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Statistical Methods in Medical Research 4ed

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6.1 Subjective and objective probability 167<br />

tion should give equal probabilities, or probability densities, to all the possible<br />

values of the parameter. However, that approach is ambiguous, because a uniform<br />

distribution of probability across all values of a parameter would lead to a<br />

non-uniform distribution on a transformed scale of measurement that might be<br />

just as attractive as the orig<strong>in</strong>al. For example, for a parameter u represent<strong>in</strong>g a<br />

proportion of successes <strong>in</strong> an experiment, a uniform distribution of u between 0<br />

and 1 would not lead to a uniform distribution of the logit of u ((14.5), p. 488)<br />

between 1 and 1. This problem was one of the ma<strong>in</strong> objections to Bayesian<br />

methods raised throughout the n<strong>in</strong>eteenth century.<br />

A convenient way out of the difficulty is to use the family of conjugate priors<br />

appropriate for the situation under consideration, and to choose the extreme<br />

member of that family to represent ignorance. This is called a non-<strong>in</strong>formative or<br />

vague prior. A further consideration is that the precise form of the prior distribution<br />

is important only for small quantities of data. When the data are<br />

extensive, the likelihood function is tightly concentrated around the maximum<br />

likelihood value, and the only feature of the prior that has much <strong>in</strong>fluence <strong>in</strong><br />

Bayes' theorem is its behaviour <strong>in</strong> that same neighbourhood. Any prior distribution<br />

will be rather flat <strong>in</strong> that region unless it is is very concentrated there or<br />

elsewhere. Such a prior will lead to a posterior distribution very nearly proportional<br />

to the likelihood, and thus almost <strong>in</strong>dependent of the prior. In other<br />

words, as might be expected, large data sets almost completely determ<strong>in</strong>e the<br />

posterior distribution unless the user has very strong prior evidence.<br />

The ma<strong>in</strong> body of statistical methods described <strong>in</strong> this book was built on the<br />

frequency view of probability, and we adhere ma<strong>in</strong>ly to this approach. Bayesian<br />

methods based on suitable choices of non-<strong>in</strong>formative priors (L<strong>in</strong>dley, 1965)<br />

often correspond precisely to the more traditional methods, when appropriate<br />

changes of word<strong>in</strong>g are made. We shall <strong>in</strong>dicate many of these po<strong>in</strong>ts of correspondence<br />

<strong>in</strong> the later sections of this chapter. Nevertheless, there are po<strong>in</strong>ts at<br />

which conflicts between the viewpo<strong>in</strong>ts necessarily arise, and it is wrong to<br />

suggest that they are merely different ways of say<strong>in</strong>g the same th<strong>in</strong>g.<br />

In our view both Bayesian and non-Bayesian methods have their proper<br />

place <strong>in</strong> statistical methodology. If the purpose of an analysis is to express the<br />

way <strong>in</strong> which a set of <strong>in</strong>itial beliefs is modified by the evidence provided by the<br />

data, then Bayesian methods are clearly appropriate. Formal <strong>in</strong>trospection of<br />

this sort is somewhat alien to the work<strong>in</strong>g practices of most scientists, but the<br />

<strong>in</strong>formal synthesis of prior beliefs and the assessment of evidence from data is<br />

certa<strong>in</strong>ly commonplace. Any sensible use of statistical <strong>in</strong>formation must take<br />

some account of prior knowledge and of prior assessments about the plausibility<br />

of various hypotheses. In a card-guess<strong>in</strong>g experiment to <strong>in</strong>vestigate extrasensory<br />

perception, for example, a score <strong>in</strong> excess of chance expectation which was just<br />

significant at the 1% level would be regarded by most people with some scepticism:<br />

many would prefer to th<strong>in</strong>k that the excess had arisen by chance (to say

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