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Probabilistic reasoning in clinical medicine: Problems and opportunities

In Daniel Kahneman, Paul Slovic & Amos Tversky (eds.), Judgment Under Uncertainty: Heuristics and Biases. Cambridge University Press. pp. 249--267 (1982)

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  1. On the Reality of the Base-Rate Fallacy: A Logical Reconstruction of the Debate.Martina Calderisi - forthcoming - Review of Philosophy and Psychology:1-19.
    Does the most common response given by participants presented with Tversky and Kahneman’s famous taxi cab problem amount to a violation of Bayes’ theorem? In other words, do they fall victim to so-called base-rate fallacy? In the present paper, following an earlier suggestion by Crupi and Girotto, we will identify the logical arguments underlying both the original diagnosis of irrationality in this reasoning task under uncertainty and a number of objections that have been raised against such a diagnosis. This will (...)
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  • A New Visualization for Probabilistic Situations Containing Two Binary Events: The Frequency Net.Karin Binder, Stefan Krauss & Patrick Wiesner - 2020 - Frontiers in Psychology 11:506040.
    In teaching statistics in secondary schools and at university, two visualizations are primarily used when situations with two dichotomous characteristics are represented: 2×2 tables and tree diagrams. Both visualizations can be depicted either with probabilities or with frequencies. Visualizations with frequencies have been shown to help students significantly more in Bayesian reasoning problems than probability visualizations do. Because tree diagrams or double-trees (which are largely unknown in school) are node-branch-structures, these two visualizations (compared to the 2×2 table) can even simultaneously (...)
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  • Axiomatic rationality and ecological rationality.Gerd Gigerenzer - 2019 - Synthese 198 (4):3547-3564.
    Axiomatic rationality is defined in terms of conformity to abstract axioms. Savage limited axiomatic rationality to small worlds, that is, situations in which the exhaustive and mutually exclusive set of future states S and their consequences C are known. Others have interpreted axiomatic rationality as a categorical norm for how human beings should reason, arguing in addition that violations would lead to real costs such as money pumps. Yet a review of the literature shows little evidence that violations are actually (...)
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  • The Appeal to Expert Opinion: Quantitative Support for a Bayesian Network Approach.Adam J. L. Harris, Ulrike Hahn, Jens K. Madsen & Anne S. Hsu - 2016 - Cognitive Science 40 (6):1496-1533.
    The appeal to expert opinion is an argument form that uses the verdict of an expert to support a position or hypothesis. A previous scheme-based treatment of the argument form is formalized within a Bayesian network that is able to capture the critical aspects of the argument form, including the central considerations of the expert's expertise and trustworthiness. We propose this as an appropriate normative framework for the argument form, enabling the development and testing of quantitative predictions as to how (...)
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  • How to improve Bayesian reasoning without instruction: Frequency formats.Gerd Gigerenzer & Ulrich Hoffrage - 1995 - Psychological Review 102 (4):684-704.
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  • The Oxford Handbook of Causal Reasoning.Michael Waldmann (ed.) - 2017 - Oxford, England: Oxford University Press.
    Causal reasoning is one of our most central cognitive competencies, enabling us to adapt to our world. Causal knowledge allows us to predict future events, or diagnose the causes of observed facts. We plan actions and solve problems using knowledge about cause-effect relations. Without our ability to discover and empirically test causal theories, we would not have made progress in various empirical sciences. In the past decades, the important role of causal knowledge has been discovered in many areas of cognitive (...)
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  • Denying antecedents and affirming consequents: The state of the art.David Godden & Frank Zenker - 2015 - Informal Logic 35 (1):88-134.
    Recent work on conditional reasoning argues that denying the antecedent [DA] and affirming the consequent [AC] are defeasible but cogent patterns of argument, either because they are effective, rational, albeit heuristic applications of Bayesian probability, or because they are licensed by the principle of total evidence. Against this, we show that on any prevailing interpretation of indicative conditionals the premises of DA and AC arguments do not license their conclusions without additional assumptions. The cogency of DA and AC inferences rather (...)
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  • Where do you stand on the base rate issue?Douglas Stalker - 1996 - Behavioral and Brain Sciences 19 (1):38-39.
    This commentary presents a self-assessment inventory that will allow readers to determine their own attitude toward the base rate fallacy and its literature. The inventory is scientifically valid but not Medicare/Medicaid reimbursable.
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  • First things first: What is a base rate?Clark McCauley - 1996 - Behavioral and Brain Sciences 19 (1):33-34.
    The fallacy beneath the base rate fallacy is that we know what a base rate is. We talk as if base rates and individuating information were two different kinds of information. From a Bayesian perspective, however, the only difference between base rate and individuating information is – which comes first.
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  • Which reference class is evoked?Craig R. M. McKenzie & Jack B. Soll - 1996 - Behavioral and Brain Sciences 19 (1):34-35.
    Any instance (i.e., event, behavior, trait) belongs to infinitely many reference classes, hence there are infinitely many base rates from which to choose. People clearly do not entertain all possible reference classes, however, so something must be limiting the search space. We suggest some possible mechanisms that determine which reference class is evoked for the purpose of judgment and decision.
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  • The perils of reconstructive remembering and the value of representative design.Kim J. Vicente - 1996 - Behavioral and Brain Sciences 19 (1):40-40.
    Abstract(1) The miscitations of seminal experiments in the base rate literature adds to the existing database of systematic miscitations of wellknown psychological experiments. These miscitations may be caused by a process of reconstructive remembering. (2) Representative design should be the methodological core of Koehler's call for ecologically valid research. This approach can benefit both basic and applied research.
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  • Probabilistic fallacies.Henry E. Kyburg - 1996 - Behavioral and Brain Sciences 19 (1):31-31.
    Two distinct issues are sometimes confused in the base rate literature: Why do people make logical mistakes in the assessment of probabilities? and why do subjects not use base rates the way experimenters do? The latter problem may often reflect differences in an implicit reference class rather than a disinclination to update a base rate by Bayes' theorem. Also important are considerations concerning the interaction of several potentially relevant base rates.
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  • The need for a theory of evidential weight.L. Jonathan Cohen - 1996 - Behavioral and Brain Sciences 19 (1):18-19.
    There is a familiar risk of antinomy if fromxisEand p(xisH/xisE) =rit is permissible to infer p(xisH) =r, and what Carnap (1950) called “The requirement of total evidence” will not prevent such antinomies satisfactorily. What is needed instead is a properly developed theory of evidential weight.
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  • How to reconsider the base rate fallacy without forgetting the concept of systematic processing.Pablo Fernandez-Berrocal, Julian Almaraz & Susana Segura - 1996 - Behavioral and Brain Sciences 19 (1):21-22.
    Abstract(1) There is enough contradictory evidence regarding the role of base rates in category learning to confirm the nonexistence of biases in such learning. (2) It is not always possible to activate statistical reasoning through frequentist representation. (3) It is necessary to use the concept of systematic processing in reconsidering the published work on biases.
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  • (1 other version)Bayesian Informal Logic and Fallacy.Kevin Korb - 2004 - Informal Logic 24 (1):41-70.
    Bayesian reasoning has been applied formally to statistical inference, machine learning and analysing scientific method. Here I apply it informally to more common forms of inference, namely natural language arguments. I analyse a variety of traditional fallacies, deductive, inductive and causal, and find more merit in them than is generally acknowledged. Bayesian principles provide a framework for understanding ordinary arguments which is well worth developing.
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  • Are humans good intuitive statisticians after all? Rethinking some conclusions from the literature on judgment under uncertainty.L. Cosmides - 1996 - Cognition 58 (1):1-73.
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  • Rationality in medical decision making: a review of the literature on doctors' decision‐making biases. [REVIEW]Brian H. Bornstein & A. Christine Emler - 2001 - Journal of Evaluation in Clinical Practice 7 (2):97-107.
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  • Reclaiming Davidson’s Methodological Rationalism as Galilean Idealization in Psychology.Carole J. Lee - 2010 - Philosophy of the Social Sciences 40 (1):84-106.
    In his early experimental work with Suppes, Davidson adopted rationality assumptions, not as necessary constraints on interpretation, but as practical conceits in addressing methodological problems faced by experimenters studying decision making under uncertainty. Although the content of their theory has since been undermined, their methodological approach—a Galilean form of methodological rationalism—lives on in contemporary psychological research. This article draws on Max Weber’s verstehen to articulate an account of Galilean methodological rationalism; explains how anomalies faced by Davidson’s early experimental work gave (...)
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  • Applied cognitive psychology and the "strong replacement" of epistemology by normative psychology.Carole J. Lee - 2008 - Philosophy of the Social Sciences 38 (1):55-75.
    is normative in the sense that it aims to make recommendations for improving human judgment; it aims to have a practical impact on morally and politically significant human decisions and actions; and it studies normative, rational judgment qua rational judgment. These nonstandard ways of understanding ACP as normative collectively suggest a new interpretation of the strong replacement thesis that does not call for replacing normative epistemic concepts, relations, and inquiries with descriptive, causal ones. Rather, it calls for recognizing that the (...)
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  • The Frequency Hypothesis and Evolutionary Arguments.Yuichi Amitani - 2008 - Kagaku Tetsugaku 41 (1):79-94.
    Gerd Gigerenzer's views on probabilistic reasoning in humans have come under close scrutiny. Very little attention, however, has been paid to his evolutionary component of his argument. According to Gigerenzer, reasoning about probabilities as frequencies is so common today because it was favored by natural selection in the past. This paper presents a critical examination of this argument. It will show first, that, _pace_ Gigerenzer, there are some reasons to believe that using the frequency format was not more adaptive than (...)
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  • The role of representation in bayesian reasoning: Correcting common misconceptions.Gerd Gigerenzer & Ulrich Hoffrage - 2007 - Behavioral and Brain Sciences 30 (3):264-267.
    The terms nested sets, partitive frequencies, inside-outside view, and dual processes add little but confusion to our original analysis (Gigerenzer & Hoffrage 1995; 1999). The idea of nested set was introduced because of an oversight; it simply rephrases two of our equations. Representation in terms of chances, in contrast, is a novel contribution yet consistent with our computational analysis System 1.dual process theory” is: Unless the two processes are defined, this distinction can account post hoc for almost everything. In contrast, (...)
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  • Base-rate respect: From ecological rationality to dual processes.Aron K. Barbey & Steven A. Sloman - 2007 - Behavioral and Brain Sciences 30 (3):241-254.
    The phenomenon of base-rate neglect has elicited much debate. One arena of debate concerns how people make judgments under conditions of uncertainty. Another more controversial arena concerns human rationality. In this target article, we attempt to unpack the perspectives in the literature on both kinds of issues and evaluate their ability to explain existing data and their conceptual coherence. From this evaluation we conclude that the best account of the data should be framed in terms of a dual-process model of (...)
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  • Prediction and Explanation in a Postmodern World.Joachim I. Krueger - 2020 - Frontiers in Psychology 11:597706.
    The experimental research paradigm lies at the core of empirical psychology. New data analytical and computational tools continually enrich its methodological arsenal, while the paradigm’s mission remains the testing of theoretical predictions and causal explanations. Predictions regarding experimental results necessarily point to the future. Once the data are collected, the causal inferences refer to a hypothesis now lying in the past. The experimental paradigm is not designed to permit strong inferences about particular incidents that occurred before predictions were made. In (...)
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  • Beware of samples! A cognitive-ecological sampling approach to judgment biases.Klaus Fiedler - 2000 - Psychological Review 107 (4):659-676.
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  • Heuristics used in reasoning with multiple causes and effects.W. K. Ahn & Brian A. Nosek - 1998 - In Morton Ann Gernsbacher & Sharon J. Derry (eds.), Proceedings of the 20th Annual Conference of the Cognitive Science Society. Lawerence Erlbaum. pp. 24--29.
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  • Issues for the next generation of base rate research.Jonathan J. Koehler - 1996 - Behavioral and Brain Sciences 19 (1):41-53.
    Commentators agree that simple conclusions about a general base rate fallacy are not appropriate. It is more constructive to identify conditions under which base rates are differentially weighted. Commentators also agree that improving the ecological validity of the research is desirable, although this is less important to those interested exclusively in psychological processes. The philosophers and ecologists among the commentators offer a kinder perspective on base rate reasoning than the psychologists. My own perspective is that the interesting questions (both psychological (...)
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  • The implicit use of base rates in experiential and ecologically valid tasks.Barbara A. Spellman - 1996 - Behavioral and Brain Sciences 19 (1):38-38.
    When base rates are learned and used in an experiential manner subjects show better base rate use, perhaps because the implicit learning system is engaged. A causal framework in which base rates are relevant might also be necessary. Humans might thus perform better on more ecologically valid tasks, which are likely to contain those three components.
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  • Throwing out the baby with the bathwater? Let's not overstate the overselling of the base rate fallacy.Cynthia J. Thomsen & Eugene Borgida - 1996 - Behavioral and Brain Sciences 19 (1):39-40.
    Koehler's summary and critique of research on the base rate fallacy is cogent and persuasive. However, he may have overstated the case, and his suggestions for future research may be too restrictive. We agree that methodological approaches to this topic should be broadened, but we argue that experimental laboratory research and the Bayesian normative standard are useful and should not be abandoned.
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  • Base rates do not constrain nonprobability judgments.Paul D. Windschitl & Gary L. Wells - 1996 - Behavioral and Brain Sciences 19 (1):40-41.
    Base rates have no necessary relation to judgments that are not themselves probabilities. There is no logical imperative, for instance, that behavioral base rates must affect causal attributions or that base rate information should affect judgments of legal liability. Decision theorists should be cautious in arguing that base rates place normative constraints on judgments of anything other than posterior probabilities.
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  • Physicians neglect base rates, and it matters.Robert M. Hamm - 1996 - Behavioral and Brain Sciences 19 (1):25-26.
    A recent study showed physicians' reasoning about a realistic case to be ignorant of base rate. It also showed physicians interpreting information pertinent to base rate differently, depending on whether it was presented early or late in the case. Although these adult reasoners might do better if given hints through talk of relative frequencies, this would not prove that they had no problem of base rate neglect.
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  • How are base rates used? Interactive and group effects.Peter J. McLeod & Margo Watt - 1996 - Behavioral and Brain Sciences 19 (1):35-36.
    Koehler is right that base rate information is used, to various degrees, both in laboratory tasks and in everyday life. However, it is not time to turn our backs on laboratory tasks and focus solely on ecologically valid decision making. Tightly controlled experimental data are still needed to understandhowbase rate information is used, and how this varies among groups.
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  • Are base rates a natural category of information?Terry Connolly - 1996 - Behavioral and Brain Sciences 19 (1):19-20.
    The base rate fallacy is directly dependent on a particular judgment paradigm in which information may be unambiguously designated as either “base rate” or “individuating,” and in which subjects make two-stage sequential judgments. The paradigm may be a poor match for real world settings, and the fallacy may thus be undefined for natural ecologies of judgment.
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  • Base rates, stereotypes, and judgmental accuracy.David C. Funder - 1996 - Behavioral and Brain Sciences 19 (1):22-23.
    The base rate literature has an opposite twin in the social psychological literature on stereotypes, which concludes that people use their preexisting beliefs about probabilistic category attributes too much, rather than not enough. This ironic discrepancy arises because beliefs about category attributes enhance accuracy when the beliefs are accurate and diminish accuracy when they are not. To determine the accuracy of base rate/stereotype beliefs requires research that addresses specific content.
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  • The base rate fallacy reconsidered: Descriptive, normative, and methodological challenges.Jonathan J. Koehler - 1996 - Behavioral and Brain Sciences 19 (1):1-17.
    We have been oversold on the base rate fallacy in probabilistic judgment from an empirical, normative, and methodological standpoint. At the empirical level, a thorough examination of the base rate literature (including the famous lawyer–engineer problem) does not support the conventional wisdom that people routinely ignore base rates. Quite the contrary, the literature shows that base rates are almost always used and that their degree of use depends on task structure and representation. Specifically, base rates play a relatively larger role (...)
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  • Decisions on pharmacogenomic tests in the USA and Germany.Odette Wegwarth, Robert W. Day & Gerd Gigerenzer - 2011 - Journal of Evaluation in Clinical Practice 17 (2):228-235.
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  • Bayesian probability estimates are not necessary to make choices satisfying Bayes’ rule in elementary situations.Artur Domurat, Olga Kowalczuk, Katarzyna Idzikowska, Zuzanna Borzymowska & Marta Nowak-Przygodzka - 2015 - Frontiers in Psychology 6:130369.
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  • Fallacy and controversy about base rates.Isaac Levi - 1996 - Behavioral and Brain Sciences 19 (1):31-32.
    Koehler's target article attempts a balanced view of the relevance of knowledge of base rates to judgments of subjective or credal probability, but he is not sensitive enough to the difference between requiring and permitting the equation of probability judgments with base rates, the interaction between precision of base rate and reference class information, and the possibility of indeterminate probability judgment.
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  • Why do frequency formats improve Bayesian reasoning? Cognitive algorithms work on information, which needs representation.Gerd Gigerenzer - 1996 - Behavioral and Brain Sciences 19 (1):23-24.
    In contrast to traditional research on base-rate neglect, an ecologically-oriented research program would analyze the correspondence between cognitive algorithms and the nature of information in the environment. Bayesian computations turn out to be simpler when information is represented in frequency formats as opposed to the probability formats used in previous research. Frequency formats often enable even uninstructed subjects to perform Bayesian reasoning.
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  • Constraints and Preferences in Inductive Learning: An Experimental Study of Human and Machine Performance.Douglas L. Medin, William D. Wattenmaker & Ryszard S. Michalski - 1987 - Cognitive Science 11 (3):299-339.
    The paper examines constraints and preferences employed by people in learning decision rules from preclassified examples. Results from four experiments with human subjects were analyzed and compared with artificial intelligence (AI) inductive learning programs. The results showed the people's rule inductions tended to emphasize category validity (probability of some property, given a category) more than cue validity (probability that an entity is a member of a category given that it has some property) to a greater extent than did the AI (...)
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  • A model theoretic approach to 'natural' reasoning.Newton C. A. da Costa & Steven French - 1993 - International Studies in the Philosophy of Science 7 (2):177-190.
    Abstract A general framework is proposed for accommodating the recent results of studies into ?natural? decision making. A crucial element of this framework is the notion of a ?partial structure?, recently introduced into the semantic approach to scientific theories. It is through the introduction of this element that connections can be made with certain problems regarding inconsistency and rationality in general.
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  • Causal models and the acquisition of category structure.Michael R. Waldmann, Keith J. Holyoak & Angela Fratianne - 1995 - Journal of Experimental Psychology: General 124 (2):181.
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  • Teaching Bayesian reasoning in less than two hours.Peter Sedlmeier & Gerd Gigerenzer - 2001 - Journal of Experimental Psychology: General 130 (3):380.
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  • Solving probabilistic and statistical problems: a matter of information structure and question form.Vittorio Girotto & Michel Gonzalez - 2001 - Cognition 78 (3):247-276.
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  • Cognitive algebra versus representativeness heuristic.Norman H. Anderson - 1996 - Behavioral and Brain Sciences 19 (1):17-17.
    Cognitive algebra strongly disproved the representativeness heuristic almost before it was published; and therewith it also disproved the base rate fallacy. Cognitive algebra provides a theoretical foundation for judgment-decision theory through its joint solution to the two fundamental problems – true measurement of subjective values, and cognitive rules for integration of multiple determinants.
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  • Tversky and Kahneman’s Cognitive Illusions: Who Can Solve Them, and Why?Georg Bruckmaier, Stefan Krauss, Karin Binder, Sven Hilbert & Martin Brunner - 2021 - Frontiers in Psychology 12:584689.
    In the present paper we empirically investigate the psychometric properties of some of the most famous statistical and logical cognitive illusions from the “heuristics and biases” research program by Daniel Kahneman and Amos Tversky, who nearly 50 years ago introduced fascinating brain teasers such as the famous Linda problem, the Wason card selection task, and so-called Bayesian reasoning problems (e.g., the mammography task). In the meantime, a great number of articles has been published that empirically examine single cognitive illusions, theoretically (...)
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  • The base rate controversy: Is the glass half-full or half-empty?Gideon Keren & Lambert J. Thijs - 1996 - Behavioral and Brain Sciences 19 (1):26-26.
    Setting the two hypotheses of complete neglect and full use of base rates against each other is inappropriate. The proper question concerns the degree to which base rates are used (or neglected), and under what conditions. We outline alternative approaches and recommend regression analysis. Koehler's conclusion that we have been oversold on the base rate fallacy seems to be premature.
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  • P(D/H), P(D/˜H), and base rate consideration.Yechiel Klar - 1996 - Behavioral and Brain Sciences 19 (1):26-27.
    Failure to consider base rate is regarded as potentially hazardous, mainly because its consideration is assumed to be determined solely by P(H/D), the probability of the individuating data if the hypothesis is true, and not at all by P(D/˜H), the probability if the hypothesis is false. However, when P(D/˜H) is unconfounded from P(D/H), it turns out to be the stronger determinant of base rate consideration.
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  • Reducing cognitive biases in probabilistic reasoning by the use of logarithm formats.Peter Juslin, Håkan Nilsson, Anders Winman & Marcus Lindskog - 2011 - Cognition 120 (2):248-267.
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  • Evidential Support and Contraposition.Hans Rott - 2022 - Erkenntnis 89 (6):2253-2271.
    The concept of an evidential conditional _If A then C_ that can be defined by the conjunction of \(A>C\) and \(\lnot C > \lnot A\), where > is a conditional of the kind introduced by Stalnaker and Lewis, has recently been studied in a series of papers by Vincenzo Crupi and Andrea Iacona. In this paper I argue that Crupi and Iacona’s central idea that contraposition captures the idea of evidential support cannot be maintained. I give examples showing that contraposition (...)
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  • Effects of visualizing statistical information – an empirical study on tree diagrams and 2 × 2 tables.Karin Binder, Stefan Krauss & Georg Bruckmaier - 2015 - Frontiers in Psychology 6.
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