Euclidean or Projective Care?

How many dimensions does a written - narrative record have?

Sketching out some ideas, I asked the question on Google and as usual an AI Overview response followed - snippet:

AI Overview

A physical written record has two primary spatial dimensions (length and breadth/width) as a flat document, or three dimensions (including thickness or depth/height) when considering its physical form or binding. [1, 2]

In archival and Records Continuum theory, a written record exists dynamically across four conceptual dimensions: [1, 2].

I put the question to the Records Management list with the above snippet and received several useful suggestions and sources. Perhaps I can share that at a future point? 

Acutely aware of not pursuing maths and category theory for its own sake, the query was driven by an attempt to look at Hodges' model in mathematical terms. Starting, rather obviously with the models structure and axes. When the model is assembled, as per many posts, the vertical axis:

INDIVIDUAL
|
GROUP

- shouts out the issue of parity and the distinction between mind and body. It does this at the individual and collective level. If we were to draw a silo, a cylinder springs to mind, and there are specific reasons for silos adopting this shape. Descartes gives us the perfect excuse, in the ongoing legacy. 

     Mathematical Visions

The question above came up from Joan L. Richards book 'Mathematical Visions' (c/o Lancaster Univ. library). Euclidean and the emergence of projective geometry is described. There is an interplay between 2D and 3D representation, that made me think about the health record and its dimensions. Not in a dataset sense (multi-dimensional), more generally and concretely(?). A patient's record on paper has physical dimensions (A4), there is a flow. An EHR has its virtual dimensions (discuss!). Abstractly the content is a time machine. At some point in a health encounter it is a literal 'history', the level of detail in accord with the context. The record might present the problem, premorbid situation, diagnosis, current state, observations and prognosis and much more.

I can revisit this, Richards provides a series of figures. We progress from two distinct circles (my silos) through to examples with a discussion of continuity and projection that sees the circles touching, then intersecting. This is a radical axis.

Richards, Joan L. (1988), Mathematical Visions: The Pursuit of Geometry in Victorian England, Boston: Academic Press, ISBN0-12-587445

Book cover: Amazon.

World Patient Safety Day 2026

World Patient Safety Day calls for global solidarity and concerted action by all countries and international partners to improve patient safety.

The Day brings together patients, families, caregivers, communities, health workers, health care leaders and policy-makers to show their commitment to patient safety.

The resolution WHA 72.6 ‘Global action on patient safety’ recognizes patient safety as a global health priority and endorses the establishment of World Patient Safety Day to be observed annually on 17 September. ...

Source:  https://www.who.int/campaigns/world-patient-safety-day

Philosophical Counselling Reading Group [and Hodges' model]

The discovery of a reading group on philosophical counselling (PC), through University of Liverpool, continues to prove helpful; to utilise professional experience, that included counselling, family therapy, cognitive therapy in psychoses, and practical experience as a mental health nurse (in-patient and community). There is overlap with Hodges' model, but it's fascinating and rewarding to listen and learn from practitioners of PC. As noted before, I was aware of PC through two popular philosophy magazines. This time around we read:

Ran Lahav, “Philosophical Counseling and Self-Transformation,” in Philosophy, Counseling, and Psychotherapy, eds. Elliot D. Cohen & S. Samuel Zinaich, Jr. (Newcastle upon Tyne: Cambridge Scholars Publishing, 2013), 82.

Abstract

This paper presents my approach to philosophical counseling, which is geared towards self-transformation, and is inspired by important thinkers throughout the history of Western philosophy whom I call transformational thinkers. I take from these thinkers the realization that our daily life is normally confined to rigid and superficial attitudes towards ourselves and our world. This is because individuals’ everyday attitudes are based on limited understandings of life, which form what I call the person’s perimeter, or perimetral worldview. The goal of philosophical counseling, as I see it, is to help counselees transcend their constricted perimetral worldview, or in the language of Plato – to realize that they are imprisoned in a “cave,” and then to step out of it towards a fuller reality. A case study is presented to illustrate the two main stages of the counseling process. 

I know there is the (biblical) phrase 'Seek and you will find'; but there is also the notion of seeing only what you seek, and missing other content - contexts. This is marked in beliefs and the development of delusional ideas. 

Of interest to me, Lahav discusses (as indicated above) a person’s perimeter, or perimetral worldview. 

We still hear how difficult it is for people to access help. I wondered (again) about referral pathways for PC? The nature of the person's problems that prompts them to seek help? Lahav acknowledges the complexity here. Speaking of 'prompt', of course now there is AI in the mix. Lahav points out how PC does not quite have the foundation and hence theoretical impetus (and rigour?) that Freud provided to psychoanalysis and psychotherapy. 

PC is, however, to some extent a broad field: '... philosophical practice has come to include several different formats in which it is practiced: one-time workshops for the general public, philosophical retreats, long-term self-reflection groups, the philosophical café, and of course philosophical counseling'. 

I wonder if philosophical counsellor's could have a role, post AI / agentic ai interventions. This could provide a step-down assurance, and be rolled into 'treatment / intervention programmes'. This could help retain the humanistic element of duty of care, underscore the person_al in care architectures/systems and provide a step-down - just in-case AI has missed, or upset something? The acknowledged strength of AI in not being subjective is balanced. Although evidence also points to misogynistic responses derived through what can be biased, and prejudiced learning sources: thus a reflection of 'society'.

In the introduction, more encouragement with reference to situated, a general map, and basic - fundamental aspects. There are (at least) two domains: 'the domain of philosophical discourse and the domain of everyday life and predicaments'. 

Hodges' model was created to facilitate the FIRST approach in PC, the Critical Thinking Approach, with an associated subtype of Problem-Solving Approach. 

It was also designed to help with the theory-practice gap. Lahav describes this in the how and what of philosophy and PC itself. I wondered to what extent if the approach of PC 'leave out the more important “what” of great philosophies.' then would a counselee be denied avenues to learning, as we may be drawn to specific philosophical schools of thought, and crucially reasoning?

The SECOND approach to PC is the Edification Approach. The author has adopted this second approach in practice.

Guess what? Yes, you've got it. Hodges' model can actually close a circle here. Or, more accurately help sustain the reflective, reflexive, recursive ... reasoning loop as needed. Another objective of Hodges' model is to produce reflective practitioners, critical thinkers and lifelong learners.

A take-away for me is the 'perimeter and the perimetral worldview'. A search for 'perimeter' here on W2tQ is null.^ I'm also wondering about transformation (in the title) and throughout the paper.

There may be an example here were a domain of Hodges' model can itself reflect the model, as in the Intra- Interpersonal domain below.

Lahav employs a case study to illustrate his thought and practice. The discussion really helped improve my reading and understanding of this.

individual

|
INTERPERSONAL : SCIENCES             

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL   

|

group

Psychology   | Philosophy(-isms) ________________________________ Psycho-Social|  Psychotherapies	basic - fundamental general map
case study	referral pathways

^'Peripheral' does feature in posts.

Paper: What factors influence evidence use in policy? An updated systematic map

 Abstract  [ REVIEW | Article in Press ]

In 2014, a large systematic map found that relational factors were amongst the most frequently reported facilitators of evidence use in policy. Since then, there has been a growth in evidence-use initiatives and research, many of which have attempted to address relational factors. In this timely updated map, we describe the current state of research about which factors influence evidence use in policy. A search strategy combining ‘evidence’, ‘barriers and facilitators’ and ‘policy/policymakers’ was used to identify studies across 15 electronic databases between 2012 and 2022. Studies were screened for those that include empirical data about evidence use in policy. Data extraction enabled descriptive analyses characterising studies in terms of focus, topic area, setting, and types of factors influencing use. Two thousand, one hundred and ninety-nine studies were included, a 20-fold increase over 10 years. The most commonly reported factors influencing use were the relevance of evidence, and then organisational (resources, skills, personnel and managerial support). A large number of studies reported on evidence-use interventions (n = 877) of which 379 were evaluations. Findings may indicate a shift towards relational and systemic thinking about evidence use. There appears to be a growing recognition of the resourcing, work, time, and workforce required to embed evidence use within and between organisations. With this huge growth in the literature, particularly in new evidence use interventions being tested across policy sectors, continued review and mobilisation is necessary to effectively inform the design and implementation of evidence use interventions and research.

Oliver, K., Malin, J., Akerlof, K.L. et al. What factors influence evidence use in policy? An updated systematic map. Humanities and Social Sciences Communications. (2026). 
https://doi.org/10.1057/s41599-026-08391-6

Not a citation for Hodges' model, but I am grateful to Prof. Oliver and co-authors for being able to assist with data extraction using EPPI-Reviewer Screening Wizard. The preceding patience and guidance to complete the coding tasks was also invaluable in being transferable. I learned a great deal and it has been perversely reassuring (disheartening!) to see that the path to final publication is also 'circuitous' for academics.^  An additional lesson is building on existing work and publication (Oliver, 2014) to revisit a method and research question. (Updates to follow).

Previously: 'map' : 'systematic' : 'policy'

^A conclusion, much shared I believe: academic publishing is systematically dysfunctional.

Book Announcement | The Examined Illness: A Philosopher's Confrontation with Deadly Disease

The Examined Illness

Intellect is pleased to share that The Examined Illness: A Philosopher's Confrontation with Deadly Disease, by Darrel Moellendorf, is out in paperback and hardback.

A visceral personal memoir of being seriously unwell – and the consolations of philosophy during sickness. Being a patient is part of being alive. Disease and serious illness often strike randomly, and when they do, we quickly become subject to the impersonal forces of biochemistry and pharmacology. We rarely think about sickness beforehand and are often totally unprepared for it when it happens. Suddenly, there we are, subject to a standard treatment protocol. Darrel Moellendorf learned this by experience during a month confined to a solitary and sterile hospital room where he received a life-saving stem cell transplant. His room was somebody’s workspace, his schedule was somebody’s work routine, his immune system was systematically crushed, and his prognosis was out of his hands. There was no assurance that it would all work out.

Having spent thirty years teaching philosophy to college students, He was facing the biggest test of all—perhaps the final exam. These are his reflections before, during, and after his cancer treatment, written in real time. He writes, “My brain was sometimes addled by the chemotherapy that sapped my energy and destroyed my immune system, but I wrote out of the conviction that living well includes living well with disease, and eventually living well facing death.” This memoir expresses the conviction that the virtues of patience, courage, trust, and hope serve us well. A measure of good humor also can’t hurt.

Part of the Global Health Humanities series.

Table of Contents

Acknowledgements
Introductory Note

Part I: Diagnosis
1. First Thoughts and Second Opinions
2. Healthcare for All Pt. 1
3. Patients and Patience
4. Father to Son and Back
5. Give It Up for Lent!

Part II: Inside
6. Day 7: The Countdown Begins
7. Day 6: Carpe Diem
8. Day 5: Vegetarianism Is Not an Option
9. Day 4: Sweatin’ and Shakin’
10. Day 3: Making Decisions When You Can’t Think
11. Day 2: Nausea and Fatigue
12. Day 1: Courage
13. Day 0: Communion
14. Day +1: Confinement
15. Day +2: Waiting and Anxiety
16. Day +3: Relaxed
17. Day +4: Toiling and Spinning
18. Day +5: Healthcare for All Pt. 2
19. Day +6: Patience and Hope?
20. Day +7: A Letter Arrives
21. Day +8: Anaemia
22. Day +9: Why I Write
23. Day +10: Why I Dyed My Hair Blue
24. Day +11: Shorn
25. Day +12: Tired, Itchy, and Hiccupping
26. Day +13: Waiting
27. Day +14: Signs of Progress
28. Day +15: Turn Me Lose, Set Me Free
29. Day +16: Fresh Air
30. Day +17: Postponement

Part III: Recovery
31. Home Sweet Home
32. Home Update
33. The Social Determinants of My Survival
34. Letting the Days Go By
35. A Thread of Good Fortune
36. Magical Thinking
37. Hope Kept Me Eating
38. Sunshine, Suffering, Rebirth, and Freedom
39. Food Aversions
40. Inching Towards Normalcy
41. Human Fatigue and Canine Anxiety
42. Healthcare for All Pt. 3
43. Still Wearing My Helmet
44. Same as It Ever Was
45. Who Is That Masked Man?
46. Inspiration in the Oncology/Haematology Waiting Room
47. With a Little Help from My Friends
48. Springtime on My Face
49. Feeling the Love … and the Likes
50. Disease, Bodily Alienation, and Transhumanism
51. Dem Fingernails
52. Traversing the Rim of the Valley of the Shadow of Death
53. The Examined Illness

Epilogue: Living with Mortality
References

Please visit our website for more information:

www.intellectbooks.com/the-examined-illness

--

My source: Georgia Glasspole

Marketing Executive (she/her)

Intellect  | 0117 9589910 | georgia AT intellectbooks.com

TED - Talks & Listenings

THOUGHT

EDUCATION

DESIGN

  

individual

|
INTERPERSONAL : SCIENCES             

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL   

|

group

THOUGHT   Cognitive maps Your - Sense of direction?	Maps DESIGN 'True South'
Ancient maps - periplus EDUCATION for All	Maps - Power   Our - Sense of direction?

Previously: 'thought' : 'education' : 'design' : 'cognitive map'

My source:  https://x.com/NobelPrize/status/2098073718371262921?s=20 and @TED_ED

Is the Individual-Group axis health's proscenium arch?

Speech: “All the world’s a stage”

By William Shakespeare
(from As You Like It, spoken by Jaques)

          

     All the world’s a stage, 
And all the men and women merely players; 
They have their exits and their entrances; 
And one man in his time plays many parts, 
His acts being seven ages. At first the infant,
Mewling and puking in the nurse’s arms; 
And then the whining school-boy, with his satchel
And shining morning face, creeping like snail
Unwillingly to school. And then the lover,
Sighing like furnace, with a woeful ballad 
Made to his mistress’ eyebrow. Then a soldier,
Full of strange oaths, and bearded like the pard,
Jealous in honour, sudden and quick in quarrel,
Seeking the bubble reputation
Even in the cannon’s mouth. And then the justice,
In fair round belly with good capon lin’d,
With eyes severe and beard of formal cut,
Full of wise saws and modern instances;
And so he plays his part. The sixth age shifts
Into the lean and slipper’d pantaloon,
With spectacles on nose and pouch on side;
His youthful hose, well sav’d, a world too wide
For his shrunk shank; and his big manly voice,
Turning again toward childish treble, pipes
And whistles in his sound. Last scene of all,
That ends this strange eventful history,
Is second childishness and mere oblivion;
Sans teeth, sans eyes, sans taste, sans everything.

Source: https://www.poetryfoundation.org/poems/56966/speech-all-the-worlds-a-stage

TIME FRAMES

'As Shakespeare and his contemporaries wrote for the epic scale, the imaginative commitment and the 360-degree embrace of the Globe so, three hundred years later, generations of playwrights wrote for the velvety darkness, the enclosed acoustic and the picture framing of the proscenium arch.

For a century, the story of the changing world was told inside proscenium theatres, by a series of remarkable playwrights. In over sixty irreverent, illuminating pen portraits – of both famous giants and lesser-known talents – Dominic Dromgoole takes us on a journey from 1865 to 1965, revealing how these writers used the framed stage to reflect the social upheavals of their times.' 

This post began with: 'All the world's a stage', but I realised I'm no Shakespeare. Hodges' model is a frame; and users of the model can put it to work, readily. Be that in the sciences, arts, and across curricula. The 'arch' in Hodges' model appears to be inverted, working from within, rather than out. Similarly to the proscenium arch, however, the model provides a structure, for whatever performance, situated, will surely follow.

Hodges' model: Axes and Domains

Of course, the question posed here might be re-framed as: 

Are the axes of Hodges' model, life and death's proscenium arch?


Dominic Dromgoole (2026) Time Frames: A century of proscenium playwrights. London: Faber. 
https://www.faber.co.uk/product/9780571374113-time-frames/ [Text source].

Previously: 'drama' : 'stage' : 'frame'