1 August 2013

Changing the Point of View Changes Your Mind

Imagine the following situation. You feel sick and go to the doctor. After running some tests, the doctor tells you that you have a serious condition and in order to get healthy again, you have to get surgery. The doctor has to inform you about the risks the procedure comes with and he invites you in his office to discuss the issue.

The doctor tells you that the procedure has been done countless times and it has a rate of 95% success and survival.

How willing are you to have the surgery? Rate it on a scale from 1 to 10…

OK! Now clear your mind for a second … or two …

Now imagine that you went to the doctor, the diagnostic was the same and the doctor invites you in his office to discuss the risks of the surgery.

The doctor tells you that the procedure has been done countless times and it has good results, but there is a rate of 5% mortality.

How willing are you to have the surgery? Rate it on a scale from 1 to 10…  

There is a very high probability that you would be more willing in the first scenario than in the second. We all realize that 95% success rate implies a 5% failure rate and vice versa, but the way in which a piece of information is framed has a huge influence on our decisions and subsequent behaviors.

Another example comes from the food industry where some labels say 90% fat free. At the same time this means that 10% of the product is pure fat. However, we have to agree that for most people it is much more appealing to buy a 90% fat free product than to buy a product that has 10% pure fat.

These changes of perspective are based on what the reference point is. In the case of 90% fat free, the implicit reference point is 100% fat, thus making something 90% fat free is perceived as a gain.

However, if we say 10% fat, the implicit reference point is 0% fat, thus having 10% fat is perceived as a loss.

Things are similar with the surgery situation. When the doctor informs you that the procedure has a success rate of 95% the implicit reference point is a success rate smaller than 95%, thus the outcome is perceived as a gain.

However, when the doctor says that the procedure has a 5% failure (and mortality) rate, then the implicit reference point is 0% failure, thus the 5% rate is perceived as a loss.

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