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With the advent of modern AI techniques, especially the brain-inspired tools known as deep neural networks, scientists can now squeeze a huge amount of utility from datasets far too big to be analyzed by hand. In disciplines as diverse as neuroscience, biochemistry, and climate science, the marriage of big data and AI has yielded extraordinary practical advancements. But the deep neural networks that are enabling these astonishing practical advances offer few clues about the nature of the data they were trained on or the intellectual basis of their predictions: They perform end runs around human insight while making far more accurate and useful predictions than our scientific theories enable. The seeds that could one day enable science to transition into a wholly practical regime, in which human understanding is construed as an unnecessary indulgence, have now been sown.
The epilogue reflects on the unifying themes that emerge across the scientific ideas explored in this book and considers their implications for the future of knowledge. A central lesson is that modern science has revealed fundamental limits – to prediction, to certainty, and even to what can be known in principle. From Gödel’s incompleteness theorems and Turing’s limits of computation to quantum uncertainty and chaotic dynamics, uncertainty appears not as a failure of understanding but as a structural feature of reality. A second recurring theme is that extraordinary complexity can arise from simple underlying rules, whether in computation, physics, biology, or planetary processes. Looking forward, the epilogue considers the growing role of artificial intelligence in scientific discovery, suggesting that future insights may increasingly be generated by systems whose internal reasoning is difficult for humans to interpret, even when their results can be verified. The book concludes by arguing that making sense of modern science requires embracing both humility and curiosity, as humanity navigates a future shaped by powerful ideas, computational tools, and enduring uncertainty.
Science is in the midst of an under-recognized revolution. For centuries, prediction in science went hand in hand with understanding: knowledge of what advanced in tandem with knowledge of how and why. But in recent years, AI tools have enabled scientists to make predictions that previously would have been impossible, even if they don't understand why those predictions hold true. Already, scientists have used these AI 'oracles' to design new drug candidates and help paralyzed people regain the ability to speak. These are consequential achievements. But they also raise a difficult question: If science can improve lives with prediction alone, should we still seek to understand the universe? In The Prediction Revolution, Grace Huckins, a trained neuroscientist and award-winning journalist, explores how AI is reshaping the relationship between prediction and understanding-and challenges us to consider what science is really for. This title is also available as open access on Cambridge Core.
Acute respiratory distress syndrome (ARDS) is a severe inflammatory lung injury caused by various factors, including infection, trauma and shock. The predominant pathological alteration in its late stages is pulmonary fibrosis (PF), characterised by progressive extracellular matrix deposition, architectural destruction and functional impairment. Particularly in COVID-19-induced ARDS, PF incidence has markedly increased, making it a major sequela impacting patients’ long-term quality of life.
Methods
This review systematically examines post-acute lung injury (ALI)/ARDS PF through three perspectives: pathogenesis, prediction and treatment.
Results
Mechanistically, the fibrotic process involves epithelial injury and mesenchymal transition, fibroblast activation with aberrant extracellular matrix remodelling, dysregulated inflammation with immune cell involvement and clinical management-related factors. For prediction, various biomarkers (including growth factors, matrix proteins and inflammatory markers) and imaging features (particularly high-resolution computed tomography (HRCT) and magnetic resonance imaging (MRI) characteristics) demonstrate clinical value. Integrated multiparameter models incorporating artificial intelligence show promise for early identification and risk stratification of high-risk patients. Therapeutic strategies encompass anti-inflammatory approaches (e.g., corticosteroids and antioxidants), antifibrotic agents (pirfenidone and nintedanib), cell-based therapies (mesenchymal stem cells and exosomes) and emerging genetic/RNA interventions. However, specific preventive and therapeutic approaches tailored to the post-ALI/ARDS PF population remain inadequate in clinical practice.
Conclusions
Future research should focus on elucidating underlying mechanisms, refining early-warning systems, exploring personalised treatments and facilitating clinical translation. The ultimate goal is to transition from traditional supportive care to proactive prevention through enhanced clinical surveillance, early prediction and rational intervention, thereby preventing fibrosis progression and improving outcomes in ARDS survivors.
Despite more than 90% of cases arising in the community, malnutrition is under-recognised in UK primary care. Current screening tools such as the Malnutrition Universal Screening Tool identify malnutrition once it is already established and are inconsistently implemented. As a result, malnutrition is detected late, after functional decline and avoidable harm have already occurred. Our narrative review highlights that existing malnutrition prediction tools were largely developed in hospital populations, show variable accuracy, and have not been validated for community use. Emerging machine-learning models demonstrate feasibility but are similarly limited. We outline the urgent need for automated, data-driven prediction models drawing on routinely collected primary-care data – such as weight trajectories, comorbidities, medications, and biochemistry markers – to identify individuals at future risk of malnutrition. A proactive, electronic health record-embedded approach could shift practice from reactive diagnosis to early intervention, with the potential to improve outcomes and reduce inequalities.
Throughout their history, philosophy and astronomy have been closely linked. Astronomy and cosmology inhabit novel epistemic spaces, and have novel epistemic aims, relative to more standard sciences. As the philosophy of astronomy emerges as an independent subdiscipline, the special nature of explanation and prediction within astronomy requires further examination and articulation. Unlike conventional experimental sciences, astronomy typically deals with entities and systems that are outside the reach of human intervention. Furthermore, astronomy and cosmology are historical sciences. This chapter evaluates the epistemology of astronomy by focusing on the canons of explanation, prediction, and theoretical success that are particular to astronomy. Demonstrations of the successes and shortcomings of philosophical models of explanation and prediction are given with respect to the eighteenth-century discovery of stellar aberration and the more recent conjectures of dark matter and dark energy.
This study examines how Uniform Information Density and the lexical verb position, predicting valency knowledge and disambiguation, influence the order of nominal dative and accusative objects in German from the fifteenth to twentieth century using corpus data and regression analysis. As a measure of sentence uniformity, DORM (Deviation of the Rolling Mean, Cuskley et al. 2021) is applied on unigram lemma surprisal values of each clause containing dative and accusative objects. The verb position is determined using the POS-information from the corpora. Further factors included in the analysis are the givenness status of the two objects, their length difference, and the period in which the texts were published.
In historical data and with uneven information profiles, Acc>Dat is expectedly more frequent in SVO while Dat>Acc is more common in SOV. In modern German, Dat>Acc is dominant independent of the verb position with uneven information profiles. The known influence of givenness is also attested. A balance between the frequency of grammatical construction and the lexical uniformity of the information profile can explain the results.*
Comprehenders must accommodate variable speech rates during real-world communication, including rapid speech that necessitates rapid processing. This research investigated whether non-native comprehenders predict (i.e., what will come next) even when hearing rapid speech. Native and non-native participants heard predictive and non-predictive sentences (e.g., “ride…” vs. “spot…”) at normal and fast speech rates (e.g., averaging ~3 vs. 9 syllables per second) while viewing visual arrays with predictable and unrelated objects (e.g., bike vs. kite). Across both groups and rates, participants made predictive mouse cursor movements to predictable objects (e.g., before hearing “bike”). In addition, these groups and rates differed quantitatively. These results suggest that prediction has a qualitatively similar function in native and non-native sentence processing, which supports speeded comprehension.
Prediction is explored as both a core human cognitive function and a defining strength of AI systems. The chapter traces the history of prediction from statistical forecasting to modern personalization engines. It explains how humans rely on heuristics, experience, and context, while AI systems leverage large-scale data and probabilistic modeling. Applications in advertising, healthcare, and education illustrate AI’s predictive power, but the chapter also warns of pitfalls such as overfitting, bias, and Goodhart’s Law (when metrics distort outcomes). The key argument is that prediction succeeds when human judgment and machine learning complement one another, not when either acts alone.
This chapter argues that two of the common methods used in behavioural and social sciences to reduce the chances that models overfit the available data, namely heavy reliance on benchmark models and rigorous parameter estimation techniques, can slow the advancement of these sciences. An examination of classical decision research highlights how applying these methods shaped the field but have also led to limited success. As an alternative, the chapter proposes a prediction-oriented approach to the development of behavioural models. Evaluating and comparing models based on their predictive power inherently guards against overfitting and also facilitates accumulation of knowledge. The chapter reviews research employing the prediction-oriented approach in behavioural decision research and demonstrates that, in contrast to a common misconception, the focus on predictions can also facilitate better understanding of the underlying processes.
A theory of some finding or observation is an explanation of that finding or observation. Further, a good theory is a set of principles that are sufficient to show that the phenomenon is an instance of more general phenomena or principles. But not all explanations help us understand general phenomena because they lack some fundamental characteristics. The necessary characteristics of adequate explanations include explicit definitions and precise and limited scope, that is, they do not attempt to explain everything about a given event or action. Further, they can be tested with empirical data; they do not appeal to supernatural forces or to explanations with claims that testing is not necessary.
The case of bilingualism is a challenge for psycholinguists who aim to understand how the two (or more) languages of a bilingual are represented in the brain, whether they are organized similarly and how bilinguals manage to keep their languages apart. We first review studies that investigate the organization of the two languages in the brain and whether they interfere with each other during access to the lexicon and syntactic representations. In the second part of the chapter, we report neurolinguistic studies that examine cognitive processes and neural perspectives in monolinguals and bilinguals, with a special focus on factors that may influence bilingual language processing such as proficiency and age of acquisition. Finally, in the third part of the chapter we present theories on L2 processing and discuss the studies presented earlier in relation to these theories. In addition, we have extended the sections on lexical access in sentence context and syntactic processing by including recent studies that reflect the flourishing interest for bilinguals’ ability to predict upcoming words online during sentence comprehension.
In this chapter, we introduce the concept of regression, which is a way to quantify the relationship between an outcome Y and a vector of features X. This relationship is expressed by the regression function, which is the mean of Y given X. This chapter discusses the main ideas and goals of regression analysis.
Progress in the social sciences entails developing and improving theoretical understanding of social phenomena and improving methods for collecting and analyzing data. Theories organize what we know or expect to learn about phenomena and methods provide the evidential basis for the theories. While we have witnessed great strides in the development of statistical methods, there is less information for developing theories. In Developing Theories in the Social Sciences, Jane Sell and Murray Webster Jr. describe an approach for logical, consistent, and useful explanatory theories for social scientists. They emphasize properly defining concepts to embed in theoretical propositions, while providing guidelines for avoiding missteps that can occur, including imprecise definitions, incomplete assumptions, and missing scope conditions. Offering examples from different disciplines, the authors propose a structured method vital for building and refining theories about social phenomena.
Assembling and evaluating warrant for your claims involves giving reasons why these claims might be true or false. Such reasons may be understood as consisting of conjunctions of factual and relevance claims which may be adduced in favour of the claims in question. These claims themselves may in turn be warranted by further such conjunctions, and so on through indefinite higher ‘levels’ of evidence. We show how to structure relevant claims into an evidence role-map. We set out how to apply this to indirect local evidence, referencing a situation-specific causal equation model of each causal step. By reference to our pluralistic account of causation, we identify eight categories of evidence for each step. We introduce a notation for this approach and illustrate it using the Barbados sugar-sweetened beverage tax example, describing its use in post-hoc evaluation and ex ante prediction.
Music rhythm and speech rhythm share acoustic, temporal and syntactic similarities, and neuroscience research has shown that similar areas and networks in the brain are recruited to process both types of signals. Rhythm is a core predictive element for both music and speech, allowing for facilitated processing of upcoming, predicted elements. The combined study of music and speech rhythm processing can be particularly insightful, considering the stronger regularity and predictability of musical rhythm. Although speech rhythm is less regular, it still contains regularities, notably at syllabic and prosodic levels. In this chapter, we outline different research lines investigating connections between music and speech rhythm processing, including the recently proposed processing rhythm in speech and music framework, as well as music rhythm interventions and stimulations that aim to improve speech signal processing both in the short term and the long term. Implications for developmental language disorders and future research perspectives are outlined.
Spoken and written language are likely to share many aspects of how they are represented in the human mind. For instance, it would be highly inefficient for the brain to store the meaning of words separately for its spoken and written forms. Instead, shared representations across modalities allow for interaction between them, meaning that the effects of written language can directly influence spoken language processing. As a result, predictive learning that occurs during reading naturally transfers to spoken language. Knowledge accumulated through reading, along with the predictive behavior it fosters, can thus directly support prediction in speech as well.
Human fetuses, similar to adults, demonstrate a predictable response to a gradually evolving hypoxic stress due to a progressive increase in the frequency, duration, and strength of ongoing uterine contractions. Initial attempts to protect the myocardial workload to maintain the positive energy balance and preservation of aerobic metabolism within the myocardium is manifested by the onset of decelerations on the CTG trace. If the hypoxic stress progressively worsens, the fetus will release catecholamines to increase cardiac output and tissue perfusion, as well as to redistribute oxygenated blood from ‘non-essential’ organs by peripheral vasoconstriction to fetal central organs to ensure continuation of aerobic metabolism due to this ‘centralization’. Failure of these compensatory responses either due to poor fetal reserve, worsening intensity of hypoxia, or exhaustion of fetal reserves will lead to fetal decompensation and the onset of anaerobic metabolism within fetal central organs (i.e. brain, heart, and adrenal glands). These changes can be predicted by application of the knowledge of fetal physiological responses to a gradually evolving hypoxic stress.
This chapter discusses the move to modern meteorology, the science of weather. As meteorology has moved from antiquity through modernity, as we’ve sliced and diced the various aspects of weather into measurable, quantifiable units, we have demystified and changed our thinking about weather altogether. Without question, this conceptual slicing and dicing has increased our understanding of weather phenomena and improved the predictive validity of our forecasts, but it has also in many ways removed us from the most hazardous front lines of weather. The objective of this chapter is more epistemic than practical, to suggest that our relationship with weather has changed as we’ve learned to conceptualize weather differently. The final section of the chapter discusses the ways in which the demystification and quantification of weather has been adapted to characterize weather and its impacts as risk.
People’s expectations about the outcomes of elections often match their preferences, suggesting that people engage in wishful thinking. This often-documented link between people’s preferences and expectations is particularly pervasive and difficult to debias. One recent exception was a study by Rose and Aspiras (2020, Journal of Behavioral Decision Making, 33(4), 411–426), where participants who went through a brief perspective-taking intervention showed a reduced preference–expectation link when making predictions about the 2016 U.S. presidential election. We used a similar intervention and extended their research to the 2020 U.S. presidential election. In contrast to Rose and Aspiras, the link between people’s preferences and their expectations was not affected by the perspective-taking intervention. Regardless of whether participants took the perspective of another person or not, they exhibited a strong tendency to predict that their preferred candidate would win. Differences between our study and the study by Rose and Aspiras are discussed, as are the implications of our findings.