Why we still use our heads instead of formulas: Toward an integrative approach.

Abstract

This review begins with a discussion of Meehl's (1957) query regarding when to use one's head (i.e., intuition) instead of the formula (i.e., statistical or mechanical procedure) for clinical prediction. It then describes the controversy that ensued and analyzes the complexity and contemporary relevance of the question itself. Going beyond clinical inference, it identifies select cognitive biases and constraints that cause decision errors, and proposes remedial correctives. Given that the evidence shows cognition to be flawed, the article discusses the linear regression, Bayesian, signal detection, and computer approaches as possible decision aids. Their cost-benefit trade-offs, when used either alone or as complements to one another, are examined and evaluated. The critique concludes with a note of cautious optimism regarding the formula's future role as a decision aid and offers several interim solutions.

Cites (203)

1. Prospect theory: An analysis of decision under risk
   Kahneman, Daniel, Tversky, Amos · 1988 · Decision, Probability and Utility
2. Judgment under Uncertainty: Heuristics and Biases
   Tversky, Amos, Kahneman, Daniel · 1975 · Utility, Probability, and Human Decision Making
3. A BEHAVIORAL MODEL OF RATIONAL CHOICE
   Simon, Herbert A. · 1955 · The Quarterly Journal of Economics
4. Telling more than we can know: Verbal reports on mental processes.
   Nisbett, Richard E., Wilson, Timothy D. · 1977 · Psychological Review
5. Measuring the Accuracy of Diagnostic Systems
   Swets, John A. · 1988 · Science
6. Decisions with Multiple Objectives: Preferences and Value Tradeoffs.
   Tsoukias, Alexis, Keeney, Ralph L., Raiffa, Howard · 1994 · The Journal of the Operational Research Society
7. Human Problem Solving.
   Axten, Nick, Newell, Allen, Simon, Herbert A. · 1973 · Contemporary Sociology
8. FOUNDATIONS OF STATISTICS
   2001 · Empirical Direction in Design and Analysis
9. Human Problem Solving
   Allen Newell · 1972
10. Rational choice and the structure of the environment.
    Simon, H. A. · 1956 · Psychological Review

Show all 203 references

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   Grove, William M., Meehl, Paul E. · 1996 · Psychology, Public Policy, and Law
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   Payne, John W., Bettman, James R., Johnson, Eric J. · 1992 · Annual Review of Psychology
4. Principles of Forecasting: A Handbook for Researchers and Practitioners
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