Q:
What is going on in our minds? (c)
Q:
My agenda is to present mind tools that can help my fellow human beings to improve their understanding of the myriad uncertainties in our modern technological world. The best technology is of little value if people do not comprehend it. (c)
And easy-peasy read on how if one uses statistics, they had better have a good grasp of it or ELSE.
I don't remember why I wanted this book but, well, it's an extra easy read for people thrice removed from anything quantitative.
Nice trivia bit. Just how many people were wrongly convicted due to this?
Q:
Recently, however, the Federal Bureau of Investigation performed a test of the reliability of fingerprint evidence that had never been done before. In 1998, Byron Mitchell appealed his conviction for having driven the getaway car in a robbery in Pennsylvania in 1991. The conviction was based on two latent fingerprints, one found on the steering wheel and the other on the gearshift of the car. The FBI decided to test the reliability of the reported match and sent the latent fingerprints along with Mr. Mitchell’s inked prints to the laboratories of 53 various state law enforcement agencies. From the 35 laboratories that responded, 8 failed to find a match for one of the prints, and 6 failed to find a match for the other, making the average failure rate one in five tests. This troublesome result casts considerable doubt on the reliability of fingerprinting. America’s National Institute of Justice has finally provided funding to study how good fingerprinting actually is.
Fingerprint evidence has been accepted as certain for more than a century, following Galton’s estimate. This calculation was made for ideal conditions, which are not found in the real world of incomplete and latent prints. When DNA fingerprinting was introduced into the courts, almost a hundred years after Galton’s seminal work, the public and many experts projected the illusion of certainty onto this new technology. As we see in Chapter 10, DNA fingerprinting has also been declared “failsafe.” The fiction that fingerprinting, DNA fingerprinting, HIV tests, or other excellent new technologies are absolutely foolproof is like a dream that comes back night after night, fulfilling a deep unconscious wish. (c)
Q:
When I was a child, I was told on good authority never to drink water after eating cherries, or I would get very sick and might even die. It never occurred to me to doubt this warning. One day I shared an ample serving of cherries with an English friend who had never heard of this danger. To my horror, I saw him reach for a glass of water after eating some of the cherries. I tried to stop him, but without success; he just laughed. He took a sip, and nothing happened. Not only did he not die; he did not even get sick. That experience cured me. (c)
Q:
A psychiatrist friend of mine prescribes Prozac to his depressive patients. Like many drugs, Prozac has side effects. My friend used to inform each patient that he or she had a 30 to 50 percent chance of developing a sexual problem, such as impotence or loss of sexual interest, from taking the medication. Hearing this, many of his patients became concerned and anxious. But they did not ask further questions, which had always surprised him. After learning about the ideas presented in this book, he changed his method of communicating risks. He now tells patients that out of every ten people to whom he prescribes Prozac, three to five experience a sexual problem. Mathematically, these numbers are the same as the percentages he used before. Psychologically, however, they made a difference. Patients who were informed about the risk of side effects in terms of frequencies rather than percentages were less anxious about taking Prozac—and they asked questions such as what to do if they were among the three to five people. Only then did the psychiatrist realize that he had never checked how his patients understood what “a 30 to 50 percent chance of developing a sexual problem” meant. It turned out that many of them had thought that something would go awry in 30 to 50 percent of their sexual encounters. For years, my friend had simply not noticed that what he intended to say was not what his patients heard. (c)
Q:
Susan’s ordeal illustrates the illusion of certainty; the Prozac and DNA stories are about risk communication; and the mammogram scenario is about drawing conclusions from numbers. This book presents tools to help people to deal with these kinds of situations, that is, to understand and communicate uncertainties. (c)
Q:
illusory certainty seems to be an adaptive response that for ages has protected humans, especially children, from trying to learn first-hand about possible dangers, such as which kinds of food are poisonous and which are not. Similarly, young children are prepared to believe in values, rules, and stories without question, which facilitates their integration into their social group and culture. Social conventions— whether learned from one’s family or one’s wider culture—are, like elementary perception, a source of the illusion of certainty.
Illusory certainty is part of our perceptual, emotional, and cultural inheritance. It can provide us with images of our environment that are useful, although not always correct, as well as with feelings of comfort and safety. (с)
Q:
Throughout history, humans have created belief systems that promise certainty, such as religion, astrology, and divination, systems in which people—particularly those experiencing terrible suffering—can find comfort. (c)
Q:
Certainty has become a consumer product. It is marketed the world over—by insurance companies, investment advisers, election campaigns, and the medical industry. (c)
Q:
In seventeenth-century Europe, buying life insurance meant making a bet on the duration of a prominent person’s life, such as whether the mayor of Paris would die within three years. If he died within the period on which you had wagered, you made a small fortune. Nowadays, insurance agencies have persuaded us that life insurance is about safety and certainty and that it is morally responsible to bet against our own lives for the sake of our survivors’ economic security. (c)
Q:
Patients tend to develop views of “fate” or “Inshallah” rather than learning to practice informed consent. (c)
Q:
Institute of Medicine estimated that some 44,000 to 98,000 patients are killed every year in U.S. hospitals by preventable medical errors and misadventures. It’s as if one lived in a culture where death is a desirable transition from one life to a better one.
Dr. B: Isn’t that a bit much? That’s saying more people die from hospital accidents than from motor vehicle accidents, or from AIDS.
...
These errors were preventable, such as when a physician prescribed an antibiotic to a patient with a history of documented allergic reactions without consulting the medical records. The general problem in medicine is that, unlike in aviation, there is no system for reporting errors without punishing the individual doctor. Pilots anonymously report “near misses” to a central database so that other pilots can learn from them and improve air transport safety. Aviation has focused on building safe systems since World War II, and U.S. airline fatalities have decreased ever since. In 1998, there were no deaths in the United States in commercial aviation. Health care has no such system. (c)
Q:
If I were to start explaining to patients the benefits and harms of a potential treatment, they would hardly comprehend it. (c)
Q:
The reported risk of an Ariane accident was, hence, based on a propensity, not a frequency, interpretation. (c)
Q:
this book presents mind tools for overcoming innumeracy that are easy to learn, apply, and remember. I focus on three kinds of tools: Franklin’s law for overcoming the illusion of certainty, devices for communicating risk intelligibly, and the use of natural frequencies for turning clouded thinking into insight. (с)