Using gist to communicate end-of-life treatment choices

September 14, 2018 • Allison M. Hermann, Ph.D.

Valerie Reyna

Holly Prigerson

Valerie Reyna is collaborating with Holly Prigerson of Cornell Weill Medical College on an intercampus palliative care project as part of the recently established Academic Integration Initiative which fosters research between the Cornell Ithaca and the Cornell Weill New York City campuses. Dr. Prigerson has been researching factors that hinder communications between patients and physicians about end-of-life decisions. In the course of her research, Prigerson discovered Dr. Reyna's fuzzy trace theory (FTT) and was eager to find a way to collaborate (read more in the downloadable article below). According to Reyna, an important principle of FTT is the "gist principle" which is a type of mental representation that "captures the bottom-line meaning of information, and it is a subjective interpretation of information based on emotion, education, culture, experience, worldview, and level of development" and can be applied to improve doctor-patient understanding and treatment options (click on the title of Dr. Reyna's paper, "A Theory of Medical Decision Making and Health: Fuzzy Trace Theory" to read more about FTT).