| "Sight gives you the world, ... | ||
... but hearing gives you other people."
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Total parking charges £174 million in a year | |||
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"... for their quantitative models based on equilibrium, efficiency and rationality. By co-opting methods from the physical sciences, a bewildering array of fancy-looking graphs and complex equations was soon spawned. Having stripped out the fuzziness of mortal endeavours, these neo-economists were freed to use their slide-rules on a quantitative version of our world. ... Their Möbius-strip models go everywhere and arrive nowhere." (2)
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"Since the early writings of 13th century theologians such as Thomas Aquinas, what we call economics had been taught as a broad discipline covering politics, society, ethics, husbandry and moral philosophy. But by the 19th century, academics such as Vilfredo Pareto, Alfred Marshall and Thorstein Veblen had jettisoned humanistic thinking ..." (1)
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"For the rest of the 20th century, the cult of quants purged humanity from the study of finance. This was a big mistake. We don't build businesses, work in offices, service customers or sell products to satisfy arcane algorithms.
We pursue a very human set of needs: food, shelter, status, community and well-being. Economics needs to be re-entered on human ad societal conduct - however messy and irrational it actually is." (3) Aron Miodownik
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"A subtler effect of ego is one that doesn't threaten reputation so much as how you prioritize what is important. The threat is based on a sense that your opinion, approach, and perspective are the only ones with merit. While arrogance is one outcome of these elements, a much subtler risk that can bubble to the surface is becoming too focused on theory.
...
Unfortunately, some folks have something of a love affair with theory. Many of these people write extensive blog entries, give very generic (though well-meaning) presentations, and often seem to think that their primary role is to impart knowledge to others and sound as wildly academic as possible. But there is no secret ingredient in growing community. What makes a great community leader is experience: trying new ideas and concepts and learning from the successes and mistakes." p.17.
1st PERSON here 'Me' 'I' - my dialogue 'Me' - a PERSON - as Narrator Psychiatrist... as Narrator? | and ... 1st PERSON here perspective, point of view Physician... as Narrator? Case Study as Narrator |
'We' as Narrator 1st PERSON
'You' 2nd Person
'He' or 'She' as Narrator -
3rd PERSON
Carer / Relative as 1st or 2nd PERSON
| NHS as Narrator - The Clinical Record Commissioner - Insurer as Publisher? Dept of Health as Narrator Governments as Publishers (What chance of an 'advance')? |
COGNITIVE ACCESS | PHYSICAL ACCESS |
SOCIAL
ACCESS |
 |
| ‘Woman Swinging Below an Aubergine Plant’, watercolour with pencil, 19th century (Wellcome Collection) |
oral traditions learning teacher - student | 3000 years botany turmeric |
culture, history,
community knowledge,
traditional medicine
| West - contested - East prices scope of patents |
People probably look at Hodges' model and see something that is simplistic. There is a great power, however, in the scenarios that the structure of Hodges' model can readily encompass. Not just in the hospital, but across all care contexts.
"Where is the great value promised by the transition to EHR [Electronic Health Record]? Where is the huge surplus from all those lives saved? Without an actor who can find it, and deploy it to shift the doctors into surplus, nothing will happen.
If the ecosystem* includes just the five traditional players, EHR will remain an academic dream. The answer, then, requires introducing a new player - an aggregator. Because the odds of mistakes are so low, the benefits of EHR are invisible to the individual patient. They become material only when we aggregate outcomes over a large enough number of patients. We need to find an actor whose surplus is affected by patients not as individuals but as a group, and who is able to both capture and distribute this benefit; insurers, health-care systems, and governments all fit the bill. And the larger the group, the larger the surplus." p.130.
Sober, E. Force and disposition in evolutionary theory. In. Hookway, C. (ed.) (1984). Minds, Machines And Evolution. Cambridge: Cambridge University Press. pp.43-61."It is gratifying to find these biological ideas already enshrined in the ordinary meaning of 'selection for' and 'selection of'. My young son has a toy which takes all the mystery out of this distinction. Plastic discs with circles cut out of them are stacked with spaces in between in a closed cylinder. Top-most disc contains very big holes, and the holes decrease in size as one moves down from disc to disc. At the top of the cylinder are found balls of different sizes. A good shaking will distribute the balls to their respective levels. The smallest balls end up arrayed at the bottom. The next smallest sized balls settle at the next level up, and so on. It happens that the balls of the same size also happen to have the same color. Shaking sends the black balls to the bottom, the pink to the next level up, and so on. The whole cylinder (plus paternal administered shaking) is a selection machine. The device selects for small balls (these are the ones which pass to the bottom). It does not select for black balls (even though these are the ones that pass to the bottom). But when we ask after a shaking what was selected, it is equally correct to say that the black balls were selected and that the small ones were. 'Selection for' focuses on causes; 'selection of' picks out effects." p.50-51.
Sober (1984) Child's toy
| h u m an | f l o w |
h u m a n
| f l o w |
(a) lived experience |
mobility
|
SOCIAL MOBILITY
|
"Mr Milburn, a former health secretary, took up his role at the commission in July 2012, under the coalition government led by David Cameron and Nick Clegg.Speaking on the BBC's Andrew Marr Show, he said divisions in Britain were becoming wider - pointing to the ongoing squeeze on wages.
The government lacked the "bandwidth" to tackle social division while also dealing with Brexit, he said, describing his task as being like "pushing water uphill". [My emphasis]
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| David Bomberg, Ju-Jitsu, c.1913 |
Graves and Corcoran (1989) drew from Blum (1986) to define the three concepts as follows: (1) data are discrete entities described objectively without interpretation; (2) information is data that are interpreted, organised, or structured; and (3) knowledge is information that is synthesized so that relationships are identified and formalized. Drawing on this work, Nelson (1982, 2002) defined wisdom as the appropriate application of knowledge to the management and solution of human problems.
Data, which are processed to create information and then knowledge, may be obtained from individuals, familes, communities, and populations and the environment in which they exist. Data, information, knowledge, and wisdom are of concern to nurses in all areas of practice. For example, data derived from direct care of an individual may then be compiled across persons and aggregated for decision making by nurses, nurse administrators, or other health professionals. Further aggregation may address communities and populations. Nurse educators may create case studies using these data, and nurse researchers may access aggregated data for systematic study. pp.97-98.
In checking through more books, I revisited Khan and Ally's International Handbook of E-Learning. Chapter 10 by Florence Martin includes several models for instructional design. My in-situ pencil notes from 2015 reminded me of Figure 10.1 "Adaptation of Gagné's nine events" (Gagné and Driscoll, 1988).
I found a version on Pinterest:
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| Gagné's nine events |
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| Gagné's nine events |
As Leadbeater described through Illich in the previous post we need a transformation from healthcare supplied as a service to individual personal responsibility for health and wellbeing. How can this be brought about though?
The power of grassroots, social movements is well established, even if since 2009 the idealism of the Internet as a force for positive change and democracy has been somewhat undermined.
As a force for positive change and exposing the thinking and skills of the poor, Leadbeater also highlights the creation of the Barefoot College by Bunker Roy and barefoot thinking. The poor do have skills and knowledge that can effect change and community growth.
Situated and capable across all contexts, Hodges' model can help facilitate personal responsibility and self-care. In addition to supporting the learning of health and social care professionals, Hodges' model can also provide a conceptual scaffold as barefoot thinkers redefine professionalism.
Personal Responsibility
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Service
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"Success in this personal task is in large part the result of the self-awareness, self-discipline, and inner resources by which each person regulates his own daily rhythm and actions, his diet and sexual activity... The level of public health corresponds to the degree to which the means and responsibility for coping with illness are distributed among the population."
Kathy ... | |
Estimate:
HK$31,000,000 - 41,000,000
€3,420,000-4,530,000
$3,970,000-5,260,000
|
care graph portability
| care graph portability |
social graph portability
& care graph portability
|
care graph portability
|
Purpose
(One of the 4P's in Hodges' model)
Joy
Satisfaction
|
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Quality of Life -
4 All?
|
|
 |
| Andy Goldsworthy "Touching North" (1989) |
Being a cultural theorist the concept of ‘the south’ is particularly interesting to me (as are the other points of the compass, since they are often set in binaries and have values attached to them when set in opposition – for example the North/South divide in Britain). Coverley begins the introduction by showing us a 17th century map of the south pole and then describes the work by the artist Andy Goldsworthy entitled Touching North (1989) (see below). Touching North was situated at the North Pole, with the four individual parts of the sculpture facing each other and also outwards, with holes in the centre providing them with an opening which enabled them a space accessible from anywhere and everywhere. Coverley says that the sculpture “demonstrates how the directions of the compass may effectively be rendered meaningless: emerge through any of the four arches and one finds oneself heading south” (page 9). From:
http://particulations.blogspot.co.uk/2016/12/south-by-merlin-coverley.html
N
S
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NORTH?
SOUTH?
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Background
Managing the safety of patients in mental health services is a core function. A variety of tools or scales are being used in mental health services, some of which are locally developed and typically not validated. In 36% of suicides the quality of risk assessment was considered unsatisfactory (NCISH). We are conducting a nationwide evaluation of safety management in the UK.
Aims of the study
 |  |
"For decades now tattoos have been potent symbols of the Los Angeles gang-life scene. The black and white tattoos with recognizable gang symbols appear on members’ faces, necks and all over their bodies, making their gang affiliation immediately clear to whomever crosses their path. This can mean the difference between life and death on he streets, and just as often, in prison. ..." |
Seeking
a sense of direction | |
Seeking
a sense of
humanity
and care for all?
|
Seeking
a sense of direction
and find yourself here?
Is this really All you can see?
You may be lost?
|
 |
| Philosophy Now #122 |
In recent years biology has been moving beyond a biochemically reductive view of life. The days when we could regard ourselves as lumbering robots for our genes, to recall Richard Dawkins’ resonate phrase, are numbered, if not already over. Life for the biologist has become a lot more complex, and arguably, in its intricacy, more beautiful. ...
I recently attended a conference on what is sometimes called ‘holistic biology’ or the ‘extended evolutionary synthesis’. ...
These developments have led the philosopher Michael Ruse to pose a fundamental question. In biology, there has long been two ways of looking at life: as a mechanism, which can be broken down into parts; and as an organism, which can be explained only by considering the way the whole system works. Organicism is the more ancient approach, while the machine metaphor has come to dominate in modern times. Ruse suggests that perhaps it’s time for organicism to make a comeback.
Its origins reach all the way back to Plato." p.7.The links here provide access to one of four complimentary articles for non-subscribers.
HIT on Vulnerable individuals
What do these words mean to you -
'Fixed'
'Odds'
'Betting'
'Terminals' ?
'Cognitive access'
Children
Gambling advertising in football
|
FIXED ODDS BETTING TERMINALS
Stakes £50 or £30 or £20 or £2
£300 per minute
Physical access
HIT - the button yet again... "... not a single fixed odds betting terminal among the 35,000 or so in Britain which has ever had a losing week" Guardian |
HIT on Relationships and Families
Breakdown
Loss of Social Capital:
Crime
Job-loss
'Civil Society'
"A Government gets the
citizenry it legislates for"?
|
12-Week Public consultation
HIT to the gambling industry
60,000 jobs
Staff training & awareness
£1.8 billion market
HIT on Tax £700 million
Tracey Crouch MP Gambling Minister
|
We have found that the value to individuals has come not only from the final artifact (the diagram), but even more from the thinking that goes into its creation (if the person draws his own), and the conversations and reflections sparked by discussing the CareMap with others. This recent news article gives some insight into this: Caregivers Draw Support By Mapping Their Relationships.
Of course, the point I’m making is true for any graph, diagram, etc.!
Also, your readers would likely appreciate a link to this page, which has more information on drawing a CareMap:
https://atlasofcaregiving.com/drawing-using-caremap/
Rajiv Mehta
CEO, Atlas of Caregiving (www.atlasofcaregiving.com)
Board member, Family Caregiver Alliance (www.caregiver.org)
Co-organizer, Quantified Self (www.quantifiedself.com)
Who?
| |
WHO!
|
In 1976 a lower sixth student new to the grammar school competes in the annual cross country. The previous victor had won every year. Listening to his friends, another win was a given. Not in 1976.
The new student never won at Secondary School, but he was on the team. Out most dinner times, training from Ashton around Garswood. The day after, the form teacher said something in the vein of -"Oh there'll be presentations!" The student listened and still listens. There never was a presentation, not a whisper; but the journey, the run - continues... and the student is grateful for that ... | |
Dear CI-ers,
 |
| Brian E. Hodges - c/o Brian's family. |
Born in Liverpool, UK.
Community Mental Health Nurse NHS, Part-time Lecturer,
Researcher Nursing & Technology Enhanced Learning
Registered Nurse - Mental Health & General
Community Psychiatric Nursing (Cert.) MMU
PG Cert. Ed.
BA(Joint Hons.) Computing and Philosophy - BIHE - Bolton
PG(Dip.) Collaboration on Psychosocial Education [COPE] Univ. Man.
MRES. e-Research and Technology Enhanced Learning, Lancaster Univ.
Live and work in NW England - seeking a global perspective.
The views expressed on W2tQ are entirely my own, unless stated otherwise.
Comments are disabled.
If you would like to get in touch please e-mail me at h2cmng AT yahoo.co.uk
orcid.org/0000-0002-0192-8965
