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The Memory of Pain

Thinking, Fast and Slow

This flow follows how medical experiences become distorted memories and how those memories govern later choices.

increasingupBearing stren­gth in each eventdowndecreasing
Momentary ReportsMomentary Reports from "Thinking, Fast and Slow". Pain in Real Time Continuous Experience Patients report pain minute by minute during invasive procedures.
Pain in Real Time Continuous Experience Patients report pain minute by minute during invasive procedures. Unequal Profiles Intensity fluctuates and duration differs widely.
Peak-End MemoryPeak-End Memory from "Thinking, Fast and Slow". The Stored Episode Selective Weight The worst moment and the final moment dominate retrospective ratings.
The Stored Episode Selective Weight The worst moment and the final moment dominate retrospective ratings. Duration Neglect Longer procedures are not remembered as proportionally worse.
Gentle EndingGentle Ending from "Thinking, Fast and Slow". Relief as Evidence Slight Improvement A longer exposure ends with warmer water and reduced pain.
Relief as Evidence Slight Improvement A longer exposure ends with warmer water and reduced pain. Better Memory The improvement makes the objectively worse episode seem preferable.
Repeated SufferingRepeated Suffering from "Thinking, Fast and Slow". The Choice to Repeat Memory's Verdict Most participants choose the longer exposure when its ending is better.
The Choice to Repeat Memory's Verdict Most participants choose the longer exposure when its ending is better. Mistaken Preference The remembering self overrides the experiencing self.
Medical DesignMedical Design from "Thinking, Fast and Slow". Designing Better Endings Memory Objective A physician seeking better memories may lower peaks and soften endings.
Designing Better Endings Memory Objective A physician seeking better memories may lower peaks and soften endings. Welfare Conflict Those choices may increase total pain rather than reduce it.
During the colonoscopy research
Immediately after the procedures end
During the cold-hand study
Seven minutes after the cold-hand trials
Near the conclusion of Part 5