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 ...

Friday, August 19, 2022

The Jubilee Centre Framework for Character Education in Schools - 3rd edition

'The aim of our studies is not to know
what virtue is, but to become good.'



Character is a set of personal traits or dispositions
that produce specific moral emotions,
inform motivation, and guide conduct.

Character education includes all explicit and
implicit educational activities that help
young people to develop positive personal
strengths called virtues." p.7.

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


Intellectual; Moral; Civic, and Performance

Caring for and respecting others, as well as
caring for and respecting oneself
Positive psychology, mental health

VIRTUE Literacy i-iii: ‘Perception’; (ii) Virtue ‘Knowledge and Understanding’; and
(iii) Virtue ‘Reasoning’.

- emotional literacy

Improved attainment, better behaviour

Direct teaching of character provides the
rationale, language and tools to use in
developing character elsewhere in and
out of school. p.7.


Character is sought freely to pursue a
better life.

'Success' in each domain ...

Build - virtue literacy

Character is educable: it is not fixed and
the virtues can be developed. Its
progress can be measured holistically,
not only through self-reports but also
more objective research methods. p.7.

Character can be -

...through a positive school community, formational relationships, and a clear ethos.
...through the curriculum using teaching and learning strategies, activities, and resources.
...through chosen experiences that occur within and outside of the formal curriculum. p.12.


Belonging to,
participating in - a school
Common good

Flourishing societies
[Address: Social Determinants of Health]*

partnership with parents, families

caring for and respecting others, as well as
caring for and respecting oneself

Committed leadership

Increased employability,
empowering, and liberating

partnership teachers, employers,
and other community

Each child has a right to character education

"Practical Wisdom (phronesis) is the integrative virtue,
developed through experience and critical reflection, which
enables us to perceive, know, desire and act with good sense.
This includes discerning, deliberative action in situations
where virtues collide." p.9.

University of Birmingham 2013, 2017, 2022
ISBN: 9780704429789

Some thoughts to follow.

Thursday, August 18, 2022

Africa Re-Imagined

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

Owolade, T. (2022) Africa reimagined, FT Weekend, Books Life&Arts, 23-24 July, p.8.



Wednesday, August 17, 2022

The dimensions and directions of self-care

 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
Mental capacity
Personal autonomy
My choice
Subjective (lived-) experience
Quality of (my) life
Mood - mental state (assessment)
Psychic pain - trauma
Expectations - 'desired outcome'
Can't keep a job

"If it's all in my head - that's what one of the doctors said - I said, if it's an imaginary pain, how is the swelling there?"


Physical pain - cause not identified
Injury - trauma: history - playing football
Goalpost collision - snapped -
posterior cruciate ligament
28 years ago
On feet leg swells
Leg amputation 'best' option
Twelve operations to date -
Still in constant pain
Clinical experience specialists, advice
Evidence base
Aggregated outcomes


Housebound for days
Feels guilty - holding family back
Living pain-free ... would be a
"New lease of life"
Experience & expectations of family, friends ..
Holiday, spoke to a veteran four years ago ..

Mental Capacity Act
Medical accountability
Professional opinion - general outcomes
NHS - "no" - 'Cosmetic'?
Pain management (clinics)?
Private operation £18,000
'desired outcome'

Chappell, P. Injured man fundraises for own leg amputation, The Times, August 10, 2022, p.19.


Tuesday, August 16, 2022

Liminal spaces I & II c/o Nan Mulder

 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
'A Liminal Space II'
21×48 cm mezzotint 2022
'A Liminal Space I'
21.5×48 cm mezzotint 2022

Learning, starting a course of study at whatever stage in life is often likened to a 'journey'. The term liminality is applied to this experience, with its spiritual and transformative connotations, an education rite-of-passage; also specifically in reference to threshold concepts:


Images with thanks to Nan Mulder:


See also: 'periplus'.

My source: Printmaking Today Summer 2022, 31:122, p.7.

(Thanks also to Cello Press - looking f/w to 2023 issues.) 

Sunday, August 14, 2022

Shining a light on Dark Patterns

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








*And the data of family members.
^Data that is specific to an individual, organic, can include fingerprint, facial images, DNA, behaviours (including keyboard use, online).

Prompt: Mention of 'dark patterns' on BBC World Service promoting their tech coverage.

Previously: 'interface(s)'

Saturday, August 13, 2022

"Suffering in Silence" c/o David Robertson


   INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
David Robertson www.davidrobertsonprintmaker.com QEST Scholar Instagram.com/multiple_of_one
Suffering in Silence, 2018. Woodcut, each 2000 x 910 mm.
Installation: 2400 x 5500 x 5500 mm

"David Robertson’s immersive print installation explores the stigma around mental health and the difficulties men have in reaching out for help. Consisting of 25 life-sized men, the figure is a self-portrait but is representative of any man. Formed of tally marks, each mark representing an individual." ...
[my emphasis].

The Holburne Museum:

Image: With thanks to David Robertson

David Robertson
QEST Scholar

My source: Printmaking Today Summer 2022, 31:122, p.7.

Thursday, August 11, 2022

True (group) therapy for the masses ...

Draft thoughts ...


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








'Social therapy' is very much a thing - an invaluable therapy and intervention for patients / clients and  option for the multidisciplinary team. In form it may differ from the social therapy, industrial therapy encountered in 1977, with occupational therapy. Today, can I suggest that it has been diminished? Even as (in the UK) we have social prescribing, and very welcome it is too.

I still wonder if social therapy has been tainted politically, by its proximity to community?

Back in the 80s ... 90s ... I remember the mini-bus arriving with day care patients, people who had attended for years. Dependency was often a fact of life, for them, their family, or the choices were stark. and I've seen hints of dependency again. Psychological therapies were not offered as readily back then, and lack of engagement would have been the gate-keeper then and for many patients now. Day care is much diminished now, if provided at all. As a response to dependency, stasis this may not be a 'bad' thing, but what replaced it? How and where did people move on to?

Community, the original home and origin of the forum, the market place, and town crier has been left by successive governments to market forces. Now the High Street footfall is a sepia-coloured snapshot. Passers-by now, can read 'for sale' signs, 'units to let', see shutters, litter, pigeons on their break from 'being' online. The Ubers and e-food delivery enterprises now clog the roads, previously trodden by the clogs themselves (I've been told you could here them outside).

I realise there is a continuum at work here (and as 'group' in h2cm suggests - it does its work). A crossroads, hamlet, village, town, community, neighbourhood - with the exact position of some terms - 'community'  (on the IND-GRP axis) for example, subject to debate. 

The post back in May, concerning an individual therapy - New book: "Talking with a Map"

- has me thinking about the GROUP related domains of SOCIOLOGY and POLITICAL. 

About therapy not individually, but a need to address the idea of therapy at the community level. You might call this a 'root and branch' review, and yes, this is the sentiment. 

It is clearly more than 'levelling up'.

Stepping outside of the boxes (outside of #h2cm - the clinical context ...); this isn't a person with an illness. Neither is it an effort to instantaneously medicalise society (that's another post). The community (UK*) is also not best placed to self-care, to prosper - which would be quite a feat if it were possible.

Back in June, I saw tweet about WHO and the need to strengthen primary care; and the global role for primary care was highlighted in the previous post. I can't find the tweet now, but I think it was a global health call, as so many nations are still developing, even creating primary care.

Here in the UK (USA?) - like the longevity stats - we appear to be going backwards. Therapy here is not going to improve access to primary care, or correct the dental desertification the UK NHS is experiencing.

If I am true to the model - #h2cm - here as displayed above, then there must be group therapy equivalents. Not group therapy in the usual - psychological / psychotherapy - sense, but a real transition from the individual to the group as found in social and political terms. Perhaps, this can be summed up as the need to revisit and re-negotiate the social contract - if it were ever agreed? This is were healthcare and time must coalesce: the past, present and future. Our health systems need to change.

I need to work on this muddle!

*If I may be so bold.

The model is encompassed within situated cognition - meta-cognition and the spiritual.

Wednesday, August 10, 2022

What does the health workforce need to improve vaccine delivery? c/o Nursing Now

I have responded to this tweet with its question below - and added the event video:

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

a generic conceptual framework
pandemic preparedness and response
individual acceptance
individual health literacy
unexpressed/non-shared anxiety

active listening
knowledge & expertise
unique stories (person-alised)

individual spiritual
psychological access

routine immunisation
all diseases, pathogens ...

pandemic preparedness and response
geography - terrain - distance

technology - storage,energy,drones

physical access

impact of COVID-19

changes - data monitoring

pandemic preparedness and response
family, community acceptance
story-telling - narrative
role models
'community temp' -
what will others think,
what will they say?

More than posters & social media

collective spiritual
community engagement
social access

informs - policy

Health Services
Nurses, Community Health Workers
inequity, equality
pandemic preparedness and response
activism/advocacy by MoH and workforce
funding - economics
counter / awareness of dis- misinformation

political access

('real'* choice)

Hodges' model can assist in reflection and critical thinking about interfaces, campaigns, messages and much more.

*not just rhetoric.

Monday, August 08, 2022

Back to basics ...

The "Health Career - Care Domains - Model" created by Brian Hodges' provides:

  • a 'springboard' for reflection and critical thinking;
  • a generic conceptual framework for researchers;
  • a model of care for clinicians;
  • a generic model / conceptual framework for your local / global research initiative;
  • and an individual & collective aide-mémoire.

Please see lower sidebar for a bibliography. 

peter.jones AT h2cm.info

Sunday, August 07, 2022

Progress in Transdisciplinary Times

For about a decade I think ... hold on please! ...

Since October 2011 in fact, and an issue of -

Journal of Evaluation in Clinical Practice, Volume 17, Issue 5

Special Issue: Philosophy of Evidence Based Medicine

- I've carried the concept of 'progress' in my head. I think I picked up this issue somewhere and still have some of its key papers. 
Progress is always there in the media, in its obvious forms, technical, education, scientific, social, political, economic, medical; whether or not we agree on the pace, realisation, ethics, extent and contribution to overall well-being. Now, we can also add Earth as the foundational element.

Simon Kuper's 'Opening Shot' in the FT Magazine, 11-12 December 2021 wrote about 'progress' and Thomas Midgley Jr; "often described as the most disastrous peaceable human who ever lived." Responsible for the progressive, at the time, innovations of lead in petrol (to reduce "knocking" in petrol engines), and chlorofluorocarbons - you'll understand that one I think. Kuper notes how:
"Midgley's story illustrates the damage that one brilliant, ambitious, out-of-the-box thinker can do."
Since the early 20th century, we have nuclear fission, biolabs, genetic technology, artificial intelligence, climate change and other 'inventions'. The 'progress' of climate change is catching up with us. Ironic, how the question, after all those millennia remains - can I/We outrun this threat? The problems we face now, we are told, call for transdisciplinary solutions - adding yet more complexity.

Clearly, we need to equip people with the cognitive, conceptual tools to work alternately, in-and-out of the boxes. And, whatever our belief system consider progress in spiritual terms too.

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





Another thing to return to!

Simon Kuper, Opening Shot, When too much progress is a bad thing. FT Weekend, Magazine, December 11-12, 2021, p.8.

Previously on W2tQ: progress