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Clinical Outcome Assessments and Epistemic RiskClinical Outcomes Assessments (COAs) are commonly used measures to quantify a patients’ symptoms, overall mental state or the effects of a disease or condition on how patients function. But the adequacy of the psychometric methods used to develop these instruments has been a topic of debate for over a century. Recent discussion has focused on the ontology of psychological attributes and what measurement theories and methods befit them. In this paper my aim is to reframe this debate from one about the appropriate ontology of psychological attributes, e.g. realist, operationalist needed to achieve measurement, to a debate about epistemic risk.
University of South Carolina