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Testing knowledge: validation and regulation in the health and human sciences

Published online by Cambridge University Press:  23 October 2026

Lara Keuck*
Affiliation:
Institute for Studies of Science, Department of History, Philosophy and Theology, and Medical School OWL, Bielefeld University, Germany
Angela N. H. Creager
Affiliation:
Department of History, Princeton University, USA
*
Corresponding author: Lara Keuck; Email: lara.keuck@uni-bielefeld.de
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Abstract

This essay offers an overview of the importance of testing for forming objects of knowledge and decision making since the late nineteenth century, focusing on applications in the health and human sciences. We argue that scientific reductionism and bureaucratic priorities – as well as ideas of fairness, feasibility, and marketability – have shaped the development and institutionalization of standardized tests. Against this background, we zoom in on a key socio-epistemological question that has guided our collection: how do experts, patients and regulatory decision makers know that tests and their data are trustworthy? In the twentieth century, ‘validation’ became the term of art to discuss processes of showing that a test actually measures what it is intended to measure, and for certifying the reliability of test data for assessment and regulation. In this introduction, we draw on this issue’s articles and further literature to offer a scaffold of three historical phases of validating tests and highlight some overarching themes that cut across this chronology: testing for equivalence; the politics of statistical validation; and the contestation of validity by users, regulators and critics.

Information

Type
Introduction
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2026. Published by Cambridge University Press on behalf of British Society for the History of Science.
Figure 0

Figure 1. ‘Rat showing typical posture of immobility after 10 min immersion in water’. Image and caption reprinted from Roger D. Porsolt, Guy Anton, Nadine Blavet and Maurice Jalfre, ‘Behavioural despair in rats: a new model sensitive to antidepressant treatments’, European Journal of Pharmacology (1978) 47(4), pp. 379–91, Figure 1, at 380. Copyright (1978), with permission from Elsevier.