Hodges' Model: Welcome to the QUAD: voice

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 voice. Show all posts
Showing posts with label voice. Show all posts

Saturday, August 15, 2026

Afghanistan: Help women and girls in Afghanistan today

Five years after the Taliban takeover in Afghanistan, the de facto authorities have issued more than 100 decrees affecting Afghan women and girls and stripping them of their rights, freedoms, and dignity.

No other country has dismantled the rights of half its population through law, policy, and practice to the same extent.

At the beginning of this year, the Taliban issued a decree effectively
 legalising domestic violence by allowing husbands to punish their wives.

And in May, another decree removed minimum age protections for marriage and made it harder for women to leave a spouse. This has increased the risk of forced and child marriage.

This is not just a loss of rights. It is the systematic 
erasure of women and girls from public life. 
Five years on from the Taliban takeover and the 
exclusion of women and girls is being normalised.

This unparalleled crisis of women’s and girls’ rights is at risk 
of being forgotten by the world.

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


Self - esteem/wellbeing
Self-expression
Personhood
Mental health
Education - Thought
Life goals
Religion Meaning
Life - aspiration
Self-determination
Spiritual affirmation


Visibility
My VOICE
Daily routine -
Quotidian life
Life [this] One -
'Live it'
'Self-actualisation'
Life chances
Lived experience
Liminality - 
this is my journey ...


Gender apartheid
Relationships
Abuse - Domestic violence
Cultural beliefs
Quality of Life
Social
Religious beneficience
Ethics
'You see me'
'I see you.'
... our journey together.
We sisters are recognised 
by our brothers.

State sanctioned abuse
Scapegoating
Power - 
Absolutism
Denial of Human Rights
Crimes against Humanity
Law, Work
 Literal reading /
interpretation
'My State sees me?'
I am cherished by the society in which live. I can contribute. I can Be and give of myself [here].

 


Previously: 'Afghanistan' : 'women' : 'girls'

See also 8th Sept. The Last Free Women: A Daring Escape from Afghanistan and Coming of Age in America. Blumenstein & Kapp. Hardcover, 368 pages. Grand Central Publishing. ISBN: 9781538779002

Thursday, May 21, 2026

RCN Congress: The Systems Table and the Missing Cog

Across two maillists: SDOH Social Determinants of Health and POHG Politics of Health Group a discussion and debate regards public health, longevity and policy, was provoked by a study:

'At least 80% responsibility for ill health in old age down to individual'

https://www.theguardian.com/society/2026/may/20/responsibility-ill-health-old-age-oxford-longevity-project-study

'... Individuals bear at least 80% of the responsibility for their ill health in old age, according to a report aimed at challenging the belief that physical decline is either inevitable or primarily the responsibility of the state.

The report, launched at the Smart Ageing Summit in Oxford last week, argues that individuals have far greater control over their longevity than is commonly understood. The authors call on the government to take legislative action on alcohol comparable to restrictions on smoking.

Living Longer, Better – the Oxford Longevity Project’s first Age-less report – was co-authored by an interdisciplinary panel of UK-based experts in medicine, physiology, ageing and education policy. It was sponsored by Oxford Healthspan.

The report’s authors, Sir Christopher Ball, Sir Muir Gray, Dr Paul Ch’en, Leslie Kenny and Prof Denis Noble, present the figure of 80% as a conservative estimate.

Ball, a 91-year-old former Parachute regiment officer who intends to reach 100, said: “Some have gone higher and said it’s approaching 90%. But I think 80% seems about fair.”The claim, however, has been described as simplistic and said to neglect wider arguments about whether people are genuinely in control of individual choices when it comes to issues including poverty, pollution and healthcare access.

Nancy Krieger, professor of social epidemiology at Harvard TH Chan school of public health, said: “The report is to be commended for rejecting genetic determinism but it problematically avoids engaging with the societal determination of health and health inequities; the role of work, economic deprivation and government policies that give corporations free rein to sell unhealthy products.”

Steven Woolf, professor of family medicine and population health and director of the Virginia Commonwealth University Center on Society and Health, agreed, saying the paper “ignores and oversimplifies the actual, multilayered root causes of the conditions that foster poor health in a population”.

Woolf added: “There are factors affecting health that are beyond personal choice. So while it’s good to give people clear guidance on how their choices affect their health, it’s taking policymakers and others off the hook.” ...'


This provides me with evidence (well it would - wouldn't it^) on the need for, the purposes, and applications of Hodges' model.

More philosophically (perhaps), I'm reminded of the work of several academics - thinkers, Michel Serres stands out for me. Serres felt that positional adverbs were important, e.g. between, above, and under.

He also wrote of life (as per many philosophers), and the universe e.g. his writings on Physics and Lucretius - as flow - a river.

For new life, the options are seemingly infinite, far, far upstream: at source - not recognisable even as a trickle... but soon a rivulet, a stream, a river of so many tributaries.

As we grow older we get closer to the sea (of the 'eternal'), the options open to us shrink gradually, but ultimately radically - inevitably.

But looking back the turbulence, uncertainty, unpredictability (trauma and joy), all contribute, not just to where we end (up) but how this came about.

Life's signature at death.

In "Hodges' Health Career Model" 'health career' refers specifically to the idea of life chances (of course) and how other careers, education, work, retirement, caring (self - others - planet) .. are impacted through life and death's course.

This morning at RCN Congress, Liverpool (the home of District Nursing) there was discussion re. nurses being engaged in preparation for the next pandemic.

So often 'Nursing' is absent from the POLITICAL / POLICY table:

Speaking for myself, nursing is not interested in the four-course meal, but being involved and engaged in the after dinner discourse can be critical.

Politicians, policy makers, business, management consultants and lobbyists are so quick to point to and extol the 'SYSTEMS' perspective, and the need for 'systems thinking'.

Guilty of systemic neglect, they clearly have no idea of what a system is, an inability to appreciate and apprehend scope, scale and the 'whole'.

In mitigation (or not), for all groups: voice matters. Especially the voices of foresight, balance, advocacy, Their ability to ascend always proves an issue. 

Related papers listed in the sidebar:

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.

Jones, P. (2012). Exploring several dimensions of local, global and glocal using the generic conceptual framework Hodges's model. The Journal Of Community Informatics. 8(3). Retrieved from https://www.academia.edu/3794699/Reflecting_on_the_glocal_through_the_conceptual_framework_of_Hodges_s_model

^Because these days you need to make every kernel - found or created on the continuum of evidence - count.

Previously: 'life chances' : 'health career' : 'Serres' : 'APPGs'

Liverpool, UK. RCN Congress 2026 - 
n.b. See you in Liverpool 2027?

Saturday, August 16, 2025

Women, human rights after 4 years ...

. . . in Afghanistan

 

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

A woman
A girl

Personhood
Personal identity
Dehumanisation
Self-expression


objectification
defined


A girl
A women

Cultural life
Psycho-Social
Community life
- denied


Gender crimes against girls & women
Human Rights denial
Law?

National identity
Nationhood?

Previously: 'women' : 'girls' : 'boys' : 'gender'

Tuesday, June 17, 2025

Theatre - which one?

Summer reading includes Ayckbourne's The Crafty Art of Playmaking published in 2004. Already half way through, writing has been covered, directing follows.

Looking at what I can learn in contrasting health and theatre, there is more than both laying claim to having a 'theatre'. Perhaps health got there first in a very primitive, existential, and fundamental sense. The 'theatre of war' covering battle, and the fight for food and survival. Even as civilisation emerged, on the battle field, triage was practised in a more deliberate way with skills that were built on emerging knowledge handed down orally - to become art.

So, no doubt there was a concurrency going on. Heroics in so many guises, shared around the fire. Plus, our individual dreams and nightmares that are framed collectively.

Ayckbourn offer pithy lessons learned over his career that began in 1959. There's an acting maxim:

'When playing a miser, stress his generosity.'

So can we restate the acting maxim as:

'When playing a patient, stress their strengths'?

Or. 'When playing a patient, stress their personhood'? . . .

If that is a challenge to the healthcare sector (even if unintended), then it is one that is actually long-standing. There are the three R's: rehabilitation, reablement and recovery.

Ayckbourn explains how the darker the subject the more a writer needs to find the light. And vice-versa. This suits me fine, and medicine is recognised as a great source of humour across several cultures.

The book lists a series of  'Obvious Rules' all numbered. 

Of No. 1: Born in Liverpool, I never would look down on comedy; and never as a poor cousin of drama.

After reading his obvious Rule No. 2, 'Never start a play without an idea'; I put my pants back on.

Do I have an idea? Oh my! Well Brian's at least.

In a way it's the other way around. The shout goes up - "Eratosthenes! Please pass me a sieve."

On having an idea, Ayckbourn writes: 'They assume, I think, that if they start the journey, maybe an idea will occur on the way. Perhaps a map of where they're going will blow in through the car window. In my experience this never happens.' p.6.

This is good advice, with the additional complication of having many maps, and yes, none: c/o Hodges' model. I need a theme, a situation and a thread. I'm writing a few ideas down. And helpfully Sir Alan advises not to throw ideas away. He describes, from experience how disparate things can come together.

Today (19th), I finished TCAoP here in Corfu. A great help for me, that is, the writing section pp.3-96; as I will try to explain in further posts. Sooner than expcted, I've started a book that will be a 'review'. 

A visit to Albania tomorrow - early start pick-up 0710.

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

Saturday, June 03, 2023

Let Us Speak With One Voice . . .




INDIVIDUAL

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

"A singer's voice may
be their prize asset,


but its sonic frequency

If the world should blow itself up,
the last audible voice would be that of
an expert saying it can't be done.*
Peter Ustinov (1921 - 2004)


isn't theirs to copyright."


Hunter-Tilney, L. (2023) Can AI make me a star? Life&Arts, FTWeekend, 27-28 May, pp.1-2. 
https://www.ft.com/content/408a8920-cf0c-4f23-925f-8496da15153f 

https://www.ft.com/ludovic-hunter-tilney

Illustration: Raj Dhunna

*How times have changed, and for many 'voice' related quotes.

Listen also: BBC Radio 3 - Artificial intelligence and music

https://www.bbc.co.uk/programmes/m001md3n

Wednesday, April 19, 2023

Aftershocks: Dispatches from the Frontlines of Identity

“Race matters in England. So too does class. So too does voice.”


INDIVIDUAL
|

 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP
Aftershocks:
Dispatches from the
Frontlines of Identity
Race
Class
Voice

Race
Class
Voice

Voice
Class
Race


Aladesuyi, O. (2021) A map of pain and privilege. Life&Arts. FTWeekend. 6-7 March 2021. p.10.
 
Owusu, N. (2021) Aftershocks: Dispatches from the Frontlines of Identity. London: Sceptre.

See also:

https://mixedracestudies.org/?p=60498

https://gal-dem.com/nadia-owusu-aftershocks-extract/
(site available but now closed).



Thursday, November 05, 2020

Unheard stories of women - monologues: An opportunity

Sunday, October 13, 2019

"All Heart, No Technique"

 individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group - population
All heart ...
"Dear 





margins
... No technique
 Hearing World"

Space
sound, volume, voice


Deaf people - Literacy - Statistics

margins



education - system












My source: c/o @READEnglish
https://twitter.com/READEnglish

Raymond Antrobus
http://www.raymondantrobus.com/ 

https://twitter.com/READEnglish/status/1182583335962497026?s=20

Friday, September 20, 2019

Climate Strike: An Anthem from Yesterday for Tomorrow...?

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


Rocky Mountain High
Climate
TY JD and so many others ...
STRIKE

Sunday, January 21, 2018

Finding voice: Harmonious and Discordant Care

  Life stories: 

Where exactly and when do life chances and health career pivot?


for hard-up singers and musicians in 1899, 
calling it his favourite of all his works." p.2

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

"You are born an artist
or you are not
and you stay an artist even if
your voice
is no longer a wonder" p.2


"unpleasant smells of urine" and
"17-hour gaps"
between dinner and breakfast
 =
"Inadequate"

"Almost half of Britain's 410,000 residents receive some level of local authority support ..."


"Guests are free to come and go
as they please and though Mandelli
 doesn't go out to dinner any more,
she still goes to La Scala,
often to rehearsals." p.2

"Around one-third of the UK's
bed capacity is at risk of closing
within the next 5 years, ..."

"The rise of the minimum wage
has also put pressure on an industry
where labour accounts for 70 per cent of costs, while Brexit has increased reliance
on more expensive agency staff."



Sources:

Plimmer, G. (2017) Frailty of Four Seasons shows risk to residents, FT Weekend, 16-17 December. p.18.

Roberts, H. (2018) At Home: Harmony in Verdi's care home, House&Home, FT Weekend, 6-7 January. p.2.

Saturday, December 16, 2017

Healthcare: One Story - Several Voices - if Heard?

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

1st PERSON here

'Me' 'I' - my dialogue

'Me' - a PERSON - as Narrator

Psychiatrist... as Narrator?


and ... 1st PERSON here

perspective, point of view

Physician... as Narrator?

Case Study as Narrator



'We' as Narrator 1st PERSON

'You' 2nd Person

'He' or 'She' as Narrator -
3rd PERSON

Carer / Relative as 1st or 2nd PERSON


NHS as Narrator - The Clinical Record

Commissioner - Insurer as Publisher?

Dept of Health as Narrator

Governments as Publishers 
(What chance of an 'advance')?



"The person narrating the story influences the amount of information you, the reader obtains."
https://www.slideshare.net/MsSharonLim/1st-3rd-person-narrative-classslides

When governments do not fund healthcare the stories that truly count go untold. As carers and families know too well, there is never just one story in healthcare but several.

Tuesday, April 18, 2017

FROM: the couch TO: the courtroom | c/o BBC Radio 4

INDIVIDUAL
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic 
 subjective --------------------------------------- objective
SOCIOLOGY : POLITICAL
|
Inc. community - GROUP - the State  


Pain

Individual   Vulnerability

Psychological Trauma - Shock

Therapy    Recovery     Closure

motivation? - Catharsis - outcome?

Psychoanalysts uncover truth

Hidden Psychical Material

Emotion  PTSD

Forensic Psychiatry - Experts

PURPOSES

Pain

Events - Time

True - Memories - False

Accounts - Re-Living

Rationality   Logic

(Objective) Truth

Analytic processes

Physical Trauma - Shock

PROCESS
From: War  Psychological  To: Domestic
Trauma 

'trauma' as a human and medical idea

Reparation
(psychological AND legal)?

Public expectations

Community

Public Values

PRACTICE

Magistrates uncover truth

Law  Courts  Justice

Adversarial System

Closure - Compensation

Victims of crime

Psychiatric Reports

Unconscious

Responsibility

POLICY



From the Couch to the Courtroom BBC Radio 4: 17 April 2017
Helena Kennedy QC asks if our legal system is becoming too influenced by the culture of psychotherapy.

The potential of Hodges' model as a generic conceptual framework has always been demonstrable through the distinction between the individual and the State. In this Radio 4 programme it is well worth also considering the diametric (potential) opposition of the person and their mental health (and therefore their physical state) as in applying the law in all aspects of healthcare and human welfare.

There are two references in the bibliography (sidebar) on the role of Hodges' model in forensic contexts.



Sunday, April 27, 2014

12th May Lancaster, Workshop: Patient knowledge and involvement in healthcare

An event I am looking forward to: 

Royal Institute of Philosophy Workshop
Storey Institute, Lancaster
Monday 12th May

In recent years great efforts have been made to listen to “patient voices” in healthcare practice, research, and policy, but such initiatives have met with mixed success and many patients continue to feel that their view are overlooked (sometimes despite the best efforts of health care professionals). In this workshop we consider whether and why patient views matter. We ask what factors act to limit the possibilities for communication between patients and professionals, and consider how they might be overcome.

  • 10-10.40 Chaos, conflict and cooperation. Havi Carel, Senior Lecturer in Philosophy, Bristol University
  • 10.40-11.20 Silencing the sick. Ian J. Kidd, Addison Wheeler Fellow in Philosophy, Durham University
  • 11.50-12.30 On trusting and being trusted. Garrath Williams, Senior Lecturer in Philosophy, Lancaster University
  • 2-2.40 Patient advocacy challenged: The case of ME/CFS. Nancy Blake, Patient activist and PhD candidate, Lancaster University
  • 2.40- 3.20 Medical paternalism and the right not to know. Emma Bullock, Postdoctoral Fellow “Concepts of Health”, King’s College London
  • 3.50-4.30 Negotiating as individuals and groups. Rachel Cooper, Senior Lecturer in Philosophy, Lancaster University
Organisers: Ian J. Kidd and Rachel Cooper


Thursday, March 13, 2014

Is it a Ship, Mars Mission I, a Biscuit, IPO, or Cyber Attack ...?

No!

It's a 3rd year student nurse, 
several in fact
launched 
on their careers.

It is quite a poignant life changing and affirming moment for everyone involved. Of course, there are instances were qualification is problematic, but this is about the +ve.

For the student of course, this represents a great achievement and the realisation of the responsibilities that suddenly apply. This is tempered by preceptorship as mentor and sign-off mentors remind and reassure.

Our students have jobs and this is heartening to hear. They really are off and up-and-running.

There are graduation celebrations and parties to follow for them, but this past week I wondered about another way to signify this literally professional defining event. A way that accompanies and yet transcends the final page 'sign-off' that clearly does carry volumes of meaning and learning.

There was a fleeting thought that I shared: should I form an arch with the student's mentor for the student to pass through? A laugh.

Heaven forbid that this week and day should be for any student an anticlimax. Speaking of heaven there are of course pledges out there. Which also includes:

Nursing is an art;
and if it is to be made an art,
it requires as exclusive a devotion,
as hard a preparation,
as any painter's or sculptor's work;

for what is the having to do with
dead canvas or cold marble,
compared with having to do with the
living body - the temple of God's spirit?

It is one of the Fine Arts;
I had almost said
the finest of the Fine Arts

- Florence Nightingale, 1868.
http://www.florencenightingaleexhibit.com/

As I would like to pass on the (twinned-)baton that is Hodges' model, could there be a form of words that can reflect the entry of a new nurse into our midst; an exchange of words that captures the moment for the student, the mentors, nursing and the public we care for and with?

This may seem twee, archaic, a nod to times of formality, the sense of duty, vocation and hierarchy. This wouldn't be about hierarchy, experience yes. It would be reflexive, a dialogue between these 'professionals' that acknowledges the student's rite of passage, the present moment and the collective future of nursing, of caring and their position in time and the professions' values.

Friday, July 22, 2011

Nurses & Social Media - mise en scène

... health on the thrust stage


From: Wordsmith.org
1. The setting of a scene in a play, movie, etc.
2. The setting or background of an event.

ETYMOLOGY:
From French mise en scène, literally "put on stage".
The health care domains model provides a 2 x 2 stage.

It may be a conceptual stage, but it is nonetheless demanding. It demands we perform the translation from theory to practice and check constantly exactly where we are AND where we need to be.

Should we become so ill that hospital treatment is needed the dependency and the sense of vulnerability this provokes often makes us feel that we are 'performing'. Not only that but as a  patient we find our selves on a thrust stage. When illness strikes it seems we are surrounded by this audience of clinicians who can potentially see us from all angles and be privy to very personal information about us.

The demands cut both ways though. Modern health care IS collaborative. Stagecraft here then means there should be minimal furniture and scenery to hide behind. Strange then that in terms of personalised care background details really do matter.

So, everyone matters. Teamwork counts. We try to keep patients off the stage. Patients and carers as expert carewrights may already know their lines - they can teach us. Suddenly everyone is an actor. Suddenly all the players must pass by way of the vomitory and the responsibilities that passage demands. On this stage care also needs to be exercised as per the direction of the NMC.

Original image source:
http://hs-theatre-ib1.ism-online.org/2010/10/14/night-of-the-assassins-thrust-stage/

Monday, May 09, 2011

'Gaps' a poem by Philip Holmes - Journal of Humanistic Mathematics

Gaps

Philip Holmes
pholmes at math.princeton.edu 

Take a line and take away
the middle third, and then
the middle thirds of two thirds
left behind, and middle thirds
of those four ninths remaining.
Go on and on: what’s left at last
is utterly disjoint – beginnings,
ends – each point divided from
the next, but oh! so close,
infinitely numerous
as what you started with
and carefully have pried apart.
Will there be time to measure up
this dust of unremembering?

* *

Take a line and take away the middle third,
and then the middle thirds of two thirds
left behind, and middle thirds of those four
ninths that still remain. Reiterate:
what’s left at last is utterly disjoint –
beginnings, ends and more – each point
divided from the next and yet uncountable
and numerous as what you had before.
Take a life and take the most part out,
for so it happens; only the best-rehearsed
of memories remain: a voice transformed
among the absences, a face, a hand.
You brought me here, but there was more:
dust that blows away, gaps that captivate.


Journal of Humanistic Mathematics Vol 1, No 1, January 2011.
Editors: Mark Huber, Claremont McKenna College; Gizem Karaali, Pomona College

Used with permission of Philip Holmes and JoHM with thanks.

Friday, December 10, 2010

Recipe for tension: Left-of-center values - Human (lower) Rights

Sometimes the invisible is most visible ...

INTERPERSONAL : SCIENCES
SOCIOLOGY : POLITICAL
Person
visible - invisible
in the conceptual frame 
Where
is
your
science
now?
'Peace'
the
ultimate
meme?
Discuss.
"Human (lower) Rights"

Image source: Heiko Junge [20/27] Kansas City Star
http://www.kansascity.com/2010/12/09/2509904/empty-chair-left-for-jailed-chinese.html

Sunday, November 08, 2009

The art and science of nursing: the poetry of caring

http://alikaragoz.net/index.php?showimage=234
Another quote:

... The best translators seem to have an extra ear, indeed, have to have an extra ear, for the literary dimensions and possibilities of their own language. Translation can draw the poet out of someone who may not have realised the poet in himself. The response to poetry is in us all but it takes an extra talent to turn response to invention, to hear and speak echo in a fresh voice. ...


George Szirtes, The Times, Words with a fresh voice, 7 November 2009, p.8.


Original image source with thanks: Alikaragoz.net