'New' citation: "Pratique en milieu de psychiatrie légale: proposition d’un modèle interdisciplinaire."

Practice in forensic psychiatry:
A proposed interdisciplinary model

Checking through emails I missed a notification from ResearchGate about an additional citation for Hodges' model:

Holmes, D. Perron, A. Jacob, J.D. Paradis-Gagné, É. & Gratton, S (2018). Pratique en milieu de psychiatrie légale: proposition d’un modèle interdisciplinaire. Recherche en soins infirmiers, (Practice in forensic psychiatry: A proposed interdisciplinary model). 134, 33-43. DOI: 10.3917/rsi.134.0033

This is very welcome, even though in December 2021, I am 'late to the party'. This it seems is how news of potential additions to the bibliography are bound to arrive, which is a bit frustrating. It would be marvellous to learn of a project much earlier - while the work is 'live'. Not to jump on-board as a co-author necessarily, but to share the dynamism of work-in-process.

I continue to take encouragement from the fact that researchers appear able to find, understand and apply Hodges' model in their respective theoretical, practical and work context.

This is rewarding in itself so many thanks to the authors.

If I can access the English copy I will post again with any observations and comments that arise.

Translated by Google:

"Hodges' Health Career Model

This model has a politico-biopsychosocial structure which is consistent with contemporary interdisciplinary practice (20); that is, it relies on a multidimensional critical approach, incorporating writings in sociology and politics, in order to understand the person in context. It is based on four objectives: measuring learning, providing holistic care, supporting reflective practice and closing the gap between theory and practice (21). This model is applicable in various clinical situations in a psycho-legal context. When this model is used as a frame of reference, it emphasizes the role of caregivers who must meet the patient's needs and focus on their problems.It also serves as a guide to assess and provide assistance to the patient vis-à-vis their physical, psychological and social needs as well as with the justice system in order to promote their recovery. The theoretical foundations call on four sources of knowledge: interpersonal, scientific, sociological and political (21)."

In comparing several models of care please note how the authors here recognise how Hodges' model is not just bio-psycho-social; yes - it is politico-biopsychosocial.

See also on W2tQ (with overlap):

https://hodges-model.blogspot.com/search?q=forensic

https://hodges-model.blogspot.com/search?q=justice

https://hodges-model.blogspot.com/search?q=interdisciplinary

Invitation to participate in Round 2 of the global survey of maternal and newborn health providers during COVID-19

ENGLISH

Subject line: ...

Dear colleague

Thank you for participating in the first round of the research study on the response to COVID-19 among maternal and newborn health providers. Your responses and those of nearly 2,000 others have contributed to a better understanding of how maternal and newborn care is affected by the pandemic. We summarised and published the first findings here.

As the COVID-19 pandemic evolves, we need to keep tracking and responding to the needs of health professionals, and women and their families. At this time, we would like to invite you to answer the second round of this survey available here in 11 languages. It takes 15 to 30 minutes to complete.

Additionally, we would appreciate it if you could distribute this email and survey link to your colleagues (in your facility, community, country, professional association etc.), who are welcome to respond to this survey, whether they participated in the previous round or not.

We thank you for the care you provide to women, babies and their families in these difficult times. Please feel free to get in touch with the research team at the Institute of Tropical Medicine in Antwerp Belgium should you have any questions or suggestions. This study was approved by an ethics committee, and is led by Dr. Lenka Benova (lbenova AT itg.be).

With our very best wishes and many thanks

The COVID-19 maternity survey team


FRENCH

Sujet: Invitation à participer au deuxième volet de l'étude sur la réponse au COVID-19 au sein des prestataires de soins de santé maternels et néonataux.

Chères et chers collègues,

J’espère que vous vous portez bien. Nous vous remercions chaleureusement pour votre participation dans le premier volet de l'étude sur la réponse au COVID-19 au sein des prestataires de soins de santé maternels et néonataux. Vos réponses et celles de près de 2,000 autres prestataires ont contribué à une meilleure compréhension de la façon dont les soins maternels et néonatals sont affectés par la pandémie. Nous avons résumé et publié les résultats préliminaires ici.

À mesure que la pandémie de COVID-19 évolue, nous devons continuer à suivre et répondre aux besoins des prestataires de santé, des femmes et de leurs familles. Pour le moment, nous vous invitons à répondre au deuxième volet de cette enquête disponible en 11 langues ici. L’enquête en ligne prend environ 15 à 30 minutes à compléter.

De plus, nous vous remercions de bien vouloir distribuer ce message, ainsi que le lien du questionnaire, à vos collègues (dans votre hôpital, communauté, pays, association de professionnels etc.), qui sont invités à répondre à ce questionnaire, qu'ils aient participé ou non au volet précédent.

Nous vous remercions pour les soins que vous apportez aux femmes, aux nouveaux-nés et leurs familles dans ces moments difficiles.

Vous pouvez à tout moment prendre contact avec l’équipe de recherche de l’Institut de Médecine Tropicale d’Anvers (Belgique) si vous deviez avoir des questions ou des suggestions à propos de l’enquête. Cette étude a été approuvée par un comité d’éthique et est dirigée par Dr. Lenka Benova (lbenova AT itg.be).

Nous vous remercions d’avance pour votre aide précieuse,

L’équipe d’enquête COVID-19 -maternité.


PORTUGUESE

Subject line: Convite para participar da segunda rodada da pesquisa global com profissionais de saúde materna e neonatal durante o COVID-19

Caro colega

Obrigado pela sua participação na primeira ronda da pesquisa sobre a resposta ao COVID-19 entre os profissionais de saúde materna e neonatal. As suas respostas e as de outras quase 2.000 pessoas contribuíram para uma melhor compreensão de como os cuidados maternos e de recém-nascidos estão sendo afectados pela pandemia. Resumimos e publicamos os primeiros resultados aqui.

À medida que a pandemia do COVID-19 evolui, precisamos de manter o acompanhamento da situação e responder às necessidades dos profissionais de saúde e das mulheres e suas famílias. Neste momento, gostaríamos de convidá-lo para participar na segunda ronda desta pesquisa disponível aqui em 11 idiomas. Demora entre 15 à 30 minutos para responder o questionário.

A equipa da pesquisa agradeceria o seu apoio em distribuir este e-mail e o link da pesquisa para seus colegas (na sua Unidade de Saúde, comunidade, País, Associação Profissional etc.), que possam responder a esta pesquisa, independentemente de terem participado da ronda anterior ou não.

Agradecemos pelos cuidados de saúde prestado às mulheres, bebês e suas famílias nestes tempos difíceis. Caso tenha alguma dúvida ou sugestão, sinta-se à vontade para entrar em contacto com a equipe da pesquisa liderado pelo Instituto de Medicina Tropical em Antuérpia na Bélgica. Este estudo foi aprovado por um comitê de ética e é liderado pela Dra. Lenka Benova (lbenova AT itg.be).
Com os nossos melhores votos e muito obrigado

A equipe de pesquisa de COVID-19 e maternidade


SPANISH

Asunto: Invitación a participar en la segunda ronda de la encuesta mundial de proveedores de salud materna y neonatal durante COVID-19

Querido(a) colega

Les agradecemos su participación en la primera ronda del estudio de investigación sobre la respuesta a COVID-19 entre los proveedores de salud materna y neonatal. Sus respuestas y las de 2000 personas más han contribuido a una mejor comprensión de cómo la pandemia afecta la atención materna y neonatal. Hemos resumido y publicado los siguientes primeros hallazgos.

A medida que evoluciona la pandemia de COVID-19, debemos seguir respondiendo a las necesidades de los profesionales de la salud, las mujeres y sus familias. En este momento, nos gustaría invitarle a responder a la segunda ronda de esta encuesta, disponible aquí en 11 idiomas. Estimamos que necesitará de 15 a 30 minutos para completar la encuesta.

Además, le agradeceríamos que pudiera distribuir este correo electrónico y el enlace de la encuesta a sus colegas (en sus unidades de servicio, comunidad, país, asociación profesional, etc.), a quienes pudiesen responder a esta encuesta, ya sea que hayan participado en la ronda anterior o no.

Agradecemos la atención que brindan a las mujeres, los bebés y sus familias en estos tiempos difíciles. Si tiene alguna pregunta o sugerencia, no dude en ponerse en contacto con el equipo de investigación del Instituto de Medicina Tropical de Amberes, Bélgica.

Este estudio dirigido por la Dra. Lenka Benova (lbenova AT itg.be) ha sido aprobado por un Comité de Etica.

Muchas gracias,

El equipo de encuesta de maternidad COVID-19

The harmony of opposites: to relativize the continuous / discontinuous dualism by Michel Lussault

"If we accept a somewhat schematic presentation, we can estimate that the modern Western knowledge system has been deployed on the basis of opposition couples conceived as expressing unquestionable dualities. These couples organized thought, all its activities, under all its regimes including the knowledge of expertise and the knowledge of common sense, and they constituted a kind of cognitive dogmatics; That is to say, they made it possible to define the very relevance of the problems that could be posed. From these dualities, and for a long time from these dualities alone, it has been permitted and legitimate to pose a number of social, political and cultural problems and then to find ways of solving these problems. In view of our integration into the cultural space of the modern West, we all know and experience the prevalence of these antagonistic duos which have structured the thought and continue, albeit in a somewhat more discreet way, -tender." *

Google translation French to English from:

LUSSAULT, Michel. L’harmonie des contraires : pour relativiser le dualisme continu/discontinu In: Continu et discontinu dans l’espace géographique [online]. Tours: Presses universitaires François-Rabelais, 2008 (generated 22 July 2017). Available on the Internet: <http://books.openedition.org/pufr/2398>. ISBN: 9782869063198. DOI: 10.4000/books.pufr.2398.

Original:

"On peut estimer, si l’on accepte une présentation un peu schématique, que le système de connaissance moderne occidental s’est déployé à partir du fondement constitué par des couples d’opposition conçus comme exprimant des dualités incontestables. Ces couples ont organisé la pensée, toutes ses activités, sous tous ses régimes y compris les savoirs d’expertise et les savoirs du sens commun, et ils ont constitué une sorte de dogmatique cognitive ; c’est-à-dire qu’ils ont permis de définir la pertinence même des problèmes qui pouvaient être posés. À partir de ces dualités, et pendant longtemps de ces dualités seulement, il a été autorisé et légitime de poser un certain nombre de problèmes sociaux, politiques, culturels et de trouver ensuite des modes de résolution de ces problèmes. Nous connaissons et éprouvons tous encore, compte tenu de notre insertion dans l’espace culturel de l’Occident moderne, la prégnance de ces duos antagonistes qui ont structuré la pensée et continuent, fût-ce de façon un peu plus discrète, de la sous-tendre."

* sous-tendre - 'to underlie it'?

what3words = addressing the globe : Hodges' model = mapping the world of care

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

think feeling happy	soma tech pressure
gender celebration peers	Bureacracy Hegemony Subsidiarity

What3words.com

My source: 

Hurley, J. (2016) It pays to know exactly where you are going. The Times, 27 April, p.49.

Metamorphosis (Ste p e-learning [curve?] )

I'm walking over ground of a gradually steepening pitch. At a certain point, I pause and start using my hands; the real mountain begins. I am climbing. Do I, as soon as my back slopes forward, return to the state of the quadruped? Almost: my body transforms; feet become hands and my two manual grips secure balance. Homo erectus, the standing man, of recent date, reverts back to the one from whom he is descended: the archaic quadrumane. This thunderbolt recollection became so black, in me, that I no longer fear to speak of the beast; I remember who we were (p.3).

Michel Serres (1999) Variations on the Body, Univocal.

Book: The Empathy Exams & Michel Serres Institute

individual
INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL

group

The Empathy Exams Interpersonal Skills	The Natural Sciences
Local, Society & Socio-	-Economics Law

As recent posts reveal I'm overwhelmed with reading at present. Material that is essential for the TEL course and reading more tangential and yet potentially enjoyable titles. It will be a busy summer as all this is brought together(!?). Especially as I've a literature search in mind as a module submission - progress permitting.

The publication of Jamison's book this (N) spring sits well after the findings last year about the benefits of reading fiction in increasing empathy.

Since 2008-2009 I've lost touch with the work of Michel Serres:

Jones, Peter, Exploring Serres’ Atlas, Hodges’ Knowledge Domains and the Fusion of Informatics and Cultural Horizons (Aug 15, 2007). SOCIAL INFORMATION TECHNOLOGY CONNECTING SOCIETY AND CULTURAL ISSUES. Available at SSRN: http://ssrn.com/abstract=1842504 or http://dx.doi.org/10.2139/ssrn.1842504

I only scratched the surface of Serres' oeuvre in the above paper and when time permits will revisit this work having just learnt of the Institute:

The resource-systems approach

"Reframing the conceptual and operational field of natural resources requires deep interdisciplinarity across fields encompassing legal and socio-economic studies, and life-sciences. And, it goes without saying, philosophy. The priorities at present are the aid to decision-making and a participative, pro-active civil society acting to (1) manage human activities while meeting the specific territorial potential and resource capacities and (2) ensure a fair re-allocation of such resources according to vital human needs and coherent public goods policies. Who are the members, what are the missions and the activities of the (...)."

Book cover image: c/o Author.

My source: The Empathy Exams
FT Weekend, June 7-8, 2014.

Playing and working with words and music - étude : ctude

étude

An étude (/ ˈeɪtjuːd /; French pronunciation: ​[eˈtyd], a French word meaning study) is an instrumental musical composition, usually short, of considerable difficulty, and designed to provide practice material for perfecting a particular musical skill.

Source: http://en.wikipedia.org/wiki/%C3%89tude

ctude

A ctude is a care assessment and evaluation instrument, a composition that is usually short, in summary form comprised of key concepts, and yet capable of representing the complexity of health and social care contexts. The ctude is designed to provide practice material for developing expertise in care assessment, holistic and integrated care that is also person-centred. Coined from étude (/ ˈeɪtjuːd /; French pronunciation: ​[eˈtyd], a French word meaning study) it is a study in care and can be a snapshot, or a dynamic series.

Abstract translation (100 words): Exploring several dimensions of local, global and glocal using the generic conceptual framework Hodges's model

I need to produce translations of an abstract into French, Spanish and Russian with a 100 word limit. At present I'm relying on Google translate; any suggestions to improve what follows (the English too!) greatly appreciated. 'Glocal' should prove a bit of a test. (h2cmng at yahoo.co.uk):

Exploring several dimensions of local, global and glocal using the generic conceptual framework Hodges's model

Abstract
This paper introduces Hodges’s model a conceptual framework as a means to explore the  concept glocal and the more familiar terms local and global. Actual and speculative definitions of glocal are offered. Discussion will also deliberate on the compound meanings of these terms. The model's four knowledge (care) domains facilitate discussion of the physical, social, political and individual dimensions of local, global and glocal. The paper draws upon health, anthropology, history, science, informatics and geopolitics – especially the themes of globalization, literacy,  information technology and communication (voice). The purpose is exploratory with additional resort to philosophical reflection.

Explorar varias dimensiones de locales, globales y glocales utilizando el modelo conceptual genérico Hodges marco de

abstracto
Este trabajo presenta un nuevo modelo Hodges es un marco conceptual como un medio para explorar el concepto glocal y los términos más familiares locales y globales. Definiciones reales y especulativos de glocal se ofrecen. El debate también se tratará sobre el significado de estos términos compuestos. El modelo de cuatro conocimiento (atención) dominios de facilitar la discusión de las dimensiones físicas, sociales, políticos e individuales de los locales, globales y glocales. El documento se basa en la salud, la antropología, la historia, la ciencia, la informática y la geopolítica - especialmente los temas de la globalización, la alfabetización de tecnología de la información y la comunicación (voz). El objetivo es exploratorio con recurso adicional para la reflexión filosófica.

Exploration des dimensions de plusieurs locaux, mondiaux et glocal utilisant le modèle générique de cadre conceptuel Hodges

Résumé
Cet article présente le modèle Hodges un cadre conceptuel comme un moyen d'explorer le concept et le glocal termes plus familiers local et mondial. Définitions réelles et spéculative de glocal sont offerts. La discussion portera également délibérer sur les significations composé de ces termes. Les quatre modèle de connaissances (soins) domaines de faciliter la discussion de la physique, les dimensions sociales, politiques et individuels des locaux, mondiaux et glocal. Le document s'appuie sur la santé, anthropologie, histoire, sciences, informatique et de la géopolitique - notamment les thèmes de la mondialisation, de l'alphabétisation technologies de l'information et de communication (voix). Le but est exploratoires avec station supplémentaire à la réflexion philosophique.

Изучение нескольких размеров локальных, глобальных и глокальные использованием модели общих концептуальных рамках Ходжеса

абстрактный
В данной статье рассматривается модель Ходжеса концептуальную основу в качестве средства для изучения концепции и глокальные Наиболее известные термины локальные и глобальные. Фактические и спекулятивных определений глокальные предлагаются. Обсуждения будут также обсуждать соединения смысл этих терминов. Четыре модели знаний (ухода) области содействия обсуждению физических, социальных, политических и индивидуальных размеров локальных, глобальных и глокальные.Статья основана на здоровье, антропологии, истории, науки, информатики и геополитика - особенно темы глобализации, распространения грамотности, информационных и коммуникационных технологий (голос).Цель поисковой дополнительные прибегать к философской рефлексии.
 

Nurses & Social Media - mise en scène

... health on the thrust stage

From: Wordsmith.org

1. The setting of a scene in a play, movie, etc.
2. The setting or background of an event.

ETYMOLOGY:

From French mise en scène, literally "put on stage".

The health care domains model provides a 2 x 2 stage.

It may be a conceptual stage, but it is nonetheless demanding. It demands we perform the translation from theory to practice and check constantly exactly where we are AND where we need to be.

Should we become so ill that hospital treatment is needed the dependency and the sense of vulnerability this provokes often makes us feel that we are 'performing'. Not only that but as a  patient we find our selves on a thrust stage. When illness strikes it seems we are surrounded by this audience of clinicians who can potentially see us from all angles and be privy to very personal information about us.

The demands cut both ways though. Modern health care IS collaborative. Stagecraft here then means there should be minimal furniture and scenery to hide behind. Strange then that in terms of personalised care background details really do matter.

So, everyone matters. Teamwork counts. We try to keep patients off the stage. Patients and carers as expert carewrights may already know their lines - they can teach us. Suddenly everyone is an actor. Suddenly all the players must pass by way of the vomitory and the responsibilities that passage demands. On this stage care also needs to be exercised as per the direction of the NMC.

Original image source:
http://hs-theatre-ib1.ism-online.org/2010/10/14/night-of-the-assassins-thrust-stage/

The art and science of Serresian spin

To Michel Serres:
- the middle is a point of reflection, a point at which questions - the question - must be asked. In fulfilling the purposes of the health career model:

• bridging the theory - practice gap;
• facilitating holistic practice;
• supporting (personal and group) reflection;
• enabling curriculum development;

- the model's four domains are constantly (re-)visited in turn. Motion is constant. Conception - birth provides that initial impetus. Health status. Life - momentum. Centered on the person the movement is usually self-correcting, seeking balance. Health care. Questions and answers whether whole or in part follow, leaving a trail of care delivered and care planned. A record.

There is definite synergy between our use of the health career model, the dynamic quality and quantity of health and social care and Serres' description of the spinning top:

"The behaviour of the cone or the top is worth analysing. Throw this toy and describe, as Plato did, what happens. It is in movement, this is certain, yet it is stable. It even rests on its point or its pole, the more so as its movement is rapid. All children know this. But its rest is still more paradoxical. The top may move about, by translation, without ever losing its stability. To repeat, it can do so as long as it turns very quickly.


Even better, its axis may lean, take on an inclination, without putting the movement of the whole in too much danger. It may again rock, by nutation, oscillating around a mean location. This very ancient and quite childish machine is marvellously instructive.

First of all, it combines and the movements known and thinkable at the time: rotation, translation, fall, leaning and swaying. An integral model, additive, overcharged, yet simple. Second, and above all, it conjoins in a simple one-off experiment phenomena judged or presumed to be contradictory. It is in movement and rest, it turns and yet does not move, it rocks and is stable. The simplicity of a complexity, first and foremost, an additive machine; a synthesis of contradictions, beyond anything else. Now it may serve as a little model of the world, for a naive simple and local orrery. It quivers, at rest, it moves forward, turning, like the heavens, like the stars." p.28-29.

Michel Serres, (2000) The Birth of Physics, Return of the Model, Turba, Turbo. Clinamen Press.


Image source: https://www.cbsnews.com/news/spinvox-or-someone-like-it-keeps-spinning/

earth, wind, fire, water AND the birth of physics

To begin - the health career model is concerned with space, structures and knowledge (care domains) built around two axes, plus the 'subjects' and 'activities' of health.

How we define and (so) divide space and accord that space salience amid changing contexts is critical to theory, practice and management and the models we subsequently derive:

... The dichotomy does not cut, it defines, it surrounds the closure of a limit, it delineates a boundary. Within the space thus enclosed like meets like. Or rather, conversely, the specific convergance [convenance] or identity, the assembly of the analogous, delimits zones in the disorder which are distinguished from each other. The earth is separated from the waters, air divides from fire. ... p.28.

Michel Serres, (2000) The Birth of Physics, Return of the Model, Turba, Turbo. Clinamen Press.

water	earth
air	fire

Midwifery Materials for Haiti - in French/Creole - NEEDED

My source as posted to the GANM and on HIFA 2015 lists:

I am writing the (GANM) community to ask for assistance in gathering online midwifery and nursing materials - in the French or Creole language, for Haiti.

The National Nurse School University and Faculty of Medicine in Haiti has collapsed and they have lost most of their training materials. Dr. Larouche was killed in that collapse - he was teaching an OB course to the midwifery class at the time. I do not know the fate of the nursing/midwifery students, but one can imagine that the outcome is probably not a good one. Dr. Larouche was filling the void left by the untimely death of Madame G.Francoeur last year (she died in an auto accident).

Midwifery in Haiti was just recovering after the sadness of the loss of Mme Francoeur - and the earthquake has now destroyed most everything that they had.

Agnes Jacobs, UNFPA survived and has been emailing from Haiti. She and her colleagues are working to pick up the pieces and try to reconstruct materials for training midwives and nurses in life saving skills.

I am writing to members of the GANM asking for support in finding DIGITAL materials that we can provide to Agnes for the time being. It is VERY hard to get shipments of books and things to Haiti right now, but in the future, I suspect that Agnes will be able to use books, and guides, and computers to rebuild midwifery in Haiti. So eventually we will ask for books and things, but right now it is very hard to get these types of things to her. I know she is not alone, I know that COHI, PAHO, and many others are on the ground. I think the GANM can work with all these others to help in whatever way we can.

Johns Hopkins is sending a team to Haiti, including Dr. Beth Sloand who has been travelling to Haiti with students for over a decade. Beth does not have room to take printed materials, but she can maybe take a packed hard drive or CDs/DVDs that we load with teaching materials. Agnes does have a computer and internet (sporadically) - so I have been discussing with her the potential of sending digital materials which she can start to use right away until printed materials can be provided.

She welcomes health materials in French and or Creole primarily. They should be materials that can *instantly be used to teach midwives and community health workers* - so scientific articles that require interpretation and reconstruction into teaching materials are not what I am asking for at the moment. Right now there are no resources to turn scientific literature into teaching materials. Do you have teaching materials that you would be willing to share?

I would like to ask that people send either direct links to online resources that we can copy down to a CD or send useful teaching materials that we can put on a CD.

Please email them to the GANM or to me (pabbott2 @ son.jhmi.edu)

Regine Marton wrote already directing us to look at Hesperian and the WHO Reproductive Library (in French). We have the Hesperian material now. The WHO library is helpful.

If you have any quality materials for training of midwives that you would like to donate or direct us to find, please let us know. Please send scientifically sound materials - the last thing that Haiti needs are questionable methods or what we call in the US "hocus-pocus" (unproven claims or "magic").

I hope this makes sense and that the GANM community will come together to help Haiti in a “different” way. I think what we are doing is unique – while of course there are huge needs for emergency care and the like we are looking one step ahead to helping Haiti rebuild its educational infrastructure.

Best Regards,
Patti Abbott
GANM Moderator and "Electronic Midwife"

Health care and handedness

The word legerdomain featured on Wordsmith's Word.A.Day as listed below:

PRONUNCIATION:
(lej-uhr-duh-MAYN)

MEANING:
noun:
1. Sleight of hand.
2. A display of skill.

ETYMOLOGY:
From French leger de main (light of hand), from leger (light) + de (of) + main (hand). Ultimately the from Indo-European root man- (hand) that's also the source of manage, maintain, maneuver, manufacture, manuscript, and command.

It is a shame and a matter debated at large that specialists - whether medical or of other disciplines - are not held in the high esteem that they once were. And yet when you come across a leader and specialist in their field the way they deploy their knowledge, insight and skills remains something to greatly admire and respect. I mean knowledge and experience that transcends sole reliance on interpersonal skills and blinding people with jargon and 'science'. Such are the outcomes of what the specialist brings to the (operating?) table, that it may even seem like a sleight of hand. Not in the sense that it is a trick, but there is an effortless transparency to not only what they achieve, but how they make people - their patients, clients feel. Not just feel, but how these people react and may find themselves.

If there is a sleight of hand it is in how while a specialist, they can and do cross boundaries. They see and can count the important numbers (evidence) in their discipline, but they know (from some no doubt hard-won lessons) that frequently some of the numbers in the very sequence they need lie outside their comfort zone.

RIGHT-handed (mechanistic)

or

(humanistic) LEFT-handed

- they know there is a

middle

and they cross it, without anyone noticing.