Diagnostic hypothesis generation and human judgment.

Diagnostic hypothesis-generation processes are ubiquitous in human reasoning. For example, clinicians generate disease hypotheses to explain symptoms and help guide treatment, auditors generate hypotheses for identifying sources of accounting errors, and laypeople generate hypotheses to explain patterns of information (i.e., data) in the environment. The authors introduce a general model of human judgment aimed at describing how people generate hypotheses from memory and how these hypotheses serve as the basis of probability judgment and hypothesis testing. In 3 simulation studies, the authors illustrate the properties of the model, as well as its applicability to explaining several common findings in judgment and decision making, including how errors and biases in hypothesis generation can cascade into errors and biases in judgment.

[1]  R. Luce,et al.  Individual Choice Behavior: A Theoretical Analysis. , 1960 .

[2]  B L Gordon,et al.  Terminology and content of the medical record. , 1970, Computers and biomedical research, an international journal.

[3]  M. Goldfried,et al.  Problem solving and behavior modification. , 1971, Journal of abnormal psychology.

[4]  Stephen K. Reed,et al.  Pattern recognition and categorization , 1972 .

[5]  Daniel Kahneman,et al.  Availability: A heuristic for judging frequency and probability , 1973 .

[6]  Herbert A. Simon,et al.  The Structure of Ill Structured Problems , 1973, Artif. Intell..

[7]  B. Fischhoff,et al.  Perceived Informativeness of Facts. , 1977 .

[8]  F. Hayes-Roth,et al.  Concept learning and the recognition and classification of exemplars , 1977 .

[9]  Walter Kintsch,et al.  Toward a model of text comprehension and production. , 1978 .

[10]  Douglas L. Medin,et al.  Context theory of classification learning. , 1978 .

[11]  C. Gettys,et al.  Hypothesis plausibility and hypothesis generation , 1979 .

[12]  David L. Post,et al.  Medical Problem Solving: An Analysis of Clinical Reasoning , 1979 .

[13]  R. Duncan Luce,et al.  Individual Choice Behavior: A Theoretical Analysis , 1979 .

[14]  B. Fischhoff,et al.  Reasons for confidence. , 1980 .

[15]  B. Fischhoff,et al.  Journal of Experimental Psychology: Human Learning and Memory , 1980 .

[16]  M. Kovács Cognitive therapy in depression. , 1980, The Journal of the American Academy of Psychoanalysis.

[17]  Y. Trope,et al.  Confirmatory and diagnosing strategies in social information gathering. , 1982 .

[18]  Thomas Mehle Hypothesis Generation in an Automobile Malfunction Inference Task. , 1982 .

[19]  H. Simon,et al.  Models of Bounded Rationality: Empirically Grounded Economic Reason , 1997 .

[20]  V R Neufeld,et al.  The clinical reasoning of randomly selected physicians in general medical practice. , 1982, Clinical and investigative medicine. Medecine clinique et experimentale.

[21]  Charles F. Gettys,et al.  Consistency Checking in Hypothesis Generation , 1983 .

[22]  Douglas L. Hintzman,et al.  MINERVA 2: A simulation model of human memory , 1984 .

[23]  M. Lepper,et al.  Considering the opposite: a corrective strategy for social judgment. , 1984, Journal of personality and social psychology.

[24]  Robert Libby,et al.  Availability And The Generation Of Hypotheses In Analytical Review , 1985 .

[25]  Douglas L. Hintzman,et al.  "Schema Abstraction" in a Multiple-Trace Memory Model , 1986 .

[26]  R. Nosofsky Attention, similarity, and the identification-categorization relationship. , 1986, Journal of experimental psychology. General.

[27]  R. Nosofsky Attention, similarity, and the identification-categorization relationship. , 1986 .

[28]  R. Skov,et al.  Information-gathering processes: Diagnosticity, hypothesis-confirmatory strategies, and perceived hypothesis confirmation. , 1986 .

[29]  Arie W. Kruglanski,et al.  What Makes You So Sure? Effects of Epistemic Motivations on judgmental Confidence , 1987 .

[30]  J. Klayman,et al.  Confirmation, Disconfirmation, and Informa-tion in Hypothesis Testing , 1987 .

[31]  Carol A. Manning,et al.  An evaluation of human act generation performance , 1987 .

[32]  Douglas L. Hintzman,et al.  Recognition and recall in MINERVA 2: Analysis of the 'recognition-failure' paradigm. , 1987 .

[33]  Yaacov Trope,et al.  Sensitivity to alternatives in social hypothesis-testing ☆ , 1987 .

[34]  Douglas L. Hintzman,et al.  Judgments of frequency and recognition memory in a multiple-trace memory model. , 1988 .

[35]  A. Kruglanski,et al.  Contextual Effects in Hypothesis Testing: The Role of Competing Alternatives and Epistemic Motivations , 1988 .

[36]  N. Pennington,et al.  Explanation-based decision making: effects of memory structure on judgment , 1988 .

[37]  Daniel L. Schacter,et al.  Priming of semantic autobiographical knowledge: A case study of retrograde amnesia , 1988, Brain and Cognition.

[38]  F. Shapiro Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories , 1989 .

[39]  V. Patel,et al.  Domain Knowledge and Hypothesis Genenation in Diagnostic Reasoning , 1990, Medical decision making : an international journal of the Society for Medical Decision Making.

[40]  R. Nosofsky Relations between exemplar-similarity and likelihood models of classification , 1990 .

[41]  G. Gigerenzer,et al.  Probabilistic mental models: a Brunswikian theory of confidence. , 1991, Psychological review.

[42]  F. Strack,et al.  Ease of retrieval as information: Another look at the availability heuristic. , 1991 .

[43]  John R. Anderson,et al.  The Adaptive Nature of Human Categorization , 1991 .

[44]  E. Tulving,et al.  Long-lasting perceptual priming and semantic learning in amnesia: a case experiment. , 1991, Journal of experimental psychology. Learning, memory, and cognition.

[45]  V. Reyna,et al.  Fuzzy-trace theory and framing effects in choice: Gist extraction, truncation, and conversion , 1991 .

[46]  V. Reyna Class inclusion, the conjunction fallacy, and other cognitive illusions , 1991 .

[47]  Louisa M. Slowiaczek,et al.  Information selection and use in hypothesis testing: What is a good question, and what is a good answer? , 1992, Memory & Cognition.

[48]  N. Sanders,et al.  Journal of behavioral decision making: "The need for contextual and technical knowledge in judgmental forecasting", 5 (1992) 39-52 , 1992 .

[49]  G. Klein,et al.  A recognition-primed decision (RPD) model of rapid decision making. , 1993 .

[50]  G. Klein,et al.  Decision Making in Action: Models and Methods , 1993 .

[51]  E. Weber,et al.  Determinants of diagnostic hypothesis generation: effects of information, base rates, and experience. , 1993, Journal of experimental psychology. Learning, memory, and cognition.

[52]  John R. Josephson,et al.  Abductive inference : computation, philosophy, technology , 1994 .

[53]  A. Tversky,et al.  Support theory: A nonextensional representation of subjective probability. , 1994 .

[54]  A. Kruglanski,et al.  Individual differences in need for cognitive closure. , 1994, Journal of personality and social psychology.

[55]  M. Zuckerman,et al.  Hypothesis confirmation: The joint effect of positive test strategy and acquiescence response set. , 1995 .

[56]  Shlomo Zilberstein,et al.  Models of Bounded Rationality , 1995 .

[57]  G. Lautenschlager,et al.  Mediators of long-term memory performance across the life span. , 1996, Psychology and aging.

[58]  A. Kruglanski,et al.  On Leaping to Conclusions When Feeling Tired: Mental Fatigue Effects on Impressional Primacy , 1996 .

[59]  M. Vermande,et al.  Effects of diagnostic classification systems on clinical hypothesis-generation , 1996 .

[60]  Leonard Adelman,et al.  Research with Patriot Air Defense Officers: Examining Information Order Effects , 1996, Hum. Factors.

[61]  Rhona Flin,et al.  Emergency Decision Making in the Offshore Oil and Gas Industry , 1996, Hum. Factors.

[62]  A. Tversky,et al.  Confidence and accuracy in trait inference: judgment by similarity. , 1996, Acta psychologica.

[63]  C. Brewin Theoretical foundations of cognitive-behavior therapy for anxiety and depression. , 1996, Annual review of psychology.

[64]  H Garavan,et al.  On people’s understanding of the diagnostic implications of probabilistic data , 1996, Memory & cognition.

[65]  A. Kruglanski,et al.  Motivated closing of the mind: "seizing" and "freezing". , 1996, Psychological review.

[66]  G Gigerenzer,et al.  Reasoning the fast and frugal way: models of bounded rationality. , 1996, Psychological review.

[67]  R. Duncan Luce,et al.  Choice, Decision, and Measurement: Essays in Honor of R. Duncan Luce , 1997 .

[68]  Rick P. Thomas,et al.  Organizational Behavior and Human Decision Processes the Role of Mental Simulation in Judgments of Likelihood One Aspect of Simulation That Has Received Relatively , 2022 .

[69]  B. Fischhoff,et al.  Accentuate the Relevant , 1997 .

[70]  E. Tulving,et al.  Episodic and declarative memory: Role of the hippocampus , 1998, Hippocampus.

[71]  Keith E. Stanovich,et al.  Individual differences in rational thought. , 1998 .

[72]  Keith E. Stanovich,et al.  Who uses base rates andP(D/∼H)? An analysis of individual differences , 1998 .

[73]  N. Cowan An embedded-processes model of working memory , 1999 .

[74]  A. Miyake,et al.  Models of Working Memory: Mechanisms of Active Maintenance and Executive Control , 1999 .

[75]  P. Todd,et al.  Simple Heuristics That Make Us Smart , 1999 .

[76]  R. Dawes,et al.  Subadditivity in Memory for Personal Events , 1999 .

[77]  Jürgen Stausberg,et al.  A process model of diagnostic reasoning in medicine , 1999, Int. J. Medical Informatics.

[78]  C. Gettys,et al.  MINERVA-DM: A memory processes model for judgments of likelihood. , 1999 .

[79]  Randall W Engle,et al.  Working memory, short-term memory, and general fluid intelligence: a latent-variable approach. , 1999, Journal of experimental psychology. General.

[80]  Nic James,et al.  Training to break the barriers of habit in reasoning about unusual faults , 1999 .

[81]  D. Koehler,et al.  Probability judgment in three-category classification learning. , 2000, Journal of Experimental Psychology. Learning, Memory and Cognition.

[82]  The influence of a tentative diagnosis on the identification of features from patient appearance. , 2000 .

[83]  Vincent F. Hendricks,et al.  Probability Theory: Philosophy, Recent History and Relations to Science , 2001 .

[84]  Winston R. Sieck,et al.  Overconfidence effects in category learning: a comparison of connectionist and exemplar memory models. , 2001, Journal of experimental psychology. Learning, memory, and cognition.

[85]  M. Young,et al.  The Influence of Alternative Outcomes on Gut-Level Perceptions of Certainty. , 2001, Organizational behavior and human decision processes.

[86]  M. Dougherty,et al.  Integration of the ecological and error models of overconfidence using a multiple-trace memory model. , 2001, Journal of experimental psychology. General.

[87]  Daniela Montaldi,et al.  Exploring the neural bases of episodic and semantic memory: the role of structural and functional neuroimaging , 2001, Neuroscience & Biobehavioral Reviews.

[88]  N. Cowan The magical number 4 in short-term memory: A reconsideration of mental storage capacity , 2001, Behavioral and Brain Sciences.

[89]  Berna Kilinç,et al.  The Reception of John Venn’s Philosophy of Probability , 2001 .

[90]  Magnus Persson,et al.  PROBabilities from EXemplars (PROBEX): a "lazy" algorithm for probabilistic inference from generic knowledge , 2002, Cogn. Sci..

[91]  Christer Carlsson,et al.  Past, present, and future of decision support technology , 2002, Decis. Support Syst..

[92]  M. Young,et al.  Likelihood judgment based on previously observed outcomes: the alternative-outcomes effect in a learning paradigm , 2002, Memory & cognition.

[93]  N. Schwarz,et al.  When debiasing backfires: accessible content and accessibility experiences in debiasing hindsight. , 2002, Journal of experimental psychology. Learning, memory, and cognition.

[94]  A. Elstein,et al.  Clinical problem solving and diagnostic decision making: selective review of the cognitive literature , 2002, BMJ : British Medical Journal.

[95]  Walter Kintsch,et al.  8. On the notions of theme and topic in psychological process models of text comprehension , 2002 .

[96]  E. Tulving Episodic memory: from mind to brain. , 2002, Annual review of psychology.

[97]  Walter Kintsch,et al.  The effect of prior knowledge on understanding from text: Evidence from primed recognition , 2002 .

[98]  M. Louwerse,et al.  Thematics : interdisciplinary studies , 2002 .

[99]  Walter Kintsch,et al.  How does background information improve memory for text content? , 2002, Memory & cognition.

[100]  Craig R. Fox,et al.  Partition Priming in Judgment Under Uncertainty , 2003, Psychological science.

[101]  M. Dougherty,et al.  Probability judgment and subadditivity: The role of working memory capacity and constraining retrieval , 2003, Memory & cognition.

[102]  R. Reeve,et al.  Role of knowledge and ability in student nurses' clinical decision-making. , 2003, Nursing & health sciences.

[103]  J. Ward Encoding and the Frontal Lobes: A Dissociation Between Retrograde and Anterograde Memories , 2003, Cortex.

[104]  M. Dougherty,et al.  Hypothesis generation, probability judgment, and individual differences in working memory capacity. , 2003, Acta psychologica.

[105]  G. Wells,et al.  The Alternative-Outcomes Effect , 1998 .

[106]  John R. Chambers,et al.  The dud-alternative effect in likelihood judgment. , 2004, Journal of experimental psychology. Learning, memory, and cognition.

[107]  Norbert Schwarz,et al.  Integrating Temporal Biases , 2004, Psychological science.

[108]  Thomas S. Wallsten,et al.  MINERVA‐DM and subadditive frequency judgments , 2004 .

[109]  A. Beck,et al.  Cognitive therapy for depression. , 2005 .

[110]  David L. Faigman,et al.  Human category learning. , 2005, Annual review of psychology.

[111]  Graham Pervan,et al.  A critical analysis of decision support systems research , 2005, J. Inf. Technol..

[112]  Alan Hájek,et al.  The reference class problem is your problem too , 2007, Synthese.

[113]  Michael R Dougherty,et al.  The influence of improper sets of information on judgment: how irrelevant information can bias judged probability. , 2006, Journal of experimental psychology. General.

[114]  Norbert Schwarz,et al.  Metacognitive Experiences and Human Judgment , 2006 .

[115]  Michael R. Dougherty,et al.  Differences between probability and frequency judgments: The role of individual differences in working memory capacity☆ , 2006 .

[116]  Sequential Hypothesis Generation , 2007 .

[117]  Michael R Dougherty,et al.  Motivated to retrieve: how often are you willing to go back to the well when the well is dry? , 2007, Journal of experimental psychology. Learning, memory, and cognition.

[118]  M. D’Esposito Working memory. , 2008, Handbook of clinical neurology.