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Are the symptoms really remitting? How the subjective interpretation of outcomes can produce an illusion of causality

Published online by Cambridge University Press:  01 January 2023

Fernando Blanco*
Affiliation:
Departamento de Fundamentos y Métodos de la Psicología, Universidad de Deusto, 48007, Bilbao, Spain
Maria Manuela Moreno-Fernández
Affiliation:
Departamento de Fundamentos y Métodos de la Psicología, University of Deusto, Spain
Helena Matute
Affiliation:
Departamento de Fundamentos y Métodos de la Psicología, University of Deusto, Spain
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Abstract

Judgments of a treatment’s effectiveness are usually biased by the probability with which the outcome (e.g., symptom relief) appears: even when the treatment is completely ineffective (i.e., there is a null contingency between cause and outcome), judgments tend to be higher when outcomes appear with high probability. In this research, we present ambiguous stimuli, expecting to find individual differences in the tendency to interpret them as outcomes. In Experiment 1, judgments of effectiveness of a completely ineffective treatment increased with the spontaneous tendency of participants to interpret ambiguous stimuli as outcome occurrences (i.e., healings). In Experiment 2, this interpretation bias was affected by the overall treatment-outcome contingency, suggesting that the tendency to interpret ambiguous stimuli as outcomes is learned and context-dependent. In conclusion, we show that, to understand how judgments of effectiveness are affected by outcome probability, we need to also take into account the variable tendency of people to interpret ambiguous information as outcome occurrences.

Information

Type
Research Article
Creative Commons
Creative Common License - CCCreative Common License - BY
The authors license this article under the terms of the Creative Commons Attribution 3.0 License.
Copyright
Copyright © The Authors [2020] This is an Open Access article, distributed under the terms of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Figure 0

Figure 1: Two ways in which individual differences in the interpretation of ambiguous stimuli could lead to illusions of effectiveness (overestimated judgments of causality): either (a) by systematically categorizing ambiguous stimuli as outcomes (cells a and c), therefore inflating P(O), or (b) by inflating the contingency through the differential categorization of ambiguous stimuli as outcome or no outcome, depending on the presence of the cause, that is, cells a and d.

Figure 1

Figure 2: Examples of stimuli used in outcome-present trials (cured patient), outcome-absent trials (no cured patient), and ambiguous trials in the contingency learning task. Note that the assignment of colors (light/dark) to roles (ill/normal cells) was randomly decided for each participant, but for simplicity we present here only one of the assignments.

Figure 2

Table 1: Frequencies of each type of trial in the contingency learning phase of Experiment 1.

Figure 3

Figure 3: Screenshot of one trial in the contingency learning task. On the left-hand of the screen, participants see the information about the cause and outcome statuses. Then, on the right-hand, they must categorize the status for both cause and outcome.

Figure 4

Table 2: Descriptive statistics for the variables in the contingency learning phase in Experiment 1.

Figure 5

Figure 4: Probability of categorizing the ambiguous stimulus as “outcome” for both cause-present and cause-absent trials, divided by training block (two blocks of 5 trials) in Experiment 1. Error bars depict 95% confidence intervals for the mean.

Figure 6

Figure 5: Scatter plot showing the relationship between causal judgments and subjective P(O) (computed by taking into account only ambiguous trials), in Experiment 1.

Figure 7

Table 3: Frequencies of each type of trial in the contingency learning phase in Experiment 2.

Figure 8

Table 4: Descriptive statistics for the variables in the contingency learning phase in Experiment 2.

Figure 9

Figure 6: Probability of categorizing the ambiguous stimulus as “outcome” for both cause-present and cause-absent trials, divided by training block (two blocks of 5 trials) in Experiment 2. Error bars depict 95% confidence intervals for the mean.

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