Hodges' Model: Welcome to the QUAD: Search results for mental health

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 sorted by date for query mental health. Sort by relevance Show all posts
Showing posts sorted by date for query mental health. Sort by relevance Show all posts

Tuesday, October 20, 2026

AHRC ‘Crafting Care for People, Place and Planet Doctoral Focal College'

Dear all

We’re happy to announce that the AHRC ‘Crafting Care for People, Place and Planet Doctoral Focal College’ website is now live, with the 2027 competition launched here.

 

  • The deadline for the first stage of the funding competition is December 1st (for an EOI rather than a full application).
  • Guidance on Crafting Care’s four themes can be found here.  

 

Best wishes

Josie

 

Professor Josie Billington (she/her)

Department of English

Associate Dean for Research and Impact, School of the Arts

Lead, AHRC Doctoral Focal College, Crafting Care for Healthy People, Place and Planet

Co-Lead, Arts, Mental Health and Wellbeing Theme, Centre for Health, Arts, Society and Environment (CHASE)  

Co-Director, MA Health, Cultures and Societies

Rm 216, School of the Arts, 19-23 Abercromby Square, University of Liverpool.  L69 7ZG

Email: jbilling AT liverpool.ac.uk

My source: Bethan Evans c/o the NNMHR list

Sunday, October 18, 2026

BCS SPECIALIST GROUP ON AI (BCS-SGAI) AI for Health 2026 - Nov. 6th

Friday November 6th 2026 (all day event)

A special event showcasing the role of Artificial Intelligence for Health
Organised by BCS-SGAI

At the BCS London Office
Ground Floor, 25 Copthall Avenue, London, EC2R 7BP (near Moorgate underground)

 
There are is an online registration form available from the event website.

BCS-SGAI, the British Computer Society Specialist Group on Artificial Intelligence was founded in June 1980. Its mission is: `To foster achievement, capability and awareness in both business and research in Artificial Intelligence, and to promote the interests of the related community`. It is one of Europe`s longest established groups working to support the community of artificial intelligence developers and users and is the organiser of one of the longest running annual series of AI conferences in Europe: the AI-20xx series.

According to the World Health Organization (WHO) prioritising AI for health is crucial. The WHO also highlights that a healthy diet protects you against many chronic non-communicable diseases, such as heart disease, diabetes and cancer. Quantum computing is gathering an enormous interest as a new paradigm of computing (see Quantum for Good at https://quantumforgood.eu/), which is already making an impact across industries like health and life sciences (agriculture, food and health). Classical (or current) AI relies in classical computers based on binary bits (zeros and ones), while quantum AI relies in quantum computers based on quantum bits (qubits). Quantum AI could dramatically accelerate research that requires processing vast amounts of data, contributing to human health by accelerating drug discovery or enabling earlier diagnostics. Quantum AI could be also instrumental in identifying early signs of crop diseases or optimising water use.

Come along to AI for Health 2026 if you are interested in cutting-edge AI for Health, using latest technologies with a promise of high impact.
SPEAKERS
 
Prof Brendan Delaney (Imperial College London)
 Medical diagnosis after LLMs
 
Mr Anirban Lahiri (Arndit Ltd. and Kainos Ltd., United Kingdom)
 AI in Mental Healthcare
 
Dr Marinos Ioannides (Head of Software and AI Medical Devices, MHRA, UK)
 Demystifying AI Regulation
 
Dr. Mercedes Arguello Casteleiro (SGAI)
 Hands-on Tutorial on Low-Code AI Agents for Health, Farming, and Food
 
Dr Oliver Thomson Brown (Quantum Software Lab, EPCC, University of Edinburgh)
 Introduction to Quantum Computing and its Relevance for Biomedical Science
 
Dr Saihong Li (University of Stirling)
 Translating Quantum Food Futures
 
Dr Aleksey Kozikov (Newcastle University)
 Emerging Opportunities for Quantum Technologies in Food and Health
 
 

Friday, October 16, 2026

Mental Health and Physical Activity

You know you're on the right (running) track when there is a journal that seeks to address the fundamentals of parity of esteem that is mental and physical health:

Robertson, R., Robertson, A., Jepson, R., and Maxwell, M. (2012) Walking for depression or depressive symptoms: A systematic review and meta-analysis, Mental Health and Physical Activity, 5, 1, 66-75. ISSN 1755-2966 https://doi.org/10.1016/j.mhpa.2012.03.002.

Sometimes, geography matters too in terms of intervention choices and the population of a study:

Moran, R., Sperandei, S., Peel, N., Gray, T., and Reis, A. (2024) The long-term effect of surf therapy on posttraumatic stress, depression, and anxiety symptomology among current and former Australian defence force members - A nonrandomised controlled longitudinal study in a community setting. Mental Health and Physical Activity, 27, 100629, ISSN 1755-2966. https://doi.org/10.1016/j.mhpa.2024.100629.

While researchers seek an holistic view -

Ciaccioni, S. et al. (2026) Modifiable determinants of adolescents’ physical activity and sedentary behaviour in school, home and mixed settings: A DE-PASS systematic review and meta-analysis of self-reported data with a holistic analysis. Mental Health and Physical Activity, 31. 100803,
ISSN 1755-2966, https://doi.org/10.1016/j.mhpa.2026.100803.

- and the above journal 'Supports open access', I do not believe my individual circumstances would qualify for differential treatment of fees:
'Article Publishing Charge (APC): USD 3,190 (excluding taxes). Actual APCs may differ based on individual author circumstances.'

This is a pity, as surprisingly thus far, the journal does not appear to have explicitly referred to 'parity of esteem'? Clearly a soapbox for me, there is plenty of room for others to join in the debate. To acknowledge, however, severe mental illness is well represented.

Given the holistic scope of Hodges' model the lack of inclusion in such literature is a shame. 

Acutely so, as Hodges' model begs (demands!?) consideration of holistic bandwidth. The matter of exercise and activity as a therapeutic option in mental health care quickly gets intense and heated (even if the interlocutors are recumbent). Social prescribing seems well established. On social media ['X' still for me] voicing the benefits of exercise does not always go down well. 

Fabiano N, Puder D, Stubbs B. Could not prescribing exercise for depression be psychiatric malpractice?

Ironically given the limitations of the bio-psycho-social model, the 'barricades' don't go up they are a permanent feature. As soon as we need to consider the political dimensions of health care, legal and professional accountability, policy, funding, accessibility, the minutiae of human rights (individual instances). Plus, in the UK the welfare benefits bill, the struggles of young adults not in employment, education or training; then division and oppositions are all that is. And, what can be individual and collective opportunities are missed.

My source:  https://x.com/NTFabiano/status/2103876655366521278?s=20

Monday, October 12, 2026

Report - Health Misinformation: Public Perceptions of Threat to the UK

A London School of Hygiene & Tropical Medicine report

Published: 28 September 2026

Authors: Pete Wilton & Dr Ben Kasstan-Dabush

Foreword

The London School of Hygiene & Tropical Medicine (LSHTM) has a long track-record of developing innovative approaches to countering false or misleading health information (health misinformation). While health misinformation has always been with us, in the last few years changes to the technological and political landscape have enabled it to spread further and faster around the world, threatening to undermine trust in health experts and institutions.

That was why in January 2025 LSHTM launched a new initiative focusing on fighting dangerous health misinformation in the UK through interventions in the media, online, and on social media. While misinformation is global the response often has to be national or even local and what we quickly realised is that there is still a lot we don’t know about the prevalence and impact of health misinformation in the UK.

How equipped are Britons to identify false or misleading health claims? What do they do to factcheck if these claims are true? Are our fears about the harms of health misinformation on the UK population justified? And, if they are, who is being harmed and how can we help them to protect themselves? These were just some of the questions we had.

Of course one survey was never going to give us all the answers, but we believe the findings detailed in this report are an important first step towards gathering some of the ‘missing evidence’ on health misinformation in the UK. We hope that this report will help to motivate and inform all those working to make ours a healthier, stronger society.

Professor Liam Smeeth
Director, London School of Hygiene & Tropical Medicine

Continued . . .


My source: BBC Radio 4 Woman's Hour - 36mins 
https://www.bbc.co.uk/sounds/play/m0032qn8

'How can medical misinformation harm women, and how do we combat dangerous myths? Nuala McGovern is joined by former consultant breast surgeon and cancer survivor Liz O'Riordan and Dr Rachael Kent, whose academic research focuses on the impact of digital technology on mental and physical health.' 

Wednesday, October 07, 2026

Hodges' model: Is it a virus: or a universal vaccine?

The arrival of 'imposter syndrome' well-over a decade ago(?), from the speaker's podium was an interesting surprise. A case of lived experience, as I'd felt this in trying (and failing) to grapple with the ever-growing, morphing development stack of a software program. Long gone are the days of Sinclair and BBC BASIC. The mountain and learning cliff, was CMS content management system: Drupal. 

What contributed to that feeling back then? Well there was the people I was sat by and sharing time at various European DrupalCons. It was I who was the 'con'. A hobbyist, from pre-PC days. Seeing and hearing what they were creating and the great community. Fascinating also, to see web design fashions come-and-go.

I've written before about Hodges' model being an over-valued idea to me. As a mind-mapping meme it infected me decades ago. Is it a virus? If it is I clearly had no resistance, no immunity. I've always tried to acknowledge, reminded myself that the model is not the be-all-and-end-all.

While the specific mathematical is complex, it is worth trying to grasp some of the intent and meaning (even at the risk of exacerbating imposter reactions). Hestenes provides a paper (and several others):

'ABSTRACT. The discovery of Mathematical Viruses is announced here for the first
time. Such viruses are a serious threat to the general mental health of the mathematical
community. Several viruses inimical to the unity of mathematics are identified, and their
deleterious characteristics are described. A strong dose of geometric algebra and calculus
is the best medicine for both prevention and cure.'

Hestenes, D. (1992). Mathematical Viruses. In: Micali, A., Boudet, R., Helmstetter, J. (eds) Clifford Algebras and their Applications in Mathematical Physics. Fundamental Theories of Physics, vol 47. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-8090-8_1

'The computer virus (CV) owes its name and perhaps its genesis to the biological virus
(BV). Like a BV, a CV cannot function by itself, but when attached to a host it replicates
repeatedly until it impairs the functioning of the host, sometimes to the point of disabling
the host altogether. ...

My purpose here is to call your attention to another kind of virus - one which can
infect the mind - the mind of anyone doing mathematics, from young student to professional
mathematician. As I believe this is the first published paper to explicitly identify
such viruses, I take the liberty of naming and describing them as follows: A mathematical
virus (MV) is a preconception about the structure, function or method of mathematics
which impairs one's ability to do mathematics. Just as a CV is program which impairs the
operating system of a computer, an MV is an idea which impairs the conceptualization of
mathematics in the mind. Indeed, as one definition of "virus," Webster gives "something that
corrupts the mind or soul." Since the identification and classification of MVs has only
just begun, it would be premature to attempt a more precise definition. The better course
is to examine some specific viruses to form a form empirical base for further study.
My first example is an easily recognized MV which is extremely virulent and as common
as the common cold. I call it the coordinate virus, designating it by MV/C to denote genesis
and type, and characterizing it as follows:' pp.1-2. (online copy)

Hestenes' biohistory is an interesting conceptual and interdisciplinary bridge. Another construct to add to our  collection. Is there a virus in the models deployed within medicine and healthcare to date? You know, the bed-round of the medical, biomedical, bio-psycho-social? The round were you don't need to count the number of beds, except in the event of a pandemic. Is the omission of the political, even as the socio-economic reality is now a constant point of reference a symptom of a centuries-long infection? 

For a long time now* the legacies that successive cohorts of students, and newly qualified professionals encounter have stood out. Another question is, just how far back in time do we need to travel to find can the origin of this situation? Was there an initial crisis involving the overt expression of 'power'? Can this be found the as the Hippocratic oath butted up - literally - against triage on the battlefield?

Now: Time won't tell (or will it?). Now that - is some virus.

Sunday, October 04, 2026

Living and Loving Dangerously

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

identity - choices
 
Memory - Cognition
DEMENTIA - Early onset

Inability to consent
 
inhibition-disinhibition 

mental capacity
 


My liberty, my choices

"What! I'm married to you? Oh!"

Treatment - medication 

'Secure (safe)' environment

'Holistic assessment'?
 


Marital/Initimate Relationships
Social (our) identity

Existing relational behaviours

Interrelational needs
Interpersonal grief

Social identity/expectations

Yes, but we're married ... had 40 years together ...

Family bias, prejudices..
A 'new' step-parent ...

Access to support: 
relational - mutual vulnerability


Informed consent
Assumed consent

Rape, Sexual abuse, crime

Capacity to give consent

Consistency in decisions

Lasting power of attorney -
finance; health

External safeguards

Human rights

Access to supervision -
clinical & management


Prompts:

Previously post: Living and Caring Dangerously

Danny Leigh. Critic's choice - Films on release: Queen at Sea. Life&Arts, FTWeekend, 19/20 September, 2026, p.18.

https://depijp.rialtofilm.nl/en/films/queen-at-sea

So many difficult conversations. All on their own unique continuum in terms of sense-making for all concerned. 

A 'new' diagnosis at age 60; versus one at 44. Families seeking to control disclosure of the diagnosis from the patient. Clinical and family debate about this.

Finding a person locked-in the house, while their partner 'nips' to the shops. A person having their freedom to go out, on their regular walk  -despite acknowledged risks. (When they are known by people on their route - community care in action. Receiving a call from a neighbour; or the neighbour who knows where you park and can intercept you, on arrival or departure to express concerns. Or, even as you venture out for a walk with their neighbour of many a year. Categorise them as you will: [nosey, caring, concerned, public spirited, neighbourly, or (healthily) curious]?

Other discussions of grief at the loss of a person they have loved - in every way. A grief that presents new dark dimensions to what has gone before. Complicated by a state of early onset of memory loss. An ongoing disintegration of personhood and identity. An inability to consistently express thoughts, wishes, and choices. An inability to give informed consent. A loss taunted by retained physical desirability. What does love, sex, compassion mean now? What is the sum now, of love expressed over 'x' years? Hearts hollowed out, of what can be so important to a couple. Not vital to all. But for others, a source of conjoined affirmation, joy, warmth, companionship, a celebration of life and being human.

How to share that grief even amid close friends and family, who cannot cope themselves and withdraw? What of the preparedness of professions to manage such situations? What structures are in-place for team meetings, clinical supervision and inclusion in training, especially safeguarding?

From the bibliography (lower sidebar):

Hodges, B.E. (1989) The Health Career Model, IN, Hinchcliffe, S.M. (et al.) 1989 Nursing Practice and Health Care, 1st Edition only, London, Edward Arnold.

Adams, T. (1987) Dementia is a family affair. Community Outlook, Feb, 7-8.

Merritt MK, Procter N. Conceptualising the functional role of mental health consultation-liaison nurse in multi-morbidity, using Peplau's nursing theory. Contemp Nurse. 2010 Feb-Mar;34(2):158-66. doi: 10.5172/conu.2010.34.2.158. PMID: 20509800.

Murphy, K., Welford C. (2012) Agenda for the future: enhancing autonomy for older people in residential care.International Journal of Older People Nursing. 7, 75–80.

Kernohan, W. G., & Jones, P. (2023). Hodges’ Health Care Model as a Framework for Quality. Paper presented at Interprofessional work: developing oral care and the health workforce for the future, Brescia, Italy.
https://pure.ulster.ac.uk/en/publications/hodges-health-care-model-as-a-framework-for-quality

Jones, P. (2025). A Conceptual Mapping Exercise of Deprivation of Liberty Safeguards in Residential & Community Care Using Hodges' Model and Threshold Concepts. Journal of Evaluation in Clinical Practice, 31: e70085. https://doi.org/10.1111/jep.70085

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, 31: e70252. https://doi.org/10.1111/jep.70252

Previously: 'capacity' : 'consent' : 'law' : 'safeguarding'


Friday, October 02, 2026

Gaps and Legacy Issues in Health and Education

 ... and across the Professions and Disciplines

I've just revised what may be table 1 of an exploratory paper. The table's role is to inform the motivation, scope and overall purpose within the introduction. The aim is to outline the gaps and legacies in health and education. Is this the combined inheritance of life chances, health and work career: gaps?

  1. Theory-Practice gap

    A. Research in Practice – Translational Research;
     B. Education/Training: University – Apprenticeship (see 4.B);

  1. There is no research-based conceptual framework taught and applied across health and social care systems and services.

  2. Individual – Collective (Population) Health

  3. Legacies of:
      A. Integrated care (global: funding / philosophy / location / disciplines / academic …);
      B. Parity of Esteem
           i   Mind - Body – Cartesian dualism;
           ii  Funding of Health Services [mental health - general];
           iii Research funding; Policy & Education);

C. Person-Centred Care – Service-Centred Care;

D. NHS - Social care;

  1. (Ill-Health-Disease, see 4.B.ii) Treatment versus Prevention first 

  2. Long-term policy Vs Short-termism

  3. Personal, Local, Global: Developed – Developing Health Systems & Services 

  4. Determinants of Health (Schrecker and Bambra, 2025)

Any thoughts, key sources ... are most welcome, e.g. should there be a place for sustainability, self-care, the literacies and the basis of funding public, private, or charitable (mixed)? h2cmng AT yahoo.co.uk
 

Schrecker, T., Bambra, C. (2025). ‘Lethal But Legal’: The Corporate Connections (Commercial Determinants of Health). In: How Politics Makes Us Sick. Palgrave Macmillan, London. 
https://doi.org/10.1057/978-1-349-96127-6_7

Wednesday, September 30, 2026

Prof. George William Brown OBE, FBA (1930–2026)

"George Brown was a huge figure in sociology and social psychiatry. At a time when social science and psychiatry were so riven with conceptual differences they could not work constructively, George’s approach was collaborative, courageous and imaginative. His work addressed real-world problems and in so doing greatly enriched mental health research."

Professor Matthew Hotopf, Executive Dean, Institute of Psychiatry, Psychology & Neuroscience:
https://www.kcl.ac.uk/news/professor-george-william-brown-obe-fba-19302026

Starting in Warrington School of Nursing (Winwick Hospital) as a student mental health nurse in October 1977 you can how that curriculum and programme of study came about; and influences on Brian Hodges' early career.
 
Hodges' Health Career - Care Domains - Model
 
 An individual's 'health career' is impacted by their life chances and life events.
 
 
individual
|
INTERPERSONAL
: SCIENCES             
humanistic ------------------------------- mechanistic
SOCIOLOGY : POLITICAL   
|
group

Individual Psychology

Life events

PSYCHIATRY

psycho-

Life events

EVOLUTIONARY
PSYCHIATRY

social

Group Psychology

Life events

SOCIAL & CULTURAL 
PSYCHIATRY


LIFE EVENTS

 PSYCHO-POLITICAL
PSYCHIATRY




See also:

Wing, J.K., & Brown, G.W. (1970). Institutionalism and Schizophrenia: A Comparative Study of Three Mental Hospitals 1960–1968. Cambridge; Cambridge University Press. 

Brown, G. & Harris, T. (1978) Social Origins of Depression. A Study of Psychiatric Disorder in Women. London: Tavistock.Google Scholar 

Brown G.W. & Harris, T. (1979) Social origins of depression: a study of psychiatric disorder in women, London: Tavistock Publications.

Brown, G. W., & Harris, T. O. (Eds.). (1989). Life events and illness. The Guilford Press.

My source: Patrick Kidd. Forum, Obituary, The Observer. 20th September, 2026, p.42.
https://observer.co.uk/profile/obituary/article/george-brown-the-former-post-office-boy-who-unlocked-the-mystery-of-depression

Previously: 'social sciences' : 'psychiatry' : 'determinants'

Friday, September 25, 2026

Living and Caring Dangerously

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

mental health
 
Cognition

Inability to consent 

mental capacity
 


My liberty

Locked doors

Treatment - medication 

'Secure (safe)' environment
 

Family - friends

dignity, privacy, respect

vulnerability

Best interest decision


Lasting power of attorney -
finance; health

External safeguards

human rights

 

Sir Ranulph Fiennes ‘kept unlawfully in care home’ [ The Times ]

The explorer, 82, is being ‘deprived of his liberty’, according to the watchdog, and his wife Louise Millington-Cotes is refusing visitors.

Hannah Crowe. Friday, September 25 2026, 12.41am, The Times

 See also:

Living Dangerously: An Interview with Sir Ranulph Fiennes [Brighton Dome]
Wed 10th Apr 2019

From the bibliography (lower sidebar):

Hodges, B.E. (1989) The Health Career Model, IN, Hinchcliffe, S.M. (et al.) 1989 Nursing Practice and Health Care, 1st Edition only, London, Edward Arnold.

Adams, T. (1987) Dementia is a family affair. Community Outlook, Feb, 7-8.

Merritt MK, Procter N. Conceptualising the functional role of mental health consultation-liaison nurse in multi-morbidity, using Peplau's nursing theory. Contemp Nurse. 2010 Feb-Mar;34(2):158-66. doi: 10.5172/conu.2010.34.2.158. PMID: 20509800.

Murphy, K., Welford C. (2012) Agenda for the future: enhancing autonomy for older people in residential care. International Journal of Older People Nursing. 7, 75–80.

Kernohan, W. G., & Jones, P. (2023). Hodges’ Health Care Model as a Framework for Quality. Paper presented at Interprofessional work: developing oral care and the health workforce for the future, Brescia, Italy.
https://pure.ulster.ac.uk/en/publications/hodges-health-care-model-as-a-framework-for-quality

Jones, P. (2025). A Conceptual Mapping Exercise of Deprivation of Liberty Safeguards in Residential & Community Care Using Hodges' Model and Threshold Concepts. Journal of Evaluation in Clinical Practice, 31: e70085. https://doi.org/10.1111/jep.70085

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, 31: e70252. https://doi.org/10.1111/jep.70252

Previously: 'capacity' : 'law' : 'safeguarding' : 'health career'

I can't count the number of times in a nursing home, when a visit by a friend has re-ignited the flame of memory, passion and personhood; even if temporary. It was never my place to thank the friends for visiting, but they've made a difference, so crucial to acknowledge the courage on their part. Making the journey, being present and with. So difficult too, for families.

Wednesday, September 16, 2026

Philosophical Counselling Reading Group [and Hodges' model]

The discovery of a reading group on philosophical counselling (PC), through University of Liverpool, continues to prove helpful; to utilise professional experience, that included counselling, family therapy, cognitive therapy in psychoses, and practical experience as a mental health nurse (in-patient and community). There is overlap with Hodges' model, but it's fascinating and rewarding to listen and learn from practitioners of PC. As noted before, I was aware of PC through two popular philosophy magazines. This time around we read:

Ran Lahav, “Philosophical Counseling and Self-Transformation,” in Philosophy, Counseling, and Psychotherapy, eds. Elliot D. Cohen & S. Samuel Zinaich, Jr. (Newcastle upon Tyne: Cambridge Scholars Publishing, 2013), 82.

Abstract

This paper presents my approach to philosophical counseling, which is geared towards self-transformation, and is inspired by important thinkers throughout the history of Western philosophy whom I call transformational thinkers. I take from these thinkers the realization that our daily life is normally confined to rigid and superficial attitudes towards ourselves and our world. This is because individuals’ everyday attitudes are based on limited understandings of life, which form what I call the person’s perimeter, or perimetral worldview. The goal of philosophical counseling, as I see it, is to help counselees transcend their constricted perimetral worldview, or in the language of Plato – to realize that they are imprisoned in a “cave,” and then to step out of it towards a fuller reality. A case study is presented to illustrate the two main stages of the counseling process. 

I know there is the (biblical) phrase 'Seek and you will find'; but there is also the notion of seeing only what you seek, and missing other content - contexts. This is marked in beliefs and the development of delusional ideas. 

Of interest to me, Lahav discusses (as indicated above) a person’s perimeter, or perimetral worldview. 

We still hear how difficult it is for people to access help. I wondered (again) about referral pathways for PC? The nature of the person's problems that prompts them to seek help? Lahav acknowledges the complexity here. Speaking of 'prompt', of course now there is AI in the mix. Lahav points out how PC does not quite have the foundation and hence theoretical impetus (and rigour?) that Freud provided to psychoanalysis and psychotherapy. 

PC is, however, to some extent a broad field: '... philosophical practice has come to include several different formats in which it is practiced: one-time workshops for the general public, philosophical retreats, long-term self-reflection groups, the philosophical café, and of course philosophical counseling'. 

I wonder if philosophical counsellor's could have a role, post AI / agentic ai interventions. This could provide a step-down assurance, and be rolled into 'treatment / intervention programmes'. This could help retain the humanistic element of duty of care, underscore the person_al in care architectures/systems and provide a step-down - just in-case AI has missed, or upset something? The acknowledged strength of AI in not being subjective is balanced. Although evidence also points to misogynistic responses derived through what can be biased, and prejudiced learning sources: thus a reflection of 'society'.

In the introduction, more encouragement with reference to situated, a general map, and basic - fundamental aspects. There are (at least) two domains: 'the domain of philosophical discourse and the domain of everyday life and predicaments'. 

Hodges' model was created to facilitate the FIRST approach in PC, the Critical Thinking Approach, with an associated subtype of Problem-Solving Approach. 

It was also designed to help with the theory-practice gap. Lahav describes this in the how and what of philosophy and PC itself. I wondered to what extent if the approach of PC 'leave out the more important “what” of great philosophies.' then would a counselee be denied avenues to learning, as we may be drawn to specific philosophical schools of thought, and crucially reasoning?

The SECOND approach to PC is the Edification Approach. The author has adopted this second approach in practice.

Guess what? Yes, you've got it. Hodges' model can actually close a circle here. Or, more accurately help sustain the reflective, reflexive, recursive ... reasoning loop as needed. Another objective of Hodges' model is to produce reflective practitioners, critical thinkers and lifelong learners.

A take-away for me is the 'perimeter and the perimetral worldview'. A search for 'perimeter' here on W2tQ is null.^ I'm also wondering about transformation (in the title) and throughout the paper.

There may be an example here were a domain of Hodges' model can itself reflect the model, as in the Intra- Interpersonal domain below.

Lahav employs a case study to illustrate his thought and practice. The discussion really helped improve my reading and understanding of this.

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

Psychology   | Philosophy(-isms)
________________________________
Psycho-Social|  Psychotherapies 

basic - fundamental

general map


case study

referral pathways

^'Peripheral' does feature in posts.

Monday, September 07, 2026

Host|Guest by Hospital Rooms

To mark its 10-year anniversary, arts and mental health charity Hospital Rooms presents a major exhibition at Victoria Miro this September.

Bringing together leading contemporary artists from across the Hospital Rooms programme, the exhibition features re-creations of monumental new artworks created for hospitals this year, alongside artists the organisation has collaborated with over the past decade. It reflects on the impact of transforming NHS mental health environments through art, while looking ahead to expanding access to creative programmes nationwide.

Host|Guest


My source: Ellee Su, Gallery, HOSPITAL ROOMS, FT Weekend Magazine, Number 1,192. 5 September 2026, pp.10-11.

Saturday, August 22, 2026

Re. 'Population mental health in England, 2003–2022: Teasing apart psychological distress, mental illness and activity limitation'

Last month I was struck reading John Burn-Murdoch's regular opinion piece 'Data Points' in the FTWeekend.

This one 'What's really going on with mental health around the world?' concerned a report:

Henking, C. and Baumberg Geiger, B. (2026), 'Population mental health in England, 2003–2022: Teasing apart psychological distress, mental illness and activity limitations'. ESRC Centre for Society and Mental Health, King's College London.
https://osf.io/preprints/socarxiv/8ygrz_v2

Below I have mapped some points to Hodges' model and added others. 

By accident or not, Mr Burn-Murdoch continued this theme last weekend, discussing pandemic lockdowns and how they never ended for some people (citations below):

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


Getting stuck in a psychological minima. Becoming fixed in mindset, lack of self-development through others - empathy, rapport. 

Subtle self-harm becoming more serious.

What is character in the 21st C?

Lack of measures.
^Lack of coherence - parity in health policy.

Lack of assertiveness, self-advocacy, prone to self-stigma (non-help seeking!)

Qualitative lived experience becomes self-reinforcing (and other - family?)

Getting fixed with a physique, posture - shaped by technology.
Physical equivalent-complement 
of 'mindset'.

Getting stuck in a physical minima 'long-term'. Subtle self-harm becoming more serious.


'Systems medicalisation'
PROCESSES

Convenience (POLITICAL) of binary responses, e.g. 
DISABLED -------- NOT DISABLED

Search for 'answers' - diagnosis

Search for 'solutions' interventions

Early effect of lack of external play, risk-taking with others, friends - testing - trust.
Lack of social skills.
Impact of social and other media - reduction of stigma.
Social roles models - father-
figure? 

Lack of 'real' socialisation - meeting peers.

Socio-Political Power, hence resort to 'sick role'.

Social media - contribution to self-diagnosis. 

Support inc. Social prescribing: "You're not listening! How dare you suggest walking, gardening, volunteering, discussion group .. as a way to deal with this!"

'It's life - get on with it!' 

The compound effect of 'World News' on young people: cost of living; housing; cost of/access to education; employment options - related to AI; geopolitical events; climate change, state of economics since birth; COVID; housing; and isolation.
'Jobs' for teenagers?
(I had a 7-day paper-round)

 ^Parity of esteem (see above)

Welfare traps - 
especially by age xx

Realisation of the importance of outdoors play. Streets being protected for children.

Early Start Nursery


Imagine four characters called Harlequin meet for dinner. Halfway through another Harlequin gatecrashes the party, called spirit, then add psychiatry, anti-psychiatry, psychology, service users, policy-makers, the pharma-industry and education to the guest list and you are set for a marvellous time.

My source: John Burn-Murdoch, What's really going on with mental health around the world? FTWeekend, 11-12 July 2026, p.10.

John Burn-Murdoch, Pandemic lockdowns never ended for some people. FTWeekend, 15-16 August 2026, p.8.

Previously: 'young people' : 'mental illness' : 'behaviour' : 'Serres'