Sterelny (2003) develops an idealised natural history of folk-psychological kinds. He argues that belief-like states are natural elaborations of simpler control systems, called detection systems, which map directly from environmental cue to response. Belief-like states exhibit robust tracking (sensitivity to multiple environmental states), and response breadth (occasioning a wider range of behaviours). The development of robust tracking and response-breadth depend partly on properties of the informational environment. In a transparent environment the functional relevance of states of the world is directly (...) detectable. Outside transparent environments, selection can favour decoupled representations. Sterelny maintains that these arguments do not generalise to desire. Unlike the external environment, the internal processes of an organism, he argues, are selected for transparency. Parts of a single organism gain nothing from deceiving one another, but gain significantly from accurate signalling of their states and needs. Key conditions favouring the development of belief-like states are therefore absent in the case of desires. Here I argue that Sterelny’s reasons for saying that his treatment of belief does not generalise to motivation (desires, or preferences) are insufficient. There are limits to the transparency that internal environments can achieve. Even if there were not, tracking the motivational salience of external states suggests possible gains for systematic tracking of outcome values in any system in which selection has driven the production of belief-like states. (shrink)

It is a rare privilege to have such eminent and insightful reviewers. Their kind words about the book are much appreciated – perhaps more than they realise. And I'm grateful to all three for having read the book so constructively. Each has given me several things to think about. In the space available here I will focus on the objections that seem most critical. Robert Rupert argues that I rely on an overly narrow understanding of what the cognitive sciences explain (...) (x1). Elisabeth Camp presses me on what precisely it takes to qualify as a structural representation and raises questions about holism (x2). John Krakauer makes a fundamental objection to positing representations when they seem not to be needed to explain behaviour (x3). Rupert has also provided a useful introduction to the book, so I will jump straight in with my replies. (shrink)

While evidence-based medicine (EBM) is often accused on relying on a paradigm of 'absolute truth', it is in fact highly consistent with Karl Popper's criterion of demarcation through falsification. Even more relevant, the first three steps of the EBM process are closely patterned on Popper's evolutionary approach of objective knowledge: (1) recognition of a problem; (2) generation of solutions; and (3) selection of the best solution. This places the step 1 of the EBM process (building an answerable question) in a (...) pivotal position for the understanding of the whole process, and underscores a few aspects which are often overlooked in EBM courses. First in this step internal evidence (including personal expertise) must be appraised and integrated in the problem. Second, issues of applicability of the possible solution should be anticipated. Third, and possibly more important, the goal of the intervention should be set at this stage (typically by choosing the outcome in a PICO question). Depending whether or not goals depend on the goals of others, and whether they concern others' voluntary behaviour, goals may be classified as self-serving, moral, altruistic or moralistic. Thus, delicate ethical questions must be addressed at this stage, which means that patient preferences and values must be carefully sought, so that empathy, counselling and narrative medicine must be mastered to be able to formulate correctly an answerable question. The need to modify the current description of the EBM process to increase the recognition of implicit assumptions and increase the consistency of this model is discussed. (shrink)