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Multiplicity
      Richard Smith
  Friend of Alessandro
       Italianophile
   Former editor, BMJ
Multiplicity: Alessandro
Cochrane Colloquium, Rome, 1999
Czeslaw Milosz, John Donne, W H
      Auden, Robert Frost
Marina Basmanova
• Your voice, your body, your name
  mean nothing to me now. No one
  destroyed them.
  It's just that, in order to forget one life, a
  person needs to live
  at least one other life. And I have served
  that portion.
Brodsky
• Are you an American or a Russian?
• I am Jewish – a Russian poet and an
  English essayist
A great tool for those who love
multiplicity created by multiplicity
A great tool for those who love
multiplicity created by multiplicity
Pietro Aretino
• “Journalist cum press baron, master of
  aphorism and hyperbole; pornographer,
  flatterer and blackmailer; playwright, satirist,
  versifier, bisexual libertine, connoisseur of
  art; self-styled political seer, 'fifth evangelist,'
  'censor of the world', as well as its 'secretary'
  (meaning depository of its secrets); 'one
  whose letters are answered even by
  emperors and kings.'”
• Who can match that today?
Francis Galton


• Francis Galton (16 February 1822 – 17
  January 1911), cousin of Charles Darwin,
  was an English Victorian polymath,
  anthropologist, eugenicist, tropical
  explorer, geographer, inventor,
  meteorologist, proto-geneticist,
  psychometrician, and statistician.
Francis Galton


• In 1906 Galton visited a livestock fair and
  stumbled upon an contest.
• An ox was on display, and the villagers
  were invited to guess the animal's weight
  after it was slaughtered and dressed.
Francis Galton



• Galton disliked the idea of democracy and
  wanted to use the competition to show the
  problems of allowing large groups of
  people to vote on a topic.
Francis Galton


• 787 people guessed the weight of the ox, some
  were experts, farmers and butchers, others
  knew little about livestock. Some guessed very
  high, others very low, many guessed fairly
  sensibly.

• Galton collected the guesses after the
  competition was over
Francis Galton


• The average guess was 1,197 pounds

• The correct weight was 1,198 pounds
Wisdom of Crowds


• What Dalton discovered was that in
  actuality crowds of people can make
  surprisingly good decisions IN THE
  AGGREGATE, even if they have imperfect
  information.
A crucial lesson for me
And so to the start of my talk
Another of the fruits of multiplicity
(Un altro dei frutti della molteplicità)
Italo Calvino: the theme of my
              lecture


• “The contemporary novel is an
  encyclopaedia, a method of knowledge,
  and above all a connection between the
  events, the people, and the things of the
  world.”
Carlo Emilio Gadda
• “Unforeseen catastrophes are never the
  consequence ..... of a cause singular; but
  they are rather like a whirlpool ... towards
  which a whole multitude of converging
  causes have contributed.”
• “Replace cause with causes.”
.
"To know is to insert something into what is
      real, and hence to distort reality"




"To know is to insert something into what is real, and hence to distort reality"
Two polarities


• Exactitude: mathematics, pure spirit, the
  military mentality
• Soul: irrationality, humanity, chaos
System one
System 2



•   27 x 93
Ten defects in our thinking
• 1. Availability bias: giving to much weight to
  information most available
• 2. Hindsight bias
• 3. The problem of induction: building general
  rules with too little information
• 4. The fallacy of conjunction: overstimating that
  7 events with 90% probability will all occur and
  underestimating that one will occur
• 5. Confirmation bias: seeing confirming but not
  falsifying evidence
Ten defects in our thinking
• 6. Contamination effects: irrelevant but
  proximate information overinfluences us
• 7. Affect heuristic: preconceived value
  judgements interfere with cost benefit analyses
• 8. Scope neglect: prevents us proportionately
  adjusting what we would be willing to sacrifice to
  avoid harms of different order of magnitude
• 9. Overconfidence in calibration
• 10. Bystander apathy
Italo Calvino
• “Over ambitious projects may be
  objectionable in many fields but not in
  literature. Literature remains alive only if
  we set ourselves goals far beyond all hope
  of achievement.”
• Cochrane?
Comorbidity: US data




                       65
Multimorbidity in Scotland
Conclusions
There is power in the many
Everything is connected to
        everything
Last thoughts
An opposite view


• NietzscheQuotes @
• When a hundred men stand together,
  each of them loses his mind and gets
  another one
R. Smith multiplicity bologna 2012

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R. Smith multiplicity bologna 2012

  • 1. Multiplicity Richard Smith Friend of Alessandro Italianophile Former editor, BMJ
  • 2.
  • 3.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. Czeslaw Milosz, John Donne, W H Auden, Robert Frost
  • 12. • Your voice, your body, your name mean nothing to me now. No one destroyed them. It's just that, in order to forget one life, a person needs to live at least one other life. And I have served that portion.
  • 13. Brodsky • Are you an American or a Russian? • I am Jewish – a Russian poet and an English essayist
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. A great tool for those who love multiplicity created by multiplicity
  • 19. A great tool for those who love multiplicity created by multiplicity
  • 20.
  • 21.
  • 22. Pietro Aretino • “Journalist cum press baron, master of aphorism and hyperbole; pornographer, flatterer and blackmailer; playwright, satirist, versifier, bisexual libertine, connoisseur of art; self-styled political seer, 'fifth evangelist,' 'censor of the world', as well as its 'secretary' (meaning depository of its secrets); 'one whose letters are answered even by emperors and kings.'” • Who can match that today?
  • 23.
  • 24.
  • 25. Francis Galton • Francis Galton (16 February 1822 – 17 January 1911), cousin of Charles Darwin, was an English Victorian polymath, anthropologist, eugenicist, tropical explorer, geographer, inventor, meteorologist, proto-geneticist, psychometrician, and statistician.
  • 26. Francis Galton • In 1906 Galton visited a livestock fair and stumbled upon an contest. • An ox was on display, and the villagers were invited to guess the animal's weight after it was slaughtered and dressed.
  • 27. Francis Galton • Galton disliked the idea of democracy and wanted to use the competition to show the problems of allowing large groups of people to vote on a topic.
  • 28. Francis Galton • 787 people guessed the weight of the ox, some were experts, farmers and butchers, others knew little about livestock. Some guessed very high, others very low, many guessed fairly sensibly. • Galton collected the guesses after the competition was over
  • 29. Francis Galton • The average guess was 1,197 pounds • The correct weight was 1,198 pounds
  • 30. Wisdom of Crowds • What Dalton discovered was that in actuality crowds of people can make surprisingly good decisions IN THE AGGREGATE, even if they have imperfect information.
  • 32. And so to the start of my talk
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41. Another of the fruits of multiplicity (Un altro dei frutti della molteplicità)
  • 42.
  • 43.
  • 44.
  • 45. Italo Calvino: the theme of my lecture • “The contemporary novel is an encyclopaedia, a method of knowledge, and above all a connection between the events, the people, and the things of the world.”
  • 46.
  • 47.
  • 48.
  • 50. • “Unforeseen catastrophes are never the consequence ..... of a cause singular; but they are rather like a whirlpool ... towards which a whole multitude of converging causes have contributed.” • “Replace cause with causes.”
  • 51.
  • 52. .
  • 53.
  • 54.
  • 55. "To know is to insert something into what is real, and hence to distort reality" "To know is to insert something into what is real, and hence to distort reality"
  • 56.
  • 57. Two polarities • Exactitude: mathematics, pure spirit, the military mentality • Soul: irrationality, humanity, chaos
  • 58.
  • 60. System 2 • 27 x 93
  • 61.
  • 62. Ten defects in our thinking • 1. Availability bias: giving to much weight to information most available • 2. Hindsight bias • 3. The problem of induction: building general rules with too little information • 4. The fallacy of conjunction: overstimating that 7 events with 90% probability will all occur and underestimating that one will occur • 5. Confirmation bias: seeing confirming but not falsifying evidence
  • 63. Ten defects in our thinking • 6. Contamination effects: irrelevant but proximate information overinfluences us • 7. Affect heuristic: preconceived value judgements interfere with cost benefit analyses • 8. Scope neglect: prevents us proportionately adjusting what we would be willing to sacrifice to avoid harms of different order of magnitude • 9. Overconfidence in calibration • 10. Bystander apathy
  • 64. Italo Calvino • “Over ambitious projects may be objectionable in many fields but not in literature. Literature remains alive only if we set ourselves goals far beyond all hope of achievement.” • Cochrane?
  • 67.
  • 69. There is power in the many
  • 70. Everything is connected to everything
  • 72.
  • 73. An opposite view • NietzscheQuotes @ • When a hundred men stand together, each of them loses his mind and gets another one