Canfield Paul J, Whitehead Martin L, Johnson Robert, O'Brien Carolyn R, Malik Richard
Faculty of Veterinary Science, B14, University of Sydney, NSW 2006, Australia
Chipping Norton Veterinary Hospital, Banbury Road, Chipping Norton, Oxon, OX7 5SY, UK.
J Feline Med Surg. 2016 Jan;18(1):35-45. doi: 10.1177/1098612X15623116.
This is Article 1 of a three-part series on clinical reasoning that encourages practitioners to explore and understand how they think and make case-based decisions. It is hoped that, in the process, they will learn to trust their intuition but, at the same time, put in place safeguards to diminish the impact of bias and misguided logic on their diagnostic decision-making.
This first article discusses the relative merits and shortcomings of System 1 thinking (immediate and unconscious) and System 2 thinking (effortful and analytical). Articles 2 and 3, to appear in the March and May 2016 issues of JFMS, respectively, will examine managing cognitive error, and use of heuristics (mental short cuts) and illness scripts in diagnostic reasoning.
这是关于临床推理的系列文章的第一篇，共三篇。本系列旨在鼓励从业者探索并理解他们的思维方式以及如何基于病例做出决策。希望在此过程中，他们能够学会信任自己的直觉，但同时也要采取防范措施，以减少偏见和错误逻辑对其诊断决策的影响。
第一篇文章讨论了系统1思维（即时且无意识）和系统2思维（费力且分析性）的相对优点和缺点。分别将于2016年3月和5月在《JFMS》杂志上发表的第二篇和第三篇文章，将探讨如何管理认知错误，以及在诊断推理中如何使用启发法（心理捷径）和疾病脚本。
