Hodges' conceptual framework: A model for Narrative Medicine ...

Abstract

The effective practice of medicine requires narrative competence, that is, the ability to acknowledge, absorb, interpret, and act on the stories and plights of others. Medicine practiced with narrative competence, called narrative medicine, is proposed as a model for humane and effective medical practice. Adopting methods such as close reading of literature and reflective writing allows narrative medicine to examine and illuminate 4 of medicine's central narrative situations: physician and patient, physician and self, physician and colleagues, and physicians and society. With narrative competence, physicians can reach and join their patients in illness, recognize their own personal journeys through medicine, acknowledge kinship with and duties toward other health care professionals, and inaugurate consequential discourse with the public about health care. By bridging the divides that separate physicians from patients, themselves, colleagues, and society, narrative medicine offers fresh opportunities for respectful, empathic, and nourishing medical care. ...

 

Charon R. Narrative Medicine: A Model for Empathy, Reflection, Profession, and Trust. JAMA. 2001;286(15):1897–1902. doi:10.1001/jama.286.15.1897 

With my emphasis.

#Identity #Group #Individual #Collective #Mind #Body #TheOdysseyHasBegun

Leapspace? Why not ...?

Referred to a paper in an email: https://doi.org/10.1016/j.jclinepi.2026.112401.

- I noticed an invitation to try Leapspace. 

So I leapt (with much editing - for formatting here). ...

 

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Hodges' health career - care domains - model

Hodges’ Health Career – Care Domains – Model is a generic, practice-based conceptual framework for health and social care that organizes thinking into four knowledge/care domains: science, political, sociology, and interpersonal. It is presented as broadly applicable across healthcare contexts and is used to structure reflection, critical thinking, and care planning. [1] [2] [3]

Core domains

Domain	What it covers	How it is used
Science	Cause and effect, evidence, costs, benefits, and trade-offs	Helps frame the “hard” evidence side of care and service decisions. [1]
Political	Policy, systems, and structural influences on care	Helps connect care to wider health and social policy contexts. [1] [4]
Sociology	Social context, culture, stigma, and relationships	Helps explain how social factors shape health and illness experiences. [1] [5]
Interpersonal	Therapeutic relationships, patient/carer engagement, and human interaction	Supports person-centred and relational practice. [1] [2] [6]

What the model is for

• It is described as universal in structure and adaptable to many healthcare settings, including informatics, dementia/palliative care, forensic mental health, and oral health. [2] [3] [4] [7] [8]

• It helps practitioners map concepts into domains, build a mind-map-like structure, and support reflective practice and critical thinking. [3] [9]

• In forensic mental health nursing, it is proposed as a way to guide assessment, decision-making, and recovery-oriented practice. [2]

Bottom line

Hodges’ model is best understood as a four-domain lens for integrating clinical evidence, policy, social context, and relationships into one framework for care and reflection. Its main value is not in prescribing a single care process, but in helping users think more holistically and systematically about health problems and care systems. [1] [2] [3]

Confidence level: High — multiple sources consistently describe the model’s four domains, generic structure, and broad healthcare applications.

References

1. Fox, Siobhán, FitzGerald, Carol, Harrison Dening, Karen, (...), Timmons, Suzanne (2017) Better palliative care for people with a dementia: summary of interdisciplinary workshop highlighting current gaps and recommendations for future research. BMC Palliative Care. https://doi.org/10.1186/s12904-017-0221-0

2. Doyle, M., Jones, P. (2013) Hodges' Health Career Model and its role and potential application in forensic mental health nursing. Journal of Psychiatric and Mental Health Nursing. https://doi.org/10.1111/j.1365-2850.2012.01961.x

3. Jones, P., Wirnitzer, K. (2022) Hodges' model: The Sustainable Development Goals and public health - Universal health coverage demands a universal framework. BMJ Nutrition, Prevention and Health. https://doi.org/10.1136/bmjnph-2021-000254

4. Bettiol, S., Jones, P., Onyedikachi, H.A., Kernohan, W.G. (2026) Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model. Journal of Public Health Dentistry. https://doi.org/10.1111/jphd.70034

5. Jones, P. (2008) Exploring serres' atlas, Hodges' knowledge domains and the fusion of informatics and cultural horizons. Social Information Technology: Connecting Society and Cultural Issues. https://doi.org/10.4018/978-1-59904-774-4.ch007

6. Merritt, M.K., Procter, N. (2010) Conceptualising the functional role of mental health consultation-liaison nurse in multi-morbidity, using Peplau's nursing theory. Contemporary Nurse. https://doi.org/10.5172/conu.2010.34.2.158

7. Jones, P. (2009) Socio-technical structures, 4Ps and hodges' model. Nursing and Clinical Informatics: Socio-Technical Approaches. https://doi.org/10.4018/978-1-60566-234-3.ch011

8. Jones, P. (2011) Socio-technical structures, 4Ps and hodges' model. Clinical Technologies: Concepts, Methodologies, Tools and Applications. https://doi.org/10.4018/978-1-60960-561-2.ch215

9. 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. https://doi.org/10.1111/jep.70252

Follow-up Suggestions 

What are the key components of Hodges' health career care domains model?

How does Hodges' model apply to interdisciplinary health care practices?

What are the implications of Hodges' health career care domains model for patient-centered care?

Degree Award in Reflective :: Reflexive Theory and Practice

Joint Hons. Running the Gauntlets in OverThinking

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See previous: 6th June 2010 - 'As one chapter closes another opens ...'

 
My source: Somerset House - 1st July 2026 M.C. Escher The Exhibition

Tricotyledons, systems and social problems: TAKE ii iii iv

Act I, Scene 3 

'Thomasina What a faint-heart! We must work outward from the middle of the maze. We will start with something simple. (She picks up the apple leaf) I will plot this leaf and deduce its equation. You will be famous for being my tutor when Lord Byron is dead and forgotten.' p.31.

It appears that polycotyledon seed growth beyond tri-form is rare:

https://en.wikipedia.org/w/index.php?title=Cotyledon&oldid=1356872880

We must hope that the four-leaf clover is recognised and not just trampled underfoot.

One of the benefits of a four-leaf conceptual framework is that should you have the germ of an idea, you can reflect in (relative?) safety, exploring the conceptual ecosystem, its cognitive environs and nurture it to realisation.

n.b. In care making a difference, does not mean you have to be exceptional. ...

See post i: Tricotyledons, systems and social problems

https://hodges-model.blogspot.com/2026/07/tricotyledons-systems-humanities.html

Maker-field: More than just a point* on a map

Ashton-in-Makerfield has been in the news of late. With Andy Burnham MP championing the communities of the north; local issues, socio-economic gaps, needs and everyday lived experience up North.

But Makerfield holds much more as a veritable rabbit-hole supporting lifelong learning, character development, reflective practice and critical thought:

 'maker' - 'field'

* - a political constituency.

Previously: 'map'

"step inside" TO "think outside"

  

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             c/o Somerset House, 6th June 2016.

v WCCS26: World Conference on Complex Systems 20-22nd April

Day 2 Tuesday 21st April (Revisiting) Keynote Speaker: Abderrazak El Albani - 
Emergence of Intercellular Cooperation: At the Origins of Eukaryotic Complexity
Session Chair: Khawla Tadist

This keynote was fasacinating. As I begin this post on the 100th birthday of Sir David Attenborough, who would have us all see life in the broadest terms, value life and diverse habits, and Earth as our collective and shared home.

Abderrazak El Albani explained the search for LUCA the last universal common ancestor - 3.8 billion years ago. Many dates in the emergence story of humanity, have been progressively pushed back. The first fire, art, languages, our co-habitation and intimate relationships with Neanderthals.

In healthcare, as a practitioner you have to be aware of your scope of practice. At WCCS, scale (as in iv) was ever present across research in complexity, and complex systems. Not just physical size nano-to-mega but temporal too, as we journeyed billions of years. Several of the slides are presented here:

https://www.synchrotron-soleil.fr/en/news/discovery-oldest-macroscopic-planktonic-eukaryotes-contribution-nanoscopium-beamline (with a reference).

There is a video (French): https://www.youtube.com/watch?v=bh3t26cU7xc

I asked a question, which may have been psychological preparation for own presentation to follow. Listening, I could see how the work Abderrazak El Albani and his team are doing, could be readily translated to the search for life on Mars. There has been a 'routine' interchange of planetary material between Earth and Mars over the aeons. Fitting surely that the sedimentary rocks sought lie in  A key lesson, is that light helps us see, but not all lights are equal. Light sources brighter than the sun become incredible scientific instruments. The longevity of the dinosaurs was highlighted, at least 140 million years. There is no comparison with homo sapiens then, even as those dates have been pushed further back in time. Time defeated me as I tried to make the observation that even the dinosaurs did not make it to their first galactic birthday (c.250 million years - and what a carousel). I like the thought (slide) of 'Earth as Memory'. 

What really counted was the expressed concern about what is happening now: in the Anthropocene.

The second keynote:
Nigel Gilbert - Policy in a Complex World: Towards Complexity-Aware Policymaking
Session Chair: Ali Idri 

Was helpful to me, as the dated conundrum of benefits realisation from our technologies, and evidence-based policy still leaves a gap (for me) within the POLITICAL care/knowledge domain of Hodges' model. The illustration/graphic elements of Prof. Gilbert's slides were a brilliant complement to the content:

Prof. Nigel Gilbert - WCCS26 21st April

I wonder if within policy the constant in the equation is continuity and as a quantity it is an unknown? This seems to the case in health policy, across successive governments. You may (also) find this chart informative: https://www.cecan.ac.uk/news/the-visual-representation-of-complexity/

Perhaps, a key factor in complexity is the fact that nothing stays the same, so continuity is nuanced? Michael Quinn Patton's book Developmental Evaluation was noted re. learning while doing. Now I wish I'd held on to Qualitative Research & Evaluation Methods (4th ed.). The discussion of 'obesity system map' and 'whole systems analysis' was appreciated here.*

Since Marrakech and WCCS, I've noticed acknowledgement in the literature that 'research' is currently flooded with AI tools. I'm sure PRSM - Participatory System Mapper is a welcome addition, (as noted in iv) tools to facilitate participation are much needed:

Collaborative Creativity

The Participatory System Mapper (PRSM) is an app that makes it easy to draw networks (or 'maps') of systems, working together collaboratively.'

I will definitely check this resource out; and CECAN. After Prof. Gilbert, the next Track included my contribution, which I will return to. Rather distracted, I have a somewhat blurred slide, with: 'The global tensor of educational research is' then headed 'Learning poverty. Being unable to read and understsand a simple text; with points 1-4.'. I'm not sure which presentation this was, but zeroed in on the literacy theme, and the word tensor. Another slide refers to '6. Topological substitution for Success'. I think it is (writing this is helping recall!):

Harvey Spencer Sánchez-Restrepo, Jorge Louçã, Martha Belén Carmona-Soto and Sofialeticia Morales-Garza
Topological Patterns of Academic Success: Insights from Complex Network Analysis

'Always Label Your Axes' - Zazzle.

Before that there was another model, as the next keynote speaker: Chris Bauch demonstrated during the conference wearing a t-shirt:

Critical Transitions in Coupled Human-and-Natural Systems and their Early Warning Signals
Session Chair: Mohamed Essaaidi  

Previously: 'nexus'


*Jones P, Wirnitzer K. Hodges’ model: the Sustainable Development Goals and public health – universal health coverage demands a universal framework. BMJ Nutrition, Prevention & Health 2022;5: doi:10.1136/bmjnph-2021-000254

Wirnitzer, KC. et al. (2025) Toward a roadmap for addressing today's health dilemma – The 101-statement consensus report. Frontiers in Nutrition. Volume 12.
https://frontiersin.org/journals/nutrition/articles/10.3389/fnut.2025.1676080 DOI:10.3389/fnut.2025.1676080

S. Bettiol, P. Jones, H. A. Onyedikachi, and W. G. Kernohan, (2026) Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model, Journal of Public Health Dentistry. 1–14, https://doi.org/10.1111/jphd.70034

iv WCCS26: World Conference on Complex Systems 20-22nd April

Day 1: Panel 2 - Rethinking Knowledge in the Age of Complexity

• Helena Knyazeva - Dancing with Complexity: How the World Thinks Through Us
• Carlos Gershenson - The Implications of Complexity
• Leonardo Rodríguez Zoya - Can Statistics Think? Complexity, Future, and Freedom in the Age of Large Language Models
  Panel Chair: Nigel Gilbert 

Courage is one of the 6Cs in nursing, and was on display at WCCS26.

Carlos Gershon began by offering two references, the first:

De Domenico, et al., (2019). Complexity explained: A grassroot collaborative initiative to create a set of essential concepts of complex systems. https://complexityexplained.github.io

This is a brief 20 pages, larger text, and provides a helpful primer to complexity and related concepts covering:

Interactions
Emergence 
Dynamics 
Self-organization
Adaptation
Interdisciplinarity
Methods

For each concept, the authors explain:

Definition/Description
Examples
Relevant Concepts
References

Plus, secondly:

Gershenson, C. The Implications of Interactions for Science and Philosophy. Found Sci 18, 781–790 (2013). https://doi.org/10.1007/s10699-012-9305-8

I liked the practical feel here, the encouragement to think anew, and perhaps taste the "flavors of emergence": synchronic - space; diachronic - time, weak and strong feedback, transversal of scale - upwards and downwards.

There is further conference on complexity later this year (and also online!):

CCS 2026:
The 2026 Conference on Complex Systems
OCTOBER 9 - 16, 2026 BINGHAMTON, NY, USA & ONLINE

In my search I also found:

Carlos Gershenson; Complexity, Artificial Life, and Artificial Intelligence. Artif Life 2025; 31 (3): 289–303. doi:https://doi.org/10.1162/artl_a_00462

Gershenson, C. Self-organizing systems: what, how, and why?. npj Complex 2, 10 (2025). https://doi.org/10.1038/s44260-025-00031-5

Leonardo Rodríguez Zoya's presentation helpfully connected social practice, interdisciplinary bridges, statistical rationality, complex (human) rationality and the future(s): desirable, possible, latent and probable.

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COMPLEX (HUMAN) RATIONALITY   cognition	STATISTICAL RATIONALITY Techopraxis LLMs - technology
socio- HUMAN PROBLEMS SOCIAL PRACTICE PRACTICE (one of the 4Ps)	ELECTION - CAMPAIGN SPENDING PEACE NEGOTIATIONS ISLAND ECONOMY CRYPTOCURRENCY

To answer the prompt - 

"Give me a less likely but more fruitful interpretation of this [concept]*."

*Replace with a significant concept in your practice

Would it might help to have a simple, and yet complexity (and simplicity!) primed conceptual framework to assist reflection, argumentation, and progress?

 

I missed the poster at the afternoon break, and followed track 1. I greatly enjoyed Julian Arevalo's - Adaptive Readiness: an Agent-Based Model of Peace Negotiations. Perhaps this accounts for my having no notes or photos for this track except for one. I realise now we did speak, sitting together for the conference dinner. I'm sure I remember Negotiation Lab 1.0 - 

https://www.comses.net/codebases/1256dc74-9ae4-4f49-a235-1ec129be1930/releases/1.0.0/

 

This past week I heard discussion (BBC Radio 4) of the 'income' Norway obtains from its expertise and engagement in peace negotiations.

 

Nicholas Roxburgh, and colleagues Rachel Creaney, Mindi Premarathne and Ruth Wilson through 
Exploring Interdependencies in an Island Economy, reminded me of public engagement in research. Especially when it involves their community; and that community is somewhat rural, or remote.

 

Remah Dahdoul, with Jan Korbel and Stefan Thurner presented -

Campaign-Spending Driven Polarization Transition in a Double-Random Field Model of Elections. The following paper brings home the mathematics in complex systems. The reference is:

 

Jan Korbel and Remah Dahdoul and Stefan Thurner. (2026) Empirical validation of the polarization transition in a double-random field model of elections. arXiv. https://arxiv.org/abs/2510.00612.  doi.org/10.1103/9gjj-1df6.

 

The paper by Saida Hachimi El Idrissi and Mohamed Nemiche is not open access, but the abstract follows. 

 

S. H. El Idrissi and M. Nemiche, "Formation of Complex Societies: An Agent-Based Model Inspired by Freudian Theory," 2024 World Conference on Complex Systems (WCCS), Mohammedia, Morocco, 2024, pp.1-6, doi: 10.1109/WCCS62745.2024.10765573.

Abstract: The rise and emergence of complex societies in the Old World mark a pivotal chapter in human history, characterized by the transition from small, kin-based communities to large, hierarchical states. This transformation raises fundamental questions: How did human societies progress from small, cohesive groups characterized by face-to-face cooperation to the expansive, anonymous societies of today, often organized as states? What factors account for the significant variation in different human populations' capacity to construct stable and functional state structures? To address these questions, we developed an agent-based model grounded in Freud's hypothesis, which posits that civilization could neither emerge nor evolve without the repression of human desires. In the context of social evolution, this repression of desires can be interpreted as the repression of intra-societal competition, ultimately strengthening the society and facilitating the formation of complex social structures. We implemented this model within a realistic representation of the Afroeurasian landmass, incorporating various geographical factors. To validate our model, we compared our simulated results with historical data. The model-predicted pattern of expansion of complex societies demonstrated remarkable congruence with the observed historical patterns in the Old World. The emergence, growth, and distribution of large-scale societies predicted by our computational model showed remarkable consistency with the archaeological and historical record.

keywords: {Analytical models; Computational modeling; Predictive models; Data models; Agriculture; Rivers; History; Complex systems; component; Agent-based Modeling; Repression of satisfaction; cooperation; competition; Social Simulation},
URL: https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10765573&isnumber=10765499 

Unless you are a microsurgeon (increasingly with robotic co-workers), is the word practice, more likely to manifest what is larger, the big picture, a sense of space, even at a societal or continental scale? In reading, I came across four forms of attractors. For me, how they fit into the question of scale makes this paper worthy of seeking out. 

M. Nemiche was unable to attend the conference, and was greatly missed.

iii WCCS26: World Conference on Complex Systems 20-22nd April

Chaos
Making a New Science 
by James Gleick

When I first learned of WCCS26, I saw a connection, an affinity across the conference themes. This was reinforced when I read the final program for WCCS. Here was a home for the model, a way-point for Hodges' model. For an independent scholar, it was quite a trip to Ben Guerir, to the north of Marrakech; 13 hours (brief by global standards). It was a place to wave wildly, making use of the opportunity to present Hodges' model, to say - "Dear All, can you do anything with this?".

It is almost 40 years since I read James Gleik's, Chaos: Making a New Science. That was in Cornwall I think? Now, something more than book - a complexity conference.  

 After the first two keynotes - two panels: 

 Panel 1 - Complexity, Society & Global Challenges

▪ Carlos Álvarez Pereira - No Limits to Hope: Escaping from the unreasonable effectiveness of Modernity
▪ David Chavalarias - The Artificialization of Cultural Evolution: the Impact of Very Large Digital Infrastructures on Individuals and Society
▪ Louis Klein - Noospheric Singularity and the Mirror of Tamkeen
Panel Chair: Karima Kadaoui

These confirmed I was in the right place. Well, it was bit late if I wasn't! I was reminded of the slow movement, and how in healthcare, specifically client-nurse intereactions you had time to manage your time, that is your caseload to deliver person-centred care. I don't mean time-wasting, as in social chat, tea and custard creams either. This is what being professional is about, truly trying to make a difference - that lasts. So we worked through: What is; (science) what we understand; and (tech and law) what should be. Ecologically, we often refer to the size of our footprints. Panel one considered this individually and collectively - institutionally. Fascinating to reflect upon these themes and how modernity is stamping about in a rather chaotic way? We are seemingly power-less to stop this.

c/o Carlos Álvarez Pereira
No Limits to Hope: Escaping from the unreasonable effectiveness of Modernity

Three reports to the Club of Rome were displayed, spanning 'NO LIMITS TO LEARNING - Bridging the human gap' 1979; 'Limits and Beyond' 2022; 'NO LIMITS TO HOPE - Liberate the potential for Collective Learning' 2026. Should we be troubled, worried even, that the latest followed after a mere four years? There are of course, many reports as per the link above.

David Chavalarias - The Artificialization of Cultural Evolution: the Impact of Very Large Digital Infrastructures on Individuals and Society spoke about the beneficial and malign impacts of social media AI tools. Covid featured as might be expected. Within the sciences, what was worrying, was an innovation slowdown associated with AI, non-AI use, chartered around a central point (centroid). I believe the slide referred to:

Qianyue Hao & Fengli Xu & Yong Li & James Evans, 2026. "Artificial intelligence tools expand scientists’ impact but contract science’s focus," Nature, vol. 649(8099), pages 1237-1243, January. 

There was one slide:

Is this the demise of any efforts to achieve SOCIO-technical synergy? Even to the extent of realising benefits for the human in socio-technical systems? Did Covid not teach us anything about the informational difference technology can make? When so many technologies are muted by a virus? This is what we need: things to think about, question and critique. 

There used to be a series of A3 step-by-step oil painting magazines in the 1970s. One presented a desert campfire, clearly set in the east. I did try it, though not sure were the result is now. ... Such a scenario was presented by Louis Kleinand the Noospheric Singularity and the Tamkeen Process - Regenerative Hermeneutics, with the following reference provided:

Klein, L., & Kadaoui, K. (2024). Realising metamorphic transformation in the mirror of Tamkeen: Growing a shared understanding from co-reflected lived experiences. Systems Research and Behavioral Science, 41(5), 738–749. https://doi.org/10.1002/sres.3058 

There was much I could identify with. And, once again, I cannot continue at this pace. We have only covered (touched!) panel one. Hopefully you now have an idea of the depth of the conference programme. More however, will follow.

See also: thefifthelement.earth

Chaos - cover: https://www.goodreads.com/book/show/826080.Chaos

Presentation: 'An example of open research sharing Hodges’ Health Career Model'

From: Ulster University Open Research Conference 2026 

Simms, V., Jacobs, N., Magee, J., De Ornellas, K., Mollik, E., Kernohan, W. G., Leacock, J., Akter, J., Sempey, C., Beech, S. E., Naz Asif, R., Yap, L. K., & Miller, K. (2026, Jan 16). Ulster University Open Research Conference 2026: Conference Speaker Abstracts. Ulster University. Advance online publication. https://doi.org/10.21251/0d7780ce-ce97-468f-b5d5-69201ca90b20

Speaker: Professor George Kernohan 

School or Department: School of Nursing and Paramedic Science Ulster University 

Email: wg.kernohan AT ulster.ac.uk 

The area(s) of open research talk relates to: 
  Practice as research; Open data/ Open code 

Talk Title: An example of open research sharing Hodges’ Health Career Model 

Abstract: 

This paper examines a blog post [see below, pj], “Thinking about a comprehensive framework for dementia,” as a case study illustrating the integration of open research practices within dementia palliative care research. The post introduces the Hodges’ Health Career Model— a four-domain conceptual framework encompassing biomedical, psychological, social, and policy perspectives— to articulate the multidimensional nature of dementia and inform care planning. As an openly accessible research communication, the blog contributes to transparent and inclusive knowledge exchange beyond traditional academic channels. 

The blog exemplifies practice-as-research, translating conceptual development from theory into a form of scholarly exposition that invites engagement from practitioners, policymakers, carers, and people living with dementia. It forms part of a wider programme of work in which the research team openly documents methods, emerging findings, and reflections across scoping reviews, surveys, and service case studies hosted on the same platform. These materials complement peer-reviewed open access outputs, including open publications. 

The project demonstrates alignment with open research principles through prospective protocol registration: the scoping review protocol is publicly available on PROSPERO. The team’s prior work on blogging as a mechanism for knowledge mobilisation strengthens the methodological coherence of using this medium to disseminate conceptual frameworks and preliminary insights.

Although the blog does not itself provide underlying datasets or analytic code, it outlines methodological approaches that could facilitate future open data practices, particularly in qualitative and mixed-methods research. Overall, the case illustrates a pragmatic and pluralistic adoption of open research methods across dissemination, protocol transparency, and public engagement, offering a model for enhancing accessibility and reproducibility in dementia palliative care research.

.

Title: “Thinking about a comprehensive framework for dementia”

Author: Professor George Kernohan

Date: 7 November 2019

Link: https://pallcare4dementia.com/thinking-about-a-comprehensive-framework-for-dementia/

c/o Jayne Wilton: Reflex-ive :: Reflection - Breathe : DO - REPEAT - WHILE

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'Many of us will have experienced playing with the interaction of our breath on shiny surfaces such as windows and mirrors, allowing us temporary fields of condensation in which to doodle thoughts or messages. In emergency situations a mirror or shiny surface is held in front of the mouth of a subject to confirm whether or not they are breathing. The Breathe series makes use of these dynamics. The breath of a series of  individuals was captured on a shiny copper surface and then etched to create a negative of the breath where it sat on the copper plate. The result is a series of evocative landscapes. This work employs and yet subverts traditional printing processes. The inscription of spent breath onto precious metal immortalises a discharge and presents an alternative to portraiture.' Jayne

Reflection - Reflexive   Resuscitation    mirror

Wilton - is a visual artist who explores the breath as a unit of exchange between people and their environments. Her practice uses darkroom processes with drawing, photography, video and sound to capture the usually invisible trace of breath as it moves across a surface. www.jaynewilton.com

My source and thanks to Jayne Wilton: 

Jayne Wilton. Breathe, Artist's Statement. Resurgence & Ecologist, July/August2023: 339: p.47 & (p.49 image).

Previously: 'breathing' : 'reflex' : 'reflection' : 'art'

c/o Intima 'Reflect on the World' . . .

CARE/of Intima:

REFLECT ON THE WORLD WITH US EVERY FRIDAY AT NOON.

No pressure, but we want to remind you that every Friday, around noon EST, we post a Crossroads blog—a short reflection that contributors from our current issue do on something from our archives. Think of “Friday at noon” as a blip in your busy life where you take time to yourself to reflect on our small part of the universe. Pause and spend 5 minutes reading one each Friday — it’s the equivalent of a deep-breathing exercise, a short yoga stretch, a tiny palate cleanser of lemon sorbet between the complex courses served up to us every day, or a moment stolen between patients or in a waiting room when you step out of your routine. Read the titles of recent ones below, then go and read a few. If you like what you read, set up a reminder alert.

◇

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My source: Intima (and image) - mail list.

See also: 'reflect' : 'crossroads'

ii On Sociology & Becoming a Nurse

Two final observations re.

Maclean, Una. (1974) Nursing in contemporary society. London: Routledge & Kegan Paul.
https://wellcomecollection.org/works/qhqc24fv

Firstly, there is a question for new student nurses:

'In the case of nursing, the Royal College of Nursing laid down the course of training and the final tests whilst the General Nursing Council held the solemn register to which aspiring professionals were ultimately to be admitted, and  the aim of these two powerful proponents of the nurse's unique role was to limit he epithet 'nurse' to those who had successfully navigated the straight and narrow path to registration.' p.67.

Q. Above, Maclean refers to a solemn register. What do you believe may have shaped the author's writing at that time in 1974? Is the nurse register, towards which you now aspire still 'solemn'? 2000 words.

There has been much debate of late regards the title 'Nurse'. 'Doctor' also.

Secondly, Maclean was prescient in acknowledging the 'Patient's right to information'. pp.119-120.

The creation of Hodges' model: "All aboard!" 200 years

28th May 1997

When I interviewed (Mr.) Brian Hodges in Manchester on 28th May 1997, I learned he had created the model in 1983, mainly while commuting to Manchester Polytechnical College by train from (Totley) Sheffield, and back. 

I wish I could have been sat by him, to strike up a conversation. Although (among other points) I'm not sure how much he relied upon, or was chasing down the visual side of the model, with some skethces and drawings. So would I have noticed him thinking, drawing, crossing-out, and labelling? This I would have noticed, not that I have a habit of 'spying' and being nosey. Although nowadays, with the repeated announcements on the trains: ‘See it. Say it. Sorted’; perhaps I should?

In 1983 I was a general student nurse (SRN), and still over a decade away from becoming a community psychiatric nurse in 1985, and being (well) taught by Brian and colleagues in 1987.

I also enjoy a (reliable!) train journey, and used to read a lot travelling from the NW England through the London underground (Euston-Waterloo) to Plymoth, and later to Portsmouth in the 1970s. Happy days, then and today; with the railways reasserting their relevance. A quality shared with a certain little-big model I know.

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	Rail 200
	Nationalised - Private Private - Nationalised Charity - CIC

Argumentation - Journal: Informal Logic

Early evening (UK) yesterday, I joined a further webinar on argumentation. Through the speaker, and discussion, I was led to a journal

INFORMAL LOGIC

It is in informal logic that I see a role for Hodges' model. The model's structure providing a universal foundation of knowledge domains to be applied in practice. The bonus of this journal, is its being open access, a search revealed the following paper:

Mark Weinstein. Towards a Research Agenda for Informal Logic and Critical Thinking. XII.3, Fall 1990.
https://ojs.uwindsor.ca/index.php/informal_logic/article/view/2609

'This paper recommends that the recent concern with informal logic and critical thinking be redirected from its general philosophical focus and towards a greater appreciation of the particulars of practice in the various domains of human understanding. The redirection recommended is prompted by the central role that critical thinking and informal logic can be seen to play in meaningful educational reform, especially at the undergraduate level.' 

'Critical thinking, similarly, should be redirected from concerns typical of philosophers and towards issues and approaches more representative of critical thinking both within and across the wide range of disciplines represented by the course of undergraduate studies.' p.121.

'The sense that there is an internal relationship between arguments, argumentation and domains of knowledge persists despite attempts to show relevant and useful notions of critical thinking that are generally available for instruction and neutral in respect of the disciplines. The resolution of the issues generated by these competing views, requires that reflective practitioners of the disciplines, students of the history of ideas, methodologists and specialists in teaching increasingly engage in the task of generating and organizing the data upon which an informed and adequate notion of critical thinking across the disciplines must be based.' p.125.

I believe that the structure of Hodges' model provides a basis for Weinstein's ordinary argumentation and stylized argumentation.

For me (at present) ordinary argumentation, is 'open' argumentation. That is, without differentiation in (using) Hodges' model. I might (well, I would) have Hodges' model in mind, but choose not to apply it. As per the paper, stylized argumentation is using Hodges' model and doing so in a multidisciplinary manner - within my discipline. 

The problem and challenge for nurses and other health professionals is the need, if:

• person/patient-centred;
• integrated;
• and holistic - having regard for parity of esteem (mind - body)

- not to stray, extend the disciplinary scope, while working within one's professional scope.

In highly effective multidiscioplinary teams that touch on being transdisciplinary (hybrid?), can experienced team members have insight into the stylized argumentation of their colleagues?

Ack. ​Argumentation network of the AMERICAS - https://www.argnet.org/ethics-of-arg.html

Previously: 'critical thinking'

Dementia in 4x5 by Katherine Hubbard

"The American interdisciplinary artist Katherine Hubbard has spent the past five years documenting her relationship with her ageing mother, Antonette Berger, who in 2020 began exhibiting the first signs of memory loss. Her book The Great Room, set between the four walls of Berger's home in Philadelphia, is a culmination of grief and intimacy, as Hubbard steps into her role as caregiver. Using two large- format 4x5 cameras (which she is both behind and in front of) and drawing on her background n performance art, Hubbard transforms the once safe, domestic space into a psychological playground as the pair navigate their new reality. ...

In this portrait, Hubbard sits with her mother on her bed. Their bodies are reflected in a square nirror offset by a series of other square and rectangular objects (picture frames, windows, the headboard) which fragment the viewer's gaze. "This photograph was taken before she had a diagnosis,' Hubbard tells me. "It was a very confusing time, with a lot of uncertainty and frustration between us. ... 

"І am using the camera as а means of creating time with my mom apart from the brutal task of managing her," Hubbard writes. And to the woman who gave her life: "You might like to know that, when І think of you and see you, it's as a whole person."  

Inès Cross. FTMagazine. 

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one fifty one (hand to face), 2021. Silver gelatin photograph	'The Great Room'
Collaboration Care in the Community	Direction Gaze

Katherine Hubbard

Book: 

THE GREAT ROOM.

Loose Joints, 2025

h290 x w219 mm. 88 pages

Text by Katherine Hubbard. Hardback. £46.00

https://loosejoints.biz/collections/current-titles/products/the-great-room

Photograph: https://companygallery.us/ - https://companygallery.us/exhibitions/the-great-room

Book cover: Amazon
https://www.amazon.co.uk/Katherine-Hubbard-Great-Room/dp/191271969X

My source:
Inès Cross. Katherine Hubbard, FTMagazine. August 9th 2025, #1137. pp.10-11.

Ack. Antonette Berger (mother ...).

Book - open access: 'Planetary Politics'

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My source: Email EUP.

Lucy Benjamin (2025) Planetary Politics - Arendt, Anarchy and the Climate Crisis. Edinburgh University Press. https://edinburghuniversitypress.com/book-planetary-politics.html

planet : planetary

In Theatre, Silence is a genre, and therapeutic ally

'As a playwright it may be your intention to build a vehicle to take us to the stars. But do make sure you have people aboard.' (p.9).^
Alan Ayckbourn in The Crafty Art of Playmaking.

Sound of silence in activism

Quite fitting in the two decades since publication, given the rise of AI and the impact upon the arts, specifically human imagination, creativity, and livelihoods. Meaning: silence as a tool for protest, and activism is also a genre and a can be a therapuetic ally. 

Going backwards - Sir Alan writes: 'Theatre for me has always been, in a way, a reflection of life writ somewhat smaller'. p.10.

While the point concerns the faith and trust placed in theatre directors by the company, there is an analogue in healthcare. The belief of the patient, in their doctor and the medical team. Or, at least the knowledge and skills they should, and appear to possess. For Ayckbourn '... the director looked as if he knew.' (p.10).

Obvious rule no. 4: 'Use the minimum number of characters that you need' (p.13).

What can I say? Society, has peeled back the patient - doctor (substitute health profession as needed) to the person whose monologue seeks confirmation of illness x,y, or z. Apparently here in the UK 1 in 4 adults have a mental health condition. The debate is ongoing as to what is going on. But the subject of Hodges' model as a possible crucible for a work of drama can certainly keep to character count down.

Not only that, but is this a book on counselling - interpersonal skills?

'An audience that doesn't care stops listening in the end. '. p.14. 

As part of -

'Obvious Rule no. 5: They need to care about your characters. (So you should too.)'

So, for both playwrights and carewrights, there is a duty of care (for all of course - despite the actions of so many governments).

In health the patient is the character study. There is, should be, must be - a plan of  care, a care plan. As a 'play', Hodges' model begins as a template of at least five acts [Spiritual (Four domains) ]. That is whether or not they are all 'written'. The attitude though should be unconditional positive regard.

There's no Waiting for Godot here, unless the character is social care?

Could it be that as organisational hierarchies have been flattened, the notion of character has been under siege? The onion that is our identity, personality, persona unpicked, skin-by-skin by social media, social change, and policy affecting education. Character building used to be a thing didn't it? No longer needed now is it?

Sir Alan, supports this hypothesis in his 'Obvious Rule No. 28:

People in general are reluctant to reveal themselves.' (p.65).

I still wonder about the potential of Hodges' model in secondary level education. More than ever, with all the talk about resilience, recovery, mental health issues, the rising UK welfare bill, may beg the question: What is character today? But, it is not defined by a stiff upper lip.

Not to sound 'ableist', but the 'crafty' in Ayckbourn's title, can be read in health terms; the disciplines drawing on science and the arts. Plus, they involve craft - use of the self, empathy and rapport. Not limited to, but in mental health care, it could be 'crafty' in the exercise of power, so frequently a theme central in drama and the human condition.

^A nice reminder too, of a Poul Anderson's SF classic Tau Zero (and a previous post).

The Crafty Art of Playmaking by Alan Ayckbourn. Faber, 2004, softcover, ISBN 0571215106.

https://www.concordtheatricals.co.uk/s/45898/the-crafty-art-of-playmaking

https://www.isthiswhatwewant.com/

Image: https://upload.wikimedia.org/wikipedia/commons/thumb/b/b0/Is_This_What_We_Want%3F.jpg/250px-Is_This_What_We_Want%3F.jpg

https://www.amazon.com/Zero-Coronet-Books-Poul-Anderson/dp/0340163364

Call for Papers: Compassionate Futures for Collective Well-Being

Despite an academic affiliation, without any (part-time) tutoring hours this past year, it may be difficult to avoid article processing fees (APCs). A shame as I believe that Hodges' model can address this call (below) in a somewhat novel manner. 

If anyone is interested in exploring a writing project framed around Hodges' model and employing a relational - diagrammatic approach please let me know.

The exercise would be greatly enhanced by:

1. Engaging with one of more academics, adept in formal methods (maths, logic..?) and keen to apply their talents within the social sciences - humanities.
2. And, exploring the possibility of working with early career researchers, including from developing nations, independent and 'late career'(!) scholars would also be very welcome.

Previously:

Jones, P. (2004) Viewpoint: Can informatics and holistic multidisciplinary care be harmonised? British Journal of Healthcare Computing & Information Management, 21, 6, 17-18.

Jones, P. (2004) The Four Care Domains: Situations Worthy of Research. Conference: Building & Bridging Community Networks: Knowledge, Innovation & Diversity through Communication, Brighton, UK.

Jones, P. (2008) Exploring Serres’ Atlas, Hodges’ Knowledge Domains and the Fusion of Informatics and Cultural Horizons, IN Kidd, T., Chen, I. (Eds.) Social Information Technology Connecting Society and Cultural Issues, Idea Group Publishing, Inc. Chap. 7, pp. 96-109.

Jones, P. (2009) Socio-Technical Structures, the Scope of Informatics and Hodges’ model, IN, Staudinger, R., Ostermann, H., Bettina Staudinger, B. (Eds.), Handbook of Research in Nursing Informatics and Socio-Technical Structures, Idea Group Publishing, Inc. Chap. 11, pp. 160-174.

Compassionate Futures for Collective Well-Being

Academic Editors: Karin Hannes (KU Leuven) and Natalia Martini (KU Leuven)

Deadline for Abstracts: 15 September 2025
Deadline for Articles: 30 January 2026

Social Inclusion, peer-reviewed journal indexed in the Social Sciences Citation Index (Web of Science; Impact Factor: 1.4) and Scopus (CiteScore: 3.5), welcomes new and exciting research papers for its upcoming issue "Compassionate Futures for Collective Well-Being," edited by Karin Hannes (KU Leuven) and Natalia Martini (KU Leuven).

In an increasingly unequal world, the concept of “compassionate futures” offers a new paradigm to address the pressing challenges of social inclusion. Compassionate futures recognize vulnerability, interdependency, and mutual responsibility as fundamental features of social relations, and emphasize care and empathy as fundamental principles in designing socio-cultural, economic, and political systems where the collective well-being of diverse actors, human and other-than-human, can flourish.

We encourage contributions that engage in an interdisciplinary dialogue among scholars, practitioners, and policymakers about what it means to create a caring society in the face of persistent inequalities. In addition, we welcome papers that demonstrate where and how humans take up the responsibility to conceptualize compassionate futures from a multi-species perspective, as well as those that focus on what hinders or supports the idea and the project of compassionate futures. We accept theoretical papers presenting frameworks on compassionate futures, prospective policy analyses, cases featuring the use of futures studies and co-creative approaches that promote compassion and care as central principles in re-imagining the future, and reflection papers focusing on global cooperation for fostering compassionate futures. Authors should connect to the general idea of how humans could or should relate to other agents with whom they share the planet or illustrate how the new narratives they developed support collective well-being.

Authors interested in submitting a paper to this issue are encouraged to read the full call for papers here:

https://www.cogitatiopress.com/socialinclusion/pages/view/nextissues#CompassionateFutures

Abstracts welcome until 15 September 2025.

Kindest regards,

Mariana
Mariana Pires
Social Inclusion
Cogitatio Press
1070-129 Lisbon 

Portugal

New issues (open access):
Public Participation Amidst Hostility: When the Uninvited Shape Matters of Collective Concern
https://www.cogitatiopress.com/socialinclusion/issue/view/419

Violence, Hate Speech, and Gender Bias: Challenges to an Inclusive Digital Environment
https://www.cogitatiopress.com/socialinclusion/issue/view/415

My source: https://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMPLEXITY-PRIMARY-CARE