Living and Loving Dangerously

individual

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INTERPERSONAL : SCIENCES             

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

SOCIOLOGY : POLITICAL   

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group

identity - choices   Memory - Cognition DEMENTIA - Early onset Inability to consent   inhibition-disinhibition  mental capacity	My liberty, my choices "What! I'm married to you? Oh!" Treatment - medication  'Secure (safe)' environment 'Holistic assessment'?
Marital/Initimate Relationships Social (our) identity Existing relational behaviours Interrelational needs Interpersonal grief Social identity/expectations Yes, but we're married ... had 40 years together ... Family bias, prejudices.. A 'new' step-parent ... Access to support:  relational - mutual vulnerability	Informed consent Assumed consent Rape, Sexual abuse, crime Capacity to give consent Consistency in decisions Lasting power of attorney - finance; health External safeguards Human rights Access to supervision - clinical & management

Prompts:

Previously post: Living and Caring Dangerously

Danny Leigh. Critic's choice - Films on release: Queen at Sea. Life&Arts, FTWeekend, 19/20 September, 2026, p.18.

https://depijp.rialtofilm.nl/en/films/queen-at-sea

So many difficult conversations. All on their own unique continuum in terms of sense-making for all concerned. 

A 'new' diagnosis at age 60; versus one at 44. Families seeking to control disclosure of the diagnosis from the patient. Clinical and family debate about this.

Finding a person locked-in the house, while their partner 'nips' to the shops. A person having their freedom to go out, on their regular walk  -despite acknowledged risks. (When they are known by people on their route - community care in action. Receiving a call from a neighbour; or the neighbour who knows where you park and can intercept you, on arrival or departure to express concerns. Or, even as you venture out for a walk with their neighbour of many a year. Categorise them as you will: [nosey, caring, concerned, public spirited, neighbourly, or (healthily) curious]?

Other discussions of grief at the loss of a person they have loved - in every way. A grief that presents new dark dimensions to what has gone before. Complicated by a state of early onset of memory loss. An ongoing disintegration of personhood and identity. An inability to consistently express thoughts, wishes, and choices. An inability to give informed consent. A loss taunted by retained physical desirability. What does love, sex, compassion mean now? What is the sum now, of love expressed over 'x' years? Hearts hollowed out, of what can be so important to a couple. Not vital to all. But for others, a source of conjoined affirmation, joy, warmth, companionship, a celebration of life and being human.

How to share that grief even amid close friends and family, who cannot cope themselves and withdraw? What of the preparedness of professions to manage such situations? What structures are in-place for team meetings, clinical supervision and inclusion in training, especially safeguarding?

From the bibliography (lower sidebar):

Hodges, B.E. (1989) The Health Career Model, IN, Hinchcliffe, S.M. (et al.) 1989 Nursing Practice and Health Care, 1st Edition only, London, Edward Arnold.

Adams, T. (1987) Dementia is a family affair. Community Outlook, Feb, 7-8.

Merritt MK, Procter N. Conceptualising the functional role of mental health consultation-liaison nurse in multi-morbidity, using Peplau's nursing theory. Contemp Nurse. 2010 Feb-Mar;34(2):158-66. doi: 10.5172/conu.2010.34.2.158. PMID: 20509800.

Murphy, K., Welford C. (2012) Agenda for the future: enhancing autonomy for older people in residential care.International Journal of Older People Nursing. 7, 75–80.

Kernohan, W. G., & Jones, P. (2023). Hodges’ Health Care Model as a Framework for Quality. Paper presented at Interprofessional work: developing oral care and the health workforce for the future, Brescia, Italy.
https://pure.ulster.ac.uk/en/publications/hodges-health-care-model-as-a-framework-for-quality

Jones, P. (2025). A Conceptual Mapping Exercise of Deprivation of Liberty Safeguards in Residential & Community Care Using Hodges' Model and Threshold Concepts. Journal of Evaluation in Clinical Practice, 31: e70085. https://doi.org/10.1111/jep.70085

Jones, P. (2025), A Generic Model and Conceptual Framework to Prime Curiosity Across Health and Social Care Disciplines to Facilitate Lifelong Learning. Journal of Evaluation in Clinical Practice, 31: e70252. https://doi.org/10.1111/jep.70252

Previously: 'capacity' : 'consent' : 'law' : 'safeguarding'

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

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      INTERPERSONAL    :     SCIENCES                   

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

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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

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