We present evidence of sudden-death aversion (SDA)-the tendency to avoid "fast" strategies that provide a greater chance of success, but include the possibility of immediate defeat, in favor of "slow" strategies that reduce the possibility of losing quickly, but have lower odds of ultimate success. Using a combination of archival analyses and controlled experiments, we explore the psychology behind SDA. First, we provide evidence for SDA and its cost to decision makers by tabulating how often NFL teams send games into overtime by kicking an extra point rather than going for the 2-point conversion (Study 1) and how often NBA teams attempt potentially game-tying 2-point shots rather than potentially game-winning 3-pointers (Study 2). To confirm that SDA is not limited to sports, we demonstrate SDA in a military scenario (Study 3). We then explore two mechanisms that contribute to SDA: myopic loss aversion and concerns about "tempting fate." Studies 4 and 5 show that SDA is due, in part, to myopic loss aversion, such that decision makers narrow the decision frame, paying attention to the prospect of immediate loss with the "fast" strategy, but not the downstream consequences of the "slow" strategy. Study 6 finds that people are more pessimistic about a risky strategy that needn't be pursued (opting for sudden death) than the same strategy that must be pursued. We end by discussing how these twin mechanisms lead to differential expectations of blame from the self and others, and how SDA influences decisions in several different walks of life. (PsycINFO Database Record
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http://dx.doi.org/10.1037/pspa0000106 | DOI Listing |
Circ Cardiovasc Qual Outcomes
August 2023
Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA (S.C.M., F.M.M., C.S., N.W.D., B.R.R.).
Background: Shared decision-making is mandated for patients receiving primary prevention implantable cardioverter defibrillators (ICDs). Less attention has been paid to generator exchange decisions, although at the time of generator exchange, patients' risk of sudden cardiac death, risk of procedural complications, quality of life, or prognosis may have changed. This study was designed to explore how patients make ICD generator exchange decisions.
View Article and Find Full Text PDFJ Evid Based Med
June 2022
Department of Urology, University of Washington School of Medicine, Seattle.
Objective: To conduct the first systematic review critically examining evidence on whether early male circumcision has short- and long-term adverse psychological effects.
Methods: We searched PubMed, EMBASE, SCOPUS, Cochrane Library, and Google Scholar.
Results: Twenty-four studies with original data met the inclusion criteria.
Clin Gastroenterol Hepatol
January 2021
Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida.
Background & Aims: Irritable bowel syndrome (IBS) is a common chronic functional bowel disorder for which patients take significant risks to ameliorate symptoms. Unfortunately, there is no cure for IBS. We assessed the willingness of patients with IBS to take medication risks and the costs they would pay to improve symptoms.
View Article and Find Full Text PDFCirc Cardiovasc Interv
September 2019
The Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Out of hospital cardiac arrest (OHCA) is a major cause of morbidity and mortality worldwide. Clinical decision making is extremely difficult in this understudied patient population with high prevalence of neurological injury and inexorable shock states. As such, there are uncertain benefits from therapies available in the cardiac catheterization laboratory.
View Article and Find Full Text PDFJ Clin Transl Res
January 2019
Department of Animal and Plant Sciences, University of Sheffield, UK.
Background: Sudden infant death syndrome (SIDS) is the most common cause of postneonatal unexplained infant death. The allostatic load hypothesis posits that SIDS is the result of cumulative perinatal painful, stressful, or traumatic exposures that tax neonatal regulatory systems.
Aims: To test the predictions of the allostatic load hypothesis we explored the relationships between SIDS and two common phenotypes, male neonatal circumcision (MNC) and prematurity.
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