Page 46 - April 2016 Life In Naples Magazine
P. 46

DOCTOR’S CORNER

 BIASCONFIRMATIONAL

by Allen Weiss, MD, MBA, FACP, FACR                                       of Psychology and Political Science, and Dan Gardner, a
President and CEO, NCH Healthcare System                                  journalist and author of Risk: The Science and Politics of
                                                                          Fear and Future Babble: Why Pundits Are Hedgehogs and
 W e all like to believe that whatever we                                 Foxes Know Best.
                              believe is true.
                                  That way, our knowledge leads us to        Let’s start with a few historical medical examples of
                              behaviors which are helpful and positive    “confirmational bias.” Did blood-letting help or harm
                              for ourselves and the societies around us.  Presidents George Washington and Abraham Lincoln?
              But sometimes, we have the disquieting experience           Sadly, when George Washington fell ill in 1799 his
          of objectively examining our knowledge and discovering          esteemed physicians bled him relentlessly, dosed him with
          it was our preconceived notions which encouraged us             mercury to cause diarrhea, induced vomiting, and raised
          to identify “facts” to support our conclusion—even              blood-filled blisters, according to historical accounts. At
          though on closer examination, we find we have erred             the time, I’m sure the conclusion was the President was
          in many ways.                                                   just too sick for the treatment to overcome the illness.
              The subject of a recent popular book in the business
          community is understanding why we made decisions                   The second century physician Galen influenced the
          which affect the future with real consequences, and most        development of various scientific disciplines, including
          importantly, what was the thought process behind these          anatomy, physiology, pathology, pharmacology, and
          “rational” actions.                                             neurology, as well as philosophy, and logic. He was not
              The book is titled Superforecasting by Philip Tetlock, a    noted for his modesty. Galen influenced generations of
          University of Pennsylvania and Wharton School Professor

	46 										                                                            Life in Naples | April 2016
   41   42   43   44   45   46   47   48   49   50   51