Intermediate Effects in Psychodiagnostic Classification

Most comparative studies of performance in psychodiagnostic classification contrast novices with very experienced clinicians, and do not include a group with an intermediate level of experience. We describe an empirical study involving 41 clinicians with three levels of experience. We asked novices, intermediates, and very experienced psychodiagnosticians to give the diagnostic (DSM) classification for 10 written cases. We found an intermediate effect in diagnosticians' decision time and correctness: Intermediates performed worse and faster than both novices and very experienced clinicians. In line with most other studies, we found that experienced diagnosticians were not significantly more accurate than novices.

[1]  T. Eells,et al.  The quality of psychotherapy case formulations: a comparison of expert, experienced, and novice cognitive-behavioral and psychodynamic therapists. , 2005, Journal of consulting and clinical psychology.

[2]  T. Betsch,et al.  The routines of decision making , 2005 .

[3]  K. Holyoak,et al.  The Cambridge handbook of thinking and reasoning , 2005 .

[4]  Vimla L. Patel,et al.  Thinking and Reasoning in Medicine , 2005 .

[5]  Charles J. Brainerd,et al.  Dropping the Other U: An Alternative Approach to U-Shaped Developmental Functions , 2004 .

[6]  Michele Groves,et al.  Clinical reasoning: the relative contribution of identification, interpretation and hypothesis errors to misdiagnosis , 2003, Medical teacher.

[7]  D. Kahneman.  A perspective on judgment and choice: mapping bounded rationality. , 2003, The American psychologist.

[8]  T. Eells,et al.  Case Formulation and Treatment Concepts Among Novice, Experienced, and Expert Cognitive-Behavioral and Psychodynamic Therapists , 2003 .

[9]  Nancy S. Kim,et al.  Clinical psychologists' theory-based representations of mental disorders predict their diagnostic reasoning and memory. , 2002, Journal of experimental psychology. General.

[10]  R. Hogarth.  Deciding Analytically or Trusting your Intuition? The Advantages and Disadvantages of Analytic and Intuitive Thought , 2002 .

[11]  J. D. Smith,et al.  Confidence in psychodiagnosis: what makes us so sure? , 2002 .

[12]  Robert Brammer,et al.  Effects of experience and training on diagnostic accuracy. , 2002, Psychological assessment.

[13]  Amy L. Baylor,et al.  A U-shaped model for the development of intuition by level of expertise , 2001 .

[14]  José A. León,et al.  The Influence of Prior Knowledge on the Time Course of Clinical Diagnosis Inferences: A Comparison of Experts and Novices , 2001 .

[15]  Frank E. Harrell,et al.  Regression Modeling Strategies: With Applications to Linear Models, Logistic Regression, and Survival Analysis , 2001 .

[16]  H. Garb.  Studying the Clinician: Judgment Research and Psychological Assessment , 1998 .

[17]  Vimla L. Patel,et al.  Cognitive models of directional inference in expert medical reasoning , 1997 .

[18]  Paul J. Feltovich,et al.  Expertise in context: human and machine , 1997 .

[19]  Jonathan Evans,et al.  Rationality and reasoning , 1996 .

[20]  S. Sloman.  The empirical case for two systems of reasoning. , 1996 .

[21]  Vimla L. Patel,et al.  Diagnostic Reasoning and Medical Expertise , 1994 .

[22]  Henk G. Schmidt,et al.  On the origin of intermediate effects in clinical case recall , 1993, Memory & cognition.

[23]  Developmental Changes in Intuitive Thinking of Korean Children. , 1993 .

[24]  J. V. D. van den Bercken,et al.  Diagnostic classification by experts and novices. , 1992, Acta psychologica.

[25]  Vimla L. Patel,et al.  The general and specific nature of medical expertise: A critical look. , 1991 .

[26]  K. A. Ericsson,et al.  Toward a general theory of expertise : prospects and limits , 1991 .

[27]  C. D. Claiborn,et al.  Examining reasoning skill differences between expert and novice counselors. , 1990 .

[28]  H. Eysenck.  Personality and prediction: Principles of personality assessment , 1990 .

[29]  S. French.  Professional Judgment: A Reader in Clinical Decision Making , 1988 .

[30]  J Dowie,et al.  Clinical intuition and clinical analysis: expertise and the cognitive continuum , 1988 .

[31]  James L. McClelland,et al.  Parallel distributed processing: explorations in the microstructure of cognition, vol. 1: foundations , 1986 .

[32]  W. Kintsch,et al.  Memory and cognition , 1977 .