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Explainability has become central to discussions of trustworthy and responsible intelligent systems, yet it is frequently reduced to the technical production of information about model structure, features, rules, or predictions. This critical review examines why opening a computational black box is not equivalent to producing an explanation that people can understand or use responsibly. The review synthesises conceptual, technical, human-centred, decisional, and accountability-oriented scholarship to evaluate the shift from model interpretability toward meaningful explanation. It distinguishes technical properties such as transparency, fidelity, plausibility, completeness, stability, and local or global scope from human outcomes such as comprehension, cognitive accessibility, mental-model development, decision usefulness, calibrated trust, and appropriate reliance. It further examines how explanations may produce overreliance, underreliance, automation bias, false reassurance, cognitive overload, or explanation mismatch when their content and presentation are not aligned with users, tasks, uncertainty, and decision consequences. From an accountability perspective, explanations may contribute to auditability, traceability, contestability, and recourse, but they cannot independently assign responsibility, provide institutional authority, or guarantee effective remedies. The main contribution is a human-centred critical synthesis that treats explainability as a socio-technical achievement rather than a model output. Meaningful explanation requires technical credibility, cognitive accessibility, contextual relevance, decision-sensitive evaluation, uncertainty communication, opportunities for challenge, and governance mechanisms capable of acting on explanatory evidence. The review therefore rejects universal explanation-sufficiency claims and identifies conditions under which explanations may assist understanding and responsible decision use without being treated as proof of trustworthiness, accountability, fairness, safety, or deployment readiness.

Explainable artificial intelligence increasingly seeks to provide more than visualisations of feature importance or simplified descriptions of model outputs. For intelligent systems used in consequential settings, machine reasoning should be open to questioning, inspection, contextualisation, correction, and evaluation under uncertainty. This integrative review examines emerging approaches that may support this broader objective. It connects causal explainability and counterfactual reasoning with neuro-symbolic intelligence, knowledge-grounded inference, uncertainty-aware explanation, reliability evaluation, and human-centred interpretability. The review uses a structured integrative approach to compare how these paradigms represent causes, alternatives, rules, concepts, knowledge sources, inferential steps, confidence, and limitations. Causal and counterfactual approaches can support questions about mechanisms, contrasts, interventions, actionability, and recourse, but their conclusions depend on explicit assumptions, feasible alternatives, and appropriate causal evidence. Neuro-symbolic and knowledge-grounded approaches can make concepts, relations, rules, provenance, and intermediate reasoning more traceable, although symbolic structure or retrieved knowledge does not automatically ensure faithful, valid, or truthful explanation. Uncertainty-aware approaches can qualify predictions and explanations through uncertainty characterisation, calibration, confidence communication, robustness assessment, and human interpretation, but uncertainty estimates alone do not establish reliability. The synthesis indicates that no individual paradigm is sufficient. More defensible machine reasoning requires complementary evaluation of explanation fidelity, causal plausibility, knowledge validity, reasoning traceability, uncertainty communication, cognitive accessibility, contestability, and lifecycle accountability. Important research opportunities concern causal validation, feasible recourse, provenance governance, explanation uncertainty, hybrid-system evaluation, human-centred testing, and cross-paradigm assessment. The review contributes an integrated account of how machine reasoning may become not merely visible, but meaningfully open to question.