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法医神经心理学中的临床判断:对过度声称能力所带来风险的评论。

Clinical judgment in forensic neuropsychology: a comment on the risks of claiming more than can be delivered.

作者信息

Wedding D

机构信息

Missouri Institute of Mental Health, St. Louis 63139.

出版信息

Neuropsychol Rev. 1991 Sep;2(3):233-9. doi: 10.1007/BF01109046.

DOI:10.1007/BF01109046
PMID:1844710
Abstract

There is a vast and growing literature in psychology demonstrating the general limits of human judgment and clinical inference. These findings clearly apply in the new specialty of clinical neuropsychology, and there is little empirical research to support the widespread belief that judgmental accuracy correlates substantially with experience, professional stature, or reputation as a neuropsychologist. However, the demand characteristics of expert testimony in the forensic arena may encourage individual neuropsychologists to state or intimate that they have unique or special expertise in understanding brain-behavior relationships, or in predicting outcomes following cerebral insult or injury. These claims will be increasingly difficult to substantiate as attorneys become more conversant with the literature on human judgment.

摘要

心理学领域有大量且不断增加的文献表明了人类判断和临床推理的普遍局限性。这些研究结果显然适用于临床神经心理学这一新专业领域,而且几乎没有实证研究能支持一种广泛存在的观点,即判断准确性与经验、专业地位或作为神经心理学家的声誉有很大关联。然而,法医领域专家证词的需求特性可能会促使个别神经心理学家宣称或暗示他们在理解脑与行为的关系,或预测脑损伤或受伤后的结果方面拥有独特或特殊的专业知识。随着律师们对有关人类判断的文献越来越熟悉,这些说法将越来越难以得到证实。

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Neuropsychol Rev. 1991 Sep;2(3):233-9. doi: 10.1007/BF01109046.
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本文引用的文献

1
Clinical judgment and decision making in neuropsychology.神经心理学中的临床判断与决策
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2
OVERCONFIDENCE IN CASE-STUDY JUDGMENTS.对案例研究判断的过度自信。
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SOME EFFECTS OF COMBINING PSYCHOLOGICAL TESTS ON CLINICAL INFERENCES.心理测试组合对临床推断的一些影响
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4
The effectiveness of clinicians' judgments; the diagnosis of organic brain damage from the Bender-Gestalt test.临床医生判断的有效性;基于本德尔格式塔测验对器质性脑损伤的诊断。
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Clinical-actuarial detection and description of brain impairment with the W-B form I.使用韦克斯勒成人智力量表第一版对脑损伤进行临床精算检测与描述。
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Effect of experience and amount of information on identification of cerebral impairment.经验和信息量对脑损伤识别的影响。
J Consult Clin Psychol. 1973 Aug;41(1):30-4. doi: 10.1037/h0035614.
7
Simple models or simple processes? Some research on clinical judgments.简单模型还是简单过程?关于临床判断的一些研究。
Am Psychol. 1968 Jul;23(7):483-96. doi: 10.1037/h0026206.
8
The expert witness in psychology and psychiatry.心理学和精神病学领域的专家证人。
Science. 1988 Jul 1;241(4861):31-5. doi: 10.1126/science.3291114.
9
Pediatric malingering: the capacity of children to fake believable deficits on neuropsychological testing.儿童诈病:儿童在神经心理学测试中伪装可信缺陷的能力。
J Consult Clin Psychol. 1988 Aug;56(4):578-82. doi: 10.1037//0022-006x.56.4.578.
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Prospects for faking believable deficits on neuropsychological testing.在神经心理学测试中伪装可信缺陷的可能性。
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