deletions | additions       diff --git a/begin_section_Introduction_Preliminary_efforts__.tex b/begin_section_Introduction_Preliminary_efforts__.tex  index 6e34c29..28f4fce 100644  --- a/begin_section_Introduction_Preliminary_efforts__.tex  +++ b/begin_section_Introduction_Preliminary_efforts__.tex 
...
\subsection{Complexity}  Complex systems have multiple parts. Human use the technical parts and interact with other humans, introducing communication. All this is in constant change over time. I stumbled upon this example on the internet. We could consider the magnets as non-human parts of the system, marbles as humans, and sticks and pieces of wood as designed control factors to keep the components in a safe range. We can see there are many ways things can go wrong and how hard it is to modify one part without unexpected results elsewhere. \marclick on the arrow to show the operation of a model of a complex system.  \subsection{Investigating and Defining Complex Systems Failure} This area has been investigated extensively and from many points of view.\marginnote[-2]{\url{https://www.researchgate.net/publication/228797158} Many additional papers are available through Research Gate where you can select those appropriate to your own interests.}  A summary of important considerations concerning health care is found at the Cognitve Technologies Lab in a handout by Richard I. Cook: \textit{How Complex Systems Fail } accessible as full text through Research Gate. One of the problems of research in this area is the view from the top down is strongly influenced by the language and habits of the different disciplines, they are looking for a particular canary in the coal mine, one from the areas with which they are familiar and were they can develop testable hypotheses. From the ground, the bottom up, the case report, the life story, the perspective is somewhat different. We do not want to miss something just because it is new, or rare or unfamiliar to us. One of the most troubling problems in medicine is the patient who presents with something unexpected or unknown to us. They are frequently blamed for not having the right picture to fit our expectations. They are blamed for imagining something or come to feel they are hypochondriacs. One of my OB/Gyn professors drummed into our minds the "first symptom of carcinoma of the cervix is no symptoms."   \subsection{Extending an Investigation}  While we began with specific incidents we found in order to have an adequate context we needed both a wider and a deeper look. In the literature this is called \emph {thick description} an idea introduced by Gilbert Ryle, a philosopher of Mind ,\cite{Ryle1971a}and popularized by Clifford Geertz, an anthropologist, who applied the idea in field work in Bali. \cite{Geertz1973}. In our reflection tools the deeper look is expressed in the Narrative Report, the wider look is the result of the Complex Context Critcal Incident Report. The SwampNote is the basic description of one view of an incident and the author's view including their feeling state. \marginnote{SwampNote is a term we began using fifteen years ago. We found the idea in the work at MIT of Donald Schon. He contrasted the different worlds of the academy and work in the trenches which he called the Swamp. In recent years the term has become so loaded in political and media discussion that the original meaning has become smothered by a new one. This is not uncommon that language changes or loses meaning and is no longer as useful. Famously that was illustrated in Anmimal Farm and 1984. As this became clear to us we had already tried another original term of our own OoopsaDaisy for a note based simple system. In practice it is not important what it is named or called but it is important that it not frighten or intimidate users. Other ways of dealing with blurred language usage are the CamelCase new words and the \textsc{small caps} used by Tufte and the capitalized common words used for basic emotions by Jaak Panksepp.} In repeated use observation and description are sharpened. Several notes may contribute to a Narrative Report and/or a CCCIR. We provide samples of the tools in Section 4 and clarify how they relate to each other and how they can and should be adapted to local, on the ground conditions. The next sections explain what situations and questions led us to develop this way of looking at important life incidents.