Exam (elaborations)
ACTUARIAL VS. CLINICAL JUDGEMENT QUESTIONS AND VERIFIED ANSWERS|100% CORRECT|GRADE A+
- Course
- Institution
ACTUARIAL VS. CLINICAL JUDGEMENT QUESTIONS AND VERIFIED ANSWERS|100% CORRECT|GRADE A+
[Show more]
Seller
Follow
Content preview
ACTUARIAL VS. CLINICALJUDGEMENT QUESTIONS AND
VERIFIED ANSWERS|100%
CORRECT|GRADE A+
Clinical Method vs Actuarial Method - Dawes et al., 1989 - ANSWER • Clinic method: "decision-maker
combines or processes information in their head"
• Actuarial method: utilizes empirically established relations between data and the condition
Goldberg Rule and MMPI - Dawes et al., 1989 - ANSWER o Judging between neurosis and psychosis -
"Goldberg Rule": a calculation that adds the relevant subscales and subtracts them from each other -> if
the sum is 45+ the patient is psychotic"
o Across seven setting and over 800 cases, Goldberg's rule was compared to 29 clinical judges ->
averages of judges = 62%, actuarial program = 70%
o Conclusion: Over multiple studies, EVERY judge would have done better by following Goldberg's rule.
The model was even more reliable than the actual judges it was based on
• Other tests/conditions: Decision rules/models also performed better in intellectual tests, survival
predictions for disease severity (Hodgkin's Disease)
Advantage of Clinical Judgment - ANSWER "Broken leg" problem - rare phenomena that are not included
in the model, sometimes you need a human to decide when to override the formula
o However, making "exceptions" actually appears to happen TOO often, leading correct modifications to
be outnumbered by the incorrect
Limits of actuarial methods: Results are still modest at best, cannot simply apply to new settings
mindlessly
o But actuarial saves time and money
Meehl et al., 1973 - ANSWER Actuarial did equal/better than clinical judgment across 27 studies in
predicting anything from success in military training to recovery from psychosis - no studies showed
clinical judgment to be better
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller sellervt. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now