Hodges' Model: Welcome to the QUAD: being

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 being. Show all posts
Showing posts with label being. Show all posts

Saturday, March 21, 2026

'Health - Illness': Status - presence - absence - Being

A pre-charity shop revisit: 

'So long as we are healthy, we do not notice that we are healthy. Health is one of those phenomena that we do not perceive as anything special because they are a part of everyday life. We discover them by their absence. Only illness enables us to see health as health. That I am healthy, and in what way I am healthy, is something I experience when, and to the extent that, I am or was not healthy, or when I perceive (but this it is difficult to do) that, and to what extent, someone else is or was not healthy. Being healthy is not the only 'being' that escapes our gaze precisely by being, and that appears to us by its absence. One could say the same of being as such.' p.257.

von Weizsäcker, Carl Friedrich (1971 [1980 trans.]). Einheit der Natur [The Unity of Nature] New York: Farrar Straus Giroux.

If we are to demonstrate ('prove') that Hodges' model can be applied, is relevant in:

  • illness, disease, trauma (physical and mental);
  • health and well-being; 
  • human development, ageing, pregnancy;
  • social care; 
  • preventive medicine, health promotion, health education;
  • life sciences, bioengineering; 
  • public (community and mental) health;
  • self care;
  • spiritual health;
  • and global - planetary (political) health ...

Then these observations by Friedrich, allied with definitions of health, as per the WHO's Constitution:

'Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.'
https://www.who.int/about/governance/constitution

The oft cited (when I was a student nurse) definition of nursing by Virginia Henderson:

“Assisting the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that an individual would perform unaided if he had the necessary strength, will or knowledge”.
https://libguides.twu.edu/c.php?g=270174&p=1803121

We need to 'see' beyond these sources, to take in the global situation. But, being situated this is something Hodges' model is ideally equipped to achieve.

Saturday, February 21, 2026

London: 'The Weight of Being: Vulnerability, Resilience and Mental Health in Art'

In London currently, 20th - 23rd I was on my way to Bankside Gallery and walking by Temple Place, #2 to be precise, on a board outside I read:

'The Weight of Being: Vulnerability, Resilience and Mental Health in Art'

Taking in the mental health and illness of artists, gender, domesticity, industrial and political struggle, COVID, and Gaza I spent and enjoyed a two hour detour. The building is also amazing. The exhibition is on until 19 April 2026, closed on Monday's and today 21st February. Before I share some text from their website, the interior of the building was a 'virtual' experience, but without the technology. Helpfully, the exhibition is spread across several rooms.

'Curated by Angela Thomas, this new exhibition explores artistic expression and mental health. Through depictions of deeply personal and collective experiences, it examines the powerful ways in which artists capture vulnerability, resilience, and their search for solace.

Including the work of a diverse range of twentieth century and contemporary artists and their varying perspectives, The Weight of Being showcases how artists have captured the psychological and emotional impact of societal pressures, resilience in the face of adversity, and existential uncertainty.

Alongside dozens of artworks drawn from galleries and collections across the UK, the portraits, landscapes, and figurative studies of the lesser-known artist John Wilson McCracken (1936–1982) are woven throughout. Denied the opportunity to return to the Slade School of Art following a period of hospitalisation for mental health reasons, McCracken spent much of his career in Hartlepool, producing work that reflects a profound sensitivity to the emotional and social pressures of his time. Shaped by personal and collective struggles, his art offers a deeply human perspective on the exhibition’s themes, revealing how external forces imprint themselves on the mind, body, and creative spirit.' Continued . . .

The building as a whole - Two Temple Place is owned and run by a registered charity, the Bulldog Trust

I will definitely (hopefully!) visit again, on the way or returning from the South Bank of the Thames. The video below presents key aspects of the building's amazing interior and history:

Saturday, July 05, 2025

'Axiomatic' - according to Simondon

Glossary:

Fifty Key Terms in the Works of Gilbert Simondon, pp.203-231.
Jean-Hugues Barthélémy, translated by Arne De Boever. 
In. De Boever A, Murray A, Roffe J, eds. Gilbert Simondon: Being and Technology. Edinburgh University Press; 2012.
'Axiomatic
In Simondon, this notion does not designate a formal system as in the case of logico-mathematical axiomatics, but simply a set of principles, or first propositions, that enable the linking fundamental concepts. It is in this sense that Simondon, in IPC in general and more specifically in FIP, struggles to work out a 'common axiomatic' (FIP, in IPC 35 or ILFI 533) for the human sciences - which enables the unification of psychology and sociology.' p.208.

 

Simondon holds hope for me (I think) in terms of the extent of formality I (and others) might seek for Hodges' model. Is there a set of principles - and simple at that? The structure of Hodges' model 'places' the knowledge (care) domains of psychology (intrapersonal & interpersonal) and sociology next to each other, as if to encourage unification. The bridge: psycho-social and a great many others, are there, to take walk and reflect on what we find there. If we choose to. ...

I'll check on the abbreviations. 

FIP : « Forme, information, potentiel » (conférence datant de 1960, ajoutée par l’éditeur), in Simondon, ILFI et IPC (voir ci-dessous).

ILFI : L’individuation à la lumière des notions de forme et d’information, Grenoble, Éditions Jérôme Millon, 2005 (Thèse principale de Simondon pour le Doctorat d’État, écrite de 1954 à 1958). 

IPC : L’individuation psychique et collective, Paris, Aubier, 1989 et 2007 (cet ouvrage contient le dernier tiers d’ILFI, ainsi que son Introduction et sa Conclusion).

https://journals.openedition.org/appareil/2253

Wednesday, February 19, 2025

Frayn's - shared 'Home Address'

Frequently I've made the point that 'person-centred' means placing the individual, patient, carer ... whatever the context, at the centre of Hodges' model. At the same time this is of course an idealisation:

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

What is your
'home' address?


'Science, it turns out, is in this respect simply an extension of all the other means we have found of representing the world. As with pictures and narratives, the world is unimaginable without the focus of a viewpoint. To understand the world in any way whatsoever scientifically, historically, artistically, anecdotally, imaginatively we find ourselves compelled to assume a potential point of convergence from which everything is  viewed, measured, and recounted. About the entity that defines this point we know only that it is by definition invisible to us. And since the instruments of science, of logic and mathematics, and of art, are all products of this invisible entity, they will not serve to represent or explain it to us. Anything in the world, or out of it, can be perceived or thought about, or both, and represented in our various codes. The only thing that systematically eludes us, whichever way we turn, is the something upon which everything else depends. The conscious subject that gives meaning to the objective universe cannot give meaning to itself. Without it nothing can be understood; about it nothing can be said. 
'The point of convergence . . .' And already we've gone wrong. The self isn't a point, in any remotely geometrical sense, but a complex organisation; and the consciousness that it generates, and by which it is animated, is a complex phenomenon.' pp.401-402. (my emphasis)







Frayn, Michael (2006). The human touch: our part in the creation of a universe. 'Home Address', Chapter 5. London: Faber & Faber. 

A final post from my paperback copy, next - off to a good secondhand home. Previously: 'Frayn'.

Saturday, June 29, 2024

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

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

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

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

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

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

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

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

Psycho-geography: the polarity of our times?

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

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

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

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

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

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

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

personal courage

relational - (emotional) care

despair - fulfilment

motivation

ideals

unity - stability

maps

compass - orientation

models - frameworks

geography

life as a whole

society - community of practice

external validation

extrnisic motivation


sustainable development goals

policy

accountability

failure (courage here - political convictions?)



See also:

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


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

Wednesday, June 19, 2024

IO Magazine #41 Being = Space x Action


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



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

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

Wednesday, April 10, 2024

"David Lynch: A Thinking Room"





Where is the Thinking Room?


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

Ah! Surely this one?

It's deep!


Is it here?
This is deep too!

Please take a chair.


I trust you are comfortable, so
what about this place?


Yes, you can think here -
but you must check first
before you do: Think. 
If you must ...

N.B. Please rate your experience too.



Soraya Roberts. A Room Of His Own, FT Magazine, 30-31 March, 2024, 1067: pp.38-41.

https://www.ft.com/content/bf6a6eaa-30d1-4704-9aea-4ff2d117f407

David Lynch’s dreamlike rooms at the Salone del Mobile.Milano 2024:
https://www.salonemilano.it/en/articles/david-lynchs-dreamlike-rooms-salone-del-mobilemilano-2024

Thursday, October 24, 2019

Birth and Bubbles - Holistic Spaces

individual
|
INTERPERSONAL : SCIENCES
HUMANISTIC ----------------------------------------------- MECHANISTIC
SOCIOLOGY : POLITICAL
|
group
health services - organisations


... "To the holistic absorption by the One – upon which the success of so many religions and philosophies was premised for centuries – Sloterdijk opposes the proposition of a dyadic theory of intimacy. This is a distinction between an acute appearance of unity, experienced from a cosmic position of being fully contained inside a whole, and an ontological insistence that this position is itself contingent on a constitutive relationality".


"Sloterdijk dedicates the bulk of Bubbles to birth, providing a detailed discussion of intrauterine dwelling, including the sensory presence of liquids, soft bodies, the early experience of spatial boundaries, fluidal communion in the medium of blood, the constitution of an intimate acoustic bipolar sphere and, above all, cohabitation with the placenta, conceived as primal, anonymous companion. Intrauterine space is approached as the most vivid illustration of the spherological principle according to which coexistence precedes essence. At once enclosed and porous, poetic and connected, intrauterine space is the production of a dense and connected ‘two’: ‘What we call ‘mother and child’ in the abbreviated terms of subject-object language are, in their mode of being, only ever poles of a dynamic in-between’ (Bubbles, p320)". ... p.47.








Duclos, V. (2019). Falling into things: Peter Sloterdijk, ontological anthropology in the monstrous. new formations: a journal of culture/theory/politics 95, 37-53. https://www.muse.jhu.edu/article/715818.

Thursday, June 14, 2018

Wellcome Collection: Handle with Care


Health care is complex
because
care delivery
involves the
handling
of a variety of forms of
knowledge, information and data. 


individual
|
INTERPERSONAL : SCIENCES
humanistic ---------------- ...WHAT IT MEANS ... ------------------ mechanistic
SOCIOLOGY : POLITICAL
|
group

to be cared for


to be caring


to care


to be a carer



The handling becomes specialised 
because of those
be's
the 'patient', the 'nurse', the 'carer'...
identities
loved, lost, earned and learned ...
The integration of all this 
can be summarised as so many forms of 'why'
often described as the spiritual -
Let us handle the Planet With Care.


Sunday, November 28, 2010

Buller and Butterworth: Skilled nursing practice - four domains?

The health care domains model identifies four domains within health and social care and medicine. What evidence is there to support the model's inclusion of:

INTERPERSONAL : SCIENCES
SOCIOLOGY : POLITICAL

- plus the spiritual within and without? Steve Buller and Tony Butterworth undertook a ethnographic study in 2001 'Skilled nursing practice - a qualitative study of the elements of nursing'. With skilled nursing practice at the center (Fig. 5.) they identified:

relating and communicatingdoing the job
being professionalmanaging and facilitating

There is some overlap, reflection arises in relating and communicating and doing the job. Overall however there is a definite correspondence between these domains and those within h2cm - the health care domains conceptual framework. I have equated being professional with the SOCIOLOGY domain as for the authors this includes being with patients, conveying confidence, handling situations, being informed. Managing and facilitating is undoubtedly POLITICAL with supervising, auditing, making sure things get done. Doing the job - is based upon planning, informing, assessing, intervening, and being confident (with equipment, procedures, manual dexterity..?).

Having been thinking and writing about h2cm for many years it is a shame that other models have benefitted from funding and gain "ward and community (research) cred" while here evidence is retrofitted. Looking at the paper just in the decade since submission and publication I wonder which elements remain local, and where other elements of the skills base (care concepts) have migrated to ethnographically?

Steve Buller, Tony Butterworth (2001) Skilled nursing practice — a qualitative study of the elements of nursing. Int. J. of Nursing Studies. 38, 4, 405-417.