Hodges' Model: Welcome to the QUAD: autism

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 ...

Showing posts with label autism. Show all posts
Showing posts with label autism. Show all posts

Friday, April 26, 2024

Buses, Eddie Stobart, Lego and Laughing Boy

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

person - personality
personal duty of care
emotional care
experience

buses - Eddie Stobart - Lego
space - time
1-day Physical care  Another day
the sound of laughter


Source: Twi/X + image:

Friday, July 21, 2023

Cognitive and Affective Empathy c/o Simon Baron-Cohen

   New Scientist 3311
"At the bottom, Nicholas Conard, archaeologist and director of the nearby museum in Blaubeuren, Germany, pointed to a layer of rock. 'Right here is 20,000 years ago,' he said. Then he pointed about a metre lower. 'Here, we are at 40,000 years ago.' 
I was in awe, suddenly aware that I was standing where our early human ancestors lived and breathed so long ago. But it was what they invented that inspired my trip. Hohle Fels is where, in 2008, Conard and his colleagues discovered the earliest known musical instrument, a flute carved from a vulture bone that is thought to be about 40,000 years old.

It is the product of what I argue are parallel revolutions in human cognition. In my career studying the human brain through the lens of understanding autism, I have devoted a lot of time to understanding empathy, its role in our evolution and how it still underpins human interaction today. But around the same time that the brain changes arose that enabled us to use empathy, another equally critical set of changes took place: the evolution of a pattern-seeking brain network, what I refer to as the systemising mechanism, that provides the foundation for human invention - including that of musical instruments." p.34.
INDIVIDUAL
|
     INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP

"One of these circuits, the empathy circuit, enabled a raft of new behaviours, including the ability to deceive others, teaching, self-reflection, social "chess" and flexible communication that relied on shared reference, including storytelling. These explain why modern humans could make stealth weapons and jewellery: we were keeping track of what others might think, know, intend, feel, want and believe." p.36.

COGNITIVE EMPATHY
theory of mind

AFFECTIVE EMPATHY

"- the drive to respond to another person's mental state with an appropriate emotion." p.36.






Baron-Cohen, S. (2020) Our Restless Minds, New Scientist, 248: 3311, pp.34-39.

Autism Research Centre, Cambridge University

The Pattern Seekers, Simon Baron-Cohen.

Tuesday, July 05, 2022

PsychoPathology: Space, Social Perception, and Mental Disorders ...

In the Philos-L "The Liverpool List" I noticed this (online) issue of Psychopathology and was drawn to its themes, especially that of space.

TABLE OF CONTENTS

129. Space, Social Perception, and Mental Disorders: Phenomenological and Empirical Approaches
Bader, O.; Bizzari, V.; Fuchs, T.
https://www.karger.com/Article/FullText/524754 (Open Access)

132. Scale for Space and Time Experience in Psychosis: Converging Phenomenological and Psychopathological Perspectives
Arantes-Gonalves, F.; Wolman, A.; Bastos-Leite, A.J.; Northoff, G.
https://www.karger.com/Article/FullText/519500

143. Alterations in the Experience of Time, Space, and Intersubjectivity and the Interaction with Pre-Existent Psychopathology during the COVID-19 Pandemic
Lau, I.; et al.
https://www.karger.com/Article/FullText/522345

156.  Reopening Selves: Phenomenological Considerations on Psychiatric Spaces and the Therapeutic Stance
Thoma, S.; Schwnzl, I.; Galbusera, L.
https://www.karger.com/Article/FullText/517888

168. Borderline We-Space? The Phenomenology of the Background of Safety in Borderline Personality Disorder
Van Duppen, Z.; Schmidt, P.; Lowyck,B.
https://www.karger.com/Article/FullText/520860

179. Borderline Personality Disorder, Lived Space, and the Stimmung
Lo Monte, F.; Englebert, J.
https://www.karger.com/Article/FullText/521182

190. Background Feelings of Belonging and Psychological Trauma
Wilde, L.
https://www.karger.com/Article/FullText/518327

201. Interpersonal and Intersubjective Alienation in Social Stigmatization and Depression
Paskaleva-Yankova, A.
https://www.karger.com/Article/FullText/519253 (Open Access)

211. Gestalt Perception and the Experience of the Social Space in Autism: A Case Study
Bader, O.; Fuchs, T.
https://www.karger.com/Article/FullText/524562 (Open Access)

Edited - removed active links, affiliations, spurious text codes/line breaks, added one et al.


INDIVIDUAL
|
 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP

psycho-

space

Intra- Interpersonal
Intersubjective


-pathology

space


empirical



social perception

'We-space'?

space

'We-space'?

Sunday, May 01, 2022

APPGs - All Party Parliamentary Groups (Revisited: One-By-One ...?)

Previously in "How many APPGs does your Garden Grow?", I wondered about the number and variety of APPGs related to health and social care. How do they integrate their work, the inputs, outputs and impact on legislation, policy, safety, standards, delivery of care and sustainability in the future? 

A selection of APPGs includes:

APPG on 22q11 Syndrome
APPG on Access to Medicines and Medical Devices

APPG on Acquired Brain Injury

APPG on Adult Social Care

APPG on Ageing and Older People
APPG on Air Pollution
APPG on Allergy
APPG on Antibiotics
APPG on Arts, Health and Wellbeing 

APPG on Autism
APPG on
Axial Spondyloarthritis
APPG on Baby Loss
APPG on Beauty, Aesthetics and Wellbeing
APPG on Black Maternal Health
APPG on
Bladder and Bowel Continence Care
APPG on Blood Cancer
APPG on Brain Tumours
APPG on Breast Cancer

APPG on Bullying
APPG on Cancers
APPG on Carbon Monoxide
APPG on Cardiac Risk in the Young

APPG on Carers
APPG on Cerebral Palsy
APPG on Childhood Trauma
APPG on Children of Alcoholics
APPG on Children who Need Palliative Care
APPG on Children, Teenagers and Young Adults with Cancer

APPG on Cleaning and Hygiene
APPG on Complex Need and Dual Diagnosis
APPG on Coronavirus
APPG on Dementia and Adult Social Care
APPG on Dementia
APPG on Dentistry and Oral Health

APPG on Disability
APPG on Down Syndrome
APPG on
Dyslexia and Other Specific Learning Difficulties
APPG on Eating Disorders
APPG on Extreme Poverty
APPG on Eye Health and Visual Impairment
APPG on Food and Health
[
APPG on Further Education and Lifelong Learning]
APPG on Gaps in Support
APPG on Global Health
APPG on Health
APPG on Health and the Natural Environment
APPG on Health in all Policies
APPG on Health Infrastructure
APPG on HIV and AIDS
APPG on Learning Disability
APPG on Multiple Sclerosis
APPG on PANS and PANDAS
APPG on Parkinson's
APPG on Terminal Illness
APPG on
Water, Sanitation and Hygiene
[APPG on Whistleblowing]
APPG on Yoga in Society

APPG on Young People's Health

There is a 'full' register at:

https://publications.parliament.uk/pa/cm/cmallparty/220323/register-220323.pdf

Revisiting the previous post and its list of APPGs, extended above, you can see some obvious potential sources of influence for several APPGs.

Scanning the register with the list of APPG by countries, I was disappointed not to see Earth, or Gaia listed. But then they are probably not recognised as 'political' entities? Which is the ongoing challenge in the climate crisis (recognition of ecocide?). 

What about, more reasonably 'Global Health'? This was not listed as a country, but further reading is rewarded. There it is - 'Global Health':

https://globalhealth.inparliament.uk/

[ The link in the register is currently broken. ]

I should have remembered this APPG having posted before:

https://hodges-model.blogspot.com/2016/10/triple-impact-nursing.html

On the radio this past week I heard mention of Transparency International and published recommendations to control lobbying, prevent corruption and malign influences of sponsorship.

See also:

"APPGs scandal: MP reveals how lobby firm tried to use her to influence Parliament"

https://www.opendemocracy.net/en/dark-money-investigations/appgs-scandal-mp-reveals-lobby-firm-tried-influence-parliament-alison-thewliss-snp/

This post also helps inform a paper on Hodges' model, Early Intervention in Psychoses and research.

There are so many APPGs related to health, and associated with the purposes of Hodges' model.

One discovery - I must follow the APPG on Health Infrastructure.

Monday, December 02, 2019

iv RCGP’s 7th Health and Justice Summit ...

I've been working through notes, photographs and the summit programme hence the flip-flopping between days.

So, back to day one:

Megan Georgiou, Jem Jethwa and Dave Banks, Programme Manager for Royal College of Psychiatrists, Project Officer at Royal College of Psychiatrists and Lead Nurse for the Intensive Support Unit at HMP Durham and Tees, Esk and Wear Valleys NHS Foundation Trust
“Transforming the Care Programme Approach in Prisons”

The Care Programme Approach (CPA) has a history of being poorly implemented within a prison setting. The Quality Network for Prison Mental Health Services and Tees, Esk and Wear Foundation Trust have teamed up to review the process and develop new tools and guidance. The purpose of the workstream is to improve service delivery and patient care. The workshop will summarise the findings from the consultation event and present our work to date.

Late again and frustrated since as a former CPA Lead this subject is close to my heart. It is not a sacred cow, although the learning and values that it helps carry must be carried forward.

I got the immediate impression of a methodology being presented and sure enough we practised too:

Go M.A.D. Thinking ® Results Framework

Part of the approach includes the 10 possibility thinking areas as per the photo.



[There's an additional exercise that reveals the ability of Hodges' model to help prioritise, contextualise (or decontextualise) and assign the 10 areas.]

Dr Alex Acosta-Armas & Ms Sarah Hill, Consultant Forensic Psychiatrist & Service Manager for  North London Forensic Service presented “Forensic Learning Disability Pathways, from prison to the community: Less restrictive practices in secure care and the development of a specialist community forensic LD service”.
Pathways of care for people with learning disabilities, from prison with the establishment of assessment and detection services, followed by secure inpatient care, focussed on introducing less restrictive practice interventions. Development of a community forensic learning disability service aimed to facilitate transition into the community and to support community services.
Brian E Hodges who created Hodges' model was a Learning Disability Nurse and Tutor and designed the model with this population in mind.

I was not ideally placed for photos, but would encourage readers interested in Forensic Learning Disability Pathway to seek out the slides. There was a local history from 1997, improving quality, stating the case for a Community Forensic LD Team, eligibility criteria (referrals), progress since April 2019 and training delivered to date. This was informative relating autistic spectrum disorder, training for staff, assessment within prison and in-patient settings, attention deficit hyperactivity disorder,risk concerns - sexual offending, arson, stalking and FTAC - Fixated Threat Assessment Centres.

Whenever I see a slide, paper ... titled "New Model of care" my heart skips a beat. This model was CHOICES. I will try and obtain more information. 

Robert McEntree - Defining trauma
A workshop was presented by Michelle Osborne & Robert McEntree, Ward Manger & Staff Nurse for Arnold Lodge on “Trauma Informed Care in Forensic Health Care: Male Mental Illness”
How the admission ward of a Medium Secure Forensic Mental Health Unit in Leicester is introducing a framework for Trauma Informed Care.

There is frequent use of 'lenses' as a metaphor and this workshop was helpful as to me it presented 'trauma' as another lens, a potentially constructive metaphor upon an emotional - lived reality (with varying degrees of recall). Robert defined trauma with references and some texts:

The Polyvagal Theory, Stephen W. Porges:
https://www.stephenporges.com/books

The Body Bears The Burden, Robert Scaer:
https://www.routledge.com/The-Body-Bears-the-Burden-Trauma-Dissociation-and-Disease-3rd-Edition/Scaer/p/book/9780415641524

The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma Book, Bessel van der Kolk:
https://www.penguin.co.uk/books/259/259420/the-body-keeps-the-score/9780141978611.html

Despite trauma's acuity (obviousness?) the slides were very informative:

What we talk about when we talk about "Trauma"
  • Pervasive
  • Impactful
  • Effects the most vulnerable in society
  • Self perpetuating
  • Negates potentially supportive relationships
Five core values of Trauma Informed Care and Environments

Safety  Trust  Collaboration  Choice  Empowerment

Barnett Brown, V., Harris, M., and Fallot, R. (2013) Moving toward Trauma-Informed Practice in Addiction Treatment: A Collaborative Model of Agency Assessment, Journal of Psychoactive Drugs, 45:5, 386-393, DOI: 10.1080/02791072.2013.844381

Fallot, R.D. and Harris, M. 2009. Creating Cultures of Trauma-Informed Care: A Self-Assessment and Planning Protocol, Washington, DC: Community Connections. [Google Scholar]

See also:
Becoming Trauma Informed:
https://www.mappingthemaze.org.uk/wp/wp-content/uploads/2017/08/Covington-Trauma-toolkit.pdf

In post iii I made (rather) a lot of 'transitions' and two major examples include veterans returning to civilian life and prisoners on release. The frequency of 'transition' was even raised at the summit. For example, if prisoners are recruited to a health programme and are then released that will be 'lost' so interventions are kept short for that reason. Alternately, reflecting cold reality there is acceptance in being able to re-enrol should someone arrive in custody once again.

Before closing remarks and thanks the summit's sessions ended with news of a transition:

Kate Morrissey, National Programme Manager - Mental Health, Implementation Lead for RECONNECT on:
 “RECONNECT – Care After Custody” 

When I referred to the obviousness of trauma above, of course so often to the observer psychic trauma is not obvious. Is this why transition to stability, coping, staying well, recovery is so hard won? Is this why in housing, welfare and benefits so often the lens cycles through what is 'seen' resulting in doubt, denial and neglect?

These four posts reflect the main sessions and workshops I opted to attend. The summit's focus also included Women in prison, Transgender pathways and Children’s services.

Many thanks to Convenzis and other organisers, sponsors and supporters:
Great values, learning and job.


Saturday, January 14, 2017

Framing a Life Animated


individual
|
INTERPERSONAL : SCIENCES
humanistic -------------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population
(mental) Life
Animated


communication  meaning

singing  dialogue

family friends relationships


documentary

activism

awareness






My source: Whitworth, D. (2016)  The autistic boy whose life was unlocked by Disney, Arts, The Times, 13 December. p.8-9.

Sunday, November 13, 2016

Too much Information...

individual
|
INTERPERSONAL : SCIENCES
humanistic -------------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population
Perception
Stimuli
Concentration - 'Noise' - Attention
Safety - Salience - Space
Anxiety - Disposition - Mood
Sense-making
Models of Communication

TOO MUCH - information - TOO LITTLE
"How much do you have?"
Activism
Policy
Employment
Awareness
Employer Engagement
Equality
Inclusion



My source: Post and image c/o BBC Radio 4 - Digital Human