BMJ Medical Humanities Podcast: Scenario Planning, Healthcare, and the Humanities with Professor Matthew Molineux

Years ago, casting around for a way to explore “applied medical humanities”, I read Matthew Molineux’s essay “A Labour in Vain”, a kind of intellectual history of occupational therapy which spoke directly to the fraught, pragmatic question of what good we really do, when we strive to help others. It’s one of my all-time favourite pieces of scholarly writing and you can find it as a free PDF download from publishers Wiley here.

Working with Matthew in a collaboration between Griffith University and State Library of Queensland, I got to know him not just as a great writer, but a colleague and a friend. Combining a creative hands-on approach to occuaptional therapy education with foresight and psychodynamic work, we took Griffith students to distant futures — all in the service of exploring occupational therapists’ role in a changing world.

Toys, cake, and cardboard were just some of the materials which were brought into the work, which included a challenge to produce an edible presentation. The students were resourceful, empathetic, creative, good-humoured – exemplfying the best characteristics of their profession.

Now for The BMJ’s Medical Humanities podcast, Matthew and I join hosts Cristina Hanganu-Bresch and Brandy Schillace to explore scenario planning, healthcare, art, foresight, and the humanities.

Scripturient: The End of Forgetting

The latest installment of my “Scripturient” column for Information Professional magazine features the New School’s Kate Eichhorn, author of The End of Forgetting.

Together, we discussed: Who gets to tell their own story in the age of social media? What are the consequences of such stories being shared? 

How will digital media transform the ways we remember and are remembered, now and in times to come?

Will old deeds, old relationships, and our own former selves become inescapable thanks to new technologies and the capitalist frameworks in which they are deployed?

Read more in “Owning your own story” (PDF download).

Book Chapter: Scenarios as a device for forming common futures

“Scenarios as a device for forming common futures”, the chapter I co-authored with UCL’s Richard Sandford for the volume Building the Post-Pandemic University, can now be read for free online.

We argue that:

Universities need to develop ways of creating their own narratives of the future, in order to anticipate what lies ahead and recognise possibilities for change.

By developing their own capacity to imagine possible futures, rather than working with future narratives designed outside the university, institutions will be better placed to recognise their distinctive and heterogeneous character, to be clear about their particular orientation to the future and potential contribution to its development, and to strengthen the university community through this shared process.

You can find our discussion of scenarios, foresight, and universities’ particular situation as complex, internally diverse “engines of the future”, at Elgar Online.

'Dreaming Spires', by Flickr User JJBullock - Copyright JJ Bullock 2010
‘Dreaming Spires’, by Flickr User JJBullock – Copyright JJ Bullock 2010

Scripturient: Data Ethicist Sam Nutt, London Office of Technology and Innovation

“People want to discover the future together, and that future, for us, is always a shared one.”

From the pages of Information Professional magazine, my most recent “Scripturient” column, featuring Sam Nutt of the London Office of Technology & Innovation (LOTI) on “doing data ethically” – going beyond research and compliance to help “practically discover what the values are which should be driving how we use data: not my values, but those of the organisation, of the city, and of the residents we serve.”

Scenario Planning Blog at BMJ Medical Humanities

“Though it’s just a trick of the calendar, as the new year begins our thoughts inevitably turn to the future. Yet we cannot gather data from events that haven’t happened yet, and forecasts drawing on precedent can flounder when situations are unstable.”

For the BMJ Medical Humanities blog, I cover a few scenario planning basics as we make our way into 2024.

Jay Huang from Pleasanton, USA – Low Fog Sunrise @Golden Gate Bridge, CC BY 2.0.

Useful perturbance: 2024 from the corner of your eye

The Council on Foreign Relations (CFR) has just released its Preventive Priorities Survey 2024, a useful document which “evaluates ongoing and potential conflicts based on their likelihood of occurring in the coming year and their impact on U.S. interests”.

Launched in 2008 during the post-9/11 era of the “global war on terror”, the survey polls foreign policy experts to rate a set of contingencies proposed by the CFR, based on a call for suggestions on social media.

Reading the report is a useful way of “standing on the shoulders of foreign policy giants”, but also a reminder that, by looking only where the giants turn their heads, we may end up sharing their blindspots.

As the economist Frank Knight argued, probabilistic forecasting depends on making analogies to past events: we calculate risk in a given situation by modelling that situation based on past experience. However, Peter Scoblic reminds us, analogy may be an unreliable guide in the messy worlds of business and geopolitics – especially because comparing current situations to past ones can trigger biases which will then be hard to shift.

Why is this a problem?

Read more

“How I use the dream”: 5 reflections on strategy + reperception

What do I do? I help people think through big decisions, individually or collectively, when situations are uncertain.

It’s strategy, not therapy, but there’s kinship between the two.

Learning about “what goes on within and between us”, the psychology of individuals and groups, nourishes the work – and you can find that nourishment in unexpected places.

Sometimes it’s pretty conventional: a journal article, a course at the Tavistock, formal professional gatherings such as a group relations conference.

Sometimes learning seems to find its way to you: a challenging event in your personal life yields a nugget of wisdom, a conversation with a musician provides an unexpected metaphor, or maybe you get an unexpectedly helpful book recommendation from a chatty shop assistant. (That’s how I first encountered the work of Irvin Yalom).

Sometimes you can learn a lot just from getting stuck in a transit strike.

As Ellen Ramvi puts it, “learning is getting involved in what one doesn’t know” — and there’s plenty of ways to get there.

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Who must we become to think the unthinkable?

Sometimes, there’s a thought out there, but we’re not yet the person who is able to think it.

Something comes to us as a glimmer or a hunch, an inkling, a vague intuition that we may or may not choose to pursue – or be capable of currently pursuing.

Let’s call such thoughts “unthunk”: it’s a satisfying sound.

Read more

Blink and You’ll Miss It: Surveillance, Society, Foresight, AI

“How can we use events which haven’t happened yet to help us understand surveillance and society?”

Over at the blog Blink on Medium, I have a short piece with colleagues Carissa Véliz, Malka Older, and Annina Lux, reflecting on how to think critically about automation and surveillance in a season “swarming with futures”.

The post ties in to our recent article for Surveillance & Society, “The Art of Strategic Conversation: Surveillance, AI, and the IMAJINE Scenarios“.