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Hadjipanayi V, Ludwig CJH, Kent C. Graded prioritisation of targets in search: reward diminishes the low prevalence effect. Cogn Res Princ Implic 2023; 8:52. [PMID: 37542145 PMCID: PMC10403486 DOI: 10.1186/s41235-023-00507-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Accepted: 07/20/2023] [Indexed: 08/06/2023] Open
Abstract
In many real-life contexts, observers are required to search for targets that are rarely present (e.g. tumours in X-rays; dangerous items in airport security screenings). Despite the rarity of these items, they are of enormous importance for the health and safety of the public, yet they are easily missed during visual search. This is referred to as the prevalence effect. In the current series of experiments, we investigate whether unequal reward can modulate the prevalence effect, in a multiple target search task. Having first established the impact of prevalence (Experiment 1) and reward (Experiment 2) on how efficiently participants can find one of several targets in the current paradigm, we then combined the two forms of priority to investigate their interaction. An unequal reward distribution (where lower prevalence items are more rewarded; Experiment 3) was found to diminish the effect of prevalence, compared to an equal reward distribution (Experiment 4) as indicated by faster response times and fewer misses. These findings suggest that when combined with an unequal reward distribution, the low prevalence effect can be diminished.
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Zhang H, Hung SW, Chen YP, Ku JW, Tseng P, Lu YH, Yang CT. Hip fracture or not? The reversed prevalence effect among non-experts' diagnosis. Cogn Res Princ Implic 2023; 8:1. [PMID: 36600082 DOI: 10.1186/s41235-022-00455-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Accepted: 12/15/2022] [Indexed: 01/06/2023] Open
Abstract
Despite numerous investigations of the prevalence effect on medical image perception, little research has been done to examine the effect of expertise, and its possible interaction with prevalence. In this study, medical practitioners were instructed to detect the presence of hip fracture in 50 X-ray images with either high prevalence (Nsignal = 40) or low prevalence (Nsignal = 10). Results showed that compared to novices (e.g., pediatricians, dentists, neurologists), the manipulation of prevalence shifted participant's criteria in a different direction for experts who perform hip fracture diagnosis on a daily basis. That is, when prevalence rate is low (pfracture-present = 0.2), experts held more conservative criteria in answering "fracture-present," whereas novices were more likely to believe there was fracture. Importantly, participants' detection discriminability did not vary by the prevalence condition. In addition, all participants were more conservative with "fracture-present" responses when task difficulty increased. We suspect the apparent opposite criteria shift between experts and novices may have come from medical training that made novices to believe that a miss would result in larger cost compared to false positive, or because they failed to update their prior belief about the signal prevalence in the task, both would suggest that novices and experts may have different beliefs in placing the optimal strategy in the hip fracture diagnosis. Our work can contribute to medical education training as well as other applied clinical diagnosis that aims to mitigate the prevalence effect.
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Affiliation(s)
- Hanshu Zhang
- School of Psychology, Central China Normal University, Wuhan, Hubei, China
| | - Shen-Wu Hung
- Department of Orthopedics, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
| | - Yu-Pin Chen
- Department of Orthopedics, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
- Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
| | - Jan-Wen Ku
- Department of Radiology, Shuang-Ho Hospital, Taipei Medical University, No. 291, Zhongzheng Rd., Zhonghe Dist., New Taipei City, Taiwan
| | - Philip Tseng
- Graduate Institute of Mind, Brain, and Consciousness, Taipei Medical University, Taipei, Taiwan
| | - Yueh-Hsun Lu
- Department of Radiology, Shuang-Ho Hospital, Taipei Medical University, No. 291, Zhongzheng Rd., Zhonghe Dist., New Taipei City, Taiwan.
- Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
| | - Cheng-Ta Yang
- Graduate Institute of Mind, Brain, and Consciousness, Taipei Medical University, Taipei, Taiwan
- Department of Psychology, National Chung-Kung University, Tainan, Taiwan
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Abstract
The modern world holds countless risks for humanity, both large-scale and intimately personal-from cyberwarfare, pandemics, and climate change to sexually transmitted diseases and drug use and abuse. Many risks have prompted institutional, regulatory, and technological countermeasures, the success of which depends to some extent on how individuals learn about the risks in question. We distinguish between two powerful but imperfect teachers of risk. First, people may learn by consulting symbolic and descriptive material, such as warnings, statistics, and images. More often than not, however, a risk's fluidity defies precise description. Second, people may learn about risks through personal experience. Responses to risk can differ systematically depending on whether people learn through one mode, both, or neither. One reason for these differences-and by no means the only reason-is the discrepancy in the cognitive impact that rare events (typically the risk event) and common events (typically the nonoccurrence of the risk event) have on the decision maker. We propose a description-experience framework that highlights not only the impact of each mode of learning but also the effects of their interplay on individuals' and collectives' responses to risk. We outline numerous research questions and themes suggested by this framework.
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Affiliation(s)
- Ralph Hertwig
- Center for Adaptive Rationality, Max Planck Institute for Human Development, Berlin, Germany
| | - Dirk U. Wulff
- Center for Adaptive Rationality, Max Planck Institute for Human Development, Berlin, Germany
- Center for Cognitive and Decision Sciences, University of Basel
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Schulze C, Hertwig R. A description-experience gap in statistical intuitions: Of smart babies, risk-savvy chimps, intuitive statisticians, and stupid grown-ups. Cognition 2021; 210:104580. [PMID: 33667974 DOI: 10.1016/j.cognition.2020.104580] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Revised: 12/10/2020] [Accepted: 12/24/2020] [Indexed: 11/26/2022]
Abstract
Comparison of different lines of research on statistical intuitions and probabilistic reasoning reveals several puzzling contradictions. Whereas babies seem to be intuitive statisticians, surprisingly capable of statistical learning and inference, adults' statistical inferences have been found to be inconsistent with the rules of probability theory and statistics. Whereas researchers in the 1960s concluded that people's probability updating is "conservatively" proportional to normative predictions, probability updating research in the 1970s suggested that people are incapable of following Bayes's rule. And whereas animals appear to be strikingly risk savvy, humans often seem "irrational" when dealing with probabilistic information. Drawing on research on the description-experience gap in risky choice, we integrate and systematize these findings from disparate fields of inquiry that have, to date, operated largely in parallel. Our synthesis shows that a key factor in understanding inconsistencies in statistical intuitions research is whether probabilistic inferences are based on symbolic, abstract descriptions or on the direct experience of statistical information. We delineate this view from other conceptual accounts, consider potential mechanisms by which attributes of first-hand experience can facilitate appropriate statistical inference, and identify conditions under which they improve or impair probabilistic reasoning. To capture the full scope of human statistical intuition, we conclude, research on probabilistic reasoning across the lifespan, across species, and across research traditions must bear in mind that experience and symbolic description of the world may engage systematically distinct cognitive processes.
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Affiliation(s)
- Christin Schulze
- Center for Adaptive Rationality, Max Planck Institute for Human Development, Berlin, Germany.
| | - Ralph Hertwig
- Center for Adaptive Rationality, Max Planck Institute for Human Development, Berlin, Germany
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