The Socio-Politics of Migration...?

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

Julian Simpson (2018) Migrant architects of the NHS - South Asian doctors and the reinvention of British general practice (1940s-1980s). University of Manchester Press.

Alex Matthews-King. The Independent, Jeremy Hunt backs special visa for foreign people coming to work for NHS. 9 May, 2018.

My source (book): Noted in Blackwells, Manchester, £25 from £75.

Happy Birthday blog - 12 years old & Goodbye

Well since April 20th 2006 and my first post here there's been a few milestones:

• separation and divorce 2008-2011
• cataract ops (left and right) c/o Messrs. Heaven & Mars at Wigan's Royal Albert Edward Infirmary
• Same employer (since 1985) but was able to move from Chorley & Preston to West Lancashire (nearer to home)
• Presentations on the Health Career Model in Colombia, Jordan, Barcelona and other UK venues
• Blog archived by The British Library (http://www.webarchive.org.uk/ukwa/target/264142857/source/search)
• Former website ISP ceased trading/operations 2015
• Completion of an MRES in e-Research and Technology Enhanced Learning
• Ongoing publication while full-time as a Community Mental Health Nurse

You can see and explore the blog's numbers if you have time, suffice to note from 28 posts in 2006 to -

2159 published in total
244 still in draft form (many of these need deleting)

1,044,546 page views

Of course a great many posts concern conferences, journal issues and announcements of various sorts. I have wondered about deleting these to isolate the posts on Hodges' model but I will leave as is.

The biggest milestone is becoming a Grandad: magic indeed.

The most glaring milestone is how early Drupal was mentioned on the blog then at version 4.7 in 2007. Still no site with Drupal now at 8.5.2.

There seems little point continuing here given the traffic and interest. So, we will see if any content here has a 'long tail'. Maybe I should refer to 'The Health Career Model'? Attaching a name as I have always sought to acknowledge, appears to stress the thought:

• not invented here

In the race for 'evidence' people are passing over a veritable collage of care littered with theory and practice. A great loss given the potential utility in helping to address 21st Century challenges.

Thanks to everyone who has read and agreed to my posting their material.

If you have some suitable content by all means get in touch, otherwise posts will be much less - while I focus on Drupal and that new site...

Goodbye...

Digital health interventions: How might we measure “meaningful engagement”?

How might we measure “meaningful engagement”? Is a lack of usage of a #digitalhealth intervention a sign of disengaging or a lesson learned? This week's Digi-Hub blog post by @kathleen_ryan33 @UCC on designing for "meaningful engagement" https://t.co/TdNvDuMmUr pic.twitter.com/Zmx0MNlgAt

— UCL Behaviour Change (@UCLBehaveChange) April 20, 2018

I admit I am struggling to stop blogging, even as the pull of Drupal and a new site will (must) win-out. The above tweet prompts these thoughts ...

A key point from Kathleen Ryan's blog post reads:

"The design process* needs to be reflective..."

I wholeheartedly agree - it is the way that we reflect to achieve a socio-technical synergy that counts. Even with the socio-technical bases covered there are other factors too:

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

Person-related issues (e.g. their beliefs, cognitions and values). What 'x' means to me. "... attention, interest and how the person feels and thinks about the intervention (where more attention / affect / enjoyment = more engagement)." Patient (Person?) Activation measures? Yes - 'person-centredness' is 'up-here' according to the axes of the model, BUT we must take into account the social and political milieu of the individual concerned. *design purposes subjective

diseases Technology-related issues "No matter how well-crafted and evidence-based the intervention, active ingredients proven to effect health behaviour change simply cannot work if the technological components that house them are not accessed by participants. As such, lack of adequate engagement with DHIs poses a barrier to evaluating the effectiveness of these interventions." *design process ‘Law of Attrition’ Usage metrics: statistics, logs, frequency, totals e-health and m-health objective

prevention & treatment of - 'lifestyle diseases' social incentives socialisation 'health seeking behaviour' Health literacy  "human contacts can allow for “supportive accountability” via remotely delivered prompts, social support and encouragement." *design practices

National use of 'Patient activation'? (Forms of profiling) Incentives - health policy Nudge - behaviour change? Health insurance/credits HEALTH meaning within? SYSTEMS  paternalistic--'degrees of freedom'?--autonomy ADVERTISING 'The Market' *design policy

Perhaps, future measures need to simultaneously combine analysis AND synthesis - the subjective AND objective... a job for AI ..?

Thanks to Kathleen Ryan
https://twitter.com/kathleen_ryan33

Ack. This week learned of 'Patient activation' attending a Best Practice Meeting.

 *The 4Ps within Hodges' model. 

What is meant by 'universal' design?

Yes, there is an ironic element to this post and recent others in respect of 'meaningful engagement' and 'the meaning of evidence'? Do people recognise 'evidence'?

Workshop on Research Objects (RO2018)

2018-10-29 at IEEE eScience 2018, Amsterdam, The Netherlands
http://www.researchobject.org/ro2018/

## Timeline
...

## Research Objects

Scholarly Communication has evolved significantly in recent years, with an
increasing focus on Open Research, FAIR data sharing and community-developed
open source methods. A question remains on how to publish, archive and explore
digital research outputs.

A number of initiatives have begun to explore how to package and describe
research outputs, data, methods, workflows, provenance and structured metadata,
reusing existing Web standards and formats.

Such efforts aim to address the challenges of structuring multi-part research
outcomes with their context, handling distributed and living content and
porting and safely exchange what we collectively can call “Research Objects”
between platforms and between researchers.

## Call for Papers

In the workshop RO2018 we will explore recent advancements in Research Objects
and publishing of research data with peer-reviewed presentations, invited
talks, short demos, lightning talks and break-out sessions to further build
relationships across scientific domains and RO practitioners.

RO2018 welcomes submissions of academic abstracts (1-2 pages), data/software
articles (3-6 pages) and short research articles (4-8 pages) on cross-cutting
case studies or specific research on topics including, but not limited to:

  FAIR metrics; platforms, infrastructure and tools; lifecycles; access control
  and secure exchange; examples of exploitation and application; executable
  containers; metadata, packaging and formats; credit, attribution and peer
  review; dealing with scale and distribution; driving adoption within current
  scholarly communications and alignments with community efforts; and
  domain-specific and cross-domain Research Objects.

## Submitting

Submitted abstracts and articles can be in a range of open formats (e.g. HTML,
ePub) and are particularly encouraged to be submitted in a FAIR research data
packing format.

Accepted abstracts and articles will be included in the IEEE eScience 2018
proceedings. Submitted preprints will, upon acceptance, be made available as
Green Open Access on the RO2018 website with DOI links to the Zenodo record and
(eventually) the published IEEE proceeding article.

It is a requirement that at least one author of each accepted submission
attends the RO2018 workshop and at the IEEE eScience 2018 conference, where
registration fees applies.

Further details on submitting ...
...

Stian Soiland-Reyes (my source: by email)
The University of Manchester
http://www.esciencelab.org.uk/
http://orcid.org/0000-0001-9842-9718

Journal: Learning Health Systems - April 2018

Learning Health Systems is an open access peer-reviewed journal dedicated to the science, engineering and design of continuous improvement of health and health care.

The new April 2018 issue is now available. Click here to read the latest articles. All articles are freely available to read, download and share.

My source:
Email: Kathleen Young

Editorial Assistant, Learning Health Systems

Room 210 Victor Vaughan

1111 East Catherine Street

Ann Arbor, MI 48109

734-763-1400

ERCIM News No. 113 Special theme "Smart Farming"

Dear ERCIM News Reader,

ERCIM News No. 113 has just been published at https://ercim-news.ercim.eu/

The Special Theme "Smart Farming" was coordinated by the guest editors:

Mirco Boschetti (IREA-CNR) and Erwin Schoitsch (AIT)


The research & society section of this issue features the topic "Research Evaluation", edited in cooperation with Informatics Europe by the guest editors Hélène Kirchner (Inria) and Fabrizio Sebastiani (ISTI-CNR).

The section "Research and Innovation" reports on news about research activities and innovative developments from European research institutes.

This issue is also available for download in pdf and ePUB.


Thank you for your interest in ERCIM News. Feel free to forward this message to others who might be interested.

Next issue:
No. 114  July 2018
 Special Theme: "Human-Robot Interaction" 

Peter Kunz            
ERCIM Office
https://www.ercim.eu

Enough Nurses - Special Collection c/o Journal of Research in Nursing

"JRN is pleased to introduce this online special collection of papers. Edited by Jane Ball, this collection comprises previously published papers and reviews that give a taste of the constellation of issues that contribute to having 'enough nurses'. They illustrate the complexity and interdependency of the many elements that must be addressed to achieve the elusive goal of having the right staff, in the right place, at the right time."

My source: https://twitter.com/JRN_latest/status/985889478882578432

#EndPJparalysis - NHS 70

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

For people who are agitated and living with dementia their carers may learn to remove such cues as hat, coat and shoes. Seeing these may cause increased agitation as a need to be elsewhere. For #EndPJparalysis perhaps we can reverse this and use the sight clothes and footwear as a cue for 'get up & try to go'.	Required: decent research on hypoactive delirium and sleep (need to engage Prof Anita Simonds at the Brompton for this), and how to #endPJParalysis70 in hypoactive delirium. — shibley rahman (@dr_shibley) April 16, 2018

My source:

Please retweet
One week to go and the #endPJparalysis70 challenge begins. Right now, we need as many clinicians to download the #endPJparalysis app as possible so we can reach 14,286 patients a day for 70 days to reach our goal.
Here, the inimitable @Sonia_Sparkles shows us how pic.twitter.com/U8D5R663ui

— Brian Dolan RMN, RGN (@BrianwDolan) April 10, 2018

Q. What is nursing work? A. Hodges' model

Presenting during the afternoon sessions: What is nursing work? My new model from a meta narrative review at @theRCN's #research2018 https://t.co/kLsGGl9YXb see you there! pic.twitter.com/Wtj6S7fldl

— Jennifer Jackson (@JJackson_RN) April 15, 2018

Image: Jennifer Jackson

The above also reflects the domains of Hodges' model which is derived from the following questions:

Who do nurses (healthcare professionals, carers) care for?

This provides us with the INDIVIDUAL - GROUP (Population) vertical axis.

What types of activities, tasks - work do nurses then have to carry out to deliver care?

This question accounts for the horizontal axis of Hodges model.

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

COGNITIVE	PHYSICAL CARE
EMOTIONAL	ORGANISATIONAL

Book: The Unmapped Mind - A Memoir of Neurology, Incurable Disease and Learning How to Live

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

The Unmapped Mind	The Unmapped Mind

Hellblade: Senua's Sacrifice

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

My source: BBC World Service

They Heard Voices - "ILS ENTENDAIENT DES VOIX"

"An independent documentary looking at the hearing voices (HV) movement, chronic psychosis and the schizophrenia label.

A film offering multiple perspectives: is schizophrenia hard science or an arbitrary, catch-all term with no real meaning? What does it mean for those experiencing psychosis? The film is a series of wide-ranging interviews with voice hearers, medical historians, anthropologists and psychiatrists from Britain and America.

Featuring: Erin Emiru, Rai Waddingham, Kevin Healey, Mark Roininen, Angela Woods (Ph.D), Edward Shorter (Ph.D), Dr Avery Krisman, Dr Albert Wong, Suman Fernando, and Stefen Ecks (Ph.D)."

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

My source:
Email from Jonathan Balazs

Borders & Boundaries 2018: Debating the limits and possibilities of Education

The Department of Educational Research invite international speakers every summer, and this year we are opening the event up to invite critical interdisciplinary scholars to engage in a range of events which bring together our three research centres: Higher Education Research and Evaluation; Technology Enhanced Learning; and Social Justice and Wellbeing in Education.

This year’s theme is Borders and Boundaries, which will be unpacked by our internationally renowned speakers and a programme of conference presentations on 3rd and 4th of July in the historic city of Lancaster.

Borders and Boundaries: Debating the limits and possibilities of Education

Borders and boundaries is an important theme in educational research and practice, having multiple meanings and interpretations. At one level, this notion reflects critical conceptualisations of place, territories and educational (im)mobilities which have come to the surface in recent years as a response to political and policy changes that seek to limit the movement of people and ideas. Alternatively, borders and boundaries may be taken to refer to theoretical demarcations and interactions, and the increasing emphasis on interdisciplinarity within research, and the associated instability of categories such as academic, practitioner, researcher and educator in the context of efficiency and structural changes within schools, universities and other institutions. This theme also has analytical value for framing debates about the perceived fluidity of formal and informal educational space in the digital age, simultaneously democratising knowledge and blurring the boundaries between professional and personal identities for many educators and academics. Finally, we envisage the theme of borders and boundaries as providing a way into discussions about social distinctions and emotional separations, which shape educational experiences, transitions, and outcomes in a broad range of ways.

Read more...

I have placed the conference themes within Hodges' model:

individual

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INTERPERSONAL : SCIENCES

humanistic ------------------ Borders & Boundaries ------------------ mechanistic

SOCIOLOGY : POLITICAL

|

group

This theme also has analytical value for framing debates about the perceived fluidity of formal and informal educational space in the digital age, simultaneously democratising knowledge and blurring the boundaries between professional and personal identities for many educators and academics.	... critical conceptualisations of place,  territories ... ... borders and boundaries may be taken to refer to theoretical demarcations and interactions, and the increasing emphasis on interdisciplinarity within research, and -
Borders and boundaries is an important theme in educational research and practice, having multiple meanings and interpretations. Finally, we envisage the theme of borders and boundaries as providing a way into discussions about social distinctions and emotional separations, which shape educational experiences, transitions, and outcomes in a broad range of ways.	- the associated instability of categories such as academic, practitioner, researcher and educator in the context of efficiency and structural changes within schools, universities and other institutions.   factor immobility occupational immobility academic / educational (im)mobilities

My source: Jill Anderson, Lancaster University.

Paper: Understanding the micro and macro politics of health [Mapped to h2cm]

"Almost a decade after WHO Commission on Social Determinants of Health published its influential report (2008), health inequalities within and across countries remain high on the research agenda. Acknowledging the complexity of the issue, scholars increasingly stress the need for the development of a theoretical framework that will integrate the multiple factors involved in shaping health inequalities, from individual social positions and experiences to institutions (Beckfield et al., 2015; Krieger, 2012, 2011)." p.92.

From Google:

intersectionality

ɪntəsɛkʃəˈnalɪti

noun

noun: intersectionality; plural noun: intersectionalities

1. the interconnected nature of social categorizations such as race, class, and gender as they apply to a given individual or group, regarded as creating overlapping and interdependent systems of discrimination or disadvantage.

   
   

   "through an awareness of intersectionality, we can better acknowledge and ground the differences among us"

individual

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INTERPERSONAL : SCIENCES

humanistic ------------------ INTERSECTIONALITY ------------------ mechanistic

SOCIOLOGY : POLITICAL

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group

category salience and individual experience "Intersectionality as an analytical tool of social stratification (Yuval-Davis, 2015) challenges the idea of a single, fixed social hierarchy. It perceives social positioning as a spot within a matrix of intersecting power axes (Crenshaw, 1992). Hence, there are no sociological categories (e.g. race, gender) that have an a priori greater significance in shaping individual experience." p.93. qualitative

methods & methodology analysis - synthesis "Yuval-Davis (2015) elaborates on that and describes intersectionality as a context informed analytical tool (situated intersectionality) that focuses on the categories that reflect the social divisions shaping most people's lives (e.g. race and gender) in certain contexts and simultaneously it is sensitive enough to render visible other divisions shaping the experience of individuals and groups at marginal positions (e.g. sexuality)." p.93. quantitative

race, ethnicity, class, gender, sexuality social history  social class social exclusion   stratification "... intersections between social categories - socio

"Studies have focused mainly on welfare states classified across certain typologies (eg. Esping-Andersen, 1990) as mechanisms that rank people into social hierarchies and (re)distribute social determinants of health." p.94. Institutions, immigrant status political minority struggle  colonisation, enslavement are .. reflections of intersecting systems of power" p.94 economic

Anna Gkiouleka, Tim Huijts, Jason Beckfield, Clare Bambra, Understanding the micro and macro politics of health: Inequalities, intersectionality & institutions - A research agenda, Social Science & Medicine, Volume 200, 2018, 92-98, ISSN 0277-9536.
https://doi.org/10.1016/j.socscimed.2018.01.025.
(http://www.sciencedirect.com/science/article/pii/S027795361830025X)
Keywords: Health inequalities; Intersectionality; Institutions; Health politics; Social positioning


My source: Prof. Dennis Raphael
Politics of Health Group Mail List Messages
Visit PoHG on Facebook: https://www.facebook.com/282761111845400
Follow us on Twitter: @pohguk

A new Paradigm? No just Paragraphs...

While I have not had the practical reason to apply it (to my shame) I have known of 'maintenance mode' for donkey's y-ears. I have been listening. As tweeted earlier this week, I've been trying to remove Webform so I can update / replace it. I'm avoiding core 'experimental' modules in an attempt to avoid future problems. I'd managed to remove webform bootstrap, but trying to delete from the usual Drupal interface did not work. I checked the tables and those for webform were empty. Impatience set-in and I removed the folder within modules. That was the big mistake. For a time there, I could not access the localhost site on my laptop. I thought it had gone...

I had a MySQL backup and imported this while a CTRL 'Z' restored the folder. This did the trick. I have the HTML source for the archive pages as files too.

At several Drupal events Paragraphs has been presented as very useful site building module. With four 'basic pages' whatever follows will benefit from and no-doubt demand more thought about content types. Checking out some videos Paragraphs really does seem to fit the bill when allied with field group.

I'm looking forward to the local Drupal meetup in Manchester this Tuesday.

World Health Day 2018: Universal Health Coverage

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

Stamp	World Health Day 2018 Stamps
Stamp	NY postmark

WHO: World Health Day 2018

Description (UNSTAMPS)

"Today, at least half of the world’s people are unable to obtain essential health services. Many households are being pushed into poverty because they are forced to pay for health coverage out of their own pockets. This strain on the populace seriously undermines a country’s ability to develop socially and economically.
This is why Member States of the United Nations have pledged to provide universal health coverage for all people globally by 2030 as part of the Sustainable Development Goals (SDG 3.8). This means ensuring that all people have access to the health services they need. Countries have pledged to ensure that these services will be of sufficient quality to be effective and also that their people will not suffer financial hardship when paying for these services.
When this happens, people’s health will improve. Universal health coverage reduces poverty, creates jobs, drives economic growth for all, helps improve gender equality and can stop disease outbreaks turning into epidemics.
Each year, WHO offices, Member States, civil society and partners around the world observe the Organization’s signing of its Constitution and founding on 7 April, World Health Day. In 2018, WHO is dedicating World Health Day, its seventieth birthday, to universal health coverage: #HealthForAll.
The World Health Organization is delighted to be working with the United Nations Postal Administration to promote worldwide awareness and action to achieve health for everyone everywhere."

c/o @TheLancetPlanet - Paper: Residential greenness and prevalence of major depressive disorders... or "All colours fictitious"

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

An analysis on 94879 participants recruited across ten UK Biobank centres shows the protection effect of greenness on depression. New in the Lancet Planetary Health @TheLancetPlanet read it now https://t.co/lziiD7YeWG — The Lancet Planetary Health (@TheLancetPlanet) April 6, 2018

Disclaimer:

Any significance that might be deemed between greenness as identified in Hodges' model with mental health, psychology, ecopsychology, memory, personhood, emotional, beliefs, mood ... and other colours* as portrayed is, of course, entirely coincidental.

 *colours to include black & white

Search of 'mental health' posts:
https://hodges-model.blogspot.co.uk/search/label/mental%20health

Paper: IJIC - Building Competencies for Integrated Care: Defining the Landscape c/o Miller & Stein

individual

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INTERPERSONAL : SCIENCES

humanistic ---------------- Integrated Care --------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

"Transformation does not only involve gaining new knowledge and skills but a more fundamental* shift in our conceptual paradigms about our roles, responsibilities and relationships." [RRR] Clinical integration (mental health) through person-centred care of someone's health and wellbeing	building blocks 1. Electronic health records, Functional integration (data, information) Uni-professional education   Clinical integration (physical health) through person-centred care of someone's health and wellbeing
through the active engagement of service users as partners in care    Act-ions - Practice [RRR] social change [ My obs.: Health literacy - need for a generic framework - for health education arbitration - as there is a sociopolitical dispute] Professional	through the active engagement of service users as partners in care 2. Budgetary processes, 3. Governance structures [RRR] political change (inc. policies, professional bodies...) Organisational & Systemic integration integration Normative integration

*There's that word again...

Q. Reflect upon the following using the above model - not only the text but the model itself:

"To achieve the transformation required by integrated care, this means three things: we need to include the principles of integrated working into our formal education and training systems; we need to recognize that learning continues in our workplaces; and accept that we ourselves will be informal educators throughout our careers."

The following dimensions are listed in the editorial and above :

• Dimension 1. Person-centred care (i.e. the improvement of someone’s health and wellbeing through the active engagement of service users as partners in care)
• Dimension 2. Clinical integration (i.e. care services are coordinated and/or organised around the needs of service users)
• Dimension 3. Professional integration (i.e. existence and promotion of partnerships between care professionals that enable them to work together)
• Dimension 4. Organisational integration (i.e. the ability of different providers to come together to enable joined-up service delivery)
• Dimension 5. Systemic integration (i.e. the ability of the care system in providing an enabling platform for integrated care, such as through the alignment of key systemic factors like financing and regulation)
• Dimension 6. Functional integration (i.e. the capacity to communicate data and information effectively within an integrated care system)
• Dimension 7. Normative integration (i.e. the extent to which different partners in care have developed a common frame of reference of vision, norms, and values on care integration)

Miller R, Stein KV. Building Competencies for Integrated Care: Defining the Landscape. International Journal of Integrated Care. 2018;17(6):6. DOI: http://doi.org/10.5334/ijic.3946
 

Fundamentals of Care - mapped to Hodges' model

I came across a paper on 'fundamental care':

Jackson, Debra & Kozlowska, Olga. (2018). Fundamental care - the quest for evidence. Journal of Clinical Nursing. 27. 10.1111/jocn.14382. 

The definition Prof. Jackson subsequently pointed to is as follows:

"Fundamental care involves actions on the part of the nurse that respect and focus on a person’s essential needs to ensure their physical and psychosocial wellbeing. These needs are met by developing a positive and trusting relationship with the person being cared for as well as their family/carers."

I've taken the fundamentals of care from the International Learning Collaborative and mapped them to Hodges' model. The psychosocial list has been divided across the two applicable domains - you'll see what I've done.

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

PSYCHOsocial fundamentals of care Communication (verbal and non-verbal) Privacy Education and information Emotional wellbeing Choice Having values and beliefs considered and respected

Physical fundamentals of care Personal cleansing (including oral/mouth care) and dressing Toileting needs Eating and drinking Rest and sleep Mobility Comfort (pain management, breathing easily, temperature control) Safety (risk assessment & management, infection prevention, minimising complications) Medication management

PsychoSOCIAL fundamentals of care Being involved and informed Dignity Respect Education and information Having values and beliefs considered and respected Social engagement, company and support Feeling able to express opinions and needs without care being compromised Having interests and priorities considered and accommodated (where possible) Relational fundamentals of care Active listening Empathy Engaging with patients Compassion Being present and with patients Supporting and involving families and carers Helping patients to cope Working with patients to set, achieve and evaluate progression of goals Helping patients to stay calm

As this domain seems to be 'empty', I  will add some thoughts in the POLITICAL domain...  You can imagine a series of layers here.  As per the physical fundamentals above include - safety and homeostasis would be uppermost. Difficulties in the above instantly raise alarm bells and the old chestnut construct of dependency.  The lack of specifics on mental health suggests something that is incomplete and appears to assume a certain degree of functioning? The psychosocial actions invariably overlap and with the relational. We are hopefully socialised into dignity, respect, compassion, empathy and related attributes. What impacts  on a person's privacy, dignity may vary from person to person to some extent. This however introduces the humanistic care of engaging with people, their carers and the need to be person-centred. On privacy ... and preserving the integrity of an individual (and their 'group'), there are of course (duty of care and) professional standards (in this domain) that help guide our advocacy and accountability. Clearly, there is much to do..

Previous posts on 'fundamental-ism'

Paper: How social workers reflect in action and when and why they don’t [Mapped to h2cm]

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

The self - personhood Reflection (as core concept) has value and limitations Non-reflection to protect the self Unbearable anxiety psychoanalysis - findings defended nature of the self thinking & non-thinking 'suspended self-preservation' Self - Two perspectives - Service User emotional intelligence internal supervision intuition - improvisation Reflexive Helicoptering - metacognition Sexuality (form of bracketing-off of oneself)* lived experience of the senses RATIONALE

Theories of reflection Frameworks for reflection (reflective practice) physical / somatic effects of anxiety ethnographic study audio recordings Reflective practice demands that you learn from experience. It requires you to be self-critical. It expects you to analyse what you think, feel, and do... #When is it better NOT to reflect? 'Containment' 'splitting' risks (being completely non-reflective) experiences and the (mobile) body TECHNICAL

*limits capacity of some aspects of relational work  Social Work Practice Home visits Family home children and parents 'tacit knowing-in-action' Reflection in Practise Fieldwork - home, car SW composed when service users in distress, absorb their sadness, shame, fears, and at times their joy # Face-to-Face interviews Relationships: sexuality, gender offloading informally - office

Social Work / Clinical Case Supervision  offloading formally Two Local Authorities Management Supervision and Governance Child protection Power Organisational risk management Policies, Procedures Lone working... Influence in 'advocacy' [comment on twitter - see below] (as a Professional or 'Independent'?)

Harry Ferguson (2018): How social workers reflect in action and when and why they don’t: the possibilities and limits to reflective practice in social work, Social Work Education, DOI: 10.1080/02615479.2017.1413083

My source: Twitter