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)

In the present paper I analyse the modularity thesis and, more specifically, the thesis of domain-specificity of processing. I argue that this thesis is not trivial only under the assumption of a variety of processes which differ from each other at the implementation level; otherwise, the variety of cognitive processes can only be explained as emergent on the basic mechanism of associative activation in that it operates on domain-specific representations, which is something that no one would deny. But that assumption (...) is untenable: there are no other processes than associative activation (and inhibition) at the implementation level. Any claim to the contrary is the result of a conceptual confusion between two senses of “associative”: a behavioural one, relative to which there are cognitive processes that exceed the ability to code elementary spatio-temporal contingencies, and one that lies instead at the implementation level. Since the assumption of a plurality of processes at the implementation level is untenable, the only viable interpretation of modularism (as far as domain-specificity is concerned) is a trivial one. By this I do not mean that the thesis is devoid of any content. However, its content is scarcely debatable, and far less thrilling than the debate has suggested so far. (shrink)