Thinking Fast And Slow - Thinking Fast and Slow Part 18
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Thinking Fast and Slow Part 18

The important conclusion from this research is that an algorithm that is constructed on the back of an envelope is often good enough to compete with an optimally weighted formula, and certainly good enough to outdo expert judgment. This logic can be applied in many domains, ranging from the selection of stocks by portfolio managers to the choices of medical treatments by doctors or patients.

A classic application of this approach is a simple algorithm that has saved the lives of hundreds of thousands of infants. Obstetricians had always known that an infant who is not breathing normally within a few minutes of birth is at high risk of brain damage or death. Until the anesthesiologist Virginia Apgar intervened in 1953, physicians and midwives used their clinical judgment to determine whether a baby was in distress. Different practitioners focused on different cues. Some watched for breathing problems while others monitored how soon the baby cried. Without a standardized procedure, danger signs were often missed, and many newborn infants died.

One day over breakfast, a medical resident asked how Dr. Apgar would make a systematic assessment of a newborn. "That's easy," she replied. "You would do it like this." Apgar jotted down five variables (heart rate, respiration, reflex, muscle tone, and color) and three scores (0, 1, or 2, depending on the robustness of each sign). Realizing that she might have made a breakequthrough that any delivery room could implement, Apgar began rating infants by this rule one minute after they were born. A baby with a total score of 8 or above was likely to be pink, squirming, crying, grimacing, with a pulse of 100 or more-in good shape. A baby with a score of 4 or below was probably bluish, flaccid, passive, with a slow or weak pulse-in need of immediate intervention. Applying Apgar's score, the staff in delivery rooms finally had consistent standards for determining which babies were in trouble, and the formula is credited for an important contribution to reducing infant mortality. The Apgar test is still used every day in every delivery room. Atul Gawande's recent A Checklist Manifesto provides many other examples of the virtues of checklists and simple rules.The Hostility to AlgorithmsFrom the very outset, clinical psychologists responded to Meehl's ideas with hostility and disbelief. Clearly, they were in the grip of an illusion of skill in terms of their ability to make long-term predictions. On reflection, it is easy to see how the illusion came about and easy to sympathize with the clinicians' rejection of Meehl's research.

The statistical evidence of clinical inferiority contradicts clinicians' everyday experience of the quality of their judgments. Psychologists who work with patients have many hunches during each therapy session, anticipating how the patient will respond to an intervention, guessing what will happen next. Many of these hunches are confirmed, illustrating the reality of clinical skill.

The problem is that the correct judgments involve short-term predictions in the context of the therapeutic interview, a skill in which therapists may have years of practice. The tasks at which they fail typically require long-term predictions about the patient's future. These are much more difficult, even the best formulas do only modestly well, and they are also tasks that the clinicians have never had the opportunity to learn properly-they would have to wait years for feedback, instead of receiving the instantaneous feedback of the clinical session. However, the line between what clinicians can do well and what they cannot do at all well is not obvious, and certainly not obvious to them. They know they are skilled, but they don't necessarily know the boundaries of their skill. Not surprisingly, then, the idea that a mechanical combination of a few variables could outperform the subtle complexity of human judgment strikes experienced clinicians as obviously wrong.

The debate about the virtues of clinical and statistical prediction has always had a moral dimension. The statistical method, Meehl wrote, was criticized by experienced clinicians as "mechanical, atomistic, additive, cut and dried, artificial, unreal, arbitrary, incomplete, dead, pedantic, fractionated, trivial, forced, static, superficial, rigid, sterile, academic, pseudoscientific and blind." The clinical method, on the other hand, was lauded by its proponents as "dynamic, global, meaningful, holistic, subtle, sympathetic, configural, patterned, organized, rich, deep, genuine, sensitive, sophisticated, real, living, concrete, natural, true to life, and understanding."

This is an attitude we can all recognize. When a human competes with a machine, whether it is John Henry a-hammerin' on the mountain or the chess genius Garry Kasparov facing off against the computer Deep Blue, our sympathies lie with our fellow human. The aversion to algorithms making decisions that affect humans is rooted in the strong preference that many people have for the ormnatural over the synthetic or artificial. Asked whether they would rather eat an organic or a commercially grown apple, most people prefer the "all natural" one. Even after being informed that the two apples taste the same, have identical nutritional value, and are equally healthful, a majority still prefer the organic fruit. Even the producers of beer have found that they can increase sales by putting "All Natural" or "No Preservatives" on the label.

The deep resistance to the demystification of expertise is illustrated by the reaction of the European wine community to Ashenfelter's formula for predicting the price of Bordeaux wines. Ashenfelter's formula answered a prayer: one might thus have expected that wine lovers everywhere would be grateful to him for demonstrably improving their ability to identify the wines that later would be good. Not so. The response in French wine circles, wrote The New York Times, ranged "somewhere between violent and hysterical." Ashenfelter reports that one oenophile called his findings "ludicrous and absurd." Another scoffed, "It is like judging movies without actually seeing them."

The prejudice against algorithms is magnified when the decisions are consequential. Meehl remarked, "I do not quite know how to alleviate the horror some clinicians seem to experience when they envisage a treatable case being denied treatment because a 'blind, mechanical' equation misclassifies him." In contrast, Meehl and other proponents of algorithms have argued strongly that it is unethical to rely on intuitive judgments for important decisions if an algorithm is available that will make fewer mistakes. Their rational argument is compelling, but it runs against a stubborn psychological reality: for most people, the cause of a mistake matters. The story of a child dying because an algorithm made a mistake is more poignant than the story of the same tragedy occurring as a result of human error, and the difference in emotional intensity is readily translated into a moral preference.

Fortunately, the hostility to algorithms will probably soften as their role in everyday life continues to expand. Looking for books or music we might enjoy, we appreciate recommendations generated by soft ware. We take it for granted that decisions about credit limits are made without the direct intervention of any human judgment. We are increasingly exposed to guidelines that have the form of simple algorithms, such as the ratio of good and bad cholesterol levels we should strive to attain. The public is now well aware that formulas may do better than humans in some critical decisions in the world of sports: how much a professional team should pay for particular rookie players, or when to punt on fourth down. The expanding list of tasks that are assigned to algorithms should eventually reduce the discomfort that most people feel when they first encounter the pattern of results that Meehl described in his disturbing little book.Learning from MeehlIn 1955, as a twenty-one-year-old lieutenant in the Israeli Defense Forces, I was assigned to set up an interview system for the entire army. If you wonder why such a responsibility would be forced upon someone so young, bear in mind that the state of Israel itself was only seven years old at the time; all its institutions were under construction, and someone had to build them. Odd as it sounds today, my bachelor's degree in psychology probably qualified me as the best-trained psychologist in the army. My direct supervisor, a brilliant researcher, had a degree in chemistry.

An idilnterview routine was already in place when I was given my mission. Every soldier drafted into the army completed a battery of psychometric tests, and each man considered for combat duty was interviewed for an assessment of personality. The goal was to assign the recruit a score of general fitness for combat and to find the best match of his personality among various branches: infantry, artillery, armor, and so on. The interviewers were themselves young draftees, selected for this assignment by virtue of their high intelligence and interest in dealing with people. Most were women, who were at the time exempt from combat duty. Trained for a few weeks in how to conduct a fifteen- to twenty-minute interview, they were encouraged to cover a range of topics and to form a general impression of how well the recruit would do in the army.

Unfortunately, follow-up evaluations had already indicated that this interview procedure was almost useless for predicting the future success of recruits. I was instructed to design an interview that would be more useful but would not take more time. I was also told to try out the new interview and to evaluate its accuracy. From the perspective of a serious professional, I was no more qualified for the task than I was to build a bridge across the Amazon.

Fortunately, I had read Paul Meehl's "little book," which had appeared just a year earlier. I was convinced by his argument that simple, statistical rules are superior to intuitive "clinical" judgments. I concluded that the then current interview had failed at least in part because it allowed the interviewers to do what they found most interesting, which was to learn about the dynamics of the interviewee's mental life. Instead, we should use the limited time at our disposal to obtain as much specific information as possible about the interviewee's life in his normal environment. Another lesson I learned from Meehl was that we should abandon the procedure in which the interviewers' global evaluations of the recruit determined the final decision. Meehl's book suggested that such evaluations should not be trusted and that statistical summaries of separately evaluated attributes would achieve higher validity.

I decided on a procedure in which the interviewers would evaluate several relevant personality traits and score each separately. The final score of fitness for combat duty would be computed according to a standard formula, with no further input from the interviewers. I made up a list of six characteristics that appeared relevant to performance in a combat unit, including "responsibility," "sociability," and "masculine pride." I then composed, for each trait, a series of factual questions about the individual's life before his enlistment, including the number of different jobs he had held, how regular and punctual he had been in his work or studies, the frequency of his interactions with friends, and his interest and participation in sports, among others. The idea was to evaluate as objectively as possible how well the recruit had done on each dimension.

By focusing on standardized, factual questions, I hoped to combat the halo effect, where favorable first impressions influence later judgments. As a further precaution against halos, I instructed the interviewers to go through the six traits in a fixed sequence, rating each trait on a five-point scale before going on to the next. And that was that. I informed the interviewers that they need not concern themselves with the recruit's future adjustment to the military. Their only task was to elicit relevant facts about his past and to use that information to score each personality dimension. "Your function is to provide reliable measurements," I told them. "Leave the predicok tive validity to me," by which I meant the formula that I was going to devise to combine their specific ratings.

The interviewers came close to mutiny. These bright young people were displeased to be ordered, by someone hardly older than themselves, to switch off their intuition and focus entirely on boring factual questions. One of them complained, "You are turning us into robots!" So I compromised. "Carry out the interview exactly as instructed," I told them, "and when you are done, have your wish: close your eyes, try to imagine the recruit as a soldier, and assign him a score on a scale of 1 to 5."

Several hundred interviews were conducted by this new method, and a few months later we collected evaluations of the soldiers' performance from the commanding officers of the units to which they had been assigned. The results made us happy. As Meehl's book had suggested, the new interview procedure was a substantial improvement over the old one. The sum of our six ratings predicted soldiers' performance much more accurately than the global evaluations of the previous interviewing method, although far from perfectly. We had progressed from "completely useless" to "moderately useful."

The big surprise to me was that the intuitive judgment that the interviewers summoned up in the "close your eyes" exercise also did very well, indeed just as well as the sum of the six specific ratings. I learned from this finding a lesson that I have never forgotten: intuition adds value even in the justly derided selection interview, but only after a disciplined collection of objective information and disciplined scoring of separate traits. I set a formula that gave the "close your eyes" evaluation the same weight as the sum of the six trait ratings. A more general lesson that I learned from this episode was do not simply trust intuitive judgment-your own or that of others-but do not dismiss it, either.

Some forty-five years later, after I won a Nobel Prize in economics, I was for a short time a minor celebrity in Israel. On one of my visits, someone had the idea of escorting me around my old army base, which still housed the unit that interviews new recruits. I was introduced to the commanding officer of the Psychological Unit, and she described their current interviewing practices, which had not changed much from the system I had designed; there was, it turned out, a considerable amount of research indicating that the interviews still worked well. As she came to the end of her description of how the interviews are conducted, the officer added, "And then we tell them, 'Close your eyes.'"Do It YourselfThe message of this chapter is readily applicable to tasks other than making manpower decisions for an army. Implementing interview procedures in the spirit of Meehl and Dawes requires relatively little effort but substantial discipline. Suppose that you need to hire a sales representative for your firm. If you are serious about hiring the best possible person for the job, this is what you should do. First, select a few traits that are prerequisites for success in this position (technical proficiency, engaging personality, reliability, and so on). Don't overdo it-six dimensions is a good number. The traits you choose should be as independent as possible from each other, and you should feel that you can assess them reliably by asking a few factual questions. Next, make a list of those questions for each trait and think about how you will score it, say on a 15 scale. You should have an idea of what you will caleigl "very weak" or "very strong."

These preparations should take you half an hour or so, a small investment that can make a significant difference in the quality of the people you hire. To avoid halo effects, you must collect the information on one trait at a time, scoring each before you move on to the next one. Do not skip around. To evaluate each candidate, add up the six scores. Because you are in charge of the final decision, you should not do a "close your eyes." Firmly resolve that you will hire the candidate whose final score is the highest, even if there is a

nother one whom you like better-try to resist your wish to invent broken legs to change the ranking. A vast amount of research offers a promise: you are much more likely to find the best candidate if you use this procedure than if you do what people normally do in such situations, which is to go into the interview unprepared and to make choices by an overall intuitive judgment such as "I looked into his eyes and liked what I saw."Speaking of Judges vs. Formulas

"Whenever we can replace human judgment by a formula, we should at least consider it."

"He thinks his judgments are complex and subtle, but a simple combination of scores could probably do better."

"Let's decide in advance what weight to give to the data we have on the candidates' past performance. Otherwise we will give too much weight to our impression from the interviews."

Expert Intuition: When Can We Trust It?

Professional controversies bring out the worst in academics. Scientific journals occasionally publish exchanges, often beginning with someone's critique of another's research, followed by a reply and a rejoinder. I have always thought that these exchanges are a waste of time. Especially when the original critique is sharply worded, the reply and the rejoinder are often exercises in what I have called sarcasm for beginners and advanced sarcasm. The replies rarely concede anything to a biting critique, and it is almost unheard of for a rejoinder to admit that the original critique was misguided or erroneous in any way. On a few occasions I have responded to criticisms that I thought were grossly misleading, because a failure to respond can be interpreted as conceding error, but I have never found the hostile exchanges instructive. In search of another way to deal with disagreements, I have engaged in a few "adversarial collaborations," in which scholars who disagree on the science agree to write a jointly authored paper on their differences, and sometimes conduct research together. In especially tense situations, the research is moderated by an arbiter.

My most satisfying and productive adversarial collaboration was with Gary Klein, the intellectual leader of an association of scholars and practitioners who do not like the kind of work I do. They call themselves students of Naturalistic Decision Making, or NDM, and mostly work in organizations where the"0% ty often study how experts work. The N DMers adamantly reject the focus on biases in the heuristics and biases approach. They criticize this model as overly concerned with failures and driven by artificial experiments rather than by the study of real people doing things that matter. They are deeply skeptical about the value of using rigid algorithms to replace human judgment, and Paul Meehl is not among their heroes. Gary Klein has eloquently articulated this position over many years.

This is hardly the basis for a beautiful friendship, but there is more to the story. I had never believed that intuition is always misguided. I had also been a fan of Klein's studies of expertise in firefighters since I first saw a draft of a paper he wrote in the 1970s, and was impressed by his book Sources of Power, much of which analyzes how experienced professionals develop intuitive skills. I invited him to join in an effort to map the boundary that separates the marvels of intuition from its flaws. He was intrigued by the idea and we went ahead with the project-with no certainty that it would succeed. We set out to answer a specific question: When can you trust an experienced professional who claims to have an intuition? It was obvious that Klein would be more disposed to be trusting, and I would be more skeptical. But could we agree on principles for answering the general question?

Over seven or eight years we had many discussions, resolved many disagreements, almost blew up more than once, wrote many draft s, became friends, and eventually published a joint article with a title that tells the story: "Conditions for Intuitive Expertise: A Failure to Disagree." Indeed, we did not encounter real issues on which we disagreed-but we did not really agree.Marvels and FlawsMalcolm Gladwell's bestseller Blink appeared while Klein and I were working on the project, and it was reassuring to find ourselves in agreement about it. Gladwell's book opens with the memorable story of art experts faced with an object that is described as a magnificent example of a kouros, a sculpture of a striding boy. Several of the experts had strong visceral reactions: they felt in their gut that the statue was a fake but were not able to articulate what it was about it that made them uneasy. Everyone who read the book-millions did-remembers that story as a triumph of intuition. The experts agreed that they knew the sculpture was a fake without knowing how they knew-the very definition of intuition. The story appears to imply that a systematic search for the cue that guided the experts would have failed, but Klein and I both rejected that conclusion. From our point of view, such an inquiry was needed, and if it had been conducted properly (which Klein knows how to do), it would probably have succeeded.

Although many readers of the kouros example were surely drawn to an almost magical view of expert intuition, Gladwell himself does not hold that position. In a later chapter he describes a massive failure of intuition: Americans elected President Harding, whose only qualification for the position was that he perfectly looked the part. Square jawed and tall, he was the perfect image of a strong and decisive leader. People voted for someone who looked strong and decisive without any other reason to believe that he was. An intuitive prediction of how Harding would perform as president arose from substituting one question for another. A reader of this book should expect such an intuition to be held with confidence.Intuition as RecognitionThe early experiences that shaped Klein's views of intuition were starkly different from mine. My thinking was formed by observing the illusion of validity in myself and by reading Paul Meehl's demonstrations of the inferiority of clinical prediction. In contrast, Klein's views were shaped by his early studies of fireground commanders (the leaders of firefighting teams). He followed them as they fought fires and later interviewed the leader about his thoughts as he made decisions. As Klein described it in our joint article, he and his collaborators investigated how the commanders could make good decisions without comparing options. The initial hypothesis was that commanders would restrict their analysis to only a pair of options, but that hypothesis proved to be incorrect. In fact, the commanders usually generated only a single option, and that was all they needed. They could draw on the repertoire of patterns that they had compiled during more than a decade of both real and virtual experience to identify a plausible option, which they considered first. They evaluated this option by mentally simulating it to see if it would work in the situation they were facing.... If the course of action they were considering seemed appropriate, they would implement it. If it had shortcomings, they would modify it. If they could not easily modify it, they would turn to the next most plausible option and run through the same procedure until an acceptable course of action was found.

Klein elaborated this description into a theory of decision making that he called the recognition-primed decision (RPD) model, which applies to firefighters but also describes expertise in other domains, including chess. The process involves both System 1 and System 2. In the first phase, a tentative plan comes to mind by an automatic function of associative memory-System 1. The next phase is a deliberate process in which the plan is mentally simulated to check if it will work-an operation of System 2. The model of intuitive decision making as pattern recognition develops ideas presented some time ago by Herbert Simon, perhaps the only scholar who is recognized and admired as a hero and founding figure by all the competing clans and tribes in the study of decision making. I quoted Herbert Simon's definition of intuition in the introduction, but it will make more sense when I repeat it now: "The situation has provided a cue; this cue has given the expert access to information stored in memory, and the information provides the answer. Intuition is nothing more and nothing less than recognition."

This strong statement reduces the apparent magic of intuition to the everyday experience of memory. We marvel at the story of the firefighter who has a sudden urge to escape a burning house just before it collapses, because the firefighter knows the danger intuitively, "without knowing how he knows." However, we also do not know how we immediately know that a person we see as we enter a room is our friend Peter. The moral of Simon's remark is that the mystery of knowing without knowing is not a distinctive feature of intuition; it is the norm of mental life.Acquiring SkillHow does the information that supports intuition get "stored in memory"? Certain types of intuitions are acquired very quickly. We have inherited from our ancestors a great facility to learn when to be afraid. Indeed, one experience is often sufficient to establish a long-term aversion and fear. Many of us have the visceral memory of a single dubious dish tto hat still leaves us vaguely reluctant to return to a restaurant. All of us tense up when we approach a spot in which an unpleasant event occurred, even when there is no reason to expect it to happen again. For me, one such place is the ramp leading to the San Francisco airport, where years ago a driver in the throes of road rage followed me from the freeway, rolled down his window, and hurled obscenities at me. I never knew what caused his hatred, but I remember his voice whenever I reach that point on my way to the airport.

My memory of the airport incident is conscious and it fully explains the emotion that comes with it. On many occasions, however, you may feel uneasy in a particular place or when someone uses a particular turn of phrase without having a conscious memory of the triggering event. In hindsight, you will label that unease an intuition if it is followed by a bad experience. This mode of emotional learning is closely related to what happened in Pavlov's famous conditioning experiments, in which the dogs learned to recognize the sound of the bell as a signal that food was coming. What Pavlov's dogs learned can be described as a learned hope. Learned fears are even more easily acquired.

Fear can also be learned-quite easily, in fact-by words rather than by experience. The fireman who had the "sixth sense" of danger had certainly had many occasions to discuss and think about types of fires he was not involved in, and to rehearse in his mind what the cues might be and how he should react. As I remember from experience, a young platoon commander with no experience of combat will tense up while leading troops through a narrowing ravine, because he was taught to identify the terrain as favoring an ambush. Little repetition is needed for learning.

Emotional learning may be quick, but what we consider as "expertise" usually takes a long time to develop. The acquisition of expertise in complex tasks such as high-level chess, professional basketball, or firefighting is intricate and slow because expertise in a domain is not a single skill but rather a large collection of miniskills. Chess is a good example. An expert player can understand a complex position at a glance, but it takes years to develop that level of ability. Studies of chess masters have shown that at least 10,000 hours of dedicated practice (about 6 years of playing chess 5 hours a day) are required to attain the highest levels of performance. During those hours of intense concentration, a serious chess player becomes familiar with thousands of configurations, each consisting of an arrangement of related pieces that can threaten or defend each other.

Learning high-level chess can be compared to learning to read. A first grader works hard at recognizing individual letters and assembling them into syllables and words, but a good adult reader perceives entire clauses. An expert reader has also acquired the ability to assemble familiar elements in a new pattern and can quickly "recognize" and correctly pronounce a word that she has never seen before. In chess, recurrent patterns of interacting pieces play the role of letters, and a chess position is a long word or a sentence.

A skilled reader who sees it for the first time will be able to read the opening stanza of Lewis Carroll's "Jabberwocky" with perfect rhythm and intonation, as well as pleasure:

'Twas brillig, and the slithy toves

Did gyre and gimble in the wabe:

All mimsy were the borogoves,

And the mome raths outgrabe.

Acquiring expertise in chess is harder and slower than learning to read because there are many more letters in the "alphabet" of chess and because the "words" consist of many letters. After thousands of hours of practice, however, chess masters are able to read a chess situation at a glance. The few moves that come to their mind are almost always strong and sometimes creative. They can deal with a "word" they have never encountered, and they can find a new way to interpret a familiar one.The Environment of SkillKlein and I quickly found that we agreed both on the nature of intuitive skill and on how it is acquired. We still needed to agree on our key question: When can you trust a self-confident professional who claims to have an intuition?

We eventually concluded that our disagreement was due in part to the fact that we had different experts in mind. Klein had spent much time with fireground commanders, clinical nurses, and other professionals who have real expertise. I had spent more time thinking about clinicians, stock pickers, and political scientists trying to make unsupportable long-term forecasts. Not surprisingly, his default attitude was trust and respect; mine was skepticism. He was more willing to trust experts who claim an intuition because, as he told me, true experts know the limits of their knowledge. I argued that there are many pseudo-experts who have no idea that they do not know what they are doing (the illusion of validity), and that as a general proposition subjective confidence is commonly too high and often uninformative.

Earlier I traced people's confidence in a belief to two related impressions: cognitive ease and coherence. We are confident when the story we tell ourselves comes easily to mind, with no contradiction and no competing scenario. But ease and coherence do not guarantee that a belief held with confidence is true. The associative machine is set to suppress doubt and to evoke ideas and information that are compatible with the currently dominant story. A mind that follows WY SIATI will achieve high confidence much too easily by ignoring what it does not know. It is therefore not surprising that many of us are prone to have high confidence in unfounded intuitions. Klein and I eventually agreed on an important principle: the confidence that people have in their intuitions is not a reliable guide to their validity. In other words, do not trust anyone-including yourself-to tell you how much you should trust their judgment.

If subjective confidence is not to be trusted, how can we evaluate the probable validity of an intuitive judgment? When do judgments reflect true expertise? When do they display an illusion of validity? The answer comes from the two basic conditions for acquiring a skill:an environment that is sufficiently regular to be predictable

an opportunity to learn these regularities through prolonged practice

When both these conditions are satisfied, intuitions are likely to be skilled. Chess is an extreme example of a regular environment, but bridge and poker also provide robust statistical regularities that can support skill. Physicians, nurses, athletes, and firefighters also face complex but fundamentally orderly situations. The accurate intuitions that Gary Klein has described are due to highly valid cues that es the expert's System 1 has learned to use, even if System 2 has not learned to name them. In contrast, stock pickers and political scientists who make long-term forecasts operate in a zero-validity environment. Their failures reflect the basic unpredictability of the events that they try to forecast.

Some environments are worse than irregular. Robin Hogarth described "wicked" environments, in which professionals are likely to learn the wrong lessons from experience. He borrows from Lewis Thomas the example of a physician in the early twentieth century who often had intuitions about patients who were about to develop typhoid. Unfortunately, he tested his hunch by palpating the patient's tongue, without washing his hands between patients. When patient after patient became ill, the physician developed a sense of clinical infallibility. His predictions were accurate-but not because he was exercising professional intuition!

Meehl's clinicians were not inept and their failure was not due to lack of talent. They performed poorly because they were assigned tasks that did not have a simple solution. The clinicians' predicament was less extreme than the zero-validity environment of long-term political forecasting, but they operated in low-validity situations that did not allow high accuracy. We know this to be the case because the best statistical algorithms, although more accurate than human judges, were never very accurate. Indeed, the studies by Meehl and his followers never produced a "smoking gun" demonstration, a case in which clinicians completely missed a highly valid cue that the algorithm detected. An extreme failure of this kind is unlikely because human learning is normally efficient. If a strong predictive cue exists, human observers will find it, given a decent opportunity to do so. Statistical algorithms greatly outdo humans in noisy environments for two reasons: they are more likely than human judges to detect weakly valid cues and much more likely to maintain a modest level of accuracy by using such cues consistently.

It is wrong to blame anyone for failing to forecast accurately in an unpredictable world. However, it seems fair to blame professionals for believing they can succeed in an impossible task. Claims for correct intuitions in an unpredictable situation are self-delusional at best, sometimes worse. In the absence of valid cues, intuitive "hits" are due either to luck or to lies. If you find this conclusion surprising, you still have a lingering belief that intuition is magic. Remember this rule: intuition cannot be trusted in the absence of stable regularities in the environment.Feedback and PracticeSome regularities in the environment are easier to discover and apply than others. Think of how you developed your style of using the brakes on your car. As you were mastering the skill of taking curves, you gradually learned when to let go of the accelerator and when and how hard to use the brakes. Curves differ, and the variability you experienced while learning ensures that you are now ready to brake at the right time and strength for any curve you encounter. The conditions for learning this skill are ideal, because you receive immediate and unambiguous feedback every time you go around a bend: the mild reward of a comfortable turn or the mild punishment of some difficulty in handling the car if you brake either too hard or not quite hard enough. The situations that face a harbor pilot maneuvering large ships are no less regular, but skill is much more difficult to acquire by sheer experience because of the long delay between actions and their manoticeable outcomes. Whether professionals have a chance to develop intuitive expertise depends essentially on the quality and speed of feedback, as well as on sufficient opportunity to practice.

Expertise is not a single skill; it is a collection of skills, and the same professional may be highly expert in some of the tasks in her domain while remaining a novice in others. By the time chess players become experts, they have "seen everything" (or almost everything), but chess is an exception in this regard. Surgeons can be much more proficient in some operations than in others. Furthermore, some aspects of any professional's tasks are much easier to learn than others. Psychotherapists have many opportunities to observe the immediate reactions of patients to what they say. The feedback enables them to develop the intuitive skill to find the words and the tone that will calm anger, forge confidence, or focus the patient's attention. On the other hand, therapists do not have a chance to identify which general treatment approach is most suitable for different patients. The feedback they receive from their patients' long-term outcomes is sparse, delayed, or (usually) nonexistent, and in any case too ambiguous to support learning from experience.