'Oh Thomasina!' Such a drama in a diagram

Arcadia

Last evening I really enjoyed a performance of Tom Stoppard's Arcadia at the Duke of York's, or soon to be - The Tom Stoppard Theatre:

Act I, Scene 2  

'Septimus ... You should no more grieve for the rest than for a buckle lost from your first shoe, or for your lesson book which will be lost when you are old. We shed as we pick up, like travellers who must carry everything in their arms, and what we let fall will be picked up by those behind. The procession is very long and life is very short. We die on the march. But there is nothing outside the march so nothing can be lost to it. The missing plays of Sophocles will turn up piece by piece, or be written again in another language. Ancient cures for diseases will reveal themselves once more. Mathematical discoveries glimpsed and lost to view will have their time again. You do not suppose, my lady, that if all of Archimedes had been hiding in the great library of Alexandria, we would be at a loss for a corkscrew? ...'^ p.20.

 Act II, Scene 3

'Lady Croom We are intruding here - this will not do, Mr Hodge. Evidently, nothing is being learned. (To Noakes) Come along, sir! 

Thomasina Mr Noakes - bad news from Paris! 

Noakes Is it the Emperor Napoleon? 

Thomasina No. (She tears the page off her drawing block, with her "diagram" on it) It concerns your heat engine. Improve it as you will, you can never get out of it what you put in. It repays eleven pence in the shilling at most. The penny is for this author's thoughts. 

She gives the diagram to Septimus who looks at it.' p.74
...
Now Septimus retrieves his book from Thomasina. He turns the pages, and also continues to study Thomasina's diagram. ... 

Septimus Why does it mean Mr Noakes's engine pays eleven pence in the shilling? Where does he say it? 

Thomasina Nowhere. I noticed it by the way. I cannot remember now. 

Septimus Nor is he interested by determinism -------

Thomasina Oh... yes. Newton's equations go forwards and backwards, they do not care which way. But the heat equation cares very much, it goes only one way. That is the reason Mr Noakes's engine cannot give the power to drive Mr Noakes's engine. 

Septimus Everybody knows that. 

Thomasina Yes, Septimus, they know it about engines! 

Pause. He looks at his watch 

Septimus A quarter to twelve. For your essay this week, explicate your diagram. 

Thomasina I cannot. I do not know the mathematics. 

Septimus Without mathematics, then.' p.75.

 
Tom Stoppard, (1993) Arcadia (Playscript), Faber & Faber, pb. ISBN 9780571169344.
https://www.faber.co.uk/product/9780571169344-arcadia/

My text source:
https://collegearts.yale.edu/sites/default/files/attachments/arcadia_by_tom_stoppard.pdf 

^ n.b. This was therapeutic, but I still mourn the losses from Alexandria and other libraries ... today.

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

It was good that today I could relax a little sooner than I expected with my presentation delivered over lunch time instead of 1730. To recap, at the 6th edition conference theme of:

“Navigating Contemporary Complexity:
Transdisciplinary Approaches to Economic, Social, Political, and Environmental Challenges”

- my talk (I added "Hodges' model" in the slides):

'Hodges’ model: PRESENTING a UNIVERSAL and SIMPLE CONCEPTUAL WORKBENCH to SITUATE and ENCOMPASS COMPLEXITY'

This after arriving back from a conference dinner near Marrakech at 0100, but the event at Chez Ali was different and most enjoyable. 

I'm conscious that unlike other speakers I (still!) did not have 'data' to share and discuss. Equations have been necessary over the first two days. But overall all sessions have proved accessible. From comments received Hodges' model was understood and deemed relevant. One delegate noted how the visual nature of Hodges' model was apparent, the illustrations revealed the model more clearly than a verbal description the evening before.

There were two questions. I eventually recalled awareness of Franco Basaglia, the Italian pioneer of community mental health and mental health law in Italy. Another questions concerned were I though the arts, drama and culture sit, or fit in Hodges' model? I suggested a search of the blog for posts tagged 'art', 'theatre', or 'culture'; with a warning that it can be a bit of a rabbit-hole.

Discussion, in-sessions and outside have proved refreshing, and not just as a welcome change from 'world news'. There were reminders too of early career researchers, professionals, and policymakers and the need to phone home.

While I pack for a transfer to Marrakech tomorrow afternoon, I will reflect and look to add more here.

In adition to data, I need new angles so I am not self-plagiarizing; hence the attempt to see Hodges' model as a mathematical object.

Many thanks to the WCCS26 Committee for being able to participate and share this model made in the 20th century for the challenges of the 21st.

More to follow and in the meantime, you can read the programme yourself.

'Drama classes help GPs handle difficult patients' c/o BBC

'Hull Truck Theatre has just won the Innovation prize at the Stage Awards for their new training scheme for GPs. Associate Director Tom Saunders and GP Dr Eman Shamsaee discuss why drama classes are helping doctors treat patients.' 

BBC Radio 4 'Front Row' https://www.bbc.co.uk/sounds/play/m002q2jz (15 mins ...)

◇

Holly Phillips, East Yorkshire and Lincolnshire and Ian Youngs, Culture Reporter

Published - 21 January 2026

'A theatre company is using drama training to help doctors deal with challenging patients.

Hull Truck Theatre's classes feature actors performing difficult GP consultations, with GPs giving feedback before taking over the consultation themselves.

The theatre recently won the Innovation Award at the Stage Awards for the programme.

Dr Eman Shamsaee, who has taken part in the training scheme, described it as a "really creative way of doing GP training".'

BBC News:  Drama classes help GPs handle difficult patients

INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

The training programme has completed its pilot stage and is now in the delivery phase

A reminder of co-working to deliver STORM training with a Clinical Psychologist colleague. 

See also: 'communication' : 'primary care' : 'GP' : 'drama'

Beyond Empathy to System Change: Four Poems on Health by Bertolt Brecht

The canalization of a river 
The grafting of a fruit tree 
The education of a person 
The reconstruction of a state. 
These are all instances of a fruitful critique 
And they are also
 Instances of art. 
—Bertolt Brecht, “On the Critical Attitude”

Individual

|

      INTERPERSONAL    :     SCIENCES               

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

 SOCIOLOGY  :    POLITICAL 

|

Group

'The education of a person'	'The canalization of a river The grafting of a fruit tree'
'These are all instances of a fruitful critique And they are also Instances of art.' —Bertolt Brecht, “On the Critical Attitude”	'The reconstruction of a state.'

MacGregor, W., Horn, M. & Raphael, D. Beyond Empathy to System Change: Four Poems on Health by Bertolt Brecht. J Med Humanit 45, 53–77 (2024). https://doi.org/10.1007/s10912-023-09801-5

My source: 

Politics of Health Group Mail List Messages
Visit PoHG on Facebook: https://www.facebook.com/282761111845400
Follow us on Twitter: @pohguk
You can subscribe to / unsubscribe from the PoHG mail list here: http://www.jiscmail.ac.uk/POHG
And SDOH list - https://listserv.yorku.ca/cgi-bin/wa?SUBED1=sdoh&A=1

See also: 'drama' : 'empathy' : 'poetry' : 'change' : 'art'

In search of socio-political logics

'The logic of appropriateness refers to actions which members of an institution take to conform to its norms. For example, a head of state will perform ceremonial duties because it is an official obligation. By contrast, the logic of consequences denotes behaviour directed at achieving an individual goal such as promotion or re-election.' p.87.

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group-population

'Institutions are far more than the theatre within which the political drama unfolds; they also shape the script (Peters, 1999). This emphasis within the institutional framework on the symbolic or ritual aspect of political behaviour contrasts with the view of politicians and bureaucrats as rational, instrumental actors who define their own goals independently of the organization they represent.' p.87.

'Further, institutions bring forth activity which takes place simply because it is expected, not because it has any deeper political motive. When a legislative committee holds hearings on a topic, it may be more concerned to be seen to be doing its job than to probe the topic itself. Much political action is best understood by reference to this logic of appropriateness rather than a logic of consequences. For instance, when a president visits an area devastated by floods, he is not necessarily seeking to direct relief operations or to achieve any purpose other than to be seen to be performing his duty of showing concern. In itself, the tour achieves the goal of meeting expectations arising from the actor's institutional position. "Don't just do something, stand there", said Ronald Reagan, a president with a fine grasp of the logic of appropriateness.' pp.86-87.

    

See also: 'drama' : 'bridges'

Hague, R., & Harrop, M. (2007). Comparative Government and Politics (7th ed.). New York, NY: Palgrave Macmillan.

Peters, B. Guy. (1999). Institutional theory in political science: the new institutionalism. London: Pinter.

'Recall Me Maybe' | FT Drama

Stephen Fry and Gemma Whelan star in a new FT drama written by David Baddiel, exploring AI, memory and truth. Fry plays a grandfather with dementia who uses AI to fill in gaps in his memory. While reviewing the archive of his life his family makes a shocking discovery. Which memories are really true? And how AI is defining who we are?

See also: FT Standpoint unveils David Baddiel digital-first drama about AI and dementia -https://www.dropmedia.co.uk/ft-standpoint-unveils-david-baddiel-digital-first-drama-about-ai-and-dementia/

My source: Times Radio. Dom Joly in for Ayesha Hazarika. 1300-1600 BST From 1405-21.
https://www.thetimes.com/radio/show/20250919-32052/2025-09-19

I still need to catch up with last weekend's FT.
https://www.ft.com/video/a4d2ba19-051e-47c5-98ae-c27c59f1b3f0

Play - “The Ballad of Crooked Lane” 6th & 7th Oct.

Media Release - 

Blind Poet’s Life to be Celebrated in New Play. 

The life of Edward Rushton, Blind Poet and key figure in the Campaign against Slavery, will be spotlighted in a new production by Valley Theatre Drama Group in Liverpool. The play – entitled “The Ballad of Crooked Lane” – is set on the day Rushton, now well into middle age, awaits eye surgery to regain his sight. While waiting, he goes over his eventful life with his friend and biographer, William Shepherd, the Minister of Gateacre Chapel.

“Rushton was a larger-than-life character,” says writer and director Tom Mclennan. “The story is that he lost his sight going below deck to help sick African captives on their way to the plantations. I first read about him in Bill Hunter’s biography “Unsung Hero” and have always felt his life deserves more recognition.”

Apart from campaigning against the slave trade – not always a popular thing to do in those days, since a large amount of Liverpool’s wealth was based on the evil triangular trade – Rushton was also instrumental in establishing the Liverpool School for the Blind, one of the first in the country, as well as being at the forefront of efforts to end the notorious pressgangs that terrorised coastal neighbourhoods, intent on kidnapping sailors for the British Navy.

“The Ballad of Crooked Lane” will be performed as part of a double bill along with Day Sheehan’s “Wake” for the Liverpool Fringe on Monday October 6th, 7.30pm, at Valley Theatre n Netherley, and on Tuesday 7th October, 7.30pm, at The Studio Beyond, 63 Wood Street, Liverpool L1 4AL

Entrance for the Valley Theatre event is free (pay a donation if you like it). Tickets for the Studio Beyond are £8/£6 and can be bought from:

https://store.makeitwrite.org/product/balladandwake/

I read a part for this at Valley Theatre, very interesting and will look to see a performance.

See also: Edward Rushton: Who was this blind revolutionary?

https://www.bbc.co.uk/news/blogs-ouch-29957645

My source: https://www.philosophyinpubs.co.uk/

Currently reading, Arnold Wesker's 'The Friends'.
https://www.arnoldwesker.com/plays/the-friends/index.html

Book: 'Health and Health Care Inequities' iv

Fittingly, chapter 4 brings us to Political Power and Policy Advocacy. In Hodges' model you can both have your cake; and gratefully receive the cake you're given. This is the health in politics and the health in politics (as, for example, revealed in the health status of political leaders).

As a framework structure, the axes of Hodges' model initially give rise to four symmetric domains (spaces). There is an invitation to begin where you choose. Chapter four reveals some truths, as the 'nexus' - center of the model is mobile (unlike many citizens!) as the 2x2 rendition below suggests, if not illustrates. Borras takes us through health politics, political participation and representation, unequal power and politics, and policy change approaches with illustrative cases.

In an institution (like the NHS), bureaucracy, aka an organisation, the workforce are often acutely aware of policy and procedure. It is like the Force. It permeates everything - the meetings - and yet is remote. Borras seek to shed light on unequal resources and policy influence. Again Borras's literature informed discussion and argument, includes some historical gems, such as Lasswell (1958).

Individual

|

      INTERPERSONAL    :     SCIENCES               

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

 SOCIOLOGY  :    POLITICAL 

|

Group

	Political Power and Policy Advocacy

In chapter 5 on evidence and ideas, discussion of Katherine Smith's 'under 'Six Travelling Ideas' is an excellent resource, with several references including:

Smith, Katherine E (2013) Institutional filters : the translation and re-circulation of ideas about health inequalities within policy. Policy and Politics, 41 (1). pp. 81-100. ISSN 0305-5736 (https://doi.org/10.1332/030557312X655413).

I love the image of ideas as and on a journey, some successful, others fractured, weak, re-contextualised, even non-journeys (falling - 'dead from the press' - I suppose?). At least the journey of Hodges' model is ongoing. A baton for our times. As I wrote in post i, chapter 5 tackles 'evidence' (there's a post or two). It does so in relation to information, ideology, and interests:

• 
  Book: 'Health and Health Care Inequities' i

If you've read many posts on W2tQ, you may see: I've a chip on my shoulder. Evidence for the safety, benefits, theoretical underpinning ... of Hodges' model is still to be realised. To the satisfaction, that is: of course to the powers that be. Speaking of which: the axial (for me) subtitles arise again in chapter 6; capitalism-imperialism-colonialism-racism nexus (p.87).

To demonstrate the utility of Hodges' model, this is significant.

Please feel free to search for these terms - capitalism-imperialism-colonialism-racism in the search bar above.

I've been interested in drama since playing the part of Francis Nurse in Miller's The Crucible. It took some 50 years to go from armchair to treading the boards again. I played Ken, supported by his wife, trying to run a post office, amid a chaotic and injurious IT system. An 8-9 minute sketch which was part of a Living Newspaper. Interested in writing - as previous posts may reveal, I also keep trying get to the theatre. With the themes of chapter 6, Liberation was thought provoking.

Mind-Body, Private-Public, Socialist-Conservative, Borras adds the global health North-South schism. A prompt for suggesting a brief glossary is expropriation and exploitation^ (p.88). Four stages of capitalism too. This chapter - A critical political economy approach is essential reading for me (and you!?) - a path to a critical care economy (self-care to planetary health).

^There is a note #3 about these on page 99.

See also: Post i : Post ii : Post iii : Post v (to follow)

Merelman, R. M. (1981). Harold D. Lasswell’s Political World: Weak Tea for Hard Times. British Journal of Political Science, 11(4), 471–497. http://www.jstor.org/stable/193766

Arnel M. Borras. (2025) Health and Health Care Inequities - A Critical Political Economy Perspective. Fernwood Publishing.

Liberation image: The Agency

https://theagency.co.uk/news/cast-announced-for-ntombizodwa-nyonis-liberation-at-royal-exchange/

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

Theatre - which one?

The Crafty Art of Playmaking

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

Theatre - the best way to learn ...

Pardon me, while I stay local - in Liverpool . . . 

I've always been interested in drama since school days (aged 13-14) and playing Francis Nurse in Arthur Miller's Crucible. Recent reading (inc. Theatre of the Absurd, The Shifting Point), see 'drama' - with more to follow) encouraged me to find out more. As a community mental health nurse on a visit, I've sometimes thought of this script being written as we engage with each other. Framed within  interpersonal skills and the society 'outside', there's a sense in which a screenplay is also writ large. 

The fact of whether the session is therapeutic, progressive, person-centred, structured, ethical, purposeful, has tea and custard creams ... is the drama of course.

In a way the creators of formal psychotherapies are playwrights - directors:

After all, they keep producing 'original' therapy manuals, don't they?

In the new year I noticed a community message about a theatre group Valley Theatre Group, planning a 'Living Newspaper' for a drama festival that took place last month. There is another performance next month in Liverpool, as per the edited message below:

People have been asking what’s going on and when for our Hope Street performances June 6-8^th. So here’s the details.

We start each evening with the play about a 1930s Socialist Theatre group, “Unity”. (Cast: Peter Merrill, Ted Grant, Steve Donegan, Meggan Pye, Day Sheehan and Donna Lauder)

Then, on Friday 6 June, in the second half, we have our first Living Newspaper. This is the one that has most of the sketches submitted by outside writers and developed at the workshops. Then on Saturday 7th, second half, we have the Leverhulme group (The one that won the award at the festival) with their Living Newspaper. Finally, on Sunday 8^th, in the second half, we have the last of the Living Newspapers, the one with slightly longer pieces like Scouse Man. This final one also has an original sketch from a 1930s Living Newspaper, the Munich Pact.

Tickets are on sale at the Hope Street Theatre website (link below) and from Ticket Quarter. Please come along and try to get other people along as well.  It'll be a good night's theatre! 

Thanks for all your support. The WTM team

Ticket link:  www.hopestreettheatre.com

Phone: 0344 561 0622

'Best Interests' - Audio Drama by Sasha Hails

by Sasha Hails

Peter Polycarpou (Read by), Gerard McDermott (Read by), Jonathan Forbes (Read by), James Lailey (Read by), Alex Tregear (Read by), Susie Riddell (Read by), Elaine Caxton (Read by)


A BBC Radio 4 dramatisation

'Two new dramas which get inside the emotional realities of dealing with ethical dilemmas. When a confused young man with no I.D. and a Doctor Who fixation is brought into hospital, the staff have clear rules about how decisions can be made on his behalf. But when he starts to make his own wishes clear, are they right to listen?

Starring Gunnar Cauthery, Clare Perkins, Simon Bubb, and Carl Prekopp. With Peter Polycarpou, Gerard McDermott, Jonathan Forbes, James Lailey, Alex Tregear, Susie Riddell and Elaine Claxton. Script Consultant: Jim Blair, St George's Healthcare NHS Trust. Produced and directed by Jonquil Panting.'

My source: 

Jim Blair @jimgblair - https://x.com/jimgblair/status/1906993515038429252

Are concepts of adolescence from the Global North appropriate for Africa? A debate

'The proponents for the motion argued that adolescence is indeed a distinct developmental phase when puberty is achieved and the neurocognitive development that occurs shapes behaviours that impact health outcomes. This occurs universally, is marked by cultural rites, and recognised in legal frameworks and therefore geographical distinctions in understanding are unnecessary.'

'The opponents argued that adolescence is more than a biological or legally recognised transition to adulthood: instead, concepts, including that of adolescence, are shaped by beliefs, values and expectations founded within a cultural milieu. The concept is dissonant to Africa as it prioritises individualism over communalism, and attributes gender and social roles as accepted in the Global North.'

'Thus, many interventions targeted at adolescents in Africa have remained ineffective. The notion that the concept of adolescence, which originated in the Global North but is universally applied, is a consequence of colonialism giving less value to the lived realities and understandings of peoples from the Global South.

For achieving both epistemic justice and effective health policy and programmes in global health, acknowledgement and centralisation of context are critical. However, in a more interlinked and open world, there is a massive potential for cross-learning and collaboration across geographies to develop a concerted approach to improve the health of adolescents and for a more equitable global health practice.

However, adolescence is also a social entity shaped by beliefs and values within different cultural contexts. A move away from universal, often western-defined concepts of adolescence, to centring the distinct sociocultural factors that shape adolescence in different societies will enable more effective policies and programming.' (Summary box) 

INDIVIDUAL

|

   INTERPERSONAL : SCIENCES              

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

 SOCIOLOGY : POLITICAL   

|

GROUP

debate (argumentation) mental space, mindset my beliefs values expectations ENCULTURATION Not just NORTH - SOUTH  but WEST - EAST philosophy of mind belief systems "I DID IT MY WAY" individualism

[Hodges' model] 'Health career' - 'life chances'  2018 - scientific symposium Mwanza, Tanzania 'Adolescence is widely defined as a distinct phase in the life-course during which an individual completes their biological development and transitions from childhood to adulthood.' Appropriate for Africa - health interventions and global health policy that are shaped by such concepts can be universally applicable and relevant? geographical distinctions physical place, space, locale biology - neurocognitive - puberty

communalism universal - cultural rites adolescence - global north culture but applied universally 'adolescence is also a social entity shaped by beliefs and values within different cultural contexts' ETHNOLOGY - SOCIO-CULTURAL Gender - social roles The rise of POPULAR CULTURE: Arts - music, film, drama, literature ... media, technology "WE DO IT OUR WAY"?! "Comme d'habitude"

legal - policy Is there a universal conceptual model to critique*: UNIVERSALITY 'GLOBAL HEALTH' UNIVERSAL HEALTH COVERAGE HEALTH FOR ALL HEALTH INFORMATION FOR ALL 'COLLECTIVE EMPATHY' EQUITY - EQUALITY ...? In policy can you ignore LONG-LAT? epistemic justice  effective health policy programmes in global health - aimed at adolescents acknowledgement centralisation of context  glocal/global - WHO - national/local

Many thanks to the authors:

Nothando Ngwenya, Chido Dziva Chikwari, Janet Seeley, Rashida Abbas Ferrand - Are concepts of adolescence from the Global North appropriate for Africa? A debate: BMJ Global Health 2023;8:e012614. https://gh.bmj.com/content/8/12/e012614

My source:
https://x.com/chidodc/status/1735564926423277571?s=20

Reminded of 'My Way' :: 'American Graffiti'

*I have long wondered what models of care, models of nursing, nursing and care theories may be found in Africa, across Europe, Asia, South America, Native North America, Australasia and Oceania?  

Is Hodges' model truly global and universal - is it (can a model of care be) culturally neutral? Perhaps, this is another conference debate, or might constitute a special journal issue?

ii "Nye" | Full Show [now ended] | National Theatre at Home

Watching yesterday on YouTube, I enjoyed NYE and was challenged by it personally and as a grandfather, son, nurse and tax-payer.

It wasn't all sweetness and light regards Aneurin "Nye" Bevin's character. Politically, he clearly pushed boundaries in response to the values he carried on his sleeve. As the family's of many health care professionals may recognise, needs outside the family can be prioritised at the family's cost. The theory-practice gap is expressed in so many ways. 

Whether by intent, or accident, the play points to the timeless challenge of social care and women's role in delivery of this care. This strikes home in the drama not just as care of the elderly, but being confronted (alone) with the slow, painful dying of a loved-one; and the reality of occupational diseases - 'black lung'. Women are exploited as carers, their hearts and feet may as well be bound; in the same way the mine owners exploited the workers. There was a stark reminder for me, of how continuity of care is often lacking today.

Nye becomes personal, as even up to 1970s working class parents would have worried, did worry about the prospect of their (invariably male - with some exceptions?) offspring going down the pit, especially in Lancashire and Yorkshire. Watching and listening to this you can appreciate how education was seen a passport to alternative white-collar work. My paternal grandfather worked in a slate quarry. I recall many invites to punch him in the 'stomach': a slate wall. He walked quite a few miles to work and wasn't that old when he died; although he (soon) followed grandma J.

For quite a while I've been drawn to the theatre. Aged 15 I was Francis Nurse - yes, the irony - in the school play, Arthur Miller's, The Crucible. It was Miss Smith, a drama teacher who first brought my attention to the idea of 'social awareness'. I recall Miss Clayton too who was a student teacher. On visits to London I've been struck by the relevance of Ibsen today. 

If there were to be a play in me, perhaps 'Axes and Crosses' must be-up-there as a working title? For  my father the 11+ exam was the icon to ward off the evil that was work down a mine; or lying under a an excavator / crane at 0400 to get the machine fixed for the shift due to start. The 11+ and need to pass this has provided its own anxiety, burden, and it must be said - motivation not just for me, but many more senior adults. I can see this now. So thank you Tim Price, National Theatre and Nye (2025!) for many further insights into stagecraft. 

See also:
https://www.bohs.org/media-resources/press-releases/detail/deadly-lung-disease-in-uk-kitchen-worktop-workers-is-avoidable/

September 2024: 'The Lightest Element'
https://www.hampsteadtheatre.com/whats-on/2024/the-lightest-element/

Previously:
What wright to care?

drama (theatre), arts

Dramatherapy 2 - Personal identity

'Dramatherapy helps make sense of the world. Just as Goffman (1971) regards society as dramaturgically constructed, for the social presentation of selves, so Kelly (1955) describes a process in which individuals 'try on for size' various views of themselves as perceived by other people, in order to select the ones which allow them to carry on social relationships with one-another. Understanding of the other person is achieved by the process of construing his or her world, or 'construct system'. Kelly uses the notion of constructs and construct systems to describe cognitive structures. A construct is basically way of registering the degree to which an idea is present in relation to other ideas:

A construct is like a reference axis, a basic dimension of appraisal, often unverbalised, frequently unsymbolised, and occasionally unsignified in any manner except by the elemental processes it governs. Behaviourally it can be regarded as an open channel of movement, and a system of constructs provides each man with his own personal network of action pathways, serving both to limit his movements and to open up to him passages of freedom which otherwise would be psychologically non-existent.
(Kelly, 1955:199)' p.164.

'The multifarious ingredients of dramatherapy, like those of a theatrical event, are not haphazard. They are closely related, either by similarity or difference, to one another. Where there is confusion, this too is distinguished: it is confusion as opposed to order. Structure is employed in a conscious or intentional way, in order to reveal its true identity as the means by which we perform the fundamental action of relating things, in order to plot our movements in the world we live in. By allowing us to distinguish from, structure permits us to relate to. Certainly, the mechanism of perception performs this action without any conscious intention on our part; drama, and dramatherapy, is consciously contrived to assist it in its critical function, helping it to achieve a particular kind of clarity, by providing it with the raw material for involvement with the objects of perception.'
p.167-168.

EVALUATING THE EFFECT OF DRAMATHERAPY ON THOUGHT-DISORDER

Construct Theory rests upon the proposition that ideas hang together in a trustworthy way because people's behaviour is basically consistent. If people behave inconsistently, the thinking which they induce will lose its articulation, because the sense we make of life demands continual validation from the people and events we base it on. Thus, confused experience of relationship is, at its most fundamental level, the same thing as confused thinking; when our ideas begin to lose their coherence this is because, for us, other people have begun to come apart'. When they no longer fit the model we have of reality, the model itself loses its precise definition. At this point, Kelly suggests, we make our model more vague in order to preserve its identity as a model of reality: reality is blurred, so our model is imprecise. Unfortunately, it may become too inexact to function as a means of communication with the world of people and events it is intended to represent. The task of therapy is to provide evidence of the world's conformity to the individual's model, thus validating that individual's constructs. Because a person's disordered thinking is primarily concerned with the way they construe people, it must be done personally; because it is the result of experience over a considerable time, it must be done systematically, or 'serially`.
pp.171- 172.

Note to self: 'It is' :: 'It is - as if ?'. p.166.

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

I	I
Greek theatre masks	Institutional masking

Grainger, R. Dramatherapy and thought-disorder. Chapter 11. In Jennings, S. (Ed.), (1992) Dramatherapy. Theory and Practice 2. London: Routledge.

(Apologies, punctuation in the above may not be accurate, and I no longer have the text.)

[iv] Book: The Systems View of Life - A Unifying Vision

The Systems View of Life -
A Unifying Vision

If you are about to start studying biology, Part 3 'A new conception of life'  is an excellent introduction to some broad and yet pivotal concepts. I haven't checked the 'current' curricula for biology or human biology, but I suspect there is content provided that may be missing? How are biology curricula characterised? If the 'subject' is comprehensively covered at school - college, there may still be value in the way in which they are presented in TSVoL. And, yes the book is a decade old. There's a step-wise development, that is coherent and fascinating.

The opening sentences to chapter 7, which asks 'What is Life?' :

'7.1 How to characterize the living

It is a common understanding that it is impossible to provide a scientific definition of life which is universally accepted. This stems from the fact that the background of scientists dealing with the question - biologists, chemists. computer scientists, philosophers, astro-biologists, engineers, theologians, social scientists, ecologists differs considerably from one another, depending on one's conceptual framework. In this book, we will not dwell so much on the question of a unique definition of life a single sentence catching all the various aspects of life - but rather, we will consider the more general question: what are the essential characteristics of a living system?' p.129.

- for some reason puts me in Plato's Cave? Maturana and Varela would (and do) have very broad shoulders by now. Autopoiesis is described with structure, systems (of course), self-maintenance, nonlocalization, coupling, and emergent properties. 'Life is a factory that makes itself from within'. p.132. Well that will do me. Even though we talk of political, social and psychological processes, I've always associated the SCIENCES domain of Hodges' model with processes. This includes whether the processes are biological, manufactured by human hand/intellect, such as, industrial working, project management and planning.

For life, initial descriptions concern the cell, DNA, RNA, cell walls and the cellular logic of life. Key is life's interaction with the environment. This is emphasised 7.2.4 and 7.4. I gained a lot of encouragement from:

'According to Maturana and Varela (1980, 1998), the organism interacts with the environment in a "cognitive" way whereby the organism "creates" its own environment and the environment permits the actualization of the organism.' p.134.

It is not just mind - but 'embodied mind'. The joy (for Hodges' model) continues with the impact of social autopoiesis in the social sciences.  

'While behaviour in the physical domain is governed by the "laws of nature,' behavior in the social domain is governed by rules generated in the social system itself.
Thus, two questions arise: is it meaningful to apply the concept of autopoiesis to these domains at all, and, if so, to which domain should it be applied?' pp.136-37.

It's almost like Descartes has taken on a quantum property. We don't know when life is physical (time, space, velocity) and when it is mental - cognitive? Contemplating life, death is never far behind (taxes p.419 if you're wondering). The ethics of death and dying are acknowledged in medical intervention (or not) and religious beliefs and edicts. Again the figures are helpful, illustrating the dynamic modes of an autopoietic unit: homeostasis, reproduction, and death of a cell (p.138). The trilogy of life then is also illustrated as environment, cognition, and autopoietic unit (p.142). When it comes to knowledge domains (social science & ecology) are clearly ubiquitous too.

Concepts of Modern Mathematics
Ian Stewart, 1975

It is Chapter 8 that delivers the biological goods. Beginning with a fascinating account of molecular, or prebiotic evolution, giving rise to biological structures and the interplay of soaps and lipids - "amphiphilic" substances, with molecules that contain a hydrophilic (water loving) head group, and long hydrophobic (water-hating) chains. Well illustrated too, box 8.1 describes 'Surfactants, lipids, and liposomes'. Self-organization, emergence are skillfully threaded together and with creativity - the generation of new forms. Unsurprisingly, Gaia is highlighted 8.3.3 and in a guest essay 'Daisyworld' by Stephen Harding of Schumacher College; which also reminded me of the 1970's BBC drama 'Edge of Darkness'. Maths has another turn in the text; a chiral one. Biomathematics is posited as a new mathematics frontier: here - the numerology of plant growth, the golden section (there's one primary context?), nature's spirals, and symmetry breaking. This helps my current return to maths (the struggle!) trying to get to grips with basic concepts. Ian Stewart is cited, later work than 1975's 'Concepts' I must seek out the 'Mathematics of Life' 2011/12.

Darwin, the resulting biological revolution, history, polymers, peptides and proteins plus DNA and RNA continue a suitably in-depth treatment of 'life' in chapter 9. The conclusion on Darwinism today and the status of genes in science and relation to our identity, being and the effect of chance and contingency is worth being reminded of. In mental illness - psychiatry and psychology a sometimes vitriolic debate continues.  Commercial realities are also apparent, the extent of their influence described: the race to map the human genome. In the text protein folding has advanced markedly since the book's original publication. Now new commercial pressures allied with artificial intelligence make you wonder how the author's would deal with this new 'content'? Exobiologists will enjoy chapter 10 as the focus is planetary: the origins of life on Earth. Useful, basic chemistry figures here - informational and functional (concentration). The notion of 'cognitive' is raised again - information carrying. 

While we are concerned for all life, chapter 11 takes in the human adventure, including the determinants of being human. 'Determinants' have taken on more import today. Chapter 12 in addressing 'Mind and consciousness' is helpful in the approach, the easy and hard problems of consciousness, types of consciousness, schools study. There is another guest essay. Chapters 13-15 deal with spirituality (inc. eco-literacy); life mind and society (I wonder if topology does have a role in the mental realm? (p.311). Chapter 15 is a gift for healthcare professionals - 'The systems view of health' with the question, 'What is health?'. Not to diminish this statement, but I will return to this subsequently; whether in the closing post for this 'review,' or afterwards. This completes part III of what is a great read.

Many thanks again to CUP for the paperback copy, much easier on the eyes. While this copy is new, I do make extensive use of secondhand books.

Fritjof Capra and Pier Luigi Luisi (2014) The Systems View of Life - A Unifying Vision. Cambridge: Cambridge University Press.

https://www.cambridge.org/gb/universitypress/subjects/life-sciences/genomics-bioinformatics-and-systems-biology/systems-view-life-unifying-vision?format=HB&isbn=9781107011366

(i) The Systems View of Life 

(ii) The Systems View of Life

(iii) The Systems View of Life

THE GRID by Eli Payne Mandel

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

[125] 'Therefore, a mathematician babbles when he refers to cutting a given line in two. The actual line that he shows to us on the abacus has length and width. But the line he has in mind is a stroke with length and no width. What is drawn on the abacus cannot be such a stroke, and he who goes about cutting it cuts not the line that is but the line that is not.' (Sextus Empiricus, Against the Mathematicians 9.282) (n.b. The above is printed upside-down on the page.) Scatter the trace of the vessel from the ash. Pythagoras here is riddling about confusion and mental cloudiness, for if one wants to do philosophy one must pass over physical and sensible demonstration in favor of abstract argumentation. The ash is analogous to the dust on the abacus in which diagrams are delimited and proofs brought to an end.  (Iamblichus, Exhortation to Philosophy 34)' p.55

'[1] In ancient Greek, an abacus is a sand table. 'The abacist draws lines and maybe moves pebbles around the lines. When done, she wipes the sand blank.  [2] A board or slab for drawing, computation, games; a cutting board. Technical term, likely to be a loanword, but conjectured origin in Hebrew abãq "dust" remains unproven. --  Pierre Chantraine, Dictionnaire etymologique de la langue greque.' p.10.

'[122] The abacus computes and it erases. It tells a life. Then gambles it away. Achilles and Ajax sit down to play a game of dice. They have hung up their shields. They lean on their spears. They are tired. The Anatolian air is cold off the water. Attendants wrap them each in wool cloaks thick with eight-pointed stars. The stars wander along eddies and meanders. The only straight lines are servants of error. Their fingers are on the abacus, but Achilles and Ajax do not play, do not speak, lost in the maze of their cloaks. [124] The first reference in Western literature to written language is in the Iliad. An unsuspecting  man in a story is carrying semata lygra / grapsas en pinaki ptukto thymophthora polla: baleful signs written on a folded tablet, utterly soul-  destroying. The words, which some scholars conjecture to be Linear B, spell out the man's death, and the reader murders  the unreading man. After the murder, Death Wipes the tablet  blank and folds it back again.' p.54.

'[3] Because dust blows away and only the slab remains, an abacus is also the part of a column in immediate contact with what it supports. If that structure no longer survives, the abacus upholds the edifice of the sky.' p.10.

THE GRID by Eli Payne Mandel, Carcanet Press. 2023.

https://www.elipmandel.com/

Previously on W2tQ (with overlap):

arts :: drama :: poetry :: literature :: narrative

Laughter and Medicine Conference

Manon, Laughing Gas, 2019, installation, Kunsthaus Zürich
photographer: Franca Candrian, 2022.

British Academy/Wellcome Trust Conferences bring together scholars and specialists from around the world to explore themes related to health and wellbeing.

'Connecting knowledge across the disciplines, this conference will put practicing doctors in direct dialogue with researchers in the humanities – especially scholars of literature, cinema and cultural history. Together, they will seek to understand the social, diagnostic, therapeutic and physiological implications of laughter, inside and outside the clinic. Laughter is not always the 'best medicine', nor is it linked only to comedy and enjoyment. 'Healing laughter' differs markedly from pathological laughter, hysterical laughter, forced or bitter laughter, laughter aimed at mitigating awkwardness in unsuccessful communication, laughter intended to deceive, or laughter signifying fear, discomfort or aggression. Irony and other double-coded signifiers that abound in comic and parodic representations of medical practitioners and their patients often reveal medicine’s paradoxical place in various cultural imaginaries and in individual and collective experience.

This conference will study the diverse forms of laughter occurring around medicine in particular eras and cultural environments alongside comparative analysis of patterns and problematics over the long history of Western medicine and its representations.'

         https://www.thebritishacademy.ac.uk/events/british-academy-conferences/laughter-and-medicine/

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

I don't find this funny!	I laughed so much it hurt!
"All the world's a stage"	Politics is a running joke - that's never funny. The human epic of triumph and tragedy.

Previously (with overlap):

arts :: drama :: poetry :: literature :: narrative

Scaling-up Health Arts Programmes: Effectiveness Research (Sold Out!)

This event is located in London, it is sold-out and not online. Coming across the symposium on twitter and learning that the research has run its course prompted me to think about the life-cycle of projects, research (big and small); ever important, of course, in the dissemination of research results, outcomes and benefits.

More details are provided on the 'Sold Out' event link and in the image below:

https://www.eventbrite.co.uk/e/collaborating-to-scale-implement-established-arts-and-health-programmes-tickets-874119594237

 

Why bother to post this? We can't be all-knowing in terms of research / project calls. This means I've noticed how we often learn of initiatives and opportunities at their close. News of citations for Hodges' model arrive is invariably after-the-fact, the fact being the 'study' as a whole. So is the dissemination more haphazard than it needs to be? A silly question, but have all the research councils, academia in general looked at research 'alerts'. What about the Government? Especially in response to citizen science, patient engagement, public involvement? Is this an application begging for a digital solution? Perhaps there is one (several) out there already? In human resources there is employee on-boarding, orientation and there's off-boarding, or there's supposed to be the leaver's questionnaire and exit interview. Beyond the final research report what is the situation: marks out of 10?

This looks a great initiative, especially the participation, collaboration and creativity generated. Below I've related some relevant concepts within Hodges' model: embedded within the spiritual.

Individual

|

      INTERPERSONAL    :     SCIENCES               

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

 SOCIOLOGY  :    POLITICAL 

|

Group

ipseity, identity Health: parity of esteem - mind::body my lived experience, efficacy ideas, perspective, interpretation	body - movement, physio.. objects, media, physical reality time, place, space information sharing
art forms: fine, dance, drama, music ... collective - collaborative creativity shared motivation, public awareness participant identification (biases?)	policy (national - regional, local) research funding physical accessibility - transport funding distribution

My source:
https://x.com/TheNCCH/status/1798020326007472407

I also realise the access limitations presented here on a blog commenced in 2006.

Being constantly rational - in pursuit of evidence . . .

. . . while being chased by the absurd . . .

Individual

|

      INTERPERSONAL    :     SCIENCES               

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

 SOCIOLOGY  :    POLITICAL 

|

Group

Descartes’ - cogito ergo sum^ A psychological case formulation for ...?	(Being constantly …) rational^ ... in pursuit of evidence
Drama: A case formulation for the audience.	Absurd: When £££$$$ meets health  - the where of when the audience aren't interested in the how, and why of the case formulation.

The theatre of the absurd does not need language.

Hodges' model?

In absurd terms the structure must go! No ifs ands or buts ...
Replace the intellectual concepts with poetic images
 but before you do optimise for distance from sense. 

"In the Theatre of the Absurd, the audience is confronted with actions that lack apparent motivation, characters that are in constant flux, and often happenings that are clearly outside the realm of rational* experience. Here, too, the audience can ask 'What is going to happen next?' But then anything may happen next, so that the answer to this question cannot be worked out according to the rules of ordinary probability based on motives and characterizations that will remain constant throughout the play. The relevant question here is not so much what is going to happen next but what is happening? 'What does the action of the play represent?'" Esslin. (p.416).

*and relational?

^D’ANDREA, F. (2017). BEING HUMAN. A FEW REMARKS ABOUT DESCARTES’ COGITO ERGO SUM. Studi Di Sociologia, 55(2), 135–146. https://www.jstor.org/stable/26479662

Esslin, Martin. Chapter 8 The Significance of the Absurd. The Theatre of the Absurd. London: Pelican, 1982. (3rd Ed.).

Previously: relational - rational