Coman Dora, Coman Alin, Hirst William
Department of Psychology, New School for Social Research, The New School , New York, NY , USA.
Front Behav Neurosci. 2013 Jun 14;7:72. doi: 10.3389/fnbeh.2013.00072. eCollection 2013.
Medical decisions will often entail a broad search for relevant information. No sources alone may offer a complete picture, and many may be selective in their presentation. This selectivity may induce forgetting for previously learned material, thereby adversely affecting medical decision-making. In the study phase of two experiments, participants learned information about a fictitious disease and advantages and disadvantages of four treatment options. In the subsequent practice phase, they read a pamphlet selectively presenting either relevant (Experiment 1) or irrelevant (Experiment 2) advantages or disadvantages. A final cued recall followed and, in Experiment 2, a decision as to the best treatment for a patient. Not only did reading the pamphlet induce forgetting for related and unmentioned information, the induced forgetting adversely affected decision-making. The research provides a cautionary note about the risks of searching through selectively presented information when making a medical decision.
医疗决策往往需要广泛搜索相关信息。没有任何单一来源能提供完整的情况,而且许多来源在呈现信息时可能具有选择性。这种选择性可能导致对先前所学内容的遗忘,从而对医疗决策产生不利影响。在两项实验的研究阶段,参与者了解了一种虚构疾病以及四种治疗方案的优缺点。在随后的实践阶段,他们阅读了一份宣传册,该宣传册有选择地呈现了相关(实验1)或不相关(实验2)的优缺点。最后进行了线索回忆,在实验2中,还要求做出关于患者最佳治疗方案的决策。阅读宣传册不仅导致对相关且未提及信息的遗忘,这种诱发的遗忘还对决策产生了不利影响。这项研究为在做出医疗决策时搜索有选择呈现的信息所带来的风险提供了警示。