念.
主要成果:
- "适应性工具箱"的方法可以帮助医生做出复杂的决策.
- 广泛的策略包括文化谦卑,情感智力和自我照顾.
- 具体的工具包括启发式,叙事和认知强迫函数.
结论:
- 超认知和"适应性工具箱"对于减轻医疗错误至关重要.
- 采用各种策略可以改善认知功能,减少偏见.
- 这种方法支持医生在不确定的环境中做出更好的决策.
相关概念视频
Beck's Cognitive Therapy
47
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
47
The Anchoring-and-Adjustment Heuristic
7.2K
In order to make good decisions, we use our knowledge and our reasoning. Often, this knowledge and reasoning is sound and solid. However, sometimes, we are swayed by biases or by others manipulating a situation. For example, let’s say you and three friends wanted to rent a house and had a combined target budget of $1,600. The realtor shows you only very run-down houses for $1,600 and then shows you a very nice house for $2,000. Might you ask each person to pay more in rent to get the...
7.2K
Cognitive Therapy
152
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
152
Confirmation Biases
5.5K
The confirmation bias is the tendency to focus on information that confirms our existing beliefs and ignore information that is inconsistent with our expectations. For example, if you think that your professor is not very nice, you notice all of the instances of rude behavior exhibited by the professor while ignoring the countless pleasant interactions he is involved in on a daily basis. Have you ever fallen prey to the confirmation bias, either as the source or target of such bias?
5.5K
Blinding
2.4K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
2.4K
Rational Emotive Behavior Therapy
49
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
49


