Literature DB >> 27088962

A conceptual model for generating and validating in-session clinical judgments.

Sofia B Jacinto1,2, Cara C Lewis2, João N Braga1,2, Kelli Scott2.   

Abstract

OBJECTIVE: Little attention has been paid to the nuanced and complex decisions made in the clinical session context and how these decisions influence therapy effectiveness. Despite decades of research on the dual-processing systems, it remains unclear when and how intuitive and analytical reasoning influence the direction of the clinical session.
METHOD: This paper puts forth a testable conceptual model, guided by an interdisciplinary integration of the literature, that posits that the clinical session context moderates the use of intuitive versus analytical reasoning.
RESULTS: A synthesis of studies examining professional best practices in clinical decision-making, empirical evidence from clinical judgment research, and the application of decision science theories indicate that intuitive and analytical reasoning may have profoundly different impacts on clinical practice and outcomes.
CONCLUSIONS: The proposed model is discussed with respect to its implications for clinical practice and future research.

Entities:  

Keywords:  analytical reasoning; case conceptualization; clinical judgments; cognitive processes; hypothesis generation; hypothesis testing; intuitive reasoning; psychotherapy

Mesh:

Year:  2016        PMID: 27088962      PMCID: PMC5069125          DOI: 10.1080/10503307.2016.1169329

Source DB:  PubMed          Journal:  Psychother Res        ISSN: 1050-3307


  54 in total

Review 1.  Collaborative, individualized assessment.

Authors:  C T Fischer
Journal:  J Pers Assess       Date:  2000-02

2.  Remembering and diagnosing clients: does experience matter?

Authors:  Cilia L M Witteman; Marieke S Tollenaar
Journal:  Memory       Date:  2012-02-24

Review 3.  Heuristic decision making.

Authors:  Gerd Gigerenzer; Wolfgang Gaissmaier
Journal:  Annu Rev Psychol       Date:  2011       Impact factor: 24.137

4.  Expertise in psychotherapy: an elusive goal?

Authors:  Terence J G Tracey; Bruce E Wampold; James W Lichtenberg; Rodney K Goodyear
Journal:  Am Psychol       Date:  2014-01-06

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

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

6.  Dual-Process Theories of Higher Cognition: Advancing the Debate.

Authors:  Jonathan St B T Evans; Keith E Stanovich
Journal:  Perspect Psychol Sci       Date:  2013-05

Review 7.  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

8.  Diagnostic hypothesis generation and human judgment.

Authors:  Rick P Thomas; Michael R Dougherty; Amber M Sprenger; J Isaiah Harbison
Journal:  Psychol Rev       Date:  2008-01       Impact factor: 8.934

9.  Inferences under time pressure: how opportunity costs affect strategy selection.

Authors:  Jörg Rieskamp; Ulrich Hoffrage
Journal:  Acta Psychol (Amst)       Date:  2007-07-20

Review 10.  Mental contamination and mental correction: unwanted influences on judgments and evaluations.

Authors:  T D Wilson; N Brekke
Journal:  Psychol Bull       Date:  1994-07       Impact factor: 17.737

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