Hodges' Model: Welcome to the QUAD

- provides a space devoted to the conceptual framework known as Hodges' model. Read about this tool that can help integrate HEALTH, SOCIAL CARE, INFORMATICS and EDUCATION. The model can facilitate PERSON-CENTREDNESS, CURRICULUM DEVELOPMENT, HOLISTIC CARE and REFLECTION. Follow the development of a new website using Drupal - one day). See our bibliography, posts since 2006 and if interested please get in touch [@h2cm OR h2cmng AT yahoo.co.uk]. Welcome.

Sunday, January 21, 2018

Finding voice: Harmonious and Discordant Care

  Life stories: 

Where exactly and when do life chances and health career pivot?

for hard-up singers and musicians in 1899, 
calling it his favourite of all his works." p.2

humanistic --------------------------------------- mechanistic

"You are born an artist
or you are not

and you stay an artist even if
your voice
 is no longer a wonder" p.2

"unpleasant smells of urine"and
"17-hour gaps"
between dinner and breakfast

"Almost half of Britain's 410,000 residents receive some level of local authority support ..."

"Guests are free to come and go
as they please and though Mandelli
 doesn't go out to dinner any more,
she still goes to La Scala,
often to rehearsals." p.2

"Around one-third of the UK's
bed capacity is at risk of closing
within the next 5 years, ..."

"The rise of the minimum wage
has also put pressure on an industry
where labour accounts for 70 per cent of costs, while Brexit has increased reliance
on more expensive agency staff."


Plimmer, G. (2017) Frailty of Four Seasons shows risk to residents, FT Weekend, 16-17 December. p.18.

Roberts, H. (2018) At Home: Harmony in Verdi's care home, House&Home, FT Weekend, 6-7 January. p.2.

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Friday, January 19, 2018

Public Service(s) Ethos

humanistic --------------------------------------- mechanistic



Corbyn, J. "... public services ethos ..." heard this week on the news, 17 January, 2017.

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Thursday, January 18, 2018

Call (UK): Mental Health Service Users & Carers - Lived Experience Working Group for new MH Policy Research Unit

The Department of Health has set up a new Mental Health Policy Research Unit (PRU), run by a research team based at University College London and Kings College London. This Unit will carry out a programme of policy-relevant research over the next five years, as agreed with the Department of Health.

The PRU are offering paid involvement to up to 12 people with personal experience of using mental health services, or caring for friends or family members who have used services, through joining a Lived Experience Working Group for the PRU. Working group members will attend regular meetings, and use their first-hand knowledge of mental distress and mental health service use to help guide the work of the Unit. Involvement will be offered as and when required: this is likely to approximate to one day’s involvement per month.

Applicants will need some previous experience of contributing to research or mental health service development, as well as personal experience of using services or supporting a friend or family member who uses services.

You can find further information and documents here: 

With many thanks and best wishes,


Dr Sarah Carr FRSA
Associate Professor of Mental Health (Research),
Middlesex University
Department of Mental Health, Social Work and Integrative Medicine
The Burroughs
London NW4 4BT

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Wednesday, January 17, 2018

Workshop: Mental Health Policy and Social Science Practice - Enhancing Engagement and Expertise

Dear colleagues,

I’m delighted to announce an application-only early-career workshop on: ‘Mental Health Policy and Social Science Practice: Enhancing Engagement and Expertise’. This will take place in Edinburgh city centre on the 22nd March 2018. The keynote speaker will be Norman Lamb MP (former Care Minister and current Chair of the Parliamentary Office of Science and Technology), with other speakers TBC.

The workshop will run from 10.00 until 15.00, and will be immediately followed by a public panel discussion (finishing at 17.00). Lamb will be in attendance from ~13.30 until 17.00.  The workshop is open to 20 ECRs (i.e. PhD students and recent postdoctoral scholars), who are requested to bring posters about their work in order to facilitate speaker feedback.

The ECR event is funded by the British Academy, via a Rising Star Engagement Award; the public panel discussion is sponsored by the Wellcome Trust.

Potential ECR attendees should send a copy of their CV and a short description of their work to martyn.pickersgill AT ed.ac.uk by the 16th February. Some funds to facilitate attendance are available; should an applicant wish to apply for a bursary, please detail travel costs and any other sources of funding in the application letter.

I’d be very grateful if you could please circulate this message to any (post-)doctoral researchers who might be interested in attending.

Thank you very much!

All best wishes,


Dr Martyn Pickersgill, Wellcome Trust Reader in Social Studies of Biomedicine, Usher Institute of Population Health Sciences & Informatics, Edinburgh Medical School, University of Edinburgh,  http://edin.ac/1Vgw0xR https://twitter.com/PickersgillM

My source: MHHE

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Monday, January 15, 2018

Representation of the People

humanistic --------------------------------------- mechanistic


of the 



An act to unite 

"The Representation of the People Act 1918 meant that a greater number and a broader mix of voices could now be heard at the polls. 100 years later, we mark the centenary of this historic Act with this UK 50p coin range. "

2018 ...
Representation of the People's 
health and social care...?

My source and image: The Royal Mint

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Sunday, January 14, 2018

Call for Abstracts - 6th International Conference on Violence in the Health Sector


We are delighted to invite you to submit abstracts, attend and register for the largest world-wide conference dedicated to work related aggression and violence within the health and social services sector: the 6th International Conference on Violence in the Health Sector. 

Please read the Abstract Submission Invitation and Guidance and the Abstract Submission Process before submitting your abstract electronically before the 1st of March 2018 by using the electronic submission form.

Work related aggression and violence within the health and social services sector is a major problem which diminishes the quality of working life for staff, compromises organizational effectiveness and ultimately impacts negatively on the provision and quality of care. These problems pervade both service settings and occupational groups. And according a recent discussion paper by the Canadian Federation of Nurses Unions (CFNU) “Enough is enough” with the aim of putting a stop to violence in the health care sector.

Following five successful conferences, the 6th Violence in the Health Sector conference will be held in Toronto on 24 to 26 October 2018 on the theme “Advancing the Delivery of Positive Practice”. The objective of this conference is to provide a platform for all parties confronted with the phenomenon of violence in healthcare to develop and implement positive practice and proactively respond to this complex problem. Positive practice is defined here as practice sufficiently informed by capacities and technologies to minimize violence such that the central task of the healthcare service – delivering the best help to its users – can be achieved.

Specific objectives of the Sixth Conference
  1. Enhance the understanding of facets of violence in the health sector – such as its root causes and patterns, the impact and consequences, successful strategies and initiatives – which can help advance the delivery of positive practice.
  2. Learn more about resources such as policy and/or practice initiatives, tool-kits, and instruments which can help advance the delivery of positive practice.

Below (and not an endorsement) I have mapped the categories from the invitation for abstracts to Hodges' model with a few additions:

humanistic --------------------------------------- mechanistic
Psychological abuse, harassment and bullying
Reduce emotional and psychological sequelae, and ethical consequences, seclusion, restraint and coercive measures

All manifestations, sources and perpetrators, and the characteristics of individuals experiencing the abuse
Alternative/innovative paths to dealing with aggression/violence

Personal space
Interpersonal skills
Emotional, spiritual literacy
Psychological therapies

The use of the humanities -
Physical abuse,
Root causes & immediate causes

Patterns (triggers, regularity, location, context)

Toolkits, instruments

Reduce physical injury
 Physical environment (noise, space, overcrowding,
The impact of domestic violence on the health care system (data, reports, research)?
Resources aiding the advancement and the delivery of positive practice
in understanding aggression/violence

 Societal and Sexual abuse (also psychological, political, physical violence)
Aggression or violence toward 
staff or service users
Sources of abuse (staff, service user, co-worker, the system, patients and their 
families and friends)
Cultures that minimize violence (social ambiance)
Engaging with multiple stakeholders in seeking and implementing solutions.
PRACTICE initiatives
Delivery of positive PRACTICE
Financial, organizational,
 the system and legal abuse

Develop POLICY initiatives
 Local, National, Global - reporting
Country specific approaches
Reduce financial, service-related, professional, and legal consequences

Managing the impact/consequences of aggression/violence to advance the delivery of positive practice

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Saturday, January 13, 2018

Person-centred care [PCC]: is it really happening? c/o National Voices


humanistic --------------------------------------- mechanistic

what’s important to the individual,
is co-ordinated around their needs
and involves them in decisions.

"To be person-centred, that care needs to work together to wrap around all the needs of the individual in a holistic way. Sadly, our report found that neither the NHS nor adult social care can demonstrate co-ordination of care, despite ‘integrated care’ being a key goal of all national and local leaders over the past five to 10 years.
The way health and care services work must change to reflect the needs of the population. It would be a start to recognise that co-ordination of care is an important factor, and that we need to be measuring whether it is happening."
(many) Definitions = 5 key indicators of pcc: 
good information,
good communication,
involvement in decisions, 
care co-ordination
 and care planning.

Service user reported data from 19 nat. surveys
NHS:  in primary care, only 39% of patients said their GP was ‘very good’ at involving them in decisions. What’s more, personalised care planning doesn’t really happen. Only 3% of GP patients with one or more long-term conditions reported having a written care plan, suggesting that opportunities to deliver personalised care in the NHS are being missed.

"Personalisation of care is more advanced in adult social care than in the NHS, with 89% of adult social care users reporting that the care and support they received helped them to have control over their daily life.

Similarly, 63% of people using a social care personal budget said that this had improved their ability to make everyday decisions.
Participation and control of decisions is well-established in adult social care, with just over 90% of those using community adult social care saying they were involved in decisions about their care and support needs."

(See original post - report for important additions)

 20+ years policy
Care Act 2014

National Voices
coalition of health and care charities  report
‘Person-centred care in 2017'

No National data on this...

"It is clear from our report that a strategic overhaul of how care is measured is needed. Rather than single-service, single-setting, activity measures, more credence needs to be given to the experiences of the people who rely on services. Only then can we help local systems succeed in offering personalised, integrated and holistic care.
Whilst there have been some advances in the delivery of person-centred care, there is still a long way to go before the policy rhetoric matches the reality experienced by people."

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Thanks @nwdug - Umami made my day

On Tuesday evening 1900 at the NW Drupal User Group in Manchester @nwdug we paired up and were tasked with reviewing one of Drupal's out-of-the-box resources - Umami:

"This is the Umami installation profile that will become part of Drupal core as part of the Out of the box initiative."
With Phil to the rescue (again) managing github and sorting a link, I obtained access to a demo site on my phone and managed to find some things in the interface and styling that weren't right. I do have an eye for proof reading whether academic papers, information / data standards or interfaces.

Still up (but only just) at 0016 and what's this...? An email from Drupal.org:

[drupal] You’ve been credited in Create experimental installation profile!

Still so much for me to do with respect to Drupal and Hodges' model .... but being included as part of a greater effort means and is a great deal.

Thanks all! @nwdug and madlab

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Friday, January 12, 2018

Book to review: Introduction to Health Research Methods 2nd edition


I'm grateful to Class Learning for a review copy of this book. With two journal papers to review and one read, this book will be next.

When reviewing I have to read twice almost - as objectively as I can and then from the perspective of Hodges' model as a research project.

More to follow...

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Thursday, January 11, 2018

My Perfect Country c/o BBC World Service

Changing my car in August and tuning the DAB radio, I soon found the BBC World Service in addition to Radio 4 and musical diversions. The World Service is proving quite an interesting listen. One programme 'The Compass' includes a series called 'My Perfect Country', the brief:

"Fi Glover, Martha Lane Fox and Henrietta Moore are on the hunt for solutions to the world’s problems. Their aim is to create the perfect country made up of the best global policies that actually work."
If we were to categorise the programmes thus far I wonder how they would be distributed around the compass that is Hodges' model?

humanistic --------------------------------------- mechanistic


My source: BBC World Service - The Compass

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Tuesday, January 09, 2018

ERCIM News No. 112 Special Theme "Quantum Computation and Information"


Dear ERCIM News Reader,

ERCIM News No. 112 has just been published at https://ercim-news.ercim.eu/

The Special Theme "Quantum Computing" was coordinated by the guest editors:

Jop Briët (CWI) and Simon Perdrix (CNRS, LORIA)

This issue is also available for download in pdf and ePUB
Thank you for your interest in ERCIM News. Feel free to forward this message to others who might be interested.

Next issue:
No. 113, January 2018
    - Special Theme: "Smart Farming
    - Section Research and Society: "Research Evaluation"
(see call for contributions)

ERCIM "Alain Bensoussan" Fellowship Programme
Postdoc fellowships available at leading European research institutions.
Simple application procedure.
Next application deadline: 30 Avril 2018

HORIZON 2020 Project Management
Through ERCIM, our member institutes have participated in more than 80 projects funded by the European Commission in the ICT domain, by carrying out joint research activities while the ERCIM Office successfully manages the complexity of the project administration, finances and outreach.

Your institution interested in joining ERCIM?
See https://www.ercim.eu/download/ERCIM-flyer-web.pdf

is published quarterly by ERCIM, the European Research Consortium for Informatics and Mathematics.
The printed edition will reach about 10000 readers.
This email alert reaches more than 7500 subscribers.

ERCIM - the European Research Consortium for Informatics and Mathematics - aims to foster collaborative work within the European research community and to increase co-operation with European industry. Leading European research institutes are members of ERCIM. ERCIM is the European host of W3C.

Follow us on twitter @ercim_news
and join the open ERCIM LinkedIn Group http://www.linkedin.com/groups/ERCIM-81390

My source: Peter Kunz  peter.kunz AT ercim.eu

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Monday, January 08, 2018

Scratching the surface: Optimization algorithms

... In healthcare ..? 
Well - yes,
we've definitely scratched the surface,
but not a sufficient number of surfaces,
and not necessarily the right ones 
in the right order...

humanistic --------------------------------------- mechanistic


My source:

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Sunday, January 07, 2018

Know: A Journal on the Formation of Knowledge

The news below (which I have edited slightly) is from a longer message by Willard McCarty and alerted me to a new journal, the strapline speaks volumes here -

Reflections on Disciplinary Knowledge

It is not open access but the contents are listed:

Date: Fri, 29 Dec 2017 11:08:41 +0000
From: Willard McCarty willard.mccarty AT mccarty.org.uk
Subject: Interdisciplinarity and Collaboration

In the leading article of the first issue of Know: A Journal on the Formation of Knowledge
(http://www.journals.uchicago.edu/toc/know/current), Simon Goldhill surveys major problems requiring an interdisciplinary approach then observes that:
When expertise is so hard to attain and fields are developing so rapidly, there are inevitably only a few people who are in themselves genuinely interdisciplinary in the sense of having mastered two or more disciplines in a creatively combinatory fashion. Rather, what most of the major problems I have mentioned do need is collaborative responses. The question of interdisciplinarity, thus, is most insistently a question of how to collaborate.
... Willard also draws attention to the editor's introduction to the first issue.
Humanist Discussion Group, Vol. 31, No. 493.
Department of Digital Humanities, King's College London

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Friday, January 05, 2018

Book: Ants Among Elephants: An Untouchable Family and the Making of Modern India

humanistic --------------------------------------- mechanistic


Ants Among Elephants

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Thursday, January 04, 2018

Hodges' model DoB = early 1980s. So it's obsolescent?

No Way!
The model is more relevant than ever...

humanistic --------------------------------------- mechanistic
The 'discerning' customer

chuck, drop, dump, bin. throw, fling, tip
[left] 20% ink?
How many ink cartridges do you need?
How many blades...?

The discerning market?

"In passing the "Hamon Law," as it's known, in 2014, France became the first country in the world to open the door to sanctions for the widespread manufacturing practice of "planned obsolescence" - creating products pre-designed for failure at some point so that consumers will be enticed to replace them.
Specifically, the legislation outlaws "the use of techniques whereby the person responsible for placing a product on the market deliberately aims to reduce its lifetime in order to increase the replacement rate." David Schrieberg

Forbes.com David Schrieberg - Landmark French Lawsuit Attacks Epson, HP, Canon And Brother For 'Planned Obsolescence'

Halte à l’Obsolescence Programmée (HOP)

My source: Sage, A. French have last word on printers, The Times, September 20, 2017, p.40-41.

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Wednesday, January 03, 2018

Modelling Scale: Self, Families, Communities, Organisations - a Planet's Health...

Dear HIFA colleagues,

I would like to wish you all a happy new year and to share with you a powerful quote on the front cover of the current print issue of The Lancet:

"Achieving planetary health will require a renaissance in how we define our place in the world. A new narrative will reject the one streaming into our homes — that happiness comes from relentlessly acquiring more things — and embrace what we know: that what truly makes us happy is time spent with those we love, connection to place and community, feeling connected to something greater than ourselves, taking care of each other."
The quote is from a lecture by Samuel Myers, Planetary Health Alliance at Harvard University, USA. The citation is below and the full text is freely available here:

CITATION: Planetary health: protecting human health on a rapidly changing planet
Dr Samuel S Myers
Volume 390, No. 10114, p2860–2868, 23 December 2017

Best wishes, Neil

Let's build a future where people are no longer dying for lack of healthcare information - Join HIFA: www.hifa.org


My additions: 

I am always fascinated by the need for such expansive perspectives, the need to simultaneously factor in scale; how for example, do we warn future generations of environmental hazards?

Such questions are also crucial to "how we define our place in the world"?

humanistic --------------------------------------- mechanistic

The Far Future - BBC Radio 4

The Long Now

Political planning
NHS workforce planning
NHS preparedness for (a?) the (this?) Winter

Source: HIFA Dr Neil Pakenham-Walsh with thanks.

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Tuesday, January 02, 2018

ECIS 2018: Beyond Digitization - Facets of Socio-Technical Change

ECIS 2018 will take place in Portsmouth, UK, at the University of Portsmouth, where it is hosted by the Systems and Information Systems Research Group in the School of Computing.

The theme of the conference: “Beyond Digitization – Facets of Socio-Technical Change” reflects that information systems (IS) consist of both human and technical aspects. The development of the IS discipline since the 1960’s has been characterised by efforts to achieve a forward trajectory from a software-centred focus towards a human-centred focus. This is reflected in the agendas of many of the original socio-technical movements, and underpins the recent resurgence in interest in socio-technical ideas.

The foundation of the IS discipline (in the late Sixties) is built on the proposition that any artefact on which we turn an IS lens cannot be seen as hardware, software or human-based in isolation. This is still true in an increasingly digital world. We, in the IS discipline, are constantly faced with the reality that we engage and pursue an agenda to facilitate change, or redevelopment of organized human activities. The digital world has and is resulting in fundamental changes throughout society affecting organisations and human endeavour. The socio-technical theme provides a base to make sense of IS within the digitized world.

We invite you to participate in the AIS conference ECIS 2018, taking place in the historic naval city of Portsmouth.

I learned of ECIS 2018 attending the BCS Sociotechnical Specialist Group - Annual Symposium

Rebooting the Role of Sociotechnical Perspectives in a hyper-connected, digitised society
27th of October 2017, 5 Southampton St, London WC2E 7HA.

There is another associated event listed in the ECIS sidebar:

UKSS 2018

Can systemic thinking help shape health services?

UKSS Conference 25th June 2018

Can systemic thinking help shape health services?

A UK Systems Society conference in association with SPMC and the Schumacher institute; supported by the World Organisation of Systems and Cybernetics and the Associazione Italiana per la Ricerca sui Sistemi

Provision of health service is facing major challenges in every country. Life expectancy has increased, people are active for longer, and citizens expect first class healthcare and for “repairs” to be done quickly to restore them to their full capacity. Some expectations are fantasy but others are justifiable, yet every day we hear or read about outcomes that give cause for concern. In the UK we recognise that the NHS cannot continue in its present form. But the NHS is close to the heart of our citizens making major reforms difficult because of the intense passion that any discussion generates. But the NHS as a ‘system’ is more than 3/4 of a century old. The way that illness and old age are viewed now is different to that when the health service was created. This conference will provide a platform for ideas that might contribute to a way forward.

We would be delighted to see and hear from you at this conference.

Call for Papers

Papers are invited from members of any ‘discipline’ who think about a ‘situation of concern’ from a holistic perspective. Holism is used here where there is a recognition that unity of its parts are so close and intense as to be more than the sum of its parts i.e. “The whole is more than the sum of its parts”- the emergent property of the NHS is health care for all.

Papers are invited across the spectrum of intellectual pursuit including health care professions, disciplines allied to medicine, social care, health informatics, ICT specialists, economists, central or local government, politicians and systems thinkers and practitioners from any methodological tradition.


n.b. In October I had missed the submission dates but might try to attend - the themes are central to Hodges' model. In checking some local details for the venue I was saddened to learn that RNH Haslar closed in 2009.

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Monday, January 01, 2018

Call for abstracts: Sharing Strategies for Health Equity - April 2018

Hi all,

I'm excited to let you know that we are currently accepting submissions for abstracts for poster presentations, breakout sessions, and applications for international scholarships for the upcoming Social Medicine Consortium conference, Sharing Strategies for Health Equity: Social Medicine in Action. As a reminder, this event is taking place on April 28, 2018 at the Red Rock Event Center in Churchrock, New Mexico USA.

Abstracts for Breakout Sessions
We are accepting abstracts for breakout sessions that connect with one or more of the conference objectives. Breakout sessions may be formatted as a presentation, panel, or interactive session. Learn more and submit a proposal for a session here:

The deadline for submissions is February 12, 2018. Please direct any questions to Michelle Morse at mmorse AT equalhealth.org

Abstracts for Poster Presentation
We are seeking abstracts that describe innovative projects related to social medicine (including programs and curricula), which may be written and presented in English, French or Spanish. Detailed submission guidelines may be found here:

The deadline for submissions is February 12, 2018. For those applying for international travel scholarships, applicants who have submitted an abstract for poster presentation will be given priority. Please direct all questions about abstracts to abstracts AT equalhealth.org.

Applications for International Travel Scholarships
We believe that the voices and experiences of international colleagues are critical to include in this dialogue, and recognize that the financial burden of travel to the US may be prohibitive. We are therefore dedicated to providing several international travel scholarships for attendees who are committed to the Social Medicine Consortium. Learn more and apply here:

The deadline for applications is February 12, 2018. Please direct any questions to Casey Fox at 
cfox AT equalhealth.org

Please share widely, and as always, feel free to reach out with any questions or concerns.

HIFA (my source) profile: Tinashe Goronga is Senior Resident Medical Officer at the Mpilo Hospital in Zimbabwe. Professional interests: I am interested in public health, social medicine, social justice and health equity.  tisaneg AT gmail.com

A Happy New Year to the organisers of this conference and all readers of W2tQ!

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Saturday, December 30, 2017

Design4Health2018: Sheffield, UK

http://www.design4health.org.uk/Design4Health2018 will be hosted once again by Sheffield Hallam University from 4th to 6th September 2018 in Sheffield, UK.
We’re delighted to announce that

Issue 2 of new journal Design for Health is available now. Find out how to subscribe or submit on our Publications page

My source: Design4Health team mailing list c/o Kirsty Christer

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Friday, December 29, 2017

Book: Sound - A Story of Hearing Lost and Found

humanistic --------------------------------------- mechanistic
"Sight gives you the world, ...

... but hearing gives you other people."

Source: Holgate, A. The Sunday Times, Culture, Books, 28 May 2017. p.36.

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Wednesday, December 27, 2017


humanistic --------------------------------------- mechanistic

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Tuesday, December 26, 2017

"Modern financial theory ..." Letter c/o FT

humanistic --------------------------------------- mechanistic

"... for their quantitative models based on equilibrium, efficiency and rationality. By co-opting methods from the physical sciences, a bewildering array of fancy-looking graphs and complex equations was soon spawned. Having stripped out the fuzziness of mortal endeavours, these neo-economists were freed to use their slide-rules on a quantitative version of our world. ... Their Möbius-strip models go everywhere and arrive nowhere." (2)

"Since the early writings of 13th century theologians such as Thomas Aquinas, what we call economics had been taught as a broad discipline covering politics, society, ethics, husbandry and moral philosophy. But by the 19th century, academics such as Vilfredo Pareto, Alfred Marshall and Thorstein Veblen had jettisoned humanistic thinking ..." (1)

"For the rest of the 20th century, the cult of quants purged humanity from the study of finance. This was a big mistake. We don't build businesses, work in offices, service customers or sell products to satisfy arcane algorithms.
We pursue a very human set of needs: food, shelter, status, community and well-being. Economics needs to be re-entered on human ad societal conduct - however messy and irrational it actually is." (3) Aron Miodownik

Aron Miodownik, Modern financial theory is built on conceit, Letters, FT Weekend, 9-10 December 2017, p.10.

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