My last post was about the Peak-End Rule, the way our brains remember events where we subjectively rate them based on an average between the peak moment and the end. A great experience can be ruined by a poor ending, while a poor experience can be remember more positively if it ends on a high note. Duration Neglect goes along with the Peak-End Rule to shape the way we subjectively remember an experience that doesn’t necessarily align with our actual experience of the event in the moment.
Regarding an experiment with individuals rating painful colonoscopies, Kahneman writes, “the duration of the procedure had no effect whatsoever on the ratings of total pain.”
Again, what mattered for individuals is the peak level of pain and the pain they experienced at the end of the procedure. Patients who had a short colonoscopy with a painful ending rated the entire experience as more painful than individuals who had an equal peak in pain, but overall had a longer colonoscopy that ended on a less painful note. If two patients experience the same peak of pain, but one experiences it early rather than at the end, the subjective pain ratings will be skewed, even if the person who had the peak at the end had less total pain because their procedure was shorter.
What this means for gastroenterologists is that it is better for the procedure to go long than to be painful. We can tolerate pain as long as it is spaced out and as long as the ending is relatively better than the peak. A procedure that lasts 20 minutes with an average pain level of 4 is better than a 5 minute procedure with an average pain level of 6. The mind doesn’t remember how long the pain lasted, it only remembers how bad the pain was at the peak.
We can translate this into our daily lives as well. If we know there is going to be something unpleasant, then we can try to space it out and frontload the unpleasantness, knowing that the ending will lift the overall subjective feeling if it is relatively better. And, if we have something that is really positive, we can see that it is truly is better to leave on a high note. Once we reach a peak in terms of positivity, any additional goodness will only diminish the overall rating of people’s experience. Adding more positive notes that don’t quite match the peak doesn’t actually help improve the overall level that people will ascribe to the event when they think back on it.