Browsing by Subject "decision making"
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Item Open Access Age Differences in Striatal Delay Sensitivity during Intertemporal Choice in Healthy Adults.(Front Neurosci, 2011) Samanez-Larkin, Gregory R; Mata, Rui; Radu, Peter T; Ballard, Ian C; Carstensen, Laura L; McClure, Samuel MIntertemporal choices are a ubiquitous class of decisions that involve selecting between outcomes available at different times in the future. We investigated the neural systems supporting intertemporal decisions in healthy younger and older adults. Using functional neuroimaging, we find that aging is associated with a shift in the brain areas that respond to delayed rewards. Although we replicate findings that brain regions associated with the mesolimbic dopamine system respond preferentially to immediate rewards, we find a separate region in the ventral striatum with very modest time dependence in older adults. Activation in this striatal region was relatively insensitive to delay in older but not younger adults. Since the dopamine system is believed to support associative learning about future rewards over time, our observed transfer of function may be due to greater experience with delayed rewards as people age. Identifying differences in the neural systems underlying these decisions may contribute to a more comprehensive model of age-related change in intertemporal choice.Item Open Access Proposal for Increasing Consistency When Incorporating Ecosystem Services into Decision Making(2016-11-15) Olander, Lydia; Urban, Dean; Johnston, Robert; Van Houtven, George; Kagan, JamesIn October 2015, the U.S. Executive Offices of the President—the Office of Management and Budget, the Council on Environmental Quality, and the Office of Science and Technology Policy—released a memo, “Incorporating Ecosystem Services into Federal Decision Making,” that directed federal agencies to develop work plans and implementation guidance by the end of 2016. But many practical questions remain about how ecosystem services can most effectively be used in decision making. This policy brief explores how to achieve consistency in the use of ecosystem services, primarily in terms of which ecosystem services are selected for assessment and how they are quantified. An initial idea for promoting consistency might be to require all decision makers to consider a common set of ecosystem services, each with a pre-defined metric. Although this strategy might seem logical, it may not provide relevant or useful information for decision makers because even fairly constrained categories of these services—say those for maintaining air and water quality, managing water quantity, and reducing risks from fire, storms, and droughts—when further refined break up into many more services that are defined by who is affected and how they are affected. For example, a water quality management issue results in a change in water quality for downstream stakeholders—which can alter services such as municipal water supplies, irrigation, fishing, swimming, and so on. Each of these services involves different stakeholder populations or beneficiaries. Moreover, each of these services might be more or less relevant in different contexts or regions. The ecosystem services that should be considered in a particular decision depend on the ecosystem type, the attributes and qualities of that ecosystem, the ways in which surrounding human communities use or appreciate the ecosystem, vulnerabilities and characteristics of those communities, and the preferences and values of human beneficiaries in different areas and policy contexts. They also depend on the temporal and spatial scale of the project, plan, program, or policy under consideration. Consequently, achieving consistency in the selection of ecosystem services to be considered is a complex task, as is achieving consistency in quantification of those services across decision contexts.Item Open Access Waiting times for cancer treatment: The impact of multi-disciplinary team meetings(Behaviour and Information Technology, 2011-07-01) Goolam-Hossen, T; Metcalfe, C; Cameron, A; Rocos, B; Falk, S; Blazeby, JMIn the UK, treatment recommendations for patients with cancer are all made within multi-disciplinary team (MDT) meetings. This has benefits, but it may delay treatment starting if MDT decisions require revision before implementation. This study examined whether changes in MDT treatment decisions after the meeting led to a delay in the start of treatment. Consecutive MDT treatment recommendations were recorded and times to start of treatment were calculated. Comparisons of the time from MDT meeting to start of treatment were made between implemented and non-implemented MDT recommendations. Of 363 MDT recommendations, 71 (19.5%, 95% CIs 15.6-24.0) were not implemented. The median time to start of treatment was 24 days (IQR 12-33), increasing to 35 days (IQR 17-77.5), if the MDT decision required revision to another active therapy (p=0.009). Decisions were changed because details about co-morbidity (n=32, 45%), new clinical information (n=24, 34%) or patient choice became apparent (n=13, 18%) and two changed for no clear reason. Significant delays in starting treatment occur if team treatment recommendations are not implemented. Effort and resources are required to ensure that information is present at meetings to allow comprehensive patient-centred decisions to be made and implemented. © 2011 Taylor & Francis.Item Open Access When it's not easy to do the right thing: Developmental changes in understanding cost drive evaluations of moral praiseworthiness.(Developmental science, 2022-03-18) Zhao, Xin; Kushnir, TamarRecent work identified a shift in judgments of moral praiseworthiness that occurs late in development: adults recognize the virtue of moral actions that involve resolving an inner conflict between moral desires and selfish desires. Children, in contrast, praise agents who do the right thing in the absence of inner conflict. This finding stands in contrast with other work showing that children incorporate notions of cost and effort into their social reasoning. Using a modified version of Starmans and Bloom's (2016) vignettes, we show that understanding the virtue of costly moral action precedes understanding the virtue of resolving inner conflict. In two studies (N = 192 children, range = 4.00-9.95 years; and N = 193 adults), we contrasted a character who paid a personal cost (psychological in Study 1, physical in Study 2) to perform a moral action with another who acted morally without paying a cost. We found a developmental progression; 8- and 9-year-old children and adults recognized the praiseworthiness of moral actions that are psychologically or physically costly. Six- and 7-year-old children only recognized the praiseworthiness of moral actions that are physically costly, but not actions that are psychologically costly. Moreover, neither adults nor children inferred that paying a cost to act morally required having a moral desire or resolving inner conflict. These results suggest that both adults and children conceptualize obligation as a direct motivational force on actions. They further suggest that costly choice-a hallmark of moral agency-is implicated in judgments of praiseworthiness early in development.