A plausible explanation is offered why an experienced pathologist enga
ged in the screening of cervical smears should have issued a large num
ber of false-negative diagnoses. The explanation centres on the intera
ctions which occur between successive judgements when a sequence of si
milar stimuli are inspected. Briefly, those interactions have the char
acter of an assimilation of each judgement to its predecessor, and the
resultant process is capable of 'running away'. A procedure is sugges
ted, involving the provision of immediate knowledge of results for a s
mall proportion of the smears inspected, which would prevent such syst
ematic misdiagnoses from recurring in the future.