Hodges' Model: Welcome to the QUAD

Hodges' Model: Welcome to the QUAD

When in a 'fix' whether public health, climate change, or a student seeking tools for lifelong learning - you need a toolkit. Hodges' model is no panacea, but makes for a fascinating presentation or workshop. Learn here about a framework that can help integrate HEALTH and SOCIAL CARE, TECH and EDUCATION, fostering reflection and critical thinking. The model is situated and that is ANY situation or context. Always pleased to connect - email: h2cmng @ yahoo.co.uk Welcome to the QUAD ...

Saturday, May 14, 2022

New book: "Talking with a Map"

- A Cognitive Analytic Approach
to Everyday Conversational Awareness


   INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      







Fingers-crossed please! 

I've contacted Pavilion Publishing and Media Ltd with a review copy request of this new book - available for pre-order:

"Talking with a Map takes cutting-edge techniques for structuring and navigating conversations out of the therapy room and into everyday life, describing a versatile method that anyone can use to develop better skills, interactions and relationships."

Working with two co-authors three papers will hopefully (yes - cross them again) be complete soon. Then I can resurrect the piece on case formulation, diagrams and Hodges' model. 

If anyone is interested please get in touch:

peter.jones AT h2cm.info

Previously on W2tQ:

map :: therapy

Thursday, May 12, 2022

LMIC: Opportunity to get involved with the National Institute for Health and Care Research, UK


We have an exciting opportunity for people with lived experience based in low and middle income countries to get involved with the National Institute for Health and Care Research (NIHR) as funding committee members and reviewers, and we’d very much appreciate your help.

The NIHR is funded by the UK government and is a major funder of high quality global health research. Our next research programme is the Research and Innovation for Global Health Transformation (RIGHT) Call 5 , which is focused on strengthening health service delivery and resilience in low and middle income countries (LMICs) in the context of extreme weather events.

Would you be interested in joining us and giving your recommendations on which research proposals to fund? We are looking for people with lived experience of extreme weather events. Your insights and ideas can help shape research that is important to people living in LMICs, and improve healthcare services for some of the most vulnerable and marginalised communities.

The role of public committee member or reviewer involves reading funding proposals and providing a written summary of reflections. We pay a fee for involvement as a way of thanking you for your support. 

Please complete the Expression of Interest Form and submit this to us by Monday 16 May 2022.

If you have any questions or would like to discuss this in more detail, please get in touch with Razina Hussain at ccfcei AT nihr.ac.uk. 

Thank you and best wishes,


Razina Hussain

Programme Manager, Community Engagement and Involvement | PPI and Engagement | NIHR Central Commissioning Facility (CCF)

e. razina.hussain AT nihr.ac.uk
Central Commissioning Facility
Grange House
15 Church Street

My source: HIFA

Wednesday, May 11, 2022

Social care [ Not... ]


   INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      

"No minister,
a “protective ring”
was not thrown around care homes"


McKee M. No minister, a “protective ring” was not thrown around care homes doi:10.1136/bmj.o1116

Monday, May 09, 2022

Social care ...

 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      

A monument for Taras Shevchenko is symbolically protected by bandages in Borodyanka, northwest of Kyiv.

Nickolai Hammar / NPR


My source: Schama, S. "Who controls the past?", FT Weekend, Life&Arts, 7 May 2022, p.1.

Photo: https://www.opb.org/article/2022/04/09/this-is-what-a-ukraine-town-looks-like-after-russian-troops-withdraw/

Global opportunity for midwives & nurse-midwives to contribute to 'Midwives in Focus' research

Dear Colleagues,

In partnership with Coventry University and Jhpiego (with support from the Nursing Now Challenge) we are hosting the 'Midwives in Focus' programme.

We need to recruit 1000's of midwives and nurse-midwives from around the world to participate in our global survey exploring professional identity, midwifery leadership and the representation of midwives around the world.

Survey link here - please complete and share

Survey Link: https://bit.ly/3uERMmZ

Please complete this and share with colleagues.

Thank you

Dr Sally Pezaro 

My source: GANM (Global Alliance for Nursing and Midwifery).


'Supplication In Alabaster' by Wangari Mathenge


 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      


Ack. Wangari Mathenge (and sources for a means to illustrate the 'self' and 'other' in h2cm)

My source and image: @tanita_tikaram


Caption: "'Supplication In Alabaster' - detail, 2019 Oil on canvas 52” x 72.5” All works have been copyright protected, Wangari Mathenge © 2019"

Saturday, May 07, 2022

"The Ascendants XIV (She Is Here Too But Why Are You?)" 2021, by Wangari Mathenge


 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      


Ack. Wangari Mathenge

My source: FT.COM/HTSI "HOME is where the ART is".


Original image: https://www.houldsworth.co.uk/artists/44-wangari-mathenge/works/ 

Caption: The Ascendants XIV (She Is Here Too But Why Are You?), 2021, by Wangari Mathenge © Brian Griffin. Courtesy the artist and Pippy Houldsworth Gallery, London. © Wangari Mathenge 2021

Friday, May 06, 2022

22nd UKSS International Conference

20th & 21st June 2022
at Lancaster University

Joined-up Thinking  for a Disconnected World

In every age, there is a turning point, a new way of seeing and asserting the coherence of the world.  J. Bronowski

About this event

As we emerge from the Covid pandemic, it is abundantly clear that we, the human race, share the same ecological systems and have the same survival instincts. However, we treat things in a piecemeal fashion in our day-to-day existence and conveniently forget that all our lives are entwined. We, the human race generating waste and creating pollution, cannot blame anyone else. Never has thought in a joined-up way been more critical. It is appropriate this year that the conference is hosted at the University of Lancaster that, under Peter Checkland, has done so much to stimulate Systems Thinking and Practice. To this end, the conference committee agreed that the theme should focus upon the value of systems thinking and practice and encourage contributions from across the spectrum of human concerns where the notion of holism is at its core.

Planning to attend ... See you there?

Wednesday, May 04, 2022

Triangulation: When is a light an axis?


...when there are two lights ...

32c St. Joseph single

See also:



Monday, May 02, 2022

Review ii - "Brainscapes: The Warped, Wondrous Maps Written in Your Brain―And How They Guide You"


Now I know how Umami (p.87) an "example food magazine website to demonstrate some of the features of Drupal core" - got its name. I'm sure this was explained at a Drupal Meetup. Savoury indeed!

There had to be two! The brain has two strategies: brain maps and distributed codes.

"Representing information with a distributed code is entirely different from representing it with brain maps. In a brain map, neighboring neurons represent neighboring regions in space, frequency, time, and so forth. And brain maps essentially represent information using location, or where in the brain area the neurons are most active. In contrast, there is no consistent relationship between neighboring neurons in brain areas that use distributed codes. These areas represent information through the distributed pattern of activity across that entire region of the brain, rather than through the location of activity within it. This pattern of activity is a kind of code." pp.93-94.

This distinction is significant for Hodges' model, as the distributed codes act to deal with novelty, what is new - ongoing (lifelong) learning (p.95). Hodges' model can help distinguish between subjective and objective concerns. Schwarzlose unifies the two - via a catfish (also a goal here - but not necessarily with such an assistant).

"The map in the olfactory bulb is organised into odor zones based on molecular structure, an objective property of these compounds in the physical world. But the second map is organized into zones based on the significance of the odors to the animal." p.100.

Chapter 6 'On the Move: Brain Maps for Action' would have been useful as a student nurse at Winwick Hospital, the history in the book brings back many reminders - late 1970s. Epilepsy, then was less well understood, and managed. In describing the M1 brain map and movement I wondered about consent, but can see that is a distraction. Chapters -

6. On the Move: Brain Maps for Action | 107
7. Maps in the Making: How Brain Maps Develop and Adapt | 131
8. Knowing Again: Brain Maps for Recognition | 151
- offer much to relate to clinical encounters: movement, reaching, infant versus the brain in adults, the senses and catastrophic events such as cerebrovascular accident - stroke. Morphologically there is much still to learn (brain maps are 'primed' before birth), which perhaps is why we recognise the remarkable nature of gestation and birth. 'Maps in the Making' provides wondrous insights, including the need in hospitals to rethink the sensory environment and experience for premature infants.

While reading - I was struck at the experience of the newborn and mothers in Ukraine. The 'health career' model concerns life chances - from birth to later life...

As a community mental health nurse I have found subtle and less-subtle impacts on a person affected by semantic dementia (p.204) and their family. Given the ongoing invasion and war, I also thought about people living with dementia and having to flee their homes. The multiple contexts that pertain in such a crisis situation when considering 'maps' and sense-making. Especially, when the need for action is preemptive - preventive and so must be explained and justified, not once but perhaps repeatedly?

We are all innate mathematicians even if we feel we have no ability. 


I take some succor in this (p.127).

There's a hodgepodge in here too (p.161 hb). The myriad of objects we encounter and their recognition calls for the combination of brain maps and distributed codes. Chapter 8 is more psychological, touching :-) how we categorise objects, dimensions and scales, size and animacy. Galton's contribution is discussed, his ideas on eugenics also acknowledged. Visual perception, mental imagery and visual learning style remain subjects of note for researchers. I'm not sure why figure 32 stood out ( :-) - please pardon the quality of the photo. Paul Kim's illustrations are an excellent support for the prose.):

FIGURE 32 A comparison of visual perception and mental imagery in
the V1 visual map. Paul Kim

Somewhere I've saved an article on mental imagery from New Scientist I think, about this ability - the mind's eye and how it is missing for some 'brilliant' people (p.182) and posted previously:

In my mind's eye I can picture care: Frame by Frame

I might read Chapter 9 again, attention, action and perception in combination. 

Chapter 10 had me thinking again about 'Conceptual Spaces' (quality dimensions) and threshold concepts (not in the book - but this is a positive!):

"Many of the concepts that rule our financial, social, and emotional well-being have no shape, no color, no odor or weight. How do we grasp these intangible concepts? As it turns out, we often do so by aligning abstract concepts with physical dimensions and then putting our brain maps to work." p.191.

There is a 'mental number line', vertical too, and culture is a factor in how we learn and the brain associates space and quantities, in which L-R, low-high are also brought into play. The question remains here: Is Hodges' model culturally neutral? 

Still with h2cm - mind reading, writing and 'drawing' perhaps? p.236. In "Fortune-Telling with the Brain" we read about how fMRI is allowing us to learn how the brain maps employ teamwork. There is an architecture whose stability can inform predictions of future abilities - reading is described. Reading this you see ethical implications (as Schwarzlose warns p.238), but it may help to target personalised learning, as an adjunct to personalised medicine? I double checked (index) and the connectome is not mentioned, but the benefits of this research is still to be realised. In 'prison health' here in the UK (and globally?) it is long overdue but it is encouraging to hear about the focus on investigation for previous brain injury within the prison population. Remember - lead in fuel and the socio-economic impacts of pollution (ongoing - air and plastic pollution)?

Corporations have literally only 'scratched the surface' of the future potential to 'read' us individually. Through Hodges' model I can qualify and justify the model's increasing relevance. Technology and science not only call for SOCIO-technical approaches. The brain-computer interface and AI (p.239) demands we also consider the several forms of literacy and informatics that are needed in the 21st century: bio-informatics, bio-political, psycho-political and more.

This is very informative and timely read - the diagrams too. This is a book for all. For student nurses specifically, it will enable them to maximize learning in their practical placements and throughout their course of study.

Writing this review I can also see the important messages in chapter 12 - recognition of infancy and the opportunities this affords.

Many thanks to Rebecca Schwarzlose and Profile Books for my review copy.

Schwarzlose, R. (2021) Brainscapes: The Warped, Wondrous Maps Written in Your Brain―And How They Guide You". London: Profile Books.