Keywords: Michel Serres, Hodges Model,
Health, Career, Philosophy, Care Philosophy, Care Domains, Hermes, Harlequin
Citing this page:
Jones, P. (2006) Philosophical Basis of h2cm: Searching
for the Middle: Hodges' Model and Selected Works
of Michel Serres
ABSTRACT: This paper explores the extent to which selected writings
of Michel Serres and a health care model created by Brian Hodges in the
be combined. The primary objective is to ascertain whether a philosophical
basis for the model of care may be found. Lack of philosophical credentials
is a serious deficit from a nursing theory and practice perspective.
Michel Serres, a French philosopher has published more than twenty books,
an oeuvre subject to ongoing debate (Abbas, 2005; Assad,
1999). The volume
of Serres' output contrasts markedly with work devoted to Hodges' Health
Career - Care Domains - Model (hereafter referred to as h2cm). Placing
Hodges and Serres together is not intended to suggest direct equivalence,
other than the common themes this author intends to bring to the attention
During the mid 1980s the author discovered a conceptual framework
known as Hodges’ model. Subsequent application of the model in
health care and health informatics convinces the author that h2cm can
reach far beyond local clinical and educational agendas. This potential
arises by virtue of the models structure and the four knowledge domains
the model claims to encompass. As for any generic framework Hodges’ model
can be used to address several issues; policy development, health promotion
and education, intercultural matters, communication, research, public
involvement, service development and evidence based care plus community
informatics and e-government. This list is pragmatic, incomplete and
not meant to impress. While successful application of any tool ultimately
depends on its users, the model’s scope and the problems of the
21st century make the potential h2cm user base and beneficiaries immense.
Demographics are the dynamic that shapes health and social policy as well
as population pyramids. Globalization, inexpensive air travel, superbugs,
terrorism and environmental degradation bring home the lesson of just how
interconnected, interdependent and vulnerable humanity has become. Commentators
report on the digital divide; social exclusion and the political imperative
to engage citizens in political processes. Where is the wisdom in the exponential
growth in the volume of information produced, to sell it as knowledge, as
intelligence, transactions completed in nanoseconds? Amid frequent talk
of the need for new tools, I believe h2cm can contribute to this call.
Reading Serres' translated texts the author of this paper was immediately
struck by the similarity of Serres' concerns to problems that not
only led to h2cm's creation, but ideas that can readily be expressed
disseminated using Hodges' model. This expressive power arises
from h2cm's structure; the conceptual space claimed by its four key
concepts – individual,
group, humanistic and mechanistic. This construct leads to a device
with generic and specific capacities. For a cognitive tool work seems the wrong term, but captures the potential of the model to cross-curricula
and disciplinary boundaries a facility of ever-increasing relevance
over recent decades (Jones, 2004; 2005).
To begin the paper provides brief introductions to the range and nature
of Serres’ ideas and Hodges' model. A fusion of the two then follows,
culminating in discussion of why this paper matters. Common themes are
epistemology, the relationship of the sciences to the humanities, space
and time, noise,
information, interdisciplinarity and spirituality. Researcher’s attention
to Serres and Hodges can be justified on several levels including: integration
of knowledge generally and within health and social care disciplines;
the need to equip the civic population with tools to facilitate engagement
critique; the need to blend and balance analysis-synthesis, part-whole,
quantitative and qualitative. Ultimately, the need for a universal tool
support and sustain discourse between I-Nature, I-You, I-Them. Mapping
to this objective and Abbas'
(2005) text on Serres.
You are here : Serres : h2cm : Fused : Info2Care : Art-Science : Lang2Care : Global Reach & Close
Abbas, N. (Ed.) (2005) Mapping Michel Serres, Univ. of Michigan Press.
Assad, M.L. (1999) Reading with Michel Serres: An Encounter with Time,
Jones, P. (2004a) Viewpoint: Can informatics and holistic multidisciplinary
care be harmonised? British Journal of Healthcare Computing & Information
Management; 21, 6, 17-18.
Jones, P. (2004b) The Four Care Domains: Situations Worthy of Research,
Conference: Building & Bridging Community Networks: Knowledge,
Innovation & Diversity through Communication, Brighton, UK. March
Accessed: Oct 11 2005.