HBS 27-34 Flashcards
Do we think logically? No. So what are the two ways of thinking?
System 1: Fast, unconscious, intuitive, minimal effort, heuristics.
System 2: Conscious, deductive, slower, analytical, requires effort.
Diagnostic error
A diagnosis that is missed, wrong, or late.
Misdiagnosis-related harm
Preventable harm that occurs from delay of treatment, or from treatment for a condition that was not actually present.
Medical diagnosing; hypothesis testing:
Hypothesis are established tested to be disproved. If they fail they are replaced by further hypothesis until a diagnosis can be proven to be correct. This is the ideal method.
Medical diagnosing; Pattern recognition:
Compares patters of symptoms with disease prototypes. Effective for easy diagnosis.
Medical diagnosing; Heuristics and biases:
Diagnoses are made based on rules of thumb or heuristics. Least reliable method.
Heuristics
Strategies people use when making decisions or solving problems. Considered short cuts that often lead to biases.
Cognitive error; Premature closure
Narrowing the choice of diagnostic hypothesis too early, thereby missing the correct diagnosis.
Confirmation bias
Inadvertently looking for, noticing, or remembering information with pre-existing expectations, while ignoring information that contradicts expectation.
Availability heuristic
Overestimating the intensity or frequency of vivid or easily recalled events.
Representativeness heuristic
Something that is similar to things in a certain category must be in the category. If it quake like a duck then it must be a duck.
Treatment Framing
If treatment outcome is framed by its gains, people are risk averse. However, if treatment is framed by the benefits of treatment, people are more willing to accept risk.
Decision making; Over-confidence
A major contributor to diagnostic error. Physicians see them as better than average, which leads them to be more likely to trust their heuristics.
Inadequate feedback loops
Physicians use data on patients health outcome as a basis to judge their own capacity. However, many other factors contribute to a patients success. Also, doctors often do not see their patients after diagnosing, and therefore assume they got better.
Illusory correlation
Tendency to believe that two events are causally related, when in fact they may be separate and coincidental.
Rules for good decision making:
Be aware of base rates.
Entertain alternative hypothesis.
Disprove rather than confirm hypothesis.
Remember that you are wrong more often than you think.
Rules for good decision making:
Be aware of base rates.
Entertain alternative hypothesis.
Disprove rather than confirm hypothesis.
Remember that you are wrong more often than you think.
Influences on eating disorders:
Biological
Social
Psychological
Developmental
Social factors in body dissatisfaction:
Media
Family
Socioeconomic class
4 eating disorders
Anorexia nervosa (55%)
Bulimia (8%)
Binge Eating disorder
Avoidant/restrictive food intake disorder
BMI for underweight
> 18.5 underweight
>16.6 severely underweight
Anorexia nervosa
Most common amongst teenage girls, although increasing with males. Restricted eating leads to being underweight, sexually and developmentally delayed. Food obsessed/ritualized. Intense fear of gaining weight and dysmorphic self image.
Apical anorexia nervosa
Same signs as AN, but without being notably underweight.
Anorexia warning signs (some)
Weight loss, calorie counting, body dysmorphia, fatigue/faints, use of diet pills, laxatives, diuretics, low self-esteem, self harm, Jaundice, thin hair, social avoidance.
Anorexia health complications
Amenorrhea (cessation of menstruation), slow heartbeat, low blood pressure, muscle waste, poor circulation, muscle loss, kidney failure (dehydration), chronic constipation, Osteoporosis, depression, disorientation
Bulimia Nervosa
More common than AN but seen less in hospitals. Bulimics have issues with self control and undergo eating binges followed by purging (laxatives, vomiting, fasting, or excessive exercise). Occurs at least once a week for 3 months.
Cases often occur in adulthood, unlike Anorexia.
Bulimia warning signs
Binging, visits to bathroom after meal, weight fluctuations, abuse of pills, teeth stains, sore throat, heartburn, shame, low self-esteem, depression.
Bulimia health complications
Tooth decay, kidney failure, dehydration, electrolyte imbalance, malnutrition, GI problems, ulcers.
Binging Eating disorder
Binge eating without the compensatory behavior of bulimia. However, person feels guilty, ashamed, over stuffed, depressed.
Occurs at least once a week for three months.