Posted: November 15, 2012 | Author: Cameron D. Norman | Filed under: complexity, design thinking, education & learning, emergence, evaluation, knowledge translation, systems thinking | Tags: design, design thinking, developmental design, developmental evaluation, evaluation, evidence, Helsinki Design Lab, knowledge exchange, knowledge translation, research design, research methods, social impact, social innovation |

How do the innovation letters line up?
Earlier this week I has the pleasure of attending talks from Bryan Boyer from the Helsinki Design Lab and learning about the remarkable work they are doing in applying design to government and community life in Finland. While the focus of the audience for the talks was on their application of design thinking, I found myself drawn to the issue of evaluation and the discussion around that when it came up.
One of the points raised was that design teams are often working with constraints that emphasize the designed product, rather than its extended outcome, making evaluation a challenge to adequately resource. Evaluation is not a term that frequents discussion on design, but as the moderator of one talk suggested, maybe it should.
I can’t agree more.
Design and Evaluation: A Natural Partnership
It has puzzled me to no end that we have these emergent fields of practice aimed at social good – social finance and social impact investing, social innovation, social benefit (PDF)– that have little built into their culture to assess what kind of influence they are having beyond the basics. Yet, social innovation is rarely about simple basics, it’s influence is likely far larger, for better or worse.
What is the impact being invested in? What is the new thing being created of value? and what is the benefit and for whom? What else happened because we intervened?
Evaluation is often the last thing to go into a program budget (along with knowledge translation and exchange activities) and the first thing to get cut (along with the aforementioned KTE work) when things go wrong or budgets get tightened. Regrettably, our desire to act supersedes our desire to understand the implication of those actions. It is based on a fundamental idea that we know what we are doing and can predict its outcomes.
Yet, with social innovation, we are often doing things for the first time, or combining known elements into an unknown corpus, or repurposing existing knowledge/skills/tools into new settings and situations. This is the innovation part. Novelty is pervasive and with that comes opportunities for learning as well as the potential for us to good as well as harm.
An Ethical Imperative?
There are reasons beyond product quality and accountability that one should take evaluation and strategic design for social innovation seriously.
Design thinking involves embracing failure (e.g, fail often to succeed sooner is the mantra espoused by product design firm IDEO) as a means of testing ideas and prototyping possible outcomes to generate an ideal fit. This is ideal for ideas and products that can be isolated from their environment safely to measure the variables associated with outcomes, if considered. This works well with benign issues, but can get more problematic when such interventions are aimed at the social sphere.
Unlike technological failures in the lab, innovations involving people do have costs. Clinical intervention trials go through a series of phases — preclinical through five stages to post-testing — to test their impact, gradually and cautiously scaling up with detailed data collection and analysis accompanying each step and its still not perfect. Medical reporter Julia Belluz and I recently discussed this issue with students at the University of Toronto as part of a workshop on evidence and noted that as complexity increases with the subject matter, the ability to rely on controlled studies decreases.
Complexity is typically the space where much of social innovation inhabits.
As the social realm — our communities, organizations and even global enterprises — is our lab, our interventions impact people ‘out of the gate’ and because this occurs in an inherently a complex environment, I argue that the imperative to evaluate and share what is known about what we produce is critical if we are to innovate safely as well as effectively. Alas, we are far from that in social innovation.
Barriers and Opportunities for Evaluation-powered Social Innovation
There are a series of issues that permeate through the social innovation sector in its current form that require addressing if we are to better understand our impact.
- Becoming more than “the ideas people”: I heard this phrased used at Bryan Boyer’s talk hosted by the Social Innovation Generation group at MaRS. The moderator for the talk commented on how she had wished she’d taken more interest in statistics in university because they would have helped in assessing some of the impact fo the work done in social innovation. There is a strong push for ideas in social innovation, but perhaps we should also include those that know how to make sense and evaluate those ideas in our stable of talent and required skillsets for design teams.
- Guiding Theories & Methods: Having good ideas is one thing, implementing them is another. But tying them both together is the role of theory and models. Theories are hypotheses about the way things happen based on evidence, experience, and imagination. Strategic designers and social innovators rarely refer to theory in their presentations or work. I have little doubt that there are some theories being used by these designers, but they are implicit, not explicit, thus remaining unevaluable and untestable or challenged by others. Some, like Frances Westley, have made theories guiding her work explicit, but this is a rarity. Social theory, behaviour change models and theories of discovery beyond just use of Rogers’ Diffusion of Innovation theory must be introduced to our work if we are to make better judgements about social innovation programs and assess their impact. Indeed, we need the kind of scholarship that applies theory and builds it as part of the culture of social innovation.
- Problem scope and methodological challenges with it. Scoping social innovation is immensely wide and complicated task requiring methods and tools that go beyond simple regression models or observational techniques. Evaluators working social innovation require a high-level understanding of diverse methods and I would argue cannot be comfortable in only one tradition of methods unless they are part of a diverse team of evaluation professionals, something that is costly and resource intensive. Those working in social innovation need to live the very credo of constant innovation in methods, tools and mindsets if they are to be effective at managing the changing conditions in social innovation and strategic design. This is not a field for the methodologically disinterested.
- Low attendance to rigor and documentation. When social innovators and strategic designers do assess impact, too often there is a low attention to methodological rigor. Ethnographies are presented with little attention to sampling and selection or data combination, statistics are used sparingly, and connections to theory or historical precedent are absent. Of course, there are exceptions, but this is hardly the rule. Building a culture of innovation within the field relies on the ability to take quality information from one context and apply it to another critically and if that information is absent, incomplete or of poor quality the possibility for effective communication between projects and settings diminishes.
- Knowledge translation in social innovation. There are few fora to share what we know in the kind of depth that is necessary to advance deep understanding of social innovation, regularly. There are a lot of one-off events, but few regular conferences or societies where social innovation is discussed and shared systematically. Design conferences tend towards the ‘sage on the stage’ model that favours high profile speakers and agencies, while academic conferences favour research that is less applied or action-oriented. Couple that with the problem of client-consultant work that is common in social innovation areas and we get knowledge that is protected, privileged or often there is little incentive to add a KT component to the budget.
- Poor cataloguing of research. To the last point, we have no formalized methods of determining the state-of-the-art in social innovation as research and practice is not catalogued. Groups like the Helsinki Design Lab and Social Innovation Generation with their vigorous attention to dissemination are the exception, not the rule. Complicating matters is the interdisciplinary nature of social innovation. Where does one search for social innovation knowledge? What are the keywords? Innovation is not a good one (too general), yet neither is the more specialized disciplinary terms like economics, psychology, geography, engineering, finance, enterprise, or health. Without a shared nomenclature and networks to develop such a project the knowledge that is made public is often left to the realm of unknown unknowns.
Moving forward, the challenge for social innovation is to find ways to make what it does more accessible to those beyond its current field of practice. Evaluation is one way to do this, but in pursuing such a course, the field needs to create space for evaluation to take place. Interestingly, FSG and the Center for Evaluation Innovation in the U.S. recently delivered a webinar on evaluating social innovation with the principle focus being on developmental evaluation, something I’ve written about at length.
Developmental evaluation is one approach, but as noted in the webinar : an organization needs to be a learning organization for this approach to work.
The question that I am left with is: is social innovation serious about social impact? If it is, how will it know it achieved it without evaluation?
And to echo my previous post: if we believe learning is essential to strategic design we must ask: How serious are we about learning?
Tough questions, but the answers might illuminate the way forward to understanding social impact in social innovation.
* Photo credit from Deviant Art innovation_by_genlau.jpg used under Creative Commons Licence.
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Posted: October 16, 2012 | Author: Cameron D. Norman | Filed under: complexity, emergence, evaluation, innovation, social systems, systems thinking | Tags: awareness, consciousness, contemplative inquiry, mindfulness, organizational development, organizational psychology |

Mindful Eye on the Organization
In complex systems there is a lot to pay attention to. Mindfulness and contemplative inquiry built into the organization can be a way to deal with complexity and help detect the weak signals that will make it thrive and be resilient in the face of challenges.
Most human-centred social ventures spend much of their time in the domain of complexity. What makes these complex is not the human part, but the social. As we interact with our myriad beliefs, attitudes, bases of knowledge, and perceptions we lay the foundation for complexity and the emergent properties than come from it. It’s why we are interesting as a species and why social organizing is such a challenge, particularly when we encourage free-flowing ideas and self-determination. Because of this complexity, we get exposed to a lot of information that gets poorly filtered or synthesized or missed altogether. Yet, it is in this flotsam and jetsam of information that keys to future problems and potential ‘solutions’ to present issues might lie. This is the power of weak signals. But how to we pay attention to these? And what does it matter?
The Strength of Weak Signals
A human social organization, which could mean a firm, a network, or a community — any collection of people that is organized by itself or other means — most likely generates complexity, sometimes often and sometimes occasionally. If we consider the Cynefin Framework, the domain of complexity is where emergent, novel practice is the dominant means of acting. In order to practice effectively within this space, one probes the environment, engages in sensemaking based on that information, and then responds appropriately. Viewed from another perspective, this could easily be used to describe mindfulness practice.
Mindfulness is both a psychological state and activity and a psychospiritual practice. I am using this in the psychological sense, even if one could apply the psychospiritual lens at the same time if they wished. Bishop and colleagues (2004) proposed a two-component definition of mindfulness:
The first component involves the self-regulation of attention so that it is maintained on immediate experience, thereby allowing for increased recognition of mental events in the present moment. The second component involves adopting a particular orientation toward one’s experiences in the present moment, an orientation that is characterized by curiosity, openness, and acceptance (p.232)
Weak signals are activities that when observed across conditions reveal patterns that provide beneficial (useful) coherence that has meaningful potential impact on events of significance, yet yield little useful information when observed in discrete events. In other words, these are little things that get spotted in different settings, contexts and times that when linked together produce a pattern that could have meaningful consequences in different futures. By themselves, such signals are relatively benign, but together they reveal something potentially larger.
One reason weak signals get missed is the premature labelling of information as ‘good’ and the constrained definition of what is ‘useful’ based on the current context. Mindfulness practice allows you to transcend the values and judgements imposed on data or information presented in front of you to see it more objectively.
Mindfulness involves quieting the mind and focusing on the present moment, not the past or the possible implications for the future, just the here and now. It is not ahistorical, however. Our past experience, knowledge and wisdom all come to bear on the mindful experience, yet they do not guide that experience.
Experience provides a frame of reference to consider new information, not judge it or apply value to it. It is what allows you to see patterns and derive meaning and sense from what is out there.
Building Mindful Organizations
A review of the research and scholarship on mindfulness finds a nearly exclusive focus on the individual. While there is much literature on the means of using mindfulness and contemplative inquiry as means of being active in the world, this is done largely through mechanisms of individuals coming together as groups, rather than the organizations they form as the focus of analysis.
There is an exception. Social psychologists Weick and Sutcliffe (2007, summarized here and here – PDF) wrote about resiliency in the face of uncertainty using a mindfulness lens to understand how organizations make better sense of what they do and experience in their operations. In their manuscript, Organizing for High Reliability: Processes of Collective Mindfulness (PDF), they lay down a theory for the mindful organization and how it increases the reliability of sensemaking processes when applied to complex informational environments.
They describe the conditions that precipitate mindfulness in organizations this way (p.38):
A state of mindfulness appears to be created by at least five processes that we have induced from accounts of effective practice in HROs (High Reliability Organizations) and from accident investigations:
1. Preoccupation with failure
2. Reluctance to simplify interpretations
3. Sensitivity to operations
4. Commitment to resilience
5. Underspecification of structures
It is notable that the aim here is not to reduce complexity (or impose simplicity), nor is it to focus on ‘positivity’, rather it is focused on events that help contribute to moving in particular direction. In that regard, this is not neutral, but it is not active either. It enables organizations to see patterns, focus on structures and information that encourages resilience to change, and contemplates what that information means (sensemaking) in context. Doing so provides useful information for decision making and taking action, but doesn’t frame information in those terms a priori.
Seeing Beyond Events
At issue is the development of consciousness of what is going on within your organization moment-to-moment, rather than punctuated by events. Events are the emergent properties of underlying patterns of activity. When we spend time attending to events without understanding the conditions that led to those events, we are doing the equivalent of changing the dressing on a wound in the absence of preventing or understanding its cause.
A mindful organization, like the image of the Buddha above, can emphasize the eye, but not at the expense of the rest of the picture. It is attuned to both simultaneously, noting events (e.g., like the square highlighted eye above), but that it is only through the underlying pattern beneath it that the highlighted context makes sense (the rest of the pictured squares). Yet, the only way the organization can learn that the yellow square is different or to ascertain its meaningful significance is through a sense of the whole, not just the part and that is social.
The Curious Organization
Mindfulness and its wider-focused counterpart Contemplative Inquiry both have a root in attending to the present moment, but also in curiosity about the things that is brought to the mind’s attention. It’s not just about seeing, but inquiring. What makes it distinct is that it does not impose judgement on what is perceived not seeking to change it while in that state of mindful awareness. This judgement and imposition of value on to what is going on is where organizations can get trapped.
In complex systems, the meaning of information may change rapidly and is likely uncertainty. The wisdom of experience, shared among others contemplating the same information without judgement, allows for a sensemaking process to unfold that does not impose limitations, yet also keeps a focus on what is going on moment-to-moment. Gathering this data, moment-to-moment, is what developmental evaluation with its emphasis on real-time data collection seeks to do and can serve as a valuable tool for organizing data to allow for a mindful contemplative inquiry into it that will illuminate weak signals.
Creating an organizational culture where open sharing, questioning, experimentation, and attention to the adjacent possibles that come from the data and experiences from operations is the foundation for a mindful organization. This means slowing down, valuing non-doing instead of the constant push to action, cultivating contemplative inquiry and reflection, while also being clear about the directions that matter. Thus, strategy in this case is not divorced from mindfulness, rather it gently frames a directionality of effort. In doing so, it creates possibilities for innovation, attention to quality, and a mechanism for building resiliency within organizations and those working with them and within them.
In creating these mindful systems we move closer to making sense of complexity and better prepare ourselves for social innovation.
Image Saddha by gnosis1211 from Deviant Art used under Creative Commons Licence
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Posted: June 5, 2012 | Author: Cameron D. Norman | Filed under: complexity, design thinking, emergence, evaluation, innovation, systems thinking | Tags: complexity, developmental design, developmental evaluation, evaluation, IDEO, measurement, Michael Quinn Patton, social innovation, Tim Brown, utilization-focused evaluation |

Growth and Development
The days of creating programs, products and services and setting them loose on the world are coming to a close posing challenges to the models we use for designing and evaluation. Adding the term ‘developmental’ to both of these concepts with an accompanying shift in mindset can provide options moving forward in these times of great complexity.
We’re at the tail end of a revolution in product and service design that has generated some remarkable benefits for society (and its share of problems), creating the very objects that often define our work (e.g., computers). However, we are in an age of interconnectedness and ever-expanding complexity. Our disciplinary structures are modifying themselves, “wicked problems” are less rare
Developmental Thinking
At the root of the problem is the concept of developmental thought. A critical mistake made in comparative analysis — whether through data or rhetoric — is one that mistakenly views static things to moving things through the same lens. Take for example a tree and a table. Both are made of wood (maybe the same type of wood), yet their developmental trajectories are enormously different.

Wood > Tree

Wood > Table
Tables are relatively static. They may get scratched, painted, re-finished, or modified slightly, but their inherent form, structure and content is likely to remain constant over time. The tree is also made of wood, but will grow larger, may lose branches and gain others; it will interact with the environment providing homes for animals, hiding spaces or swings for small children; bear fruit (or pollen); change leaves; grow around things, yet also maintain some structural integrity that would allow a person to come back after 10 years and recognize that the tree looks similar.
It changes and it interacts with its environment. If it is a banyan tree or an oak, this interaction might take place very slowly, however if it is bamboo that same interaction might take place over a shorter time frame.
If you were to take the antique table shown above, take its measurements and record its qualities and come back 20 years later, you will likely see an object that looks remarkably similar to the one you lefty. The time of initial observation was minimally relevant to the when the second observation was made. The manner by which the table was used will have some effect on these observations, but to a matter of degree the fundamental look and structure is likely to remain consistent.
However, if we were to do the same with the tree, things could look wildly different. If the tree was a sapling, coming back 20 years might find an object that is 2,3,4 times larger in size. If the tree was 120 years old, the differences might be minimal. It’s species, growing conditions and context matters a great deal.
Design for Development / Developmental Design
In social systems and particularly ones operating with great complexity, models of creating programs, policies and products that simply release into the world like a table are becoming anachronistic. Tables work for simple tasks and sometimes complicated ones, but not complex ones (at least, consistently). It is in those areas that we need to consider the tree as a more appropriate model. However, in human systems these “trees” are designed — we create the social world, the policies, the programs and the products, thus design thinking is relevant and appropriate for those seeking to influence our world.
Yet, we need to go even further. Designing tables means creating a product and setting it loose. Designing for trees means constantly adapting and changing along the way. It is what I call developmental design. Tim Brown, the CEO of IDEO and one of the leading proponents of design thinking, has started to consider the role of design and complexity as well. Writing in the current issue of Rotman Magazine, Brown argues that designers should consider adapting their practice towards complexity. He poses six challenges:
- We should give up on the idea of designing objects and think instead about designing behaviours;
- We need to think more about how information flows;
- We must recognize that faster evolution is based on faster iteration;
- We must embrace selective emergence;
- We need to focus on fitness;
- We must accept the fact that design is never done.
That last point is what I argue is the critical feature of developmental design. To draw on another analogy, it is about tending gardens rather than building tables.
Developmental Evaluation
Brown also mentions information flows and
emergence.
Complex adaptive systems are the way they are because of the diversity and interaction of information. They are dynamic and evolving and thrive on feedback. Feedback can be random or structured and it is the opportunity and challenge of evaluators to provide the means of collecting and organizing this feedback to channel it to support strategic learning about the benefits, challenges, and unexpected consequences of our designs.
Developmental evaluation is a method by which we do this.
Developmental evaluators work with their program teams to advise, co-create, and sense-make around the data generated from program activities. Ideally, a developmental evaluator is engaged with program implementation teams throughout the process. This is a different form of evaluation that builds on
Michael Quinn Patton’s Utilization Focused-Evaluation (PDF) methods and can incorporate much of the work of action research and participatory evaluation and research models as well depending on the circumstance.
Bringing Design and Evaluation Together
To design developmentally and with complexity in mind, we need feedback systems in place. This is where developmental design and evaluation come together. If you are working in social innovation, your attention to changing conditions, adaptation, building resilience and (most likely) the need to show impact is familiar to you. Developmental design + developmental evaluation, which I argue are two sides of the same coin, are ways to conceive of the creation, implementation, evaluation, adaptation and evolution of initiatives working in complex environments.
However, these are start points and if we are serious about addressing the social, political, health and environmental challenges posed to us in this age of global complexity we need to launch from these start points into something more sophisticated that brings these areas further together. The cross training of designers and evaluators and innovators of all stripes is a next step. So, too, is building the scholarship and research base for this emergent field of inquiry and practice. Better theories, evidence and examples will make it easier for all of us to lift the many boats needed to traverse these seas.
It is my hope to contribute to some of that further movement and welcome your thoughts on ways to build developmental thinking in social innovation and social and health service work
Image (Header) Growth by Rougeux
Image (Tree) Arbre en fleur by zigazou76
Image (Table) Table à ouvrage art nouveau (Musée des Beaux-Arts de Lyon) by dalbera
All used under licence.
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Posted: May 28, 2012 | Author: Cameron D. Norman | Filed under: complexity, design thinking, emergence, innovation | Tags: boundaries, change, change leadership, complex systems, complexity, design, design thinking, emergence, Facebook, innovation, leadership, learning, scale, self-organization, social innovation, social networks |

Wet and Dry Social Innovation Design – Like Nature
Social innovation is often about engaging complicated systems like technology (dry) with complex systems like humans (wet). The implementation and evaluation approaches we take must match wet with dry and knowing when we are dealing with each.
Seth Godin recently wrote on thriving in a wet environment, which he compares code and human interaction spaces:
If you’ve ever fixed any kind of machinery, you know that a device that’s exposed to the elements is incredibly difficult to maintain. A washing machine or the underside of a car gets grungy, fast.
On the other hand, the dryest, cleanest environment of all is the digital one. Code stays code. If it works today, it’s probably going to work tomorrow.
The wettest, weirdest environment is human interaction. Whatever we build gets misunderstood, corroded and chronic, and it happens quickly and in unpredictable ways. That’s one reason why the web is so fascinating–it’s a collision between the analytic world of code and wet world of people.
Much of social innovation is becoming like this: a collision between the wet world of people and the dry world of technology. It is hard not to be impressed at the technological capabilities we have at our disposal and how they can be put to use to serve humankind. Mobile handsets, low-cost portable computing tablets, social network platforms like Facebook or LinkedIn, or digital common spaces created by tools like Reddit and Twitter all provide incredible means to connect people and ideas together. Stop and think about what we have at our disposal and it is truly mindblowing, particularly when you think how much that’s changed in just 5 years, 10 years or 20 years.
Yet, the enormity of the scale of these tools and their ubiquity can mask their significance and not always for good. Take Facebook, which just launched its IPO and is the current champion of social networks with over 900 million users. It’s easy to forget that Facebook didn’t even exist 8 years ago and now almost one in 7 citizens on this earth have an account with its service.
This could be a tremendous opportunity for social innovation. Yet, it also speaks to the issue of Seth Godin’s wet and dry analogies for design.
Tom Chatfield, a tech writer from the UK, recently blogged about rethinking our social networks. He points to Dunbar’s number, a well-researched figure that estimates the limits to meaningful human relationships to be between 100 and 230. The drive to scale technologies (the dry) to ever-expanding and increasing numbers is problematic if the limits to my ability to meaningfully connect with the networks they create (the wet) are relatively fixed or difficult to change.
He writes:
It’s dangerously easy simply to gawp and grimace at the sheer scale of the networks connecting us. The numbers are staggering, and offer a powerful index of how much and how fast our world is changing. But we mustn’t overlook the great lesson to be drawn from work like Dunbar’s: the weight of a special few will always outweigh the many, no matter how great the “many” becomes.
Some have argued that Dunbar’s number is a fallacy in the social media world, choosing to rely more heavily on sociologist Mark Granovetter’s work often summed up as the argument for The Strength of Weak Ties . His early research (see link [pdf] for original paper) focused not on the strong ties between people who were close, but the ‘friends of friends’ effects on transmission of information, which is the space where many innovations and novelty comes from in a network.
This confuses the potential innovation and the human capability to connect across large, diverse networks (a technical, ‘dry’ issue) with the quality of the interaction (a relational, ‘wet’ one). Both exist and both will exist, but there is a difference between learning something new and taking it to scale.
Novelty of information and new ideas comes from the intersection created by cognitive diversity in the design process. This is why designers seek to bring people with different perspectives together to explore concepts and generate ‘wild ideas’ as part of an ideation phase. Lots of information can be very useful in this situation and allow designers (social and otherwise) to see things they might miss if they stuck with a narrow band of perspectives. Yet, bringing these ideas to focus, refining them and transforming them into a social innovation that matters to people is far more relational than we give credit for.
Facebook might be great at linking us to ‘friends’ we’ve lost track of, but in applying a model where all of these friends are treated more or less equally, along with all of the information streamed at us through the main feed, our ‘wet’ interactions are made to feel ‘dry’. Drawing the motivation to scale ideas and engage in the efforts needed to make real change happen from such an approach is unlikely.
A recent post from FastCoExist, part of the Fast Company network of sites, by Ashoka changemakers Alexa Kay and Jon Camfield pointed to the barriers and facilitators for making change happen. Among their principal barriers is the need to connect deeper, rather than broader with each other:
How do we learn to be change makers? Much of the art of change making involves soft skills that we absorb from others that model or demonstrate change making behaviors. This means that learning opportunities are limited by one-to-one interactions and by exposure to other change makers. Compared to traditional fields like entrepreneurship, where there are plentiful resources for training, the practice of change making is still far from being widespread.
One of their principles for change reflects the complexity of social change by encouraging and supporting self-organized networks:
Often leaders or institutions promote dependency with a community. But successful change making communities depend on reducing dependence on one anointed leader. Flat networks and peer-based accountability structures are necessary if a community is to sustain change beyond one individual. The need for change communities and networks to be self-regulating is vital for their sustainability.
This is where walled gardens like Facebook are likely to fall down, just as many custom Ning-based communities have fallen into disuse. Create systems that are too bounded (dry) and we risk sucking the moisture from the human elements (the wet) that make real social innovation happen. Our challenge is finding the right balance between the controlled, stable environments that these new technologies afford and the self-organized, emergent and innovative environments needed to implement and scale our initiatives more effectively.
Wet Leaf By Faustas L, via Wikimedia Commons used under Creative Commons License
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Posted: August 14, 2011 | Author: Cameron D. Norman | Filed under: art & design, complexity, emergence, health promotion, public health | Tags: art, beholding, contemplative inquiry, health promotion, public health |
“Art is an intimation of the fundamental reconciliation of contradicting possibilities” – Joel Upton
Without contradiction, there is no art. Art itself is about juxtaposing ideas, tensions, concepts and working with form and space. The artist, whether consciously or not, is balancing contradictions in space, medium and form to challenge themselves and their audience to explore an idea, a feeling, concept or all three.
Engaging with art is about beholding. To behold requires focus, attention and some enthusiasm for the subject matter (knowledge doesn’t hurt much either). It requires time to contemplate the elements above and explore the contradictions and the perspective of the artist and the beholding audience. Health promotion and social change is full of contradictions. For example, how to promote freedom and self-determination while ensuring appropriate regulation to protect those who’s self-determined choices put others at risk? How do we create community and common space while respecting diversity and uniqueness — including those perspectives that don’t support commonly held values?
The list can go on. Art and the art of beholding can offer some ways to address this complexity through contemplative inquiry and learning about perspective and perspective taking.
Claude Monet in painting the Maintee sur la Siene did so from the river in his boat. By being on the river Monet was able to gain a perspective that is fundamentally different than had he painted from the shore, which he also did in other works. To behold Monet’s painting yields insights that cannot be gained by simply passing the image over.
Spending time before the work yields perspectives that cannot be obtained through mere casual observation. One is immune to the overlaying circles, the misty cornering of the Siene, or the fact that nearly all of the painting exists in reflection. When one looks at the painting in the context of others using the same angle and different colour shades, we see that this is a work that is distinct. Searching through the various forms of the work, one sees new layers of possibility and complexity emerge as the tones change, the textures shift and the intensity of the work alters. The version held at the Mead Art Museum at Amherst College, where Professor Upton teaches, is particularly complex in how subtle the reflections and use of colour and texture are parlayed on the canvas.
Learning more about Monet at the time he did this painting, his life, the fact that it wasn’t like he painted it from the water, he DID paint it from the water.
But we might have known that had we not spent the time in contemplation of the painting. Got to know it, and understand it deeply. Submitted ourselves to the work with a level of intimacy that can only be obtained through the act of contemplation and engagement with the art. The longer one beholds the work and sees the various forms within it, the greater the complexity that emerges — qualities unknown or unknowable without the contemplation of the work in depth.
Monet knew that he had to survive, to produce a work of art that was in demand and could sell. He had to survive, but also did art to ensure that people were inspired and challenged. His wrestling with contradiction, his application of knowledge to a medium, and the expression of his creativity through both is what made him one of the most widely renowned impressionist painters who ever lived.
Health promotion is about contradiction. It deals with complexity all the time. How do we inspire change in others and still support self-determination? How can we change a system when that system has no single voice? How do we get individuals to do what we want, yet simultaneously respect what they want?
Health promotion also seeks to respect diversity, but at the same time, what does it do to truly understand this diversity? Do we take the time to get to know the communities it deals with. Really, truly know these communities. Do we give the time to be intimate with them?
My experience is sadly, no. In public health we use focus groups — which were initially designed to focus a research question, not serve as a means of research unto itself — to generalize from a group-think scenario to an entire community and then claim that we know them. Really? Is this beholding? Is this the kind of contemplative inquiry that makes sense for public health.
Could we learn more from artists? Our methods certainly could (see art of public health), but perhaps the way of the artist is also something we could learn more from.
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Posted: February 9, 2011 | Author: Cameron D. Norman | Filed under: art & design, complexity, emergence | Tags: arts, collaboration, creativity, design, emergence, innovation, performance art, teams, teamwork |

Clowning & Miming for Better Empathy
Clowning might seem either silly or scary to some, but the art of non-verbal communication is just that: an art. And like art, it opens the door to myriad interpretations, but also to greater empathy and that only benefits design.
Tonight I attended my first of what I hope will be many monthly meetings of the Design With Dialogue community of practice being held at OCAD University in Toronto. The topic of the evening was What do clowns know that you don’t ? The hosts were an international clown troupe comprised of Patricia Kambitsch, Heidi Madsen, and Elsa Lam. The answer to the question posed by the evening is: a lot.
The night began with a series of exercises done first in pairs, then pairs of pairs, and then as teams of four. What struck me was that, prior to this evening and a few Twitter follows, I didn’t know a single person at this event. Yet, after the course of two and a half hours, I felt I had a room full of new “peeps”. I was thrilled to find an interesting, engaged and dynamic group of people who could perform for each other without the safety net provided by familiarity.
So what brought this about and what does it have to do with clowns? Actually, the clowns were not made up nor was there even mention of clowning beyond the introduction of the hosts. In the case of tonight’s activity, the clowning was due more to physical performance, and particularly the use of non-verbal communication. Over the course of two hours we went through four sets of activities:
1. In pairs, determined by how tall you were (which isn’t relevant, it just allows for a creative way of splitting the room up), introduce yourself using gestures — particularly exaggerated ones — and then mirror that response back to your partner with no words expressed between you.
2. As a pair, join with another pair and use the non-verbal communication rapport generated from the first exercise to work together to non-verbally communicate a particular emotion (including some tough ones like passed over and pity — try acting these out, you’ll see how hard that can be).
3. Working with both pairs together as a foursome, the new group of four is asked to act out a particular phrase. They are to do this while walking across the room where the rest of the participants are asked to guess the phrase. There is little communication between the four people in this new group.
4. The four individuals sit on four chairs and acts out a skit called “four clowns on a bench” where one person is whispered a scenario and the other three are asked to follow along, not knowing what the actually phrase is.
What happens after all of these is remarkable. I found myself acting in a group on something I didn’t know, yet perceived because of the empathy that I developed over the course of two short hours of working non-verbally. As a result, my group — team — and all the others put on performances that were funny, coherent, and creative with little to no verbal sharing of information.
This stoking of empathy and the insight it produced demonstrated enormous potential for design and teamwork. Building on work that Keith Sawyer has done looking at improv and creativity, this session demonstrated just how powerful non-verbal, emergent communication can be and how us designers — in whatever situation we inhabit — dismiss such opportunities for learning, creative expression and community building at our peril.
I wasn’t really a fan of clowns before tonight; now, I am.
Clown around.
** Photo by Peter Pearson under Creative Commons License from the Flickr pool
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Posted: January 15, 2011 | Author: Cameron D. Norman | Filed under: complexity, education & learning, emergence, systems science, systems thinking | Tags: complexity, education, health promotion, learning, public health, sense-making, storytelling, systems thinking, teaching |

Making sense of life through storytelling
I teach a class on systems thinking perspectives on public health. This past week we discussed the role of narratives and storytelling as ways to learn about systems and how to organize diverse information and how to make sense of it all.
For those working in systems thinking and complexity science within a public health context, there is much to be excited about in terms of opportunities, much less to be excited about when it comes to knowledge synthesis. That is, there isn’t a lot out there to synthesize when someone wants to study a problem from a systems perspective. Particularly if one is looking for clues as to what kind of evidence can inform decision making. Indeed, a great deal of the problems that systems thinkers face in many fields have no substantive body of evidence to support decision making.
And even if there was such a body, complex systems are often so dynamic that evidence becomes hard to apply because the contexts in which that knowledge is generated is so particular. Even on the same subject, a study of complexity or system dynamics might only provide guidance on ways to approach other problems, rather than prescriptive strategies. That’s complexity and systems for you.
But knowing that doesn’t mean that we can’t look at the problems in some depth. Those looking to take on systems problems tend to find two main questions (challenges) starting out: what are the boundaries of the system, and how does all the information within those boundaries fit together?
To answer these questions, I had my class consider the story of their problem. As part of the course, each student is asked to concentrate on one subject of personal interest and last week I asked the class to consider the story of the problem that they are wrestling with in their research and health promotion work. These public health problems include issues of workplace wellness, HIV/Hepatitis co-infection in prisons, healthy fathering, the application of design to health, youth engagement, environmental sustainability and resilience and more, so there is much to talk about.
Storytelling suffers from being that thing you did as kids like the photo above or something you do for fun, but isn’t widely considered a valid tool for exploring complex systems. It is this myth that I sought to dispel in my class, because when you start telling the story of system, remarkable things happen and much sense can be made from relatively little information.
I started off with some reference sources from the always interesting and insightful Dave Snowden, drawing on two of his earlier papers on narrative and organizational strategy. Dave’s written extensively on this topic, including role that paradox plays in stories, with many other resources found here. What this did was frame the issue not just of one of stories, but large and small narrative patterns that shape the way that people understand the system they are in.
In the case of the students in my class, they are all dealing with subject material for which there is little material on systems thinking to use as a start point. For most of them, they have little idea of where they are within that system relative to the problem at hand. Storytelling provides an opportunity to cover a lot of ground and organize the information that we already know about a system into a manner that allows us some sense-making opportunity. Sometimes there are large stories and grand narratives to which they belong, but often it is the small exchanges or micro-narratives that we work with. Both provide much fodder for systems thinking.
What makes a story is a coherent organization of information, characters, a plot, tension or conflict, a setting and a point of view. With these elements one starts to provide the context and boundary conditions for imagining a system and thus, the foundations for a model of it.
This can be done through long-form narrative or something simple like a haiku (in fact, one of the learners in the class wrote a series of haikus on her topic).
When you write out your story, notice what gets included and what does not.
- What emotions are present (if any)?
- Is there any reliance on past knowledge (or evidence)?
- Are there characters that are more prominent and, if so, why?
- What is the tension or unresolved conflict in the story?
- Why was the setting chosen and what limits does it impose?
- Are you avoiding parts of the system in storytelling intentionally? Or, are you choosing to tell the story in a manner that hides or obscures parts of it you feel uncomfortable with?
These are some of the questions that a systems thinker can ask of the story that is produced, and the answers provide insight into what the system holds, how its organized, and how you as an agent of inquiry and change intend to influence it. The goal isn’t to create the best model or the right model, for neither of those exist. What is about is creating appropriate, useful models. And as George Box famously said about models:
All models are false. Some models are useful
All stories are fiction, but for systems thinkers, some stories are useful.
** Photo from the New York Public Library via The Commons Flickr pool . No copyright exists.
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Posted: December 19, 2010 | Author: Cameron D. Norman | Filed under: complexity, education & learning, emergence, public health, systems science, systems thinking | Tags: complex adaptive systems, complexity, Cynefin Framework, Dave Snowden, education, higher education, public health, sensemaking, systems thinking, university |

Among the most frustrating aspects of being a systems thinker/actor/researcher is the “one thing” question: What is the one thing that we can do to solve this problem?
The answer is almost always: there isn’t one thing you can do, the problem requires a complex response*
*That isn’t always the case, but in my line of work, it pretty much is true that the problem and its solution fall within the realm of complexity.
When you work in complex systems, the problems are nearly always multifaceted, convoluted and multi-dimensional in their scope and impact. Yet the “one thing” request comes up all the time.
Dave Snowden, from Cognitive Edge, in his work with the Cynefin Framework nicely points to the difference between best, good, and emergent practice. In public health and medicine, the term “best practice” has been so dominant that it is hard for people to lose the terminology, even if they acknowledge that it sometimes doesn’t fit (the concept of “better” practice is often snuck in as a way to placate those who subscribe a model of thinking that challenges “best” practice thinking). While this is very useful, the problem that even useful frameworks like Cynefin produce is a tendency for people to put whatever they are doing into boxes.
Looking at Cynefin, you can see the world compartmentalized into four nifty quadrants, making the world simple — or at least complicated, but certainly not complex. Dave Snowden himself has been critical of this tendency in his writings on Cognitive Edge’s blog, yet time and again I see this type of thinking come alive. I currently am teaching a course for graduate students on systems science perspectives in public health and this is one of the pitfalls that I hope the learners in my class can avoid.
It’s not easy. We humans love to compartmentalize things. Charles Darwin, one of the founders of modern science, famously began his career putting things in literal and metaphorical boxes. Classification is something we do from our earliest years and do all the way through school. Indeed, a brilliant and somewhat depressing look at how engrained this thinking is can be seen in Sir Ken Robinson’s animated TED Talk on the history and possible future of education.
Systems thinking requires spectrum thinking. People must be able to see things on a gradient, rather than in absolute compartments. Students can’t be faulted too much for having a hard time with this when they are graded based on letters where a B+ is a 79 and an A- is one percentage point higher, yet the mere presence of a B (anything) on a transcript can mean the difference between an award, admission, or a job and not.
This is in no way a criticism of Cynefin or other frameworks used to explain or assist in the understanding of complexity, but rather a statement of the problems inherent in our quest to teach others about complexity that is intellectually honest, reasonably accurate, yet also effective in helping people understand the gravity and scope of complexity in practice. I don’t have an answer for this, but do find using a spectrum useful.
And on a side note, the multi-coloured palette of the spectrum also allows for an introduction of the concept of diversity and human relations at the same time as it illustrates a way of thinking about complex systems.
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Posted: December 2, 2010 | Author: Cameron D. Norman | Filed under: complexity, emergence, public health, social media, systems science, systems thinking | Tags: education, eHealth, public health, systems thinking, university |
Tomorrow is my last class in CHL 5804: Health Behaviour Change for the 2010 year. Like every year, it was filled with the expected, unexpected and everything in between. I love teaching the course and interacting with about 30 graduate students from different disciplines, research backgrounds and educational levels. And while we often don’t admit it to our peers, one of the biggest reasons to teach is that we learn a lot, maybe more, than the students in our courses.
This year I was quite surprised by the interest in two areas: systems thinking and eHealth. Now these are my areas of interest so this is not a surprise on the surface, but then I’ve had these interests for a few years and are about equally passionate today than in past years. Another argument is that I am a better teacher today, which I suppose is possible, but as I look more into my own teaching practice I can’t imagine that the quality of teaching is significantly different than in past years.
I am taking this as a sign of maturity of both fields relative to public health. Both of these fields are relatively new. Depending on your definitions — of which there are many — eHealth has been around for about 15 years, evolving with the World Wide Web. Systems thinking and public health is a little younger, with its rise beginning less than 10 years ago. The publication of the US National Cancer Institute’s monograph on systems thinking and tobacco control, Greater than the Sum, published a couple years ago and the special issue of the American Journal of Preventive Medicine and the American Journal of Public Health, both signaled the rise of systems thinking and public health.
As we know from work in knowledge translation, it can take a long time to get knowledge into practice and this year I think the knowledge about the potential of tools like social media, mobile technologies and consumer-oriented databases has translated into action. My students do presentations each year pitching a hypothetical version of a Framework Convention similar to the one on tobacco control. This year, to my surprise (and with no coaching, particularly given that my eHealth “lectures” are all delivered electronically) most of the groups included some type of eHealth or mHealth intervention in their plans.
These were not just ideas aimed at impressing the professor, rather they represented some remarkably creative ideas on how to use technology to support health promotion, disease prevention, and public eHealth all around.
Attached to this idea of technology aiding the development of interventions for change was the idea that these eHealth tools exist within a larger system. When you speak of social networks or systems dynamics, you are in the realm of systems thinking. The idea that things are connected and intertwined is an idea that seems to hold a lot of appeal for many students and this is growing, particularly as more of my students have real world experience each year. This is important because once you’ve spent time dealing with problems at anything other than a theoretical level, you begin to see the breakdown in linear approaches to problem solving and the need for thinking in systems.
At the same time, as you spend time in that world you also see the problems and costs associated with relying solely on face-to-face methods of intervening. There simply isn’t enough funds, people or other resources to sustain a model that relies exclusively on physical, one-to-one care and prevention efforts. eHealth provides an avenue to consider ways of doing things at a distance and, for some conditions, this translates into interest in doing things that can reach more people for less money, hence the interest in eHealth.
This makes me quite pleased.
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Posted: November 21, 2010 | Author: Cameron D. Norman | Filed under: complexity, emergence, knowledge translation, public health, systems science, systems thinking | Tags: complex adaptive systems, complexity, evidence, social position, systems thinking |
In the social media and marketing world there is a concept called “brand democratization”, which refers to the notion of having your customers contribute to and partly shape a brand’s identity. Marty Neumeier, who has written extensively on branding, asserts that a brand isn’t what the producers of the product say it is, but rather what the customers say it is.
The notion that the meaning and identity of a brand is outside of the control of those that develop a product is unsettling for many in business. Social media only amplifies this feeling. A social media consultant I work with once relayed a story about how a client (a big company) once asked how they could use social media to control their message more effectively and how unsettled they were to hear that “control” is not what social media is about and frustrated at the thought that they were no longer in the driver’s seat.
To some extent, we are seeing the same thing take place in the health sector, particularly in areas of great complexity. As complex chronic conditions become more prevalent and the number of people with multiple chronic conditions represent a larger proportion of the population (a near inevitability in societies with aging demographics and better health care), complexity will gain a greater place in our health care policy discourse.
Evidence-based medicine holds very clearly a sense of what is good and not-so-good quality content. Hierarchies abound and medical students are taught early on about what the best evidence is and how it is generated. The problem with the “best evidence” in health care is that it typically comes from studies focused within a rather narrow contextual band of activity using designs that aim for simplicity, not complexity. In standard research programs the aim is to reduce variation, not embrace it.
This is nearly the opposite of complex systems, where variation is, to a point, the key to learning and adaptation. Making sense within a complex system requires deep appreciation of context and an understanding of one’s position within the system. However, because such positions are relative, the ability to hold “expertise” in a system is limited. Indeed, there are many who occupy positions where they have great knowledge and the ability to re-interpret and generate evidence as opposed to only a few.
Does this create evidence democratization? When there is so much information from many sources, a need for contextualized feedback and many actors with useful experience and knowledge occupying different positions related to a problem, it seems that the answer is “yes”.
Social media operates within an environment of complexity due to the widescale involvement of diverse actors working in a coordinated, yet sell-organized manner, across many boundaries within multiple overlapping contexts. What is “true” within a social media sphere is only made so by the application of that knowledge within a particular context. A blog only has meaning to its creator and her or his audience, not the entire system. Yet, the actors engaged with that content may take it and rework it, retweet it, or post it in a new environment, where it is transformed into something else. If that “something else” has value, it lives onward.
In health contexts, that value might be very different depending on the condition and the manner in which that knowledge is applied. From a traditional evidence-based health approach, this is utterly terrifying. How can evidence be re-interpreted? What are the harms associated with taking something from one context and applying them to another for which it wasn’t designed? These are concerns, yet it is hard to imagine that there isn’t also some potential value in exploring ways in which this plays out in chronic and complex conditions given that the evidence is rarely that “hard” going in.
Are we on the cusp of a new wave of evidence democratization? And if so, are we going to be healthier as a result of it? More innovative? Or in deep trouble?
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