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, August 22, 2026

Re. 'Population mental health in England, 2003–2022: Teasing apart psychological distress, mental illness and activity limitation'

Last month I was struck reading John Burn-Murdoch's regular opinion piece 'Data Points' in the FTWeekend.

This one 'What's really going on with mental health around the world?' concerned a report:

Henking, C. and Baumberg Geiger, B. (2026), 'Population mental health in England, 2003–2022: Teasing apart psychological distress, mental illness and activity limitations'. ESRC Centre for Society and Mental Health, King's College London.
https://osf.io/preprints/socarxiv/8ygrz_v2

Below I have mapped some points to Hodges' model and added others. 

By accident or not, Mr Burn-Murdoch continued this theme last weekend, discussing pandemic lockdowns and how they never ended for some people (citations below):

individual
|
INTERPERSONAL
: SCIENCES             
humanistic ------------------------------- mechanistic
SOCIOLOGY : POLITICAL   
|
group


Getting stuck in a psychological minima. Becoming fixed in mindset, lack of self-development through others - empathy, rapport. 

Subtle self-harm becoming more serious.

What is character in the 21st C?

Lack of measures.
^Lack of coherence - parity in health policy.

Lack of assertiveness, self-advocacy, prone to self-stigma (non-help seeking!)

Qualitative lived experience becomes self-reinforcing (and other - family?)

Getting fixed with a physique, posture - shaped by technology.
Physical equivalent-complement 
of 'mindset'.

Getting stuck in a physical minima 'long-term'. Subtle self-harm becoming more serious.


'Systems medicalisation'
PROCESSES

Convenience (POLITICAL) of binary responses, e.g. 
DISABLED -------- NOT DISABLED

Search for 'answers' - diagnosis

Search for 'solutions' interventions 

Early effect of lack of external play, risk-taking with others, friends - testing - trust.
Lack of social skills.
Impact of social and other media - reduction of stigma.
Social roles models - father-
figure

Lack of 'real' socialisation - meeting peers.

Socio-Political Power, hence resort to 'sick role'.

Social media - contribution to self-diagnosis. 

Support inc. Social prescribing: "You're not listening! How dare you suggest walking, gardening, volunteering, discussion group .. as a way to deal with this!"

'It's life - get on with it!' 

The compound effect of 'World News' on young people: cost of living; housing; cost of/access to education; employment options - related to AI; geopolitical events; climate change, state of economics since birth; COVID; housing; and isolation.
'Jobs' for teenagers?
(I had a 7-day paper-round)

 ^Parity of esteem (see above)

Welfare traps - 
especially by age xx

Realisation of the importance of outdoors play. Streets being protected for children.

Early Start Nursery


Imagine four characters called Harlequin meet for dinner. Halfway through another Harlequin gatecrashes the party, called spirit, then add psychiatry, anti-psychiatry, psychology, service users, policy-makers, the pharma-industry and education to the guest list and you are set for a marvellous time.

My source: John Burn-Murdoch, What's really going on with mental health around the world? FTWeekend, 11-12 July 2026, p.10.

John Burn-Murdoch, Pandemic lockdowns never ended for some people. FTWeekend, 15-16 August 2026, p.8.

Previously: 'young people' : 'mental illness' : 'behaviour' : 'Serres'

Friday, August 21, 2026

"Poetics of Relation" by Édouard Glissant

'The Slave Trade came through the cramped doorway of the slave ship, leaving a wake like that of crawling desert caravans. It might be drawn like this:

African countries to the East; the lands of America to the West. This creature is in the image of a fibril.

African languages became deterritorialized, thus contributing to creolization in the West. This is the most completely known confrontation between the powers of the written word and the impulses of orality. The only written thing on slave ships was the account book listing the exchange value of slaves. Within the ship's space the cry of those deported was stifled, as it would be in the realm of the Plantations. This confrontation still reverberates to this day.' p.5.
'Not just a specific knowledge, appetite, suffering, and delight of one particular people, not only that, but knowledge of the Whole, greater from having been at the abyss and freeing knowledge of Relation within the Whole.' p.8.

 
Édouard Glissant. (1990, 2025) The Open Boat. Poetics of Relation. Dublin: Penguin.

The above image runs within the text in the book.

My image source: https://annstreetgallery.org/Nolan-Oswald-Dennis

Thursday, August 20, 2026

"Hey Jonesy: Where's the book?"

This prompt from yesterday is far from new. There are outlines for papers on W2tQ.

Seriously though, what would a book outline look like - now?

The introduction is probably already written, it just needs to be pulled-together. But, in truth it (desperately) needs a new perspective. The question of how to update the explanation - short of running a workshop? The model's original purposes 1-4 are a statement of fact. The intro figures that invariably show how the axes 'create' the model's care, or knowledge domains? What if...? Could we also present the inverse? That would be a new slant. Does the model still 'work'? 

Details aside, here is a quick outline:

Part 1

Introduction and Background 

1.1 Brian E. Hodges and Post-Registration Nurse Education

1.2 Peter Jones - Primed to mind-map

1.3 Web presence: Initial website 1998-2015 - Blog 'Welcome to the QUAD' 2006 ...

1.4 Brian's original lecture notes

1.5 Looking back and forward: Models of care for the 21st Century

1.6 Confessions: So, where is the new site / platform? 

Part 2

 The Four (Five) Care Domains 

2.1 Science

2.2 Interpersonal (& Intrapersonal)

2.3 Sociology

2.4 Political

2.5 Spiritual

Part 3

Hodges' model in Practice - Applications

3.1 Self care

3.2 Clinical

3.3 Social Care - Community 

3.4 Management

3.5 Informatics

3.6 Policy 

3.7 Education

3.8 Workforce: Local - Global 

Part 4

The Legacies (still) in Our Midst

4.1 Person-centredness

4.2 Integrated Care

4.3 Holistic Care

4.4 Parity of Esteem

4.5 The Theory-Practice Gap

4.6 Change - Transformation: When? Disease to Prevention

Part 5

It's Tomorrow Now

5.1 Health Promotion

5.2 Public (Mental) Health & Protection

5.3 Citizenship

5.4 Global Health

5.5 Planetary Health

Part 6

Research

6.1 Hodges' model as a Research Tool

6.2 Climate change

6.3 Planetary Health

6.4 Beyond the Bio-Psycho-Social Model: The Political Domain

6.5 The Literacies 

6.6 InterDisciplinary, Multi- and Transdisciplinary

6.7 Hodges' model as a Mathematical Object?

Part 7

Philosophy
 
7.1 Revisiting the Original Purposes
 
7.2 AI - The Elephant in Mind
 
7.3 Value & Values  

...?

Much to add, revise ... 'Education as Part X'. Political and Literacy too - a specific part - and with AI (in every part!)?

STOP!!

OK. It's a minefield. Even a proposal is a 'non-trivial' task.

Who's writing this? Not me! Not all of it, and for me; not AI either.

It would be marvellous to be one of several editors: one day? 

Clearly, a great project for students and early career researchers and current practitioners. 

An inoculation to help new cohorts deal with the realities, ravages and rewards of 'care' in its entirety*. 

P.S. With the start of a title right there? PJ

Tuesday, August 18, 2026

Two one-day events in September: BCS SPECIALIST GROUP ON AI

BCS SPECIALIST GROUP ON ARTIFICIAL INTELLIGENCE (BCS-SGAI)
 
There are two one-day SGAI events arranged for September, both at the British Computer Society London office (near Moorgate underground station).
 
Trustworthiness and Safety in Generative AI - Friday September 11th 2026
 
Real AI 2026 - Friday September 25th 2026
 
There are online registration forms available from the event websites.
 
Trustworthiness and Safety in Generative AI - Friday September 11th 2026
Despite impressive breakthroughs in capabilities across text, vision, audio, and multimodal reasoning, current generative models remain prone to unpredictable failures and exhibit unresolved challenges in alignment, grounding, and robustness techniques, including hallucinations, instability under distribution shift, hidden internal representations, and limited theoretical understanding of how large‑scale models encode and propagate knowledge. This colloquium aims to create a forum for discussing cutting edge advances and emerging challenges in the trustworthiness and safety of generative AI.
 
The talks will include:

  • Beyond the Pixel: Trustworthy and Safe Generative AI for Medical Image Quality Transfer
  • Spoofing Deep Leakage Attacks in Federated Learning
  • Can We Trust the Voice on the Line? Robust Audio Deepfake Detection from Real-World Calls to the First “Hi”
  • The Scenic Route to Deception: Dark Patterns and Explainability Pitfalls in Conversational Navigation
  • Differential Adjusted Parity for Learning Fair Representations
  • Decision-theoretic uncertainty quantification in generative deep learning
  • Zero Trust Architectures for Secure Multi-Agent AI Systems: From Identity to Collaboration Integrity
Registration fee: £50 (plus VAT) for BCS and SGAI members and £90 (plus VAT) for others. This includes attendance at the event, lunch and refreshments.
Students and unwaged: £35 (plus VAT).  Group discounts are also available.
 
Real AI 2026 - Friday September 25th 2026
This event is aimed less at deep AI specialists and more at those who may be interested in understanding what AI can offer, and what it is doing right now. The event will feature talks from leading exponents and case studies outlining practical applications of AI from a wide range of application domains. Plenty of time has been allowed in the programme for discussion.
 
The talks will include:

  • Evolving the SDLC: Our Journey Towards Agentic Software Engineering
  • Robotics in the Age of AI: Adoption, Illusion and Direction of Travel
  • Is Judgement Uniquely Human?
  • Agent Trust and Coordination in Autonomous Multi-Agent Cyber Defence Systems
  • Agentic AI: The Good, the Bad, and the Ugly – Three Real-World Use Cases
Registration fee: £90 (plus VAT) for BCS and SGAI members and £110 (plus VAT) for others. This includes attendance at the event, lunch and refreshments.
Students and unwaged: £50 (plus VAT).  Group discounts are also available.
 
Max Bramer, Chair, BCS-SGAI 
bcs-sgai.org

[And my source.]

Monday, August 17, 2026

'Becoming family with place' - Wooltorton et al. (2020)

The second R&E piece 'spoke' immediately of distance, peoples - their societies, culture, heritage and communities, plus place and connection to land, landscape, water, fauna, flora and sky.

individual
|
INTERPERSONAL
: SCIENCES             
humanistic ------------------------------- mechanistic
SOCIOLOGY : POLITICAL   
|
group


Spirit

Sense of Belonging


PLACE


PEOPLE

family

Place and Planet 
are lost here.
Look at what 'country'
 means and does here.


Wooltorton, Sandra, Collard, Len, Horwitz, Pierre, Poelina, Anne & Palmer, David. (2020). Sharing a place-based indigenous methodology and learnings. Environmental Education Research. 26. 1-18. 10.1080/13504622.2020.1773407. 
https://www.tandfonline.com/doi/full/10.1080/13504622.2020.1773407.

My source: Wooltorton et al. (2020) 'Becoming family with place'. Resurgence & Ecology,  Issue 322. 2020. pp.34-35.

See also:

Jones, P. (2008) Exploring Serres’ Atlas, Hodges’ Knowledge Domains and the Fusion of Informatics and Cultural Horizons, IN Kidd, T., Chen, I. (Eds.) Social Information Technology Connecting Society and Cultural Issues, Idea Group Publishing, Inc. Chap. 7, pp. 96-109.

Hayward, B.A. (2020), Mental health nursing in bushfire‐affected communities: An autoethnographic insight. Int J Mental Health Nurs. doi:10.1111/inm.12765 

Previously: 'Australia' : 'Indigenous' : 'South' : 'landscape'

Sunday, August 16, 2026

Well-being of Future Generations (Wales) Act 2015

I do remember reading about the Well-being of Future Generations (Wales) Act 2015 in Resurgence & Ecology, Russell Warfield, Acting for the future. Issue 322. 2020. pp.20-24 [with another gem to follow]. Belatedly, here it is:

The Well-being of Future Generations Act

There are 7 connected well-being goals for Wales. They are:

  • A prosperous Wales
  • A resilient Wales
  • A healthier Wales
  • A more equal Wales
  • A Wales of more cohesive communities
  • A Wales of vibrant culture and thriving Welsh language
  • A globally responsible Wales

 ...

This is about ensuring that future generations have at least the same quality of life as we do now. The act provides for better decision-making by ensuring that public bodies:

  • take account of the long term
  • help to prevent problems occurring or getting worse
  • take an integrated approach
  • take a collaborative approach, and
  • consider and involve people of all ages and diversity.

Text source, video below with a 10th Anniversary video also:
 https://www.gov.wales/well-being-of-future-generations-wales

 


I wonder what tools they use to help the integration?

Saturday, August 15, 2026

Afghanistan: Help women and girls in Afghanistan today

Five years after the Taliban takeover in Afghanistan, the de facto authorities have issued more than 100 decrees affecting Afghan women and girls and stripping them of their rights, freedoms, and dignity.

No other country has dismantled the rights of half its population through law, policy, and practice to the same extent.

At the beginning of this year, the Taliban issued a decree effectively
 legalising domestic violence by allowing husbands to punish their wives.

And in May, another decree removed minimum age protections for marriage and made it harder for women to leave a spouse. This has increased the risk of forced and child marriage.

This is not just a loss of rights. It is the systematic 
erasure of women and girls from public life. 
Five years on from the Taliban takeover and the 
exclusion of women and girls is being normalised.

This unparalleled crisis of women’s and girls’ rights is at risk 
of being forgotten by the world.

individual
|
INTERPERSONAL
: SCIENCES             
humanistic ------------------------------- mechanistic
SOCIOLOGY : POLITICAL   
|
group


Self - esteem/wellbeing
Self-expression
Personhood
Mental health
Education - Thought
Life goals
Religion Meaning
Life - aspiration
Self-determination
Spiritual affirmation


Visibility
My VOICE
Daily routine -
Quotidian life
Life [this] One -
'Live it'
'Self-actualisation'
Life chances
Lived experience
Liminality - 
this is my journey ...


Gender apartheid
Relationships
Abuse - Domestic violence
Cultural beliefs
Quality of Life
Social
Religious beneficience
Ethics
'You see me'
'I see you.'
... our journey together.
We sisters are recognised 
by our brothers.

State sanctioned abuse
Scapegoating
Power - 
Absolutism
Denial of Human Rights
Crimes against Humanity
Law, Work
 Literal reading /
interpretation
'My State sees me?'
I am cherished by the society in which live. I can contribute. I can Be and give of myself [here].

 


Previously: 'Afghanistan' : 'women' : 'girls'

See also 8th Sept. The Last Free Women: A Daring Escape from Afghanistan and Coming of Age in America. Blumenstein & Kapp. Hardcover, 368 pages. Grand Central Publishing. ISBN: 9781538779002

Friday, August 14, 2026

Sometimes it can take an old model ...

 

'Sometimes it can take an old model, 
to build a new one, 
that makes the existing model obsolete.'

To borrow from Buckminster Fuller                        

 
Resurgence & Ecologist, Sept/Oct 2020, Issue 322, p.33.

Thursday, August 13, 2026

Call for Papers: Bioethics and Philosophical Health - JECP

Submission Deadline: Thursday, 31 December 2026

Contemporary bioethics has developed sophisticated tools for ethical decision-making. Yet it often operates within assumptions that reduce life to physiological viability. Ethical questions are frequently treated as matters of procedure and consent. Meanwhile, patients and clinicians face questions that exceed these frameworks. What makes a life worth living? How does illness disrupt or reveal meaning? What forms of care support not just survival but existential coherence? These questions call for a deeper engagement between bioethics and the philosophy of existence.

Despite growing interest in person-centred care, conceptual tools for clinical evaluation remain limited. Frameworks for assessing philosophical sense-making and existential orientation are underdeveloped. The Philosophical Health perspective addresses this gap by going beyond physical and psychological health. It asks how we cultivate meaningful lives through bodily experience, self-understanding, relational belonging, engagement with possibility, purposeful action, and philosophical reflection. The concept draws on the ancient tradition of bios philosophikos. It proposes that healthcare should attend not only to pathology but to the philosophical dimensions of human existence.

This special issue creates space for exploring how philosophical health can deepen bioethical inquiry as an embodied ethics of the good life. It challenges reductive assumptions and fosters practices that support purpose and meaning in lives, even when disrupted by health challenges. We welcome transdisciplinary contributions from philosophers, bioethicists, clinicians, medical humanists, and social scientists. Topics include how philosophical frameworks enrich clinical practice, how healthcare shapes existential experience, how the 4E cognitive approach may inform bioethical theory, and how dialogical methodologies can be integrated into institutional contexts. The issue aims to rediscover bioethics as a genuinely philosophical and existential enterprise, that is as bios ethikos.

Topics of interest for this call for papers include but are not restricted to:

  • Philosophical frameworks for enriching or transforming bioethical practice and clinical evaluation;
  • Philosophical dimensions of clinical encounters: embodiment, selfhood, temporality, and meaning-making;
  • Critiques of the reduction of ethical deliberation to procedure, regulation, or risk management;
  • How healthcare practices shape or constrain the philosophical dimensions of human existence;
  • The 4E cognitive approach (embodied, extended, enactive, embedded) applied to bioethical theory and practice;
  • Integration of philosophical inquiry and dialogical methods into clinical or institutional contexts;
  • Empirical and conceptual engagement with the Philosophical Health methodology, including SMILE_PH;
  • Cross-cultural and planetary perspectives on philosophical health and the good life;
  • Methodological innovations in clinical philosophy, philosophical counselling, and reflective practice.
More details here: https://onlinelibrary.wiley.com/page/journal/13652753/call-for-papers/si-2026-000772


_______

Dr Luis de Miranda
Associate Professor (Docent) in Bioethics, Uppsala University
Marie Skłodowska-Curie Fellow, Turku Institute for Advanced Studies
Associated Researcher, Centre for Research Ethics and Bioethics,
Department of Public Health and Caring Sciences, Uppsala University
https://www.luisdemiranda.com/

My source: Philos-L "The Liverpool List" is run by the Department of Philosophy, University of Liverpool https://www.liverpool.ac.uk/philosophy/philos-l/ Messages to the list are archived at http://listserv.liv.ac.uk/archives/philos-l.html. Follow the list on Twitter @PhilosL. Follow the Department of Philosophy @LiverpoolPhilos

Wednesday, August 12, 2026

Total eclipse: The terminator moves faster than you think

individual
|
INTERPERSONAL
: SCIENCES             
humanistic ------------------------------- mechanistic
SOCIOLOGY : POLITICAL   
|
group

Between the new and full moon the terminator - the line demarcating what is lit from what is dark changes all the time. This is imperceptible with the naked eye.

A telescope at low magnification reveals the moon in all its glory. At a higher power with manual control you have to keep moving to keep up, as the moon other-worldly slides out of view.

What of the terminator between poverty and wealth; ultrapoverty and ultrawealthy?

It is plain to see and so - easy to deny; but their instruments are hopeless, they watch indoors, fixed on their screens.


Total Solar Eclipse – August 12, 2026

See also: https://en.wikipedia.org/wiki/Terminator_(solar) 

Previously: 'terminator