The aggregation of marginal gains: a pragmatic philosophy of clinical care in psychiatry

Michael Berk; Wolfgang Marx; Andrew A. Nierenberg

doi:10.1002/wps.21174

The aggregation of marginal gains: a pragmatic philosophy of clinical care in psychiatry

Michael Berk, Wolfgang Marx, Andrew A. Nierenberg

Research output: Contribution to journal › Letter › Research

6 Citations (Scopus)

Abstract

The cliched opening sentence of many articles in the psychiatric field bemoans the limited efficacy of individual treatments. However, this singular truth is far from the whole truth. The theory of aggregation of marginal gains, also known as the “1% improvement theory”, suggests that small, sustained, incremental improvements in multiple areas can lead to substantial overall progress in a given field1. This theory has been applied in various areas, including sports, business, and health care, and appears to be relevant to psychiatric clinical practice.

Original language	English
Pages (from-to)	291-292
Number of pages	2
Journal	World Psychiatry
Volume	23
Issue number	2
DOIs	https://doi.org/10.1002/wps.21174
Publication status	Published - Jun 2024
Externally published	Yes

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abstract = "The cliched opening sentence of many articles in the psychiatric field bemoans the limited efficacy of individual treatments. However, this singular truth is far from the whole truth. The theory of aggregation of marginal gains, also known as the “1% improvement theory”, suggests that small, sustained, incremental improvements in multiple areas can lead to substantial overall progress in a given field1. This theory has been applied in various areas, including sports, business, and health care, and appears to be relevant to psychiatric clinical practice.",

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The aggregation of marginal gains: a pragmatic philosophy of clinical care in psychiatry

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Nutrition Research for Mental Health, Cognition and Eating Disorders

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The aggregation of marginal gains: a pragmatic philosophy of clinical care in psychiatry

Abstract

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Nutrition Research for Mental Health, Cognition and Eating Disorders

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