The need for Holism 2.0 ... (c/o Porter, 1997)

 or 4.0?

"Disease became conceptualized after 1900 as a social no less than a biological phenomenon, to be understood statistically, sociologically, psychologically - even politically. Medicine's gaze had to incorporate wider questions of income, lifestyle, diet, habit, employment education and family structure - in short, the entire psycho-social economy. Only thus could medicine meet the challenges of mass society, supplanting outmoded clinical practice and transcending the shortsightedness of a laboratory medicine preoccupied with minute investigation of lesions but indifferent as to how they got there. It was only radicals and prophets who appealed to a new holism - understanding the whole person in the whole society; respected figures with the temple of medical science, including Kurt Goldstein (1878-1965) and René Dubos (1901-82), author of Mirage of Health (1959), were emphatic that the mechanical model of the body and the sticking plaster formula would at best palliate disease (too little, too late) but never produce true health." p.634.

Roy Porter, The greatest benefit to mankind: a medical history of humanity from antiquity to the present, London, HarperCollins, 1997.

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"The psychiatrization of everything occurred first in the United States. It was a trend deliciously mocked in some of Stephen Sondheim's lyrics to West Side Story (1956), in which the crazy mixed-up New Yorkers taunt the police officer on the warpath: Officer Krupke, you're really square; This boy don't need a judge, he needs an analyst's care! It's just his neurosis that oughta be curbed, He's psychologic'ly disturbed. We're disturbed, we're disturbed, we're the most disturbed, Like we're psychologic'ly disturbed. " p.519.

frontispiece

Socio-Economic Determinants of Health Social Justice History Culture

Police 'the Law' Mental Health Act Political determinants of Health

Image - frontispiece in Porter's book "Renaissance anatomical illustrations often followed artistic conventions (situating the skeleton in a lifelike pose in a landscape) and played wittily on the tensions between life and death. The contemplating of the skull prefigures Hamlet's later meditation. Line drawing, Valverde de Hambusco, Historia Historia de la composicion del cuerpo humano, Roma, 1556."

Image source:
https://www.royalacademy.org.uk/art-artists/work-of-art/lateral-view-of-male-skeleton

Paper - Categorical Social Science: Theory, Methodology and Design by Sallach (2012)

This conference paper from 2012 - cited at length here - is very encouraging as I try to work on category theory within Hodges' model. This is timely too, as a new (northern) academic year begins - post to follow ...

Sallach, D.L. Categorical Social Science: Theory, Methodology and Design. In: Conference Paper - 4th World Congress on Social Simulation. Taipei, Taiwan (September 2012). https://www.researchgate.net/publication/275584554

"The prospect of representing social processes at multiple scales, at an arbitrary level of detail, is likely to produce rich, interwoven models with the potential to provide a more effective map of historical and policy-oriented dynamics. However, this potential will also raise significant challenges in validating such a model [15].

One approach to managing the complexity (both conceptual and computational) of social models is to move them toward a higher level of abstraction."

"Category theory requires specification of a type of mathematical object in terms of identity, composition, and a group of morphisms that preserves their structure. This definition of objects and morphisms, in conjunction with two standard axioms (associativity & identity), defines a framework that is simple enough to be broadly applicable."

Conclusion:

"The present analysis introduces more analytical potential than can currently be demonstrated. Nonetheless, it makes a case for the relevance of category theory for the representation of social applications, and illustrates a variety of ways in which these conclusions are, or ultimately can become, compelling.

Category theory provides a rigorous yet expressive formalism for representing and integrating challenging modeling domains. It is also a formalism that can support extensive theoretical and modeling syntheses, while still maintaining appropriate levels of exactness. These strengths make CT particularly appropriate for providing a mathematical foundation for computational social science.

Ultimately, it is important to return to the issue of the validation of social models. The practical use of historical and/or policy-oriented models is highly dependent upon their credibility. Category theory provides a formalism that can be precise when applied to theory, explicit during the design stage, and definitive at the assessment stage, while also attending to the consistency of intermediate stages. It deserves serious exploration and investigation."

Mary Mattingly - "Life of Objects" 2013

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	Mary Mattingly - "Life  of Objects" 2013

"Mary Mattingly's work Life of Objects (2013) is part sculpture, part performance piece. It forces the viewer to feel the weight of an irregular sphere of the artist's collected and nearly discarded possessions. The visceral experience of seeing this trash boulder pinning the artist to the floor communicates the harms of overconsumption perhaps more strongly than familiar reminders to reduce, reuse,and recycle." p.278. 

With thanks to: Mary Mattingly - Artist

My source:
Chianese, R.L. Sculpting Science, American Scientist, Sept-Oct 2022: 110;5. pp. 276-281.

"Coal Fired Computers" c/o MUTE

"Graham Harwood and Matsuko Yokokoji (YoHa) build

contraptions that expose and collapse down the productive

chains linking telecommunications media to some of the

raw materials that constitute them.
In this interview with ANTONY ILES, however,

Harwood rejects theoretical discourses

of resistance in favour of a more direct and technical

method of 'action research' which skirts art and politics." p.159.

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Poster image for YoHa's Coal Fired Computers exhibition, AV Festival, Newcastle 2010

"AI: Though these projects do not work solely within a logic of 'representation' they do, almost as a side effect, produce awful images. I am thinking in particular of the film still from Aluminium and the blackened lung hooked up to a coal fired computer. If the 'contraptions' you make can be thought of as diagrams of socio-technical relations, what are the qualities of the images they produce? To what extent are these images necessary by-products of the processes. GH: We can see the images arising out of the forces that threaten to break the machine, or assemblages arising out of its in-betweenness. Its unfinished nature always requires the imagination of the participant/viewer to finish the job, fill in the details. This is a powerful strategy." p.164.

Source: Iles, A. (2011) Double Negative Feedback. In the mud and blood of networks: an interview with Graham Harwood, MUTE. Spring/Summer, Vol. 3, #1, pp.158-171. 

Image: http://yoha.co.uk/cfc

https://www.metamute.org/editorial/magazine/mute-vol.-3-no.-1-double-negative-feedback

Note 'Anti-disciplinary' in this issue too:

https://www.metamute.org/editorial/articles/anti-disciplinary-feedback-and-will-to-effect

Will investigate anti-disciplinary, as this appears to strike a discordant note in nursing in Hodges' model promulgating genericism. A quick check was encouraging leading to MIT Lab, but then disappointing in terms of personnel and resignations - but a lead for the future (inter- multi- transdisciplinary and Hodges' model).

(Yes, second post from this issue of MUTE, a random yet informative purchase. It cost £12.00. Still clearing, boxing, moving ...).

Evidence-based care: The original Gordian Knot

or - Choose your audience carefully.

Within health and social care (and other - safety-critical - academic and professional fields) evidence-based care is pivotal as proof of safety, reproducibility, effectiveness, efficacy, professionalism, and benefits for the subjects of care and public. How best then to prove the scope, scale, relevance and safety of Hodges' model? How to demonstrate in theory and practice the utility and increasing relevance of Hodges' model? There are times I have to temper my belief, passion and enthusiasm for h2cm; am I too ardent, and at risk of coming across as preaching? There is a further tension. The one that is constant: language.

As a nurse, attention to language and terminology is vital to effective communication, establishing and sustaining rapport and empathy. This concern applies across situations, contexts and encounters; with patients, patient and carer (family), and colleagues. We are encouraged to avoid jargon, abbreviations  and technical terms. I use Hodges' model implicitly (aide-mémoire, assess, plan, evaluation, prioritise) and explicitly - sharing the model on some occasions but not all.

In the role of researcher / author, the audience, especially - editors, reviewers, and readers have expectations in how concepts, ideas, theories are expressed and explained. To a degree, the very title of a publication, preempts the language to follow. As I present, or write, sources must be declared and  referenced. Again, resort to jargon is discouraged. Clarity and brevity are strengths. And yet how likely is it that at least 1/3 reviewers will demand more technical rigour and explanation? If terms are used from other disciplines, the expectation follows that their cross-disciplinary application is explained and argued for, and meanings differentiated.

With potential theoretical underpinnings for Hodges' model to be found in Gärdenfors's Conceptual Spaces, and Meyer & Lands's Threshold Concepts and others (nursing and healthcare no-less); John D. Cook provides additional pause for thought - as I look even further afield:

"When I was in college, I sat in on a communication workshop for Latin American preachers. ...

Another lesson from that workshop, the one I want to focus on here, is that you don’t always need to convey how you arrived at an idea. Specifically, the leader of the workshop said that if you discover something interesting from reading the New Testament in Greek, you can usually present your point persuasively using the text in your audience’s language without appealing to Greek. This isn’t always possible—you may need to explore the meaning of a Greek word or two—but you can use Greek for your personal study without necessarily sharing it publicly. The point isn’t to hide anything, only to consider your audience. In a room full of Greek scholars, bring out the Greek.

This story came up in a recent conversation with Brent Yorgey about category theory. You might discover something via category theory but then share it without discussing category theory. If your audience is well velrsed in category theory, then go ahead and bring out your categories. But otherwise your audience might be bored or intimidated, as many people would be listening to an argument based on the finer points of Koine Greek grammar. ...

Some things may sound profound when expressed in esoteric language, such as category theory or Koine Greek, that don’t seem so profound in more down-to-earth language. Expressing yourself in a different language helps filter out pedantry from useful ideas. (On the other hand, some things that looked like pure pedantry have turned out to be very useful. Some hairs are worth splitting.) 

Sometimes you have to introduce a new terms because there isn’t a colloquial counterpart." ...

 Category theory and Koine Greek: John D. Cook. 

 

Category theory and Koine Greek: John D. Cook. 
https://www.johndcook.com/blog/2016/06/27/category-theory-and-homiletics/

See also: Applied category theory: John D. Cook

https://www.johndcook.com/blog/applied-category-theory/

23rd UKSS International Conference: Systems: Transition to a Sustainable World

23rd UKSS International Conference

Systems: Transition to a Sustainable World

15th of September 2023 in the Richmond Building, University of Portsmouth

The Conference programme for the 15th of September is as follows: UKSS 2023 Conference programme Friday the 15th of September Time Activity 10.00 – 10.30 a.m. Arrival and registration, Reception, The Richmond Building 10.30 – 10.45 a.m. Welcome by the UKSS President, Professor Stowell, Room 201 10.45 – 11.45 p.m. Keynote presentation, Ray Ison, Read More …

I thought I had posted this news, but it seems not. I'm pleased to do so now and have only recently  booked. As above, the conference is for one day and costs £25.00 while free for UKSS members, which will make you a UKSS member if not already. You can attend in-person or virtually.

As per 2018 when I presented Hodges' model in Portsmouth, I plan to attend physically, visiting Oxford on the way down.

Identity, entity and continuity - c/o Evans (2009)

"Many things are defined by their identity, and not by any attribute. In our typical conception, a person ... has an identity that stretches from birth to death and even beyond. That person's physical attributes transform and ultimately disappear. The name may change. Financial relationships come and go. There is not a single attribute of a person that cannot change; yet the identity persists. Am I the same person I was at age five? This kind of metaphysical question is important in the search for effective domain models. Slightly rephrased: Does the user of the application care if I am the same person I was at age five? 

A conceptual identity has to be matched between multiple implementations of the objects, its stored forms, and real-world actors such as a phone caller. Attributes may not match." p.90.

"Object modeling tends to lead us to focus on the attributes of an object, but the fundamental concept of an ENTITY is an abstract continuity threading through a life cycle and even passing through multiple forms.

"Some objects are not defined primarily by their attributes. They represent a thread of identity that runs through time and often across distinct representations. Sometimes such an object must be matched with another object even though the attributes differ. An object must be distinguished from other objects even though they might have the same attributes. Mistaken identity can lead to data corruption.

An object defined primarily by its identity is called an ENTITY. ...

Domain-Driven Design

Of course, most "ENTITIES" in a software system are not people or entities in the usual sense of the word. An ENTITY is anything that has continuity through a life cycle and distinctions independent of attributes that are important to the application's user. It could be a person, a city, a car, a lottery ticket, or a bank transaction." p.91.

Eric Evans, (2009). Domain-Driven Design: Tackling Complexity in the Heart of Software, Model-Driven Design. Addison-Wesley.
[Emboldened text as per book.]

History: Hepatoscopy and the Census

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"Perhaps it was merely an oversight of this historian that he failed to mention another religious practice, hepatoscopy. For this, the Romans down to imperial times relied on Etruscans. Divination from the liver of sacrificed animals was a most complicated business.

To get the interpretation right required a sound knowledge not only of astronomy but also of anatomy and pathology. In 1877 at Piacenza a bronze model of a liver was found. It was evidently a model used in a priests' school for teaching the art of haruspicy, and of a fairly late period. On the upper surface are marked sixteen divisions in which are inscribed the names of some thirty gods, some more than once. Each of the sixteen divisions corresponded to a section of the heavens, for the Etruscans regarded the liver as an image of the cosmos, as a microcosm of the universe. The liver, it was believed, exactly reproduced the heavenly firmament with its sacred laws and controlling divinities and its division, first into four, by the intersecting axes and then into sixteen subdivisions." p.87.

The Etruscans

"Censuses for purposes of taxation and military service still exist. But not many know that it was an Etruscan king who first legally established such a registration in Rome, from whence, with the rise of the Roman empire, it spread throughout Europe."  "What this measure was is stated by Livy thus: 'The population was divided into classes and 'centuries' according to a scale based on the census, and suitable for both peace and war." p.146.

Keller, W. (1975) The Etruscans. Norfolk: Book Club Associates. [Cover image: AbeBooks]

"Quod" by Barbad Golshiri

c/o Artist and 2014 Tate Liverpool/British Museum?

"I have made several works based on Malevich. One of these is called Quod 2010, which features words in Persian of the prison memories of A’ezam, a political prisoner of the 1980s, retold by Akbar Sardouzami. Quod is a rectangular diminishing spiral, and, unlike exotic and commodified calligraphies, is deeply rooted in the unique experience of reading it - which in itself stimulates nausea.

A’ezam has been degraded and tortured, living in timelessness and facelessness. She has nothing, and has turned to nothing, she says. Then one day she finds a rusty pin in her solitary confinement. She starts to draw squares, and the squares become her world: ‘Then I saw if I draw a square within another square and reach the depth, the square turns to a point. The cell was too dark, but I could see a point in the middle of the square that helplessly looked up at me and said: you should testify that I’ve been a square. You are the only one who knows that I have been and still am a square.’"

Please see:
TATE ETC 15 AUGUST 2014. Barbad Golshiri on Malevich.

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	QUOD 2010

Source:

My notebook from 2014, with sincere thanks to Barbad Golshiri and (ack.) Tate Liverpool & British Museum. I'm unclear on the exact source for this post. It may be both Tate and British Museum, as when in London I always try to visit room 90(a) at the latter.

This is still part of working through books, papers, notebooks - prior to moving.

"Shift" c/o Jacqui Symons

"Title: Shift
Artist: Jacqui Symons
Medium: Triptych of Artists’ Books
Year: 2020

Presented as a triptych of artist-books, ‘Shift’ explores three nurses’ individual shifts showcasing the sheer length of each working day through to the complexity and constantly shifting demand on their time, energy, experience, knowledge and empathy. In 2019, Jacqui Symons was artist-in-residence at Central Manchester NHS Foundation Trust. As part of her residency, she shadowed three nurses; the ward sister, a junior sister and a staff nurse, during their 12 and a half hour shifts on an older people’s ward within the hospital. These concertina books chart every minute of these three shifts."

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Shift: 762 Minutes (detail)

Shift: 727 Minutes (detail)

"When opened, each book is almost 200 metres long - they aim to show the sheer amount of hard work and dedication of each nurse and what they achieved during every moment of their busy shifts.  I found three shifts physically, mentally and emotionally exhausting and I was only observing the nurses' work. The book on the right shows the Ward Sister's - the yellow pages charted breaks for eating, drinking and toilet breaks - less than 30 minutes over the duration of 12 and half hours." p.23.

Shift

My source:

"Shift (727 minutes, 762 minutes and 754 minutes)", Artists' Books. PrintMaking Today, Summer 2023, 32:126. p.23.

https://www.cellopress.co.uk/page/printmaking-today

Image and text: c/o and with thanks - Jacqui Symons

https://jacquisymons.co.uk/

Recognition of Nursing's contribution to life quality of patients

"Maria Isabel Razquin, Director of the University where all the pre and post registration nursing education is undertaken and the medical staff trained, gave a key note speech. ... She spoke of the conceptual discipline in nursing, and of how the market economy was affecting health services. This theme was extended into world health information and the storage of data; the development of nursing informatics and how nursing practice should lead to validating and developing minimum datasets using an understandable language. She then alluded to NANDA and the 4 thesaurus' which holds medical and nursing terms that can be cross referenced with new information and knowledge. All the terms we commonly use in the UK were mentioned: multi-disciplinary, updated, accurate, efficient and research and knowledge based.

She went on to say that it has been difficult to quantify the life quality of a patient; it has been tried and it has failed, not showing the significance of nursing. Conceptualisation is a foundation for nursing and it was suggested it could be used with research, with the scientific focus and practical sources being the future body of knowledge. Nurses, she said, should have a clear identity of the care given in multidisciplinary teams, while combining facts and data with nurse training, recognised nursing disciplines and leaders of research would enable competence in complicated fields. Skilful and relevant collection of data, she concluded, would facilitate education and change management training for encompassing computerising with conceptualisation." p.19. 

Sampson, H.E. (2000). International Symposium of Nursing Diagnosis - Pamplona, Spain - May 2000. ITIN, British Computer Society, Nursing Specialist Group. Volume 12: Issue 3. Sept. 2000. pp.19-21. ISSN 0956-5159.

NANDA - https://nanda.org/

ITIN - Information Technology in Nursing

An 'updated' title(?):

"Recognition of Nursing's contribution to Sustain and Enhance the People's Life Chances."

"Naive Set Theory" Book and Text

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	Naive Set Theory

From the Serving Library:

"To Summarize:

1. A total absence of information about a given subject usually solicits no curiosity: without an awareness of its existence, we can’t possibly care about it.

2. When we come to realize the existence of something we never knew was there before, our curiosity is sparked: What is it? How does it work? What should we call it? Why is it there? But we remain in the early stages of our ability to recognize and read it.

3. We attempt to accumulate information, and while additional research provides many answers, it also reveals additional questions, fueling more curiosity still.

4. At a certain point—at the top of the bell curve — we come to a place where effective discussion and debate is possible, but much still remains speculation. It is a moment of intense scrutiny and educated hypothesizing when questions, answers, contradictions, controversy, desire, violence, disappointment and determination make up a complex system."

. . .  

Continued ...  – “Naive Set Theory,” Anthony Huberman, Dot Dot Dot #15, 2008.

https://www.servinglibrary.org/collection/poster-for-naive-set-theory

Halmos, Paul, Naive Set Theory. Princeton, NJ: D. Van Nostrand Company, 1960. Reprinted by Springer-Verlag, New York, 1974. ISBN 0-387-90092-6 (Springer-Verlag edition). Reprinted by Martino Fine Books, 2011. ISBN 978-1-61427-131-4 (Paperback edition); 2017 Dover reprint ISBN 9780486814872

http://people.whitman.edu/~guichard/260/halmos__naive_set_theory.pdf

My source: Book - Tate Liverpool

"Rational Concepts" 1977 by Norman Dilworth

"Rational Concepts" 1977 by Norman Dilworth. Tate
© Norman Dilworth

Hodges' model: seeking rational* concepts to deliver person-centred, integrated care and make sense of subjective and objective realities.

ARTIST Norman Dilworth 1931 – 2023 [Born in Orrell, Wigan]
MEDIUM Screenprint on paper
DIMENSIONS Image: 600 × 600 mm
COLLECTION Tate
ACQUISITION Purchased 1981
REFERENCE P07424

[NOT ON DISPLAY]

Tate: https://www.tate.org.uk/art/artworks/dilworth-rational-concepts-p07424

*Irrational too.

I sketched Dilworth's image on 5th March at Tate Liverpool, the exhibition: "Keywords. Art, Society and Culture in 1980s Britain" from 28 Feb 2014 to 11 May 2014.