The paper investigates the epistemological and communicative competences the experts need to use and communicate evidence in the reasoning process leading to diagnosis. The diagnosis and diagnosis communication are presented as intertwined processes that should be jointly addressed in medical consultations, to empower patients’ compliance in illness management. The paper presents defeasible reasoning as specific to the diagnostic praxis, showing how this type of reasoning threatens effective diagnosis communication and entails that we should understand diagnostic evidence as defeasible as well. (...) It argues that metaphors might be effective communicative devices to let the patients understand the relevant defeasors in the diagnostic reasoning process, helping to improve effective diagnosis communication, and also encouraging a change in patients’ beliefs and attitudes on their own experience of illness and illness’ management. (shrink)

This paper discusses the epistemic status of biology from the standpoint of the systemic approach to living systems based on the notion of biological autonomy. This approach aims to provide an understanding of the distinctive character of biological systems and this paper analyses its theoretical and epistemological dimensions. The paper argues that, considered from this perspective, biological systems are examples of emergent phenomena, that the biological domain exhibits special features with respect to other domains, and that biology as a discipline (...) employs some core concepts, such as teleology, function, regulation among others, that are irreducible to those employed in physics and chemistry. It addresses the claim made by Jacques Monod that biology as a science is marginal. It argues that biology is general insofar as it constitutes a paradigmatic example of complexity science, both in terms of how it defines the theoretical object of study and of the epistemology and heuristics employed. As such, biology may provide lessons that can be applied more widely to develop an epistemology of complex systems. (shrink)

Inferentialism, especially Brandom’s theory, is the project aimed at understanding meaning as determined by inferences, and language as a social practice governed by rational discursive norms. Discursive practice is thus understood as the basic rational practice, where commitments undertaken by participants are evaluated in terms of their being correct/incorrect. This model of explanation is also intended to rescue, by means of reasons, the commitments we undertake ourselves and assess the commitments we attribute to others, in an objective sense: starting from (...) our subjective normative and doxastic attitudes we should be able to use the normative discursive resources apt to assess our commitments, not only referring to what we take to be correct, but also referring to how things actually are.My hypothesis is that this objectivity is not achieved only on the basis of the rational structure of discursive practice. The main worry concerns the fact that material inferences, those responsible for the content of our concepts (and commitments), are in general non-monotonic. These inferences put experts in an advantageous position,namely as those capable of defeasible reasoning. I propose a view by which this asymmetry among language users is the crucial factor in assessing the objectivity of claims within discursive practice. (shrink)