Infrastructure tools to support an effective radiation oncology learning health system
Contents
Probabilistic causation is a concept in a group of philosophical theories that aim to characterize the relationship between cause and effect using the tools of probability theory. The central idea behind these theories is that causes raise the probabilities of their effects, all else being equal.
Deterministic versus probabilistic theory
Interpreting causation as a deterministic relation means that if A causes B, then A must always be followed by B. In this sense, war does not cause deaths, nor does smoking cause cancer. As a result, many turn to a notion of probabilistic causation. Informally, A probabilistically causes B if A's occurrence increases the probability of B. This is sometimes interpreted to reflect imperfect knowledge of a deterministic system but other times interpreted to mean that the causal system under study has an inherently indeterministic nature. (Propensity probability is an analogous idea, according to which probabilities have an objective existence and are not just limitations in a subject's knowledge).
Philosophers such as Hugh Mellor[1] and Patrick Suppes[2] have defined causation in terms of a cause preceding and increasing the probability of the effect. (Additionally, Mellor claims that cause and effect are both facts - not events - since even a non-event, such as the failure of a train to arrive, can cause effects such as my taking the bus. Suppes, by contrast, relies on events defined set-theoretically, and much of his discussion is informed by this terminology.)[3]
Pearl[4] argues that the entire enterprise of probabilistic causation has been misguided from the very beginning, because the central notion that causes "raise the probabilities" of their effects cannot be expressed in the language of probability theory. In particular, the inequality Pr(effect | cause) > Pr(effect | ~cause) which philosophers invoked to define causation, as well as its many variations and nuances, fails to capture the intuition behind "probability raising", which is inherently a manipulative or counterfactual notion. The correct formulation, according to Pearl, should read:
where do(C) stands for an external intervention that compels the truth of C. The conditional probability Pr(E | C), in contrast, represents a probability resulting from a passive observation of C, and rarely coincides with Pr(E | do(C)). Indeed, observing the barometer falling increases the probability of a storm coming, but does not "cause" the storm; were the act of manipulating the barometer to change the probability of storms, the falling barometer would qualify as a cause of storms. In general, formulating the notion of "probability raising" within the calculus of do-operators[4] resolves the difficulties that probabilistic causation has encountered in the past half-century,[2][5][6] among them the infamous Simpson's paradox, and clarifies precisely what relationships exist between probabilities and causation.
The establishing of cause and effect, even with this relaxed reading, is notoriously difficult, expressed by the widely accepted statement "Correlation does not imply causation". For instance, the observation that smokers have a dramatically increased lung cancer rate does not establish that smoking must be a cause of that increased cancer rate: maybe there exists a certain genetic defect which both causes cancer and a yearning for nicotine; or even perhaps nicotine craving is a symptom of very early-stage lung cancer which is not otherwise detectable. Scientists are always seeking the exact mechanisms by which Event A produces Event B. But scientists also are comfortable making a statement like, "Smoking probably causes cancer," when the statistical correlation between the two, according to probability theory, is far greater than chance. In this dual approach, scientists accept both deterministic and probabilistic causation in their terminology.
In statistics, it is generally accepted that observational studies (like counting cancer cases among smokers and among non-smokers and then comparing the two) can give hints, but can never establish cause and effect. Often, however, qualitative causal assumptions (e.g., absence of causation between some variables) may permit the derivation of consistent causal effect estimates from observational studies.[4]
The gold standard for causation here is the randomized experiment: take a large number of people, randomly divide them into two groups, force one group to smoke and prohibit the other group from smoking, then determine whether one group develops a significantly higher lung cancer rate. Random assignment plays a crucial role in the inference to causation because, in the long run, it renders the two groups equivalent in terms of all other possible effects on the outcome (cancer) so that any changes in the outcome will reflect only the manipulation (smoking). Obviously, for ethical reasons this experiment cannot be performed, but the method is widely applicable for less damaging experiments. One limitation of experiments, however, is that whereas they do a good job of testing for the presence of some causal effect they do less well at estimating the size of that effect in a population of interest. (This is a common criticism of studies of safety of food additives that use doses much higher than people consuming the product would actually ingest.)
Closed versus open systems
In a closed system the data may suggest that cause A * B precedes effect C in a defined interval of time τ. This relationship can determine causality with confidence bounded by τ. However, this same relationship may not be deterministic with confidence in an open system where uncontrolled factors may affect the result.[7]
An example would be a system of A, B and C, where A, B and C are known. Characteristics are below and limited to a given time (such as 50 ms, or 50 hours). "^" means "not", "*" means "and":
^A * ^B => ^C (99.9999998027%)
A * ^B => ^C (99.9999998027%)
^A * B => ^C (99.9999998027%)
A * B => C (99.9999998027%)
One can reasonably claim, within 6 Standard Deviations, that A * B cause C given the time boundary (such as 50 ms, or 50 hours) IF And Only IF A, B and C are the only parts of the system in question. Any result outside of this may be considered a deviation.
See also
Notes
- ^ Mellor, D.H. (1995) The Facts of Causation, Routledge, ISBN 0-415-19756-2
- ^ a b Suppes, P. (1970) A Probabilistic Theory of Causality, Amsterdam: North-Holland Publishing
- ^ Stanford Encyclopedia of Philosophy: Interpretations of Probability
- ^ a b c Pearl, Judea (2000). Causality: Models, Reasoning, and Inference, Cambridge University Press.
- ^ Cartwright, N. (1989). Nature's Capacities and Their Measurement, Clarendon Press, Oxnard.
- ^ Eells, E. (1991). Probabilistic Causality Cambridge University Press, Cambridge, MA.
- ^ Markov Condition: Interpretations of Philosophy
References
- Hitchcock, Christopher. "Probabilistic Causation". In Zalta, Edward N. (ed.). Stanford Encyclopedia of Philosophy.