Hodges' Model: Welcome to the QUAD

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 ...

Sunday, June 30, 2024

Learning Health Systems/AcademyHealth 2024 SUPPLEMENT now available

 Dear Readers of Learning Health Systems,

We are pleased to announce the first-ever Supplement Issue of Learning Health Systems! 

 

You may view the complete Supplement online at:

https://onlinelibrary.wiley.com/toc/23796146/2024/8/S1

 

Guest Editors for the 2024 Supplement were: 

Lucy A. Savitz,  Sarah M. Greene,  Michael K. Gould,  Harold S. Luft

 


The LHS/AH Supplement is the result of a collaboration and memo of understanding between Learning Health Systems (University of Michigan), AcademyHealth, and John Wiley & Sons.

 

***********************************************************

 

Guest Commentary

The Right Stuff:  Getting the right data at the right time and using that data to drive evidence-based practice and policy

 

Lucy A. Savitz,  Sarah M. Greene,  Michael K. Gould,  Harold S. Luft

May 27, 2024

 

Experience Report

Leveraging data to support health equity in an integrated delivery and finance system

 

Jane Kogan, Joan Eichner, Hyagriv Simhan, Erin Dalton, Alex Jutca, Beth Quinn, Jennifer Chaney, Anna Patterson, Donna Keyser

April 15, 2024


Continued...

Saturday, June 29, 2024

Book for review: iv "Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy"

Don't worry this is not a chapter-by-chapter review. Having cast the stone that is Hodges' model we will skip a few times.

The use of footnotes varies from chapter to chapter. They inform the text, in several instances being quite illuminating. Beside the footnote (1/3 of a page) I noted - 'baby, cacophony, perception - brain - not overwhelmed but can't ignore' (p.41). Stoicism is the focus in chapter 3; perception, fields, manifold, circles of care, self, time, situation! We have field, subfields, domains.
"Perception is always about a diagnosis of the situation in which the living being finds itself. ...

... perception is always about finding one's "whereabouts" or one's "location" in life's journey." p.42.

On the features of perception, 4/4: "might be termed the breadth or width of the perceptual field." p.42. 

"As pointed out above, all perception has the structure of a compact, continuous, and uninterrupted manifold. In other words, it forms what we have termed a field. But the perceptual field  could contain nothing but the "bare bones" of "inert" qualia, (a manifold of simple qualities impinging themselves upon the perceiver)." p.42. 

The author, Jorge de Carvalho continues another view of qualities that take place in "each given moment". This is the challenge of salience, what is significant? How to 'read' in care: the spoken, the unspoken? 

Developing notes on Hodges' model as a mathematical object, Hodges' model in its basic form as a template, I'm proposing as an empty set. The structure of Hodges' model, its two axes instantiate the "bare bones". In programming/instruction terms ... Hodges' model provides INITIALISATION. A reset. This can act as a prompt for learners to acknowledge the person - the other and consider 'unconditional positive regard'. There's polarity too (p.46) and each living being lives in its own global field, in its own global 'map' - in its own geography" (p.49). Physical geography and the change 'there' is giving rise to cogeographical (a neologism?) disruption - eco-anxiety and climate-angst. 

Psycho-geography: the polarity of our times?

Another note, amongst Hierocles' circles is 'reflex arc'. So many feedback loops, cascades to worry about. 

As Jorge de Carvalho writes: 'what we are talking about is a very complex field of fields. ... described both as a compass rose and as a framework of concentric circles" (p.51). [There's a relay race, a torch relay in ancient terms p.54. Care is the object that is passed on. I've a dual-shaped baton to pass on.]

Care is more than perception (p.52), care presupposes a degree of activity or action. I like the acknowledgement of 'vigilant waiting' too. For me this draws in the importance of communication; Watzlawick's Five Axioms of Communication. After all, what happens to all these perceptions? There's vulnerability, fragility and care for the sheer existence and the whole content of a given being (p.56). Jorge de Carvalho, deploys a series of numbered points which helps reading. Page 60's footnote had me drawing circles, unborn at the centre: as one. But the collective unborn in another rough circle. Eachtimeness: I like this Stoic formulation through circles. Fourthly, we arrive at pure care. I'm still pondering on ".. there is no absolute either/or dichotomy between care and its opposite" (p.61). Integration is also here, an issue for modern times, a legacy problem from ancient times?

Luis Mendes's chapter I must read again. The abstract includes:
"Three fundamental aspects will be identified: (a) the need to consider self-existence from a global point of view; (b) the need for an axis for that life-view; (c) the need for correspondence between self-existence and life-view. Apparently, this structure is formal and arbitrary. Secondly, I will analyse the structure of despair. Three fundamental aspects will be analysed: (α) the requirement for a life-view which can be applied to the totality of subjective existence; (β) the requirement for an unconditioned instance of meaning; (γ) the requirement for the exclusion of the possibility of failure." p.79.
I'm sure Kierkegaard has featured in Philosophy Now, and The Philosophers' Magazine. Mendes' focus is arbitrariness. The hypothesis is well explained (p.80) structure of care. There's much for me here: care, life-view (health career - life chances), "a global understanding maps the world" (p.81), existential map, fulfilment, meaning (of course!). Reading -
"So, a life-view needs to be stabilized, to have unity. It needs an instance that works as an axis and as a point of support. We need something to support our life" (p.83).
I could have jumped up, waved and shouted "OVER HERE!" Would Kierkegaard have been pleased? Perhaps I should have read Kierkegaard, not Michel Serres (please see bibliography in the sidebar)? Still time (fingers x'd); especially if there's any interest in the form of co-author(s)? Care is full of ideals. Mendes through Kierkegaard gives my  project encouragement: "Truth is to live for an idea." p.84. Not necessarily truth but the idealism in care, including identity. It is helpful in care to be reminded of the ideal as a calling, hence motivation (intrinsic and extrinsic) is still key. If you're intrinsically motivated, devoted to your chosen vocation, is your pay that important - to the government/organisation that employs you? A shame this is so often lost to political leaders; who, given their chosen vocation, exhibit a markedly short memory.

Braga, J. & Santiago de Carvalho, M. (Eds.), (2021) Philosophy of care: New approaches to vulnerability, otherness therapy. Springer. 

Many thanks again to Springer for my copy, especially given a follow-up request, well post-publication date.

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

personal courage

relational - (emotional) care

despair - fulfilment

motivation

ideals

unity - stability

maps

compass - orientation

models - frameworks

geography

life as a whole

society - community of practice

external validation

extrnisic motivation


sustainable development goals

policy

accountability

failure (courage here - political convictions?)



See also:

body & soul - Book: Philosophy of care: New approaches to vulnerability, otherness therapy


Book for review: iii "Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy"

Friday, June 28, 2024

Call for Papers for Special Issue "Philosophy and Disability"

"HUMANA.MENTE Journal of Philosophical Studies"

https://www.humanamente.eu 

Call for Papers for Special Issue "Philosophy and Disability"
Editors: Brunella Casalini; Chiara Montalti

deadline for submissions: 30th September 2024

In the past fifty years, the concept of disability has productively transcended the medical, psychiatric and rehabilitative domains. It has been defined, to name some examples, as the result of social exclusion, as a cultural trope, as a territory of political struggle and resistance, as a multi-faceted experience that emerges from the several inter-relational aspects of daily life, or as a neutral or even positive space.

Since Disability Studies is a trans-disciplinary area, the research on disability has benefitted from the contributions, methodology, and conceptual tools of many different fields. Disability has been explored from the perspectives of Sociology, Art, Anthropology, Law, Literary and Cultural Studies and the Humanities at large.

Regarding the latter field, it has been pointed out that disability, even though not always explicitly addressed, “pervades” nonetheless “language and literature”: as a concept, as an image, or as a metaphorical crutch (Mitchell, Snyder, 2000; Snyder, Brueggemann, Garland-Thomson, eds., 2002). Despite this intrinsic abundance, however, disability is still largely unrecognised as a topic of academic interest, especially in the Humanities, in what David Bolt and Claire Penketh define as a form of “disciplinary avoidance” (2015) – the reasons for which should be investigated.

The scholars and researchers would therefore be invited to deepen our understanding of the possible intersection between Philosophy and disability. They would be invited, on one hand, to examine how Philosophy can be a suitable starting platform in order to address several issues related to disability, and, on the other hand, to explore how the analyses on disability may significantly impact Philosophy. We aim therefore to bring forth philosophical inquiries that investigate, among the possible topics, disabled people’s lived experiences; emerging ethical challenges; social and political implications of ableism; theoretical foundations of disability, examined through a philosophical lens.

The Special Issue aims to explore a wide range of philosophical topics related to disability, including but not limited to:
I) Examinations of various philosophical perspectives and frameworks for understanding disability, including the social model, the cultural model, the relational model and the capabilities approach.

II) Ethical considerations concerning disability, such as questions related to autonomy, dignity, justice, violence, and the ethics of care.

III) Epistemology inquiries into how disability affects knowledge, perception, and cognition.

IV) Explorations of disability's influence on art, aesthetics, and the perception of beauty.

V) Discussions on disability rights, social policies, and disabled people’s participation or exclusion from citizenship.

VI) Phenomenological analyses of lived experiences, that include the embodiment of disability and the material encounters with the world. Philosophers’ first-person experiences and accounts would also be positively valued in this regard.

VII) Analyses of the role of disability in language, in the discursive realm, in the creation of meaning, and in the construction of metaphors, including the investigation of how philosophical language and theorization could contribute to ableism, disablism, and disabled’s people exclusion.

VIII) Investigation of disability through the lens of humanism and/or its critical stances (Anti-Humanism, Philosophical Posthumanism, Transhumanism, New Materialisms, and so on).
Intersectional analyses, which explore how disability interacts with, and impacts, other social categories such as race, gender identity, sexuality, and class, would be greatly welcomed. Furthermore, contributions could cover a wide array of historical and geographical frameworks, from Ancient Philosophy towards Contemporary Philosophy – not only from a Western perspective.

Information

Deadline for submissions: 30 September 2024

Publication of the Special Issue: July 2025

We anticipate that submissions will come both through solicitations and this open Call. Papers should be between 8000 and 10,000 words (including abstracts, footnotes, and references). Only papers in English will be accepted. For further information do not hesitate to contact the editors (brunella.casalini[at]unifi.it; chiara.montalti[at]unisalento.it).

My source: 
Philos-L "The Liverpool List" is run by the Department of Philosophy, University of Liverpool https://www.liverpool.ac.uk/philosophy/philos-l/ 
Follow the list on Twitter @PhilosL. Follow the Department of Philosophy @LiverpoolPhilos 

Tuesday, June 25, 2024

Book for review: iii "Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy"


Before moving beyond Pierron's 1st chapter (the whole book is very worth reading), there is much that reminds me of institutional care:

https://winwickremembered.org.uk/

Recognition of the sub-standard cockroach 'co-habiting' environment away from the entrance corridor, quality of life, task oriented, de-personalising, stagnant, passive, pervasive sense of hopelessness and helplessness. There was a chink of light. 

As registered mental health student's we were on a crusade. Carrying a torch, lit outside in the community to help open the doors to community care.

 On trips outside, gradually the institutional skin sloughed off, to reveal the person - the individual came alive (even through medication). 

'Bill' had a sense of humour, a lovely smile. He'd had the prospect of another life. So many people there for so long: too long. Potential unrealised?

"To be in contact with the other in care is not to exercise a hold over them." p.16. 

The problem is - within institutions this can be forgotten and lost:
"To suspect a substituting mode of solicitude (cf. Heidegger) of being a highhanded charitable hold over someone invites one to consider the ethical and political fecundity of a solicitude which looks ahead. To think through this alternative would amount to unmasking the mechanisms of domination, whether voluntary and involuntary - naturalisation of roles, masculine domination, organisational violence, etc, - at work in care. Doing so politicizes care, enabling it to overcome that democratic optimism which doesn't want to recognize that violence is part of human history (Merleau-Ponty 1996: 124-125), that violence insinuates^ itself into care relations, and, as such, comes under the sway of what Merleau-Ponty called the 'maleficence of living among many' (maléfice de la vie à plusieurs)." p.16. 

^The need to be aware of subtle abuse? 

My notes for chapter 2 'From an Anthropology of Vulnerability to the Ethics of Care' by João Maria André, reflects a lot on relationality, and maps which I've drawn: "(identity is always dialogical identity)" and "how we map ourselves". Again this helps my (other) current reading and draft work. There's time here, plus "there is no such thing as abstract vulnerability - vulnerability is necessarily concrete". p.25. I don't think André mentions future generations but I've added a note; 'I-we' too. There's a triple axis, and more encouragement as Tronto and Gilligan feature. Heidegger's reference to Hyginus' Fable 220 (in which Care moulds man out of clay, Jove grants it spirit, and Earth gives him body, with Care being assigned the task of keeping him alive." (Gaia?) p.26.

As in chapter 1, and previously reviewed text 'General Psychotherapy', the term 'constellation' appears. In chapter 2 it is expanded (with reference to Corine Pelluchon); leading us to "appreciation of the world, and self-care as care for the world" p.29. So, planetary health too. With Hodges' model purposed (1/4) to help bridge the theory - practice gap; this perennial problem exhibits existential relevance here (p.27). We by-passed biopolitics on page 17, but  the interrelation of psychosocial and other examples informs the text (philosophy). As I scribbled, Hodges' model is simultaneously a space for resonance and unconditional positive regard (pp.30-31). Authors inevitably find themselves deliberating upon dualisms, Descartes of course, plus Spinoza and others. Entralgo is nails the duality: "the aim of caring is to lead the I from being 'a body that says I' to a learning how to progressively become, and define itself as, 'a body that says we'". p.35.

Braga, J. & Santiago de Carvalho, M. (Eds.), Philosophy of care: New approaches to vulnerability, otherness therapy. Springer. 

Many thanks again to Springer for my copy.

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

relational

'I' - mind 

individual vulnerability

intention

affection - as movement


climate change

'I' - body

maps - cartography

Planetary Health

action - movement


We

context

equity - equality

social vulnerability


We

policy

bio-POLITICS

accountability of government(s)



See also:
body & soul - Book: Philosophy of care: New approaches to vulnerability, otherness therapy

Sunday, June 23, 2024

Book for review: ii "Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy"

What I like here is being drawn (rescued then!) from the torrent that is the near reaches of the 

    bit, byte ... data, information, knowledge, wisdom

continuum, to its latter realm. The forever incomplete project of wisdom in 'care':
"Care, which is prior to all curing, identifies a fundamental availableness that has not yet been appropriated in the expert and technical discourses of care specialists." p.9.
This goes back to Pierron's 1st chapter focus upon 'Care: A New Arrival in the History of Philosophy'?

J. Braga & M. Santiago de Carvalho (Eds.), Philosophy of care: New approaches to vulnerability, otherness therapy. Springer.

A real gift for me (Hodges' model) is:
"Narration .. In opposition to the mathematization of the world, which reduces human problems to theoretical questions and to a universalized and rational formulation of moral dilemmas, the philosophies of care present a conflict of interpretations which deconstructs official and stereotyped narratives. Amy (or the voice of care) does not conceive a dilemma as a mathematical problem but rather as a narration of human relations, whose effects extends over time. (Gilligan 2008: 53)." p.13.
In addition to Tronto "Care is <<a species of activity that includes everything we do to maintain, contain, and repair our 'world' so that we can live in it as well as possible. That world includes our bodies, ourselves, and our environment>> (Tronto 2009: 143)." p.15. (see i) - I must add Gilligan to the list. 

In this weekend's FT, there's an item about the sorry state of the UK's statistical infrastructure (a post will follow, and mention of another book). I remember* Derek Hoy (RIP) doing a presentation about using data, and nursing informatics to make nursing visible. I wonder how he would make sense of the contrast between nursing whilst in COVID and post?
"Gilligan puts forward a distinction between a feminine ethics of care, which makes use of the idea of the natural solicitude of women by associating self-sacrifice and concern for others, and a feminist ethic of care, thought of as a critical approach that brings to light the mechanisms which favour the "invisibilisation" of care. The latter makes it possible to analyse the ways in which we lose the capacity to care for the other when relations of mutual caring are damaged." p.14. 

As usual below I've mapped some concepts to the domains of Hodges' model. 
Many thanks again to Springer for my copy.

Please note, also - as usual I am trapped in chapter 1! :-)

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

"Amy - voice of care"

relational

situated


data, information, informatics

visibility

statistical infrastructure



context

equity - equality

social justice

context

feminism

data - reporting

accountability of government(s)



See also:
body & soul - Book: Philosophy of care: New approaches to vulnerability, otherness therapy

*https://hodges-model.blogspot.com/2010/08/drupal-musings-12-semantic-web-icnp.html

Friday, June 21, 2024

Psycho-Politics - c/o Peter Sedgwick

One domain counts, but how does it care?

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



Sedgwick P (1982). Psychopolitics. London: Pluto Press. 

See also: Cresswell, M. and Spandler, H. (2009) Psychopolitics: Peter Sedgwick’s legacy for mental health movements Social Theory and Health 7(2) 129-47. 
https://clok.uclan.ac.uk/2485/2/2485_Spandler.pdf

https://www.jstor.org/stable/40547630

Ack. Library Lancaster University.

Prev. 'bridge' , 'psycho-political'

One domain counts (when it chooses), but how does it care?

Wednesday, June 19, 2024

IO Magazine #41 Being = Space x Action


"The Parmenides poem in fact opens a rather impressively large range of philosophical issues which remain unresolved to this day: the questions of the unity of knowledge, the unity of being, the unity of knowledge and being, the nature of proof, the nature of thought itself, the nature of justice, the relations between thought, proof, knowledge and justice, the possibility of rational cosmology and the relationships between logic and cosmology, the existence and nature of abstract entities, the privileged status of philosophical knowledge - all these questions became explicitly formulatable questions immediately following the production of Parmenides poem, none of them are definitely resolved today, and the future of science, culture and the human spirit all depend to a far from trivial degree on how these questions come to be reflected upon." pp.3-4.



IO Magazine. Reveal Digital, 01-01-1988
Contributed by: Charles Stein; Don Byrd; A.S. Yessenin-Volpin; Christer Hennix; Henry Flynt; Henry Flynt; George Quasha; Charles Stein; Christer Hennix; Luitzen Egbertus Jan Brouwer; L.E.J. Brouwer; L.E.J. Brouwer; Charles Stein. Stable URL: https://www.jstor.org/stable/community.28038534

The poem: http://philoctetes.free.fr/parmenidesunicode.htm

Sunday, June 16, 2024

Occupational therapist Joël inspires elderly to get in motion ...

Or, "Excuse me. How many movements are there in that watch?"*

"Joël Kruisselbrink’s creativity in designing exercises and games inspires elderly people to keep moving and live life to the fullest.

Nursing home residents are often understimulated and have little motivation to exercise. As an exercise instructor, Joël Kruisselbrink knows better than anyone how important exercise is for the elderly. His passion for creating exercises and games enables older people to continue enjoying life while keeping them moving."
Individual
|
      INTERPERSONAL    :     SCIENCES                   
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group


What do
you think
the impact
is upon
the resident's mental
health
and
emotional
well-being?




Psycho-
-Social?




Standards & Quality of Care
Policy


*Hodges' model: A tool to watch the complications of Care

My source: https://x.com/Rainmaker1973/status/1802268229361967404