Although the modified Newtonian dynamics (MOND) proposed by Milgrom su
ccessfully accounts for the systematics of galaxy rotation curves and
cluster dynamics without invoking dark matter, the idea remains a larg
ely ad hoc modification of Newtonian dynamics with no basis in deeper
theory. Nonstandard scalar-tensor theories have been suggested as a th
eoretical basis for MOND; however, any such theory with the usual conf
ormal relation between the Einstein and physical metrics fails to pred
ict the degree of light deflection observed in distant clusters of gal
axies. The prediction is that there should be no discrepancy between t
he detectable mass in stars and gas and the lensing mass, in sharp con
tradiction to the observations (Bekenstein & Sanders). In the present
paper, I demonstrate that one can write down a framework for scalar-te
nsor theories that predict the MOND phenomenology for the low-velocity
(upsilon much less than c) dynamics of galaxies and clusters of galax
ies and are consistent with observations of extragalactic gravitationa
l lenses, provided that one drops the requirement of the Lorentz invar
iance of gravitational. dynamics. This leads to ''preferred-frame'' th
eories characterized by a nonconformal relation between the two metric
s. I describe a toy theory in which the local environment (the solar s
ystem, binary pulsars) is protected from detectable preferred-frame ef
fects by the very same nonstandard (aquadratic) scalar Lagrangian that
gives rise to the MOND phenomenology. Although this particular theory
is also contrived, it represents a limiting case for two-field theori
es of MOND and is consistent with a wide range of gravitational phenom
ena. Moreover, it is a cosmological effective theory which may explain
the near numerical coincidence between the MOND acceleration paramete
r and the present value of the Hubble parameter multiplied by the spee
d of light.