Artificial intelligent (AI) systems used in medicine are often very reliable and accurate, but at the price of their being increasingly opaque. This raises the question whether a system’s opacity undermines the ability of medical doctors to acquire knowledge on the basis of its outputs. We investigate this question by focusing on a case in which a patient’s risk of recurring breast cancer is predicted by an opaque AI system. We argue that, given the system’s opacity, as well as the (...) possibility of malfunctioning AI systems, practitioners’ inability to check the correctness of their outputs, and the high stakes of such cases, the knowledge of medical practitioners is indeed undermined. They are lucky to form true beliefs based on the AI systems’ outputs, and knowledge is incompatible with luck. We supplement this claim with a specific version of the safety condition on knowledge, Safety*. We argue that, relative to the perspective of the medical doctor in our example case, his relevant beliefs could easily be false, and this despite his evidence that the AI system functions reliably. Assuming that Safety* is necessary for knowledge, the practitioner therefore doesn’t know. We address three objections to our proposal before turning to practical suggestions for improving the epistemic situation of medical doctors. (shrink)

Recent years have seen a shift in epistemological studies of intellectual self-trust or epistemic self-trust: intellectual self-trust is not merely epistemologists’ tool for silencing epistemic skepticism or doubt, it is recognized as a disposition of individuals and collectives interesting in its own rights. In this exploratory article I focus on a particular type of intellectual self-trust—collective intellectual self-trust—and I examine which features make for valuable or pernicious collective intellectual self-trust. From accounts of the value of individual intellectual self-trust I take (...) three frameworks for evaluating collective intellectual self-trust: an epistemically consequentialist, a virtue-theoretic and a prudential/pragmatic framework (§2). Then I introduce collective intellectual self-trust (§3). Against this background I explain what is distinctive of valuable collective intellectual self-trust (§4) and pernicious collective intellectual self-trust (§5) within the three frameworks. I close by discussing the relation between the three frameworks and argue that evaluating intellectual self-trust requires a multi-perspectival approach constituted by the three frameworks. (shrink)

Epistemic emotions – namely affective phenomena like curiosity, certainty, and doubt – have been claimed to play a key role in epistemic evaluation and motivation, and, relatedly, to be an integral aspect of the epistemic virtues. In this paper I argue that the experience of epistemic emotions is extensively shaped by self-trust. More specifically, I claim that the set of epistemic emotions that we can undergo, and how these unfold over time, is modulated by the level of trust in one’s (...) abilities as a knower. I do so by drawing on research on epistemic injustice, as well as through the exploration of some features of obsessive-compulsive disorder (OCD) and depression. I then argue that the connection between epistemic emotions and self-trust can be best accounted for by conceiving of self-trust, through the framework of philosophical phenomenology, as an affective background orientation which has a structuring role in our cognitive and affective experience. (shrink)