Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model

 ABSTRACT

Objectives

Despite decades of national and global strategies, persistent inequities in oral health outcomes, access, and service provision remain. Existing frameworks often fail to integrate clinical and behavioral factors with social, cultural, and political determinants. This study aimed to map and evaluate oral health frameworks using Hodges' Health Career—Care Domains-Model (HCM), a meta-framework that spans clinical, behavioral, sociological, and political domains. The goal was to identify conceptual gaps and opportunities for greater integration.

Methods

A structured scoping review was conducted using MEDLINE, CINAHL, EBSCO, and search engine Google Scholar (1995–2025) to identify oral health-related conceptual frameworks. Frameworks were eligible if they addressed oral health determinants, behaviors, policies, or interventions. Two reviewers independently screened records and analyzed full-text articles. Frameworks were categorized by theoretical orientation and mapped against the four HCM domains to identify patterns of emphasis or omission.

Results

Of 226 identified records, 21 frameworks met inclusion criteria. These were classified into three thematic groups: balanced (addressing all domains), clinically led (focused on clinical/behavioral aspects), and policy/public health-focused (emphasizing sociological/political factors). Seven cross cutting themes emerged, including health promotion, systems integration, social justice, and cultural safety. While many frameworks promoted equity and policy reform, few offered implementation guidance or had been empirically validated.

Conclusions

HCM proved useful for systematically comparing frameworks and revealed consistent underrepresentation of political and structural domains. It offers a practical tool for oral health professionals, educators, and policymakers developing integrated oral health models that align with equity, sustainability, and universal health coverage goals.

S. Bettiol, P. Jones, H. A. Onyedikachi, and W. G. Kernohan, “ Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model,” Journal of Public Health Dentistry (2026): 1–14, 
https://doi.org/10.1111/jphd.70034

'First came the landscape' c/o Eden project & Resurgence & Ecologist

Ingela Ihrman - First Came the Landscape

Beech wood

'First Came the Landscape is a giant stick skeleton made from the trunk, limbs and branches of a single beech tree that was blown down during Storm Eunice in 2022. . . .'

https://www.edenproject.com/visit/things-to-do/first-came-the-landscape

◇

INDIVIDUAL

|

    INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

My source: Anna Souter & Ingela Ihrman. 'First came the landscape'. Resurgence & Ecologist, May/June 2023. 338: pp.44-46. 

See also: https://www.edenproject.com/visit/things-to-do/first-came-the-landscape

Previously: 'landscape' : 'ecology'

International Conference: the Concept of Attention - IEF

 

Filosofia na Agenda

international conference
the concept of attention

Theme and Objectives

Attention constitutes one of the most fundamental yet under-theorized dimensions of human experience. Despite its centrality to perception, cognition, action, and intersubjectivity, the philosophical investigation of attention as a concept in its own right remains surprisingly underdeveloped. This international conference represents the first major initiative of a four-year research program (2025-2029) dedicated to establishing the philosophy of attention as a major field of contemporary philosophical inquiry.

The philosophical engagement with attention has deep historical roots. Already in ancient Greek thought, we find attention implicitly at stake in the Socratic contrast between an 'examined' and an 'unexamined' life and in the dialectical reform of ordinary reason pursued throughout Plato's dialogues. Medieval philosophy anticipates later developments through its emphasis on representation and intentionality (intentio), particularly in the works of Augustin, Aquinas and Duns Scotus. Yet it is only with Descartes's Meditations that attention receives explicit philosophical treatment, emerging as the crucial mediating link between radical doubt and epistemic certainty. This Cartesian innovation opens a rich trajectory of reflection, pursued by thinkers as diverse as Malebranche, Berkeley, Locke, and Wolff.

The scope of philosophical inquiry into attention expands dramatically from the late 18th century onwards. No longer confined to epistemological questions, attention becomes central to investigating the fundamental structures of subjectivity itself. French spiritualism, phenomenology, and philosophies of existence explore how attention relates to apperception, sensation, emotion, and volition—a trajectory that runs from Maine de Biran and Bergson through the phenomenological movement, encompassing figures from Paul Ricoeur to Michel Henry. Meanwhile, William James's psychological and philosophical investigations, along with later thinkers like Merleau-Ponty, Simone Weil, and Iris Murdoch, demonstrate attention's significance across multiple philosophical domains.

Indeed, contemporary philosophy recognizes attention as fundamental to a remarkable range of inquiries. In ethics, attention emerges as an essential vehicle for exercising personal and collective virtues. Aesthetics invokes attention in debates about the nature of beauty and our engagement with works of art—their creation, appreciation, and critique. Social and political philosophy identifies attention as a central component of the modern media landscape, where it functions as a valuable and increasingly contested economic resource. Environmental philosophy calls upon attention to help conceptualize our evolving and often precarious relationship with the natural world. Across these diverse contexts, attention appears as a fundamental human capacity whose nature and quality largely determine the kinds of bonds we can establish with each other and our surrounding world.

This conference seeks to bring these rich historical engagements into systematic dialogue with contemporary philosophy. We welcome contributions from all philosophical traditions and approaches, including but not limited to: the reflexive tradition, hermeneutics, phenomenology, empiricist and analytic philosophy, philosophy of mind, cognitive science, pragmatism, and non-Western philosophical traditions. We aim to explore how different philosophical frameworks have conceptualized attention's structure, dynamics, and normative dimensions, and how these varied perspectives can illuminate both historical debates and current research.

Full details: international conference: the concept of attention

Image: https://www.wikiart.org/en/theo-van-doesburg/heroic-movement-1916

ERCIM News No. 143 Special theme: "AI for Science"

 
Dear ERCIM News reader,

ERCIM News 143 is now online! The articles in this special theme show that AI is no longer a peripheral tool in science, but a central part of research practice across disciplines. AI for Science is reshaping how research is organised, understood, and conducted, while also raising important questions about trust, transparency, energy use, and the evolving role of human expertise.

Read the January 2026 Issue

This issue in PDF

This special theme was coordinated by our guest editors Edina Nemeth (SZTAKI) and Alexandre Termier (University of Rennes – Inria/IRISA).

Next Issue

No. 144 – April 2026
Special Theme: Open Science Experiences and Prospects
Call for Contributions

Announcements in this issue

• Dagstuhl Seminars & Workshops | Call for Proposals
• Fraunhofer–Bessel Research Award | Call for Nominations
• 2nd AIOTI Workshop on Semantic Interoperability for Digital Twins | Call for Participation
• Welcome to the 45th SAFECOMP 2026 | Call for Papers
• FMICS 2026: 31st International Conference on Formal Methods for Industrial Critical Systems | Call for Papers
• SAFECOMP 2026 45th International Conference on Computer Safety, Reliability and Security | Call for Workshop Proposals
• 21st International EWICS / ERCIM Workshop on Dependable Smart Embedded Cyber-Physical Systems and Systems-of-Systems (DECSoS 2026) | Pre-Announcement
• ERCIM “Alain Bensoussan” Fellowship | Next application deadline: 31 March 2026

My source:
Peter Kunz ERCIM https://www.ercim.eu https://ercim-news.ercim.eu

Paper: 'Intra-Personal Compromises'

ARGUMENTA

Issue 21

November 2025

https://www.argumenta.org/issue/issue-21/

Intra-Personal Compromises  

Juha Räikkä

University of Turku 

Abstract

The most usual philosophical questions about compromises have been those related to inter-personal compromises, in which parties are compromising with each other, rather than intra-personal compromises, which are often psychologically demanding. This paper aims to fill the gap in the discussion and briefly analyze the nature of intra-personal compromises. The starting point here is the assumption that inter-personal compromises cannot be made without intra-personal compromises, although intra-personal compromises are common even when they are not linked to inter-personal compromises. The main question addressed in the paper is whether the intra-personal compromises that we accept in all kinds of contexts are similar to those intra-personal compromises that we make when we compromise with others. I argue that they are more or less similar, although there are also some distinctive features in intra-personal compromises that are involved in inter-personal compromises. When a person makes an intra-personal compromise in the context of an inter-personal compromise she is forced to act under uncertainty, as she cannot know beforehand what options are really available. The price of the compromise is known only after the negotiation process. This is a special feature, or so I will claim. 

Keywords: Inter-personal compromise, Intra-personal compromise, Bargaining, Uncertainty. 

Räikkä, R. 2025, “Intra-Personal Compromises”, Argumenta 11, 1, 149–162.
https://www.argumenta.org/wp-content/uploads/2026/01/Argumenta-11-1-Juha-Raikka-Intra-Personal-Compromises.pdf
 

For a long time I have viewed the INTERPERSONAL domain of Hodges' model as being concurrent, interchangable, working as the INTRAPERSONAL domain. This paper is a helpful discovery, c/o Philos-L "The Liverpool List" which is run by the Department of Philosophy, University of Liverpool https://www.liverpool.ac.uk/philosophy/philos-l/

There are several examples/cases discussed. While brief, a HOSPITAL CEO example is relevant to studies for Hodges' model, as with, a CRITICAL CITIZEN:

'The above examples are rather similar but have small differences. In the ‘Judge’ example, the overriding principle is based on the importance of institutional rules. In the ‘Hospital CEO’ example, the main concern and the strongest value is pragmatic. In the ‘Critical Citizen’ example, the question is about omission rather than action.' p.157. 

The observation about the CEO speaks volumes, across public and private health sectors (and social care?). There is no discussion of reflection, reflexivity, or critical thinking explicitly. But individual, and collective distinctions, and impacts are explored, especially responsibility and mutuality. Three arguments precede concluding remarks. Further progress might be made exploring and relating these to the concepts of bargaining, uncertainty and compromise through Hodges' model and identity: both person-al and organisational?

ii Math Without Numbers - final notes & obs

In Math Without Numbers the chapters and topics flow and slot in really well, even for novices. There is no index, the inclusion of which is a first-check usually. The book's appeal was its non-technical title and invitation reading the sleeve notes. The title throws up words and visuals, the latter, to repeat, are ably and simply furnished by M Erazo. Remaining notes to highlight (record here) include (and capture overthinking!):

Math Without Numbers

Reference to 'ideology space', 'conceptual space' and the role of visual analogies, idioms, and how 'the list of spaces to choose from is always the same.' ... pp.28 & 29. On page 30, 'When you say that gender is a spectrum rather than a binary, that's a topological claim: You're  saying gender space is one-dimensional (a line) rather than zero-dimensional (two separate points). 'Questions about which conceptual paradigm to use sometimes boil down to questions of dimensionality.' Discussion of an infinite continuum had me making an axis of Hodges' model warp, this way and that: concave-convex (p.59). Maps and correspondence is already well established, as per a new paper (abstract and thanks to follow 1st Feb):

S. Bettiol, P. Jones, H. A. Onyedikachi, and W. G. Kernohan, “Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model”, Journal of Public Health Dentistry (2026): 1–14, https://doi.org/10.1111/jphd.70034 

Interesting to read of general map facts, flowing substances inside a rigid container, and vector maps. A pencilled note to share:

'Because when you look at things in the abstract like this, dusting off the specifics of a situation to focus on underlying dynamics, you start to realize there are only so many different patterns and structures out there. These patterns and structures are called mathematical objects, and thinking about them is called math.' p.79

The chapter on (generalised) Algebra, forced me to reconsider the Socratic, guided discovery and arrival at the structure of Hodges' model. (lines & points : nodes & edges). For page 88, I noted 'generic' invites abstraction. Isomorphism is discussed. Again I tested this against Hodges' model. I've always found it helps to immerse oneself in a new vocabulary: so welcome (anew) - structures, fields, rings, groups, loops, graphs, lattices, orderings, semigroups, groupoids, monoids, magmas, modules . . . algebras, p.101. Some are named only, but on graphs raises questions ... p.103.

'How densely interconnected is it? How segregated into different cliques? Does it cut clean into two subgraphs, with no connections between them? Can it be drawn without any lines crossing? Are there any lone dots without any connections?' 

There's the matter of 'friend of a friend' who have broken out of the sociological domain. Other notes to self: Significance of concepts - patient-centred, service-centred? The distance between between (vertical, horizontal, diametric)? There are weighted graphs (p. 104) and acknowledgement of category theory (p.115). A chapter on modelling pp.161-175, and models p.164 & p.169 are just a selection of highlights on a marvellous tour.

A hidden puzzle in the book remains a mystery for me.

Milo Beckman (2021) Math Without Numbers. London, Penguin Books. Illustrated by M. Erazo.

Previously: 'math' : 'diagrams' 
Plus, now archived Science domain links: 
https://web.archive.org/web/20150414125339/http://www.p-jones.demon.co.uk/linksTwo.htm

Believe it or not, this 'diversion' does help my reading of Order and the Virtual. 

c/o Intima 'Reflect on the World' . . .

CARE/of Intima:

REFLECT ON THE WORLD WITH US EVERY FRIDAY AT NOON.

No pressure, but we want to remind you that every Friday, around noon EST, we post a Crossroads blog—a short reflection that contributors from our current issue do on something from our archives. Think of “Friday at noon” as a blip in your busy life where you take time to yourself to reflect on our small part of the universe. Pause and spend 5 minutes reading one each Friday — it’s the equivalent of a deep-breathing exercise, a short yoga stretch, a tiny palate cleanser of lemon sorbet between the complex courses served up to us every day, or a moment stolen between patients or in a waiting room when you step out of your routine. Read the titles of recent ones below, then go and read a few. If you like what you read, set up a reminder alert.

◇

INDIVIDUAL

|

    INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

My source: Intima (and image) - mail list.

See also: 'reflect' : 'crossroads'

'Drama classes help GPs handle difficult patients' c/o BBC

'Hull Truck Theatre has just won the Innovation prize at the Stage Awards for their new training scheme for GPs. Associate Director Tom Saunders and GP Dr Eman Shamsaee discuss why drama classes are helping doctors treat patients.' 

BBC Radio 4 'Front Row' https://www.bbc.co.uk/sounds/play/m002q2jz (15 mins ...)

◇

Holly Phillips, East Yorkshire and Lincolnshire and Ian Youngs, Culture Reporter

Published - 21 January 2026

'A theatre company is using drama training to help doctors deal with challenging patients.

Hull Truck Theatre's classes feature actors performing difficult GP consultations, with GPs giving feedback before taking over the consultation themselves.

The theatre recently won the Innovation Award at the Stage Awards for the programme.

Dr Eman Shamsaee, who has taken part in the training scheme, described it as a "really creative way of doing GP training".'

BBC News:  Drama classes help GPs handle difficult patients

INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

The training programme has completed its pilot stage and is now in the delivery phase

A reminder of co-working to deliver STORM training with a Clinical Psychologist colleague. 

See also: 'communication' : 'primary care' : 'GP' : 'drama'

'Maths Without Numbers' by Milo Beckman

'Before you go tell your loved ones that you read a book about math and learned that a square is a circle, keep in mind: Context matters. A square is a circle, in topology. A square is most certainly not a circle in art or architecture, or in everyday conversation, or even in geometry, and if you try to ride a bike with square tires you won't get far.' pp.7-8.

'Like a line:

(Illustration - pen drawing of a line, a 'C' and an almost closed circle.)

A line can be bent almost into a circle, but to finish the job we'd need to click the ends together--not allowed. No matter how you manipulate a line, you'll always have those two special points on either end, where the shape just stops. You can't get rid of end-points. You can move them around and stretch them apart, but the two end-points are an unchanging feature of the shape.

For a similar reason, a figure-eight is a different shape too. There aren't any end-points, but there's still a special point in the middle where the lines cross, where there are four arms reaching out instead of the usual two at any other point. Stretch and squeeze all you want, you can't get rid of a crossing-point either. p.9.

Math Without Numbers

'The circle (aka S-one) and the infinite line (named R-one) are the only manifolds in the first dimension. To avoid end-points, you either have to loop back around or just go on and on forever. And don't forget: Because all the shapes in topology are stretchy, this also covers any closed-loop shape and any goes-on-forever shape. It doesn't have to be literally a circle or a straight line.' p.16.

The third dimension, dough-type manifolds, is pretty well understood at this point, though it took a hundred years and a million-dollar prize to get there, and we still don't have a totally neat and clean classification like the lower dimension. In dimensions five and up, topologists use a set of techniques called "surgery theory" to operate on manifolds and construct new ones.

That just leaves dimension four.

I wish I could tell you what's going on in dimension four. I'm not sure there's anyone who really knows. It's a weird boundary case: too many dimensions to do visually, but not enough to use sophisticated surgery tools. There are entire textbooks dedicated to what little we know about four-manifolds, and I couldn't make sense of anything past the opening pages. A professional topologist once told me she'd wanted to work on four-manifolds as an undergraduate but was advised to steer clear.' pp.23-24.

"Like a line" ... Yes. Take two that cross. Then the universes open up. 

Milo Beckman (2021) Math Without Numbers. London, Penguin Books. Illustrated by M. Erazo.

Previously: 'surgery'

Affordances

Affordance

An affordance is a perceptual pattern with survival significance. Affordances are relational, rather than objective or subjective properties. As Gibson, who coined the term, observes, 'An important fact about the affordances of the environment is that they are in a sense objective, real, and physical, unlike values and meanings, which are often supposed to be subjective, phenomenal and mental. But, actually, an affordance is neither an objective property nor a subjective property; or it is both if you like. An affordance cuts across the dichotomy of subjective-objective and helps us to understand its inadequacy' (Gibson 1979, 129). 
[Proust, Glossary, p.309.]

 

INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

subjective	objective

Re. 'Survival significance' ...

Does this make affordances relevant in clinical education, and education more generally?

What of assisted dying in theory, policy, law and practice?

Are there any implications for the models employed by artificial intelligence - LLMs, neurosymbolic reasoning / AI (wave x)?

Source: Joëlle Proust (2013). The Philosophy of Metacognition: Mental Agency and Self-Awareness.  Oxford: Oxford University Press, Oxford. ISBN: 978-0-19-960216-2

Précis of The Philosophy of Metacognition:
https://joelleproust.org/wp-content/uploads/2012/09/pdf15.pdf 

See also: 'subject' : 'object' : 'affordance' : 'interface'