Hodges' Model: Welcome to the QUAD

Hodges' Model: Welcome to the QUAD

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Saturday, April 11, 2026

'Sociological Theory in Transition' (always ..?)

Conclusion: Sociology as a Skin Trade

In other writings (O'Neill, 1972, 1985) I have set out a rival conception of the embodied subject who suffers the hopes and defeats of what I have called 'sociology as a skin trade'. At the same time I began to renovate the imagery of society as a body-politic, to differentiate the levels of the bio-body, the productive body and the libidinal body as sites where human beings pursue the relevant knowledge and values of health, work and happiness. Each level of discourse requires he formulation of relevant technical knowledge (medicine, political economy, sociology and psychoanalysis) and each level has its own emancipatory discourse about health creativity and self-expression. Because each of these discursive interests is likely to be articulated by professional social scientists and therapists, it is necessary to require the institutionalization of mechanisms of political and ethical accountability to laypersons' common-sense knowledge and values regarding their bodies, their families, their work and their souls. Medical and sociological nemesis is not the result of a therapeutic conspiracy against society. It belongs to the radical technological a priori of Western knowledge whose ambition is fundamentally bio-technological. The sin of Adam and Eve was the best humankind could manage at the time. In today's laboratory Adam and Eve can be bypassed and life can be set in motion according to the best genetic formulas. Huge legal, ethical and sociological problems are simultaneously generated. And thus we step into a new 'crisis of opportunity` for which very few social scientists are prepared - whether by training or morals.' p.35.

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     INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
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GROUP
psychoanalysis

body as a machine
bio-technological

body-
bio-

sociology

-politic

bio-politics of the population


'In concrete terms, starting in the seventeenth century, this power over life evolved in two basic forms ... One of these poles - the first to be formed, it seems - centered on the body as a machine: its disciplining, the optimisation of its capabilities, the extortion of its forces, the parallel increase of its usefulness and docility, its integration into systems of efficient and economic controls, all this was ensured by the procedures of power that characterised the disciplines: an anatomo-politics of the human body.
The second, formed somewhat later, focussed on the species body, the body imbued with the mechanics of life and serving as the basis of the biological processes: propagation, births and mortality, the level of health, life expectancy and longevity, with all the conditions that can cause them to vary. Their supervision was effected through an entire series of interventions and regulatory controls: a bio-politics of the  population. (Foucault, 1980a, p. 139; altered for my emphasis)' p.24.
'Bio-power regulates bodies individually, as in the clinical model. and collectively, as on the model of social medicine. The two strategies are combined to produce the most complete system of discipline ever known in the history of power. Disciplinary power works in hospitals. schools, prisons, armies, factories and bureaucracies. It is compatible with shifting vocabularies of rights, reform and welfare. It is intimate and collective; it is obeyed not because of its power over death but because of its power over life. It is this shift in emphasis that is the source of the expansion of bio-power whose corresponding apparatus we may call the therapeutic state.' p.25.
 
O’Neill, J. Sociological Nemesis: Parsons and Foucault on the Therapeutic Disciplines, Chapter 1 (pp.21-35). In. Wardell, M.L. and Turner, S. (Eds.). (1986) Sociological Theory in Transition. London: Allen & Unwin, Inc. https://digitalcommons.usf.edu/phi_facpub/86

Previously: 'sociology' : 'power' : 'body'

Friday, April 10, 2026

'Healing grid' - the penultimate?

Healing grid by Ryota Kanai

Hodges' model is surely a clear winner 'healing grid'? Acting not only in healing, but in recovery, rehabilitation, reablement, palliative, illness and well-being too.

Quite a grid all-in-all (which also fascinate grandchildren).

My source: 

Previously: 'grids' : 'perception' : 'vision' : 'lines' : 'geometry'

#ArtemisSafeReturn #PrecisionGridManoeuvres

Thursday, April 09, 2026

Book: 'Complexity in Health Care - A Paradigm Shift for Clinical Practice'

This book was published in 2023, so I am most grateful to Daniela and colleagues at SpringerNature for the review copy. My reading will also inform both the presentation I've to deliver, and the learning during the conference's three days and the rest of a visit to Morocco.

With a 15 minute talk and 5 minutes for questions, I have 15 slides. The final one, is a listing of sources, plus this book:

1. Estrada, E., Submitted (2026) Emergent Geometry in Complex Systems from Relational Dynamics. I. The Classical Setting.
https://ifisc.uib-csic.es/en/publications/emergent-geometry-in-complex-systems-from-relation/
2. Napoli, P.H., Fischer, B., Salati Marcondes de Moraes, G.H. et al. (2026). When complexity does not mean chaos: nonlinear dynamics of entrepreneurial ecosystems. J Technol Transf  https://doi.org/10.1007/s10961-025-10314-7
3. Hylin MJ, Kerr AL, Holden R. Understanding the Mechanisms of Recovery and/or Compensation following Injury. Neural Plast. 2017;2017:7125057. doi: 10.1155/2017/7125057. Epub 2017 Apr 20. PMID: 28512585; PMCID: PMC5415868.
4. Zanin, M., Papo, D. (2020) Assessing functional propagation patterns in COVID-19. Chaos, Solitons & Fractals 138, 109993
5. Braithwaite J, Ellis LA, Churruca K, et al. Complexity Science as a Frame for Understanding the Management and Delivery of High Quality and Safer Care. 2020
6. Bergström, J., & Dekker, S. W. A. (2014). Bridging the Macro and the Micro by Considering the Meso: Reflections on the Fractal Nature of Resilience. Ecology and Society, 19(4), art22. https://doi.org/10.5751/ES-06956-190422
7. Rickles, D., Hawe, P., & Shiell, A. (2007). A simple guide to chaos and complexity. Journal of Epidemiology & Community Health, 61(11), Article 11. https://doi.org/10.1136/jech.2006.054254
8. Miller, K. (2007). From Fears of Entropy to Comfort in Chaos: Arcadia, The Waste Land, Numb3rs, and Man’s Relationship With Science. Bulletin of Science, Technology & Society, 27(1), 81-94.
9. Frankel, Steven & Thurber, Steven & Bourgeois, James. (2023). Complexity in Health Care: A Paradigm Shift for Clinical Practice. Cham: Springer. 10.1007/978-3-031-14949-8.

Also pointing to the bibliography in the sidebar and the template link. 

More to follow ...

Wednesday, April 08, 2026

Raising the alarm on authoritarian rule c/o Life&Arts FT

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HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
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I can think for myself!
 Yes.
  But, are you allowed to think?
EVERYBODY
        TO KENMURE
STREET^          

My Undesirable Friends:
Part 1


^It's a bit more 'local' - I think!
 
My source: Nicolas Rapold, Raising the alarm on authoritarian rule. Life&Arts, FTWeekend, 28-29 March 2026, p.12.

Previously: 'power' : 'politics' : 'authoritarian'

Tuesday, April 07, 2026

This blog "Welcome to the QUAD" is 20 years old

Yesterday, this blog celebrated its 20th birthday. That first post seems an age away now -

Welcome to the Hodges Health Career - Care Domains Blog

https://hodges-model.blogspot.com/2006/04/

Back then, I was full-time and on a secondment with the NHS's National Programme for Information Technology:

Independent report: Making IT work: harnessing the power of health information technology to improve care in England. Published 7 September 2016

House of Commons Committee of Public Accounts - The National Programme for IT in the NHS: an update on the delivery of detailed care records systems - Forty-fifth Report of Session 2010–12

In that first post, several links take you to the former website which is now archived, as per the note in the sidebar. Similar links have been updated to the web.archive.org site, but some may have been missed. Other links may be plain broke.

The blog began as an acknowledgement of the former site's limitations, hence all the posts on Drupal the content management system.* The intention was to create a stop-gap. So much for that! I still have the 'new' site in my head.

Personally, there's been much change: as ever in life, a mix of sadness and great joy. Regards the former, a manager from 1985 into the 90s, colleague and friend David McKendrick died in 2009. And coinciding with personal bereavements, Brian Hodges in 2022. I do miss chats with both of them.

With periodic backups of the blog's content (and old website 1998-2015), there been one effort at a spring clean. Posts that are poor (what was I thinking?), or items that are clearly time-limited - event announcements have been deleted. Many more no doubt remain with images - banners - that will be removed at some point. With 3381 (inc.) posts published, it is quite an onerous, yet rewarding task.

During the two decades I would like to thank researchers who have discovered Hodges' model, recognised (either) its value, utility, relevance and cited the model in their studies/projects.

Thanks too to several co-authors whose patience and understanding in working with me, their recognition of the model and value in their work, and assistance to assure open access is invaluable to bring Hodges' model and this project to the attention of a global audience and community.

If I can help you with Hodges' model - acknowledgement not a requirement(!): please let me know.

The online presence has been about the model, not business, or commerce, so there's a lack of analytics. There's a project for someone, as I notice 'Blog Analysis' as an online research method

People occasionally email and provide encouragement regards the content.  In a way the blog is my thesis*. 

Amid the time-dependent content, there may be much here that can demonstrate:

  • the holistic bandwidth of Hodges' model
  • the scope of application of Hodges' model
    • the transdisciplinary potential of Hodges' model 
  • how to apply the model, or at least this practitioner's use
  • the visual appreciative dimension through the model's presentation to reveal the relational nature of the situation / context at hand
  • many remaining questions are also to be found.

Thank you for your visiting! Here's to another 20 years ;-) !?

*I still live in hope: it's called dreaming.

Theatres of War and Healing

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Theater of War Productions presents community-specific, theater-based projects that address pressing public health and social issues.



c/o Reuters

Previously: 'theatre' : 'war' : 'public (mental) health

Monday, April 06, 2026

What! Nursing reduced to objects! Do you realise what you're saying?

Wittgenstein to the rescue?

Revisting a theme, and while it is not new - as in use of objected oriented approaches in health informatics; as a nurse, to suggest there's a need to view the elements of care systems as a series of objects surely runs counter to nursing's theory, practice, professional standing and values.

Or, does Wittgenstein come to the rescue in his 'Tractatus Logico-Philosophicus'?

'2.01231 In order to know an object, I must know not its external but all its internal qualities'.

[My emphasis - and as ever high degree of selectivity.] 

In reading 'internal qualities' I can equate internal with a person; and qualities with subjectivism, what is inherently seen as humanistic, a set of characteristics, and properties. Can it be argued that in the context of healthcare and person-centredness we can also take 'internal' as potentially referring to what happens in the mind, an individual's mental life, for example? This can be applied physically too. To bodily properties, which ultimately are internal genetically, and influenced by - expressed in-part - by the external environment.

While I sort books, creating space, there is the small matter that Wittgenstein walked away from philosophy after the Tractatus was published. Then, realising he had not answered the questions concerning human language and reality, he returned to Cambridge and his studies, with Philosophical Investigations published after his death.

Does this invalidate the thoughts above?

Another post to follow drawing from the Tractatus. 

Previous posts:

Reflection: programming and caring II

Abstract [working] Hodges’ model as a mathematical object, a lens for social care and inclusion: category theory or category mistake?

Person to object: Surely you're joking* ...!

Sunday, April 05, 2026

Complexity science as a frame; or, a frame for complexity science?

In reading for WCCS later this month, I wonder if Braithwaite et al. (open access) may have found Hodges' model useful in addressing both the learning objectives and questions they raise in their chapter; and as a response to the recommendations?

Braithwaite J, Ellis LA, Churruca K, et al. Complexity Science as a Frame for Understanding the Management and Delivery of High Quality and Safer Care. 2020 Dec 15. In: Donaldson L, Ricciardi W, Sheridan S, et al., editors. Textbook of Patient Safety and Clinical Risk Management [Internet]. Cham (CH): Springer; 2021. Chapter 27. Available from: https://www.ncbi.nlm.nih.gov/books/NBK585611/ doi: 10.1007/978-3-030-59403-9_27

Learning Objectives and Questions Covered in the Chapter

  • How does a linear view of improvement contrast with a complexity science approach? 
  • The complexity frame makes it harder to manage and deliver high quality and safer care — does it therefore need to be rejected in favour of simpler improvement models?
  • What examples can be brought to bear to show how studies in the complexity frame can lead to good outcomes and positive change?'

'In addition, in homing in on any part of a CAS, we can discern elements of both selfsimilarity and local nuances. Self-similarity can manifest fractally, at different scales (e.g., features of the culture of the organisation at the team level approximate to that of the culture of the department, and then division, and then the whole organisation) or laterally (e.g., one department looks comparable structurally to another). It might seem paradoxical, but healthcare levels or departments, despite being self-similar in some respects, also each operate as unique entities. There are always localised contextual, cultural and structural distinctions. Such local nuances occur as the result of the particular configurations of agents (e.g., nurses, doctors, quality managers, patients) following their internalised rules and shared mental models (e.g., put the patients first, project a good reputation to the outside world, prioritise safety) in that unique setting.' pp.378-379.

'Bringing clinicians from different departments together with the patient as the focus, provided a deeper understanding of other’s roles and barriers, helped create a shared mental model, and fostered a whole-of-system approach to the care for patients with this condition.' p.382.

[CAS - Complex Adaptive System]
 

'Recommendations

1. Sensitise those with responsibility for leading, managing, improving or researching care settings to a systems view. 
2. Train sufficient staff in the tools of complexity: FRAM, network analyses, system dynamics modelling, process mapping, and the like. 
3. Approach quality and safety and risk management activities with a knowledge of complexity science, sense-making, and non-linearity rather than as a set of linear problems amenable to simplistic causal change logic. 
4. Consider how our studies, borrowing from complexity theory, have resisted simplifying the challenges, but have nevertheless made progress in understanding care systems and their improvement.' p.389.

 [FRAM - Functional Resonance Analysis Method]

 I will include this in my presentation, duly cited:

 'Complexity science as a frame: or, frame for complexity science?'

Saturday, April 04, 2026

Apollo - Artemis II and the Joy of Earth

Since Artemis II was launched, several more-senior people in the media have been interviewed, with their reflections on certain lunar events in 1969 with the Apollo programme.
 
I too remember being woken up, taking several giant steps down the stairs and huddling around the black & white TV set in the early hours. I'm so glad I did that.
 
Thanks mum and dad. X
 
Following the livestream from Artemis, it's brilliant to see Christina Koch and Victor Glover onboard too.
 
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HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
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art002e008487 (April 4, 2026) - NASA astronaut and Artemis II mission specialist Christina Koch peers out of one of the Orion spacecraft's main cabin windows, looking back at Earth, as the crew travels towards the Moon.


"I have not complained about the weather one single time. I'm glad there is weather. I've not complained about traffic. I'm glad there are people around. One of the things that I did when I got home - I went down to shopping centers, and I'd just go around there, get an ice cream cone or something, just watch the people go by, and think: "Boy, we're lucky to be here. Why do people complain about the Earth? We are living in the garden of Eden."

                    Alan Bean. Apollo 12



 




Thursday, April 02, 2026

Launch of National Knife Crime Centre

INDIVIDUAL
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    INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
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GROUP
Is this a knife I see before me?
Or is it something else?
 
Am I being duped and taken for a fool?
But, nobody will bother me now!
I'm ready...!
 
I don't think this is right.
 
Either way, I'm asking for trouble?
 
Will anybody else listen? 


Should I risk trying to buy a knife?
How? Shop, or online?

Do I look 18?
I've seen the signs by the tills.

Can I pass as an 18 year old?
Should I pick it up and take it?

Or, do I leave it exactly where it is hidden?

Do I really need a knife, 
because he/she/they have one?

Can I ask a friend?
My cousin? No they'd grass on me.
Could I pay that 5th year?

Ben Kinsella Trust



NATIONAL CENTRE FOR KNIFE CRIME
 
Ronan's Law
 



My sources: BBC Radio 4 'Today' 2nd April 2026.

Previously: 'crime' : 'knives' : 'law'