- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

Saturday, August 10, 2019

Threshold Concepts: Reflection on chaos, complexity and AI

Here are the reflections on the photograph posted in June following the Conference on Threshold Concepts:

Chaos can occur in any one ... or all of the four domains of Hodges' model. The same applies to order.


This is a characteristic of chaos and chaotic systems.

Chaos can arise at any time: in the here and now, being sown now for the future (climate change?), or springing from the past, as in pleasurable, or traumatic memories.

While the Lorenz attractor and other graphical examples are grounded in mathematics and science, in #h2cm we need to imagine the butterfly diagram extended across and simultaneously at work across the models four domains.

individual - self
humanistic ----------------------------------------------- mechanistic
group- population

Even in instances of riot and anarchy there will be pockets of 'order', but would you would want to take your chance of finding one? Amid talk of being in the wrong place, at wrong time; to what extent is this dependent upon who we associate with socially? Or, what we believe is the political course we might, should, will, must follow?

The context of Prof. Land's slide is learning and decision making. As a 'political' matter when chaos occurs, how is it manifested in disintegration? Can we hear the 'gears grind'? What exactly goes awry? Is it the processes as in the timing, leadership and with it responsibility?

The slide is powerful in giving support, to clinical decision-making as a context in which complex decision making is very common and simultaneously encompasses political, rationale and judgemental (ethical) forms of decision making.

Hodges' model can also facilitate recognition of differentiation between relational chaos and the explicit state of decision-making. For example, a healthcare practitioner and client/patient/carer may have achieved empathy and rapport, but the complex demands of the clinical decision still presents a great deal of uncertainty. Alternately in instances when the relationship is being forged then the communications: verbal and non-verbal (and a function of the clinical team) can be a confounding factor if not negotiated professionally (and in socially acceptable terms by members of the public). Another useful perspective is Personal and Public Involvement (PPI) at what point is this achieved? What are the thresholds in the public's learning, as they engage and are engaged if they are not to label the initiative as a checkbox exercise? Again Hodges' model can help us to reflect upon the scope and complexity of such situations.

AI, artificial intelligence was mentioned (I'm sure?) in the presentation and the benefits of AI in healthcare are already being realised. This is tempered with the requirement for AI systems to be able to explain their 'reasoning', rather than this be taken at face value. As AI takes on tasks that include initial automated screening of job applications that include videos then another dimension of learning is presented to students.

Health and justice is by default complex. Consider, the task of being seen by society that justice is duly served and doing so with a duty of care and welfare of the prisoners. To this, we can add the aspiration of custody being rehabilitative. For a prisoner, even on remand, there will be times when health needs and patiency must be recognised. When a long-term prisoner becomes chronically ill, this can present a major challenge to law-makers, prisoners, their families, the healthcare team and society.

individual - self
humanistic ----------------------------------------------- mechanistic
group- population

Identity (use of name, touch ...)
Beliefs, Personal values
 Safety (personal) Thresholds
Trigger warning
Critical - critique 
not taking it personally

[Space] - physical &
degrees of freedom in decision making
Quantitative Research

Qualitative Research

Patient : Healthcare practitioner
decision making
Critical - agreeing to disagree

Schism - 'distance'

Consensus (bridge building)
 Autonomy (in decision making)
Administration / Bureaucracy
Anti- 'X' movements
Riot and anarchy
safety (POLICY)
Critical - political

*While placed within the sciences domain, 'rationale' can be evidenced physically, psychologically,  politically and socially.  It is this that forces us to acknowledge the several edges of chaos.

See also:
Inaugural Scottish Threshold Concepts Conference: TCs in Action [i]


(Original image)