Issue: Issue 13 • Author/s: Daniel Auker-Howlett, Jon Williamson
Topics: Epidemiology, Epistemology, Philosophy of Medicine, Philosophy of science
As the COVID-19 pandemic has demonstrated, barriers to vaccination uptake are heterogeneous and vary according to the local context. We argue that a more systematic consideration of local social and behavioural mechanisms could improve the development, assessment and refinement of vaccination uptake interventions. The EBM+ approach to evidence appraisal, which is a development of a recent line of work on the epistemology of causality, provides a means to evaluate mechanistic studies and their role in assessing the effectiveness of an intervention. We argue that an EBM+ methodology offers several potential…
Issue: Issue 13 • Author/s: Annibale Biggeri, Andrea Saltelli
Topics: Epidemiology, Epistemology, Philosophy of Medicine, Philosophy of science
Never as with the present pandemics, numbers and the attendant activities of measuring and modelling have taken centre-stage. Yet these numbers, often delivered by academicians and media alike with extraordinary precision, rely on a rich repertoire of assumptions, including forms of bias, that can significantly skew both the numbers per se and the trust we repose in them. We discuss the issue in relation to a particular case relative to the numbers on excess mortality during the first wave of the Covid-19 pandemic in Italy. We conclude with some considerations…
Issue: Issue 13 • Author/s: Paolo Vineis, Andrea Saltelli
Topics: Epidemiology, Epistemology, Moral Philosophy, Philosophy of Medicine, Philosophy of science
This paper is inspired by a thesis on “immune capital” by Kathryn Olivarius. We suggest that the biological capital, which immunity capital is part of, should be considered as an additional component of the life-course experience of individuals, together with the traditional Bourdieu’s social, economic and cultural capitals that drive their lives. Building upon this concept, we consider the relationships between science, society and policy-making in the course of the pandemic. We suggest that we need to ‘reframe problems so that their ethical dimensions are brought to light’ (Jasanoff), with…
Issue: Issue 13 • Author/s: Virginia Ghiara
Topics: Epidemiology, Epistemology, Philosophy of Medicine, Philosophy of science
In this paper, I argue that evidence of biological and socio-behavioural mechanisms can contribute to the management of Covid-19. I discuss two examples that show how scientists are using different forms of evidence, among which mechanistic evidence, to answer questions about the efficacy of vaccines against Covid-19 and the effectiveness of vaccination interventions in different contexts. In the first example I claim that, due to the fast pace of the pandemic, mechanistic reasoning and evidence of biological mechanisms play an important role in the study of vaccines’ efficacy and the…
Issue: Issue 13 • Author/s: Elena Rocca, Birgitta Grundmark
Topics: Epidemiology, Epistemology, Moral Philosophy, Philosophy of Medicine, Philosophy of science
In this paper, we analyse some of the challenges that pharmacovigilance, the science of detecting and assessing possible adverse reactions from medical interventions, is facing during the COVID-19 pandemic. In particular, we consider the issue of increased uncertainty of the evidence and the issue of dealing with an unprecedented amount of data. After presenting the technical advances implemented in response to these two challenges, we offer some conceptual reflections around such practical changes. We argue that the COVID-19 emergency represents a chance to push forward critical thinking in the field…
Issue: Issue 16 • Author/s: Mauro Dorato
Topics: Epistemology, Metaphysics, Ontology, Philosophy of science, Theoretical philosophy
In the first part of the paper, I discuss three possible ways to achieve some unity between Sellars’ manifest and scientific image of the world. The plurality of scientific methods that I am advocating is compatible with the fact that all empirical sciences strive for beliefs based on the normative concepts of evidence, explanatory power, and experimental accuracy. Such methods provide different means to reach the common purpose of justification. In the second part of the paper, I criticize Sellars’ definition of the manifest image in terms of a suddenly…
Issue: Issue 16 • Author/s: Vincenzo Fano
Topics: Epistemology, Metaphysics, Ontology, Philosophy of science, Theoretical philosophy
Doing metaphysics by building on empirical sciences is a very controversial matter. This paper outlines a middle road between the Scylla of denying the possibility of metaphysics and the Charybdis of doing metaphysics a priori. This is possible if, on the one hand, we accept a moderate form of scientific realism. On the other, we establish a logico-epistemological framework adequate to face the underdetermination of metaphysical theses with respect to our best scientific theories. The case of the debate between eternalism and presentism tests my perspective. In this case study,…
Issue: Issue 17 • Author/s: Giovanni Buonocore, Emilia Margoni, Francesca Pero
Topics: Epistemology, Philosophy of mind, Philosophy of science, Theoretical philosophy
Stanford’s unconceived alternative argument is inductively based on the history of science and tells us that when a scientist is choosing a theory T1 at time t1 over a set of less promising alternatives, she is concurrently failing to conceive valid theoretical alternatives to T1, i.e., theories that will be accepted by a scientific community at later times, thus displacing T1. The aim of the present paper is to argue that the actual strength and reach of Stanford’s argument sensibly vary according to the status of the unconceived alternatives at…