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Chapter 13 - Cognitive Bias in Medico-legal Judgments

from Section 3 - Science

Published online by Cambridge University Press:  07 June 2023

Keith A. Findley
Affiliation:
University of Wisconsin, Madison
Cyrille Rossant
Affiliation:
University College London
Kana Sasakura
Affiliation:
Konan University, Japan
Leila Schneps
Affiliation:
Sorbonne Université, Paris
Waney Squier
Affiliation:
John Radcliffe Hospital, Oxford
Knut Wester
Affiliation:
Universitetet i Bergen, Norway
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Summary

As humans, our perceptions and judgements are naturally coloured by our beliefs, experiences, and desires. Consequently, two individuals with different mindsets or working in different contexts may interpret the same information in markedly different ways (i.e., cognitive bias), especially when that information is ambiguous. In forensic and medico-legal settings, cognitive bias can influence expert decision-making in ways that produce costly miscarriages of justice. In this chapter, we first review the sources of cognitive bias, including irrelevant contextual information, base rate expectations, stress, and allegiance. Then, we review research showing that cognitive bias can affect medical diagnoses of living individuals as well as post-mortem manner-of-death judgments, and we discuss the reactions to these findings. Lastly, we describe best practices for mitigating the impact of cognitive bias and maximising the value of medico-legal judgments.

Type
Chapter
Information
Shaken Baby Syndrome
Investigating the Abusive Head Trauma Controversy
, pp. 205 - 217
Publisher: Cambridge University Press
Print publication year: 2023

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