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A volume in I.S.C.E Book Series: Managing the Complex
Series Editors Kurt Richardson and Michael Lissack, ISCE Research
In this volume, Hugo Letiche tackles the all-important question, is there "care" in healthcare? If, as Klaus Krippendorff
(2006) argues, "meaning is a structured space, a network of expected senses, a set of possibilities
.[that] emerges in the use of language," then within the healthcare systems of today, the meaning of "care" has
been defined to be the eradication of a problem. We must recognize that patients do not wish to regarded merely
as a problem requiring eradication.
Letiche is opposed to the very idea that complexity reduction can address the humanity of each individual healthcare
situation. He argues that, through narratives and through complexity based social theory, the complexity of
each individual situation must be transcended through mindful listening and engaged dialogue. Letiche suggests
that in the absence of such mindfulness, the lack of time for true listening, and the inability of providers and systems
to allow for patients and family to engage in dialogue lies both the roots of the problem and the potential for
its solution. If complexity theory has a role in the analysis understanding and betterment of social systems, then
approaches such as the one Letiche undertakes herein will become essential tools of the trade.
A volume in I.S.C.E Book Series: Managing the Complex
Series Editors Kurt Richardson and Michael Lissack, ISCE Research
In this volume, Hugo Letiche tackles the all-important question, is there "care" in healthcare? If, as Klaus Krippendorff
(2006) argues, "meaning is a structured space, a network of expected senses, a set of possibilities
.[that] emerges in the use of language," then within the healthcare systems of today, the meaning of "care" has
been defined to be the eradication of a problem. We must recognize that patients do not wish to regarded merely
as a problem requiring eradication.
Letiche is opposed to the very idea that complexity reduction can address the humanity of each individual healthcare
situation. He argues that, through narratives and through complexity based social theory, the complexity of
each individual situation must be transcended through mindful listening and engaged dialogue. Letiche suggests
that in the absence of such mindfulness, the lack of time for true listening, and the inability of providers and systems
to allow for patients and family to engage in dialogue lies both the roots of the problem and the potential for
its solution. If complexity theory has a role in the analysis understanding and betterment of social systems, then
approaches such as the one Letiche undertakes herein will become essential tools of the trade.
Preface: Complexity and Healthcare: A Radical View of Letiche by Michael Lissack and Jeffrey Goldstein.; Series Editors' Introduction.; Care and Healthcare: ""Self"" and ""Other"" as ""Being-two"".; The Practitioner's Perspective: The Possibility Space of Healthcare.; The Nurses' Story by Joanna Latimer.; Complexity and Emergence: More than Difference and Repetition by Hugo Letiche.; The Manager's Perspective: Dialogue and Complexity.; Managing the Content with Dialogue.; Healthcare: Simple Guiding Principles.; Distillations: The Complexity Change Strategy for Healthcare.; Conclusion.; References.
Hugo Letiche, University of Humanist Studies, The Netherlands.
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