| Abstract: | Replies to comments published by M. S. Schulz and R. J. Waldinger (see record 2005-11115-010), J. M. Wood and M. T. Nezworski (see record 2005-11115-011), and H. N. Garb and W. M. Grove (see record 2005-11115-012) on the original article by D. Westen and J. Weinberger (see record 2004-19091-002). Schulz and Waldinger (2005) make the important point that just as researchers can capitalize on the knowledge of experienced clinical observers through aggregation, they can aggregate the judgment of lay observers in assessing phenomena such as emotion. The reason, as they articulate, is that skills such as "reading" emotion from facial expression, tone of voice, posture, and the constellation of cues provided in everyday life are an area of expertise for most people, one that is now often called social or emotional intelligence. As psychometricians have known for years, one can increase reliability in many different ways. The comments by Wood and Nezworski (2005) and Garb and Grove (2005) do not address our central thesis--namely, the importance of distinguishing two meanings of clinical. The point of the sentence around which Wood and Nezworski (2005) build their comment was simply that the same biases widely attributed to clinicians are common in scientists as well--a point for which we would be delighted to take credit, but it is one that was actually made much more elegantly by the historian and philosopher of science Thomas Kuhn (1962). The authors respond to Wood and Nezworski's (2005) specific concerns about misrepresentation. In their comment, Garb and Grove (2005) challenge us to document our view that anticlinician prejudice is widespread among many academic clinical psychologists. As research on implicit prejudice suggests, surveys of academic clinical psychologists might indicate little about their implicit attitudes, as evident in Garb and Grove's apparent lack of recognition of the offensive nature of comparing a clinician's attempt to revise his or her understanding when the patient says "I don't think what you just said is right" to astrology and Barnum effects. We appreciate Garb and Grove's (2005) point about potential differential effects of training and experience on reliability and validity of clinical judgment. The data they cite are important and bear consideration. We would offer two caveats, however. Finally, we cannot help but note that this series of comments and our reply to them provide a prototypical example of "clinical" judgment in science--that is, subjective, informal aggregation of data, often leading to a "gestalt" judgment. (PsycINFO Database Record (c) 2010 APA, all rights reserved) |
