'Why is it so hard to find an NHS dentist?' BBC Radio 4 - Inside Health

'Dentistry is high on the public and political agenda. There have been dozens of headlines about access to NHS dentistry, with some people having to travel huge distances to find a dentist, or being put onto long waiting lists to get an NHS appointment.

In this episode of Inside Health, James Gallagher is joined by chairman of the British Dental Association Eddie Crouch, the Oral Health Foundation's Dr Rachael England, and consultant oral surgeon Tom Thayer. Together, they drill into the issues surrounding NHS dentistry. Along the way, they discuss possible solutions, whether contract reforms will help, and the potential future of dentistry in the UK.

Presenter: James Gallagher
Producers: Alice Lipscombe-Southwell and Thomas Hunt
Production coordinator: Stuart Laws
Content editor: Ilan Goodman'

Source & image: https://www.bbc.co.uk/programmes/m002r3nn

Latest paper re. Hodges' model:

S. Bettiol, P. Jones, H. A. Onyedikachi, and W. G. Kernohan, (2026) Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model, Journal of Public Health Dentistry. 1–14, https://doi.org/10.1111/jphd.70034

Intelligence - mechanistically speaking^

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Mental Intelligence	We Are Movement - Unlocking Your Physical Intelligence
... ever increasing 'artificial' intelligence   here . . .?	"We?  Yes... We!     We are   a                       MOVEMENT!"

Wayne McGregor (2026) We are Movement: Unlocking Your Physical Intelligence. London: Bloomsbury. (Book cover) https://www.bloomsbury.com/uk/we-are-movement-9781526629531/

My source: Nadia Beard, Our bodies, ourselves. Life&Arts, FTWeekend, 17-18 January, 2026. p.9. 

Previously: 'movement' : 'dance' : 'intelligence' : 'art' : 'body' : 'AI'

^. . . help me find (a) the notation? 

National Centre for Creative Health

Creative health is increasingly recognised as a driver of better care and better value in health and care systems. Integrating creative health into prevention, public and population health strategies, management of long-term conditions, treatment and recovery pathways contributes to:

• Reduced incidence of preventable illness
• Improved wellbeing of patients and service users
• Reduced demand on services

Many Integrated Care Systems and providers already incorporate creative health in physical and mental healthcare, social care, and public health, delivering measurable social and economic value.

Find out more about implementing creative health in your service, organisation or system from [our resources the resources ... 

NCCH has worked in partnership with NHS England to develop a Creative Health Toolkit. The Toolkit support systems to work with the assets in their communities and to develop their own approach.

NCCH publishes a monthly creative health newsletter created for professionals working across health and care.

Source: Email and National Centre for Creative Health 

c/o Jayne Wilton: Reflex-ive :: Reflection - Breathe : DO - REPEAT - WHILE

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'Many of us will have experienced playing with the interaction of our breath on shiny surfaces such as windows and mirrors, allowing us temporary fields of condensation in which to doodle thoughts or messages. In emergency situations a mirror or shiny surface is held in front of the mouth of a subject to confirm whether or not they are breathing. The Breathe series makes use of these dynamics. The breath of a series of  individuals was captured on a shiny copper surface and then etched to create a negative of the breath where it sat on the copper plate. The result is a series of evocative landscapes. This work employs and yet subverts traditional printing processes. The inscription of spent breath onto precious metal immortalises a discharge and presents an alternative to portraiture.' Jayne

Reflection - Reflexive   Resuscitation    mirror

Wilton - is a visual artist who explores the breath as a unit of exchange between people and their environments. Her practice uses darkroom processes with drawing, photography, video and sound to capture the usually invisible trace of breath as it moves across a surface. www.jaynewilton.com

My source and thanks to Jayne Wilton: 

Jayne Wilton. Breathe, Artist's Statement. Resurgence & Ecologist, July/August2023: 339: p.47 & (p.49 image).

Previously: 'breathing' : 'reflex' : 'reflection' : 'art'

vi Book: Bill Ross - 'Order and the Virtual'

'The Philosophy and Science of Deleuzian Cosmology'

Over time I have equated the center of Hodges' model with a nexus. Framing the whole model as a chaotic system, comprised of four domains, with two (or more?) Lorenz attractors, how do we make sense of what is going on? 

A previous post visited this too: Threshold Concepts: Reflection on chaos, complexity and AI 

Reading Order and the Virtual the new vocabulary, provides glimpses. The perspectives I'm adopting are no doubt naive and favour my context. If we freeze the situation from the center - the nexus the variables, parameters are frozen within their respective domains and tracks around the attractors. They tell us little (now), for obvious reasons, but (with AI and) acknowledging the social and political is a huge step forward (in healthcare).

Order and the Virtual

'The word 'appetition' occurs not infrequently in Whitehead's work, though his own coining is 'prehension`. Both words convey essentially the same import. All individuals 'prehend' all others - the entire universe is expressed through the relations pertaining to any given individual therein.36 Prehension belongs cqually to the event as to the conscious decision. The 'nexus' or 'actual occasion' is the outcome of prior appetitive or prehensive enfolding for Whitehead as it is for Leibniz, and the aggregate of past prehensions shapes the future of the individual. The crucial refinement comes with the term 'negative prehension'. 

For Whitehead, accepting those same tenets that characterise Leibniz's metaphysics, the interconnection of all things and the tendency of systems to enfold elements from their total situation, negative prehension is a necessary corollary to positive appetition. It belongs to the 'principle of limitation' which Whitehead saw as a necessary supplement to Spinozist metaphysics, and which we shall encounter in some detail in following chapters.' 

It helps me, that Spinoza is heard here. 

'Instead of how is it that all things are interconnected, the question becomes, "Given that all things are interconnected, how is it that individuation is possible?'

Before recourse to Lorenz's butterflies, I saw 'oscillations', a constant swing from individual to other(s); then back again. 

`Every present state of a simple substance is a natural consequence of its preceding state, in such a way that its present is big with its future',37 (all p.47.)

While concerning a 'simple substance', is this a prelude to self-care and preventive health care?

I noted in pencil: In Hodges' model 'nexus' is framed as the now - that just was. Ross carries on to discuss 'the multiplicity of components in the nexus can enter explicit feeling as contrasts.' p.48.

Yes. 'The local and global are entwined' p.49; and now with the glocal too. Ross points out how Deleuze draws upon Simondon's treatment of the organic and inorganic within the same framework, p.50.

I've also been reminded about resolving some abbreviations:

https://hodges-model.blogspot.com/2025/07/axiomatic-simondon.html

Many thanks to Edinburgh University Press for my review copy.

More to follow here ...

Bill Ross (2024) Order and the Virtual: The Philosophy and Science of Deleuzian Cosmology. Edinburgh: Edinburgh University Press.
https://edinburghuniversitypress.com/book-order-and-the-virtual.html

 

 

Joining the digital dots across primary care and integrated care

My partner and I both received a letter today from our respective GPs. An invitation for a 'FREE LUNG HEALTH CHECK'.

Overleaf is an information sheet in landscape about the health check, plus three more sides of A4, similarly formatted - inviting trifold presentation.

After the 'Re. ......' an opening sentence asks: 'Have you ever been a smoker?'

Suddenly, I was dragged backwards through his-tory (some things don't change); not one history, but several:

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My personal and life experience  and not just since my teens . . .

The letter states: **If you have never smoked, you are not eligible for this service**

My mother and father  smoked when I was a child and my siblings.    They got the message early 1980s.    'Society' smoked back then!     Once old enough, I refused to go to the corner shop.   Into the 1990s, patients, smoking (some chain-smoking) on admission, long-stay and other clinical areas. As a community mental health nurse, I learned diplomatic and health promoting skills when in the car, giving a patient a lift to hospital. And, when visiting their home where I was, of course, usually, a guest.

I wondered what has happened to the GP's records? To the primary care clinical record ? The custodians of my health record, that they should need to ask that question?    Or, does confidentiality tie some bureaucratic knots?   Where is 'integrated care' and its driver 'clinical informatics'?  The letter included the NHS Number.    Don't get me wrong, I/we appreciate the obvious effort here, even if the chronology is confusing, or,  speaks of afterthought? The letters are dated 19/06/2025. I must admit I haven't accessed my GP record, checking it for accuracy.   If anything, this is a prompt to do so. And seek a general medical.

Previously: 'smoking' : 'winwick'

Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model

 ABSTRACT

Objectives

Despite decades of national and global strategies, persistent inequities in oral health outcomes, access, and service provision remain. Existing frameworks often fail to integrate clinical and behavioral factors with social, cultural, and political determinants. This study aimed to map and evaluate oral health frameworks using Hodges' Health Career—Care Domains-Model (HCM), a meta-framework that spans clinical, behavioral, sociological, and political domains. The goal was to identify conceptual gaps and opportunities for greater integration.

Methods

A structured scoping review was conducted using MEDLINE, CINAHL, EBSCO, and search engine Google Scholar (1995–2025) to identify oral health-related conceptual frameworks. Frameworks were eligible if they addressed oral health determinants, behaviors, policies, or interventions. Two reviewers independently screened records and analyzed full-text articles. Frameworks were categorized by theoretical orientation and mapped against the four HCM domains to identify patterns of emphasis or omission.

Results

Of 226 identified records, 21 frameworks met inclusion criteria. These were classified into three thematic groups: balanced (addressing all domains), clinically led (focused on clinical/behavioral aspects), and policy/public health-focused (emphasizing sociological/political factors). Seven cross cutting themes emerged, including health promotion, systems integration, social justice, and cultural safety. While many frameworks promoted equity and policy reform, few offered implementation guidance or had been empirically validated.

Conclusions

HCM proved useful for systematically comparing frameworks and revealed consistent underrepresentation of political and structural domains. It offers a practical tool for oral health professionals, educators, and policymakers developing integrated oral health models that align with equity, sustainability, and universal health coverage goals.

S. Bettiol, P. Jones, H. A. Onyedikachi, and W. G. Kernohan, “ Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model,” Journal of Public Health Dentistry (2026): 1–14, 
https://doi.org/10.1111/jphd.70034

'First came the landscape' c/o Eden project & Resurgence & Ecologist

Ingela Ihrman - First Came the Landscape

Beech wood

'First Came the Landscape is a giant stick skeleton made from the trunk, limbs and branches of a single beech tree that was blown down during Storm Eunice in 2022. . . .'

https://www.edenproject.com/visit/things-to-do/first-came-the-landscape

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My source: Anna Souter & Ingela Ihrman. 'First came the landscape'. Resurgence & Ecologist, May/June 2023. 338: pp.44-46. 

See also: https://www.edenproject.com/visit/things-to-do/first-came-the-landscape

Previously: 'landscape' : 'ecology'

International Conference: the Concept of Attention - IEF

 

Filosofia na Agenda

international conference
the concept of attention

Theme and Objectives

Attention constitutes one of the most fundamental yet under-theorized dimensions of human experience. Despite its centrality to perception, cognition, action, and intersubjectivity, the philosophical investigation of attention as a concept in its own right remains surprisingly underdeveloped. This international conference represents the first major initiative of a four-year research program (2025-2029) dedicated to establishing the philosophy of attention as a major field of contemporary philosophical inquiry.

The philosophical engagement with attention has deep historical roots. Already in ancient Greek thought, we find attention implicitly at stake in the Socratic contrast between an 'examined' and an 'unexamined' life and in the dialectical reform of ordinary reason pursued throughout Plato's dialogues. Medieval philosophy anticipates later developments through its emphasis on representation and intentionality (intentio), particularly in the works of Augustin, Aquinas and Duns Scotus. Yet it is only with Descartes's Meditations that attention receives explicit philosophical treatment, emerging as the crucial mediating link between radical doubt and epistemic certainty. This Cartesian innovation opens a rich trajectory of reflection, pursued by thinkers as diverse as Malebranche, Berkeley, Locke, and Wolff.

The scope of philosophical inquiry into attention expands dramatically from the late 18th century onwards. No longer confined to epistemological questions, attention becomes central to investigating the fundamental structures of subjectivity itself. French spiritualism, phenomenology, and philosophies of existence explore how attention relates to apperception, sensation, emotion, and volition—a trajectory that runs from Maine de Biran and Bergson through the phenomenological movement, encompassing figures from Paul Ricoeur to Michel Henry. Meanwhile, William James's psychological and philosophical investigations, along with later thinkers like Merleau-Ponty, Simone Weil, and Iris Murdoch, demonstrate attention's significance across multiple philosophical domains.

Indeed, contemporary philosophy recognizes attention as fundamental to a remarkable range of inquiries. In ethics, attention emerges as an essential vehicle for exercising personal and collective virtues. Aesthetics invokes attention in debates about the nature of beauty and our engagement with works of art—their creation, appreciation, and critique. Social and political philosophy identifies attention as a central component of the modern media landscape, where it functions as a valuable and increasingly contested economic resource. Environmental philosophy calls upon attention to help conceptualize our evolving and often precarious relationship with the natural world. Across these diverse contexts, attention appears as a fundamental human capacity whose nature and quality largely determine the kinds of bonds we can establish with each other and our surrounding world.

This conference seeks to bring these rich historical engagements into systematic dialogue with contemporary philosophy. We welcome contributions from all philosophical traditions and approaches, including but not limited to: the reflexive tradition, hermeneutics, phenomenology, empiricist and analytic philosophy, philosophy of mind, cognitive science, pragmatism, and non-Western philosophical traditions. We aim to explore how different philosophical frameworks have conceptualized attention's structure, dynamics, and normative dimensions, and how these varied perspectives can illuminate both historical debates and current research.

Full details: international conference: the concept of attention

Image: https://www.wikiart.org/en/theo-van-doesburg/heroic-movement-1916

ERCIM News No. 143 Special theme: "AI for Science"

 
Dear ERCIM News reader,

ERCIM News 143 is now online! The articles in this special theme show that AI is no longer a peripheral tool in science, but a central part of research practice across disciplines. AI for Science is reshaping how research is organised, understood, and conducted, while also raising important questions about trust, transparency, energy use, and the evolving role of human expertise.

Read the January 2026 Issue

This issue in PDF

This special theme was coordinated by our guest editors Edina Nemeth (SZTAKI) and Alexandre Termier (University of Rennes – Inria/IRISA).

Next Issue

No. 144 – April 2026
Special Theme: Open Science Experiences and Prospects
Call for Contributions

Announcements in this issue

• Dagstuhl Seminars & Workshops | Call for Proposals
• Fraunhofer–Bessel Research Award | Call for Nominations
• 2nd AIOTI Workshop on Semantic Interoperability for Digital Twins | Call for Participation
• Welcome to the 45th SAFECOMP 2026 | Call for Papers
• FMICS 2026: 31st International Conference on Formal Methods for Industrial Critical Systems | Call for Papers
• SAFECOMP 2026 45th International Conference on Computer Safety, Reliability and Security | Call for Workshop Proposals
• 21st International EWICS / ERCIM Workshop on Dependable Smart Embedded Cyber-Physical Systems and Systems-of-Systems (DECSoS 2026) | Pre-Announcement
• ERCIM “Alain Bensoussan” Fellowship | Next application deadline: 31 March 2026

My source:
Peter Kunz ERCIM https://www.ercim.eu https://ercim-news.ercim.eu

Paper: 'Intra-Personal Compromises'

ARGUMENTA

Issue 21

November 2025

https://www.argumenta.org/issue/issue-21/

Intra-Personal Compromises  

Juha Räikkä

University of Turku 

Abstract

The most usual philosophical questions about compromises have been those related to inter-personal compromises, in which parties are compromising with each other, rather than intra-personal compromises, which are often psychologically demanding. This paper aims to fill the gap in the discussion and briefly analyze the nature of intra-personal compromises. The starting point here is the assumption that inter-personal compromises cannot be made without intra-personal compromises, although intra-personal compromises are common even when they are not linked to inter-personal compromises. The main question addressed in the paper is whether the intra-personal compromises that we accept in all kinds of contexts are similar to those intra-personal compromises that we make when we compromise with others. I argue that they are more or less similar, although there are also some distinctive features in intra-personal compromises that are involved in inter-personal compromises. When a person makes an intra-personal compromise in the context of an inter-personal compromise she is forced to act under uncertainty, as she cannot know beforehand what options are really available. The price of the compromise is known only after the negotiation process. This is a special feature, or so I will claim. 

Keywords: Inter-personal compromise, Intra-personal compromise, Bargaining, Uncertainty. 

Räikkä, R. 2025, “Intra-Personal Compromises”, Argumenta 11, 1, 149–162.
https://www.argumenta.org/wp-content/uploads/2026/01/Argumenta-11-1-Juha-Raikka-Intra-Personal-Compromises.pdf
 

For a long time I have viewed the INTERPERSONAL domain of Hodges' model as being concurrent, interchangable, working as the INTRAPERSONAL domain. This paper is a helpful discovery, c/o Philos-L "The Liverpool List" which is run by the Department of Philosophy, University of Liverpool https://www.liverpool.ac.uk/philosophy/philos-l/

There are several examples/cases discussed. While brief, a HOSPITAL CEO example is relevant to studies for Hodges' model, as with, a CRITICAL CITIZEN:

'The above examples are rather similar but have small differences. In the ‘Judge’ example, the overriding principle is based on the importance of institutional rules. In the ‘Hospital CEO’ example, the main concern and the strongest value is pragmatic. In the ‘Critical Citizen’ example, the question is about omission rather than action.' p.157. 

The observation about the CEO speaks volumes, across public and private health sectors (and social care?). There is no discussion of reflection, reflexivity, or critical thinking explicitly. But individual, and collective distinctions, and impacts are explored, especially responsibility and mutuality. Three arguments precede concluding remarks. Further progress might be made exploring and relating these to the concepts of bargaining, uncertainty and compromise through Hodges' model and identity: both person-al and organisational?

ii Math Without Numbers - final notes & obs

In Math Without Numbers the chapters and topics flow and slot in really well, even for novices. There is no index, the inclusion of which is a first-check usually. The book's appeal was its non-technical title and invitation reading the sleeve notes. The title throws up words and visuals, the latter, to repeat, are ably and simply furnished by M Erazo. Remaining notes to highlight (record here) include (and capture overthinking!):

Math Without Numbers

Reference to 'ideology space', 'conceptual space' and the role of visual analogies, idioms, and how 'the list of spaces to choose from is always the same.' ... pp.28 & 29. On page 30, 'When you say that gender is a spectrum rather than a binary, that's a topological claim: You're  saying gender space is one-dimensional (a line) rather than zero-dimensional (two separate points). 'Questions about which conceptual paradigm to use sometimes boil down to questions of dimensionality.' Discussion of an infinite continuum had me making an axis of Hodges' model warp, this way and that: concave-convex (p.59). Maps and correspondence is already well established, as per a new paper (abstract and thanks to follow 1st Feb):

S. Bettiol, P. Jones, H. A. Onyedikachi, and W. G. Kernohan, “Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model”, Journal of Public Health Dentistry (2026): 1–14, https://doi.org/10.1111/jphd.70034 

Interesting to read of general map facts, flowing substances inside a rigid container, and vector maps. A pencilled note to share:

'Because when you look at things in the abstract like this, dusting off the specifics of a situation to focus on underlying dynamics, you start to realize there are only so many different patterns and structures out there. These patterns and structures are called mathematical objects, and thinking about them is called math.' p.79

The chapter on (generalised) Algebra, forced me to reconsider the Socratic, guided discovery and arrival at the structure of Hodges' model. (lines & points : nodes & edges). For page 88, I noted 'generic' invites abstraction. Isomorphism is discussed. Again I tested this against Hodges' model. I've always found it helps to immerse oneself in a new vocabulary: so welcome (anew) - structures, fields, rings, groups, loops, graphs, lattices, orderings, semigroups, groupoids, monoids, magmas, modules . . . algebras, p.101. Some are named only, but on graphs raises questions ... p.103.

'How densely interconnected is it? How segregated into different cliques? Does it cut clean into two subgraphs, with no connections between them? Can it be drawn without any lines crossing? Are there any lone dots without any connections?' 

There's the matter of 'friend of a friend' who have broken out of the sociological domain. Other notes to self: Significance of concepts - patient-centred, service-centred? The distance between between (vertical, horizontal, diametric)? There are weighted graphs (p. 104) and acknowledgement of category theory (p.115). A chapter on modelling pp.161-175, and models p.164 & p.169 are just a selection of highlights on a marvellous tour.

A hidden puzzle in the book remains a mystery for me.

Milo Beckman (2021) Math Without Numbers. London, Penguin Books. Illustrated by M. Erazo.

Previously: 'math' : 'diagrams' 
Plus, now archived Science domain links: 
https://web.archive.org/web/20150414125339/http://www.p-jones.demon.co.uk/linksTwo.htm

Believe it or not, this 'diversion' does help my reading of Order and the Virtual. 

c/o Intima 'Reflect on the World' . . .

CARE/of Intima:

REFLECT ON THE WORLD WITH US EVERY FRIDAY AT NOON.

No pressure, but we want to remind you that every Friday, around noon EST, we post a Crossroads blog—a short reflection that contributors from our current issue do on something from our archives. Think of “Friday at noon” as a blip in your busy life where you take time to yourself to reflect on our small part of the universe. Pause and spend 5 minutes reading one each Friday — it’s the equivalent of a deep-breathing exercise, a short yoga stretch, a tiny palate cleanser of lemon sorbet between the complex courses served up to us every day, or a moment stolen between patients or in a waiting room when you step out of your routine. Read the titles of recent ones below, then go and read a few. If you like what you read, set up a reminder alert.

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My source: Intima (and image) - mail list.

See also: 'reflect' : 'crossroads'

'Drama classes help GPs handle difficult patients' c/o BBC

'Hull Truck Theatre has just won the Innovation prize at the Stage Awards for their new training scheme for GPs. Associate Director Tom Saunders and GP Dr Eman Shamsaee discuss why drama classes are helping doctors treat patients.' 

BBC Radio 4 'Front Row' https://www.bbc.co.uk/sounds/play/m002q2jz (15 mins ...)

◇

Holly Phillips, East Yorkshire and Lincolnshire and Ian Youngs, Culture Reporter

Published - 21 January 2026

'A theatre company is using drama training to help doctors deal with challenging patients.

Hull Truck Theatre's classes feature actors performing difficult GP consultations, with GPs giving feedback before taking over the consultation themselves.

The theatre recently won the Innovation Award at the Stage Awards for the programme.

Dr Eman Shamsaee, who has taken part in the training scheme, described it as a "really creative way of doing GP training".'

BBC News:  Drama classes help GPs handle difficult patients

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The training programme has completed its pilot stage and is now in the delivery phase

A reminder of co-working to deliver STORM training with a Clinical Psychologist colleague. 

See also: 'communication' : 'primary care' : 'GP' : 'drama'

'Maths Without Numbers' by Milo Beckman

'Before you go tell your loved ones that you read a book about math and learned that a square is a circle, keep in mind: Context matters. A square is a circle, in topology. A square is most certainly not a circle in art or architecture, or in everyday conversation, or even in geometry, and if you try to ride a bike with square tires you won't get far.' pp.7-8.

'Like a line:

(Illustration - pen drawing of a line, a 'C' and an almost closed circle.)

A line can be bent almost into a circle, but to finish the job we'd need to click the ends together--not allowed. No matter how you manipulate a line, you'll always have those two special points on either end, where the shape just stops. You can't get rid of end-points. You can move them around and stretch them apart, but the two end-points are an unchanging feature of the shape.

For a similar reason, a figure-eight is a different shape too. There aren't any end-points, but there's still a special point in the middle where the lines cross, where there are four arms reaching out instead of the usual two at any other point. Stretch and squeeze all you want, you can't get rid of a crossing-point either. p.9.

Math Without Numbers

'The circle (aka S-one) and the infinite line (named R-one) are the only manifolds in the first dimension. To avoid end-points, you either have to loop back around or just go on and on forever. And don't forget: Because all the shapes in topology are stretchy, this also covers any closed-loop shape and any goes-on-forever shape. It doesn't have to be literally a circle or a straight line.' p.16.

The third dimension, dough-type manifolds, is pretty well understood at this point, though it took a hundred years and a million-dollar prize to get there, and we still don't have a totally neat and clean classification like the lower dimension. In dimensions five and up, topologists use a set of techniques called "surgery theory" to operate on manifolds and construct new ones.

That just leaves dimension four.

I wish I could tell you what's going on in dimension four. I'm not sure there's anyone who really knows. It's a weird boundary case: too many dimensions to do visually, but not enough to use sophisticated surgery tools. There are entire textbooks dedicated to what little we know about four-manifolds, and I couldn't make sense of anything past the opening pages. A professional topologist once told me she'd wanted to work on four-manifolds as an undergraduate but was advised to steer clear.' pp.23-24.

"Like a line" ... Yes. Take two that cross. Then the universes open up. 

Milo Beckman (2021) Math Without Numbers. London, Penguin Books. Illustrated by M. Erazo.

Previously: 'surgery'

Affordances

Affordance

An affordance is a perceptual pattern with survival significance. Affordances are relational, rather than objective or subjective properties. As Gibson, who coined the term, observes, 'An important fact about the affordances of the environment is that they are in a sense objective, real, and physical, unlike values and meanings, which are often supposed to be subjective, phenomenal and mental. But, actually, an affordance is neither an objective property nor a subjective property; or it is both if you like. An affordance cuts across the dichotomy of subjective-objective and helps us to understand its inadequacy' (Gibson 1979, 129). 
[Proust, Glossary, p.309.]

 

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subjective	objective

Re. 'Survival significance' ...

Does this make affordances relevant in clinical education, and education more generally?

What of assisted dying in theory, policy, law and practice?

Are there any implications for the models employed by artificial intelligence - LLMs, neurosymbolic reasoning / AI (wave x)?

Source: Joëlle Proust (2013). The Philosophy of Metacognition: Mental Agency and Self-Awareness.  Oxford: Oxford University Press, Oxford. ISBN: 978-0-19-960216-2

Précis of The Philosophy of Metacognition:
https://joelleproust.org/wp-content/uploads/2012/09/pdf15.pdf 

See also: 'subject' : 'object' : 'affordance' : 'interface'

Optimism - Pessimism c/o Baggini & Macaro

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Cognitive flaws, or psychological adaptations? 'Van der Lugt: "reality confound" ... Optimists believe they have more control over what happens than they actually do.'   Dunning-Kruger Effect:  people tend to overestimate their own expertise. Baumeister:  "The negativity effect"   Norem: "defensive pessimism"	Optimism and Pessimism are independent scales. 'Age also makes a difference, for the simple reason that life and its potential future vary accordingly.' 'Designated Cassandra'^ Rotation of role. 'When your prospects are bleak, a gloomy outlook is realism, not pessimism.'
'... how optimistic we feel depends not just on us, but on our life circumstances.  Think about how race, class and social inequality have real impacts on life chances.'	'In western culture, optimism is valorised more than pessimism.' 'To suggest that people struggling in an unequal system should simply adopt a more positive attitude is to turn social and economic problems into psychological ones.'

^With apologies.

Source: J. Baggini, A. Macaro. In defence of pessimism. Or. why optimism is not quite a prerequisite for achieving a valued goal. FT Weekend Magazine, 1131: June 28, 2025, pp.18-20.
https://www.julianbaggini.com/in-defence-of-pessimism/

Books noted in the above article:

Sharot, T. (2011). The optimism bias: A tour of the irrationally positive brain. Pantheon/Random House.

Tierney, J., & Baumeister, R.F. (2019). The power of bad: How the negativity effect rules us — and how we can rule it. New York: Penguin.

Van der Lugt, M. (2025). Hopeful Pessimism. Princeton University Press. https://doi.org/10.2307/jj.17707125

See also:

Baumeister, R. F., Bratslavsky, E., Finkenauer, C., & Vohs, K. D. (2001). Bad is stronger than good. Review of General Psychology, 5(4), 323–370. https://doi.org/10.1037/1089-2680.5.4.323

NANDA-I Newsletter - theme of clinical reasoning

'This month at NANDA-I, we have been exploring the theme of clinical reasoning.

Clinical reasoning is at the heart of nursing; it’s how nurses make sense of complex patient information and choose the best path forward. While many nurses think of diagnosis as the centerpiece, it’s really the thinking that leads up to it, gathering cues, interpreting what matters most, and then safely determining goals and actions, that makes all the difference in outcomes. Strong reasoning helps nurses notice subtle changes and act with confidence.

As healthcare grows more complex, understanding how nurses think, not just what tools they use, helps elevate care for every patient. We’ll be sharing insights throughout the year to help you stay connected to nursing knowledge and its impact on care delivery and education.'

 

Teaching Tip: Clinical Reasoning in Practice

Start With Assessment to Improve Reasoning

When nurses work with standardized languages and clinical judgment tools, it’s tempting to dive right into diagnosis. But the most accurate and useful nursing judgments always come from strong, systematic assessment first. Quality assessment supports better interpretation of patient needs and more precise identification of nursing responses. Quick Tip: Use a flexible assessment framework, whether it’s a conceptual model or a tool like functional health patterns, to make sure you’re capturing the data that matters most first. When you build a solid foundation with assessment, everything that follows (including diagnostic thinking) becomes clearer and more grounded.

 

My source: 'Friends of NANDA®-I Newsletter' subscription (with my emphasis).

See also:
https://nanda.org/2025/12/nanda-360-for-educators-and-researchers-strengthening-nursing-knowledge-through-diagnosis-centered-reasoning/

Assessment, plus planning, implementation - action, evaluation (plus, formulation).

Functional and cognitive [Health, Illness, Climate, Poverty, Political, Security, Prevention, Self-care, ...] patterns.

'... make sure you’re capturing the data that matters most first' - Situated, Context, Salience.

For a competent practitioner an assessment can also be 'therapeutic' for the patient.

Previously: 'classification' : 'diagnosis' : 'NANDA' : 'ICD'