In the domain of medical science, factual evidence is usually considered as the criterion on which to base decisions and construct hypotheses. Evidence-based medicine is the translation of this approach into the field of patient care, and it means providing only the type of care that is based on evidence that proves its effectiveness and appropriateness. However, while the literature has focused on the types and force of evidence used to establish the recommendation and treatment guidelines, the problem of how (...) evidence is used in doctor–patient interactions to motivate, or refuse, treatment or habit change has been almost completely neglected. In this specific context, characterized by the epistemic unbalance between the interlocutors and a specific conversational goal, the scientific categories of evidence are often irrelevant. The goal of this paper is to address this challenge by analyzing the role evidence plays in doctor–patient interactions in diabetes care. After introducing an analytical distinction between the epistemic and the pragmatic aspect of evidence, we will propose a classification of the types and functions of evidence in chronic care communication, and illustrate its possible uses through its application to our corpus of diabetes-care consultations. From our qualitative analyses, it is possible to observe how in this communicative context a crucial role is played by the conflicts of evidence, in which providers correct patients’ uses of evidence leading them to using less defeasible levels of evidence. (shrink)

This inaugural handbook documents the distinctive research field that utilizes history and philosophy in investigation of theoretical, curricular and pedagogical issues in the teaching of science and mathematics. It is contributed to by 130 researchers from 30 countries; it provides a logically structured, fully referenced guide to the ways in which science and mathematics education is, informed by the history and philosophy of these disciplines, as well as by the philosophy of education more generally. The first handbook to cover the (...) field, it lays down a much-needed marker of progress to date and provides a platform for informed and coherent future analysis and research of the subject. -/- The publication comes at a time of heightened worldwide concern over the standard of science and mathematics education, attended by fierce debate over how best to reform curricula and enliven student engagement in the subjects There is a growing recognition among educators and policy makers that the learning of science must dovetail with learning about science; this handbook is uniquely positioned as a locus for the discussion. -/- The handbook features sections on pedagogical, theoretical, national, and biographical research, setting the literature of each tradition in its historical context. Each chapter engages in an assessment of the strengths and weakness of the research addressed, and suggests potentially fruitful avenues of future research. A key element of the handbook’s broader analytical framework is its identification and examination of unnoticed philosophical assumptions in science and mathematics research. It reminds readers at a crucial juncture that there has been a long and rich tradition of historical and philosophical engagements with science and mathematics teaching, and that lessons can be learnt from these engagements for the resolution of current theoretical, curricular and pedagogical questions that face teachers and administrators. (shrink)

The biggest challenges facing science education have possibly been accessibility and relevance to its target audiences—challenges that have become more pronounced with the increasingly multicultural nature of teaching and learning environments. How does one render accessible a field of inquiry that has often been viewed as unnatural, difficult, or the intellectual playground of a select few? How does one instil in students a sense of relevance of science to their own lives and experiences, especially as science has its own culture (...) with a special language, traditions, conventions, beliefs, and values; and if teaching and learning take place in a language and culture other than their home language and culture; and if it does not seem to engage, respect, and honour their prior knowledge, past experiences, and cultural perspectives? Recent decades have seen various approaches to multicultural education, the transformation of science education, and the learning of scientific knowledge, concepts, and practices in non-Western or indigenous societies. Chief among these approaches are the drives toward indigenisation, on the one hand and toward internationalisation, on the other. After reflecting on lessons from Africa regarding the debates around Africanisation and globalisation, we examine the idea of Transkulturalität[transculturality]—as contrasted with multiculturality and interculturality. (shrink)

The purpose of this study was to explore rural and provincial students' conceptualizations of nature in Colombia alongside the science education offered in their school communities. Students' perceptions of nature were produced from interviews that revolved around a focusing event and two eliciting devices to document their views about home, school science, and nature. Eighteen students from two urban and one provincial school communities were invited to participate in an interview. An anthropological approach to education allowed for case descriptions in (...) urban and provincial settings in a northeastern region of Colombia, South America. The findings specifically reflect how multiple worldviews correlate with the framework of school science. (shrink)

The present study has two goals: to explore elementary students’ understanding of evidence and the ways they deploy it to construct arguments, and to examine whether eliciting their concept of evidence during argumentation improves students’ evidence-based reasoning. Individual semi-structured interviews were conducted with 4th and 6th graders in a public school in Mexico. We found significant differences between groups regarding the concept of evidence, with better performance in the older group. A positive correlation between the concept of evidence and the (...) quality of evidence-based reasoning was found. Also, three performance profiles were observed after eliciting the concept of evidence when grade was excluded as a factor. Results suggest that the concept of evidence plays an essential role in developing argumentative competence in pre-adolescence. (shrink)