Department of Medicine, University of Toronto, Toronto, Canada.
Evaluative Clinical Sciences, Sunnybrook Research Institute, Toronto, Canada.
J Gen Intern Med. 2019 Apr;34(4):624-626. doi: 10.1007/s11606-019-04839-5. Epub 2019 Jan 31.
This perspective reviews three pitfalls from psychology science that can distort clinical assessments and contribute to interpersonal conflicts. One pitfall is the illusion that one's own subjective perceptions or judgments are objective observations or interpretations that reasonable colleagues would share. A second pitfall involves self-serving situational attributions rather than disposition attributions for explaining missteps after things go wrong. A third pitfall is confirmation bias that leads to a perseverance of erroneous beliefs, a tendency to mostly seek supportive colleagues, and a failure to check for dissenting viewpoints. An awareness of these three pitfalls may help clinicians improve patient care when practicing with colleagues.
这篇观点文章回顾了心理学科学中的三个陷阱,这些陷阱可能会扭曲临床评估并导致人际冲突。一个陷阱是,人们会错误地认为自己的主观感知或判断是客观观察或解释,而其他合理的同事也会认同这些观察或解释。另一个陷阱涉及到自利情境归因,而不是在事情出错后用性格归因来解释失误。第三个陷阱是确认偏差,它导致错误信念的坚持,倾向于主要寻求支持性的同事,并且不检查不同的观点。当与同事一起实践时,意识到这三个陷阱可能有助于临床医生改善患者护理。