Paul E. Meehl

src: i.ytimg.com

Paul Everett Meehl (3 January 1920 - 14 February 2003) was a clinical psychologist and Professor of Psychology at the University of Minnesota. A Review of General Psychology survey, published in 2002, ranked Meehl as the 74th most cited psychologist of the 20th century, in a tie with Eleanor J. Gibson. Throughout his nearly 60-year career, Meehl made seminal contributions to psychology, including contributions on construct validity, schizophrenia etiology, behavioral assessment and prediction, and philosophy of science.

Video Paul E. Meehl

Biography

Childhood

Paul Meehl was born January 3, 1920 in Minneapolis, Minnesota, to Otto and Blanche Swedal. His family name "Meehl" was his stepfather's. When he was age 16, his mother died as the result of poor medical care which, according to Meehl, greatly affected his faith in the expertise of medical practitioners and diagnostic accuracy of clinicians. After his mother's death, Meehl lived briefly with his stepfather, then with a neighborhood family for one year so he could finish high school. He then lived with his maternal grandparents, who lived near the University of Minnesota.

Education and career

Meehl started at the University of Minnesota in March 1938. He earned his Bachelor's degree in 1941 with Donald G. Paterson as his advisor, and took his PhD in psychology at Minnesota under Starke R. Hathaway in 1945. Meehl's graduate student cohort at the time included Marian Breland Bailey, William K. Estes, Norman Guttman, William Schofield, and Kenneth MacCorquodale. Upon taking his doctorate, Meehl immediately accepted a faculty position at the University that he held throughout his career, with appointments in psychology, law, psychiatry, neurology, philosophy, and as a fellow of the Minnesota Center for Philosophy of Science, founded by Herbert Feigl, Meehl, and Wilfrid Sellars. Meehl was chairman of the University of Minnesota Psychology Department at age 31, president of the Midwestern Psychological Association at 34, recipient of the American Psychological Association's Award for Distinguished Scientific Contributions to Psychology at 38, and president of that association at age 42. He was promoted to the highest academic position at the University of Minnesota in 1968. He received the Bruno Klopfer Distinguished Contributor Award in personality assessment in 1979, and was elected to the National Academy of Sciences in 1987.

Meehl was not particularly religious during his upbringing, but in adulthood collaborated with a group of Lutheran theologians and psychologists to write What, Then, Is Man? (1958). This project was commissioned by the Lutheran Church-Missouri Synod through Concordia Seminary. The project explored both orthodox theology, psychological science, and how Christians (Lutherans, in particular) could responsibly function as both Christians and psychologists without betraying orthodoxy or sound science and practice.

In 1995, he was a signatory of a collective statement titled Mainstream Science on Intelligence, written by Linda Gottfredson and published in the Wall Street Journal.

Meehl practiced as a clinical psychologist throughout his career. In 1958, Meehl performed psychoanalysis on Saul Bellow as a patient, while Bellow was an instructor at the University of Minnesota.

Meehl died on February 14, 2003 at his home in Minneapolis of chronic myelomonocytic leukemia.

In 2005, Donald R. Peterson, a student of Meehl's, published a volume of their correspondence.

Maps Paul E. Meehl

Philosophy of science

Meehl was a leading philosopher of science. Early in his career he was a proponent of Sir Karl Popper's Falsificationism, and later amended his views as neo-Popperian. Meehl was a strident critic of using statistical null hypothesis testing for the evaluation of scientific theory. He believed that null hypothesis testing was partly responsible for the lack of progress in many of the "scientifically soft" areas of psychology (e.g. clinical, counseling, social, personality, and community).

Meehl with his colleague Lee J. Cronbach introduced the notion of construct validity in psychology, as well as the application of nomological networks to understand psychological test properties and scientific theorizing and practice.

Minnesota Multiphasic Personality Inventory

Meehl conducted research on the Minnesota Multiphasic Personality Inventory (MMPI), including development of the K scale. While Meehl did not directly develop the MMPI (he was a high school junior when Hathaway and McKinley created the item pool, for example), in the years after obtaining his PhD he contributed widely to the literature on interpreting patterns of the MMPI scores. In particular, Meehl argued that the MMPI could be used to understand personality profiles systematically associated with clinical outcomes, something he termed a statistical (versus a "clinical") approach to predicting behavior.

Clinical versus statistical prediction

His 1954 book Clinical vs. Statistical Prediction: A Theoretical Analysis and a Review of the Evidence, analyzed the claim that "mechanical" (formal, algorithmic) methods of data combination outperformed "clinical" (e.g., subjective, informal, "in the head") methods when such combinations are used to arrive at a prediction of behavior. The analysis favored mechanical modes of combination and caused a considerable stir amongst clinicians. Meehl (1954) argued that mechanical methods of prediction would, used correctly, make more efficient decisions about patients' prognosis and treatment. As recently as 2009, however, clinicians make such decisions based on their professional judgment, that is, they combine all kinds of information "in their head" and arrive at a conclusion/prediction about a patient. Meehl (1954) theorized that clinicians would make more mistakes than a mechanical prediction tool created for a similar decision purpose. Mechanical prediction methods are simply a mode of combination of data to arrive at a decision/prediction concerning the emission of behavior. Mechanical prediction does not exclude any type of data from being combined. Mechanical prediction approaches can incorporate clinical judgments, properly coded, in their predictions. The defining characteristic is that, once the data to be combined is given, the mechanical approach will make a prediction that is 100% reliable. That is, it will make exactly the same prediction for exactly the same data every time. Clinical prediction, on the other hand, does not guarantee this. Meta-analyses comparing clinical and mechanical prediction efficiency have supported Meehl's (1954) conclusion that mechanical data combination and prediction outperforms clinical combination and prediction.

In response to substantial objections from clinicians, Meehl continued his argument for the superiority of mechanical or actuarial prediction and proposed that only under the rarest circumstances should a clinician deviate from mechanical prediction. To illustrate this, Meehl gave the famous "broken leg" scenario in which actuarial prediction methods indicated that an individual has a 90% chance of attending the movies given the information necessary for accurately predicting this behavior. However, the "clinician" is aware that this individual has a broken leg, thus making it impossible for the individual to attend the movies. This additional information, which is not included in the actuarial methods of prediction, provides the clinician with enough confidence to accurately refute the actuarial prediction. Meehl noted that this "broken leg" scenario should only supersede an actuarial prediction if the additional information is an objective fact and determined with high accuracy, very highly correlated with the associated outcome across a wide range of individuals, and is theoretically sound. While Meehl's "broken leg" scenario meets these requirements, he claimed that clinician's arguments of insight over actuarial formulas usually do not.

Meehl argued that it is difficult for humans to make accurate decisions from the large amount of information typically obtained in a clinical assessment. He noted that clinical judgment is often influenced by biases. For example, clinicians may be more likely to seek out information to support their presuppositions and to miss or ignore information that challenges them. Meehl wrote that clinical judgment can be influenced by overconfidence or by anecdotal relationships between factors that are not supported in research. In contrast, actuarial prediction is better able to use all important clinical information in an optimal way, is not influenced by biases, and bases results on the designated formula alone. In studies that compared clinical vs. mechanical predictions of clients outcomes, he and his colleagues found that even when clinicians were provided with the actuarial judgment they still made decisions that were less accurate than the actuarially-based predictions.

Schizophrenia

Meehl was elected president of the American Psychological Association in 1962. That year, he theorized that schizophrenia had a genetic link, contrary to the prevailing notion at the time that schizophrenia was caused by the rearing environment including parenting.

Taxometrics

Meehl developed taxometrics, a field concerned with using mathematical formulas to determine the natural groupings of biological or psychological variables. Coherent Cut Kinetics (CCK) is Paul Meehl's method for taxometric analysis.

Applied clinical views and work

In 1973, Paul Meehl published Why I Do Not Attend Case Conferences. He stated that his main reason for not attending case conferences in a psychological or psychiatric clinic is that he feels that they are intellectually unstimulating and boring, sometimes to the point of being offensive. Meehl directly identified problems and fallacies that he noticed in the psychology or psychiatry case conference setting. In contrast, he stated he found case conferences for internal medicine or neurology illuminating, in part because they often contain a pathologist's report containing the true disease and/or pathophysiology. In other words, the medical case conference often benefits from having a gold standard to which the clinical symptoms and signs could be compared and contrasted. Meehl argues that creating a psychiatric analogue to the pathologist's report is a promising area of research, and he proposes a format for case conferences that includes data provided for discussion, and a subset of data revealed at the end to show whether conference attendees' clinical inferences about the patient's diagnosis were in fact correct. Why I Do Not Attend Case Conferences also addresses the issue of clinical versus statistical judgment, and the fact that clinical decision making, in case conferences and other environments, is often not very accurate. More generally, Meehl's paper encourages clinicians to be humble when it comes to skills used in decision making, and pushes for a higher scientific standard for clinical case conferences.

These fallacies can also be considered more general errors of thinking that all individuals (not just psychologists) are prone to making.

• Barnum effect: Making a statement that is trivial and true of nearly all patients, but which is made as though it is important for the current patient.
• Sick-sick ("pathological set"): The tendency to generalize from personal experiences of health and ways of being, to the identification of others who are different from ourselves as being "sick".
• Me too: The opposite of Sick-sick. Imagining that "everyone does this" and thereby minimizing a symptom without assessing the probability of whether a mentally healthy person would actually do it. A variation of this is Uncle George's pancake fallacy. This minimizes a symptom through reference to a friend/relative who exhibited a similar symptom, thereby implying that it is normal.
• Multiple Napoleons fallacy: "It's not real to us, but it's 'real' to him". "So what if he thinks he's Napoleon?" There is a distinction between reality and delusion that is important to make when assessing a patient and so the consideration of comparative realities can mislead and distract from the importance of a patient's delusion to a diagnostic decision. "If I think the moon is made of green cheese and you think it's a piece of rock, one of us must be wrong". For this, pointing out that the deviated cognitions of a delusional patient "seem real to him" is a waste of time. So, the statement "It is reality to him," which is philosophically either trivial or false, is also clinically misleading.
• Hidden decisions: Decisions based on factors that we do not own up to or challenge. An example is the placement of middle- and upper-class patients in therapy while lower-class patients are given medication. Meehl identified these decisions as related to an implicit ideal patient who is young, attractive, verbal, intelligent, and successful (YAVIS). He argued that YAVIS patients are preferred by psychotherapists because they can pay for long-term treatment and are more enjoyable to interact with.
• The spun-glass theory of the mind: The belief that the human organism is so fragile that minor negative events, such as criticism, rejection, or failure, are bound to cause major trauma---essentially not giving humans, and sometimes patients, enough credit for their resilience and ability to recover.
• Crummy criterion fallacy: This fallacy refers to how psychologists explain away the technical aspects of tests, using inappropriate and 'crummy' criterion that is observational instead of scientific, rather than incorporating the psychometric aspects into the interview, life-history, and other material being presented at case conferences.
• Understanding it makes it normal: The act of normalizing or excusing a behavior just because one understands the cause or function of it, regardless of its normalcy or appropriateness.
• Assumptions that content and dynamics explain why this person is abnormal: Those who seek psychological services have certain characteristics associated with the fact they are seeking services. However, not only do they have the characteristics of clients but also characteristics of being human. To attribute one's complete life dysfunction to attributes that make one a patient ignores the fact that some problems are just human problems.
• Identifying the softhearted with the softheaded: The belief that those who have sincere concern for the suffering (the softhearted) are the same as those who tend to be wrong in logical and empirical decisions (softheaded).
• Ad hoc fallacy: Creating explanations after we have been presented with evidence that is consistent with what has now been proven.
• Doing it the hard way: Going about a task in a more difficult manner when an equivalent easier option exists; for example, in clinical psychology, using an unnecessary instrument or procedure that can be difficult and time consuming while the same information can be ascertained through interviewing or interacting with the client.
• Social scientists' anti-biology bias: Meehl argued that social scientists like psychologists, sociologists, and psychiatrists have a tendency to react negatively to biological contributors to abnormal behavior, and therefore tending to be anti-drug, anti-genetic, and anti-EST.
• Double standard of evidential morals: When one is making an argument and requires less evidence for him or herself than does so for another.

Selected works

• Paul E. Meehl (1945). The Dynamics of "Structured" Personality Tests. Journal of Clinical Psychology, 1, 296-303.
• Kenneth MacCorquodale, Paul E. Meehl (1948) on a distinction between hypothetical constructs and intervening variables Classics in the History of Psychology, retr. 22 Aug 2011.
• Lee J. Cronbach and Paul E. Meehl (1955). "Construct validity in psychological tests". Psychological Bulletin, 52, 281-302.
• Meehl, Paul E. (1956). "Wanted--A good cookbook". American Psychologist. 11: 263-272. doi:10.1037/h0044164. 
• Paul E. Meehl (Jun., 1967). "Theory-Testing in Psychology and Physics: A Methodological Paradox". Philosophy of Science, Vol. 34, No. 2, pp. 103-115
• Paul E. Meehl (1973). "Some methodological reflections on the difficulties of psychoanalytic research". Psychological Issues, 8(2, Mono. 30), 104-117.
• Meehl, Paul E. (1978). "Theoretical Risks and Tabular Asterisks: Sir Karl, Sir Ronald, and the Slow Progress of Soft Psychology" (PDF). Journal of Consulting and Clinical Psychology. 46: 806-834. doi:10.1037/0022-006x.46.4.806. 
• Paul E. Meehl (new edition 2013) Clinical versus Statistical Prediction. Echo Point Books & Media, ISBN 978-0963878496

References

External links

• Paul E. Meehl website including full list of publications and complete videos of Meehl teaching his course in Philosophical Psychology in 1989 at the Psychology Department of the University of Minnesota.

Source of the article : Wikipedia