PubMed · 16793785
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Luis Justo. 2006-06-24. Doctors, interrogation, and torture.. https://doi.org/10.1136/bmj.332.7556.1462
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Concerns about the high costs of cancer care have led to a renewed interest in understanding how patients value the outcomes of care. Psychologists, economists, and others have highlighted some of the ways in which patients and caregivers perceive and make treatment decisions. Prospect theory is the predominant framework for understanding decisions made in situations where the outcomes of each choice are uncertain. Prospect theory assumes that a patient values the outcomes of care not in absolute terms, such as years of life saved, but as deviations from the patient's point of reference. This article discusses some of the implications of this notion, along with discussing differences among people in their reference points. These and other considerations from the psychology of decision making help to clarify why some patients might be inclined to seek expensive or risky treatments in the hopes of achieving benefits that others might consider not worthwhile. An appreciation of these psychological issues might improve the quality of debates concerning the rising costs of cancer care.
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This article explores Herbert Simon's attempts to build Carnegie Tech's Graduate School of Industrial Administration into a center for interdisciplinary social research. It shows that despite the pressures toward disciplinary specialization created by the rapid growth of the postwar social sciences, there were strong countercurrents supporting interdisciplinary work. Support for interdisciplinary work came from a network of powerful new patrons that were interested in transforming social science into behavioral science and that supported mathematical, behavioral-functional analysis whatever the topic of study. These patrons deliberately defined their goals in terms of solving problems, not building disciplines, and the networks of advisory committees they created enabled certain entrepreneurial researchers, such as Simon, to exert influence across a range of fields and institutions.