{"id":"W4392154032","doi":"10.1136/jme-2023-109563","title":"Ladders and stairs: how the intervention ladder focuses blame on individuals and obscures systemic failings and interventions","year":2024,"lang":"en","type":"article","venue":"Journal of Medical Ethics","topic":"Health disparities and outcomes","field":"Social Sciences","cited_by":10,"is_retracted":false,"has_abstract":true,"ca_institutions":"McGill University","funders":"","keywords":"Blame; Psychological intervention; Intervention (counseling); Stairs; Psychology; Computer security; Criminology; Social psychology; Computer science; Psychiatry; Engineering","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.03784436,0.001483486,0.001252583,0.003944665,0.008327186,0.01417277,0.003289352,0.009879403,0.009128212],"category_scores_gemma":[0.05321497,0.001125166,0.001574288,0.002332114,0.0879637,0.02748429,0.01426007,0.01327002,0.001917426],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01045617,"about_ca_system_score_gemma":0.01705829,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0077495,"about_ca_topic_score_gemma":0.01040471,"domain_scores_codex":[0.9527922,0.03633485,0.001175904,0.003227288,0.004754077,0.001715771],"domain_scores_gemma":[0.9589493,0.0271752,0.002190267,0.006795087,0.002654916,0.002235178],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"theoretical_or_conceptual","study_design_scores_codex":[0.00007411806,0.00007457837,0.001116805,0.0002737089,0.00003035267,0.0001226222,0.01957315,0.0007260222,0.000284675,0.9359329,0.008359393,0.03343178],"study_design_scores_gemma":[0.00006352316,0.0001504655,0.0007936576,0.0009358249,0.00004596841,0.0002367645,0.007910801,0.001934327,0.0004962539,0.8746315,0.112727,0.00007380757],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":"theoretical_or_conceptual","genre_codex":"methods","genre_gemma":"empirical","genre_scores_codex":[0.03215954,0.01012667,0.5018074,0.2496613,0.004399204,0.0007082174,0.0002164657,0.00127005,0.1996511],"genre_scores_gemma":[0.6770498,0.004747922,0.243459,0.03976313,0.0006773593,0.001446591,0.000134183,0.0007127672,0.03200926],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.03784436,"threshold_uncertainty_score":0.2001425,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1039634737507141,"score_gpt":0.446165445643127,"score_spread":0.3422019718924129,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}