health - Human - LIFE: Career

As highlighted previously, the full title of Hodges' model was originally The Health Career Model.

Reference to 'career' in there, caused many visitors to the first website, and presumably readers of Brian's book chapter:

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.

- to assume the model concerned professional careers, jobs, and employment.

For this reason after some discussion 'care domains' was added:

Hodges' Health Career - Care Domains - Model

A bit ungainly, but it is important that 'health career' was retained. After 5-10 years since first encountering and applying the model in a case study (1987-88), a key appeal of the model for me was its seeming increase in relevance. This may be a function of familiarity, preoccupation, (growing) obsession but the book below by Goldschmidt is confirmation for me.

Goldschmidt describes the 'Career and the Life Cycle' identifying several stages:

• Infantile preadaptation
• Training
• Career launching
• Career establishment
• Career maintenance (pp.113-114).

The first, infantile preadaptation appears associate strongly with the idea of life chances. 

Goldschmidt begins: 

"Career is a lifetime process. The word process here is important. If the English language did not render it too awkward, it would be preferable to make a verb out of it: careering. The major phases in the process relate to the physiological changes as the individual moves from infancy toward his ultimate death." p.113.

"The pursuit of career is not merely a social phenomenon in the sense that the values and purposes are socially derived and hence attainment is reflexive of community attitudes, but because career performance always involves two highly social orientations: collaboration and identification. It is a social performance. No person achieves satisfaction going it alone; he must collaborate with diverse others, usually socially structured groups - family or household, clan, age-mates, work associates, or whatever." p.117.

We need to understand that life chances are often determined before life.

   Individual - Self         

|

      INTERPERSONAL    :     SCIENCES                   

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

 SOCIOLOGY  :    POLITICAL 

|

   Dyad - Group - Culture - Population 

Identity Work, roles, activity  for all.	"The activities of the motivated individual can be conceptualized as his or her career. By career I mean that trajectory through life which each person undergoes, the activities he or she engages in to satisfy physical needs and wants and the even more important social needs and wants. The career, then, is activated in the service of both the physical being and the symbolic self."p.107.
The HUMAN CAREER	Policy Politics The health career and human career of future generations and all life. Artificial Intelligence - Future 'careers'?

Today, the health career entails consideration of the life cycle of all life as we not only contemplate planetary health, but seek to assure the biosphere.

Goldschmidt, W. (1990). The human career: The self in the symbolic world. Oxford: Basil Blackwell.

Book cover: https://biblio.co.nz/walter-goldschmidt/author/99497

Identity, entity and continuity - c/o Evans (2009)

"Many things are defined by their identity, and not by any attribute. In our typical conception, a person ... has an identity that stretches from birth to death and even beyond. That person's physical attributes transform and ultimately disappear. The name may change. Financial relationships come and go. There is not a single attribute of a person that cannot change; yet the identity persists. Am I the same person I was at age five? This kind of metaphysical question is important in the search for effective domain models. Slightly rephrased: Does the user of the application care if I am the same person I was at age five? 

A conceptual identity has to be matched between multiple implementations of the objects, its stored forms, and real-world actors such as a phone caller. Attributes may not match." p.90.

"Object modeling tends to lead us to focus on the attributes of an object, but the fundamental concept of an ENTITY is an abstract continuity threading through a life cycle and even passing through multiple forms.

"Some objects are not defined primarily by their attributes. They represent a thread of identity that runs through time and often across distinct representations. Sometimes such an object must be matched with another object even though the attributes differ. An object must be distinguished from other objects even though they might have the same attributes. Mistaken identity can lead to data corruption.

An object defined primarily by its identity is called an ENTITY. ...

Domain-Driven Design

Of course, most "ENTITIES" in a software system are not people or entities in the usual sense of the word. An ENTITY is anything that has continuity through a life cycle and distinctions independent of attributes that are important to the application's user. It could be a person, a city, a car, a lottery ticket, or a bank transaction." p.91.

Eric Evans, (2009). Domain-Driven Design: Tackling Complexity in the Heart of Software, Model-Driven Design. Addison-Wesley.
[Emboldened text as per book.]

New York – Livable Cities: A Conference on Issues Affecting Life in Cities

NEW YORK Conference: Abstract Deadline

New York / Virtual

14-16, June 2023

Abstracts: Nov 20th, 2022 (Round One)

https://amps-research.com/conference/livable-cities-new-york/

A cross-departmental conference held at City Tech (CUNY) with the Departments of Architectural Technology, Construction Management, Civil Engineering and Environmental Technology

LIVABLE CITIES - NEW YORK is a conference covering architecture, design, planning, health, technology, urban economics and social policy. It is calling for contributions to specific strands of sustainability, resilience, design, planning and construction.

These strands seek to explore issues related to net-zero energy buildings, sea defenses and strategic retreat, life cycle analysis in the construction industry, Building Environmental Assessment methods, EcoHomes, BREEAM, alternative energy generation in cities, material science and much more. 

The conference is organized across departments at City Tech (City University of New York) with Amps and publication support from Routledge and UCL Press.

CALL SUMMARY

What makes a city livable? Transport, housing, health and environment. Matters of culture, entrepreneurship, crime and safety. Affordability and education. Depending on whose ‘livability index’ you look at, it may include design quality, sustainability and the digital infrastructures of the smart city. Other criteria applied may encompass food access, job opportunities or walkability. Inclusivity and the politics of participation also come into play.

The past two decades have seen an exponential rise of livability measures. Reflecting increased urbanity globally, they risk making the notion of the city ever more contested. The two cities that host this event are cases in point. The Mercer Livability Ranking takes New York as the datum by which all other cities globally are graded – as better or worse. London, by contrast, measures itself: the London Assembly scoring everything from air quality to indices of deprivation. When we consider the livability of cities then, it is clear we are dealing with a plethora of issues – both isolated and, inevitably, interconnected.

Within this broad livability framework, we seek to develop strands and publications around themes of the design and construction sectors – particularly as they relate to sustainability and resilience.

https://amps-research.com/conference/livable-cities-new-york/

My source: http://www.cosmobilities.net/ list

n.b. A suggestion: consider the conference themes and the structure and domains of Hodges' model; what relationships, dichotomies, synergies, and opportunities can you glean?

The Filing Cabinet: A Vertical History of Information

individual
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

	-TECHNICAL
SOCIO-

 

Don't forget the horizontal history and better prepare for the future too?

 

The Filing Cabinet: A Vertical History of Information. Craig Robertson. University of Minnesota Press. 2021.

My source: Peter Kurilecz, RECORDS-MANAGEMENT-UK mail list

https://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=RECORDS-MANAGEMENT-UK 

Jones, P. (1996) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598.

Book review: "The Power of the 2 x 2 Matrix" iv

Yes, it is a literal reading but if I didn't 'see' Lowy and Hood's discussion of "The team goes to work" (p.74) with symptoms identification and "Listen, listen, listen" (p.75) I'd miss a trick.

In healthcare the team really matters; in mental health care (especially) it is a professional and therapeutic* ... duty to listen; symptoms are not enough, we must seek signs too; what goes unspoken? A 2x2 matrix once created and agreed can also help identify positive and negative symptoms, in healthcare we differentiate this in several ways. The individual whether psychosis or cancer; and the group (socially and politically) through the impact of constraints and opportunities. There's a 'Health Magazine Marketplace Matrix' (p.76).

Strategy is central with tactical and operational factors in business and commerce and chapter 6 deals with strategic frameworks. The chapter starts: 

"Strategy is the art and science of competing more effectively than one's competitors." (p.91).

Below are two of the matrices described which I've placed within Hodges' model. Nursing is all about seeking, testing, trying, accepting, parking and respecting unexploited opportunities, not only 'in' the intra- interpersonal domain, but the other domains too. I will let you reflect upon the commodification of health and 'end of life'. 

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group - population

Beyond Customer Led Matrix p.96.	Discontinuity and Life Cycle Matrix p.101

The social and political domains are obviously well represented throughout the book: value, customer, prosumer, civics and much more. An example is the Librarian Scenario Matrix which comprises of the dimensions - Locus of Concern  and Social Contract (p.119).

There's mention of architecture in the book which in a business context is understandable. I can not find where I read it but recently the addition of 'architecture' as in 'care architecture' represents a misuse? This is not architecture. This book and Hodges' model makes concepts the bricks, mortar, spans and splines of architecture. 

 

There is much more I could draw out. The Johari Window, individual frameworks - in which the quadrant's significance (size) varies, Myers-Briggs. In addition to a couple of references with the chapters, a notes section provides a full-list. The index is thorough and there are copyright notices for the many tables and figures.

A great book - just lacking one-other model, but I would say that!

Here are the previous posts:

Q. What is Hodges' model? A. It is NOT a 2x2 matrix

Book review: "The Power of the 2 x 2 Matrix" i

 
Book review: "The Power of the 2 x 2 Matrix" ii

Book review: "The Power of the 2 x 2 Matrix" iii

'Proof' of the Four Quadrants

Alex Lowy, Phil Hood (2004) The Power of the 2 x 2 Matrix: Using 2 x 2 Thinking to Solve Business Problems and Make Better Decisions, San Francisco, CA: Jossey-Bass. ISBN: 978-1-118-00879-9

With many thanks to the publisher for my review copy.

 *All effective carers (formal and informal) are 'good listeners' and not just 'good listeners' they respect what is said and if presented with it: a silence.

ERCIM News No. 88 Special theme: "Evolving Software"

Dear ERCIM News Reader,

ERCIM News No. 88 has just been published at http://ercim-news.ercim.eu/

Guest editors: Tom Mens (University of Mons, Belgium) and Jacques Klein (University of Luxembourg)

http://ercim-news.ercim.eu/en88/special

Keynote "Change is the Constant" by Joost Visser, Head of Research at Software Improvement Group
http://ercim-news.ercim.eu/en88/keynote/change-is-the-constant

Next issue: No. 89, April 2012 - Special Theme: "Big Data"
(see call at http://ercim-news.ercim.eu/call)

Thank you for your interest in ERCIM News.
Feel free to forward this message to others who might be interested.
Happy New Year!
Peter Kunz
ERCIM News central editor

[Includes: An introduction to this theme; Holistic Software Evolution; Wireless Sensor Networks and the Tower that Breathes; and Innovation in Disaster Management: Report from Exercise EU POSEIDON 2011. ] PJ

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