Is there such a thing as the holistic bandwidth of 'resilience'?

In preparing my presentation for World Conference on Complex Systems 2026 (WCCS26) next month^, I am reading:

Bridging the Macro and the Micro by Considering the Meso: Reflections on the Fractal Nature of Resilience

ABSTRACT. We pursued the following three interconnected points: (1) there are unexplored opportunities for resilience scholars from different disciplines to cross-inspire and inform, (2) a systems perspective may enhance understanding of human resilience in health and social settings, and (3) resilience is often considered to be fractal, i.e., a phenomenon with recognizable or recurring features at a variety of scales. Following a consideration of resilience from a systems perspective, we explain how resilience can, for analytic purposes, be constructed at four scales: micro, meso, macro, and cross-scale. Adding to the cross-scale perspective of the social-ecological field, we have suggested an analytical framework for resilience studies of the health field, which incorporates holism and complexity by embracing an ecological model of cognition, something supported by empirical studies of organizations in crisis situations at various spatial as well as temporal scales.  

Key Words: human resilience; organizational resilience; resilience; resilience engineering; societal resilience 

Since the turn of the millennium, it appears 'resilience' has exploded across the media, and literature. As a result, it has also been viewed negatively by mental health service advocates, and activists as they decry the run-down state of formal services. The 'recovery model', undoubtedly closely associated with personal resilience is not the only answer.

This paper is helpful, in several respects but specifically to illustrate the idea of how Hodges' model can frame holistic bandwidth, across its care / knowledge domains.

INDIVIDUAL

|

    INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

individual - emotional - mental resilience	resilience engineering
human & societal resilience	organizational resilience

 

I think the answer is yes. 

But, what do you think (h2cmng AT yahoo.co.uk)?

Bergström, J., & Dekker, S. W. A. (2014). Bridging the Macro and the Micro by Considering the Meso: Reflections on the Fractal Nature of Resilience. Ecology and Society, 19(4), art22.
https://doi.org/10.5751/ES-06956-190422

 

See also:

Jones P. (2014) Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice and self-determination. International Journal of Person Centered Medicine. Vol 3, No 4, (2013) pp.305-311.  

 

Previously: 'complexity' : 'resilience' : 'holistic bandwidth' : 'fractal'

^Fingers x'd!

Jayasinghe (2025) 'People‑centred care: a systems view of a new paradigm'

C/o HIFA

Dear friends,

It is my pleasure to share the link to my article "People-centred care: a systems view of a new paradigm". It is published online in Discover Health Systems and Open Access. Please see full-text access to your paper by using the following link:

https://rdcu.be/ejNUq

Kind regards Saroj

ABSTRACT People-Centred Care (PCC) is an emergent property in an “open” system. Policies aiming at promoting PCC can be categorized under four nested levels: Micro-level; Meso-level; Macro-level; and Mega-level and used to draw systems diagrams. We develop a single composite diagram which demonstrates interactions and feedback, within and across subsystems, resembling panarchy.

Jayasinghe, S. People-centred care: a systems view of a new paradigm. Discov Health Systems 4, 43 (2025). https://doi.org/10.1007/s44250-025-00215-9.

Saroj Jayasinghe MBBS (Col), MD (Col), MRCP (UK), MD (Bristol), PhD (Col), FRCP (Lond), FCCP, FNASSL Fellow of the International Science Council, Emeritus Professor, University of Colombo, Former Head, Department of Medical Humanities, University of Colombo, Sri Lanka Consultant Physician sarojoffice AT yahoo.com, saroj AT clinmed.cmb.ac.lk

Professor Jayasinghe's paper provides several informative figures on centredness, scale and levels, micro-mega; and affords a way to use Hodges' model to help define person, patient, people and service-centred care. These definitions could be developed, refined and validated using a relational formulation.

Individual

|

      INTERPERSONAL    :     SCIENCES               

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

 SOCIOLOGY  :    POLITICAL 

|

Group

PERSON-  PATIENT-CENTRED psycho-

PERSON- PATIENT-CENTRED location bio-

social PEOPLE-CENTRED 'Health systems and services designed ‘for and with people’ are captured by the concept of People-Centred Care (PCC) defined as an approach “to care that consciously adopts individuals’, carers’, families’, and communities’ perspectives as participants in, and beneficiaries of, trusted health systems that are organised around the comprehensive needs of people rather than individual disease, and respects social preferences.' Duong, et al. (2024).

political policy - engagement - design SERVICE-CENTRED panarchy 'Let us together forge a new way of knowing and practicing health care in the post-Sustainable Development Goal era, using people-centred care as our guide to achieve Universal Health Coverage.' Duong, et al. (2024).

Duong DB, Holt B, Munoz C, Pollack TM. For and with people: announcing the Lancet Global Health Commission on people-centred carefor universal health coverage and a call for commissioner nominations. Lancet Glob Health. 2024:S2214-109X(24)00216-X.
https://doi.org/10.1016/S2214-109X(24)00216-X.

Previously: 'design' : 'patient' : 'person' : 'system' : 'people'

IF there is a 'medical model' THEN ...

IF there is a 'MEDICAL MODEL'

(Google: about 1,770,000 results)

AND

there exists a 'MULTIDISCIPLINARY TEAM'

(about 57,200,000 results)

AND

respective disciplines have produced distinct 'MODELS OF CARE'

(about 1,790,000,000 results) 

AND

a key aim of healthcare delivery is 'INTEGRATED CARE'

(about 673,000,000 results)

THEN

- where is the RESEARCH EVIDENCE for a generic model / conceptual framework to center and integrate said care^*?

 

If there are any philosophers of science, of nursing, logicians ... willing to critique my thinking I would greatly appreciate your advice.

*self, health and social care.

McGivern, P. (2008). Reductive Levels and Multi-Scale Structure. Synthese, 165(1), 53-75. Retrieved August 23, 2020, from http://www.jstor.org/stable/40271111 

Paper: Understanding the micro and macro politics of health [Mapped to h2cm]

"Almost a decade after WHO Commission on Social Determinants of Health published its influential report (2008), health inequalities within and across countries remain high on the research agenda. Acknowledging the complexity of the issue, scholars increasingly stress the need for the development of a theoretical framework that will integrate the multiple factors involved in shaping health inequalities, from individual social positions and experiences to institutions (Beckfield et al., 2015; Krieger, 2012, 2011)." p.92.

From Google:

intersectionality

ɪntəsɛkʃəˈnalɪti

noun

noun: intersectionality; plural noun: intersectionalities

1. the interconnected nature of social categorizations such as race, class, and gender as they apply to a given individual or group, regarded as creating overlapping and interdependent systems of discrimination or disadvantage.

   
   

   "through an awareness of intersectionality, we can better acknowledge and ground the differences among us"

individual

|

INTERPERSONAL : SCIENCES

humanistic ------------------ INTERSECTIONALITY ------------------ mechanistic

SOCIOLOGY : POLITICAL

|

group

category salience and individual experience "Intersectionality as an analytical tool of social stratification (Yuval-Davis, 2015) challenges the idea of a single, fixed social hierarchy. It perceives social positioning as a spot within a matrix of intersecting power axes (Crenshaw, 1992). Hence, there are no sociological categories (e.g. race, gender) that have an a priori greater significance in shaping individual experience." p.93. qualitative

methods & methodology analysis - synthesis "Yuval-Davis (2015) elaborates on that and describes intersectionality as a context informed analytical tool (situated intersectionality) that focuses on the categories that reflect the social divisions shaping most people's lives (e.g. race and gender) in certain contexts and simultaneously it is sensitive enough to render visible other divisions shaping the experience of individuals and groups at marginal positions (e.g. sexuality)." p.93. quantitative

race, ethnicity, class, gender, sexuality social history  social class social exclusion   stratification "... intersections between social categories - socio

"Studies have focused mainly on welfare states classified across certain typologies (eg. Esping-Andersen, 1990) as mechanisms that rank people into social hierarchies and (re)distribute social determinants of health." p.94. Institutions, immigrant status political minority struggle  colonisation, enslavement are .. reflections of intersecting systems of power" p.94 economic

Anna Gkiouleka, Tim Huijts, Jason Beckfield, Clare Bambra, Understanding the micro and macro politics of health: Inequalities, intersectionality & institutions - A research agenda, Social Science & Medicine, Volume 200, 2018, 92-98, ISSN 0277-9536.
https://doi.org/10.1016/j.socscimed.2018.01.025.
(http://www.sciencedirect.com/science/article/pii/S027795361830025X)
Keywords: Health inequalities; Intersectionality; Institutions; Health politics; Social positioning


My source: Prof. Dennis Raphael
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