Need to keep in touch with human content in a situation where linear logic may not apply.
. | Systematic thinking . | Systemic thinking . |
---|---|---|
Checkland’s terminology ( ) | Hard systems thinking | Soft systems thinking |
Useful when | Problems need solutions. | Issues require accommodation. Need to keep in touch with human content in a situation where linear logic may not apply. |
Orientation | Goal seeking. | Learning. |
Assumption | World contains systems which can be engineered. | World is problematical. |
Role of system models | They model the world (ontologies). Their development often depends on the use of powerful techniques. | They are intellectual constructs that help the modeller(s) understand their own, and others’, perspective of the world (epistemologies). |
Ends when | The right answer is identified. | No final answers, inquiry never ends. |
Here, once again, we urge readers to view this pair as a duality that together make systems thinking. Ison ( Ison, 2017 , p. 196) highlights that systemic thinking provides an ‘expanded context’ for systematic thinking. Similarly, Checkland ( Checkland, 1985 , p. 766) refers to soft systems thinking as ‘the general case of which “hard” systems thinking is the occasional special case’. In other words, systemic thinking can be thought of as a broader path which encompasses, rather than rejects, the appropriate use of narrower systematic thinking. We use the term ‘systems thinking’ to refer to the duality—both systemic and systematic.
We emphasize that there is nothing inherently ‘systematic’ or ‘systemic’ about individual ideas or approaches from the field of Systems. The distinction serves to provide a choice about how to engage with systems thinking, not to categorize tools and ideas. Increasingly, systems practitioners agree that systems are conceptual constructs ( Reynolds and Holwell, 2020a ) and report that it is more appropriate to start out by engaging systemically with a situation ( Ison, 2017 ).
We consider Beaglehole and Bonita’s distinction between the broad and narrow paths to be manifestations of the two different ways of engaging with systems thinking. Systematic thinking comes to the fore in the narrow path in the way that it emphasizes powerful epidemiological techniques and shorter-term risk reduction. The broader path shows evidence of systemic thinking by incorporating opportunities to appreciate perspectives through more participatory methods and striving towards long-term global benefits.
Thus, the paths invite us to engage with systems thinking differently. We see two different possibilities building on Beaglehole and Bonita’s articulation of the motivating concerns within each path. We express these paths using a structure that systems practitioners deploy to define a human activity system by focusing on the What? How? and Why? ( Armson, 2011 , p. 215):
Narrow: To (what) reduce risk of disease by means of (how) research, policy and practice enhanced with systems thinking and action in order to (why) bring about the absence of disease. Broad: To (what) alleviate inequalities in health by means of (how) research, policy and practice enhanced with systems thinking and action in order to (why) bring about a state of complete physical, mental and social well-being.
Below, we consider different ways that these narrow and broad paths compare.
The narrow and broad paths contrast in terms of the desired transformation. As highlighted above, the core purpose of a narrow path is to reduce risk of disease. It seeks to benefit sub-sets of a population who are at risk of developing disease, such as smokers or those who are overweight or obese, for example. Success is determined using measures associated with the proportion of populations with risky behaviours. In contrast, the beneficiaries of a broad path are taken to be current and future society, whether understood to be at local, national or global level. Success is understood in terms of the presence of physical and socio-structural environments that are conducive to good health and positive well-being for all. The broader path encourages a ‘whole of health’ approach ( Wilding, 2021 , p. 24) that focuses on different upstream determinants irrespective of the specific outcomes ‘downstream’. In Lang and Rayner’s words ( Lang and Rayner, 2012 , p. 2), this requires ‘complex ecological thinking’.
As Katikireddi et al . ( Katikireddi et al ., 2013 ) observe, public health research, policy and practice tend to be organized to focus on particular health issues or behaviours. Health and well-being are not worked with holistically but disaggregated and reduced into often silo-ed areas of activities associated with particular measures of improvement. So, instead of a determinants based, whole of health approach, recommendations and action are centred on ‘a whole systems approach to’, for example, obesity ( Public Health England, 2019b ), childhood tooth decay ( Local Government Association, 2019 ), physical activity ( Nau et al ., 2022 ) or mental well-being ( Cefai et al ., 2021 ). There is, as Lang and Raynor ( Lang and Raynor, 2012 ) highlight, a diminution of perspective arising from a view of public health as a set of interventions or a set of laws or technologies led by professional expertise (often targeted at those with higher risk of disease). This has discouraged attention on the big picture and the social-structural forces that shape people’s health and well-being.
The narrow and broad paths contrast in terms of who is involved, and how. Both paths invite a so-called ‘whole systems approach’ in that there are expectations for the involvement of a variety of decision makers who command the use of relevant resources and policy levers. The idea of partnership working for health is not new. As far back as the Alma-Ata Declaration ( International Conference on Primary Health Care, 1978 ), there has been a concern for both community participation and the governance and working arrangements that link health horizontally with other policy sectors ( Kickbusch and Gleicher, 2012 ). However, there is a great variety of partnership working, both in theory and in practice, and these very rarely involve the authentic reallocation of power understood to be required for meaningful participation ( Arnstein, 1969 ).
Seminal UK work on ‘whole systems working’ led to the development of a typology of different forms of partnership working based on whether goals are individual or collective and whether predictability is high or low ( Pratt et al ., 1998 , 1999 ; Gordon et al ., 2010 ; Pratt and Plamping, 2010 ). In the narrow path, epidemiologists and the core public health workforce seek to establish high predictability about what needs to be done to reduce the risk of disease. A collective goal is assumed, and others are invited to play their role. This fits with the pattern that Gordon et al . ( Gordon et al ., 2010 ) refer to as coordination, accompanied by the image of a jigsaw to represent the idea that, if each partner contributes, the picture is more complete.
The broad path involves taking what Kickbusch and Gleicher ( Kickbusch and Gleicher, 2012 ) refer to as a whole of government and whole of society approach. But as the path broadens, and the nature of health and well-being are contested, it is increasingly difficult to agree a collective goal, and there is less certainty about what works. This invites a co-evolving form of partnership where those involved explore together, share perspectives, iterate, learn and over time take responsibility for the ‘whole’, rather than individual contributions.
The two paths differ with respect to how practitioners engage with Systems. In the narrow path, systems thinking in public health is framed predominantly as a tool to avoid the trap of reductionism. Systems approaches such as system dynamics and the concept of a complex adaptive system are promoted to advance knowledge of the determinants of disease. In this context, experts use sophisticated epidemiological techniques enhanced by systems modelling to produce knowledge that helps people to understand, and subsequently engineer, systems (as ontological things). A great many causal loop diagrams have been produced in recent years, for instance, to understand complex issues such as obesity, mental health and opioid use. However, as others have pointed out, the use of systems tools does not necessarily challenge traditional reductionist epistemologies ( Burns, 2007 ; Reynolds et al ., 2018 ; Riley et al ., 2021 ).
In the broad path, there is greater recognition of the need to appreciate multiple perspectives to avoid the trap of dogmatism. To some extent, this can be achieved through pluralistic approaches in research, for example using a salutogenic model as well as a pathogenic one; drawing on multiple models of public health, such as those outlined by Lang and Rayner ( Lang and Rayner, 2012 ); and, ensuring the contribution of a variety of research disciplines such as medicine, psychology, economics, social and political sciences, health services research, humanities, geography and legal science ( Kivits et al ., 2019 ).
However, the broad path goes further to invite practitioners to recognize multiple ways of knowing. This dissipates the distinction between knowledge ‘producers’ and knowledge ‘users’ and invites us to accept Cook and Wagenaar’s ( Cook and Wagenaar, 2012 ) proposition that there is a dynamic integration of knowledge, practice and context. In this context, the offer of Systems traditions is less to do with their use as methods for the initial investigation of the ‘problem’ and more to do with the way in which they enable people working alone or collectively to understand interrelationships, appreciate other perspectives, reflect on boundary judgements and take desirable, feasible and ethically defensible actions in pursuit of better health and well-being for all.
It is recognized that not everyone will have the opportunity to formally develop their knowledge and ability to use systems approaches. However, in a partnership context, it is possible for a skilled facilitator to use ideas and tools arising from a variety of Systems traditions in bricolage with participatory approaches, such as Open Space or World Café, to create the circumstances where systemic sensibilities are expressed and nurtured. Working in this way requires skills and attitudes that have been associated with competent boundary spanners ( Williams, 2013 ) and systems convenors ( Wenger-Trayner et al ., 2015 ; Wenger-Trayner and Wenger-Trayner, 2021 ).
Both the narrow and broad paths include some stakeholders and exclude others. It is important to critically reflect on whose voices are privileged, whose are not involved and what should be done about emancipation ( Ulrich and Reynolds, 2020 ).
The narrow path focuses on specific concerns that are usually identified as a priority through data or performance measures. This privileges the professional judgement of public health practitioners and sometimes political involvement in priority setting. The perceived beneficiaries of interventions, such as those who are overweight, those who smoke or those who live in a certain low-income neighbourhood, have little voice in setting this priority. If given the opportunity, members of a community may identify very different concerns that they perceive have a negative impact on health and well-being. In some cases, the primary response to these concerns may not be with public health practitioners, but with other sectors such as policing, parks or street cleaning.
The broader path is much more diffuse. A greater range of stakeholders may become involved, and any one individual will have multiple stakes as beneficiaries, decision makers and contributors of experience and expertise. However, there is still a boundary, and it must be recognized that there are some without voice, such as future generations and the non-human biosphere. In an inter-connected, global economy, there are also distant stakeholders who are affected by, but unable to be involved in, local-level public health action. It is important to recognize that even the broad path risks health imperialism, where it privileges the view that health should be the primary interest of all involved. There may be times when it is important to recognize the inter-linkages of societal challenges and join others on a path that is ‘for well-being’, ‘for equity’ or ‘for sustainability’ rather than primarily ‘for health’.
Our final point of reflection is associated with how each path reflects different perspectives of what change is and what is done to ‘manage’ it. In the narrow path, the tendency is to privilege a blueprint view. This is a mode of thinking that assumes that change can be planned (often by experts, specialists or professionals) and then implemented ( Vermaak and de Caluwé, 2018 ). This can be seen, for example, in systems approaches to obesity adopted by many local public health teams in the UK. A variety of people are brought together to apply systems tools and methods to better understand what ‘drives’ obesity in their local area, and to identify interventions. Such work can be valuable in building shared commitments and enhanced understanding, and can result in people doing things differently, alone or together. However, they assume that when you implement the structure of a ‘whole systems approach’, you will achieve desired outcomes. Sometimes, in a strive towards methodological rigour and robustness, the narrow path can call for quite prescriptive following of a specific approach, often to be implemented in a structured, step-by-step way.
Our broad path invites us to consider change as a gradual co-evolution, rather than a before-after implementation. This sort of change requires dialogue and self-organization, negotiation, learning and development, and emergent solutions. Here, one can be informed by different ways of thinking about change. For example, Vermaak and de Caluwé have proposed a colours of change framework that offers a nuanced view of change, recognizing different belief systems and convictions about how change occurs ( Vermaak and de Caluwé, 2018 ). The authors emphasize the importance of context and the need for change agents to be adaptable, utilizing a combination of approaches where necessary. The framework encourages flexibility, reflection and the strategic use of multiple approaches to foster successful change initiatives.
Given the entrenched and complex social, political and economic determinants of health, the change required must be transformative and systemic at both an individual and collective level. A number of ideas have been advanced with respect to how to understand and facilitate collective systemic change. Many of these are discussed in Blackmore’s (2010) edited volume on social learning systems and communities of practice which brings together important contributions from Donald Schön, Geoffrey Vickers, Richard Bawden and Etienne Wenger.
There is also much to be learned from a recent international research project (see www.transitsocialinnovation.eu ) which set out to understand processes of societal transformation. Within this work, Haxeltine et al . highlight that change is transformative when it leads to new ways of doing, relating, organizing, knowing and framing ( Haxeltine et al ., 2016 ). This requires extensive reflection on ‘what do we do when we do what we do?’ ( Ison, 2017 , p. 5).
The report that acted as a catalyst for this article posed the question ‘Where next?’ for systems-based approaches in public health ( Jebb et al ., 2021 ). Recognizing that the ‘systematic application’ of systems-based approaches in public health remains the exception rather than the rule, the Expert Group set up to investigate the issue suggested that the answer to the ‘Where next?’ question lies in: generating and synthesizing evidence of added value; developing a community of practice to share evidence, support and promote new and existing approaches; and target funding for systems-based approaches and for capacity building. We agree that these actions would be helpful, but our analysis of the situation suggests that these actions alone may help us pursue the narrow path better, to the exclusion of fully embracing systemic thinking that can enable the pursuit of the broad path. We suggest that our broad path entails:
(In relation to motivation) maintaining a desire to make meaningful progress towards population health improvement underpinned by a broad perspective of health and well-being.
(In relation to partnerships) valuing co-evolution as a collective enterprise, where understandings and practices of all those involved (including the so-called experts) are open to change.
(In relation to systems ideas and tools) drawing on a broader range of Systems lineages and contemporary systems thinking tools and methods than at present and recognizing multiple ways of knowing.
(In relation to legitimacy) being aware of, and reflecting on, our inevitable boundary judgements and the potential traps of health imperialism.
(In relation to change) opening up to a wider range of views of what change is and how it happens.
Ultimately systems thinking in, and for, public health has the potential to be transformative, both in terms of innovations in public health practice and in terms of public health outcomes. However, this will entail embracing the richness of Systems more fully, to engage in and bring about new ways of doing, relating, organizing, knowing and framing. This is a journey that will both require and lead to changes at the level of institutions and social structures (for example, in relation to governing, funding, science, methodology, publication and education). We hope that this paper, and the systems thinking traditions we have drawn on, opens up possibilities and contributes to the ongoing dialogue in this journey.
E.W.G. and H.W. made equal contributions to the conception of the work, drafting the work and reviewing it critically for important intellectual content and final approval of the version to be published. They agree they are equally accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.
The authors declare no conflicts of interest.
No new data were generated or analysed in support of this research.
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An integrated thesis may either be a hybrid of conventional chapters and high-quality scientific papers, or be fully paper-based. Regardless of the format, the content of the thesis should reflect the amount, originality and level of work expected for a conventional thesis. ... University of Oxford, TU Berlin and Siemens AG Seed Fund - Call for ...
What is an Integrated Thesis: An integrated thesis may either be a hybrid of conventional chapters and high-quality scientific papers, or be fully paper-based. These can be published papers, submitted papers, or drafts that are written as potential papers but have not yet been submitted for publication. ... University of Oxford, TU Berlin and ...
In the past an Oxford DPhil thesis has been submitted in monograph format, as a series of chapters presented in the style of a book. It is increasingly common, however, for theses to include published papers, or papers written intended for future publication, within the main body of the text; this type of work is known as an 'integrated thesis'.
Oxford theses. The Bodleian Libraries' thesis collection holds every DPhil thesis deposited at the University of Oxford since the degree began in its present form in 1917. Our oldest theses date from the early 1920s. We also have substantial holdings of MLitt theses, for which deposit became compulsory in 1953, and MPhil theses.
Download an overview of the examination process (PDF) from the University of Oxford website. The key stages of completion are: Writing the Thesis. In the MPLS Division some departments permit students to submit their thesis as an integrated thesis. You / your student should also check the examination regulations for any word or page limits.
The traditional format of a thesis is a monograph. This can be defined as a detailed written study of a single specialized subject. Some universities accept a dissertation formed from a number of bound papers by the candidate. A slightly different form is the integrated thesis. In an integrated thesis, published papers are slightly modified to
Find theses and dissertations. Read our guidance for finding and accessing theses and dissertations held by the Bodleian Libraries and other institutions.
notes. A thesis which fails to meet these requirements may not be accepted by the Research Degrees Team. It is strongly recommended that you submit the GSO.3 form four to six weeks prior to submitting your thesis, since the names of your examiners have to be approved and their formal acceptance received before your thesis can be provided to them.
To find theses and dissertations in Oxford. On SOLO - just add the word thesis to your searches. For instance, if you search for oxford thesis education and then use the Resource Type filter to choose Theses (Oxford), you will get a large selection of theses & dissertations on educational topics.The results will include both Masters dissertations and Doctoral theses and come from various ...
Thesis & Report Guide. Thesis & Report Guide. Bob Smoot. Smoot College University of Oxford Supervised by Professor What Whoever Submitted: Crinklemas Term, May 31, 2012 This thesis is submitted to the Department of Engineering Science, University of Oxford, in partial ful lment of the requirements for the degree of Doctor of Philosophy.
The University of Oxford is committed to the dissemination of its research, and in support of this commitment provides ORA. The Oxford University Research Archive (ORA) was established in 2007 as a permanent and secure online archive of research materials produced by members of the University of Oxford.. It provides a single point of public access to electronic copies of peer-reviewed journal ...
A digital version of the thesis must be submitted by the depositor (ORA cannot offer a digitisation service at the present time) A thesis record, including the thesis abstract, will be created for your theses and made publicly available via ORA, unless specific dispensation has been granted (see: dispensation ) Additionally, for current students:
Submissions and Research Degrees Team. Examination Schools. 75-81 High Street. Oxford OX1 4BG. UAS Research Degrees Office: [email protected]. Research examinations information page. Tel: 01865 286384 / 286382. 08:30-17:00, Monday to Friday.
The ORA Oxford Thesis Collection presents the theses available within ORA. For many of these works ORA is the only space in which the content is made available, making it a valuable resource for accessing the research being undertaken by the University of Oxford students and early career researchers. If you undertook your research degree at ...
SOLO now allows you to search for theses in the Oxford collections very easily. 1. Navigate to the SOLO homepage. 2. Type details of the Thesis you would like to search for into the main search box. 3. Under the search box is a series of drop-down menus marked 'Refine your search'. In the first box select the the 'Theses' option. 4.
The DPhil programme in Information, Communication and the Social Sciences provides an opportunity for students to pursue cutting-edge research into the societal implications of the Internet. As a doctoral student at the Oxford Internet Institute, you and your peers will address research questions from across the spectrum of disciplines, drawing ...
OxThesis is a LaTeX template for an Oxford University thesis, originally published on the Oxford Echoes blog. Feel free to submit issues or push requests here, or comments on the blog post there. And of course, happy thesis-writing! When writing my thesis in 2014, I was lucky enough to find a template that Sam Evans adapted for social sciences ...
Latex template for Oxford integrated thesis. Contribute to TengdaHan/integrated_thesis_template development by creating an account on GitHub.
ORA accepts thesis deposits from current students who have been granted leave to supplicate and Oxford alumni, as well as Oxford staff and researchers. Theses examined for all postgraduate research degree programme and some taught masters degree programmes are eligible for deposit. It is the author's responsibility to check that the inclusion ...
The MSc in Integrated Immunology (Full-time) course explores immunology in breadth and depth and is intended for science and medical postgraduates. It is a 12-month, full-time course comprising two 11-week taught terms followed by a 14-week research project within a University of Oxford research group. The first taught term focuses on the ...
Sarah Woodrow (M.Sc. Thesis), 2015. Design of a new linear 'blade' trap, with improved optical access. Review of linear Paul trap theory. Discussion of axial micromotion and its use for ion addressing. Numerical simulations of trap fields. Technical drawings of trap components. High-fidelity quantum logic in Ca + Christopher Ballance, 2014
Full-text dissertations are archived as submitted by the degree-granting institution. Some will be native PDF, some PDF image. Each dissertation published since July, 1980 includes a 350-word abstract written by the author. Master's theses published since 1988 include 150-word abstracts.
The Bodleian Libraries collection holds DPhil, MLitt and MPhil theses deposited at the University of Oxford. You can also search for theses and dissertations associated with other universities online, or request them via inter-library loan. ... Thesis: In the UK, a thesis is normally a document that presents an author's research findings as ...
This reflects the complexity of public health challenges, the need to focus on underlying causes and the importance of an integrated, collaborative approach. There is a growing sense that those working in and for public health must incorporate systems thinking into their practice to improve population health and reduce health inequalities.