Literature DB >> 21104452

When should patient intuition be taken seriously?

Stephen A Buetow1, Bridget Mintoft.   

Abstract

As a style of information processing, intuition involves implicit perceptual and cognitive processes that can be quickly and automatically executed without conscious mental will, such that people know more than they can describe. Patient intuition can influence patient and clinician decision-making and behavior. However, physicians may not always see patient intuition as credible or important, and its management in the clinical setting is poorly understood. This paper takes a step toward suggesting conditions under which patient intuition should be taken seriously. These conditions relate to the credibility or accuracy of the intuitive beliefs held by the patient, and their significance to the patient. Credibility may be increased when the intuitions of patients (1) reflect their individualized knowledge, (2) can complement the common absence of scientific evidence in managing health problems, and (3) can quickly and effectively process key information in complex cognitive tasks. Even intuitions that lack credibility can be subjectively rational and meaningful to patients, and help to shape the decisions they and clinicians make.

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Year:  2010        PMID: 21104452      PMCID: PMC3055972          DOI: 10.1007/s11606-010-1576-6

Source DB:  PubMed          Journal:  J Gen Intern Med        ISSN: 0884-8734            Impact factor:   5.128


  31 in total

Review 1.  Intuition and evidence--uneasy bedfellows?

Authors:  Trisha Greenhalgh
Journal:  Br J Gen Pract       Date:  2002-05       Impact factor: 5.386

2.  Seven characteristics of medical evidence.

Authors:  R E Upshur
Journal:  J Eval Clin Pract       Date:  2000-05       Impact factor: 2.431

3.  Conditions for intuitive expertise: a failure to disagree.

Authors:  Daniel Kahneman; Gary Klein
Journal:  Am Psychol       Date:  2009-09

Review 4.  Intuition: a critical review of the research and rhetoric.

Authors:  L King; J V Appleton
Journal:  J Adv Nurs       Date:  1997-07       Impact factor: 3.187

5.  Recognizing tacit knowledge in medical epistemology.

Authors:  Stephen G Henry
Journal:  Theor Med Bioeth       Date:  2006

Review 6.  Problems for clinical judgement: 1. Eliciting an insightful history of present illness.

Authors:  D A Redelmeier; M J Schull; J E Hux; J V Tu; L E Ferris
Journal:  CMAJ       Date:  2001-03-06       Impact factor: 8.262

7.  Social cognitive neuroscience: a review of core processes.

Authors:  Matthew D Lieberman
Journal:  Annu Rev Psychol       Date:  2007       Impact factor: 24.137

Review 8.  Dual-processing accounts of reasoning, judgment, and social cognition.

Authors:  Jonathan St B T Evans
Journal:  Annu Rev Psychol       Date:  2008       Impact factor: 24.137

9.  Further development of an illness perception intervention for myocardial infarction patients: a randomized controlled trial.

Authors:  Elizabeth Broadbent; Chris J Ellis; Janine Thomas; Greg Gamble; Keith J Petrie
Journal:  J Psychosom Res       Date:  2009-03-04       Impact factor: 3.006

10.  General practitioners' assessment of risk of violence in their practice: results from a qualitative study.

Authors:  Parker Magin; Jon Adams; Elyssa Joy; Malcolm Ireland; Susan Heaney; Sandra Darab
Journal:  J Eval Clin Pract       Date:  2008-03-24       Impact factor: 2.431

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  4 in total

1.  Use of intuition by critical care nurses: a phenomenological study.

Authors:  Parkhide Hassani; Alireza Abdi; Rostam Jalali; Nader Salari
Journal:  Adv Med Educ Pract       Date:  2016-02-10

2.  Empathy, burn-out and the use of gut feeling: a cross-sectional survey of Danish general practitioners.

Authors:  Anette Fischer Pedersen; Mads Lind Ingeman; Peter Vedsted
Journal:  BMJ Open       Date:  2018-02-28       Impact factor: 2.692

3.  Patients' gut feelings seem useful in primary care professionals' decision making.

Authors:  C F Stolper; M W J van de Wiel; M A van Bokhoven; G J Dinant; P Van Royen
Journal:  BMC Prim Care       Date:  2022-07-20

4.  Developing an aftercare decision aid; assessing health professionals' and patients' preferences.

Authors:  Linda Klaassen; Carmen Dirksen; Liesbeth Boersma; Ciska Hoving
Journal:  Eur J Cancer Care (Engl)       Date:  2017-07-20       Impact factor: 2.520

  4 in total

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