Programs & Projects
The Institute is a catalyst for advancing a comprehensive national literacy agenda.
[HealthLiteracy 2517] Re: Treatment refusal and verbal abilities
Mary Jane Jerde
mjjerdems at yahoo.comWed Nov 26 13:17:13 EST 2008
- Previous message: [HealthLiteracy 2482] Re: Treatment refusal and verbal abilities and photonovellas
- Next message: [HealthLiteracy 2526] Re: Treatment refusal and verbal abilities
- Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]
Hi,
I hope that this is not too late.
The points you make are excellent.
It also pays to remember that the medical professionals are also going through similar processes in their decision making and conversations with a patient.
Mary Jane Jerde
NEDP Assessor
Howard Community College
________________________________
From: "MarkH38514 at aol.com" <MarkH38514 at aol.com>
To: healthliteracy at nifl.gov
Sent: Tuesday, November 18, 2008 3:12:06 PM
Subject: [HealthLiteracy 2474] Re: Treatment refusal and verbal abilities
Mary:
Much of the research on informed consent philosophically
assumes that the decision to be treated or not be treated is a logical one. But
there is much emerging research on the brain's role in decision making and the
importance of emotion, logic, and even intuition.
For example, psychologist George Lowenstein and his colleagues
published a paper on "Risk as Feelings." (Lowenstein, G.F., et al. Risk as
feelings. Psychological Bulletin, 2001, 127: 267-286). Because
decisions aren't just logical thoughts, but emotional reactions, it's not
surprising that patients may find it difficult to articulate why they don't want
treatment.
Malcolm Gladwell's 2005 book "blink. The Power of Thinking
without Thinking" described how people use "thin slicing" to extract relevant
information from all the information around them. David Myers, in his book
"Intuition" (2002) describes "knowing without awareness"--how people can know
things automatically (unconsciously) or cognitively (consciously). He summarized
Seymour Epstein's description of experiential knowing (intuitive,
automatic and nonverbal) or rational knowing (rational, analytic,
verbal). Consent decisions based on experiential knowing may not be easy
for patients to explain verbally.
I've done a few articles that touch on the issue, but may not
be specific enough for your needs. One is available online:
Hochhauser, M. The anatomy of informed consent. Applied Clinical Trials, March 2005, 82.
http://appliedclinicaltrialsonline.findpharma.com/appliedclinicaltrials/Sites+Articles/The-Anatomy-of-Informed-Consent/ArticleStandard/Article/detail/149967
I can send you pdf versions of:
Hochhauser, M. Emotion and logic in the informed consent
process. Research Practitioner, 2005, 5(4), 138-141.
Hochhauser, M. Informed consent or intuitive consent? SoCRA Source, February 2006, (Publication of the Society of
Clinical Research Associates, #47, 32-33.
Mark
Mark Hochhauser, Ph.D.
Readability Consultant
3344 Scott Avenue North
Golden Valley, MN 55422
Phone: 763-521-4672
Fax: 763-521-5069
Cell: 612-281-1517
email: MarkH38514 at aol.com
________________________________
Get the Moviefone Toolbar. Showtimes, theaters, movie news & more!
-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://www.nifl.gov/pipermail/healthliteracy/attachments/20081126/048a02e7/attachment.html
- Previous message: [HealthLiteracy 2482] Re: Treatment refusal and verbal abilities and photonovellas
- Next message: [HealthLiteracy 2526] Re: Treatment refusal and verbal abilities
- Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]
More information about the HealthLiteracy discussion list