Difficulties of medical decision making

Both minor and parental consent required in most circumstances. There is a provision for judicial bypass of parental consent as well as exceptions for emergencies, sexual assault, suicide risk, incest, and parental abuse. Emancipated minors may also obtain an abortion without parental consent. However, parental consent must be obtained before performing surgery, administering a controlled substance, or admitting for inpatient treatment or if detoxification admission lasts more than 72 hours.

Difficulties of medical decision making

This article has been cited by other articles in PMC. Abstract Difficulty making decisions is a core symptom of depressive illness, but the nature of these difficulties has not been well characterized.

The two studies presented herein use the same hypothetical scenarios that call for a decision. In Study 1, participants were asked to make and explain their decisions in a free-response format, as well as to describe their prior experiences with similar situations. The results suggest that those with more depressive symptoms make decisions that are less likely to further their interests.

We also identified several interesting associations between features of decision-making and the presence of depressive symptoms.

In Study 2, participants were guided through their decisions with simple decision tools to investigate whether the association between depressive symptoms and poor decisions is better accounted for by failure to use of good decision-making strategies, or by other factors, such as differences in priorities or goals.

With this minimal intervention the quality of decisions no longer declined significantly as a function of depressive symptom severity. Moreover, few associations between depressive symptom severity and decision-related goals and priorities were evident, suggesting that the previously-exposed difficulties of depressed individuals with decision-making were largely the result of their failure to use effective decision-making techniques.

Depression, Decision-making, Decision quality, Cognitive therapy Introduction Depressed individuals have difficulties making decisions e. Indecisiveness is a symptom common enough in depressed individuals to have been included in the criteria for the disorder APA The choices made by depressed persons may also be sub-optimal.

Studies have shown that depressed, relative to non-depressed persons, make qualitatively different decisions Chambers et al. Good decision-making happens when rational thinking is followed by the enactment of a decision that maximizes utility.


Rational thinking involves the ability to understand and evaluate alternatives, to make judgments that are relatively free of biases, and appropriately appraise the consequences of decisions. Compared to other possible outcomes, the outcomes of the most productive decisions have the highest utility subjective value, or goodness, e.

However, because utility judgments can be influenced by factors such as strong emotions or incorrect predictions of future preferences Loewenstein et al. Biased utility judgments may lead to the selection of a suboptimal alternative and the failure to maximize experienced utility Kahneman et al.


The pessimistic thinking style of depressed individuals may result in a heightened sense of potential disappointment in the expected outcome. The expectations of negative emotions such as regret and disappointment may carry a significant disutility Bell ; Loomes and Sudgen There are several lines of theory and research that suggest that depression is associated with maladaptive decision making.

Leahy has found that depressed persons maintain a negatively biased portfolio, with beliefs that they possess few assets and low future potential, and that they use a risk-averse approach in which expected losses are minimized at the expense of potential pleasure from possible gains.

A number of psychological factors that affect decision-making have also been found to be altered in those with depressive symptoms. For instance, risk aversion was demonstrated in depressed individuals by Murphy et al.

Although depressed subjects were as likely as the controls to choose the winning boxes, they took longer to decide on a winning box, and won less money due to a tendency to increase their bets at a lower rate, compared to controls.

Depressed subjects were thus more cautious in their decisions, and therefore took fewer risks.Good decision-making is a skill that comes easily to some people, not so easily to others.

Difficulties of medical decision making

Psych Central does not provide medical, mental illness, or psychological advice, diagnosis or treatment. Intellectual Disability and Health > Changing values > Articles > Healthcare Decision-Making By Adults with Intellectual Disabilities: Some Levers To Changing Practice Section menu Healthcare Decision-Making By Adults with Intellectual Disabilities: Some Levers To Changing Practice.

Mar 23,  · Problem solving and decision making are two paradigms for psychological research on clinical reasoning, each with its own assumptions and methods The choice of strategy for diagnostic problem solving depends on the perceived difficulty of the .

To determine the level of medical decision making, providers must first complete Tables 3 and 4, then transfer the result to Table 2. For example, in Table 3, for each category of reviewed data identified, the provider would first circle the number in the points column, then total the .

Medical decision-making category requirements4, Table 3. MDM example4 Data credit may be more substantial during the initial investigative phase of the hospitalization, before diagnoses or treatment options have been confirmed.

This divergence between the priorities of society and industry is notable as the nation discusses how to address the current gaps in clinical research and medical decision making.

Difficulties of medical decision making

As an example, in investigator-initiated research, academic investigators seek federal funding (primarily from the National Institutes of Health [NIH]) to conduct.

Health Care Decision Making