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 ...

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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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

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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'

Wednesday, April 01, 2026

Information Design and Sense-Making c/o Dervin

'Information Design: Something New, Something Old

... I want in this chapter to challenge the central idea that information design is a new idea. Reducing the issues briefly to a polarity, it is useful to start by considering two ways to conceptualize information. One way, implicit in the above assumptions, is that information is something that describes an ordered reality and has some knowable, or at least idealized, isomorphic relationship to that reality (i.e., it represents in an identical way the form and content of reality). In short, information instructs us, this assumption says, about the nature of the world we live in: its history, its future, its functioning, our place in it, our possible
actions, and the potential consequences of those actions.' p.35.

[My emphasis.]

Brenda Dervin. Chaos, Order, and Sense-Making: A Proposed Theory for Information Design (chapter 3) In R. Jacobson (Ed.), Information Design (pp. 35-57). Cambridge, MA: The MIT Press

Previously: Information design: Tufte & Raskin 

Tuesday, March 31, 2026

Global health is ... c/o King & Koski (2020)

Use of the word 'global' in health care is common: from global assessment; global as in a pandemic, as per Covid which for a time closed down most human activity across the world; the global health workforce; and global health crises, that must include the climate crisis and pollution. Universal health coverage, allied with universal healthcare access, refers to (national and aspirational ...) global access to quality health services. 

Above, 'global health' has itself already occurred several times. I've posted about global health on a great many occasions on behalf of other parties.

Defining global health in the context of public health, King and Koski (2020) write:

'We propose the following definition:
global health is public health somewhere else.'

More specifically, they add: 

'Global health as a field is not distinguished by its aspirations, methods of research and practice, intervention strategies or even geographical area per se, but rather by a particular relationship between its practitioners and its recipients: a person engages in global health when they practise public health somewhere—a community, a political entity, a geographical space—that they do not call home.'


To apply Hodges' model to global health, there must be another definition.

King NB, Koski A. Defining global health as public health somewhere else. BMJ Global Health
2020;5:e002172. doi:10.1136/bmjgh-2019-002172

Monday, March 30, 2026

Lavoisier: Math - Chemistry; Quantity, Quality, Principle ...

The philosophy of science, can not avoid being viewed historically, which leads us to learn how mathematics literally took hold, from physics, to chemistry and biology. The application of mathematics to chemistry provides many and ongoing insights:

'Curiously enough, Kant’s own student, Jeremias Benjamin Richter (1762-1807), would only a few years later disprove his professor with his PhD dissertation On the use of the mathematical method in chemistry (Richter 1789). It laid the groundwork for stoichiometry as an algebraic approach to chemistry, including what was later called the ‘law of constant proportion’ that John Dalton used for his atomism on chemical grounds (Richter 1792-3, Dalton 1808). Moreover, at the time of Kant’s writing, experimental philosophy was taking over most of the centers of European research to become the mainstream methodology of modern science, which would later denounce the ideal of a priori knowledge in science as ‘mere’ metaphysics. Although some philosophers of mathematical physics still adhere to that ideal today, Kant was a late partisan in the struggle for the methodological priority of mathematics in the study of nature as it was exemplified by the old field of ‘rational mechanics’. Yet, his view on science became marginalized as much as his verdict on chemistry, that it would be alien to mathematics, was refuted.'

The pitfalls presented and Schummer's 2.4 A methodological suggestion for defining mathematical chemistry are helpful.

Joachim Schummer. Why Mathematical Chemistry Cannot Copy Mathematical Physics and How to Avoid the Imminent Epistemological Pitfalls. HYLE--International Journal for Philosophy of Chemistry, Vol. 18, No.1 (2012). pp. 71-89https://www.hyle.org/journal/issues/18-1/schummer.htm

Maths is filled with tragedy, but the personal manifestation in my lack of ability, pales to insignificance to the many scientific and human tragedies history reveals. Consider Galois, and Lavoisier:

‘Only a moment to cut off that head and a hundred years may not give us another like it,’ lamented the 18th-century French mathematician Joseph Louis Lagrange. The head in question had belonged to the French aristocrat and chemist Antoine Laurent Lavoisier, who was executed at the hands of French revolutionaries on 8 May 1794. Lavoisier’s ideas changed the face of chemistry. He is best remembered for overthrowing the phlogiston theory, but perhaps his greater and more lasting achievement was to impose order on the language and symbolism that have shaped the thoughts of chemists.'

Paul Board, The Aristocrat who revolutionised chemistry, New Scientist. May 7, 1994 (Volume 142, Issue 1924). https://www.newscientist.com/article/mg14219243-300/

In an essay in the Charles Coulston Gillispie's essay in the history of scientific ideas, Chapter VI. The Rationalization of Matter, describes how Lavoisier sought to develop an algebraic approach:

'But what is most interesting is Lavoisier's mode of representing these results, so correct in quantity, so wrong in principle. In order to sec what he was about, one has to follow him into some detail. It is obvious, he writes, that acidification of a metal involves many variables-heat, concentration, chemical affinities, etc. each of which is a force acting with characteristic energy. Therefrom results a problem complex and difficult of solution: [my emphasis]

"Better to exhibit the state of the question in this respect, and in order to show at a glance the result of what happens in metallic solutions, I have constructed formulas of a sort, which could at first be taken for algebraic formulas, but which have not the same object, and do not derive from the same principles . . ."'

Gillispie, Charles Coulston. The Edge of Objectivity: An Essay in the History of Scientific Ideas. Princeton, N.J.: Princeton University Press, 1960.

Gillispie quotes at length to demonstrate Lavoisier's approach*. There is a more accessible (for me, here) source in -

Stefano Zambelli (2012). Chemical Kinetics, an Historical Introduction, Chemical Kinetics, Dr Vivek Patel (Ed.), ISBN: 978-953-51-0132-1, InTech, Available from: 
http://www.intechopen.com/books/chemicalkinetics/chemical-kinetics-an-historical-introduction

Please see page 6: 3. Chemical equilibrium conception: The law of mass action.

To close, there is reading and advice to be carried forward in:

Guillermo Restrepo & José L. Villaveces, "Mathematical Thinking in Chemistry". Special Issue: Chemistry and Mathematics, Part 1. HYLE--International Journal for Philosophy of Chemistry, Vol. 18, No.1 (2012). pp. 3-22. https://www.hyle.org/journal/issues/18-1/restrepo-villaveces.htm

Gillispie concludes his illustrated exploration of Lavoisier:

'Is this not the most tantalizing memoir in the history of chemistry, and in Lavoisier's the most appealing? Here alone, one gets a sense of modesty. He never claims for these expressions the dignity of algebra. "We are still very far from being able to introduce mathematical precision into chemistry, and I beg, therefore, that no one consider these formulas . . . as more than simple annotations, of which the object is to ease the labors of the mind." (But compare this disclaimer with what he says of algebra itself in the Method of Chemical Nomenclature: "Algebra is the analytical method par excellence: it was invented to facilitate the labors of the mind, to compress into a few lines what would take pages to discuss, and to lead, finally, in a more convenient prompt and certain manner to the solution of very complicated questions.")' p.245.

*in - Lavoisier, A.L. (1782). Considerations sur la dissolution des metaux dans les acides, Mémoires de l’Académie des sciences 1782, pp. 492-527, Available from http://www.lavoisier.cnrs.fr/ice/ice_book_detail-fr-text-lavosier-Lavoisier-49- 5.htm

Sunday, March 29, 2026

Children: FACE the past, future, your social media, Capitalism

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MENTAL HEALTH and WELLBEING

LIFELONG LEARNING
 
KEY LITERACIES 

PSHE EDUCATION -
 Personal, Social, 
Health and Economic
The Face
'Apps such as TikTok and Instagram are filled with videos of young girls and teenagers advising their peers on elaborate skincare routines, especially through a popular line of content called "Get Ready with Me".

Parents have sounded the alarm over this trend, while recent medical literature has recognised the phenomenon of "cosmeticorexia", also called "dermorexia", defined as a culturally reinforced preoccupation or obsession with achieving "flawless" skin that can lead to "excessive, age-inappropriate or compulsive use of cosmetic products".'

'Italy is investigating a beauty retailer and make-up brand owned by French luxury group LVMH over claims their marketing has fuelled "cosmeticorexia", an unhealthy obsession with skincare among young girls.
The Italian Competition and Market Authority (AGCM) said yesterday it was probing Sephora and Benefit Cosmetics for suspected "unfair commercial practices" with the promotion of skincare products such as face masks, serums and anti-ageing creams to girls as young as 10 years old.
Those marketing campaigns were carried out mainly via social media, the  regulator said, leading young girls to "compulsively" buy such products.'



My sources: Amy Kazmin, LVMH's Sephora probed in Italy over fuelling young girls' skincare obsession, FTWeekend, 28-29 March 2026, p.1. FTWeekend and The Times. Reviews.

London visit February. Waterstones, Foyles, Hatchards & others.

Book image: https://www.amazon.ca/Face-Cultural-Fay-Bound-Alberti/dp/1538766531
 
Previously: 'health' : 'face' : 'child' : 'obsession' : 'social media'

Saturday, March 28, 2026

Jürgen Habermas RIP: 'Synthetic abilities - Synthetic thinking'

'Jürgen Habermas is recognized for his immense
synthetic ability, integrating diverse cognitive domains—philosophy, sociology, linguistics, and psychology—to develop a cohesive theory of communicative action and social critique. His synthetic thinking aims to bridge modern rationalism with normative concerns, creating an interdisciplinary framework that addresses the complexities of modern society.
Google AI Overview: https://share.google/aimode/Tev1Ip96TMCMcEgdF 

'It is true that the sciences are increasingly interconnected with the development of productivity by way of technical progress; however, technical progress is not the only branch of science in the line of instrumental rationality defenders from Descartes and Bacon's scientific method. This is what distinguishes the Newtonian science from the second group of considerations: Darwinian science and contemporary systems theory (as Habermas, 1984 puts it). The latter do invite us to see the science as “an organism, population, or system [that] maintains itself through demarcation from and adaptation to a changeable, hypercomplex environment” (Habermas, 1984, p. 388). Also, the classical philosophical tradition, insofar that it suggests the possibility of a worldview, has become questionable:

Philosophy can no longer refer to the whole of the world, of nature, of history, of society, in the sense of a totalizing knowledge. Theoretical surrogates for worldviews have been devalued, not only by the factual advance of empirical science but even more by the reflective consciousness accompanying it. (Habermas, 1984, p. 1)'

Mejía Fernández, R. & Romero, J. (2022) Social Evolution in Jürgen Habermas: Towards a Weak Anthropological Naturalism between Kant and Darwin. Theoria, 88(3), 607–628. Available from: https://doi.org/10.1111/theo.12383

'According to Habermas, the self of the ethical life stage embodies a basis for a postmetaphysical grounding of the good life:

'Rather, all his attention is on the structure of the ability to be oneself, that is, on the form of an ethical self-reflection and self-choice that is determined by the infinite interest in the success of one’s own life-project. With a view toward future possibilities of action, the individual self-critically appropriates the past of her factually given, concretely re-presented life history. Only then does she make herself into a person who speaks for herself, an irreplaceable individual.'30 

Viertbauer, Jürgen HKlaus (2019) Habermas on the Way to a Postmetaphysical Reading of Kierkegaard.
European Journal for Philosophy of Religion 11 (4): 137-162. (p.145).

My source: Nick Pearce, Philosopher who fought the slide towards illiberalism, Jürgen Habermas Obituary. FTWeekend, 21-22 March 2026. p.9.

Thursday, March 26, 2026

Is there such a thing as the holistic bandwidth of 'resilience'?

In preparing my presentation for World Conference on Complex Systems 2026 (WCCS26) next month^, I am reading:

Bridging the Macro and the Micro by Considering the Meso: Reflections on the Fractal Nature of Resilience

ABSTRACT. We pursued the following three interconnected points: (1) there are unexplored opportunities for resilience scholars from different disciplines to cross-inspire and inform, (2) a systems perspective may enhance understanding of human resilience in health and social settings, and (3) resilience is often considered to be fractal, i.e., a phenomenon with recognizable or recurring features at a variety of scales. Following a consideration of resilience from a systems perspective, we explain how resilience can, for analytic purposes, be constructed at four scales: micro, meso, macro, and cross-scale. Adding to the cross-scale perspective of the social-ecological field, we have suggested an analytical framework for resilience studies of the health field, which incorporates holism and complexity by embracing an ecological model of cognition, something supported by empirical studies of organizations in crisis situations at various spatial as well as temporal scales.  

Key Words: human resilience; organizational resilience; resilience; resilience engineering; societal resilience 

Since the turn of the millennium, it appears 'resilience' has exploded across the media, and literature. As a result, it has also been viewed negatively by mental health service advocates, and activists as they decry the run-down state of formal services. The 'recovery model', undoubtedly closely associated with personal resilience is not the only answer.

This paper is helpful, in several respects but specifically to illustrate the idea of how Hodges' model can frame holistic bandwidth, across its care / knowledge domains.

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individual - emotional - mental
resilience



resilience engineering

human & societal resilience

organizational resilience


 
I think the answer is yes. 

But, what do you think (h2cmng AT yahoo.co.uk)?

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
 
See also:
Jones P. (2014) Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice and self-determination. International Journal of Person Centered Medicine. Vol 3, No 4, (2013) pp.305-311.  
 
Previously: 'complexity' : 'resilience' : 'holistic bandwidth' : 'fractal'

^Fingers x'd!