Miriam Solomon

Epistemic diversity is widely approved of by social epistemologists. This paper asks, more specifically, how much epistemic diversity, and what kinds of epistemic diversity are normatively appropriate? Bothlaissez-faireand highly directive approaches to epistemic diversity are rejected in favor of the claim that diversity is a blunt epistemic tool. There are typically a number of different options for adequate diversification. The paper focuses on scientific domains, with particular attention to recent theories of smell.

Social scientists regularly make use of multivariate models to describe complex social phenomena. It is argued that this approach is useful for modelling the variety of cognitive and social factors contributing to scientific change, and superior to the integrated models of scientific change currently available. It is also argued that care needs to be taken in drawing normative conclusions: cognitive factors are not instrinsically more "rational" than social factors, nor is it likely that social factors, by some "invisible hand of reason," generally work to produce scientific success. A multivariate model of the biasing factors within a scientific community at particular times is developed. This model, which is an example of work in social epistemology, yields normative conclusions.

Born to Rebel is an innovative and important work with much to say to philosophers of science, as well as historians and sociologists of science. Sulloway uses, successfully, quantitative statistical methods that others have despaired of using to analyze the complexities of historical change. In particular, he investigates scientific decision-making during scientific controversies with a multivariate analysis. The goal is to discern, precisely, the contribution of factors such as religious belief, social class, age, years of education, nationality, sex and personality.

Evidence-Based Medicine (EBM) developed from the work of clinical epidemiologists at McMaster University and Oxford University in the 1970s and 1980s and self-consciously presented itself as a "new paradigm" called "evidence-based medicine" in the early 1990s. The techniques of the randomized controlled trial, systematic review and meta-analysis have produced an extensive and powerful body of research. They have also generated a critical literature that raises general concerns about its methods. This paper is a systematic review of the critical literature. It finds the description of EBM as a Kuhnian paradigm helpful and worth taking further. Three kinds of criticism are evaluated in detail: criticisms of procedural aspects of EBM (especially from Cartwright, Worrall and Howick), data showing the greater than expected fallibility of EBM (Ioaanidis and others), and concerns that EBM is incomplete as a philosophy of science (Ashcroft and others). The paper recommends a more instrumental or pragmatic approach to EBM, in which any ranking of evidence is done by reference to the actual, rather than the theoretically expected, reliability of results. Emphasis on EBM has eclipsed other necessary research methods in medicine. With the recent emphasis on translational medicine, we are seeing a restoration of the recognition that clinical research requires an engagement with basic theory (e.g. physiological, genetic, biochemical) and a range of empirical techniques such as bedside observation, laboratory and animal studies. EBM works best when used in this context

_The_ _Routledge Companion to Philosophy of Medicine _is a comprehensive guide to topics in the fields of epistemology and metaphysics of medicine. It examines traditional topics such as the concept of disease, causality in medicine, the epistemology of the randomized controlled trial, the biopsychosocial model, explanation, clinical judgment and phenomenology of medicine and emerging topics, such as philosophy of epidemiology, measuring harms, the concept of disability, nursing perspectives, race and gender, the metaphysics of Chinese medicine, and narrative medicine. Each of the 48 chapters is written especially for this volume and with a student audience in mind. For pedagogy and clarity, each chapter contains an extended example illustrating the ideas discussed. This text is intended for use as a reference for students in courses in philosophy of medicine and philosophy of science, and pairs well with _The_ _Routledge Companion to Bioethics_ for use in medical humanities and social science courses.

Naturalistic epistemologists frequently assume that their aim is to identify generalities (i.e. general laws) about the effectiveness of particular reasoning processes and methods. This paper argues that the search for this kind of generality fails. Work that has been done thus far to identify generalities (e.g. by Goldman, Kitcher and Thagard) overlooks both the complexity of reasoning and the relativity of assessments to particular contexts (domain, stage and goal of inquiry). Examples of human reasoning which show both complexity and contextuality are given. The paper concludes with a discussion of the kind of multivariate model of reasoning that naturalistic epistemologists can use to evaluate processes and methods for specific domains.