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PubMed2003

Intuition beyond recognition: when less familiar events are liked more.

In a laboratory experiment, we compare the relative impact of two possible determinants of intuitive evaluative judgments: ease of recognition and total value of prior encounters with a target. Participants encode daily return values of shares on the stock market while watching videotaped ads on the computer screen. This dual-task procedure ensures that participants subsequently lack relevant event memories and thus have to rely on their intuition when evaluating the targets. In the presentation, the share appearing least frequently produced the highest sum of returns. In contrast, the share appearing most frequently produced the lowest sum of returns. Evaluative judgments reveal a preference for the share with the highest sum of returns, although, as evident from recognition latencies, it was the one that was more difficult to recognize. The results provide evidence for the value-account model of implicit attitude formation (Betsch, Plessner, Schwieren, & Gütig, 2001), which predicts that intuitive evaluative judgments reflect the total value of prior encounters.

Adult↗
PubMed2000

Intuition: a social cognitive neuroscience approach.

This review proposes that implicit learning processes are the cognitive substrate of social intuition. This hypothesis is supported by (a) the conceptual correspondence between implicit learning and social intuition (nonverbal communication) and (b) a review of relevant neuropsychological (Huntington's and Parkinson's disease), neuroimaging, neurophysiological, and neuroanatomical data. It is concluded that the caudate and putamen, in the basal ganglia, are central components of both intuition and implicit learning, supporting the proposed relationship. Parallel, but distinct, processes of judgment and action are demonstrated at each of the social, cognitive, and neural levels of analysis. Additionally, explicit attempts to learn a sequence can interfere with implicit learning. The possible relevance of the computations of the basal ganglia to emotional appraisal, automatic evaluation, script processing, and decision making are discussed.

Basal Ganglia↗
PubMed2001

Evidence-based care and the case for intuition and tacit knowledge in clinical assessment and decision making in mental health nursing practice: an empirical contribution to the debate.

This paper provides empirical evidence that challenges the view that methods of clinical assessment and decision making should not rely solely on logical positivist approaches. Whilst the National Health Service (NHS) Executive currently takes a hard positivist line on what constitutes evidence-based practice, data reveal that it is not always appropriate to disregard the tacit knowledge and intuition of experienced practitioners when making assessment decisions in mental health nursing practice. Data support the case for a holistic approach which may draw on intuition and tacit knowledge, as well as traditional approaches, to meet the requirements of clients with complex mental health problems. A model based on Schon's notion of reflection in and reflection on practice is proposed which demonstrates the value of intuition and tacit knowledge. This model allows the generation of insights which may ultimately be demonstrated to be acceptable and empirically testable. It is accepted that an element of risk taking is inevitable, but the inclusion of a formal analytical process into the model reduces the likelihood of inappropriate care interventions. The cognitive processes which experienced nurses use to make clinical decisions and their implications for practice will be explored.

Clinical Competence↗
PubMed2001

Rigour and intuition in professional life.

Rigour is not a characteristic of quantitative as distinct from qualitative research; both may be carried out with greater or less rigour. Intuition has a role in scientific work and, in turn, intuitive understanding needs to be open to systematic testing. Rigour and intuition interact in the research process, they are not in opposition. Similarly in applied work a finding cannot be taken from a textbook and applied to a situation without passing through the person of the researcher/practitioner. There it is modified by the researcher/practitioner's sense of the meaning of that finding and understanding of the context within which it is to be applied. Illustrations of these points include examples from evaluation research in hospitals where the Electronic Patient Record (EPR) was being implemented.

Health Services Research↗
PubMed1997

Intuitive parenting and infant behavior: concepts, implications, and empirical validation.

On the basis of the concept of intuitive parenting, the expectation was formulated that a mother's tendency to reflect on her parenting behavior would impede intuitive responses to infant signals. Also, a high quality of parental interactional behavior was expected to be related to fewer problems of the child (e.g., less crying, fewer reported difficulties, fewer health problems). An observational study with 62 mothers and their 3-month-old children confirmed the assumption that reflection about parenting during face-to-face interactions interferes with intuitive behavior. However, in contrast to initial expectations, a high quality of parenting was related, not to fewer, but rather to more health and behavioral problems of the child. Conceptual differentiations of the initial assumptions are discussed.

Adult↗
PubMed2000

Intuition in professional practice. Executive and staff perceptions.

Intuition, as part of our thinking, is often misunderstood or held in mystical regard. It is important to understand the aspects of this instinctual process and to appreciate the differing perspectives of both the registered nurse in the staff position and the executive in a leadership role. We compare responses to a Socratic dialogue of the definition of intuition and offer suggestions for nursing leaders to develop clinical judgment using nursing examples of intuition.

Humans↗
PubMed2003

On the nature of intuitive and delusional thought: its implications in clinical work with psychotic patients.

The author tries to differentiate intuitive imagination from delusional imagination and hypothesises that psychosis alters the system of intuitive thinking, which consequently cannot develop in a dynamic and selective way. Scholars of different disciplines, far removed from psychoanalysis, such as Einstein, Hadamard or Poincaré, believe that intuitive thinking works in the unconscious by means of hidden processes, which permit a creative meeting of ideas. Thanks to Bion's work, psychoanalysts have begun to understand that waking thinking is unconsciously intertwined with dream-work. The delusional construction is similar to a dreamlike sensorial production but, unlike a real dream, it remains in the waking memory and creates characters which live independently of the 'dreamer's' awareness. It is a dream that never ends. On the contrary, the real dream disappears when it has brought its communicative task to an end. In the analysis of psychotic patients it is very important to analyse the delusional imagination which dominates the personality and continuously transforms the mental state, twisting emotional truth. The delusional imagination is so deeply rooted in the patient's mental functioning that, even after systematic analysis, the delusional world, which had seemed to disappear, re-emerges under new configurations. The psychotic core remains encapsulated; it produces unsteadiness and may induce further psychotic states in the patient. The author reports some analytic material of a patient, who, after a delusional episode treated with drugs, shows a vivid psychotic functioning. Some considerations are added on the nature of the psychotic state and on the therapeutic approach used to transform the delusional structure. This paper particularly deals with the difficulty in working through the psychotic episode and in 'deconstructing'the delusional experience because of the terror connected with it. In the reported case, the analytic work changed the delusional construction into a more benign one characterised by phobic qualities. The analysis of the psychotic transference allowed the focus to be on the hidden work which had been continuously influencing the transferential picture of the analyst and the patient's psychic reality.

Delusions↗
PubMed1997

[Intuition: a discussion in the literature].

The purpose of this article is to present the concept of intuition in the literature in general and review how this theme has been considered in the nursing literature in particular. The findings in the literature where intuition appears as an innate and accessible attribute of the human being are presented in short. The authors assume a favorable position concerning the association of the rational and intuitive aspects of the human being as a kind of personal development and amplification of the possibilities to understand and help people.

Helping Behavior↗
PubMed1997

Characterizing the intuitive representation in problem solving: evidence from evaluating mathematical strategies.

Two experiments were conducted to investigate the nature of the intuitive problem representation used in evaluating mathematical strategies. The first experiment tested between two representations: a representation composed of principles and an integrated representation. Subjects judged the correctness of unseen math strategies based only on the answers they produced for a set of temperature mixture problems. The distance of the given answers from the correct answers and whether the answers violated one of the principles of temperature mixture were manipulated. The results supported the principle representation hypothesis. In the second experiment we manipulated subjects' understanding of an acid mixture task with a brief paragraph of instruction on one of the principles. Subjects then completed an estimation task intended to measure their understanding of the problem domain. The evaluation task from the first experiment was then presented, but with acid mixture instead of temperature mixture. The results showed that intuitive understanding of the domain mediates the effect of instruction on evaluating problems. Additionally, the results supported the hypothesis that subjects perform a mapping process between their intuitive understanding and math strategies.

Analysis of Variance↗
PubMed1998

Intuition in nursing practice: sharing graduate students' exemplars with undergraduate students.

Failure to acknowledge ways of knowing in nursing education curricula other than linear reasoning hinders the development of the full extent of mental abilities brought to learning situations by nursing students. Nurse educators are challenged to develop creative methods to facilitate nursing students' intuitive thinking. In this article, a teaching strategy is described in which graduate students' exemplars of intuition in clinical practice are shared with undergraduate nursing students. Implications of using this teaching approach to demystify the intuitive process and address its legitimacy are discussed.

Education, Nursing, Baccalaureate↗
PubMedDate not supplied

Intuition and practice.

Intuition is a quality that nurses have traditionally valued, but one that in today's evidence-based research climate is often denigrated. Because it is difficult to investigate and quantify, intuition has tended to be seen as unreliable, unscientific and unsuitable for nursing practice. However, the author argues that intuition, like caring, cannot be subjected to measurement and should not be overlooked as an important tool.

Evidence-Based Medicine↗
PubMed1999

[Experience and intuition in surgery].

The article deals with the definition, the positive and negative assessment of intuition. Only in combination with experience and knowledge intuition many be as helpful as scores. Without these prerequisites intuition may tend to become a risk factor.

Clinical Competence↗
PubMed2000

[Intuition in medical practice].

The concept of intuition was connected in the in the 19th/20th cent. With the formation of intuitive-and-humanistic model of the medical art as opposed to the model of medicine as natural science. This concept had a metaphysical roots. It does not mean, however, that intuition does not play any role in medical treatment. In the article it is defined as a result of doctor's creative imagination based on medical experience that formulates sensual picture of a disease which undergoes rational verification.

Health Services↗
PubMedDate not supplied

Heart rate differences between targets and non targets in intuition tasks.

This study reports the results of one experiment and a replication, aimed at investigating heart rate changes related to a pure intuition task. In each experiment, twelve subjects were required to guess which of the four pictures presented in sequence for about 10 seconds, was the target. Each subject performed 20 trials. In each trial the target was automatically selected using a pseudo-random algorithm. Heart rate was recorded (see Method section for details) during the pictures presentation. In the first experiment, a statistical significant increment of heart rate associated to targets with respect non targets was observed. The replication experiment with new twelve subjects confirmed the data obtained in the main experiment. These findings support the hypothesis that heart rate is related not only to overt but also to covert cognitive activity such as that involved in intuition tasks, giving convergent evidence to the models describing our intuitive cognitive activity as a double, partial independent information processing system.

Adult↗
PubMed1989

Intuitive reasoning about probability: theoretical and experimental analyses of the "problem of three prisoners".

Among various Bayesian problems of probability, the "problem of three prisoners" (Lindley, 1971; Mosteller, 1965) is an especially good example which illustrates the drastic discrepancy between intuitive reasoning and mathematical formal reasoning about probability. In particular, it raises intriguing questions concerning the mathematical and cognitive relevance of factors such as prior probabilities and the context in which certain information is given. In the current paper, we report a new version of the problem which turned out to be even more counterintuitive. This new version was also designed so that different inferential schemes would lead to separate estimates of posterior probability. The data obtained from questionnaires and theoretical analyses of the original and modified problems suggest that: (1) The psychological processes of intuitive reasoning are qualitatively different from mathematical reasoning. (2) The tendency to neglect prior probabilities (Tversky & Kahneman, 1974, 1982) is not always the critical factor for illusory judgments. (3) Intuitive judgments can be categorized by several, distinctive propositional beliefs from which the judgments are apparently derived. We call these prototypical, crude beliefs "subjective theorems," and discuss their nature and roles in the current paper.

Adult↗
PubMedDate not supplied

Beyond intuition and instinct blindness: toward an evolutionarily rigorous cognitive science.

Cognitive psychology has an opportunity to turn itself into a theoretically rigorous discipline in which a powerful set of theories organize observations and suggest focused new hypotheses. This cannot happen, however, as long as intuition and folk psychology continue to set our research agenda. This is because intuition systematically blinds us to the full universe of problems our minds spontaneously solve, restricting our attention instead to a minute class of unrepresentative "high-level" problems. In contrast, evolutionarily rigorous theories of adaptive function are the logical foundation on which to build cognitive theories, because the architecture of the human mind acquired its functional organization through the evolutionary process. Theories of adaptive function specify what problems our cognitive mechanisms were designed by evolution to solve, thereby supplying critical information about what their design features are likely to be. This information can free cognitive scientists from the blinders of intuition and folk psychology, allowing them to construct experiments capable of detecting complex mechanisms they otherwise would not have thought to test for. The choice is not between no-nonsense empiricism and evolutionary theory; it is between folk theory and evolutionary theory.

Animals↗
PubMed1993

Intuition as a function of the expert nurse: a critique of Benner's novice to expert model.

Benner's model of skill acquisition is currently receiving considerable interest from nurse educationalists, and promises to form the basis for some curricula offered by colleagues of nurse education. This paper debates the 'novice to expert' model and seeks to explain exactly what an 'expert' is. The Benner model proposes that one component of expertise is working from an intuitive base. This claim is disputed and the definition of intuition is contested. Alternative explanations to account for the intuitive responses of Benner's subjects are suggested.

Career Mobility↗
PubMed1995

Critical thinking and intuitive nursing practice.

In this paper, we analyse how critical thinking and intuitive practice are related to expertise in nursing. We examine how intuitive practice, when performed automatically without care, vigilance, and criticism, can result in prejudice and patterns of practice which are misinformed. We will show that the student nurse develops intuitive, skillful performance in nursing by reasoning about nursing knowledge and applying reflective, critical thought in practice situations, thereby gaining increasing expertise in reasoning as a reliable professional ensuring quality client care. The elements of thought necessary for sound reasoning in clinical practice will be explored. Finally, we suggest educational strategies and tactics which promote the development of the intellectual capacities of student nurses as independent critical thinkers.

Clinical Competence↗