Hard wired 12: Heuristics

Heuristics – the amazing mental shortcuts that lead us into trouble

“A heuristic is a mental shortcut that allows people to solve problems and make judgements quickly and efficiently. These rule-of-thumb strategies shorten decision-making time and allow people to function without constantly stopping to think about the next course of action.”

Making teaWe all use heuristics. We have to. The alternative would be ‘paralysis by analysis’. We’d be too busy thinking through our every action actually to do anything. From a smile or a handshake to how to cross the road or even boil a kettle. Without heuristics life would be exhausting and probably very short. After all – by the time you’d thought through how to respond to the speeding car hurtling toward you, you’d probably be dead. Heuristics are the psychological shortcuts that keep us going in a complex world.

Some of our heuristics are learned. That’s why experts are so good at what they do. Years of experience has taught them the heuristics of their work.

In my own field for example, I remember as a novice psychiatric nurse spending hour upon hour wondering how to approach each individual, trying to be aware of their every characteristic as though all that information, somehow would tell me what to do. With experience I learned that not every piece of information is important in every situation. I can ‘cut out the irrelevant’ and take appropriate action based upon only the important things. In a very real sense the study of ‘heuristics’ is the study of ‘the relevant’.

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So I know that depressed people need motivation; I know that anxious people need a way to problem solve; and I know that psychotic people need a way to assess their perceptions and beliefs. These are the shortcuts, the heuristics that allow me to be effective. But they’re not foolproof.

In choosing to ignore irrelevant information and act according to pre-conceived patterns of need psychiatric nurses run the very real risk of ignoring ‘the individual behind the distress’. By focussing only upon the depression and working to motivate a service-user I might fail to notice their suicidal ideation. That would be a serious omission and working too hard on motivation without addressing the underlying desire to die could result in the person actually killing themselves rather than just thinking about it.

Of course experienced nurses know this and work hard not to limit their attention only to motivation without understanding what might come next but the point is clear. Mental shortcuts are useful but they are also, by definition, superficial. They make us prone to mistakes.

The good news is that we can learn to take account of these pitfalls. The bad news is that most of the time heuristics just take hold of us and we carry on in our own sweet, superficial way because that’s what we evolved to do.

Like all evolved tendencies, heuristics favoured survival of the fittest in the Environment of Evolutionary Adaptation (EEA). They are so embedded in our evolutionary journey that they are a universal trait among humans. We act without thinking. That’s what kept our ancestors alive. It’s also what keeps us alive today. Whether the threat was a predatory tiger in the Pleistocene or a speeding car in the present we act instantly to keep ourselves safe. Natural selection kept the gene pool viable and the evolution of heuristics was assured.

Instinct

neonateWhen we talk about ‘instinct’ we often really mean heuristics. A newborn human has only two instinctive responses:

1. Suckling;
2. Fear of falling.

Everything else has to be learned. The more effective the heuristic shortcut the more likely it is that we confuse the lesson with instinct. But it’s not instinct. The tendency to develop learned heuristics is an evolutionary trait but often the heuristics themselves are the products of experience and of culture. They develop as we learn from experience and, as we have seen, they can lead us astray.

In a sense, evolutionary psychology might be thought of as the study of heuristics. It’s the study of those ingrained mental shortcuts that mould our basic drives even (although not necessarily our specific behaviours). Protection of children, for example or a general commitment to justice (at least justice so far as other people are concerned) seem more hard wired than a healthy respect for road safety. That’s because although the need to survive is hard wired the rules governing traffic have to be learned.

As already noted, one of the aims of this blog series is to understand the role of determinism in our evolutionary make up. I suspect that if we are to embrace free will (the opposite of determinism) in any meaningful way then attention to heuristics will be the way forward.

In case you were wondering.

Yesterday’s ATOS/Kitten post was a hoax – an April Fool’s Day joke.

http://stuartsorensen.wordpress.com/2013/04/01/tiddles-atos-and-the-dept-of-health/

If you believed it that’s because it’s exactly the sort of callous stupidity so many of us have come to expect from this cruel, disgraceful government.

Just so you know.

Cheers,

Stuart

Tiddles, ATOS and the Dept of Health

thumbnailCA0TX8QAATOS, the hated French firm responsible for denying benefits to more disabled and incapacitated people than you can shake a stick at, have done it again. This time they’ve come up with a money-saving scheme that looks set to save the Department of Work & Pensions a veritable fortune without having to deny the health needs of claimants.

Previous attempts to victimise seriously ill and disabled Britons involved declaring them fit for work so that they could be denied benefits. The basic idea was that once these unfortunate former taxpayers had starved to death the government would save a few quid looking after them – money that would be better spent elsewhere. After all – relieving hard-pressed multi-millionaires of their financial responsibilities to the welfare state is far more important than keeping their less fortunate compatriots alive to leech off the wealthy.

Recently it has become clear that ATOS’ original approach of denying medical evidence and just ignoring the hardship of claimants has been more bother than it was worth. Thousands of claimants have appealed against their judgements and the subsequent exposure of ATOS’ cynical cruelty has been damaging not only to the French firm of venture capitalists but to the beleaguered UK government as well. So ATOS has come up with another, less obvious suggestion and the government has been grateful enough for their inspiration to pay them handsomely. ATOS executive Pierre Le Chat has been paid an undisclosed 6 figure sum for the idea which the government claims will save billions of pounds for the independent health providers now profiteering in the newly privatised NHS.

Instead of merely pretending that people are healthy ATOS suggests that the mode of treatment changes. A classic example of this is the newly recommended treatment for cardiac patients. Previously such people have been treated with a range of drugs and exercise-based physiotherapies, none of which come cheap. And yet, as Le Chat pointed out in familiarly superficial style, they all do essentially the same thing. They are all intended to lower blood pressure.

Lowering blood pressure isn’t particularly hard to do. Exercise works. So does stroking and cuddling pets. So the solution is easy – at least so far as the Dept of Work and Pensions is concerned.

IMAG0249From tomorrow, new cardiac patients will not be prescribed medication at all. Instead they are to be given a kitten to stroke. The kitten will be provided free on the NHS although it will be the responsibility of the individual patient and their family to feed it and pay any associated veterinary bills. It is expected that patients will have their kittens sterilised as soon as they are old enough but should this not happen and more kittens are produced they can be returned to the NHS for redistribution to other workshy malingerers.

Obviously some patients will need more than just a new pet cat to resolve their physical health needs. Monsieur Le chat wasn’t available to comment on provision for these people but junior health minister, Kitty Laville, perhaps in a bid to rise above her hitherto obscurity has been prepared to comment. In a truly stunning illustration of her government’s callous stupidity this inept Lib Dem turncoat, a latter day version of Judas Iscariot, told the BBC:

“When there’s no money for health care some people will die. That’s a shame but at least it’ll be the undeserving poor that leave us. That will save precious resources for those who are prepared to work for a living.”

Oh well. So long as the nice Tory and Lib Dem voters stay around to vote for their right wing heroes next time who cares? I mean really, who cares? Do you?

Laville was equally unsympathetic when asked about cardiac sufferers who also experience pet allergies, itself a major contributor to elevated blood pressure. In the now familiar style of this callous, divisive government she replied:

“All medical interventions have side effects. We have to accept that not everyone will respond to treatment. However the new regime won’t start until after the bank holiday.”

Click here for more information.

Public speaking

The man in the hat One of the things I’ve missed the most about my new role is the lack of public speaking engagements. I just love speaking at conferences. The price of entering a corporate world is that it’s hard to be an individual (at least at first).

That was the bad news …. now the good ….

This afternoon I spoke with my line manager, the divisional head of quality. We spoke about a range of things including conference speaking and he’s agreed that I can start representing the company publically. I can speak at conferences again.

So this is me letting you all know that I’m available to speak once more. If you want someone to witter on about mental health and social care related issues then I’m your man. Please get in touch via my work email: stuartsorensen@priorygroup.com

For the record then, my new role (well newish) is Quality Development Lead (mental health) for a large, nationwide social care provider. My role entails several functions including:

Devising and impementing a long-term mental health strategy throughout the company;
Training and supporting staff to implement the strategy;
Ensuring quality throughout the company;
Advising upon and dealing with mental health related issues throughout the division.

The company is a national organisation covering the whole of UK so wherever you are in the British Isles I’ll have something to say to you and your delegates.

I’m experienced in a wide range of mental health and social care related topics and am also very happy to run workshops and speak in panel sessions. I’m a pretty good networker too.

Go on – get in touch. you know you want to!

The old (archived) blog content

If you were wondering where all the blog’s content has gone it’s here (well most of it is) in downloadable PDF and other formats.

You’ll find loads of stuff on mental health, human rights, and a few other topics as well. Go and have a look. You know you want to ;-)

Enjoy

The new lunar society

What a brilliant response!

I’m really chuffed that so many accomplished and undoubtedly knowledgable people have said you’d like to join the New Lunar Society. I really do think this could become something truly special. That was the good news.
image

Now the not so good news….

At least six of the New Lunar Society’s members can’t make the 23rd (when we’ll be defining terms of reference etc) and so, rather than start without some ‘key players’, We’ve decided to rearrange.

So we won’t be meeting in Birmingham this weekend. I’ll be sending out a new date and venue shortly. If you’d like to be involved and haven’t already been in touch let me know by Email: stuart.sorensen@googlemail.com

I’m really looking forward to getting started with this but there’s no point setting off ‘half-cocked’.

Watch this space…

The older posts

Just for info.

Although I removed much of this blog’s content I saved some of it as PDF, audio and video files. They include many of my writings on human rights, mental health, the fight against Project Prevention and more.

Start here to browse and follow the links (or the tabs at the top of the page) for more

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