Could a new Mental Health Act distort clinical judgement? A Bayesian justification of naturalistic reasoning about risk

作者: NICK HOLDSWORTH , GUY DODGSON

DOI: 10.1080/09638230310001603528

关键词:

摘要: Background: The proposed new Mental Health Act for England and Wales places a premium on identifying substantial clinical risk. This raises the question of how justifiable judgements about risk can be made when evidence in this area is based upon frequentist statistical analysis which limited value practice. Aims: To develop model judgement that articulates relationship between results classical research real-time reasoning professionals Methods: We use Bayesian framework to explore respective roles quantities relating classes qualitative data idiosyncratic individuals Results: naturalistic within central. Conclusions: Data stands as literature recedes become background knowledge practice, while difficult-to-quantify information idiosyncr...

参考文章(8)
Robert A. J. Matthews, Base-rate errors and rain forecasts Nature. ,vol. 382, pp. 766- 766 ,(1996) , 10.1038/382766A0
Paola Bollini, Sandro Pampaliona, Giuseppe Tibaldi, Bruce Kupelnick, Carmine Munizza, Effectiveness of antidepressants. Meta-analysis of dose-effect relationships in randomised clinical trials. British Journal of Psychiatry. ,vol. 174, pp. 297- 303 ,(1999) , 10.1192/BJP.174.4.297
S. S Jick, A. D Dean, H. Jick, Antidepressants and suicide. BMJ. ,vol. 310, pp. 215- 218 ,(1995) , 10.1136/BMJ.310.6974.215
K Passmore, Defensive practice among psychiatrists: a questionnaire survey Postgraduate Medical Journal. ,vol. 78, pp. 671- 673 ,(2002) , 10.1136/PMJ.78.925.671
LILLIAN M. RANGE ENA C. KNOTT, Twenty suicide assessment instruments: evaluation and recommendations. Death Studies. ,vol. 21, pp. 25- 58 ,(1997) , 10.1080/074811897202128
David P. Goldberg, Common mental disorders ,(1992)
Richard Swinburne, Epistemic Justification Oxford University Press. ,(2001) , 10.1093/0199243794.001.0001