Hodges' Model: Welcome to the QUAD: June 2024

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Sunday, June 30, 2024

Learning Health Systems/AcademyHealth 2024 SUPPLEMENT now available

 Dear Readers of Learning Health Systems,

We are pleased to announce the first-ever Supplement Issue of Learning Health Systems! 

 

You may view the complete Supplement online at:

https://onlinelibrary.wiley.com/toc/23796146/2024/8/S1

 

Guest Editors for the 2024 Supplement were: 

Lucy A. Savitz Sarah M. Greene Michael K. Gould Harold S. Luft

 


The LHS/AH Supplement is the result of a collaboration and memo of understanding between Learning Health Systems (University of Michigan), AcademyHealth, and John Wiley & Sons.

 

***********************************************************

 

Guest Commentary

The Right Stuff:  Getting the right data at the right time and using that data to drive evidence-based practice and policy

 

Lucy A. Savitz Sarah M. Greene Michael K. Gould Harold S. Luft

May 27, 2024

 

Experience Report

Leveraging data to support health equity in an integrated delivery and finance system

 

Jane KoganJoan EichnerHyagriv SimhanErin DaltonAlex JutcaBeth QuinnJennifer ChaneyAnna PattersonDonna Keyser

April 15, 2024


Continued...

Saturday, June 29, 2024

Book for review: iv "Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy"

Don't worry this is not a chapter-by-chapter review. Having cast the stone that is Hodges' model we will skip a few times.

The use of footnotes varies from chapter to chapter. They inform the text, in several instances being quite illuminating. Beside the footnote (1/3 of a page) I noted - 'baby, cacophony, perception - brain - not overwhelmed but can't ignore' (p.41). Stoicism is the focus in chapter 3; perception, fields, manifold, circles of care, self, time, situation! We have field, subfields, domains.
"Perception is always about a diagnosis of the situation in which the living being finds itself. ...

... perception is always about finding one's "whereabouts" or one's "location" in life's journey." p.42.

On the features of perception, 4/4: "might be termed the breadth or width of the perceptual field." p.42. 

"As pointed out above, all perception has the structure of a compact, continuous, and uninterrupted manifold. In other words, it forms what we have termed a field. But the perceptual field  could contain nothing but the "bare bones" of "inert" qualia, (a manifold of simple qualities impinging themselves upon the perceiver)." p.42. 

The author, Jorge de Carvalho continues another view of qualities that take place in "each given moment". This is the challenge of salience, what is significant? How to 'read' in care: the spoken, the unspoken? 

Developing notes on Hodges' model as a mathematical object, Hodges' model in its basic form as a template, I'm proposing as an empty set. The structure of Hodges' model, its two axes instantiate the "bare bones". In programming/instruction terms ... Hodges' model provides INITIALISATION. A reset. This can act as a prompt for learners to acknowledge the person - the other and consider 'unconditional positive regard'. There's polarity too (p.46) and each living being lives in its own global field, in its own global 'map' - in its own geography" (p.49). Physical geography and the change 'there' is giving rise to cogeographical (a neologism?) disruption - eco-anxiety and climate-angst. 

Psycho-geography: the polarity of our times?

Another note, amongst Hierocles' circles is 'reflex arc'. So many feedback loops, cascades to worry about. 

As Jorge de Carvalho writes: 'what we are talking about is a very complex field of fields. ... described both as a compass rose and as a framework of concentric circles" (p.51). [There's a relay race, a torch relay in ancient terms p.54. Care is the object that is passed on. I've a dual-shaped baton to pass on.]

Care is more than perception (p.52), care presupposes a degree of activity or action. I like the acknowledgement of 'vigilant waiting' too. For me this draws in the importance of communication; Watzlawick's Five Axioms of Communication. After all, what happens to all these perceptions? There's vulnerability, fragility and care for the sheer existence and the whole content of a given being (p.56). Jorge de Carvalho, deploys a series of numbered points which helps reading. Page 60's footnote had me drawing circles, unborn at the centre: as one. But the collective unborn in another rough circle. Eachtimeness: I like this Stoic formulation through circles. Fourthly, we arrive at pure care. I'm still pondering on ".. there is no absolute either/or dichotomy between care and its opposite" (p.61). Integration is also here, an issue for modern times, a legacy problem from ancient times?

Luis Mendes's chapter I must read again. The abstract includes:
"Three fundamental aspects will be identified: (a) the need to consider self-existence from a global point of view; (b) the need for an axis for that life-view; (c) the need for correspondence between self-existence and life-view. Apparently, this structure is formal and arbitrary. Secondly, I will analyse the structure of despair. Three fundamental aspects will be analysed: (α) the requirement for a life-view which can be applied to the totality of subjective existence; (β) the requirement for an unconditioned instance of meaning; (γ) the requirement for the exclusion of the possibility of failure." p.79.
I'm sure Kierkegaard has featured in Philosophy Now, and The Philosophers' Magazine. Mendes' focus is arbitrariness. The hypothesis is well explained (p.80) structure of care. There's much for me here: care, life-view (health career - life chances), "a global understanding maps the world" (p.81), existential map, fulfilment, meaning (of course!). Reading -
"So, a life-view needs to be stabilized, to have unity. It needs an instance that works as an axis and as a point of support. We need something to support our life" (p.83).
I could have jumped up, waved and shouted "OVER HERE!" Would Kierkegaard have been pleased? Perhaps I should have read Kierkegaard, not Michel Serres (please see bibliography in the sidebar)? Still time (fingers x'd); especially if there's any interest in the form of co-author(s)? Care is full of ideals. Mendes through Kierkegaard gives my  project encouragement: "Truth is to live for an idea." p.84. Not necessarily truth but the idealism in care, including identity. It is helpful in care to be reminded of the ideal as a calling, hence motivation (intrinsic and extrinsic) is still key. If you're intrinsically motivated, devoted to your chosen vocation, is your pay that important - to the government/organisation that employs you? A shame this is so often lost to political leaders; who, given their chosen vocation, exhibit a markedly short memory.

Braga, J. & Santiago de Carvalho, M. (Eds.), (2021) Philosophy of care: New approaches to vulnerability, otherness therapy. Springer. 

Many thanks again to Springer for my copy, especially given a follow-up request, well post-publication date.

Individual
|
      INTERPERSONAL    :     SCIENCES                   
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group

personal courage

relational - (emotional) care

despair - fulfilment

motivation

ideals

unity - stability

maps

compass - orientation

models - frameworks

geography

life as a whole

society - community of practice

external validation

extrnisic motivation


sustainable development goals

policy

accountability

failure (courage here - political convictions?)



See also:

body & soul - Book: Philosophy of care: New approaches to vulnerability, otherness therapy


Book for review: iii "Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy"

Friday, June 28, 2024

Call for Papers for Special Issue "Philosophy and Disability"

"HUMANA.MENTE Journal of Philosophical Studies"

https://www.humanamente.eu 

Call for Papers for Special Issue "Philosophy and Disability"
Editors: Brunella Casalini; Chiara Montalti

deadline for submissions: 30th September 2024

In the past fifty years, the concept of disability has productively transcended the medical, psychiatric and rehabilitative domains. It has been defined, to name some examples, as the result of social exclusion, as a cultural trope, as a territory of political struggle and resistance, as a multi-faceted experience that emerges from the several inter-relational aspects of daily life, or as a neutral or even positive space.

Since Disability Studies is a trans-disciplinary area, the research on disability has benefitted from the contributions, methodology, and conceptual tools of many different fields. Disability has been explored from the perspectives of Sociology, Art, Anthropology, Law, Literary and Cultural Studies and the Humanities at large.

Regarding the latter field, it has been pointed out that disability, even though not always explicitly addressed, “pervades” nonetheless “language and literature”: as a concept, as an image, or as a metaphorical crutch (Mitchell, Snyder, 2000; Snyder, Brueggemann, Garland-Thomson, eds., 2002). Despite this intrinsic abundance, however, disability is still largely unrecognised as a topic of academic interest, especially in the Humanities, in what David Bolt and Claire Penketh define as a form of “disciplinary avoidance” (2015) – the reasons for which should be investigated.

The scholars and researchers would therefore be invited to deepen our understanding of the possible intersection between Philosophy and disability. They would be invited, on one hand, to examine how Philosophy can be a suitable starting platform in order to address several issues related to disability, and, on the other hand, to explore how the analyses on disability may significantly impact Philosophy. We aim therefore to bring forth philosophical inquiries that investigate, among the possible topics, disabled people’s lived experiences; emerging ethical challenges; social and political implications of ableism; theoretical foundations of disability, examined through a philosophical lens.

The Special Issue aims to explore a wide range of philosophical topics related to disability, including but not limited to:
I) Examinations of various philosophical perspectives and frameworks for understanding disability, including the social model, the cultural model, the relational model and the capabilities approach.

II) Ethical considerations concerning disability, such as questions related to autonomy, dignity, justice, violence, and the ethics of care.

III) Epistemology inquiries into how disability affects knowledge, perception, and cognition.

IV) Explorations of disability's influence on art, aesthetics, and the perception of beauty.

V) Discussions on disability rights, social policies, and disabled people’s participation or exclusion from citizenship.

VI) Phenomenological analyses of lived experiences, that include the embodiment of disability and the material encounters with the world. Philosophers’ first-person experiences and accounts would also be positively valued in this regard.

VII) Analyses of the role of disability in language, in the discursive realm, in the creation of meaning, and in the construction of metaphors, including the investigation of how philosophical language and theorization could contribute to ableism, disablism, and disabled’s people exclusion.

VIII) Investigation of disability through the lens of humanism and/or its critical stances (Anti-Humanism, Philosophical Posthumanism, Transhumanism, New Materialisms, and so on).
Intersectional analyses, which explore how disability interacts with, and impacts, other social categories such as race, gender identity, sexuality, and class, would be greatly welcomed. Furthermore, contributions could cover a wide array of historical and geographical frameworks, from Ancient Philosophy towards Contemporary Philosophy – not only from a Western perspective.

Information

Deadline for submissions: 30 September 2024

Publication of the Special Issue: July 2025

We anticipate that submissions will come both through solicitations and this open Call. Papers should be between 8000 and 10,000 words (including abstracts, footnotes, and references). Only papers in English will be accepted. For further information do not hesitate to contact the editors (brunella.casalini[at]unifi.it; chiara.montalti[at]unisalento.it).

My source: 
Philos-L "The Liverpool List" is run by the Department of Philosophy, University of Liverpool https://www.liverpool.ac.uk/philosophy/philos-l/ 
Follow the list on Twitter @PhilosL. Follow the Department of Philosophy @LiverpoolPhilos 

Tuesday, June 25, 2024

Book for review: iii "Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy"


Before moving beyond Pierron's 1st chapter (the whole book is very worth reading), there is much that reminds me of institutional care:

https://winwickremembered.org.uk/

Recognition of the sub-standard cockroach 'co-habiting' environment away from the entrance corridor, quality of life, task oriented, de-personalising, stagnant, passive, pervasive sense of hopelessness and helplessness. There was a chink of light. 

As registered mental health student's we were on a crusade. Carrying a torch, lit outside in the community to help open the doors to community care.

 On trips outside, gradually the institutional skin sloughed off, to reveal the person - the individual came alive (even through medication). 

'Bill' had a sense of humour, a lovely smile. He'd had the prospect of another life. So many people there for so long: too long. Potential unrealised?

"To be in contact with the other in care is not to exercise a hold over them." p.16. 

The problem is - within institutions this can be forgotten and lost:
"To suspect a substituting mode of solicitude (cf. Heidegger) of being a highhanded charitable hold over someone invites one to consider the ethical and political fecundity of a solicitude which looks ahead. To think through this alternative would amount to unmasking the mechanisms of domination, whether voluntary and involuntary - naturalisation of roles, masculine domination, organisational violence, etc, - at work in care. Doing so politicizes care, enabling it to overcome that democratic optimism which doesn't want to recognize that violence is part of human history (Merleau-Ponty 1996: 124-125), that violence insinuates^ itself into care relations, and, as such, comes under the sway of what Merleau-Ponty called the 'maleficence of living among many' (maléfice de la vie à plusieurs)." p.16. 

^The need to be aware of subtle abuse

My notes for chapter 2 'From an Anthropology of Vulnerability to the Ethics of Care' by João Maria André, reflects a lot on relationality, and maps which I've drawn: "(identity is always dialogical identity)" and "how we map ourselves". Again this helps my (other) current reading and draft work. There's time here, plus "there is no such thing as abstract vulnerability - vulnerability is necessarily concrete". p.25. I don't think André mentions future generations but I've added a note; 'I-we' too. There's a triple axis, and more encouragement as Tronto and Gilligan feature. Heidegger's reference to Hyginus' Fable 220 (in which Care moulds man out of clay, Jove grants it spirit, and Earth gives him body, with Care being assigned the task of keeping him alive." (Gaia?) p.26.

As in chapter 1, and previously reviewed text 'General Psychotherapy', the term 'constellation' appears. In chapter 2 it is expanded (with reference to Corine Pelluchon); leading us to "appreciation of the world, and self-care as care for the world" p.29. So, planetary health too. With Hodges' model purposed (1/4) to help bridge the theory - practice gap; this perennial problem exhibits existential relevance here (p.27). We by-passed biopolitics on page 17, but  the interrelation of psychosocial and other examples informs the text (philosophy). As I scribbled, Hodges' model is simultaneously a space for resonance and unconditional positive regard (pp.30-31). Authors inevitably find themselves deliberating upon dualisms, Descartes of course, plus Spinoza and others. Entralgo is nails the duality: "the aim of caring is to lead the I from being 'a body that says I' to a learning how to progressively become, and define itself as, 'a body that says we'". p.35.

Braga, J. & Santiago de Carvalho, M. (Eds.), Philosophy of care: New approaches to vulnerability, otherness therapy. Springer. 

Many thanks again to Springer for my copy.

Individual
|
      INTERPERSONAL    :     SCIENCES                   
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group

relational

'I' - mind 

individual vulnerability

intention

affection - as movement


climate change

'I' - body

maps - cartography

Planetary Health

action - movement


We

context

equity - equality

social vulnerability


We

policy

bio-POLITICS

accountability of government(s)



See also:
body & soul - Book: Philosophy of care: New approaches to vulnerability, otherness therapy

Sunday, June 23, 2024

Book for review: ii "Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy"

What I like here is being drawn (rescued then!) from the torrent that is the near reaches of the 

    bit, byte ... data, information, knowledge, wisdom

continuum, to its latter realm. The forever incomplete project of wisdom in 'care':
"Care, which is prior to all curing, identifies a fundamental availableness that has not yet been appropriated in the expert and technical discourses of care specialists." p.9.
This goes back to Pierron's 1st chapter focus upon 'Care: A New Arrival in the History of Philosophy'?

J. Braga & M. Santiago de Carvalho (Eds.), Philosophy of care: New approaches to vulnerability, otherness therapy. Springer.

A real gift for me (Hodges' model) is:
"Narration .. In opposition to the mathematization of the world, which reduces human problems to theoretical questions and to a universalized and rational formulation of moral dilemmas, the philosophies of care present a conflict of interpretations which deconstructs official and stereotyped narratives. Amy (or the voice of care) does not conceive a dilemma as a mathematical problem but rather as a narration of human relations, whose effects extends over time. (Gilligan 2008: 53)." p.13.
In addition to Tronto "Care is <<a species of activity that includes everything we do to maintain, contain, and repair our 'world' so that we can live in it as well as possible. That world includes our bodies, ourselves, and our environment>> (Tronto 2009: 143)." p.15. (see i) - I must add Gilligan to the list. 

In this weekend's FT, there's an item about the sorry state of the UK's statistical infrastructure (a post will follow, and mention of another book). I remember* Derek Hoy (RIP) doing a presentation about using data, and nursing informatics to make nursing visible. I wonder how he would make sense of the contrast between nursing whilst in COVID and post?
"Gilligan puts forward a distinction between a feminine ethics of care, which makes use of the idea of the natural solicitude of women by associating self-sacrifice and concern for others, and a feminist ethic of care, thought of as a critical approach that brings to light the mechanisms which favour the "invisibilisation" of care. The latter makes it possible to analyse the ways in which we lose the capacity to care for the other when relations of mutual caring are damaged." p.14. 

As usual below I've mapped some concepts to the domains of Hodges' model. 
Many thanks again to Springer for my copy.

Please note, also - as usual I am trapped in chapter 1! :-)

Individual
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      INTERPERSONAL    :     SCIENCES                   
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group

"Amy - voice of care"

relational

situated


data, information, informatics

visibility

statistical infrastructure



context

equity - equality

social justice

context

feminism

data - reporting

accountability of government(s)



See also:
body & soul - Book: Philosophy of care: New approaches to vulnerability, otherness therapy

*https://hodges-model.blogspot.com/2010/08/drupal-musings-12-semantic-web-icnp.html

Friday, June 21, 2024

Psycho-Politics - c/o Peter Sedgwick

One domain counts, but how does it care?

Individual
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      INTERPERSONAL    :     SCIENCES                   
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group



Sedgwick P (1982). Psychopolitics. London: Pluto Press. 

See also: Cresswell, M. and Spandler, H. (2009) Psychopolitics: Peter Sedgwick’s legacy for mental health movements Social Theory and Health 7(2) 129-47. 
https://clok.uclan.ac.uk/2485/2/2485_Spandler.pdf

https://www.jstor.org/stable/40547630

Ack. Library Lancaster University.

Prev. 'bridge' , 'psycho-political'

One domain counts (when it chooses), but how does it care?

Wednesday, June 19, 2024

IO Magazine #41 Being = Space x Action


"The Parmenides poem in fact opens a rather impressively large range of philosophical issues which remain unresolved to this day: the questions of the unity of knowledge, the unity of being, the unity of knowledge and being, the nature of proof, the nature of thought itself, the nature of justice, the relations between thought, proof, knowledge and justice, the possibility of rational cosmology and the relationships between logic and cosmology, the existence and nature of abstract entities, the privileged status of philosophical knowledge - all these questions became explicitly formulatable questions immediately following the production of Parmenides poem, none of them are definitely resolved today, and the future of science, culture and the human spirit all depend to a far from trivial degree on how these questions come to be reflected upon." pp.3-4.



IO Magazine. Reveal Digital, 01-01-1988
Contributed by: Charles Stein; Don Byrd; A.S. Yessenin-Volpin; Christer Hennix; Henry Flynt; Henry Flynt; George Quasha; Charles Stein; Christer Hennix; Luitzen Egbertus Jan Brouwer; L.E.J. Brouwer; L.E.J. Brouwer; Charles Stein. Stable URL: https://www.jstor.org/stable/community.28038534

The poem: http://philoctetes.free.fr/parmenidesunicode.htm

Sunday, June 16, 2024

Occupational therapist Joël inspires elderly to get in motion ...

Or, "Excuse me. How many movements are there in that watch?"*

"Joël Kruisselbrink’s creativity in designing exercises and games inspires elderly people to keep moving and live life to the fullest.

Nursing home residents are often understimulated and have little motivation to exercise. As an exercise instructor, Joël Kruisselbrink knows better than anyone how important exercise is for the elderly. His passion for creating exercises and games enables older people to continue enjoying life while keeping them moving."
Individual
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      INTERPERSONAL    :     SCIENCES                   
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group


What do
you think
the impact
is upon
the resident's mental
health
and
emotional
well-being?




Psycho-
-Social?




Standards & Quality of Care
Policy


*Hodges' model: A tool to watch the complications of Care

My source: https://x.com/Rainmaker1973/status/1802268229361967404

Saturday, June 15, 2024

Hodges' model: A tool to watch the complications of Care

Individual
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      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group
How many
complications
here?
... here?

"Despite its achievement, Vacheron Constantin has not filed a patent, on the Chinese perpetual calendar, saying it doesn't want to reveal details." p.S9.

... and here too?



Foulkes, N. Inside Vacheron's exclusive cabinet of complications, Watches & Jewellery, Financial Times, 9 April 2024, p.4.

Image and text: https://www.hodinkee.com/articles/introducing-vacheron-constantin-berkley-grand-complication

The Complications, 1 Through 63

"There's likely some part of you that's curious about each of the 63 functions that have totaled a record-breaking level of complication. I'll list the functions below, broken down by type, to simplify things.

Time measurement (9 Total): 1. Regulator-type hours, minutes, and seconds for mean solar time 2. Retrograde second for mean solar time 3. Day and night indication for reference city 4. Visible spherical armillary tourbillon regulator with spherical balance spring 5. Armillary sphere tourbillon 6. World time indication for 24 cities 7. Second time zone hours and minutes (on 12 hours display) 8. Second time zone day and night indication 9. System to display the second time zone for the Northern or Southern hemispheres

Gregorian Perpetual Calendar (7 Total): 10. Gregorian perpetual calendar 11. Gregorian days of the week 12. Gregorian months 13. Gregorian retrograde date 14. Leap-year indication and four-year cycle 15. Number of the day of the week (ISO 8601 calendar) 16. Indication for the number of the week within the year (ISO 8601 calendar).

Chinese Perpetual Calendar (11 Total): 17. Chinese perpetual calendar 18. Chinese number of the day. 19. Chinese name of the month 20. Chinese date indication 21. Chinese zodiac signs 22. 5 elements and 10 celestial stems 23. 6 energies and 12 earthly branches 24. Chinese year state (common or embolismic) 25. Month state (small or large) 26. Indication for the Golden number within the 19-year Metonic cycle 27. Indication for the date of the Chinese New Year in the Gregorian calendar.
Chinese Agricultural Perpetual Calendar (2 Total): 28. Chinese agricultural perpetual calendar. 29. Indications of seasons, equinoxes, and solstices with solar hand.

Astronomic Calendar (9 Total): 30. Sky chart (calibrated for Shanghai) 31. Sidereal hours 32. Sidereal minutes 33. Sunrise time (calibrated for Shanghai) 34. Sunset time (calibrated for Shanghai) 35. Equation of time 36. Length of the day (calibrated for Shanghai) 37. Length of the night (calibrated for Shanghai) 38. Phases and age of the moon, one correction every 1027 years.

Split-seconds Chronograph (4 Total): 39. Fifths of a second chronograph (1 column wheel) 40. Fifths of a second split-second chronograph (1 column wheel) 41. 12-hour counter (1 column wheel) 42. 60-minute counter.

Alarm (7 Total): 43. Progressive alarm with single gong and hammer striking 44. Alarm strike/silence indicator 45. Choice of normal alarm or carillon striking alarm indicator 46. Alarm mechanism coupled to the carillon striking mechanism 47. Alarm striking with choice of grande or petite sonnerie 48. Alarm power-reserve indication 49. System to disengage the alarm barrel when fully wound.

Westminster Carillon (8 Total): 50. Carillon Westminster chiming with 5 gongs and 5 hammers 51. Grande sonnerie passing strike 52. Petite sonnerie passing strike 53. Minute repeating 54. Night silence feature (between 22.00 and 08.00 hours – hours chosen by the owner) 55. System to disengage the striking barrel when fully wound 56. Indication for grande or petite sonnerie modes 57. Indication for silence / striking / night modes.

Additional features (6) 58. Power-reserve indication for the going train 59. Power-reserve indication for the striking train 60. Winding crown position indicator 61. Winding system for the double barrels 62. Hand-setting system with two positions and two directions 63. Concealed flush-fit winding crown for the alarm mechanism."

Also: Naas, R. New and extremely complicated. Watches. The New York Times International Edition, April 9, 2024, p.S9

Craftsmanship. "It took a watchmaker a year to assemble the Complication's 2,877 parts, including 31 hands, nine discs and 245 jewels." p.S9. Plus, quote regards the question of a patent.

Vacheron Constantin


(Just to be clear - this post, as with all others is not paid/sponsored.)

Friday, June 14, 2024

Book for review: i "Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy"


Among the questions that research might answer regards Hodges' model I have in mind:
  • At what age can Hodges' model be introduced in the general curriculum?
  • Is there consistency in how people view/interpret and apply Hodges' model?
  • How simple is it (or complex)?
  • Is it a meta-model?
  • How can Hodges' model relate to the spiritual?
My B.A.(Joint Hons) is in Philosophy and Computer Science, so the 'Philosophy of Nursing' is a preoccupation. In January 2022 I discovered:

J. Braga & M. Santiago de Carvalho (Eds.), Philosophy of care: New approaches to vulnerability, otherness therapy. Springer.

I requested a copy but ever distracted did not register any further action beyond acknowledgement and being forwarded. Discovering I'd missed this, I picked it up again. I must admit two years ago I was expecting a book with 'care' in the nursing, medicine, health context. Revisiting the 'blurb' I saw that this is not the full picture. Last year and this however drawn to conferences that combine the environment and religion this book really did fit the bill. Requesting a 'review copy' so late in the publishing cycle presents a challenge. 

Hodges' model provides a long-tail, surely a defining property of a lifelong learning resource? This plus a history of cataract surgery brought a print copy and many thanks to Daniela Rohrmann and team. I've now reached Part V, chapter 19 and 'medical care'.

The book's physical quality (printed hardcopy) is up to Springer's usual high quality standard. The fact that much of the contents have, I believe, been translated appears to show at times, in one chapter especially, with missing, or additional words. Perhaps this also reflects proof reading, an important part of production I would have thought (and still best not left to AI)? The font and print size is very readable and the format and design - architecture - of headings and layout are inviting and engage the reader. There are Any problems with grammar, flow were readily overcome. 

In meeting this text I oscillated in expectation - philosopher of care, as in the clinical context; and then the spiritual, pastoral. Which is it? The emphasis is on the latter with the final part focussed more on medicine. The book has extended my appreciation of 'care' in the wider sense, it is rewarding and well-worth reading.
"Finally, the fifth part – Care and Therapy – examines issues relevant to medical
care. This volume would be remiss if it did not take therapeutic care into account.
Practical and theoretical knowledge mutually influence each other. This highly specialized
domain imparts a significant amount of the status that care is given in our
daily lives. Thus, in this last part, the previous themes of otherness and ipseity converge
systematically. Through the theoretical emphasis that is placed on the issue of
suffering – whether it concerns physical illnesses or those of the psychological and
psychiatric realm – the authors of these chapters show us the urgency of thinking
about therapeutic care practices in the light of a theory of intersubjectivity, where
the disease itself and its cure are understood within the communication processes
and not only as exclusively technical-scientific processes." p.vii. (Introduction).
Don't worry I'm not going through each chapter, but Chapter 1 is a fascinating read, the title 'Care: A New Arrival in the History of Philosophy?https://link.springer.com/chapter/10.1007/978-3-030-75478-5_1 presented an immediate challenge. For me, love, compassion, philosophy - as the love of wisdom, knowledge, what it is be, think, exist, the human condition and more all imply 'care' including care of thought and argument. I'm probably begging the question and I realise the Peirron's purpose is more specific, nuanced. I'm reassured though as care is defined by three criteria:
"(a) care is contextual and anti-essentialist... The characterization of care requires a great deal of attention to the precise details of each situation (Tronto, 2012: 35)."

"(b) care is relational and accepts that human beings , other beings, and the environment are interdependent  (Tronto, 2012: 32)."

"(c) In human societies which would like to assume the equal value of all human life, care needs to be democratic and inclusive  (Tronto, 2012: 36)." p.6.
I must read Tronto - who work has elevated vulnerability as flagship concept of her politics of care (Tronto, 2009) (p.8); 'dialectical' too (p.10). The book is full of many leads, the writing scholarly and authoritative.

With some studies in education and philosophy the pragmatic school of thought quickly surfaces. I see Hodges' model as a pragmatic solution. In addition to the 'pragmatics of care', Peirron opens the door even further in respect of 'care':
"Giving through care involves much more than what is described in the interactional framework of exchanges characteristic of homo economicus (economical animal) paradigm. Giving is not exchanging because care involves so much more than just the provision of a service. Care, as understood as a politically relevant anthropological position, is thus very different from a Hobbes-inspired anthropology which supposes a social epistemology based on a an atomistic approach to individuals. It provides a fundamental interpretation of our social intelligence by thinking it, starting from a relational anthropology within which the concept of vulnerability plays, as we will see, a strategic role. A pathetics of care rethinks the balance between reason and feeling, argument and emotion in the spirit of the tradition of Scottish philosophy, in order to allow a "different voice" to be heard in the analysis, the description, and the support of the human world." p.7. 
The pathetic view of care requires a language, methods, aesthetics that can manage 'the singularity of an enduring life history' (p.10). This equates for me with the health career in Hodges' model.

As usual below I've mapped some concepts to the domains of Hodges' model. I will add to this post too.

Individual
|
      INTERPERSONAL    :     SCIENCES                   
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group

contextual

anti-essentialist

relational

situated


context

human being, other being 

and environment -

interdependent


context

interdependence

care in human societies 

equality within human societies

context

situated

human societies are democratic

and inclusive


See also:
body & soul - Book: Philosophy of care: New approaches to vulnerability, otherness therapy

Wednesday, June 12, 2024

Scaling-up Health Arts Programmes: Effectiveness Research (Sold Out!)

This event is located in London, it is sold-out and not online. Coming across the symposium on twitter and learning that the research has run its course prompted me to think about the life-cycle of projects, research (big and small); ever important, of course, in the dissemination of research results, outcomes and benefits.

More details are provided on the 'Sold Out' event link and in the image below:

https://www.eventbrite.co.uk/e/collaborating-to-scale-implement-established-arts-and-health-programmes-tickets-874119594237


 

Why bother to post this? We can't be all-knowing in terms of research / project calls. This means I've noticed how we often learn of initiatives and opportunities at their close. News of citations for Hodges' model arrive is invariably after-the-fact, the fact being the 'study' as a whole. So is the dissemination more haphazard than it needs to be? A silly question, but have all the research councils, academia in general looked at research 'alerts'. What about the Government? Especially in response to citizen science, patient engagement, public involvement? Is this an application begging for a digital solution? Perhaps there is one (several) out there already? In human resources there is employee on-boarding, orientation and there's off-boarding, or there's supposed to be the leaver's questionnaire and exit interview. Beyond the final research report what is the situation: marks out of 10?

This looks a great initiative, especially the participation, collaboration and creativity generated. Below I've related some relevant concepts within Hodges' model: embedded within the spiritual.

Individual
|
      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group

ipseity, identity

Health: parity of esteem - mind::body

my lived experience, efficacy

ideas, perspective, interpretation

body - movement, physio..

objects, media, physical reality

time, place, space

information sharing

art forms: fine, dance, drama, music ...

collective - collaborative creativity

shared motivation, public awareness

participant identification (biases?)


policy (national - regional, local)

research funding

physical accessibility - transport

funding distribution


My source:
https://x.com/TheNCCH/status/1798020326007472407

I also realise the access limitations presented here on a blog commenced in 2006.

Tuesday, June 11, 2024

HC@AIxIA: AI & Health Seminar Series 2024 - June 17


Dear Madam/Sir,

This is to officially announce the FIFTH seminar of the "AI & Health" series as hosted by HC@AIxIA, i.e., the "Artificial Intelligence for Healthcare" working group of the Italian Association for Artificial Intelligence. Save the date: 17 JUNE 2024.

We hope you will attend and participate in the discussion on the relevant topics that will be presented and by our speakers. 

Feel free to share this with those potentially interested.

Please find some details below, and a poster attached. All directions for participating are available at https://aixia.it/en/gruppi/hc/.

== Are you interested in Joining the group? ==
Please head to https://aixia.it/en/gruppi/hc/ fo find out how. Do not hesitate to contact us at 
hc-aixia AT googlegroups.com for any information or clarification.


Thank you for your interest in the AI & Health seminar series and the HC AT AIxIA working group, and see you soon!

Sincerely,
Francesco Calimeri, Mauro Dragoni, Fabio Stella
(coordinators of the HC AT AIxIA working group)


== June 2024 seminar ==

2024 June 17 - 4:30PM CET
Luca Neri
Senior Director, GMO Data Science Lead - Clinical Advanced Analytics – AP, LATAM, EMEA region, Fresenius Medical Care Italia S.p.A.

Title:  AI in medicine: from the conceptualization to its clinical application. Opportunities & Challenges

Abstract: The path from brilliant ideas to their concrete embodiment into a working application it’s a fascinating (and sometimes exhausting) journey of opportunities and challenges. We will provide an overview of why medicine needs AI. We will further explore the challenges we encounter throughout the development cycle and how we have tried to overcome them. From demand analysis, to model development, through the hurdles of current global regulatory landscape, market access and health-technology assessment, we will discover that a model in medicine is not just a model. It means encoding medical knowledge in a way that is legally usable (and desirable) by doctors, nurses and patients in a highly regulated sector.

Short Bio: Dr Neri earned his MD and PhD degree in Occupational & Environmental Medicine at the School of Medicine of the University of Milan. He joined the Saint Louis University Center for Outcomes Research (SLUCOR - St. Louis, MO, USA) as an epidemiologist and outcomes research scientist in 2005 and served as Adjunct Instructor of Health Management and Policy at the same institution until 2013. In January 2010 he also joined the Department of Clinical Science and Community Health of the University of Milan, his hometown. His research interests spanned across multiple therapeutic areas. He collaborated with academic and commercial partners in developing new research, devising methods for answering investigative questions and solving research design problems. He authored over 90 original papers in international, peer reviewed scientific journals in the field of outcomes research and epidemiology. He joined Fresenius as a data scientist in 2016 and he now leads the Data Science Division in the Clinical Advanced Analytic team for the Global Medical Office for the EMEA, LATAM, APAC regions. The Data Science team develops AI-tools assisting healthcare professionals undertaking complex decisions in their day-to-day work activity.