Treatment Choices and Informed Consent in Psychiatry: Implications of the Osheroff Case for the Profession

1986 ◽  
Vol 14 (1-2) ◽  
pp. 9-107 ◽  
Author(s):  
John Gulton Malcolm
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Alternative Treatment ◽  
Third Party ◽  
Treatment Modalities ◽  
Decision Making Process ◽  
Psychiatric Facility ◽  
Third Party Reimbursement ◽  
The Impact

In a case that is presently pending, a patient sued a private psychiatric facility alleging that the hospital committed malpractice by treating his disorder through psychodynamic rather than biological techniques. In this article, the author discusses the potential implications this suit may have for psychiatrists faced with making decisions about alternative treatment modalities. The article also discusses the role of the informed consent doctrine in this decision-making process. The impact of third-party reimbursement and the erosion of the so-called “respectable minority” rule are also discussed.

scholarly journals THE ROLE OF SOCIAL MEDIA ON MIGRATION DECISION-MAKING PROCESSES: Case of Indonesian Student in University of Groningen

2018 ◽  
Vol 6 (1) ◽  
pp. 515
Author(s):  
Inayah Hidayati
Keyword(s):  
Decision Making ◽  
Social Media ◽  
Migration Decision ◽  
Decision Making Process ◽  
Migration Behavior ◽  
Interview Guide ◽  
Destination Area ◽  
Decision Making Processes ◽  
The Impact

Objective: This research aims to explain the impact of social media on the migration decision-making process of Indonesian student migrants in University of Groningen who used a social media account. In detail, this research will consider the role of social media in the migration decision-making process of students who emigrated from Indonesia and how they uses social media in the context of the migration decision-making process. Methods: The data collected included qualitative data from in-depth interviews and supported by study literatures. An interview guide was formulated to facilitate the indepth interviews and generate a better understanding of migration behavior. Expectation: Social media help Indonesian student migrants on migration decision making process and they use social media for searching information about destination area. Result: Student migrant in University of Groningen use their social media to gain information before they choose that university for study. They use Facebook to making contact with their friends and collagues in the destination country. Student group on Facebook help Indonesian student to get information about school and daily life.

Toward a Perspective on R&D Outsourcing: RBV and Firm Performance

2018 ◽  
Vol 15 (05) ◽  
pp. 1850040 ◽  
Author(s):  
Anne W. Fuller
Keyword(s):  
Decision Making ◽  
Firm Performance ◽  
Research And Development ◽  
Competitive Advantage ◽  
Industrial Research ◽  
Vital Role ◽  
Decision Making Process ◽  
Resource Based View ◽  
The Impact

This paper looks at the vital role of industrial research and development (R&D). The increased outsourcing of industrial R&D is contrasted with a resource-based view of competitive advantage which maintains capabilities that are valuable, rare, imitable, and non-substitutable (VRIN), and should be internalized in the firm. Traditional business formation literature is also supportive of keeping R&D “inhouse”. R&D outsourcing research is leveraged to posit possible reasons for the increased amount of outsourced R&D. Testable propositions are included that look at factors for R&D outsource decisions and also the impact of these decisions on firm performance. An R&D entropy statistic is introduced as well as several R&D characteristics useful in the decision-making process to create R&D.

The influencing role of social media in the consumer’s hotel decision-making process

2019 ◽  
Vol 11 (4) ◽  
pp. 378-391 ◽  
Author(s):  
Vikas Gupta
Keyword(s):  
Decision Making ◽  
Social Media ◽  
Information Search ◽  
Decision Making Process ◽  
Content Type ◽  
Social Media Platform ◽  
The Social ◽  
Media Platform ◽  
The Impact

Purpose This study aims to evaluate the role of social media on the hotel decision-making process of consumers during the evaluation stage of searching, identifying the alternatives and selecting a hotel in India. It will help the stakeholders in the hotel industry of India to make the social media platform more efficient for consumers by providing inputs on the factors consumers consider while making online hotel purchase. Design/methodology/approach This study involves an exploratory qualitative approach which includes 32 face-to-face, semi-structured, in-depth individual interviews with the social media platform users. The selection of interviewees for this study has been done on the basis of a non-random purposive sampling approach. Findings The findings reveal that social media plays an important role in affecting the way consumers search, decide and book hotels. It also suggests that social media helps consumers in collecting information about products and services, assessing alternatives and making their choices. It confirms that while negative facets exist, the positive benefits outweigh the negative aspects of using social media when selecting a hotel. The results also reveal the impact of circumstantial influence related to social media on hotel selection, on the basis of content source and the level of trust and accuracy in the content. Practical implications This study has some strategic implications for hospitality marketing and management related to a better understanding of the influence of social media on the hotel customer decision-making process. The study shows that a variety of social media with associated content sources and levels add to the complexity of hotel-related information search and decision behaviour. Originality/value The study makes a contribution by addressing the existing gaps and bridging the arena of consumer behaviour and social media literature in a hotel context and sheds light on how consumer decisions while selecting a hotel are influenced through social media. The core contribution is the generation of factors through in-depth interviews which are based on real-life scenarios relating to the influence of social media on hotel decision-making.

scholarly journals A robust multiple-objective decision-making paradigm based on the water–energy–food security nexus under changing climate uncertainties

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Maedeh Enayati ◽  
Omid Bozorg-Haddad ◽  
Elahe Fallah-Mehdipour ◽  
Babak Zolghadr-Asli ◽  
Xuefeng Chu
Keyword(s):  
Climate Change ◽  
Decision Making ◽  
Food Security ◽  
Decision Support ◽  
Multiple Objective ◽  
Decision Making Process ◽  
Climate Change Projections ◽  
Decision Support Framework ◽  
The Impact

AbstractFrom the perspective of the water–energy–food (WEF) security nexus, sustainable water-related infrastructure may hinge on multi-dimensional decision-making, which is subject to some level of uncertainties imposed by internal or external sources such as climate change. It is important to note that the impact of this phenomenon is not solely limited to the changing behavior patterns of hydro-climatic variables since it can also affect the other pillars of the WEF nexus both directly and indirectly. Failing to address these issues can be costly, especially for those projects with long-lasting economic lifetimes such as hydropower systems. Ideally, a robust plan can tolerate these projected changes in climatic behavior and their associated impacts on other sectors, while maintaining an acceptable performance concerning environmental, socio-economic, and technical factors. This study, thus, aims to develop a robust multiple-objective decision-support framework to address these concerns. In principle, while this framework is sensitive to the uncertainties associated with the climate change projections, it can account for the intricacies that are commonly associated with the WEF security network. To demonstrate the applicability of this new framework, the Karkheh River basin in Iran was selected as a case study due to its critical role in ensuring water, energy, and food security of the region. In addition to the status quo, a series of climate change projections (i.e., RCP 2.6, RCP 4.5, and RCP 8.5) were integrated into the proposed decision support framework as well. Resultantly, the mega decision matrix for this problem was composed of 56 evaluation criteria and 27 feasible alternatives. A TOPSIS/Entropy method was used to select the most robust renovation plan for a hydropower system in the basin by creating a robust and objective weighting mechanism to quantify the role of each sector in the decision-making process. Accordingly, in this case, the energy, food, and environment sectors are objectively more involved in the decision-making process. The results revealed that the role of the social aspect is practically negligible. The results also unveiled that while increasing the power plant capacity or the plant factor would be, seemingly, in favor of the energy sector, if all relevant factors are to be considered, the overall performance of the system might resultantly become sub-optimal, jeopardizing the security of other aspects of the water–energy–food nexus.

scholarly journals Predictors of Branding and the Role of Warranty on Consumer Choice

2018 ◽  
Vol 11 (8) ◽  
pp. 122
Author(s):  
J.C. Blewitt
Keyword(s):  
Decision Making ◽  
Consumer Choice ◽  
Future Research ◽  
Decision Making Process ◽  
Psychic Distance ◽  
Relative Importance ◽  
Choice Decision ◽  
Conceptual Paper ◽  
The Impact

This conceptual paper reviews the literature from three distinct areas in consumer behavior: branding, warranty, and choice. In using a mixture of these three areas, propositions are developed which will be tested in future research. The impact of this study is geared towards understanding the behavior of consumers purchasing high cost items and the relative importance and trust that is placed in the warranty that comes with such a purchase. While the study will consider domestic (United States) consumers, international factors such as country of origin and psychic distance will be posed as viable factors in the decision making process. We propose that six factors will impact the role of branding in the decision making process and that a warranty will serve as a moderator to the ultimate choice decision.

The role of rapid prototyping for surgical planning in a case of caval thrombosis from kidney carcinoma

2020 ◽  
Vol 4 (2) ◽  
pp. 75-82
Author(s):  
Elena Huong Tran ◽  
Domenico Caputo ◽  
Annunziata D'Elia ◽  
Andrea Campisi ◽  
Andrea Soluri ◽  
...  
Keyword(s):  
Decision Making ◽  
3D Printing ◽  
Rapid Prototyping ◽  
Surgical Planning ◽  
Low Cost ◽  
Point Of View ◽  
Decision Making Process ◽  
Scenario Method ◽  
The Impact

Aim: To define the impact of rapid prototyping for surgical planning in the surgeon’s decision-making process when dealing with a very complex clinical scenario. Method & framework: A straightforward questionnaire involving four simple questions regarding specific technical aspects was administered to the surgeons to evaluate their basic judgments on the surgical strategy to follow. Images from a standard CT scan were used for the subsequent processing and 3D printing of a very cheap anatomical model of a surgical scenario with a low-cost printer, which was shared with the surgeons. At last, the same questionnaire was re-administered to the surgeons. The degree of judgment was found to be modified by approximately 25%. Conclusion: From a surgical point of view, the interaction with technical experts seems to add precious information to the clinical pre-surgical scenario for decision making. Nevertheless, 3D printing was judged too slow for routine adoption.

The Evolution of FDA Policy on Silicone Breast Implants: A Case Study of Politics, Bureaucracy, and Business in the Process of Decision-Making

1995 ◽  
Vol 25 (4) ◽  
pp. 573-591 ◽  
Author(s):  
Howard A. Palley
Keyword(s):  
Decision Making ◽  
Side Effects ◽  
Interest Group ◽  
Breast Implants ◽  
Decision Making Process ◽  
Silicone Breast Implants ◽  
Number Of Factors ◽  
The Impact

The central issue facing federal regulation of breast implants is that while such devices are not functionally necessary or needed for survival, the side effects may be harmful and have not been proven unharmful. The Medical Device Amendments of 1976 appear to require such evidence prior to the FDA permitting the unrestricted marketing of these devices. However, only recently have such requirements been imposed by the FDA. The author examines the FDA's decision-making process, particularly as applied to silicone breast implants, and the factors that appear to have affected such decisions. In pursuing this study, the activities of a number of interest-group actors, as well as congressional responses and the role of federal bureaucratic actors, were examined. In 1992 the FDA established a regulatory protocol that effectively withdrew most silicone breast implants from the market for the purpose of breast augmentation and allows for the monitoring of the impact of new implants on women's health. This increased concern for determining the safety of breast implants is due to a number of factors, which are examined in this article.

scholarly journals Heuristics and biases as sources of negotiators’ errors in the pre-negotiation phase. Review of literature and empirical research

2020 ◽  
pp. 79-90
Author(s):  
Anna Adamus-Matuszyńska ◽  
Keyword(s):  
Decision Making ◽  
Empirical Studies ◽  
Optimal Choice ◽  
General Question ◽  
Decision Making Process ◽  
Heuristics And Biases ◽  
Negotiation Support ◽  
Support Tools ◽  
The Impact

Purpose – Heuristics and biases are simplifying strategies that people (in the analysed issue – negotiators) use in the decision-making process, even when they can take advantage of supporting tools (e.g. Negotiation Support System), which will allow them to make the optimal choice [Wachowicz, 2006]. Many empirical studies have found that decision makers use heuristics and are biased [Bateman, Zeithaml, 1989; Jackson, Dutton, 1988; Kahneman et al. 1982; Zajac, Bazerman, 1991]. Therefore, the question should be asked: are negotiators, like managers (whose decisions were examined), instead of consciously and intentionally using tools supporting decision-making during negotiations, subject to heuristics and cognitive errors? As a consequence of this general question one may ask the specific research questions: (1) What heuristics do the negotiators undergo? (2) How do heuristics influence the decision-making process? (3) How can the impact of heuristics and biases be minimized by taking advantage of negotiation support tools? Research methods – The article is a review of psychological, sociological and management sciences theories, concepts and empirical researches on heuristics and biases. The review was made according to the following categories: (a) theories that recognize the inevitability of heuristics in the decision-making process, (b) theories that attempt to identify opportunities to minimize or even reduce the impact of heuristics on decisions, and (c) those that offer alternative solutions. Results – The summary highlights those heuristics which might occur in the decision-making process in the pre-negotiation phase. Originality/value – There is no research exploring the role of specific heuristics and biases in particular stages of negotiations.

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