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.

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'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.

Remember (if you can) in each care domain ...

... there is an elephant in the 'room'!

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	© Charlie Bibby/FT 'Game of tag:  the label on Ikea's elephant is almost twice its height'

    

'If there is one product that symbolises the absurdities of the EU's single market in goods, it might be a cuddly elephant. The Djungelskog toy from Ikea may only be 12cm tall and cost less than €2, but it has a 20cm-long label protruding from its behind.

Environmental rules from France and EU textile legislation account for much of the length. But the elongated label reflects a strategic even a philosophical, problem for Europe as its companies battle to compete globally.

The single market in goods should be the EU's crowning achievement. Compared with free movement of people, services or capital, it is the area that has come furthest in more than 30 years since the common market was established.

Yet there remain small, often invisible barriers to trade that, taken together, amount to what the IMF estimates is a drag on Europe's economy equivalent to a tariff of 44 per cent.'

RICHARD MILNE - OSLO and SAM JOINER - LONDON, Elephant in the room hampers frictionless EU trade, FTWeekend, 6-7 December 2025, p.6.

Related?

Jones, P. (1996) Nursing Technology and Elephants - Part 1: Technology as a beast of burden. IT in Nursing. 8,1,4-6.

Jones, P. (1996) Nursing Technology and Elephants - Part 2: Technology as a serpent. IT in Nursing. 8,2,5-7.

Jones, P. (1996) Nursing Technology and Elephants - Part 3: Technology rope to save humanity and health care, IT in Nursing. 8,3,5-7.

AI - World Models

'What Is a World Model?

World models are neural networks that understand the dynamics of the real world, including physics and spatial properties. They can use input data, including text, image, video, and movement, to generate videos that simulate realistic physical environments. Physical AI developers use world models to generate custom synthetic data or downstream AI models for training robots and autonomous vehicles.'

https://www.nvidia.com/en-us/glossary/world-models/

In healthcare a 'world model' is slightly more expansive, hence the importance of experienced humans. We call these - nurses, doctors, physiotherapists, occupational therapists, social workers and many other professions, support workers and disciplines. They learn and train for many years and must continue to learn and unlearn throughout their careers. Their work and engagement is shaped and directed by human values, which are in turn informed by social change, evidence-based research, professional guidance, policy and law.

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	WORLD MODEL

The critical pathway leads to ...?

I missed the most salient information on this book's cover - at least for me. My copy is secondhand, but I picked the copy up recalling Dr Walsh's many publications on models of nursing.

The critical pathway for me is plural. It would include, the CPN(Cert.) course when I first encountered Hodges' model in 1987-8. Plus the fact that the pathway is not unidirectional, with some backward steps and reviews, but is multifold. Running the axes of Hodges' model to - pre-op, surgery, post-op, rehab ... we can add the whole corpus of nursing, social, self, and global health care.

The cover is of course illustrative, intended to support the title and suggest an explicit critical pathway. Apart from possibly pointing to collaboration "Mr Jones ... Let us discuss your critical pathway!" what has changed? Since the book's publication in 1997, we need health care services and systems to be sustainable. We are bit late here. Mr Jones is already a 'patient', bedecked in dressing gown and slippers.

This critical pathway needs to be replaced by one informed and oriented towards Mr Jones as self-caring citizen. This is of course easier said than done in policy terms. While governments globally and institutions stress the need for health literacy, informed life style choices, self-care, health promotion and prevention how much progress is being made? Nutrition remains a profound issue.*

The environmental challenges of climate change, pollution and waste disposal are seemingly contested even as the effects and cost of non-action are increasingly obvious.

The policy of 'care in the community' even while incomplete in the community, has provided me with a stimulating, challenging and rewarding career 1985 ... In the 21st century though, we have to ask of the assessment of mobility to follow and effort of the up-hill walk to 'home' begs the critical pathway that is now Planetary Health.

<>

Several points from Walsh (1997):

'Introducing a model to a clinical area is not an easy task to be undertaken lightly, as it involves fundamental changes in the way staff think and work. Luker (1988) has suggested that each nurse carries around their own informal model of nursing which guides their practice. It is probable that a formal model will be significantly different, although these differences can be minimized by full consultation and involvement with staff to ensure that the model chosen reflects their views of nursing as far as possible.' p.36.

Hodges' model can be 'carried around'. In truth it not strictly a model of nursing. Its scope extends beyond nursing and yet the model can incorporate thought about the patient, nurse, environment and what health, illness, recovery and self-care entail. Hodges' model is meta-cognitive and meta-conceptual, and (very) capable of mapping the terrain (p.26) of nursing from these and other perspectives. A nurse's 'views of nursing' will be dictated by the situation presented to them. Hodges' model can be retrospective, prospective and operate in the here-and-now: situated.

'There is a further point, however, that follows on from Luker's observation for expert nurses have an internalized model of care which is unique to them, it is possible that they may have internalized some practices which are outdated, taken for granted or inappropriate (Paley, 1996) but which are never made explicit as their care is not based upon a commonly understood model of nursing. This notion of every nurse having their own model therefore can lead to the situation where outdated rituals can be propagated under the guise of expert practice. Having a series of explicit models whose aims and ideas are common knowledge, shared by all, opens up care to critical scrutiny in a way that is not possible if each nurse has their own private internal model.' p.37.

Hodges' model can be used with other models, conceptual frameworks and systems across disiplines. Hodges' model is not intended to be prescriptive or prospective. It can be utilised for learning and unlearning. As a registered General Nurse who studied in the 1980s this does not mean I would be competent and safe to practice now. Continuing professional development, mandatory training and revalidation of nursing registration are all geared to support professional practice that has currency, validity, and is safe.

If nursing ever needed a commonly understood model ...?

'It will be apparent from the previous sections that use of a model will lead nursing into some new and unfamiliar territory that will involve seeing the patient in a more holistic fashion'. p.63.

'The nurse may find that models start to identify environmental problems whose solutions lie beyond the boundaries of nursing at present. This is particularly true of the community nurse.' p.63.

Walsh's concern here is the immediate community, but we can recognise the prescience of environmental problems here. Plus the need for the POLITICAL domain in Hodges' model:

'On a larger scale still, perhaps some patient's problems have their origins in political decisions made by national govemment or perhaps it is the factory down the road producing unacceptable levels of pollution. If nursing models make us recognize the political and environmental causes of some patient problems, there should ee no logical reason why nursing should not go forward into theee arenas as a legitimate part of nursing intervention.' p.63.

'There are senior NHS managers and health academics in so-called 'policy thínk tanks' who simply do not recognize the value of nursing and see only a collection of simpie tasks which anybody with an NVQ level 2 can perform. Nursing therefore has to demonstrate its worth; it has to evaluate what it is doing for patients.

Here it is important to remember that the care given may be very different from what is written down. Consequently, how a nurse evaluates care mentally may be very different from how this care is recorded in nursing process documentation. ...' p.64.

Hodges' model can (imho) have a role in argumentation for the quality and scope of healthcare, for nursing as a profession, evaluating and assuring nursing's values in the constant that are the demands of complexity and change. The (several) determinants of health are the other constant.

Mike Walsh (1997) Models and Critical Pathways in Clinical Nursing. London: Bailliere Tindall.

Luker K. (1988) Do Models Work? Nursing Times, 84 (5), 27-29.

Paley, J. (1996), Intuition and expertise: comments on the Benner debate. Journal of Advanced Nursing, 23: 665-671. https://doi.org/10.1111/j.1365-2648.1996.tb00035.x

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

Wirnitzer KC, Motevalli M, Tanous DR, Drenowatz C, Moser M, Cramer H, Rosemann T, Wagner K-H, Michalsen A, Knechtle B, Fras Z, Ritskes-Hoitinga M, Marques A, Mis NF, Stanford FC, Schubert C, Goswami N, Leitzmann C, Fredriksen PM, Ruedl G, Wilflingseder D, Lima RA, Kessler C, Jeitler M, Khan NA, Joulaei H, Fatemi M, Knight A, Kratky KW, Palmer KK, Haditsch B, Jakse B, Kofler W, Pfeiffer T, Cordova-Pozo K, Tortella P, Straub S, Lynch H, Schätzer M, Krishnan A, Fathima A. S, Gatterer L, Kriwan F, Abhishek M, Nandgaonkar H, Nandgaonkar S, Adedara AO, Haro JM, Gericke C, Neumann G, Akhtar A, Rashidlamir A, Thangavelu M, Ngoumou GB, Perpék É, Klaper M, Bhattacharya B, Kirschner W, Bessems KMHH, Jones P, Peoples G, Bescos R, Duftner C, Seifert G (2025). Toward a roadmap for addressing today's health dilemma–The 101-statement consensus report., 

Frontiers in Nutrition, Volume 12:1676080. doi: 10.3389/fnut.2025.1676080. https://doi.org/10.3389/fnut.2025.1676080

Conquering Today's Health Paradox with the Power of HEAL – An Expert Consensus Report plus Research Priorities and Policymaker Roadmap

A further post will follow with full PR, but the paper is now published:

Article type: Policy Brief
Journal: Frontiers in Public Health - Public Health Education and Promotion
Manuscript ID: 1695757
Received on date: 30 Aug 2025

Abstract

Background. Despite growing scientific evidence and health guidelines, the global health paradox persists, with rising lifestyle-related diseases and escalating healthcare costs exposing the inadequacy of current efforts.

Objective. 3 multidisciplinary congresses were held to generate evidence-based conclusions to tackle the global health paradox.

Methods. 58 experts from 62 entities participated in the international research and knowledge exchange panels. Experts reviewed the latest findings to develop practical strategies, key research and policy priorities, focusing on the “Healthy Eating & Active Living” (HEAL) approach.

Results, Conclusions, and Relevance. The expert consortium endorsed a 33 evidence-based consensual-statement policy roadmap for addressing global health challenges, emphasizing the HEAL approach can significantly contribute to the “Prevention First” appeal and broad ethical, social, ecological, and economic advantages, and eventually policy change.

Wirnitzer KC, Motevalli M, Tanous DR, Drenowatz C, Moser M, Cramer H, Rosemann T, Wagner K-H, Michalsen A, Knechtle B, Fras Z, Ritskes-Hoitinga M, Marques A, Mis NF, Stanford FC, Schubert C, Goswami N, Leitzmann C, Fredriksen PM, Ruedl G, Wilflingseder D, Lima RA, Kessler C, Jeitler M, Khan NA, Joulaei H, Fatemi M, Knight A, Kratky KW, Palmer KK, Haditsch B, Jakse B, Kofler W, Pfeiffer T, Cordova-Pozo K, Tortella P, Straub S, Lynch H, Schätzer M, Krishnan A, Fathima A. S, Gatterer L, Kriwan F, Abhishek M, Nandgaonkar H, Nandgaonkar S, Adedara AO, Haro JM, Gericke C, Neumann G, Akhtar A, Rashidlamir A, Thangavelu M, Ngoumou GB, Perpék É, Klaper M, Bhattacharya B, Kirschner W, Bessems KMHH, Jones P, Peoples G, Bescos R, Duftner C, Seifert G (2025). Toward a roadmap for addressing today’s health dilemma–The 101-statement consensus report. Frontiers in Nutrition, Volume 12:1676080. doi:10.3389/fnut.2025.1676080.

 https://doi.org/10.3389/fnut.2025.1676080

Yuki Kihara: Darwin in Paradise Camp - The Whitworth, Manchester

3 October 2025 – 1 March 2026

'A visually stunning exhibition centring Indigenous, queer worlds by Japanese-Sāmoan artist Yuki Kihara.

The Whitworth is proud to present Yuki Kihara’s acclaimed installation Paradise Camp (2022), first presented at the Aotearoa New Zealand Pavilion in the 59th Venice Biennale in 2022, and a new video work, Darwin Drag (2025).

Kihara delves into art histories and archives to unpick the effects of colonialism on the peoples and ecologies of the Pacific. Her visually compelling projects centre and empower the Fa’afafine and Fa’atama in Sāmoa, traditional yet marginalised third gender communities to which the artist belongs. In this exhibition, Kihara focuses on two celebrated Western figures – French modernist artist Paul Gauguin and evolutionary biologist Charles Darwin (1809-1882) – who each shaped Western understandings of the Pacific.

Paradise Camp responds to famous paintings of Tahiti and its people by French modernist artist Paul Gauguin (1848-1903). Through archival research, Kihara links Gauguin’s paintings to colonial photographs taken in Sāmoa. Described by Kihara as an act of 'upcycling', she recreates Gauguin’s compositions in a series of 12 resplendent high definition photographs, shot on location in Upolu Island. Collaborating with Fa’afafine models and production crew, Kihara repurposes these cultural artefacts to speak to, and from, queer Indigenous worlds in a profound gesture of reclamation.'

My source:

Josh Lustig. Yuki Kihara, Gallery, FT Magazine, November 22, 2025, #1152. pp.12-13.

Anti-Science countermeasures ...

'We are pleased to announce the winners for the 2025 Nature Awards for Standing Up For Science - The John Maddox Prize.

We are proud to announce that our Maddox Prize winner is Virginia Burkett, United States Geological Survey. Judges were impressed by her persistence, as a government adviser and an expert in coastal systems, in the face of opposition.' ...

https://www.nature.com/immersive/maddoxprize/winners/index.html

Virginia Burkett's five 'tips for resisting the anti-science lurch'

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2. KEEP RECEIPTS (your memory) know your institution's scientific integrity policy	2. Never compromise on scientific integrity
3. Find allies 5. Be prepared for setbacks, e.g. relying on family and religious faith.	keep receipts (your defence) 4. KNOW YOUR INSTITUTION'S  SCIENTIFIC INTEGRITY POLICY

My source:

Anjana Ahuja, Tips for resisting the anti-science lurch, Opinion, Research. Financial Times, Wednesday 5 November, 2025, p.20.

Auction: Twenty-two photographs of psychiatric patients at the Surrey County Lunatic Asylum [1850s]

DIAMOND, Dr Hugh Welch (1808–1886)

Twenty-two photographs of psychiatric patients at the Surrey County Lunatic Asylum [1850s]

Estimate - GBP 100,000 – GBP 200,000

Christie's London - December 10th 2025

https://www.christies.com/en/lot/lot-6564110?ldp_breadcrumb=back

Asylum patient by Hugh Welch Diamond, c1850-58
Hugh Welch Diamond (English, 1808-1886)
Public domain, via Wikimedia Commons

'The women Iook out at us across 170 years of history with a variety of expressions - bold and shy, serene and distressed. Yet all of them were regarded at the time as "lunatics". These faces were the  subjects of a pioneering project by the 19th-century psychiatrist Hugh Welch Diamond, superintendent of the female division of an asylum in London and the world's first photographer to take pictures of patients for the purpose of diagnosis and therapy.

Twenty-two of Diamond's asylum portraits - the largest surviving group - will be put up for auction on December 10 at Christie's in London, as part of a sale of books, manuscripts and photographs from the library of The Royal Society of Medicine. If they achieve their estimated prices, RSM, a membership charity, will raise more than £2mn to invest in physical and digital infrastructure.' ...

'Diamond was working at a time when society's views of people suffering from mental illness were changing. The earlier practice of shutting patients away in secure "madhouses" was giving way to more humane treatment. Diamond seems to have believed that photography would help doctors both to diagnose and to treat patients. His diagnoses were based partly on the idea, popular in Victorian medical circles, that an individual's physiognomy - their physical features, particularly the face - could reveal their mental state.

"He wanted to make people better and put them back into the world," says Sharrona Pearl, a medical historian at Texas Christian University who has studied Diamond's work. "He also enjoyed experimenting and liked the idea of bridging his expertise in medicine and photography.' p.32.

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Mental Illness PERSON - SUBJECT Patient's names not recorded Portrait - Consent?	Diagnosis and Treatment person - DATA - SUBJECT Photography as records Eagerness to classify - label
Social history Change in social attitudes Stigma and fear of mental illness Current relatives?	Confidentiality Institutional change Power imbalance Shift from 'custodial' to health care

My source:
Clive Cookson, Mind Hunter, FT Magazine, November 15, 2025, 1151, pp.30-34.

I have noticed Prof. Brendan Kelly is a regular FT respondent, as with this article:

'These photographs were likely to have been taken without meaningful consent and in the context of power imbalance. Yet publication can reclaim their individuality, address historical injustice and underscore our common humanity. Compassion, respect and humility should guide decisions. 

 Proceeds should support medical, educational, or justice-oriented programmes. Most importantly honouring forgotten patients of the past demands better care for people with mental illness today, who often languish, neglected, in homeless hostels or prisons. We can do better.'

Brendan Kelly Professor of Psychiatry, Trinity College, Dublin, Ireland.

Letters, FT Weekend. 22-23 November 2025, p.10.

See also: 'asylum' : 'photos'

Abstract accepted: 6th World Conference on Complex Systems - WCCS 2026

April, 20-22, 2026

Mohammed VI Polytechnic University, Ben Guerir-Marrakech, Morocco

About Us

Building on the success of previous editions, we are delighted to announce WCCS26, organized by the Chair of Complexities ∞ Humanities - UM6P and the Moroccan Society of Interdisciplinary Studies, with technical sponsorship from IEEE. This conference remains a premier international platform where researchers and Ph.D. students come together to share cutting-edge research, address emerging challenges, and explore new frontiers in complex systems and interdisciplinary science.

WCCS26 fosters collaboration and debate on the most advanced methodologies and approaches for understanding, modeling, simulating, predicting, and mastering societal, ecological, biological, and engineered complex systems. By bringing together experts from diverse disciplines, the conference bridges theory and real-world applications, driving scientific progress and innovation.

Join us for a stimulating exchange of ideas at WCCS26!

WCCS26 Theme :

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

Conference Topics (But not limited to...) :

• Foundations and Approaches to Complex Systems
• Social and Economic Complexity
• Complexity in the Anthropocene
• Biological Complexity: From Cells to Societies
• Complexity in Health and Medicine
• Philosophical Dimensions of Complexity
• Complex Systems With Artificial Intelligence
• Complexity in Emerging Technologies
• Grand Challenges in Complexity Science
  
  

Continued at: https://wccs-conference.org/wccs26/#call

See also: 'complexity'

n.b. I am attending (unsponsored) as an independent scholar and researcher; and by abstract alone.