Children: FACE the past, future, your social media, Capitalism

INDIVIDUAL

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    INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

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GROUP

MENTAL HEALTH and WELLBEING LIFELONG LEARNING   KEY LITERACIES  PSHE EDUCATION -  Personal, Social,  Health and Economic

The Face

'Apps such as TikTok and Instagram are filled with videos of young girls and teenagers advising their peers on elaborate skincare routines, especially through a popular line of content called "Get Ready with Me". Parents have sounded the alarm over this trend, while recent medical literature has recognised the phenomenon of "cosmeticorexia", also called "dermorexia", defined as a culturally reinforced preoccupation or obsession with achieving "flawless" skin that can lead to "excessive, age-inappropriate or compulsive use of cosmetic products".'

'Italy is investigating a beauty retailer and make-up brand owned by French luxury group LVMH over claims their marketing has fuelled "cosmeticorexia", an unhealthy obsession with skincare among young girls. The Italian Competition and Market Authority (AGCM) said yesterday it was probing Sephora and Benefit Cosmetics for suspected "unfair commercial practices" with the promotion of skincare products such as face masks, serums and anti-ageing creams to girls as young as 10 years old. Those marketing campaigns were carried out mainly via social media, the  regulator said, leading young girls to "compulsively" buy such products.'

My sources: Amy Kazmin, LVMH's Sephora probed in Italy over fuelling young girls' skincare obsession, FTWeekend, 28-29 March 2026, p.1. FTWeekend and The Times. Reviews.

See also: Kazmin et al. Beauty industry scrutinised over age-inappropriate teen marketing. FTWeekend. 11-12 April, 2026, p.14. 

London visit February. Waterstones, Foyles, Hatchards & others.

Book image: https://www.amazon.ca/Face-Cultural-Fay-Bound-Alberti/dp/1538766531
 

Previously: 'health' : 'face' : 'child' : 'obsession' : 'social media'

Ticks in boxes and triplicate thinking

Having things in triplicate may be reassuring from an admin perspective. ...

That said, 1st year learners on wards can relax to focus on learning, not having to worry (too much) about the administration - the running of the ward 24/7.

Very soon though years 2... 3 come knocking and they must consider due process, they have to question and get to grips with the established routine that sets and keeps several plates spinning.

Of course IT has by and large (?!) removed the need for paper carbon copies (although those three copies should have three distinct purposes).

Despite that an obsession with ticks in just three boxes may not be enough when it comes to high quality multidisciplinary, holistic and integrated care - it's ticks in the mind and attitude that count.

Additional links:
Records Management Society

The Productive Ward

Image source:
Triplicate Girl - http://upload.wikimedia.org/wikipedia/en/6/63/Triplicate_Girl_LSH3.jpg

Editorial: "The Meaning of Concept Analysis" i

Nursing Science Quarterly (NSQ)

 

 

This editorial, "The Meaning of Concept Analysis" is open access and concerns an academic activity that is 'bread and butter' in nursing theory. It is well worth reading, for students too.

"The purpose of this editorial is to clarify the meanings of the term concept and analysis and to offer some guidelines that show what is appropriate for publication of concept analyses."

 

The editorial is helpful in encouraging the effort here, even as it suggests I would be wasting my time, the editor's and referees (although quarterly has a certain appeal).

 

 

The journal's role and purpose is clearly described:

"Nursing Science Quarterly is unique in that it is the only journal devoted exclusively to the enhancement of nursing knowledge. Only Nursing Science Quarterly publishes original manuscripts focusing on nursing theory development, nursing theory-based practice and quantitative and qualitative research related to existing nursing frameworks, contributed by the leading theorists, researchers and nurse executives. including nurse theory development."

I've enjoyed the freedom here, on the periphery of academia. Afraid at the same time that this 'h2cm' obsession has, will ... impact my objectivity, subjectivity - by way of attitudes, openness and view within and without of nursing, in theory, practice and management. Added to being able to carry the weight that is nursing (responsibility). The load is made-up of history, the legacies, the global academic balance (or not), the current global state of the profession, the fight for professional recognition and more. All rolled-up, and rolled-out when the challenges of the 21st century warrant it. Yes, the future is always - out there.

Concepts are key in Hodges' model, as a conceptual framework, as a series of conceptual spaces, as domains for threshold concepts and much more. I think I'm struggling now, as I always have in giving 'a' concept my critical attention, and its being in uniform. Concepts are always 'seen' as a gestalt. This may explain why I'm not an academic and definitely not a professional philosopher. The editorial notes:

"Examples of some analyses of concrete concepts that would not contribute to discipline-specific nursing knowledge and therefore are not worthy of publication include nursing overtime, nursing shortage, cultural competencies, medical diagnoses, precision health, big data, sensor technology, health economics, omics, and symptom science, among others."

I have mapped these concepts to Hodges' model below (underlined), and added in italics some associated concepts:

 

 

 INDIVIDUAL

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 INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

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GROUP

psychiatric diagnosis data ethics [person-al] symptom science [here] person-centered care / health emotional/spiritual intelligence	medical diagnoses, precision health, big data sensor technology, omics, and symptom science procedure x,y,z - cost $$$
cultural competencies social prescribing health literacy public understanding of sciences	nursing overtime nursing shortage nursing crisis? data ethics [COP15] outcomes - patient safety information governance health economics

As an exercise you may like to consider the following, as relates to the care - knowledge domains of Hodges' model?

"For the discipline of nursing (which includes the extant theories and frameworks) appropriate analyses of abstract concepts that contribute to the advancement of discipline-specific knowledge include self-care, wellness, well-being, self-esteem, courage, trust, burden, comfort, resilience, betrayal, shame, and authentic presence, among others."

Along with the concern about my preoccupation with Hodges' model, every time I type reflection, reflective practice - it hurts. It feels like another form of navel gazing, and yet the need for reflection, and reflective practitioners, producing critical thinkers and reflective practitioners is recognised world-wide.

I can't help but get a sense that concept analysis is nurse's navel gazing. If I sound critical, it would be a greater problem if this was the view of others outside nursing? Maybe, this point itself, validates the production of discipline-specific knowledge for nursing? I can't escape though, the feeling that there is something limiting, narrowing, even apolitical here: (Is there a global nursing crisis)? There has been much needed conceptual work on race, justice, gender, equality [google 'concept analysis, ...']. I realise my expansive approach can - and does - fall dead from the press. If I can blame the Atlantic, then I hope that pluralism still has a role to play?

 

Parse concludes:

"Nurse researchers and emerging scholars should answer four questions before launching a concept analysis that could be worthy of publications.

1. Is the concept an abstract expression to illuminate the essences that can contribute to nursing knowledge development?

2. Is the conception critical to the advancement of discipline-specific knowledge?

3. Which extant concept analysis model is appropriate for this concept?

4. Will this concept analysis be worthy of publication in light of its level of abstraction and possible contribution to nursing science?"

In the 21st Century concept analysis will have its place, being key in philosophy, linguistics, ethics, law, artificial intelligence ... and yes, nursing too. But increasingly I think the true power of concepts (in theory, practice, management, policy) is found when they are related and conjoined.* 

More to follow ... then silence ... for a time ...

Parse RR. The Meaning of Concept Analysis. Nursing Science Quarterly. 2023;36(1):5-5. doi:10.1177/08943184221131957

*To state the obvious.

Book: Bill Ross - 'Order and the Virtual' ii

'The Philosophy and Science of Deleuzian Cosmology'

Now I can say: "This year, Hodges' model will be presented at WCCS 6th World Conference on Complex Systems", so current reading needs to match this project. And, it does. In spades, in fact c/o and with thanks to Edinburgh University Press. Look at chapter 1! 'Chaos' with Mandelbrot fractals, smooth space drawing from Deleuze and Guattari's A Thousand Plateaus. For readers unfamiliar with the Deleuzian oeuvre, abbreviations of texts that feature in Bill Ross's book Order and the Virtual are listed (xii) and includes key sources by Michel Serres, Henri Bergson and Alfred North Whitehead. This works as you mentally take a note, of work to lookup. Almost twenty years ago, I related some ideas of Michel Serres to Hodges' model:

Jones, P. (2008) Exploring Serres’ Atlas, Hodges’ Knowledge Domains and the Fusion of Informatics and Cultural Horizons, IN Kidd, T., Chen, I. (Eds.) Social Information Technology Connecting Society and Cultural Issues, Idea Group Publishing, Inc. Chap. 7, pp. 96-109. 

Ross discusses the extent and proximity of Deleuze's thought to chaos, complexity theory and science more generally as identified by commentators. Now up to chapter 4, it would have helped to have a look at the bibliography at the book's end. Deleuze saw how his work resonated with chaos theory. Steve Strogatz's book (now in a 3rd edition):

Strogatz, S.H. (2015) Nonlinear Dynamics and Chaos: With Application to Physics, Biology, Chemistry and Engineering. 2^nd edition. Perseus Books Publishing, Cambridge. 

- explains in the introduction how 'home computing' contributed to the aesthetic appeal of fractals, which could display incredible patterns derived from seemingly simple mathematics. Even though, the programs often required many hours of running to deliver their results.

In the late 1980s I was fascinated with a subscription to Fractal Report:

https://stephen.shawweb.co.uk/Fractalreportindex.html

The relevance for me of Order and the Virtual is apparent on page 1, Deleuze and Guattari's thought having an immediate transdisciplinary application, crossing boundaries, and the creation of regions of bifurcation. Ross connects Deleuze's thought and Ilya Prigogine & Isabelle Stengers' text:

Order Out of Chaos: Man's New Dialogue with Nature. London: Heinemann, 1984 

Ross is encouraging (to me and for Hodges' model), as he notes how the notions may be inexact, but they are nonetheless rigorous. Spanning as they do, philosophy, science - what is scientific(? - itself a boundary - demarcation) and artistic. I've often thought of Hodges' model as filled with folds, and multiple bifurcations. It looks like Bill Ross is going help me to isolate several, and possibly make my search more efficient (the latter really would assist). The memorial event held in Manchester last September was revalatory. Since the early 2000s I'd grown to  really appreciate the availability of books by Michel Serres. I was not aware of the force behind the Clinamen Press, which Bill Ross established in 1999. 'Clinamen' is a useful concept too, which I have encountered previously, through Serres and Lucretius. 

Readers new to philosophy, sociology and the development of ideas must often grapple with a new and specific vocabulary. This is a primary purpose of such texts. On page 2 the springboard is sprung, the Event is key in Deleuzian scholarship. The Event is a force for creative and disruptive force for thought,  idea generation and creativity. The Event is experienced in our current 'realities' of: time and space (Kronos) where things are actualised, and the virtual (Aion) - the pure Event. This lack of hesitation is welcome. Our 'virtual' world quickly provides access to reading:

parrhesia 27 · 2017 · 1-12
extract from the birth of physics
michel serres, translated by david webb, with an introduction by bill ross
https://parrhesiajournal.org/wp-content/uploads/2023/10/parrhesia27_serres.pdf

Where you have bifurcations, you have convergences and divergences, stasis, state - stasis or not, paths, a series and metrics. We are reminded that science is not just about theory - metaphysics, it is, sleeves rolled-up about doing too; as I've noted in subsequent reading. As 'chaos' predicts, there is no let up,  the Choasmos, quickly follows. I'm thinking of a 'situation' clinically as a rollercoaster - 'constant displacement' seeking a difference, and repetition, the ravages of alcohol, dementia, low mood, psychosis, obsession and compulsive 'states'. The chaosmos is central in Hodges' model, although as both continua and oppositions. Ross explains how Deleuze's chaosmos is not necessarily scientific, but belongs to the ancient cosmologies of the Greeks (p.3). I thought of flux here. 'Parity' is not just a physical metric, but a quality that acts, seeks resolution - equilibrium(?) - between the mental chaos and physical chaos.*

Thinkers like Deleuze 'trap' words, concepts, in boxes, drawing from other other sources (for chaosmos - with Guattari again); then they can be examined and tested for their scope, application, meaning and association. Hodges' model provides a trap, for any situation. Not as specific as a physicist's ion (or Penning) trap, but the model can act as a series of holistic traps. To provide a metric of holistic bandwidth.

*Of course, equilibrium is never found - until the 'End'; such is the nature of flux. 

More to follow...

Bill Ross (2024) Order and the Virtual: The Philosophy and Science of Deleuzian Cosmology. Edinburgh: Edinburgh University Press. https://edinburghuniversitypress.com/book-order-and-the-virtual.html

health - Human - LIFE: Career

As highlighted previously, the full title of Hodges' model was originally The Health Career Model.

Reference to 'career' in there, caused many visitors to the first website, and presumably readers of Brian's book chapter:

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

- to assume the model concerned professional careers, jobs, and employment.

For this reason after some discussion 'care domains' was added:

Hodges' Health Career - Care Domains - Model

A bit ungainly, but it is important that 'health career' was retained. After 5-10 years since first encountering and applying the model in a case study (1987-88), a key appeal of the model for me was its seeming increase in relevance. This may be a function of familiarity, preoccupation, (growing) obsession but the book below by Goldschmidt is confirmation for me.

Goldschmidt describes the 'Career and the Life Cycle' identifying several stages:

• Infantile preadaptation
• Training
• Career launching
• Career establishment
• Career maintenance (pp.113-114).

The first, infantile preadaptation appears associate strongly with the idea of life chances. 

Goldschmidt begins: 

"Career is a lifetime process. The word process here is important. If the English language did not render it too awkward, it would be preferable to make a verb out of it: careering. The major phases in the process relate to the physiological changes as the individual moves from infancy toward his ultimate death." p.113.

"The pursuit of career is not merely a social phenomenon in the sense that the values and purposes are socially derived and hence attainment is reflexive of community attitudes, but because career performance always involves two highly social orientations: collaboration and identification. It is a social performance. No person achieves satisfaction going it alone; he must collaborate with diverse others, usually socially structured groups - family or household, clan, age-mates, work associates, or whatever." p.117.

We need to understand that life chances are often determined before life.

   Individual - Self         

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      INTERPERSONAL    :     SCIENCES                   

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

 SOCIOLOGY  :    POLITICAL 

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   Dyad - Group - Culture - Population 

Identity Work, roles, activity  for all.	"The activities of the motivated individual can be conceptualized as his or her career. By career I mean that trajectory through life which each person undergoes, the activities he or she engages in to satisfy physical needs and wants and the even more important social needs and wants. The career, then, is activated in the service of both the physical being and the symbolic self."p.107.
The HUMAN CAREER	Policy Politics The health career and human career of future generations and all life. Artificial Intelligence - Future 'careers'?

Today, the health career entails consideration of the life cycle of all life as we not only contemplate planetary health, but seek to assure the biosphere.

Goldschmidt, W. (1990). The human career: The self in the symbolic world. Oxford: Basil Blackwell.

Book cover: https://biblio.co.nz/walter-goldschmidt/author/99497

There is no need for models of nursing ... they are 'old hat'

'Old hat'

"In nursing, however, its neglect of theorising and its obsession with 'doing' without thought have meant there is no commonly accepted model. Furthermore, the huge differences in the settings and client groups associated with nurses make it impossible ever to arrive at such an all-embracing model." p.51. Alan Pearson.

Since, nurses do think. Psycho-socially they use an implicit model - as we all do.

The health and social care workforce would benefit from a shared model of care, as would the general population as per assessment of literacy and health literacy in particular.

"Most nurses live in communities like Tameside*, where local staff of varied academic, practical and intellectual abilities nurse local people. Thus I would like to emphasise two major points:

1. Models must be built, described and used in language that is accessible to all levels of nursing staff.
2. A nursing model which focuses solely on the patient, and neglects or under estimates the nurses themselves and the social backcloth of the hospital and community is of little value. ...
   

... Elsewhere in this volume McFarlane notes how each nurse carries with her a 'private image of nursing'. One of the steps to creating a working model of nursing is that those private worlds must be brought closer together, to work in common and as a whole." p.40. Steve Wright.

*Tameside is a metropolitan borough of Greater Manchester in England. Hodges' model was created by Brian E. Hodges (Ret. Senior Lecturer) at Manchester Polytechnic College, now Manchester Metropolitan University.

B. Kershaw and J. Salvage (Eds)  (1986) Models for Nursing, Chichester: John Wiley & Sons Limited.

Hat image: https://www.bbc.co.uk/news/uk-england-derbyshire-35243823

This nurse needs to 'think' less, and do, act.