Edge of Knowledge — Canonical Stress-Test

Epistemic Failure in Medical Discovery

How high-confidence error forms, persists, and reveals itself too late.

Non-actionable · Exposure only · No intervention logic

Stress-Test Invocation

This stress-test activates under:

  • High model agreement
  • Strong internal validation
  • Weak external grounding
  • Institutional momentum resisting reassessment

Failure Progression Stages

Phase A — Hidden Assumptions

Confidence rests on unexamined premises.

Failure trigger: assumptions remain implicit.

Phase B — Counterfactual Reality

Alternate worlds exist where the system is wrong but appears correct.

Failure trigger: plausibility of unseen contradictions.

Phase C — Error Persistence

Error survives validation, replication, and peer review.

Failure mechanism: incentives + pipelines reinforce the same mistake.

Phase D — Late Revelation

Failure emerges indirectly and ambiguously.

Signal: delayed contradiction, not clean invalidation.

Phase E — Lock-In

System cannot reverse course without prohibitive cost.

State: recognition occurs after optionality is lost.

Failure Characteristics

  • Confidence remains high throughout
  • Error is structurally reinforced
  • Correction arrives too late
  • Failure is non-categorical and difficult to isolate

Output Constraints

  • No prescriptions
  • No interventions
  • No optimization paths
  • Exposure only

Stress-Test Judgment

The system fails not when confidence collapses—but when it remains high beyond the point of correction.

Canonical · Stress-Test · Non-actionable · Versioned