INTUITION AND OTHER SOFT MODES OF THOUGHT IN SURGERY - DISCUSSION ABOUT INTUITION IN SURGERY AS A STRATEGY OF MEDICAL DECISION-MAKING - ITS POTENCY AND LIMITATIONS

被引:0
|
作者
HILDEN, J
机构
来源
THEORETICAL SURGERY | 1991年 / 6卷 / 02期
关键词
INTUITION; HEURISTIC; INDUCTION; COGNITIVE PSYCHOLOGY; EXPERTS;
D O I
暂无
中图分类号
R61 [外科手术学];
学科分类号
摘要
Two papers speculating about the role of intuition and inductive reasoning in surgical practice are criticized for presenting too narrow a picture of those vast "soft" cognitive landscapes which surround the temple of logic and discursive thinking, and for giving a misguided explanation of why the clinician, when diagnosing and prognosticating a given case, is entitled to ascribe to it the statistical properties of previously collected case samples. This latter error rests, in my view, on a misconception of the nature of the concept of a 'heuristic' as used by the Kahneman-Tversky school of cognitive psychologists. I also suggest that the ideas of Dreyfus and others are relevant in the context of surgical skills. The Dreyfus concept of expertise is rather far removed from, yet much more plausible than, the way the two papers before us portray the expert surgeon at work.
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页码:89 / 94
页数:6
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