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sn#060111 filedate 1973-08-23 generic text, type T, neo UTF8
00100 EVALUATION
00200
00300 The primary aim in constructing this model was to explore,
00400 clarify, develop, test and improve a theory having explanatory value.
00500 To satisfy this aim, the model must meet norms of internal
00600 consistency (systemicity) and norms of external correspondence with
00700 observation (testability). A secondary aim would involve pragmatic
00800 norms of application. These aims are not unrelated but the primary
00900 one is more fundamental since useful applications require some degree
01000 of consistency and correspondence to observation.
01100 As emphasized in Chapter 2, a model in the form of an
01200 algorithm consists of a structure of functions or procedures whose
01300 inner workings are sufficient to reproduce the outward symbolic
01400 behavior under consideration. The theory embodied in the model is
01500 revealed in the set of statements which illuminate the connections
01600 betweeen input and output, i.e. describing how the structure reacts
01700 under various circumstances.
01800 What constitutes a satisfactory explanation has been treated
01900 in 2.1. The "fit" or correspondence with phenomena as indicated by
02000 measurements and empirical tests indicate the degree of faithfulness
02100 of the reproduction were described in Chapter 6.
02200 Decision procedures for consensus acceptability of a model
02300 sometimes depend not so much on truth, an elusive state, as on
02400 whether a majority of the relevant expert community believes the
02500 theory or model to approximate truth to some unknown and unknowable
02600 degree and to be better than available plausible alternatives.
02700 Validation is ultimately a private experience of the individual.
02800 Empirical truth or falsity cannot be proven with certainty but their
02900 presence can be assayed by some sort of critical assesment and
03000 deliberation. We can forgive models for being only nearly true. A
03100 theory or model may bring cognitive or pragmatic comfort, not because
03200 it is TRUE but because it represents an improvement over its
03300 contending rivals.
03400 Cognitive comfort is a type of intellectual satisfaction.
03500 Pragmatic comfort accrues from applications to problems in order to
03600 make things work the way humans want them to work efficiently in
03700 practical contexts of technological action. For the pragmatist, a
03800 model is a means to an end; for the theoretician, an explanatory
03900 model is an end in itself. It is hoped that this paranoid model can
04000 contribute to understanding one of the mysteries of human conduct,
04100 the paranoid mode. There remains the enigma of the paranoid "streak"
04200 which renders whole nations susceptible to idelogical convictions
04300 in which Elsewhereans are believed to be malevolent oppressors.
04400 It is a truism of methodology texbooks that an infinite
04500 number of theories or models can account for the same data of
04600 observation. Without questioning whether "infinite" means
04700 indefinitely large or just more than one, we must allow for rival
04800 explanations. For a rival to be a live and tenable option, it should
04900 be truly alternative (i.e., not just a family version saying the same
05000 thing in a different way), have an appreciable prior probability, and
05100 be testable.
05200 Although I hold that faithful reproduction, fidelity as
05300 measured by indistinguishability, is a proper and major test for the
05400 adequacy of simulation models, it would be a bonus if our model could
05500 satisfy the function of making possible new knowledge through
05600 prediction. The term "prediction" has a spectrum of meanings ranging
05700 from forecasts to prognoses to prophecies to precise
05800 point-predictions in time. To predict is to announce a fact without
05900 prior knowledge of it. However one needs knowledge of the kind of
06000 fact expected, the conditions which produce it and the circumstances
06100 under which it will occur. Accurate long-range predictions
06200 characterize the ideal of celestial mechanics. But even astronomers,
06300 with the advantage of isolated and repetitive systems, have their
06400 troubles. In 1759 Halley's comet arrived four days later than
06500 predicted. In spite of our advanced 20th century knowledge, in 1962
06600 this pesky comet arrived eight days later than predicted, making the
06700 prediction worse by a factor of one hundred.
06800 Long-range predictions of individual human behavior are
06900 difficult because (1) sufficient knowledge of initial conditions may
07000 require that we know the whole past history of an individual
07100 (something not yet achieved for even a single person) (2) individuals
07200 do not remain isolated over the time stretch of the prediction; they
07300 interact with other individuals of an unknown nature (3) life is a
07400 fortuitous flux of chance intersections of independent causal chains.
07500 In one sense our paranoid model makes moment-to-moment predictions
07600 and asserts new counterfactuals about behavior in a psychiatric
07700 interview. That is, if an interviewer says X under conditions Y, then
07800 the model's response will be characterized by z1...zn, and the same
07900 holds true for paranoid patients. Counterfactual prediction means
08000 that on the basis of observed behavior we are willing,with an
08100 inductive risk, to assume the presence of unobserved behavior
08200 potentials in a model's or patient's repertoire of capabilities.
08300 Predicting new kinds of events or properties, instead of
08400 kinds we are already familiar with, would represent a genuine bonus,
08500 indicating the model is more than ad hoc and has excess content. It
08600 would give both clinicians and investigators something to look for.
08700 This novelty could arise in two ways. First, the model might
08800 demonstrate a property of the paranoid mode hitherto unobserved
08900 clinically. In principle this could come about because the I-O
09000 behavior of the model is a consequence of a large number of
09100 interacting hypotheses and assumptions chosen initially to explain
09200 frequently observed phenomena. When the elements of such a complex
09300 conjunction interact with highly variable inputs they generate
09400 consequences in addition to those they were designed to explain.
09500 Whether any of these consequences are significant or characteristic
09600 of the paranoid mode remains a subject for future study.
09700 It is also possible that a new property of paranoia may be
09800 discovered in the clinical interview, although perhaps everything
09900 that can be said about paranoid dialogues has been said. If a new
10000 property were found, a search for it might be conducted in the
10100 model's behavior. if successful, this again would add to the model's
10200 acceptability.
10300 A second novelty might arise in the behavior of the model in
10400 some new situation. Since it is designed to simulate communicative
10500 behavior in an interview situation, the `new' circumstance would have
10600 to involve some new type of linguistic interaction which the model is
10700 capable of responding to. From its behavior one might then predict
10800 how paranoid patients would behave under similar circumstances. The
10900 requisite empirical tests and measures would show the degree of
11000 correspondence between patient and model behaviors.
11100 This possibility is of importance in considering emancipatory
11200 therapies for patients tangled in the quandaries of the paranoid
11300 mode. Since the model operates at a symbol processing level using
11400 natural language, it is at this level at which linguistic and
11500 conceptual skills of clinicians can be applied. Language-based or
11600 semantic techniques do not seem very effective in the psychoses but
11700 they are useful in states of lesser severity. A wide range of new
11800 semantic techniques, including extremes, could be tried first on the
11900 model without subjecting patients to blind experimentation.
12000 While we used the model to explore a theory and to study
12100 psychiatric judgements, its potential use as a training device has
12200 not escaped our reflections. Medical students and psychiatric
12300 residents need "disposable patients" to practice on without jeopardy
12400 (to either). A version of the paranoid model can display the changes
12500 in its inner states during an interview. Whether the optimal goal
12600 of interviewing (gathering relevant information without upsetting the
12700 patient), has been achieved, thus can be estimated. A beginning
12800 interviewer can practice in private or with a supervisor present.
12900 Many interviewers have reported that the model has a definite effect
13000 on them. The student can get the feel of the paranoid mode long
13100 before he interviews an actual patient. The effect of various
13200 interviewing styles might be studied and compared.
13300
13400 Although this simulation of paranoia covers a variety of
13500 facts, it is circumscribed in what it attempts to explain. The
13600 proffered explanation is local and restricted in that it accounts for
13700 only one type of symbol-processing mode. Past attempts at grand-
13800 scale explanations of all mental processes in all contexts have
13900 failed. A preferable strategy, successful in other sciences, is to
14000 build one circumscribed and tested theory or model at a time so that
14100 the field can gradually move forward a step at a time, each step
14200 gaining consensus before attempting the next.