Selecting the optimal treatment for a depressed individual: Clinical judgment or statistical prediction?

This study transformed the clinical versus actuarial controversy into an analysis of rule-of-thumb versus statistical decision-making strategies. To make direct comparisons, clinical and actuarial decision-making strategies by 10 doctoral students in psychology were translated into computer programs and their accuracy was evaluated in terms of classification criteria. Resulting analyses indicated that programmed clinical decision-making strategies, ‘clinistics,’ can contribute to the prediction of behavior. Such a contribution may be of great value inasmuch as statistical prediction may already have reached its theoretical limit in predicting behavior.

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The Meta-Analysis of Clinical Judgment Project: Fifty-Six Years of Accumulated Research on Clinical Versus Statistical Prediction

The Counseling Psychologist ◽

10.1177/0011000005285875 ◽

2006 ◽

Vol 34 (3) ◽

pp. 341-382 ◽

Cited By ~ 256

Author(s):

Stefanía Ægisdóttir ◽

Michael J. White ◽

Paul M. Spengler ◽

Alan S. Maugherman ◽

Linda A. Anderson ◽

...

Keyword(s):

Clinical Judgment ◽

Meta Analysis ◽

Statistical Prediction

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Factor Analysis of Measures of Articulation, Language, Auditory Processing, Reading-Spelling, and Maxillofacial Structure

Journal of Speech and Hearing Research ◽

10.1044/jshr.2002.319 ◽

1977 ◽

Vol 20 (2) ◽

pp. 319-324

Author(s):

Anita F. Johnson ◽

Ralph L. Shelton ◽

William B. Arndt ◽

Montie L. Furr

Keyword(s):

Factor Analysis ◽

Clinical Judgment ◽

Auditory Processing

This study was concerned with the correspondence between the classification of measures by clinical judgment and by factor analysis. Forty-six measures were selected to assess language, auditory processing, reading-spelling, maxillofacial structure, articulation, and other processes. These were applied to 98 misarticulating eight- and nine-year-old children. Factors derived from the analysis corresponded well with categories the measures were selected to represent.

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Debates in Dysphagia Management: How Do You Use Evidence-Based Practice in Your Dysphagia Patient Care?

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd20.4.121 ◽

2011 ◽

Vol 20 (4) ◽

pp. 121-123

Author(s):

Jeri A. Logemann

Keyword(s):

Decision Making ◽

Patient Care ◽

Clinical Outcomes ◽

Clinical Judgment ◽

Clinical Decision Making ◽

Evidence Based Practice ◽

Clinical Decision ◽

Evidence Based ◽

Clinical Method ◽

Do So

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.

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