Hodges' Model: Welcome to the QUAD: Search results for history of medicine

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 relevance for query history of medicine. Sort by date Show all posts
Showing posts sorted by relevance for query history of medicine. Sort by date Show all posts

Wednesday, April 15, 2026

Book: 'Logic on the Track of Social Change'

When I walked into Lancaster Univ. library in February, I had no idea I was being followed.

From the maths shelves, the lights switching on as you progress, I decided to walk across to the more familiar realm of sociology. Looking for something, it was nice to see the parity in lighting, even as my struggle for mathematical enlightenment continues.

Logic on the Track of Social Change    

I do use the e-library, and other e-resources, but sometimes real shelves and varying levels of mustiness (remember the 'new acquisitions' - fewer these days?) invite a bit of serendipity. Suddenly, over my shoulders, the stranger,  pointed (with four arms of course). Was it my shadow? Or, was it my unconscious that 'read': LOGIC and TRACK and SOCIAL CHANGE, on the spine of -

David Braybrooke, Bryson Brown & Peter K. Schotch (eds.), Logic on the Track of Social Change, Oxford University Press. 1995?

In the early decades of health informatics, there was much talk - and still is(?) - of  'languages for health', even languages for nursing. Coding and classification systems were constantly developing, as posted here, but while physical diagnoses were the driver, the psychosocial dimensions of person - patienthood proved more nebulous. DSM is still subject much debate.

 Chapter 8 in Braybrook et al. is brilliant: A Rules-Analysis, Following Foucault, of the Birth of Clinical Medicine.

I've been in situations when surgery is suggested for an older person, and family, friends wonder is this really necessary? This chapter literally brings the history home, and not only that, but the emergence of the hospital system, versus care at home, in the community. The social determinants of health have been ever-present. This is essential reading for students, with the history of ICD, and the history of medicine. There are insights too into public attitudes and expectations to health services and provision here in the UK and in France.

For me, and Hodges' model, the significance of Braybrook, Brown, Schotch and Byrne is that it precedes:

Sallach, D.L. Categorical Social Science: Theory, Methodology and Design. September 2012
Conference: Fourth World Congress on Social Simulation. Taipei, Taiwan.
https://www2.econ.iastate.edu/tesfatsi/Sallach2012CategoricalSoSci4.WCSS-SS.pdf

And so, I do need my own secondhand copy of  Logic on the Track of Social Change. More to follow (indeed)! ... and help still welcome and needed.
 

Monday, January 05, 2026

Primary & Secondary Health Care - How long...?

THE DAWSON REPORT

MINISTRY OF HEALTH.

CONSULTATIVE COUNCIL ON MEDICAL AND ALLIED SERVICES.

Presented to Parliament by Command of His Majesty. [... selected extracts]

3. The general availability of medical services can only be effected by new and extended organisation, distributed according to the needs of the community. This organisation is needed on grounds of efficiency and cost, and is necessary alike in the interest of the public and of the medical profession. Measures for dealing with health and disease become, with increasing knowledge, more complex, and, therefore, less within the power of the individual to provide, but rather require combined efforts. Such combined efforts to yield the best results must be located in the same institution. As complexity and cost of treatment increase, the number of people who can afford to pay for a full range of service diminishes. Moreover, enlightened public opinion is appreciating the fact that the home does not always offer the best hygienic conditions for dealing with serious illness, which requires special provision in order to give the patient a full chance of recovery.

4. In days gone by such conditions as appendicitis were treated with poultices and drugs in the patient’s home. Now they are treated by operation, which is more effective, but requires more equipment, a team of workers, and a larger expenditure. Such conditions as diseases of the lungs formerly received clinical examination and treatment by drugs. They now may require, in addition, the attention of the pathologist and the radiologist. This means greater efficiency, but more organisation and higher cost.

5. Preventive and curative medicine cannot be separated on any sound principle, and in any scheme of medical services must be brought together in close co-ordination. They must likewise be both brought within the sphere of the general practitioner, whose duties should embrace the work of communal as well as individual medicine. It appears that the present trend of the public health service towards the inclusion of certain special branches of curative work is tending to deprive both the medical student and the practitioner of the experience they need in these directions.

6. Any scheme of services must be available for all classes of the community, under conditions to be hereafter determined. In using the word “available,” we do not mean that the services are to be free; we exclude for the moment the question how they are to be paid for. Any scheme must further be such that it can grow and expand, and be adapted to varying local conditions. It must be capable of comprising all those medical services necessary to the health of the people.

7. The foregoing are some of the considerations which have guided us in drawing up the scheme outlined below.

The services maybe classified into-

Those which are Domiciliary as distinct from those which are Institutional.

Those which are Individual as distinct from those which are Communal.

1. We begin with the home, and the services, preventive and curative, which revolve round it, viz., those of the doctor, dentist, pharmacist, nurse, midwife, and health visitor. These we style domiciliary services, and they constitute the periphery of the scheme, the remainder of which is mainly institutional in character. A Health Centre is an institution wherein are brought together various medical services, preventive and curative, so as to form one organisation. Health Centres may be either Primary or Secondary, the former denoting a more simple, and the latter a more specialised service.

2. The domiciliary services of a given district would be based on a Primary Health Centre -an institution equipped for services of curative and preventive medicine to be conducted by the general practitioners of that district, in conjunction with an efficient nursing service and with the aid of visiting consultants and specialists. Primary Health Centres would vary in their size and complexity according to local needs, and as to their situation in town or country, but they would for the most part be staffed by the general practitioners of their district, the patients retaining the services of their own doctors.

3. A group of Primary Health Centres should in turn be based on a. Secondary Health Centre. Here cases of difficulty, or cases requiring special treatment, would be referred from Primary Centres, whether the latter were situated in the town itself or in the country round. The equipment of the Secondary Centres would be more extensive, and the medical personnel more specialised. Patients entering a Secondary Health Centre would pass from the hands of their own doctors under the care of the medical staff of that centre. Whereas a Primary Health Centre would be mainly staffed by general practitioners, a Secondary Health Centre would be mainly staffed by consultants and specialists. It would be a consultant service in function and would be carried out by specialists or by general practitioners acting in a consulting capacity.

4. Secondary Health Centres must of necessity be situated in towns, where alone an efficient consultant service and adequate equipment could be expected, and the necessary means of communication exist. The selection of these towns will need careful consideration, and full information will be required as to the extent of existing provision of hospital and allied facilities, and of its distribution in relation to population and means of public conveyance. In rural areas the natural currents of traffic and business and existing medical facilities will usually indicate the town or towns in which a Secondary Health Centre may best be placed. In this connection we would like to point out the importance of carrying out a “Hospital Survey” at an early date. The results of this survey would afford data for recognising the areas in which the existing provision is inadequate, and the degree of the inadequacy. The Secondary Health Centres would vary in size and elaboration according to circumstances.

5. Secondary Health Centres should in turn be brought into relation with a Teaching Hospital having a Medical School. This is desirable, first in the interest of the individual patient, that in difficult cases he may have the advantages of the highest skill available, and secondly in the interest of the medical men attached to the Primary and Secondary Centres, that they may have the opportunity to follow the later stages of an illness in which they have been concerned at the beginning, to make themselves acquainted with the treatment adopted, and to appreciate the needs of a patient after his return to his home. In those towns where Teaching Hospitals exist, Secondary Health Centres would sometimes be merged in them. 

Continued at: 

https://sochealth.co.uk/national-health-service/healthcare-generally/history-of-healthcare/interim-report-on-the-future-provision-of-medical-and-allied-services-1920-lord-dawson-of-penn/

LONDON PUBLISHED BY HIS MAJESTY'S STATIONERY OFFlCE

1920. Price 2s. Net. Cmd. 693

See also:
https://www.adph.org.uk/resources/175th-anniversary-timeline/ 

My emphasis.

Sunday, February 12, 2023

Tuskegee Healing, the Moral Determinants of Health, and the Ethics of Research on Black Health

My source: SpiritOf1848 list - Lachlan Forrow

This will build from two November 2022 events (see their flyers below) commemorating the 90th/50th/25th anniversaries of the USPHS Study of Untreated Syphilis in the Negro Male at Tuskegee and Macon County, the first organized/hosted by the National Center for Bioethics at Tuskegee University, the second organized/hosted by CDC (see details and video of that here; the first 2min30sec include Dr. Termika Smith’s wonderful intro [60 seconds] and President Biden’s remarks [90 seconds]. 

I would also strongly recommend watching ~5 minutes starting at 11min45sec – Mrs. Lillie Head, daughter of Fred Tyson, one of the men in the Study, and founder/leader of Voices for Our Fathers Legacy Foundation, explaining what the Study was really about (i.e. the moral issues were racism, dehumanization, etc. etc., not just “failures of informed consent”). 

For our Feb 17 session, after presentations by Carmen J. Thornton (Lillie Head’s daughter, i.e. granddaughter of Fred Tyson) and Susan Reverby (arguably the leading historian of the Study), and then presentations about applying this framework to 3 concrete areas of severe and ongoing “Black health disparities” (Jesse Milan, President/CEO of AIDSUnited on HIV/AIDS; Wangui Muigai on the history and current realities of Black maternal/infant mortality; and I hope [not yet confirmed] Rev. Jeffrey Brown [co-chair of Embrace Boston] on gun violence) the “Commentators” will be Dr. David Hodge, Associate Director of the National Center, who organized their Nov 2022 event, and Dr. Termika Smith, who organized and moderated the CDC event. Then Carmen J. Thornton, as granddaughter, will have closing words -- what her grandfather might say, and what she herself thinks, about MLK’s question: Where Do We Go From Here? 

Friday, June 14, 2024

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


Among the questions that research might answer regards Hodges' model I have in mind:
  • At what age can Hodges' model be introduced in the general curriculum?
  • Is there consistency in how people view/interpret and apply Hodges' model?
  • How simple is it (or complex)?
  • Is it a meta-model?
  • How can Hodges' model relate to the spiritual?
My B.A.(Joint Hons) is in Philosophy and Computer Science, so the 'Philosophy of Nursing' is a preoccupation. In January 2022 I discovered:

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

I requested a copy but ever distracted did not register any further action beyond acknowledgement and being forwarded. Discovering I'd missed this, I picked it up again. I must admit two years ago I was expecting a book with 'care' in the nursing, medicine, health context. Revisiting the 'blurb' I saw that this is not the full picture. Last year and this however drawn to conferences that combine the environment and religion this book really did fit the bill. Requesting a 'review copy' so late in the publishing cycle presents a challenge. 

Hodges' model provides a long-tail, surely a defining property of a lifelong learning resource? This plus a history of cataract surgery brought a print copy and many thanks to Daniela Rohrmann and team. I've now reached Part V, chapter 19 and 'medical care'.

The book's physical quality (printed hardcopy) is up to Springer's usual high quality standard. The fact that much of the contents have, I believe, been translated appears to show at times, in one chapter especially, with missing, or additional words. Perhaps this also reflects proof reading, an important part of production I would have thought (and still best not left to AI)? The font and print size is very readable and the format and design - architecture - of headings and layout are inviting and engage the reader. There are Any problems with grammar, flow were readily overcome. 

In meeting this text I oscillated in expectation - philosopher of care, as in the clinical context; and then the spiritual, pastoral. Which is it? The emphasis is on the latter with the final part focussed more on medicine. The book has extended my appreciation of 'care' in the wider sense, it is rewarding and well-worth reading.
"Finally, the fifth part – Care and Therapy – examines issues relevant to medical
care. This volume would be remiss if it did not take therapeutic care into account.
Practical and theoretical knowledge mutually influence each other. This highly specialized
domain imparts a significant amount of the status that care is given in our
daily lives. Thus, in this last part, the previous themes of otherness and ipseity converge
systematically. Through the theoretical emphasis that is placed on the issue of
suffering – whether it concerns physical illnesses or those of the psychological and
psychiatric realm – the authors of these chapters show us the urgency of thinking
about therapeutic care practices in the light of a theory of intersubjectivity, where
the disease itself and its cure are understood within the communication processes
and not only as exclusively technical-scientific processes." p.vii. (Introduction).
Don't worry I'm not going through each chapter, but Chapter 1 is a fascinating read, the title 'Care: A New Arrival in the History of Philosophy?https://link.springer.com/chapter/10.1007/978-3-030-75478-5_1 presented an immediate challenge. For me, love, compassion, philosophy - as the love of wisdom, knowledge, what it is be, think, exist, the human condition and more all imply 'care' including care of thought and argument. I'm probably begging the question and I realise the Peirron's purpose is more specific, nuanced. I'm reassured though as care is defined by three criteria:
"(a) care is contextual and anti-essentialist... The characterization of care requires a great deal of attention to the precise details of each situation (Tronto, 2012: 35)."

"(b) care is relational and accepts that human beings , other beings, and the environment are interdependent  (Tronto, 2012: 32)."

"(c) In human societies which would like to assume the equal value of all human life, care needs to be democratic and inclusive  (Tronto, 2012: 36)." p.6.
I must read Tronto - who work has elevated vulnerability as flagship concept of her politics of care (Tronto, 2009) (p.8); 'dialectical' too (p.10). The book is full of many leads, the writing scholarly and authoritative.

With some studies in education and philosophy the pragmatic school of thought quickly surfaces. I see Hodges' model as a pragmatic solution. In addition to the 'pragmatics of care', Peirron opens the door even further in respect of 'care':
"Giving through care involves much more than what is described in the interactional framework of exchanges characteristic of homo economicus (economical animal) paradigm. Giving is not exchanging because care involves so much more than just the provision of a service. Care, as understood as a politically relevant anthropological position, is thus very different from a Hobbes-inspired anthropology which supposes a social epistemology based on a an atomistic approach to individuals. It provides a fundamental interpretation of our social intelligence by thinking it, starting from a relational anthropology within which the concept of vulnerability plays, as we will see, a strategic role. A pathetics of care rethinks the balance between reason and feeling, argument and emotion in the spirit of the tradition of Scottish philosophy, in order to allow a "different voice" to be heard in the analysis, the description, and the support of the human world." p.7. 
The pathetic view of care requires a language, methods, aesthetics that can manage 'the singularity of an enduring life history' (p.10). This equates for me with the health career in Hodges' model.

As usual below I've mapped some concepts to the domains of Hodges' model. I will add to this post too.

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

contextual

anti-essentialist

relational

situated


context

human being, other being 

and environment -

interdependent


context

interdependence

care in human societies 

equality within human societies

context

situated

human societies are democratic

and inclusive


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

Tuesday, August 25, 2026

Medicine - Mathematics & History

'We now come to the input of mathematics into medical history, and to the related questions of arithmetic and quantification, ratio and proportion, geometrical argument and diagrams, and probability. Mathematics (consisting in arithmetic, geometry, astrology and music) had an established place in the quadrivium of the medieval arts course; its application to medicine is demonstrated in such textbooks as the Articella, which include treatises on weights and measures, and in studies of proportion and ratio such as those of the medieval Oxford calculators which Italian doctors among others caused to be revived at the beginning of our period. In the sixteenth century, it was a vigorously debated subject; there is a well-documented discussion of the certainty of mathematics, concerning its status in respect to the logical adequacy of its proofs, in which some natural philosophers and doctors (notably Cardano) take part. It will come therefore as no surprise that it was prescribed for doctors by most Renaissance pedagogical writers;  this prescription is often specifically linked to Galen's geometrical (axiomatic) method whose operations are the constitution of objects from elements, the comparison of existing objects and their reduction into their constitutive elements.

Associated with mathematics are diagrams, that is, abstract quantified spatial representations. There is a modern debate about the contribution of technical innovations in illustration in the Renaissance (most notably perspective) to the scientific revolution: this is only relevant here insofar as some participants in this debate argue for the importance of diagrammatic symbolisation of mental abstractions above those, like perspective, which are still representations of the real world, and see the former as a step on the path to full algebraic notation of geometry. Not all Renaissance thinkers were persuaded of their usefulness: Argenterio describes the diagrams of Manardo and Akakia reproduced below as 'vain and false tables and figures'; but I shall argue here that they were related to the uptake of doctors from the arts course insofar as well-known logical diagrams reproduced above (4.3:3) were adapted by them for their own purposes.' pp.171-172.

Maclean, Ian. 2002. Chapter 5, Beyond logic: geometry, proportion, quantity. In Logic, Signs, and Nature in the Renaissance: The Case of Learned Medicine. Cambridge/New York: Cambridge University Press.

Related to ongoing reading, Maclean provides two (among several) historical illustrations (with apologies for the quality) on pp.174-175, the first is from the Wellcome Collection:

Dubois, Jacques, 1478-1555 (Boe͏̈, Jacques, Bois, J. d., Boë, J., del, Boë, J., Del Boë, J., DelBoe͏̈, J., . . . Sylvius/de Bois). (1548). Methodus sex librorum galeni in differentiis et causis morborum et symptomatum in tabellas sex ordine suo conjecta paulo fusius ne brevitas obscura lectorem remoretur & fallat. de signis omnibus medicis, hoc est salubribus, insalubribus, & neutris, commentarius / ... per jacobum sylvium ..Paris: Retrieved from https://www.proquest.com/books/methodus-sex-librorum-galeni-differentiis-et/docview/2090356749/se-2

Jacobus Sylvius, 1539

Which Maclean then translates / interprets (p.174):

Maclean. Figure 5.1, p.174.

'Manardo goes further, and causes and symptoms adapts the square of contraries to represent not only all the possible combinations of temperaments (combinations of cold and hot and wet and dry are cleverly excluded) but also inserts a mediate point to represent the absolutely temperate body: see fig. 5.2.
This adaptation of the square of contraries (which has precedents in the medieval period) shows the appropriation for their own use by doctors of the logical instruments at their disposal.

As we have seen, it is a feature of medical thinking to take into account many circumstantiae or variables, and, over time, the numbers of variables taken into consideration increases.' p.174-175.

Figure 5.2 Giovanni Manardo, p.175.

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

quality

logic

quantity
past - present - future
diagrams

symptoms - signs


subjective

objective

Previously: 'medicine' : 'history' : 'diagram'

Friday, December 21, 2012

International Workshop on Knowledge Representation for Health Care (KRH4C'13) & Process-oriented Information Systems in Healthcare (ProHealth’13)

Call for Papers
5th International Workshop on Knowledge Representation for Health Care (KRH4C'13)
+
6th International Workshop on Process-oriented Information Systems in Healthcare (ProHealth’13)
Organized as One Full Day Workshop
Acronym: KR4HC’13 / ProHealth’13
Murcia, Spain –  June 1st, 2013
In conjunction with the 14th Conference on
Artificial Intelligence in Medicine (AIME'13)

Web site: ...
Important Dates

Deadline for workshop paper submissions: 8 March 2013
Notification of Acceptance: 9 April 2013
Camera-ready version: 7 May 2013
KR4HC/ProHealth Workshop: 1 June 2013

Workshop Goals

Healthcare organizations are facing the challenge of delivering high quality services to their patients at affordable costs. These challenges become more prominent with the growth in the aging population with chronic diseases and the rise of healthcare costs. High degree of specialization of medical disciplines, huge amounts of medical knowledge and patient data to be consulted in order to provide evidence-based recommendations, and the need for personalized healthcare are prevalent trends in this information-intensive domain. The emerging situation necessitates computer-based support of healthcare process & knowledge management as well as clinical decision-making.

This workshop brings together researchers from two communities who have been addressing these challenges from two different perspectives. The knowledge-representation for healthcare community, which is part of the larger medical informatics community, has been focusing on knowledge representation and reasoning to support knowledge management and clinical decision-making. This community has been developing efficient representations, technologies, and tools for integrating all the important elements that health care providers work with: Electronic Medical Records (EMRs) and healthcare information systems, clinical practice guidelines, and standardized medical vocabularies. The process-oriented information systems in healthcare community, which is part of the larger business process management (BPM) community, has been studying ways to adopt BPM technology in order to provide effective solutions for healthcare process management. BPM technology has been successfully used in other sectors for establishing process-aware enterprise information systems (vs. collections of stand-alone systems for different departments in the organization). Adopting BPM technology in the healthcare sector is starting to address some of the unique characteristics of healthcare processes, including their high degree of flexibility, the integration with EMRs and shared semantics of healthcare domain concepts, and the need for tight cooperation and communication among medical care teams.

This joint workshop brings together two approaches: healthcare process support, as addressed in previous ProHealth workshops, and healthcare knowledge representation as dealt with in previous KR4HC workshops. The workshop shall elaborate both the potential and the limitations of the two approaches for supporting healthcare process & healthcare knowledge management as well as clinical decision-making. It shall further provide a forum wherein challenges, paradigms, and tools for optimized knowledge-based clinical process support can be debated. We want to bring together researchers and practitioners from these different, yet similar fields to improve the understanding of domain specific requirements, methods and theories, tools and techniques, and the gaps between IT support and healthcare processes yet to be closed. This forum also provides an opportunity to explore how the approaches from the two communities could be better integrated.

History of the Joint Workshop 

Providing computer-based support in healthcare is a topic that has been picking up speed for more than two decades. We are witnessing a plethora of different workshops devoted to various topics involving computer applications for healthcare. Our goal has been to try to join forces with other communities in order to learn from each other, advance science, and create a stronger and larger community. In 2012, the two workshops, KR4HC and ProHealth held a joint workshop, which proved to be very successful. This year, we are aiming to continue the collaboration initiative and hold another joint workshop.

The two workshops have quite a long history, as briefly described below.

The first KR4HC workshop, held in conjunction with the 12th Artificial Intelligence in Medicine conference (AIME'09), brought together members of two existing communities: the clinical guidelines and protocols community, who held a line of four workshops (European Workshop on Computerized Guidelines and Protocols (CPG'2000, CPG'2004); AI Techniques in Health Care: Evidence-based Guidelines and Protocols 2006; Computer-based Clinical Guidelines and Protocols 2008) and a related community who held a series of three workshops / special tracks devoted to the formalization, organization, and deployment of procedural knowledge in healthcare (CBMS’07 Special Track on Machine Learning and Management of Health Care Procedural Knowledge 2007; From Medical Knowledge to Global Health Care 2007; Knowledge Management for Health Care Procedures 2008). Since then, two more KR4HC workshops have been held, in conjunction with the ECAI’10 and the AIME’11 conferences.

The first ProHealth workshop took place in the context of the 5th Int’l Conference on Business Process Management (BPM) in 2007. The next three ProHealth Workshops were also held in conjunction with BPM conferences (BPM'08, BPM’09, and BPM’11). The aim of ProHealth has been to bring together researchers from the BPM and the Medical Informatics communities. As the workshop was associated with the BPM conference that had never been attended by researchers from the Medical Informatics community, we had included Medical Informatics researchers as keynote speakers of the workshop, members of the program committee, and to our delight, saw a number of researchers from the Medical Informatics community actively participating in ProHealth workshops. Following the keynote talk given by Manfred Reichert from the BPM community at the Artificial Intelligence in Medicine 2011 (AIME’11) conference, where KR4HC was held, the organizers of ProHealth and KR4HC workshops have shown their interest to hold their workshops in conjunction as part of the BPM'12 conference, which marks a landmark in the collaboration between the two communities. We are continuing the efforts that started four years ago by members of the Software Engineering in Health Care (SEHC) community to strengthen the collaboration between the ProHealth and SEHC communities.

Workshop Theme

Original contributions are sought, regarding the development of theory, techniques, and use cases of Artificial Intelligence and / or process management in the area of healthcare, particularly connected to patient data, clinical guidelines and healthcare processes.

Submitted papers will be evaluated on the basis of significance, originality, technical quality, and exposition. Papers should clearly establish their research contribution and the relation to the goals of the workshop. The scope of the workshop includes, but is not limited to the following areas:

• Process modeling in healthcare
• Computer-interpretable clinical guidelines / protocols and decision support
• Workflow management in healthcare
• Semantic integration of healthcare processes with electronic medical records
• Knowledge representation and ontologies for healthcare processes
• Temporal knowledge representations and exploitation
• Facilitating knowledge-acquisition of healthcare processes
• Visualization, monitoring and mining healthcare processes
• Knowledge extraction from healthcare databases and EPRs
• Knowledge combination, personalization and adaptation of healthcare processes
• Compliance of healthcare processes
• Evaluation of quality and safety of careflow systems
• Managing flexibility and exceptions in healthcare processes
• Process optimization and simulation in healthcare organizations and healthcare networks
• Experiences in deploying knowledge-based tools in healthcare
• Patient empowerment in healthcare
• Linking clinical care and clinical research
• Lifecycle management for healthcare processes
• Context-aware healthcare processes
• Ambient intelligence & smart processes in healthcare
• Mobile process support in healthcare
• Process interoperability & standards in healthcare
• Process-oriented system architectures in healthcare


Format of the Workshop

The 1-day workshop will comprise accepted long and short papers, tool presentations, and 1 keynote. Papers should be submitted in advance and will be reviewed by at least three members of the program committee. An informal proceedings will be available during the workshop. At least one author for each accepted paper should register for the workshop and present the paper. The selected best long (full) papers will be included in the formal proceedings, which are expected to be published as part of the LNAI Springer series, as it was done in all previous editions of the workshop.

Paper Submission
Prospective authors are invited to submit papers for presentation in any of the areas listed above. Only papers in English will be accepted. Three types of submissions are possible: (1) full papers (12 pages long) reporting mature research results, (2) position papers reporting research that may be in preliminary stage not yet been evaluated, and (3) tool reports. Position papers and tool reports should be no longer than 6 pages. Papers must present original research contributions not concurrently submitted elsewhere.
Papers should be submitted in the LNCS format. The title page must contain a short abstract, a classification of the topics covered, preferably using the list of topics above, and an indication of the submission category (regular paper, position paper, or tool report). Papers (in PDF format) should be submitted electronically via the Easychair system ...

Saturday, April 11, 2026

'Sociological Theory in Transition' (always ..?)

Conclusion: Sociology as a Skin Trade

In other writings (O'Neill, 1972, 1985) I have set out a rival conception of the embodied subject who suffers the hopes and defeats of what I have called 'sociology as a skin trade'. At the same time I began to renovate the imagery of society as a body-politic, to differentiate the levels of the bio-body, the productive body and the libidinal body as sites where human beings pursue the relevant knowledge and values of health, work and happiness. Each level of discourse requires he formulation of relevant technical knowledge (medicine, political economy, sociology and psychoanalysis) and each level has its own emancipatory discourse about health creativity and self-expression. Because each of these discursive interests is likely to be articulated by professional social scientists and therapists, it is necessary to require the institutionalization of mechanisms of political and ethical accountability to laypersons' common-sense knowledge and values regarding their bodies, their families, their work and their souls. Medical and sociological nemesis is not the result of a therapeutic conspiracy against society. It belongs to the radical technological a priori of Western knowledge whose ambition is fundamentally bio-technological. The sin of Adam and Eve was the best humankind could manage at the time. In today's laboratory Adam and Eve can be bypassed and life can be set in motion according to the best genetic formulas. Huge legal, ethical and sociological problems are simultaneously generated. And thus we step into a new 'crisis of opportunity` for which very few social scientists are prepared - whether by training or morals.' p.35.
INDIVIDUAL
|
     INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP
psychoanalysis

body as a machine
bio-technological

body-
bio-

sociology

-politic

bio-politics of the population


'In concrete terms, starting in the seventeenth century, this power over life evolved in two basic forms ... One of these poles - the first to be formed, it seems - centered on the body as a machine: its disciplining, the optimisation of its capabilities, the extortion of its forces, the parallel increase of its usefulness and docility, its integration into systems of efficient and economic controls, all this was ensured by the procedures of power that characterised the disciplines: an anatomo-politics of the human body.
The second, formed somewhat later, focussed on the species body, the body imbued with the mechanics of life and serving as the basis of the biological processes: propagation, births and mortality, the level of health, life expectancy and longevity, with all the conditions that can cause them to vary. Their supervision was effected through an entire series of interventions and regulatory controls: a bio-politics of the  population. (Foucault, 1980a, p. 139; altered for my emphasis)' p.24.
'Bio-power regulates bodies individually, as in the clinical model. and collectively, as on the model of social medicine. The two strategies are combined to produce the most complete system of discipline ever known in the history of power. Disciplinary power works in hospitals. schools, prisons, armies, factories and bureaucracies. It is compatible with shifting vocabularies of rights, reform and welfare. It is intimate and collective; it is obeyed not because of its power over death but because of its power over life. It is this shift in emphasis that is the source of the expansion of bio-power whose corresponding apparatus we may call the therapeutic state.' p.25.
 
O’Neill, J. Sociological Nemesis: Parsons and Foucault on the Therapeutic Disciplines, Chapter 1 (pp.21-35). In. Wardell, M.L. and Turner, S. (Eds.). (1986) Sociological Theory in Transition. London: Allen & Unwin, Inc. https://digitalcommons.usf.edu/phi_facpub/86

Previously: 'sociology' : 'power' : 'body'

Wednesday, July 01, 2015

Online Metaphor Map launched

Hi

Here at the University of Glasgow we have just completed a three-year-long project which traces metaphor over the entire history of the English language, creating the first ever Metaphor Map resource. It contains thousands of metaphorical connections which can be accessed through a visual or text-based interface.

If you're interested you can visit the site here:
http://www.glasgow.ac.uk/metaphor

Or you can read more below:
--------------------------------------

English language metaphors are “as old as the hills” – or 13 centuries old at the very least – researchers at the School of Critical Studies at the University of Glasgow have found.

They have just completed a three-year-long project which traces metaphor over the entire history of the English language, creating the first ever Metaphor Map resource which contains the thousands of metaphorical connections that the researchers have identified.

“This project is unique in its scope. While a considerable amount of work on metaphor has been done over the past 40 years, it has never been possible to achieve this level of comprehensiveness until now,” said Dr Wendy Anderson, Principal Investigator on the “Mapping Metaphor with the Historical Thesaurus” project.‌‌

The Metaphor Map is based on the data contained in the Historical Thesaurus of English, which took from 1966-2009 to compile, and its own parent resource, the Oxford English Dictionary. The researchers, who have been funded by the Arts and Humanities Research Council (AHRC), have been able to identify well over 10,000 metaphorical connections between different categories and track how language use has changed over the centuries.

“These findings support the view that metaphor is pervasive in language and a major mechanism of meaning-change,” said Dr Anderson.

“This helps us to see how our language shapes our understanding – the connections we make between different areas of meaning in English show, to some extent, how we mentally structure our world,” she added.

“Over the past 30 years, it has become clear that metaphor is not simply a literary phenomenon; metaphorical thinking underlies the way we make sense of the world conceptually. When we talk about ‘a healthy economy’ or ‘a clear argument’ we are using expressions that imply the mapping of one domain of experience (e.g. medicine, sight) onto another (e.g. finance, perception).

“When we describe an argument in terms of warfare or destruction (‘he demolished my case’), we may be saying something about the society we live in. The study of metaphor is therefore of vital interest to scholars in many fields, including linguists and psychologists, as well as to scholars of literature.”

The Metaphor Map is still a work in progress, but once complete it will also include tens of thousands of examples of words with metaphorical senses; to date, around a quarter of these have been put online.

The researchers plan to launch a parallel Metaphor Map for data from Old English (prior to 1150AD) in August, at the International Society of Anglo Saxonists conference in Glasgow. The team, led by Dr Anderson and Research Associate Dr Ellen Bramwell, is also working on another project, “Metaphor in the Curriculum”, to create materials on metaphor for schools. This is funded by the AHRC’s Follow-on Funding for Impact and Engagement strand.
----
Kind regards
Brian
-----
Brian Aitken MA(Hons) MSc
Digital Humanities Research Officer
School of Critical Studies
Room 506
13 University Gardens
University of Glasgow
G12 8QJ

Email: brian.aitken AT glasgow.ac.uk
Web: http://blogs.arts.gla.ac.uk/digital-humanities/
My source:
Humanist Discussion Group, Vol. 29, No. 133.
Department of Digital Humanities, King's College London
www.digitalhumanities.org/humanist

Tuesday, June 13, 2017

Boxing 'II'

As young children we may encounter 'boxing' quite early on. This first experience, which we may or may not wholly remember is undoubtedly critical to our personality and subsequent psyche. Such early experiences influence our ability to 'look after ourselves', how we deal with bullies, anxiety, the potential for conflict and develop assertiveness skills. When a 'scrap' happens it can be quite sudden, that total impact of everything out of control, sheer danger and literal impacts. The environment might be nursery, playground, cloak room and the presence of peers as onlookers can be another key factor.

In the late 1960s early 70s I found some old boxing gloves under the stairs at my nan's. I had a handful of uncles on mum's side (just two now - Uncles Tom and Ken!) and the gloves had clearly been swung and jabbed down the line. I don't count myself as a fighter, unless someone tries to push their beliefs - without invitation - down my throat. Then it will be more a case of a reflex action. The 'arc' being comprised of vomit. In the school playground I learned to talk my way out of trouble, resorting to humour at times; as you learn to deploy whatever intellect you might have judiciously. Legs are essential to a boxer:

“First your legs go. Then you lose your reflexes. Then you lose your friends”
Willie Pep

My legs helped me a time or two.

Not too many years ago, so a new generation is in the frame and a nephew had boxing gloves of his very own. He trained with a local club and had some fights. I didn't go watching, but didn't make too big a big fuss either. He doesn't box now as it happens; he's married with family and busy earning a living. Over four decades I've cared for several gentleman, former boxers who developed dementia. Hence, my lack of enthusiasm. (Although the selective literature listed below does not reflect it, women's boxing is of course also well established.) The extent to which boxing caused their dementia is not the point here. It's trying to acknowledge the ongoing debate: the risks, the history (Ancient Greece 688BC), the discipline, sense of belonging and self-respect it can instill. Of course a great many sports can do this. Of course, I listened very attentively as one gent could still relate how perhaps he had been 'used' in terms of the fights and purses back in the 50s-60s. Vulnerable adults of today and yesteryear. Today American Football is concerned about head injuries, in football heading the ball repeatedly is in the news. Technology should be able to reduce the risks even more and protect individuals from injury that is obvious and more insidious in nature.

Some of these points I've considered in Hodges' model as follows:

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

SELF

self-awareness
Identity
self-belief

way-finding

dementia - cognitive damage

personality change

aggression

tactics  strategy

motivation training attitude

self-discipline

ethics

mental health - mental capacity
emotions

mood

Personal safety

boxing technique

reflexes speed movement balance

punching fitness

weight, reach, statistics

THE RING

stamina nutrition hydration

concussion
sub-concussive

exposure models

unconscious knockout

Head - Brain injuries

physics: force time (duration) momentum

technology - sensor equipped gloves

Sports Medicine Research
Headgear
Safety - Evidence

Medical risks

OTHER

Ethnographics
Coaches <-> Boxers
Mentors

Support network

THE STREET

personal history-family
History
sports history

trainer friends club

Sporting behaviour

family friends
Socio-
Rules (changes)

Conflict Power

promotion media finance

codification rules

Amateur Professional

Refereeing

Regulating bodies

Governance

Law

Contracts

Economics


Selective reading:

Sacha, J. (2017). Fighting Feelings. Sociological Perspectives, 60(1), 77-94.

Erlanger, D. (2015). Exposure to sub-concussive head injury in boxing and other sports. Brain Injury, 29(2), 171-4.

Falvey, &., & Mccrory, P. (2015). Because not all blows to the head are the same. British Journal of Sports Medicine, 49(17), 1091.

Mcintosh, A., & Patton, D. (2015). Boxing headguard performance in punch machine tests. British Journal of Sports Medicine, British Journal of Sports Medicine, 14 July 2015.

http://www.welshboxers.com/quotes/

See related post 2016: 'Boxing' I


Sunday, May 05, 2019

Innovations: From Myths To Reality (Revisiting - Berkun, 2007)



Even though Brexit may have normalised hoarding, temporarily(?) at an economic level, I've been sorting some books to 'go' because of  'new' arrivals. Here then are some further reflections on Hodges' model as an innovation in response to Scott Berkun's 2007 title. As you can see there are many overlaps between Berkun's myths of innovation, which in the book are each given a chapter:

Myth #1: The Myth of the Epiphany

The creation of Hodges' model by Brian Hodges in the mid-1980s might be likened to an epiphany of sorts. I didn't ask that particular question when we met in 1998. It was however, more accurately a solution to the forthcoming challenge of Project 2000 and the revolution in the nurse education from schools of nursing to university based, undergraduate courses of study.



This educational, theory and practice-based focus is evident in the four purposes for the model's creation:
  1. Person-centred - holistic care;
  2. To bridge the theory - practice gap;
  3. To facilitate reflection and reflective practice;
  4. To support curriculum development.
If we are talking 'myths' too, how many of these issues were at the model's creation in the mid-1980s what we would term legacy issues now?

Myth #2: We Understand the History of Innovation

If the rise of ideas and the existence of 'fads' suggests that innovations wax and wane - falling out of fashion then - yes. There is a history. I'm assuming that the emphasis on models and theory development in nursing is past its 'golden age'? Whether we understand innovation in the healthcare, medicine, nursing, other disciplines is another question; especially socio-technically. I will return to this at #4.

Myth #3: There is a Method For Innovation

In healthcare there is a method: it is, the method (and methodology of) research that provides evidence for practice and hopefully policy.

(There's brainstorming too of course - for which h2cm is the gift.)

Myth #4: People Love New Ideas

New starters and students in many lines of work are usually made aware of their potential and status (wanted or not) as 'change agents'. Student nurses should be torch-bearers of new ideas that are evidence-based. Whatever our age as lifelong learners we should always be open to new ideas, especially with the advantages that experience brings to the work and testbench of ideas. Constructive criticism should help - by definition - to construct.

So often though, there is marked resistance to ideas whatever 'age' they are. The ongoing mantras are "We've always done it this way!"; or "This is quicker! Tried and tested!" ...

For the past decade (at least) the UK economy has been plagued by a productivity crunch. This is also affecting health care. Myths 1-4 can also be considered under the heading of 'progress'. How much do we understand 'progress'? An examination must reveal productivity and innovation as fundamental elements.

Myth #5: The Lone Inventor

As I may have mentioned before when we were taught Hodges' model (1987-1988 Manchester Polytechnical College - MMU) as students and informed that we must apply h2cm in a marked case study/assignment there were some mutterings. Students often contribute to the development and testing of countless theories and models.

Brian did not publish much on the model beyond a book chapter. In this sense there is a lone inventor and a lone champion drawing an immense number of additional sources (here since 2006 for example).

Myth #6: Good Ideas Are Hard to Find

Ideas are not hard to find. For Hodges' model this is quite ironic. Ironic because, of course, the model provides a net to help 'capture' not just good ideas - but a brainstorm full of them.

There's something even more important though:

Hodges' model can help us find ideas not as 'good' or 'bad' in the first instance, but to test the ideas across contexts to see how an idea might perform. Only then is an idea 'good' and suitable for purpose (see #9).

Myth #7: Your Boss Knows More About Innovation Than You

The defences of ritualised practice and accepted (ideas) practice are well established ...
  • Not invented here!
  • Not created - owned by me!
  • Who is Hodges?
Social media constantly espouses on 'true' leadership and how power is exercised and distributed (if at all), but for many leaders power is a factor and the pedigree of the ideas and strategies that are deployed is a political football.

Myth #8: The Best Ideas Win

The videotape recording standards is a regular lesson here. The best ideas often do not win.

Sometimes building something is not enough ... or is it?

Whatever the 'truth' here - I still believe there is a great resource in this model.

Is h2cm a compound instrument?
Is h2cm an implicit holistic theory?
Is h2cm a series of conceptual spaces?
Is h2cm all of these ... ?

I also believe the challenge of individual and population health has a long-tail as a legacy problem.

Whether h2cm 'wins' or not - its relevance for the problems and solutions of the 21st and 22nd centuries grows each day ...

Myth #9: Problems and Solutions

Management and organisational gurus often extol the virtue of 360 degree vision. Hodges' model can encourage this as there are several dimensions and dichotomies 'embedded' within. Of particular note in myth 9 is objective versus subjective qualities - and what counts as good or bad (to follow).

A key in healthcare is that 'the' problem is not ours.

It is 'ours' - if factors impose upon clinical decision making are a distraction 
- such as economics.

Identifying what the problem is - requires that we validate and integrate several sources of information: the referrer, the person - patient/client with the problem and what can be observed and investigated.

In healthcare again there is a need for co-production and Hodges' model can play a role in this. Sometimes the 'solution' may not be what is expected when a patient's choices are taken into account.  Hodges' model can work to the patient's strengths and the situation. The model can be used explicitly or implicitly to help assure the working out of the problems and the solution. A by-product of this is that we are prompted in consequence to ask questions and act on an individual's health and other literacies. What becomes evident given the challenges of productivity, demographics, public engagement is a gap in our understanding were co-production is concerned.

Myth #10: Innovation is Always Good

Berkun highlights how some innovations are not always good. H2cm may be challenging in terms of fears of 'runaway' reflection or navel-gazing. Could h2cm lend itself to a mechanistic response to problems. Is that a robot I can hear?

Could h2cm be a gift to those who wish to deskill the health and social workforce?

From models of care and theories of nursing to checklist A, B, C & D?

Use of the model on paper is one thing, but what of e-based forms of application? How can we assure accessibility to the model? Can we make an e-reflective workbench a reality for our students?

As noted in #9 the need for research to innovate in co-production, collaborative, person-centred care within developed and developing health care systems remains marked.

Scott Berkun (2007) The Myths of Innovation, CA: O'Reilly.

Thursday, August 31, 2023

The need for Holism 2.0 ... (c/o Porter, 1997)

 or 4.0?

"Disease became conceptualized after 1900 as a social no less than a biological phenomenon, to be understood statistically, sociologically, psychologically - even politically. Medicine's gaze had to incorporate wider questions of income, lifestyle, diet, habit, employment education and family structure - in short, the entire psycho-social economy. Only thus could medicine meet the challenges of mass society, supplanting outmoded clinical practice and transcending the shortsightedness of a laboratory medicine preoccupied with minute investigation of lesions but indifferent as to how they got there. It was only radicals and prophets who appealed to a new holism - understanding the whole person in the whole society; respected figures with the temple of medical science, including Kurt Goldstein (1878-1965) and René Dubos (1901-82), author of Mirage of Health (1959), were emphatic that the mechanical model of the body and the sticking plaster formula would at best palliate disease (too little, too late) but never produce true health." p.634.


Roy Porter, The greatest benefit to mankind: a medical history of humanity from antiquity to the present, London, HarperCollins, 1997.

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


"The psychiatrization of everything occurred first in the United States. It was a trend deliciously mocked in some of Stephen Sondheim's lyrics to West Side Story (1956), in which the crazy mixed-up New Yorkers taunt the police officer on the warpath:

Officer Krupke, you're really square;
This boy don't need a judge, he needs an analyst's care!
It's just his neurosis that oughta be curbed,
He's psychologic'ly disturbed.
We're disturbed, we're disturbed, we're the most disturbed,
Like we're psychologic'ly disturbed. " p.519.

Socio-Economic Determinants of Health
Social Justice
History
Culture

Police
'the Law'
Mental Health Act
Political determinants of Health


Image - frontispiece in Porter's book "Renaissance anatomical illustrations often followed artistic conventions (situating the skeleton in a lifelike pose in a landscape) and played wittily on the tensions between life and death. The contemplating of the skull prefigures Hamlet's later meditation. Line drawing, Valverde de Hambusco, Historia Historia de la composicion del cuerpo humano, Roma, 1556."

Image source:
https://www.royalacademy.org.uk/art-artists/work-of-art/lateral-view-of-male-skeleton

Tuesday, January 27, 2009

Book review: Gary Hall's "Digitize This Book!" (DTB)

Book cover image
Gary Hall, DIGITIZE THIS BOOK!
Following reviews of two IT books Gary Hall's "DIGITIZE THIS BOOK!: The Politics of New Media, or Why We Need Open Access Now" (DTB) has proved a change and a challenge. While I am familiar with new media - growing up with it as a webmaster and blogger, (as a community mental health nurse) I am not exactly well read in this subject; hence my inability to summarise and the length of this review. I have read Lessig's The Future of Ideas and related texts which prompted my requesting the book from the publisher. In this review I make several references to Hodges model. I make no apologies for the same as this is my nascent open access project of the past decade and experiences there have informed this review.

There is an irony here in that Hall for me is acting as an introductory reader; in the introduction Hall bemoans the state of academic publishing, amid the internal market, increased student numbers, students as customers (where have I heard that before?), the rise of corporatization in academic publishing with its emphasis on introductory texts and regurgitated works.

The effects of change over the past few decades means short term employment for many staff, changes in disciplinary emphasis, the concentration of research. As a result Hall states there is a lack of original and challenging ideas and thinking, fewer avenues for researchers starting out on their careers. The advent of open access also highlights the cost of books and journals, which in turn affects the range and number of copies acquired by academic libraries for faculty and students.

Hall poses several questions beginning with: what kind of university is desirable, or even possible in the age of digital reproduction? A thorough set of notes permeate the text, with for example, Hall qualifying his use of university, or universities and much more. Hall believes that universities are places worth defending - as places of dissent: an ongoing consequence of the centrality of knowledge, information and communication in political struggle. I have an additional interest in what Hall has to say as (what I believe is) an independent scholar.

Hall's initial question and his own career in the humanities prompts discussion throughout the book on the status of cultural studies. From the factory as the site of struggle, to the university as a key space of conflict around the ownership of knowledge p.5. Hall backs up his concerns with references and figures, (one book across eight campuses) which given the pace of change might well benefit from being in digital form themselves. Flexibility is a much sought quality, and in publishing the ability to publish chapters and full books helps nourish new academic careers, creativity and innovation. Citations and academic tenure go pen-in-hand so this particular market is a delicate one; intellectual impoverishment is a high price to pay.

Papercentric publishing is contrasted by Hall with developments in music publishing, peer-to-peer networks; the impact of Google's Book Search and the fact that a book must be published before it becomes part of Google's project. Hall explains the rise of existing open access archives and limits his book to open access and archives. Hall shakes up the paper format a little by alternating his five chapters with four servings of metadata. These provide keywords, web links, and very helpful bridging discussion.

The open access debate has been ongoing for quite sometime, and not just regarding books and journals but data, especially geographic data - as per The Guardian's 'free our data' campaign. Hall's focus is clear (and repeated) throughout the book with the key questions:
  1. Knowledge and its authority and legitimacy and how it is affected by digitization.
  2. There has been little research on the potential impact of digital reproduction, publication and archiving; either on, or by cultural studies as distinct from digital culture. p.12-13.
For newcomers to cultural studies and new media the book is not exactly light reading, as already suggested above. Hall explores the basis for current and future theory and how the debate rests with recourse to:
  1. The intersection of philosophy and literature, key thinkers Husserl, Levinas, Derrida and the importance of ethics and "other".
  2. Deconstruction and what politics is and is not.
  3. Derrida and the need to think about the university, notably the authority and legitimacy of the contemporary institution.
  4. Analysis of ethics and politics.
Hall points to a crisis of confidence within cultural studies and it is the word within that is significant here. There is cultural studies as a discipline within the university and hegemonic links to social movements, struggles, forces, and scope for radicalism. There's a sense of cultural studies finding a minima, tantamount to a comfort zone where key targets worthy of research - including - cultural studies within the university - are passed over. I also pick up a sense of embarrassment (or at least a negative association), since being political is to be left wing. (I wondered about this when I added an 'Activism' listing to the 'Political' links page on Hodges model - as if activism is tainted.) Hall repeatedly states that the last question in discussions on politics - is politics.

In Metadata I discussion turns to capitalism, including hypercapitalism citing Graham (2002) and how the boundaries between production, consumption and circulation have become dissolved as new media pervades day-to-day existence on conceptual, physical and temporal levels p.21. Amongst several authors Hall relies upon are Poster, Hardt and Negri and their thought on biopolitical production involving ideas, images, affects and relationships with consumers as units of production themselves p.24. A point I must follow up.

The next aspect that Hall addresses I am familiar with at least within health and informatics contexts (including and especially the combined form): this is dichotomy - theory vs. practice. Accounts of digital media are discussed by Hall insofar as 215 pages plus copious notes allows. Included then is the digital dialectic Lunenfeld (2001) real-ideal; body-machine; medium-message; world-screen; the central dialectic being theory and practice. Readers conversant with cultural studies will get much more from Hall as with Lovinck's, practice-driven internet theory and his Dark Fibre (2003). Derrida is referenced unsurprisingly throughout DTB. A recurring theme is the philosopher's focus on the general and the cultural analyst's attending to the particular. Hall states the book is not a "case study". (In light of the issues at hand the question of what constitutes a case study might be an interesting debate?)

So, there are many conundrums here. In many respects cultural media tied so inextricably to technology is dynamic - constantly variable - with its white heat, bleeding and leading edges. ... Strange then, that as Hall observes it seems the use of new media prevents something from really happening in terms of our understanding of theory and practice p.30. Hall returns to his agenda since there are many other forms of engaging in new media; we need to be able to "do" both theory and practice and to what extent Hall asks - can we create a political institution using Homesite, PhotoShop, VBScript and Javascript?

For me there is quite a chasm between open access archive and political institutions - especially the institution as per the university. There is a whole minutia of detail behind Hall's argument here that begs further reading and is ably teased by Hall in the references and metadata sections. I struggle with seeing an open access service or archive as a new institution, but Hall's point (and his referents) is that these OA resources can act as agents of change.

Hall touches on the indications borne from Napster, the change in the CD-music industry and the rise of mp3. Can there be an academic Napster? One key point I learned c/o Gary Hall is the Harnard / Oppenheim pre-print corrigenda strategy, (this must be in Lessig) which enables authors to both publish in the standard (paid for) journals and books, but also post their work without penalty in open access repositories. Whilst reading DTB I contacted a global publisher and without addressing the copyright agreement I enquired about my submitting a published book chapter to an OAA such as Hall and Green's Culture Machine? I am pursuing this, with another chapter to be published this spring: so Hall for me is a mix of theory and practice no less.

For chapter 2 in my notes I read "letting go". For Hall there is a need to move beyond the pre-digital preoccupations and re-evaluate how publishing research is valued and accorded worthiness. Hall describes the change in the notion of 'professional' in media as paper takes on, or tries to synchronize with the web for publishing. How is the production of words changed? The editing process and editorial boards p. 63? What can we learn from Lev Manovich now that the database is the new symbolic form of the computer age? The rise of blogs and their status - influence debated as with wikis, anonymous contributions 'academic blogs'. Again this was of personal relevance as I blog and as the French philosopher Michel Serres has highlighted the Internet will provide opportunities for many outside of conventional 'academia'. Perhaps, I am therefore as an independent scholar - an academic of our times?

The previous stability - as evinced in place and time - in publishing has been thrown into chaos (quite explicitly in that non-linear sense). Hall reveals many examples such as text being replaced by Flash and how computer code has become art. The destabalizing effect of all this is to raise the question of quality control. In order to measure something though language is critical and so the need for a new grammar, a new language is needed. This discussion (p.67) reminded me of Michel Serres use of the Parasite as a trope. An uninvited guest at the table who can nonetheless contribute to positive change. This is new media. There is no escape from the need to 'sort, reject, eject or exclude.' New forms of peer review exist - Psycoloquy (archives on the web) and others are emerging; new approaches have also been tried by long established and venerable paper publications - Nature - no less p.67.

Derrida continues to frame the discussion on authority (Foucault is here too) to the extent that we have always been digital. Judgement and decision making (a binary - dichotomous operation) cannot be evaded in publishing. The problem is the mode of performance from rules, procedures, standards and criteria from the paper world to the digital. Here are two key quotes for me:
It is not a matter of electronic publishing simply being different from paper publishing, in a manner akin to the way that many people have pointed out that to teach online you need to do more than merely put your course materials on the Web, experiment with "course casting" - using webcasting and podcasting to record lectures as audio or video files and then make them available to students to download on to their computers or iPods - or hold seminars in Second Life. page 70.
Digital mode of reproduction raises fundamental questions for what scholarly publishing (and teaching) actually is .... page 7o.
For Hall - academic authority (the power to 'sort, reject, eject or exclude') is already digitized; that is in a sense always already in a similar condition to that which is brought about by digitization.

A seminal influence for Hall (and others judgeing from a brief literature review) is Samuel Weber. Amongst his texts is Institution and Interpretation (1987). If I am reading this correctly Weber's forte is the process and hence permanence of the institution. Institutionalization is taken for granted as something we have to describe, rather than as a process to be understood p.71. Weber is a key source for Hall for re-thinking the university. The institution has differentiated itself from what lies outside p.73. A knowledge of academic speak and the cultural studies dialect in particular helps here. I was looking up some of these terms - a problem (elsewhere) frequently being the consistency in their application. As a would-be pantologist, I appreciated Hall's moving to disciplinarity. A discipline cannot found itself. Enter then the politics of the university, the curriculum, accreditation and the power of university departments. Key to the university is the professionalist paradigm of knowledge - the absolute autonomy of the individual discipline and absolute economy. How does finance, culture and effort equate to paper publishing and e-forms of publishing? p. 78. I have followed the World Social Forum for many years maintaining links to the conferences on the political links resource. Hall purposefully plays on the title with the adage 'Another Cultural Studies is Possible'. P.78

In metadata II 'Print This!' Hall calls upon Benjamin (1973), Readings (1994) and Derrida (1996) since research is needed not only in the process of access, communication, exchanging, classification, storing and retrieving - but change in the very content and nature of that knowledge. Existing disciplines (digital media studies!) fall short. Something else beyond the recognised, legitimate, pre-constructed and disciplinary forms of knowledge is needed. Hall argues (more than once) that new conceptual frameworks are needed. Given that Hodges' model is a conceptual framework, this is a debate I wish I could pick up and wholly pursue.

Chapter 3 takes us to how to build an ethical institution with mention of existing projects: OSI, SHERPA, SPARC, DOAR. Another concept is introduced here 'iterability' - Weber's "it" and Derrida through significance, event, and context. In short, writing is iterable. We must be able to recognise something in order to work with unknowns p.88. There is a quote from Weber (page 93) that prompts me to re-join the library. Misunderstanding, hallucination and illusion are important in the transformation from familiar to unfamiliar p.94. Hall acts as his own critic. He asks - is this a proper analysis? He reflects on whether he really has built an open access archive? In a section entitled 'apprehension and anxiety' we are reminded that apprehend also means 'stop' and the presence of danger - the exception p.98.
For in even asking contributors to identify themselves and their research by title, author, publication date, subject area, abstract, keywords, and so forth we are not being open to the other but are asking them, demanding of them, that they conform to certain pre-established rules, laws, and criteria. page 101.
One of the excuses I have called upon in delaying the creation of a new - more dynamic - website, is that I am not sure about what content types to provide in the first instance and how much information to expect of the ''user' community'. I do realise that without structure there is no order.

In chapter 4 Derridean ethics is referred to but not in the moral philosopher's sense, but:
as an obligation towards the incalculable alterity of the other who renders me responsible and who calls me to question. page 105.
Here, ethics is political and Hall explores three approaches to open access:
  1. The liberal democratizing approach; (CODATA)
  2. The renewed public sphere approach - overcoming passivity;
  3. The gift economy - supplemental or rival to capitalism.
One important concept mentioned by Hall that I know of through Lessig is non-rivalrous. Hall refers to Richard Barbrook and the academic gift economy. These three approaches frame discussion of what it is to be political on the Internet and politicality - the need to remediate politics p.113. Again Hall brings in the fact that critics and researchers of new media are using pre-established frameworks of knowledge and methods of analysis. I must check on the 'transcendental' aspects of this. Once again Hall refers to Derrida in this past - future dichotomised debate; the future being understood in terms of frameworks of the old.

There are some key issues here around socio-techno-politics, in which several commentators feature: Douglas Kellner and Richard Kohn (techno-politics), Dean (2005) and politics as the circulation of content on the Internet and as the activity of officials. The Internet is described as a technical fetish - a screen projector. Much of what is assumed of the Internet as fertile ground for citizenry - a World Parliament - is illusory p.123. Hall asks - how do we frame the debate? Four perspectives are recounted:
  1. Democracy
  2. Dichotomy
  3. Dichotomy (take II)
  4. Digital dialectic
Tactical media looms large, suitably placed in the latter half of the book. Garcia and Lovink provide a seminal definition. Hall is interested in employing new media tactically p.126-127.

I arrived at the operational, tactical and strategic dialogue through information systems and readings in health care management. I have championed Hodges' model as an excellent tool because it can readily frame these and other aspects of the socio-technical debate. The incorporation into the model of a political domain makes it a tool well suited for Hall's purposes too. Once again on p.134 there is a call for conceptual frameworks. Granularity appears to be a difficulty as there is talk of strategy and the tactical, but not operations? For me tactics are intermediate. No doubt I need to read more, but is research not needed on how the miniaturized, technical, personalised, tools that people are adopting, customising, and using are 'operationalised'? How has the mobilization of new media in form and person (individualised, integrated, ubiquitous) affected the operational and hence tactical potential of new media? Amongst these applications and purposes that are deployed onto the market which are 'political' - directly or indirectly?

There is an abundance of theories to follow - the hegemonic and counterhegemonic struggle, neo-Gramscian theory, anti-political moralism (Wendy Brown) plus questions about moralism and what that may say about politics - by way of analytic impotence and political aimlessness p.144. The political terrain is mentioned, comforting as I like to try to think topographically. This part of the political domain is rather uncertain territory - which made Hall's book a challenging and enjoyable read. The rise of New Labour, Conservatism, social democracy, neoliberalism and the Iraq war protest help to reassure, illuminating the landscape. Hall highlights the need to explore politics as official policy and as the communications interactions of the public sphere.

A key argument here is that despite the protests and use of the Internet to mobilise the public, the technology fetish also functions as a means to disavow and conceal this political disempowerment or castration - Dean (2005). So, Internet politics comes out unfavourably when contrasted with other counterhegemonic forms of political struggle p.147. The tussle here is framed as between Dean and Grossberg. A further handhold for me is provided with Dean stressing the importance of context, temporal frames of reference p.148. Hodges' model can function in this way, recording conceptual snapshots across four domains of knowledge that includes the political (and collectively the 'spiritual'). Right on queue the problem of old frameworks of knowledge rears its head yet again. The concept of 'politics' creates a problem, in that there are no true 'exemplars'. One exception is raised: Marc Poster (1997) versus the work of Sherry Turkle 'Life On the Screen' (1996). Poster focuses on the Internet as a form of public sphere of which more is to follow.

Metadata III reminds us that (throughout the book) Hall stresses the need to act tactically. National statistics have been superceded by data that is complex, and yet fluid. The turn to 'power' brings in Foucault and 'heterotopia'; old and new forms of media and the differences and specificity of those new forms. I read DTB through the news of terrorism in Mumbai and became aware of government's ability to control the media - new and old - by essentially 'pulling the plug'. In this respect the Internet is posited as being (positively) 'subversive' bringing about political change and yet it can be subverted itself.

'Reward' is a key external motivator for (the) many and for Hall open access publishing differs from music and copyright in that it can work. The 'market' is different. We are told that the open access movement is neither unified or self-identical. This is a fascinating discussion as there are various performances of digital media and each has a potentiality to transform. Two important concepts lie in the singular and the 'singularity' and evident in the comprehensive index. For me a call to read further and extend. How will a new regime of digital culture emerge? (Is this to say that in being recognizable, it will be predictable; or will it emerge and as it emerges - be revealed?) p.157.

As already noted, Hall views an archive as an institution. On page 160 "an archive is not a neutral institution...". I wonder how the archiving of things 'digital' itself affects digital media? It has been stressed since the late 1970s and earlier that a great deal of digital heritage (yesterdays 'new' media) stands in danger of being lost, often but for the initial work of individuals and now agencies set to preserve the hardware and the media formats they support. The blue-ray discs of today will be the jaded drinks mats of tomorrow, as solid-state and holographic storage media take over.

Hall recounts briefly (but effectively) the history of books and how the early history was plagued with problems, until conventions emerged such as author, mass printing techniques, multiple copy editions, copyright, publishers, proof readers. Eventually books were "fixed". Digital media are still 'suspect' in terms of their authority and legitimacy (WikiPedia is a case in point). What is included? What is excluded? Who decides? I have experienced the politics of WikiPedia myself. What is fascinating for the future and current status of open access is how long it has taken the (until recently) papercentric publishing of medicine and health care to formulate and achieve 'gold' standards in publishing. Here the currency of our time is evidence-based medicine (health, nursing...) and open access aspirations are not lost in this global (health) politico-scientific world. Is there as Hall suggests a green standard of open access self-archiving and a gold standard of open access journal?

Hall seeks clarity in existing definitions of journal and archive, and what are considered the properties of digital archives (positive and negative) p.164. New forms of media are described as 'fragmented'. I'm struck by this thinking of holograms and how when shattered the pieces can still represent the whole. There is undoubtedly much more to follow from this seam of thought and discourse. Hall also writes on how cultural studies prides itself on its interdisciplinary approach and yet (the notion) of interdisciplinarity sustains the identity and limits of disciplines. Ultimately, Hall explains disciplines are more or less violently excluded, paper-world rules are applied and render disciplines (theory and practice) as legitimate or non-legitimate.

Chapter 5: hypercyberdemocracy focuses on Poster's essay 'Cyberdemocracy' with Hall advocating Poster as a means to proceed p.167. Discussion is also informed by reference to technopolitics and the work of Kahn and Kellner; who want to make technopolitics as a major instrument of political action. Garcia and Lovink seek a qualified form of humanism; a useful antidote to both the unopposed rule of money over human beings ... also all forms of technological determinism should be condemned. Technology is designed: it can be criticised, altered, undermined, mutated and, at times ignored p.169. The critical - 'user' perspectives on technology are familiar in the health care setting, with several generations of clinical (nursing) information systems that have now variously evolved into the personal health record and summary care record and seen the creation of a 'common user interface'. Suppliers know now they cannot afford to ignore usability and 'human-factors'.

The next point that spoke for me concerned a shift from emphasis on representation in there own right, and the uses of representations. This made me want to consider the discussion from within cognitive science - a very heavy user of computer based representations. We return to tactics with the question of our use of texts and artefacts as consumers. There is an interesting and illustrative analogy employed to shed light on what the Internet is. We learn that there is no simple distinction between technology and its users. Mention is made of herds, swarms and flocks, but I felt this deserved more detail possibly benefiting from references to the non-linear in cultural studies. Perhaps this is as yet limited? This seems worthy of a further book seeking sources beyond the usual cadre of commentators?

Poster's essay matters for Hall as the Internet raises questions about our traditional notions of 1) Politics; 2) Citizenship; and 3) the Public sphere. Figures on CCTV in the UK loom large here, and how the home - the most private of spaces - is the most connected. The Internet is often thought of as a heterogeneous environment, but for most users it has its mega sites with nether regions that are visited rarely even though (qualitatively) deserving of attention. Habermas writes of the Internet as a political domain p.174. For the unfamiliar, there are other intriguing angles to pursue that include - Stiegler's originary technicity and Derrida's techno-logical condition.

Following several 'World Parliament' and 'global citizenry' websites and mail lists, I identified quite readily with Poster's idea that we need to be open to the possibility of a form of politics that is something other than democracy p.179. This refers back to Hall's choice of subtitle in 'Another University is Possible', a play on the slogan of the World Social Forum. This particular debate is even more relevant as the question now one of 'new' economics not just politics (or in combination their collective governance).

Hall closes with 'hypercyberdemocracy' and states that the search for a politics that is absolutely new is of course a lost cause. Hall demonstrates this through the work of Derrida and Weber. Key though is the need to challenge the old definitions of politics, customarily associated with the state, society, power, the common good. Poster claims that there is no adequate post-modern theory of politics. Is this the case? Hall believes there are theories based on Heideggerian flavoured deconstruction of Phillip Laccouse-Labarthe and Jean-Luc Nancy, Ernst Laclau. Poster's idea of politics is of something raised to a transcendent position, where what it means to be political is already given and agreed upon a priori p.183.

In summary, the Capital vs. the Commons is revisited. The commons is 'abstract labour' as per Paul Virno and Antonio Negri: capitalism is needed to create the commons. Hall lists conditions that allow for the creation of a commons p.192. For Terranova, Barbrook is too optomistic about the hi-tech gift economy; seeing the Internet as both a gift economy and an advanced capitalist economy. As per health and education: how do you measure? Hall reviews the political potential of several thinkers. This for me is complex reading: Does Terranova repeat the dialectic as per Lovink and tactical media? Or does it enable her to think the relation is a more subtle Foucault / Deleuze and Guattari inspired non-dialectic fashion? There are other possible ways forward including Laclau and Mouffe's neo-Gramscian theory of hegemony; the philosophy of Foucault, Deleuze and Guattari or Derrida, or the Italian Autonomist Marxism of Negri, Lazzarato and Virno p.195.

While Hall regards Poster's work as significant and a signpost - in the end (my reading at least) he feels Poster is asking the wrong question. Wrong because of 1) what are identified by Poster as modern understanding of politics; 2) this modern understanding of politics may be what the Internet resists and reinvents; and 3) the wrong question because any such new framework may only be intelligible if a framework is adopted that does not limit the discipline from the outset to modern perspectives of interpretation. I am surprised in reading Hall that there are no more 'recent' commentators directing thought in this field. Can cultural studies be hung by its own petard so to speak? It has the ability (prides itself on its ability) to criticise everything, perhaps this is why there is a crisis regards the politics and for me the temporal metrics - the pace of change. The surprise is acute when you consider the temporal differences that are said muted (the 'Internet Year') to operate in this field, or is this a myth? Perhaps this is yet another variable that must be factored in?

Hall has made me hungry to read more and browse less. I've learned a lot and am still learning. He's forced me to think and re-view and that is a very good thing. I realised some ten years ago that 'democracy' is a very loose term - there are many forms - and with that perhaps a new word is needed? OA may be a key ingredient of a gift economy, but as Hall states it does not follow that OA is democratic always and everywhere. For Hall there is a vacancy that calls for a philosophy of open access. I am not sure of the status and credentials of Harnod, Guedon, Suber and Willinsky et. al., but I would really like to think that there is a role here for independent scholars too?

There is a really strange paradox in the West at present and it concerns our fixation on that point called the individual. Governments and government departments are obsessed with personalisation, the need to engage the citizen by making budgets available to individuals in health, social care and education. Services in the UK have changed greatly in the past twenty years, NHS Direct, mobile phones, the (global) 'Internet population', e-Gov. How does 'politics' keep up and how does cultural studies follow the changes: which 'cohort' are they part of?

Hall asks for a philosophical basis for how cultural studies engages with the university. Quite a different question from those ongoing throughout the book and yet behind them is the question of ethics. Hall insists to the end that the open access archive enables us to conceive of a different future for the university. Hall raises questions about the knowledge economy, new forms of exchange. How (for Negri) can the commons be taken away from exploitation? In economics new ways and means have emerged. I cannot vouch for their distance from 'capitalism', but there are examples such as the Nobel Peace Prize 2006. Alternate economies may indeed be a pre-requisite for what Hall and his peers seek?

In the final metadata IV Hall writes about the singularity of new media, referring to his activity in the field. Checking the index and reading the text the 'singularity' (and singular for that matter) is a pivotal concept that I must investigate. Amid the 'hypered' goings on in technology and this literature there is a need for 'hyperanalysis'. What politics is and what it means to act politically cannot be left completely open and undecided.

For the past 2-3 years I have been creating a new website. I've settled on Drupal as my tool. I'm convinced there is community for Hodges' model out there; there is a rationale for it: and it is global. There is a potential audience of inhabitants, a community of users for this new website. I have to make decisions to get the site out of the door (Tracey Kidder, The Soul of a New Machine). Poster says build the archive. For Hall (and this reader given my position) CSeARCH is the example; an emergent project constantly in the process of becoming.


It really is fascinating to think that with the right content types* AND users I could be helping to create an 'institution' - an archive built in accordance with an open access ethos, its politics AND ethics.

If the length of this review does indeed highlight my inability to be concise, I trust that it also shows how much I enjoyed reading DTB plus the thinking and many threads it stimulated...

215 pages, 53 pages notes, bibliography 20 pages.

*+ themes, modules, styles, code - enthusiasm, energy, engagement ...

Acknowledgement: My thanks to the University of Minnesota Press for the book copy.

My footnotes:

There was an interesting letter in The Guardian 16 October 2008, the week that the research assessment exercise (RAE) results were due to be published. This highlighted the experience of many academics, and the problems faced by some in research posts as to their ability to gain longer term security. Plus the need of established staff to ensure they have their name attached to papers in order to meet their (RAE) tally.

Mandated online RAE CVs linked to university eprint archives: Enhancing UK research impact and assessment Stevan Harnad, Les Carr, Tim Brody and Charles Oppenheim make a compelling case for optimising the UK's pre-eminence in Research Assessment.
Power Struggle: Then in January 6, 2009 Education Guardian highlighted how students are not apathetic, they have found new ways to protest and new targets for their ire p.10. Paul Redmond.

Serres on this blog: http://hodges-model.blogspot.com/search/label/Serres

Source: Michel Serres, The Internet and Learning Opportunities:
Join-Lambert, L., Klein, P., & Serres, M. (1997). Interview. Superhighways for All: Knowledge’s Redemption. Revue Quart Monde. http://www.nettime.org/Lists-Archives/nettime-l-9810/msg00137.html
(I have a paper that combines aspects of Serres and Hodges).

Tracey Caldwell, Open access citation effect illusory: First randomised trial suggests OA boosts readership but not citations, Information World Review, 03 Sep 2008.

Earth image source: formerly - http://www.geos.ed.ac.uk/homes/tcrowley