20241011 - satisfaction of search

18-Interview-DSM.Rmd

@@ -48,6 +48,7 @@ A problem of the unstructured interview is that taking a different "conversation
 The unstructured interview is susceptible to multiple forms of [bias](#bias), such as halo effects when dealing with a polite client.\index{interview!unstructured}\index{bias}
 Another important form of (cognitive) [bias](#bias) is confirmation [bias](#bias), in which clinicians look for evidence that confirms their hypothesis about the client, which leads to the tendency to stop the interview once the first diagnosis is identified, and to fewer diagnoses.\index{interview!unstructured}\index{bias!confirmatory}
 This is known as *diagnostic overshadowing*.\index{interview!unstructured}\index{bias!confirmatory}
+Diagnostic overshadowing is analogous to challenges that radiologists have in identifiying a second tumor after already identifying one tumor, known as "satisfaction of search" [@Fleck2010].\index{bias!confirmatory}
 The unstructured interview is also susceptible to race, gender, class [bias](#bias), etc.\index{interview!unstructured}\index{bias}
 
 In general, unstructured interviews show low [reliability](#reliability).