- provides a space devoted to the conceptual framework known as Hodges' model. Read about this tool that can help integrate HEALTH, SOCIAL CARE, INFORMATICS and EDUCATION. The model can facilitate PERSON-CENTREDNESS, CURRICULUM DEVELOPMENT, HOLISTIC CARE and REFLECTION. Follow the development of a new website using Drupal (it might happen one day!!). See our bibliography, posts since 2006 and if interested please get in touch [@h2cm OR h2cmng AT yahoo.co.uk]. Welcome.

Tuesday, June 30, 2015

Triplanetary HOME ?

I didn't make it HOME to PLANETARY last evening. I hope it will be shown again.

humanistic --------------------------------------- mechanistic





Ack: Triplanetary

Stumble Upon Toolbar

Sunday, June 28, 2015

Non-Cartesian points, opposing corners and capital redux

humanistic --------------------------------------- mechanistic
"I felt

capital Patient?

Patient capital?

 in the corner,"

senior NHS figure said of recent top level meetings discussing the financial travails and sliding performance of the provider sector. ... The delineation between these two camps is becoming clearer. ... p.3 

Source: McLellan, A. (2015) Leader: Modernisers must cut the deficit to keep their side of the deal. Health Service Journal, 3 June. 125;6449:p.3.

See also:
Capital 'p': Patient, Person, Person-centred, Personhood

Stumble Upon Toolbar

Saturday, June 27, 2015

First GRADE CERQual newsletter: Confidence in the Evidence from Reviews of Qualitative research

Dear colleagues

I am sure that many of you are aware of the work of the GRADE Working Group to develop an approach to grading quality of evidence and strength of recommendations (see: www.gradeworkinggroup.org

We have recently established a new project group within GRADE to develop an analogous approach for assessing how much confidence to place in evidence from reviews of qualitative studies (sometimes called qualitative evidence syntheses). The GRADE CERQual (Confidence in the Evidence from Reviews of Qualitative research) Project Group has just released its first newsletter which can be accessed via the following link:


This newsletter includes contributions about the development of CERQual, systematic reviews where CERQual has already been used, future workshops and talks, and explains how you can join the mailing list or join the open Project Group if you would like to be more actively involved in the development of the approach.

For more information about CERQual please visit our website at www.cerqual.org


HIFA profile: Simon Lewin is a health systems researcher at the Norwegian Knowledge Centre for the Health Services (www.nokc.no and the Medical Research Council of South Africa (www.mrc.ac.za). His work is mainly in the field of implementation research, including systematic reviews of health systems interventions; the development and evaluation of strategies for changing professional and user behaviours and the organization of care; and the use of lay or community health workers to deliver care. He is an editor for the Cochrane Consumers and Communication Review Group and the Cochrane Effective Practice and Organisation of Care Review Group. Email: simon.lewin AT nokc.no

My source:
HIFA: Healthcare Information For All: www.hifa2015.org

Stumble Upon Toolbar

Research methodologies and struts: Networked Learning & Design Based Research

If I adopt Networked Learning as a research methodology I am aware of what might be a cognitively, conceptually (or plain habitually!) driven tendency to harvest concepts on the basis of association.

Now association may be the basis of a database model, but this is clearly insufficient even when a strut of the argument is the vertical axis of Hodges' model.

(Draft 7270 words, 64 references, primary focus threshold concepts)

Stumble Upon Toolbar

Thursday, June 25, 2015

Capital 'p': Patient, Person, Person-centred, Personhood

humanistic --------------------------------------- mechanistic

capital Patient

Patient capital

Whenever financial markets get hyperactive - the norm rather than exception over the past three decades - we hear calls for "patient capital" that can fund long-term investment in the productive capabilities that are essential for a prosperous economy. ...
The problem is not just "short-termism" but more fundamentally value extraction that far outstrips contributions to value creation, with financial interests, including top executives, reaping gains that should go to taxpayers and workers.
For the sake of stable and equitable growth, it is time that these real patient capitalists lose their political patience, and demand fundamental economic reform. p.24.

Lazonick, W. Why patient capital is running thin, Armchair Alphaville, FTMoney. July 26/July 27 2014: p.24

Stumble Upon Toolbar

Wednesday, June 24, 2015

GRADE CERQual, Reflection, Mixed Methods and Threshold Concepts

On leave this week and as per a previous post I attended the GRADE CERQual workshop last  afternoon. It was a very helpful exercise, a presentation and some group work. There's that word some again. The workshop is related to and will be repeated as a presentation at:

Health Research with Real Impact Conference

Wed, 24 June, 09:00 – Thu, 25 June, 16:00

- which is currently listed on UCLAN's news.

I've now 5000 exploratory words on Threshold Concepts with Hodges' model and bringing in prospective research methodologies. The final module of Part 1 beckons (reading, reading...) and this work will help and might be worthy of publication. I'm just adding some other points from the following sources:

Knight, S. (2015) Realising the benefits of reflective practice. Nursing Times; 111: 23/24, 17-19.

I can cite the above as reflection is never far away in theory, practice and students on placement. Is there is a role for Hodges' model? I believe there is and Collins et al further demonstrate the need as nurses evidence reflection on their professional reading for revalidation from April 2016. Collins writes (my emphasis):
Reflection should be undertaken using a recognised model as this adds structure and provides direction. The model used should be chosen by the individual and influenced by a number of factors such as ease of use, understanding and ease of flow when writing. Models without these elements will give the writer a negative experience of the reflection process (p.14).
Collins, G. et al (2015) Using reflection on reading for revalidation. Nursing Times; 111: 23/24, 14-16.

The final paper for now:

Evans, B., Coon, D., & Ume, E. (2011) Use of Theoretical Frameworks as a Pragmatic Guide for Mixed Methods Studies. Journal of Mixed Methods Research, 5(4), 276-292.
DOI: 10.1177/1558689811412972

- begins with a quotation:
A mixed methods way of thinking is an orientation toward social inquiry that actively invites us to participate in dialogue about multiple ways of seeing and hearing, multiple ways of making sense of the social world, and multiple standpoints on what is important and to be valued and cherished.
—Greene (2008, p. 20)

The paper refers to maps, conceptual and theoretical frameworks. H2cm is a map and a conceptual framework, but not a theoretical framework; unless theory is implied (instantiated) in its structure?

Evans, Coon, and Ume (2011) write:
Clearly, such frameworks could assist with navigation in mixed methods studies consisting of concurrent or sequential investigations, facilitate integration of methods in at least one phase of the inquiry, and provide a map for combining the what with the why to gain a multidimensional understanding of causal mechanisms. Utilization of such frameworks could, then, fit snugly into Tashakkori and Creswell’s (2007) recent definition of mixed methods: “Research in which the investigator collects and analyses the data, integrates the findings, and draws inferences using both qualitative and quantitative approaches or methods in a single study or program of inquiry” (p. 4). (Evans et al. p.278)

Researcher's are by definition forced to adopt a methodological position and argue it; defend it too! I'm not advocating for something else, but for Hodges' model this is akin to being pressed to hear the Song of the Sirens and suffer the consequences. This model does not want to be tied to the mast.

It is the mast and sail.

Hodges' is mixed methods incarnate - out of the box, in and between them:

Service Centered-Person Centered
Health-Well Being-Disease

Stumble Upon Toolbar

Tuesday, June 23, 2015

Monday, June 22, 2015

Healthcare: Reserved spaces to be comic-al

humanistic --------------------------------------- mechanistic
Psychiatric Tales

The Bad Doctor

c/o Amazon.co.uk

Stumble Upon Toolbar

Friday, June 19, 2015

Upcoming events: Digital Health Conference and Exhibition (Salford) & GRADE-CERQual tool - Workshop (UCLAN)

For international readers this may be of limited relevance, but I've a couple of local events coming up. It's likely too late to book but other offerings will no doubt follow from the respective organisers. I'm very grateful to Salford University & UCLAN for my places and look f/w to posting about the Salford event next month.

Before then on Tuesday afternoon I'm on leave and will be at UCLAN:

GRADE-CERQual tool - Workshop
CERQual (Confidence in the Evidence from Reviews of Qualitative research)

Dear Colleague,

We thought the workshop (attached) might be of interest for you all? It will be introducing the newly developed CerQual criteria for the assessment of qualitative research into guidelines for practice, policy and service development. The event is led by one of the architects of this new approach, Claire Glenton, who was a co-author on the first ever published qualitative evidence synthesis for a Cochrane (EPOC) review, and who works in the Cochrane EPOC group in Norway. The work of the group crosses all relevant health topics and disciplines. The key information is as follows:

Qualitative evidence syntheses are increasingly used to bring together findings from qualitative studies. However, it is difficult to use these findings to inform decisions and policies because methods to assess how much confidence to place in synthesised findings are poorly developed. This workshop describes the GRADE-CERQual tool, an approach for assessing how much confidence to place in findings from qualitative evidence syntheses.

The workshop will cover the following topics:
  • Why and when might it be useful to carry out a systematic review of qualitative research?
  • Why assess confidence in findings from reviews of qualitative research?
  • Introduction to the GRADE-CERQual tool
  • Applying the GRADE-CERQual tool
During the workshop, we will discuss the topics listed above and will try out the CERQual tool through group exercises.

Many thanks

Rosemary Horan
Clerical Assistant | School of Health
University of Central Lancashire |Brook Building 418 |Preston PR1 2HE

Apparently the workshop was organised quite quickly so there is no webpage, there is an events page. If there are any insights I can share on this half-day I will do so.

Here are the details for Salford next month:

Dear Colleague,

The University of Salford have been tasked with running Digital Health Conference and Exhibition on 7th July 2015.

I believe this conference would be of huge interest and benefit to you considering your field of work.

Attending the Digital Health Conference and Exhibition 2015 allows you to explore the transformation of healthcare service delivery, while harnessing technology for patient benefit.

Using technology in healthcare can help you access an array of benefits, from boosting efficiency by reducing the need for face-to-face interaction, to promoting self-care and improving collaboration.

What are the benefits of attending?

The conference will provide you with tools to improve patient choice and satisfaction levels whilst enhancing quality of care by reducing face-to-face interaction.
  • Fitting in with people's busy lives
  • Delivering faster and more convenient services
  • Empowering patients to take control of their own healthcare needs.
  • Improving collaboration across healthcare, social care and industry.
  • Using technology to deliver the same high standard
For the full list of benefits and the full agenda click here

email Chris Reynolds on c.reynolds1 AT salford.ac.uk

Kind Regards,
Chris Reynolds
Marketing Officer | ONECPD
Salford Professional Development
Adelphi House, University of Salford, Salford M3 6EN

Stumble Upon Toolbar

Wednesday, June 17, 2015

Hodges' model as a Leitbild framework

humanistic --------------------------------------- mechanistic

(to ensure, process, distribute,
use, maintain, use,
and preserve human service demands)


ECOLOGY (as Nature)

related activities*

distribute   'hard systems'  use




'soft systems'




ensure (assure)

Image and reference:
Klug, H., 2012. An integrated holistic transdisciplinary landscape planning concept after the Leitbild approach. Ecological Indicators 23, 616–626. doi:10.1016/j.ecolind.2012.05.019

“A Leitbild (pl. Leitbilder) is a summary statement describing a desired and releasable future state for a specific issue or spatial unit, which takes account of the primary objectives and drivers in a holistic and integrated way. All present knowledge is used to balance future constraints and demands from social, economic, cultural, political and environmental perspectives. Therefore, a commonly accepted Leitbild projects a specified trajectory for the future spatial structure, distribution, utilisation, condition and development of the socio-natural system. It provides a set of guidelines that shape actions, and a framework within which the impact of particular developments can be judged and socially negotiated.” p.617.

Stumble Upon Toolbar

Friday, June 12, 2015

Sharing of Knowledge: Culture, Community, Conceptual Spaces and Economics (Gärdenfors)

"Culture, in the form of interaction between people, may in itself generate constraints on conceptual spaces. For example, Freyd (1983) puts forward the intriguing proposal that conceptual spaces may evolve as a representational form in a community just because people have to share knowledge (Freyd 1983, pp. 193–194):

There have been a number of different approaches towards analyzing the structures in semantic domains, but what these approaches have in common is the goal of discovering constraints on knowledge representation. I argue that the structures the different semantic analyses uncover may stem from shareability constraints on knowledge representation. [. . . ] So, if a set of terms can be shown to behave as if they are represented in a three-dimensional space, one inference that is often made is that there is both some psychological reality to the spatial reality (or some formally equivalent formulation) and some innate necessity to it. But it might be that the structural properties of the knowledge domain came about because such structural properties provide for the most efficient sharing of concepts. That is, we cannot be sure that the regularities tell us anything about how the brain can represent things, or even “prefer” to, if it didn’t have to share concepts with other brains.
Here Freyd hints at an economic explanation of why we have conceptual spaces: they facilitate the sharing of knowledge." p.17.

From: Gärdenfors, P. (2004) Conceptual Spaces as a Framework for Knowledge Representation. Mind and Matter. Vol. 2(2), pp. 9–27. http://musicweb2.ucsd.edu/~sdubnov/Mu206/gaerdenfors.pdf

See also: http://hodges-model.blogspot.co.uk/2015/06/books-on-my-list-life-information.html
(in particular - as will I - the book 'Why Information Grows')

Stumble Upon Toolbar

Wednesday, June 10, 2015

More Human - istic?

subtitle: Hey, Steve, Tories, Labour, Liberals, Greens, DoH... over here!

More Human by Steve Hilton
            INTERPERSONAL  SCIENCES              
humanistic ----------------------------- mechanistic

Policy Exchange:
Steve Hilton discusses his new book More Human in conversation with Charles Moore


Book cover: Amazon

Stumble Upon Toolbar

Tuesday, June 09, 2015

Call for Papers: Infrastructures for healthcare (IHC) - Patient-centred Care and Patient-generated Data

Special Issue on the Health Informatics Journal

Infrastructures for healthcare (IHC): Patient-centred Care and Patient-generated Data

*Guest editors*

Enrico Maria Piras, Fondazione Bruno Kessler, piras AT fbk.eu
Gunnar Ellingsen, UIT – the Arctic University of Norway, gunnar.ellingsen AT uit.no

Information infrastructures are an integral part of western healthcare services. Regarded by policymakers, healthcare managers and healthcare providers as obligatory passage points to improve the provision of care and the overall efficiency of the healthcare systems, they have contributed to shape the existing landscape of healthcare provision and technological capabilities. Despite some failures and shortcomings, healthcare infrastructures have proven to be strategic assets. Over time they have provided support to clinical and administrative personnel in the recording and sharing of information in/across medical settings, streamlining of care processes, and providing decision support. In due course, many healthcare professions and medical practices have been re-defined by the pervasiveness of infrastructures and ICTs.

While these technologies have traditionally targeted professionals, in the last years there is a growing attention towards the inclusion of patients as actors with legitimate access to infrastructures. This is due to the new roles attributed by healthcare sector to patients, their relatives and caregivers. Patients are increasingly involved in their own care, with particular regards to prevention and self-management of chronic conditions. While this increases the burden of self-care, it also turns patients into legitimate “experts” of their own care. Moreover, patients have at their disposal a wide range of affordable and yet reliable medical devices, whose use is changing the locus of health information production. If few years ago patients could just measure body temperature by themselves, now they can have access to a wide range of tools for self-measuring purposes not to mention the giant steps of smartphone sensors and applications or wearable devices that allow constant monitoring of an growing number of parameters. This implies that patients do not only interact with an infrastructure, they are also an inherent part within it, and patients are less and less mere passive objects of representation and are rather becoming proactive subjects of care and health data production, “health information prosumers” (producer-consumer) so to say.

The integration of data produced by patients with the traditional medical information has been heralded by many as a new frontier of healthcare provision. To date, the healthcare sector have only partially responded to these challenges and development projects in this area have mostly targeted specific technologies at patients such as patient portals or personal health records. These systems, however, are often confined precincts rather than integral parts of a seamless web of communication and infrastructures. Accordingly the most part of existing healthcare infrastructures still reflects a provider-centred technology focus in a landscape increasingly dominated by a patient-centred discourse.

Providing access to healthcare infrastructure to patients, however, is easier said than done. It requires to face and solve relevant technical issues regarding such as privacy, security, robustness. Moreover, and more interesting in our perspective, it raises a number of matters that call into question the very heart of the patient-provider relationships. Should patients be given access to all their information? Should it be “translated” or accompanied by authoritative interpretation? Can patient generated data be considered reliable? Will providers be required to consider it? In short, patient access to healthcare infrastructures will probably be an arena of confrontation, conflict and cooperation for all the actors involved in the care process therefore becoming an intriguing lenses through which observing the both the evolving of healthcare provision and patient-provider relationship.

We wish to bring international researchers, healthcare professionals, IT professionals, administrators, and IT companies together to discuss these issues. We particularly invite contributions which methodologically are based on ethnographic/case/field studies.

Topics of particular interest include, but are not limited to:
  • Role of patients in shaping new patient-inclusive healthcare infrastructure;
  • Redesign, adaptation, modification of clinical healthcare infrastructure to grant access to patient;
  • Policies, regulations and restrictions in patients accessing their data through healthcare infrastructures;
  • Design, implementation and evaluation of Personal Health Records or patient portals;
  • Consequences of patient accessing their data through clinical healthcare infrastructures;
  • Methods to investigate patients’ data production and use;
  • Co-production and co-interpretation of health data between clinicians and patients;
  • Emerging roles and responsibility of patients as health data producers and managers;
  • Practices and cultures of self-quantification and self-tracking.
Submission guidelines

Maximum length: 6000 words including references

Full papers are to be submitted to HIJ online review system:

Select the special issue: "Infrastructures for healthcare (IHC): Patient-centred Care and Patient-generated Data"

Important dates

Initial submission of full papers: 31 October 2015
First round of reviews sent to authors: 8 January 2015
Revised paper from authors due: 29 February 2016
Second round of reviews sent to authors: 31 march 2016
Revised paper from authors due: 31 May 2016
Third editorial review: 30 June 2016
Revised paper from authors due: 30 August 2016
Publication anticipated: 31 October 2016

My source: stsgrad AT googlegroups.com

See also: http://hodges-model.blogspot.co.uk/2015/01/5th-international-workshop-on.html

Stumble Upon Toolbar

Monday, June 08, 2015

Books on my list: Life & Information

humanistic --------------------------------------- mechanistic

The Vital Question by Nick Lane

Why Information Grows by César Hidalgo

Times Higher Education: The Vital Question by Nick Lane

The Oxford Student (photo - Penguin Books): Why Information Grows by César Hidalgo

Stumble Upon Toolbar

Saturday, June 06, 2015

pLay: Spot the difference?

humanistic --------------------------------------- mechanistic

Nurses get 1% pay rise

MPs should get 10% pay rise, says regulator

NHS Pay Review Body (NHSPRB)

Independent Parliamentary Standards Authority (IPSA)

BBC Radio 4: World At One 5 June 2015 clip Mark Field: "Many of my constituents wonder how it is that any MP could live on £70,000 a year"

Yahoo Finance: Sky News - UK Wage Growth Jumps To 2.7%

Definitions of: 'independent', 'upwards', 'downward', 'vocation'.

Source: link - The Guardian, and various media.

Stumble Upon Toolbar

Thursday, June 04, 2015

MINDCRAFT - Wellcome Collection c/o net magazine July 2015 UK

The gallery of inspirational sites in the July issue of net magazine features MINDCRAFT on p.45 (that's the paper copy, I spend enough time reading a screen).

MINDCRAFT, designed and developed by Clearleft showcases excellence in responsive web design, graceful degradation, interactions that serve the narrative, innovative scrolling and jQuery.

For me this a great opportunity to mix two passions: my career in mental health and an academic focus and interest. From the Welcome site:

Mindcraft explores a century of madness, murder and mental healing, from the arrival in Paris of Franz Anton Mesmer with his theories of 'animal magnetism' to the therapeutic power of hypnotism used by Freud. ...

Stumble Upon Toolbar

Wednesday, June 03, 2015

Medical history - I

Hostius Pamphilus. Rome. Tablet of stone [Photo: PJ Musei Capitolini]

Hostius Pamphilus. Rome. Tablet of stone. 
Gaius Hostius Pamphilus, a doctor of medicine, freedman of Gaius, bought this memorial for himself and for Nelpia Hymnis, freedwoman of Marcus; and for all their freedmen and freedwomen and their posterity. This for evermore is our home, this is our farm, this our gardens, this our memorial.
Frontage 13 ft., depth 24 ft. [ http://www.attalus.org/docs/cil/epitaph.html ]

C(aius) Hostius C(ai) l(ibertus) Pamphilus / medicus hoc monumentum / emit sibi et Nelpiae M(arci) l(ibertae) Hymnini / et libert{e}is et libertabus omnibus / poster{e}isque eorum / haec est domus aeterna hic est / fundus h{e}is sunt horti hoc / est monumentum nostrum / in fronte p(edes) XIII in agrum p(edes) XXIIII [ http://db.edcs.eu/epigr/epi_einzel_en.php?p_belegstelle=CIL+01,+01319 ]

Prezi: Slave doctors in Rome

Stumble Upon Toolbar

Monday, June 01, 2015

Rich Pictures - rich pickings?

Seeking conceptual anchors I've often thought of Hodges' model as a rich picture. Reading to complete my latest module and add to the threshold concepts draft I came across:

Berg, T., Pooley, R. (2013) Contemporary Iconography for Rich Picture Construction. Systems Research and Behavioral Science 30, 31–42. doi:10.1002/sres.2121

There are several points with implications for h2cm and future work. From the abstract:

The RP is a diagrammatic means of identifying differing world views with the aim of creating shared understanding of the organization. The RP has predominately been used as a freeform, unstructured tool with no commonly agreed syntax.
Our research suggests that the RP requires structure to become a contemporary knowledge elicitation device. p.31.
The application of rich picture is quite specific within soft systems methodology [SSM], but there is much to learn here. Let's use the abstract as a template:

Hodges' model could be a diagrammatic means of identifying differing personal care needs, with the aim of creating shared understanding of person-centred care aims and co-created health literacy which whenever possible includes the patient and carer.

Hodges' model provides a structure but one that is nonetheless freeform. You could say the coastline is mapped, but only to a degree. I have already likened Hodges' model to a cognitive periplus. A coastline is clearly definable: initially (it is also fractal). For a ship as in years of yore where can it go? Can it turn inland, to new discoveries (and disciplines)? Is this an estuary with a navigable river? Can the ship find a way out to a new sea through this strait? Even if the ship hugs the coast navigating potentially treacherous waters when newly found? Does this flexibility in Hodges' model arise because it is in effect templatized (axialised)? I have often wondered about my concluding that the user of Hodges' model wants to have their cake and eat it too. By this I mean h2cm is simplistic and so it is dismissed by many, but it can serve complex purposes once populated. By deriving the care domains from the structure, h2cm provides conceptual spaces within which users can orchestrate the concepts pertaining to a particular situation, or context.

Back to paper: there is no syntax as yet since there are no designated icons for Hodges' model. There are many sources and libraries including possibly a subset of RPs, the Noun Project too.

Berg and Pooley write that: RP requires structure to become a contemporary knowledge elicitation device. There is a problem here in what we mean by contemporary, given how long RPs have been around. Of course the same applies to h2cm, hence my efforts. Can we, dare we be more ambitious?

From the paper itself:
This holistic methodology [SSM] uses the rich picture (RP)... p.31
Hodges' model is a holistic methodology that combines threshold concepts, conceptual spaces...!?

More specifically Berg and Pooley write:
Avison and Fitzgerald propose that there is an unwillingness to engage in the rather lengthy requirement gathering process of the RPs and further suggest that management want to avoid political issues that could arise. In certain hierarchal organizations, it is suggested that the RP does not appear ‘business like’, and there is a lack of credibility with the approach (Daellenbach, 1994). p.32.
Judging from the graphics in the paper much of the 'political' may be interpersonal-relationships, but this will inevitably also refer to interdepartmental and interdisciplinary wrangling. Hodges' model gets# politics. H2CM includes into its structure a POLITICAL domain. If we expand Berg and Pooley's observation could this account in part for the failure of so many IT projects and the need for socio-technical approaches? Computers feature quite highly as one of the most repeated icons in RPs (graph on p.35). There is also a striking similarity between Hodges' model and RP in the simplicity I referred to previously. Within the 'organization' and the hierarchy (even if levelled to pubescent bumps) there remains a need for efficiency (accounting for time), formality and being 'business-like'.

I suspect that for some people, depictions of RPs and Hodges' model are fine on the training room flipchart paper. Once the turn-is-given and the evidence is there to see on the A1 page then to expect more: time for drawing, reflecting, concept mapping, meeting of hearts and minds, problem solving... is a stretch of credibility for some. It may be that as Berg and Pooley do not refer to vocabulary, so often this is the stumbling block as there is no shared vocabulary. It may be close, but differences remain and technology waits for no organization.

Hodges' model attests that meaning comes from several sources and we need to listen in quadrophonic at least, and all before any pencil is licked.


# Gets is used here in two senses: The model (I mean of course the user) gets politics  in terms of access to the political ramifications of whatever... This bare structure may not be doing anything but it has potential. Concepts, such as, consent, capacity, deprivation of liberty, 7-day follow-up, safeguarding, information sharing... can then be encountered in practice, learned and eventually integrated.
Students (and others) can get political as an activist
; be that as a critical thinker, advocating for healthcare, or within union and professional bodies.

See also (a dated paper and still an excellent read):
Shaw, Mildred L.G., & Gaines, Brian R. (1989) Comparing conceptual structures: Consensus, conflict, correspondence and contrast. Knowledge Acquisition, 1(4), 341-363.

The SSM - RPs community should look f/w with relish to the advent of VR. This can surely overcome many of the difficulties highlighted in Berg and Pooley (2013) and address the point above about contemporaneity. Icons will be ready-to-hand (gesture, look, thought!...): the challenge then becomes shared VR, but then this is central to its purpose.

Stumble Upon Toolbar