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Join Date: Dec 2003
Location: Losing my whump
Posts: 22,526
Quote:
Originally Posted by Martha
I understand what you are saying, but I still think it's semantics. Though it's your word so you get to decide the definition.
No, and yes.
Quote:
Rational to me means reasoned, logical, and based on fact. If you have a hairball, it acts to block decision making based on reason, logic and evidence. So I don't think the hairball effected person can produce a perfectly rational decision.
Weeeell...according to the research, once you've got a hairball, you're going to give an answer constructed on the basis for building the hairball. That may very well be reasoned, logical and based on fact. However, no current analysis of the presented facts may have been made.
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On hairballs, rational decision making and the like...
In medical decisions (at least from an ivory tower view), preferences and values tend to predominate (called "unilities" or "impacts"). But, they found a way to arithmetically factor them in so that they are no longer "rational" or irrational, they just "are." Only if they are based on a clear and acknowledged. misunderstanding of circumstance are they "corrected."
Each decision maker assigns a score to every foreseeable outcome. As an example, most would agree that death is often the worst outcome, while complete cure is the best. In between, things like losing a leg, loss of ability to speak, etc. are placed somewhere in between. On a 0-to-1 scale, they all find their place and create a quantitative profile unique for every patient. So, losing a leg may be horrific for a 55 year old accountant, but even more horrific for* 23 year old ballet dancer as an example. Not right or wrong, just elsewhere on the scale.
Throw in a pinch of evidence about likelihoods and benefits from the best research data available, and you can come up with the "right" decision for that patient. "Right" means the decision most likely to reflect that patient's preferences, risk tolerance, value system, etc.
Maybe we should look at what we mean by rational. It's relative.
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Rich
Tampa, FL 99.1% ESR'd...
As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
What if the ballet dancer is so afraid to lose her leg that she refuses what is necessary to save her life?* Maybe that is rare in medical decisions, but biases can shut down rationality. There are the people who do not want to interfere with God/nature and refuse medical care. I suppose that is fine for the one refusing the care for themselves, but what if it is for their children?
My husband has a friend who believes carbon 14 dating to be a scientific mistake at best and a conspiracy at worst.* This is because it doesn't fit with how he reads the bible.* OK for him, but he wants to educate children to have the same biases as he does.
I do like the scoring system for outcomes.* I recall you suggested that here for retirement decisions.
__________________ .
Do not rely on the information provided--my posts are not to be taken as legal advice. Needless to say you must consult with your legal representative. I am not responsible for errors. If I offended you with cya I apologize. If I did not, I tried.
What if the ballet dancer is so afraid to lose her leg that she refuses what is necessary to save her life?*
But who can judge on her behalf what is right and wrong for her? In cases of minority, incompetency, clinical depression or other psych impairment, etc. there are other duties of course, but barring that all one can do is fully explore all the relevant issues and even confront those decisions that seem counter to the "reasonable person" test.
It's a stretch in this example, but bear with me:* let's suppose this dancer came from 3 generations of prima ballerinas, was engaged to a world class ballet dancer, and knew almost no other form of reward. Say she had few other skills, and felt that pursuing dance was her calling according to her religious advisors, and that her whole marriage was built around it. Say she had a probable offer pending from the big ballet company possibly in a year or two... her family and few friends were counting on her to be famous, etc. etc. etc.
There are "irrational" subjective components to the definition of "rational" I guess .
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Rich
Tampa, FL 99.1% ESR'd...
As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
Yes, we are not Vulcans. We do not make decisions solely based on logic.
__________________ .
Do not rely on the information provided--my posts are not to be taken as legal advice. Needless to say you must consult with your legal representative. I am not responsible for errors. If I offended you with cya I apologize. If I did not, I tried.
Martha's inability to see that the distinction between her definition of "hairball" and your defininition of "hairball" goes beyond mere semantics is itself a hairball.
I just try to avoid using the word 'irrational' when referring to someone or they're decision process, although that term might be factually correct.
Agree.
And I'd even take it one step further: "factually correct" may be applicable to the evidence-based components of a decision. But as to questions like, "how bad is it if I lose my leg,", the only "correct" answer is that of the individual decision maker.
Two deciders using the exact same facts can come to two different decision, each correct for themself.
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Rich
Tampa, FL 99.1% ESR'd...
As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
"unilities.."
I like it. Rich, do you know if that one is legal in Scrabble?*
Uhhh.. utilities.
Yes, scrabble-worthy
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Rich
Tampa, FL 99.1% ESR'd...
As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
Do not rely on the information provided--my posts are not to be taken as legal advice. Needless to say you must consult with your legal representative. I am not responsible for errors. If I offended you with cya I apologize. If I did not, I tried.
Re: * Acronyms and Slang Frequently Used on the Forum *
Do not rely on the information provided--my posts are not to be taken as legal advice. Needless to say you must consult with your legal representative. I am not responsible for errors. If I offended you with cya I apologize. If I did not, I tried.
Re: * Acronyms and Slang Frequently Used on the Forum *
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“There are only two ways to live your life. One is as though nothing is a miracle. The
other is as though everything is a miracle.” - Albert Einstein
As I see it, Mensa is a social club for the somewhat intelligent. Many, but not all, members are social misfits. A few have emotional intelligence quotients below 70. But it is a fun group if you like to hang around fairly smart people. Including a few who are truly brilliant.
I agree with this (long time member). I see myself as a kind of "social misfit"
and misanthropic to boot, but........can you can top this? I went to a Mensa
function once at a pretty nice restaurant. Guy next to me looks a bit like
a heavier version of Charles Manson. He is dressed in an orange jumpsuit
with his hair and beard died bright orange, and even his sneakers!
It was not Haloween. For a while this guy was living in his van, and he is one of
the smartest people I ever met, just no obvious social skills.
JG
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Some of us have pretty stories, about good friends, good times and noodle salad.
Re: * Acronyms and Slang Frequently Used on the Forum *