Skip to main content

Table 1 Cognitive biases relevant for bioethics listed in alphabetical order with explanations and an indication for what type of bioethics this bias may be most relevant to assess

From: Biases in bioethics: a narrative review

Cognitive bias

Definition/short description

Type of bioethics

Ambiguity effect

A tendency to avoid options for which the probability of favorable outcomes is unknown

A, (ER), EA, CEC, PEC

Anchoring effect

Initial information is overrated, ignoring high quality evidence that can be more difficult to obtain

A, ER, EA, ELS, CEC, PEC

Apophenia

The tendency to perceive connections between things, events, or perspectives that are unrelated

A, ER, EA, CEC

Availability bias

Overestimating the likelihood of (recent) events easily available in memory or how unusual or emotionally charged they are

A, ER, EA, CEC

Confirmation bias

The tendency to focus on information in a way that confirms one's preconceptions or expectations. Related to the tendency to reject new evidence that contradicts a perspective or paradigm (the Semmelweis reflex)

A, ER, EA, ELS, CEC, PEC

Default effect

The tendency to favor the default option when given a choice between several options

A, ER, EA, ELS, CEC, PEC

Endowment effect

Overvaluing what we already have got compared to alternatives, as it is more difficult to give up than to acquire something (such as argument, perspective, line of reasoning)

A, ER, EA, ELS, CEC, PEC

Extension bias

The tendency to think that more is better than less. This is related to the conflation of quality with quantity

A, EA, CEC

False priors (stereotyping)

Presuming that members of a group have specific characteristics without having information about them. Gender bias is an example of false priors

A, ER, EA, ELS, CEC, PEC

Familiarity bias

The tendency to express unwarranted liking for events, items, theories, or perspectives merely because of familiarity with them

A, ER, EA, ELS, CEC, PEC

Focusing illusion

Too much focus on certain details, ignoring other relevant factors

A, ER, EA, ELS, CEC, PEC

Framing (information) effect

Drawing conclusions from information depending on how the information is presented

ER, ELS, PEC

Hard–easy effect

The tendency to overestimate the ability to accomplish hard tasks, as well as underestimate the ability to accomplish easy tasks

A, ER, EA, ELS, CEC, PEC

Hindsight bias

The inclination to see past events as being predictable at the time those events happened. Related to outcome bias where decisions are assessed by its outcomes rather than by the quality of the decision at the time of making

EA, PEC

Illusion of control

The tendency to overestimate the degree of influence over external events

A, (EA), CEC

Illusion of validity

The tendency to overestimate the accuracy of one's judgments, especially when available information is coherent or consistent

A, ER, EA, ELS, CEC, PEC

Implicit bias

The tendency that underlying attitudes and stereotypes are attributed to persons or groups of people that affect how they understand, judge, and engage with them. Also called unconscious bias

A, ER, EA, CEC, PEC

Information bias

The tendency to seek information even when it cannot affect the decision

ER, ELS, PEC

Law of the instrument

The tendency to rely on familiar methods, ignoring or devaluing alternative approaches

A, EA, CEC, PEC

Normalcy bias

The reluctance to take into account, or plan for, or react to, a severe event (e.g., a disaster) which has not happened before or very long ago (such as a pandemic)

A, ER, EA, ELS, CEC, PEC

Ostrich effect

The tendency to ignore an obvious (negative) situation, perspective, or alternative

A, EA, CEC, PEC

Overconfidence effect

The tendency of having excessive confidence in one's own judgments, answers, and decisions

A, EA, CEC, PEC

Present bias

The tendency for to have a stronger preference for more immediate issues, outcomes, or solutions compared to more long term issues, outcomes, or solutions

A, ER, EA, ELS, CEC, PEC

Probability neglect

The tendency to neglect probabilities when making decisions under uncertainty. Small risks may be totally neglected or vastly overrated

A, ER, EA, ELS, CEC, PEC

Pro-innovation bias

The tendency to have an excessive optimism towards innovations (ignoring limitations and weaknesses)

A, ER, EA, ELS, CEC, PEC

Projection bias

The tendency to overestimate how much future situations will assemble present situations leading to sub-optimal decisions (when not correct). This is related to impact bias

A, ER, EA, CEC, PEC

Proportionality bias

The tendency to assume that big events have big causes and that important events have important reasons

A, EA, CEC, PEC

Rhyme as reason effect

The tendency to think that rhyming or catchy statements or arguments are perceived as more truthful or sound

A, EA, PEC

Synecdoche effect

One specific characteristic comes to signify the whole person

A, ER, EA, ELS, CEC, PEC

Truthiness bias

A tendency to believe that a statement is true due to the strength of one’s belief in the conclusion (belief bias, subjective validation bias) or how easy it is to process or how many times it is stated (the illusory truth effect)

A, ER, EA, CEC

  1. A Agitation, ER Empirical Research, EA Ethical analyzes, ELS Ethics literature synthesis, CEC Clinical ethics consultation, PEC Philosophical, Ethical, and Conceptual analyzes