A PDF version of this module is available here.
This module covers material related to complexity and its importance for ecosystem approaches to health. What is complexity? Are there different kinds of complexity, such as mathematical, technical and social? Are they really different? Are there particular aspects of complexity that are relevant for ecosystem approaches to health? What are they? How are they relevant?
The world we live in is complex. The complexity we see in the world around us is a function of the nature of the world itself, we who observe the world, and the questions we ask. If we ask how to fix a broken watch, we can think of the watch in fairly simple mechanical terms, and we do not need to invoke notions of complexity; if we ask about the function of watches in society, or the social, political, economic and ecological relationships required to acquire the resources and pull together the materials and skills necessary to build a watch, we need to invoke complexity. Similarly, if we wish to save people dying of cholera, we have the relatively straightforward, albeit challenging tasks of providing them with the potable sources of fluid replacement. If we wish to prevent cholera epidemics, we are faced with complex, interacting political, social, economic, biomedical and ecological forces.
Issues we see as being complicated are only that way if we narrowly define the boundaries of the problem. This is particularly true in agricultural and food systems, for instance. Industrial economies of scale make efficient use of certain kinds of resources if one externalizes interactions with the social‐ecological context. This industrial efficiency is dependent on stable external conditions, and is very brittle in the face of changes in external resources and
economic structures. If everyone is growing corn, and the price of fossil fuels goes up, or the markets for corn collapse, the system cannot adapt; people might go hungry because all the corn is used for fuel, or, conversely, because they can't sell their crops. Large slaughterhouses that require high through‐put of animals may have to shut down completely in the face of border closings (due to diseases such as (SA) BSE or Foot and Mouth Disease). This can have cascading, devastating effects as farmers cannot even service local markets. Small slaughterhouses that serve local markets can, in some cases, keep functioning when large slaughterhouses shut down because of closed borders. A similar argument holds for why a power grid that relies on many different kinds of power is much more resilient than one which is based on a few large power stations.
Every description of the world is a simplification, and systems descriptions are no different in that regard. Complex systems are descriptions of complexity, that is, they are attempts to describe the world as we live in it and experience it, that attempt to accommodate multiple dynamic interactions of as many variables as possible. By definition, there are many such descriptions (and hence many complex systems) possible; different observers will see different things in the world, and model them differently, either formally, or perhaps just in their heads. Although mathematical models are useful to explain certain events such as pandemics or climate variability, there is no single mathematical model that can explain the complexity of the world, and also predict the future. Managing a sustainable food system, or managing land use in a watershed where industry, human settlement, wildlife and food production are vying for space are similarly complex.
Ideally, this is a participatory module. However:
The goal of this module is for students to:
Working Terms
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Video CapsuleFor a short presentation which touches on the complexity of a particular ecohealth issue in Vietnam and the challenges of implementing curriculum which responds to complexity participants can watch Tuyet-Hanh Tran Thi's EcoHealth 2014 plenary presentation. |
Basic scientific questions about a virus might be answerable using widely used, peer‐accepted techniques, but questions related to complex socio‐ecological health issues use multiple techniques and dramatically different paradigms to delve into complementary aspects of the situation. This section introduces several such complementary approaches and explores why we would use (and what we can learn from) such things as mathematical modeling, ecological modeling, participatory techniques, epidemiological techniques, systems theories, basic biology, anthropology, and environmental management. This section also provides an overview of some of the key thinkers and methodologies of complexity and systems thinking. It will introduce the key features of complex systems, in particular, issues of scale, feedback loops (self‐organization), multiple perspectives, and uncertainty. Instructors can introduce the section by presenting the scholarly literature on complexity (i.e. a few key papers), and suggesting some important features of complexity for ecohealth. This discussion could be based on asking questions related to open or closed cases. [See Developing and Using a Case Study in your Teaching]
The goal of this section is to help students begin to understand the theoretical basis of ecohealth, including basic principles of complex systems theory, as well as the need for methodological pluralism and multiple stakeholder involvement.
This section begins with an activity on “Incommensurability” to ensure that students become keenly aware of the need for tools for grappling with the complexity of ecohealth issues. The section should emphasize that it is not just that there are many different ideas on health and environment, but the knowledges which confront ecohealth issues do not match up neatly. This is the case both within the physical sciences, between the physical and the biological sciences, between the sciences and the social sciences, amongst the sciences and the humanities, between researchers and social workers, and amongst social workers and communities, families, friends, and healers. The key content for this section includes post‐normal science, systems thinking, complexity, resilience, non‐linearity, uncertainty, scale, cross‐scale interactions, panarchy/holons/nested scales, emergent properties, and self‐organization.
Instructors can use on of the examples listed at the beginning of this module, or use their own case study examples which demonstrate concepts of post‐normal science, systems thinking, complexity, resilience, non‐linearity, uncertainty, scale, cross‐scale interactions, panarchy/holons/nested scales, emergent properties, and self‐organization.
ACTIVITY 1: INCOMMENSURABILITY LEARNING OBJECTIVES
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INSTRUCTIONS STEP 1: Introduce the Issue Introduce students to a concrete ecohealth issue in a particular situation (e.g. Kathmandu case study). Choose a situation that will prompt them to think an issue in its complexity: tar sands, wind turbines, climate change, vector‐borne‐disease, and so on. You can begin the section by showing diverse images of the issue to the students. |
STEP 2: Statements and Expressions Provide students with a list of true statements and expressions of the case study that express and represent different standpoints, disciplines and ways of knowing. These statements or expressions could include a description, map or model of the position of the animals in the situation, a First Nations territory map, and/or a significant sound that relates to the issue. Try to place conflict up front and to include statements and expressions of the following kinds:
Note: Pay attention to other modalities that you bring in throughout the course, and add these to the statements and expressions. For instance, if you have a poet or an Indigenous person as a guest, add statements or expressions to reflect this. |
STEP 3: Rank Statements and Expressions Ask students to privately rate the statements based upon their initial reactions in terms of the following dispositions towards the statements:
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STEP 4: Reflect Based on their rankings, ask students to reflect upon and take notes on how they felt when they experienced the dispositions and some of the thoughts or questions which came to mind. For instance, if they selected “I wonder” for one of the statements or expressions, what did they wonder about? |
STEP 5: Discuss Facilitate a group discussion around the following questions:
Note: It can be useful to ask students to write down all the issues they think are important in a kind of scattered way on a big page, then connect the ones they think are connected (talk about evidence for this) and then identify the stakeholders who either influence or are directly influenced by those issues. |
STEP 6: Debrief Throughout the course encourage students to continue to flag the truths that they take to be true, the one’s they feel they have expertise in, and the ones they find whacky and which make them uncomfortable. They can use this to critique their frame of reference and their capacity to put together a participatory project, or to choose stakeholders. Advise students to place their discomforts about their work upfront and to use this to inform their choices about how to proceed. |
STEP 7: Follow‐up Ask participants to write a short reflective piece on any discomforts that they encountered with this exercise, and facilitate a short discussion around their reflections the next day. [Can be linked with the “Reflective Journal” in Transversal Activities.] |
ACTIVITY 2: MIND GROOVES LEARNING OBJECTIVES
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INSTRUCTIONS STEP 1: Write Write the following words on a flipchart or a blackboard:
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STEP 2: Reflect Tell the students to read the words written on the flipchart, but not to write anything down. |
STEP 3: Recall Remove the words from sight and ask the students to individually write down as many words as they can remember from the flipchart. |
STEP 4: Share Ask students to share what words they recalled. For instance, ask them who wrote down words that were on the flipchart list (e.g. ‘slumber’ or ‘night’), and then ask them who wrote down words that were not on the flipchart list (e.g. ‘sleep’). |
STEP 5: Reveal Re‐post the list of words on the flipchart. |
STEP 6: Debrief Lead a discussion around the following questions:
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STEP 7: Follow‐up Activity Ask participants to take note of the mind grooves that they encounter throughout the course. Throughout the course, at the end of each day ask students what mind grooves they encountered. |
Funtowicz S, Ravtez J (N.d.) Post‐normal science ‐ Environmental policy under conditions of complexity. Robust knowledge for Sustainability. Available: http://www.nusap.net [accessed January 3, 2012]
Funtowiczand S, Ravetz J (2008) Beyond complex systems: Emergent complexity and social solidarity. In: Ecosystem Sustainability and Health: A Practical Approach, Waltner‐Toews D, Kay JJ, Lister P (editors), New York: Cambridge University Press, pp 309–321
Waltner‐Toews D (2004) Ecosystem sustainability and health: A practical approach, New York: Cambridge University Press
This section explores how our response to manifold complexity can change our ability to see what's there, to understand, to respond, to be affected, and to be effective. In this section students will work through, collectively and individually, mentally and physically, some examples of concrete methods or practices which support abstract, non‐linear, non‐reductive, thinking and being: bodily practices, mental practices, linguistic practices and
visualization/imagination practices.
Working Terms
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Non‐linear thought or ways‐of‐being, and non‐reductive, non‐binary thinking, is often required in situations of high uncertainty and maximum urgency. However, when we don't know something we have a tendency to clamp down, close off, simplify, reduce, throw bits overboard, and/or run away. Are there other things we could do? Does our response to confusion or manifold complexity change our ability to see what's there, to understand, to respond, to be affected, to be effective? This line of inquiry thus has scientific relevance (connected to truth‐value and good‐knowing) and ethical relevance (connected to something within our capacity to pay attention to, and do a better or worse job with).
Instructors are encouraged to use one of the cases listed at the beginning of this module or to construct or use their own case study examples which demonstrate binary thinking in all its guises and problems, and strategies for developing the capacities to think in complex, nonlinear ways.
ACTIVITY 1: WHAT COULD YOUR BODY DO?INSTRUCTIONS
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ACTIVITY 2: WHAT COULD YOUR MIND HOLD?
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ACTIVITY 3: WHAT DO YOUR WORDS DO?
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Activity 4: What could you see if you looked?
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Video CapsuleFor a presentation of ecohealth art projects see Cheryl Gladu's EcoHealth 2014 plenary presentation. Are participants more comfortable with art when it serves an obvious function as well as being aesthetic? How do these projects relate to complexity and uncertainty? |
Debrief: Facilitate a group discussion around the following questions.1. Do we have a sense of what linear and non‐linear thinking and processes are, or look like? What are good examples? |
Bunch MJ (2000) An adaptive ecosystem approach to rehabilitation and management of the Cooum River environmental system in Chennai, India. PhD Dissertation. Waterloo, Ontario, Canada: Department of Geography, Faculty of Environmental Studies, University of Waterloo. Available: http://uwspace.uwaterloo.ca/bitstream/10012/597/1/NQ56673.pdf
Gislason MK (2010) Sounding a public health alarm: Producing West Nile virus as a newly emerging infectious disease epidemic. In: Understanding Emerging Epidemics: Social and Political Approaches, Advances in Medical Sociology, Volume 11, Mukherjea A (editor), Emerald Group Publishing Limited, pp.77–99
Winterson, J (1996) Art Objects: essays on ecstasy and effrontery. Vintage Books Canada.
Zwicky, J (2003) Wisdom & Metaphor. Gaspereau Press.
There is no objective 'correct' way to map complexity; the goal of complexity mapping is to communicate the interrelations and interactions between particular elements with regards to a particular topic, as perceived at a particular time in a particular space. One hundred maps of the same topic by the same person would all be different, and would all be correct. Complexity maps are used to understand systems as wholes. The goal of this section is to get students comfortable with different ways of mapping and exploring the conceptual interrelationships (complexity) in their work, research projects, theses, and so on. The section is designed to develop student understanding of complexity and systems via discussion and a hands‐on exercise.
Video CapsuleFor a discussion on communicating complexity to different stakeholders using ecohealth, have participants watch Purvi Mehta-Bhatt's EcoHealth 2014 plenary presentation. |
STEP 1: Brainstorm (20 minutes):
STEP 2: Visual complexity activity (35 minutes)
Bateson R (1979) Every Schoolboy Knows. In: Mind & Nature: A necessary unity, New York: E.P. Dutton. Available: http://www.oikos.org/m&nschoolboy.htm
Berlow T, (2010) How Complexity Leads to Simplicity. TED Talks [video]. Available: http://www.ted.com/talks/lang/eng/eric_berlow_how_complexity_leads_to_simplicity.html
Resilience Alliance (2011) The Resilience Alliance Workbook for Practitioners, version 2. Available: http://www.resalliance.org/index.php/resilience_assessment
This section explores why grappling with complexity requires methodological pluralism and multiple stakeholder involvement, and how one might meet these requirements in a real‐world research setting. It specifically addresses the issue of scale, and how it relates to accommodating multiple perspectives, different stakeholders, and feedback loops. It is important to relate the stakeholders to the scale of their interest and power, and to look at where feedback loops cross scales (for instance, national health concerns responded to by regulation which favours large scale), can undercut local resilience by uncoupling local feedbacks (such as agricultural production and environment).
Video CapsuleFor an example of insights into an ecohealth problem gleaned through working in a transdisciplinary team you can have students watch Nil Basu's plenary presentation at the EcoHealth 2014 conference. |
Activity 1: Multiple Perspectives and Complexity
STEP 1: Background Presentations
Identify a situation or open case study case study for this activity. The “situation” could be defined initially by landscape (e.g. Hamilton Harbour), issue (e.g. environmental degradation), or illness (e.g. Avian Influenza). Invite knowledgeable people to address particular aspects of complexity in the defined situation or open case study. There should be at least four brief presentations and the overall session should be facilitated by someone with skills in participatory methods.
STEP 2: Multiple Perspectives
After the four presentations, have student prepare for a mock town hall meeting or a debate on the open case study. The goal of the mock town hall meeting or debate is for students to be able to say or see how one would move toward making a decision.
Scaling Down this Activity
Brugha R, Varvasovzky Z (2000) Stakeholder analysis: A review. Health policy and Planning 15: 239–246
Waltner‐Toews D, Kay JJ, Neudoerffer C, Gitau T (2003) Perspective changes everything: Managing ecosystems from the inside out. Frontiers in Ecology and the Environment 1: 23–30
Waltner‐Toews D, Kay J, Lister N‐M (2008) The Ecosystem Approach: Complexity, Uncertainty, and Managing for Sustainability. New York: Columbia University Press
Waltner‐Toews D, Neudoerffer C (2010) Agro‐urban ecosystem health assessment in Kathmandu, Nepal: A multi‐scale, multi‐perspective synthesis. In: Systems Practice: How to Act in a Climate Change World, Ison R (editor). London: Springer
This section further explores concepts of systems thinking and introduces various tools and methods to help structure ecohealth research and programs. The students will apply these tools and frameworks to their own research and examine the challenges and opportunities that each provides.
Concrete tools that enable you to put these things together:
Facilitate a group discussion to explore each type framework and discuss re‐occurring themes, observations, challenges, and opportunities.
Allen TFH (2008) Scale and type: A requirement for addressing complexity. In: The Ecosystem Approach: Complexity, Uncertainty, and Managing for Sustainability, Waltner‐Toews D, Kay JJ, Lister N‐M (editors). New York: Columbia University Press
Evans K, Velarde SJ, Prieto RP, Rao SN, Sertzen S, Dávila K, Cronkleton P, de Jong W (2006) CIFOR’s guide: Field guide to the future: Four ways for communities to think ahead. Available: http://www.asb.cgiar.org/ma/scenarios/field‐guide.asp
Neudoerffer CR, Waltner‐Toews D, Kay JJ, Joshi DD, Tamang MS (2005) A diagrammatic approach to understanding complex eco‐social interactions in Kathmandu, Nepal. Ecology and Society 10: 12. Available: http://www.ovc.uoguelph.ca/personal/ecosys/documents/DiagramPaper.pdf
Peterson GD, Beard D, Beisner B, Bennett E, Carpenter S, Cumming GS, Dent L, Havlicek T (2003) Assessing future ecosystem services: A case study of the Northern Highland Lake District, Wisconsin. Conservation Ecology 7: Available: http://www.cnr.uidaho.edu/css385/readings/peterson_assessing_future_ecosystem_services.pdf
Peterson GD, Cumming GS, Carpenter SR (2003) Scenario planning: A tool for conservation in an uncertain world. Conservation Biology 17: 358–366 Resilience Alliance (2011) The Resilience Alliance Workbook for Practitioners, version 2. Available http://www.resalliance.org/index.php/resilience_assessment
Waltner‐Toews D, Kay J, Murray T, Neudoerffer C (2004) Adaptive methodology for ecosystem sustainability and health (AMESH). In: Community operational research: systems thinking for community development, Midgely G, Ochoa‐Arias AE (Editors). New York: Plenum Publications/Kluwer Academic
In this section students will be introduced to examples of work where people have taken complex systems into account and made system adjustments or policy change.
Video CapsuleFor the role of NGO's in the complex ecohealth issue of wetland management, you can have participants watch Ruth Cromie's EcoHealth 2014 plenary presentation. |
There are a number of excellent examples to demonstrate the main topics of this section, including the following case studies:
Chopra K, Leemans R, Kumar P, Simons H (2005) Millennium Ecosystem Assessment: Responses Assessment. Island Press. Available: http://www.maweb.org/en/Responses.aspx
Gale RJP (1997) Canada's Green Plan. In: Nationale Umweltpläne in Ausgewählten Industrieländern [a study of the development of a national environmental plan with expert submissions to the Enquete Commission "Protection of People and the Environment' for the Bundestag (German Parliament)]. Berlin: Springer‐Verlag pp. 97–120. Available: http://www.ecological‐economics.org/pages/greenplan.html
Goy J, Waltner‐Toews D (2005) Improving health in Ucayali, Peru: a multi‐sector and multi‐level analysis. Ecohealth 2:47–57
INSTRUCTIONS
STEP 1: Presentation
Invite a bureaucrat to give a short lecture about a policy change which was informed by complexity, followed by a Q&A session.
STEP 2: Activity
Ask students develop their posters [Transversal Activity] based on insights they gain during this session.
STEP 3: Debrief
Facilitate a group discussion guided by the Key Questions for this Section.
Gitau T, Gitau M, Waltner‐Toews D (2008) Integrated assessment of health and sustainability of agro‐ecosytems. New York: Taylor and Francis/CRC Press
Gitau T, Waltner‐Toews D, McDermott J (2008) An agroecosystem health case study in the Central Highlands of Kenya. In: The Ecosystem Approach: Complexity, Uncertainty, and Managing for Sustainability, Waltner‐Toews D, Kay JJ, Lister N‐M (editors). New York: Columbia University Press pp 191‐ 212
Glouberman S, Zimmerman B (2002) Complicated and complex systems: What would successful reform of Medicare look like? Discussion Paper Number 8, Commission on the Future of Healthcare in Canada
Kay JJ, Regier H (1999) An ecosystem approach to Erie’s ecology. In: The State of Lake Erie (SOLE) – Past Present and Future. A tribute to Drs. Joe Leach & Henry Regier. Munaar M, Edisall T, Munawar IF (editors). Netherlands: Backhuys Academic Publishers. pp 511‐533
Murray T, Waltner‐Toews D, Sanchez‐Choy J, Sanchez‐Zavala F (2008). Food, floods and farming: An ecosystem approach to human health on the Peruvian Amazon frontier. In: The Ecosystem Approach: Complexity, Uncertainty, and Managing for Sustainability, Waltner‐Toews D, Kay JJ, Lister N‐M (editors). New York: Columbia University Press pp 213–235
Pagnutti C, Azzouz M, Anand M (2007) Propagation of local interactions create global gap structure and dynamics in a tropical rainforest. Journal of Theoretical Biology 247: 168–181
Waltner‐Toews D, Neudoerffer C (2010) Agro‐urban ecosystem health assessment in Kathmandu, Nepal: A multi‐scale, multi‐perspective synthesis. In: Systems Practice: How to Act in a Climate Change World, Ison R (editor). London: Springer
Waltner‐Toews D, Neudoerffer C, Joshi DD, Tamang MS (2005) Agro‐urban ecosystem health assessment in Kathmandu, Nepal: Epidemiology, systems, narratives. EcoHealth 2, 155–164
Waltner‐Toews D, Noronha L, Bavington D (2006) Science and society in place‐based communities: Uncomfortable partners. In: Interfaces Between Science and Society: European Commission Joint Research Centre, Pereira AG, Vaz SF, Tognetti S (editors). Greenleaf Publishing: Sheffield
Beishon RJ, Peters G (1972) Systems behaviour, New York: Open University Press
Capra F (1982) The turning point: Science, society, and the rising culture, London: Wildwood House, pp. 265–304
Capra F (1996) The web of life: A new scientific understanding of living systems, New York: Anchor Books
Casti JL (1994) Complexification: Explaining a paradoxical world through the science of surprise, New York: HarperCollins
Checkland PB (1981) Systems thinking, systems practice, Toronto: John Wiley & Sons Ltd
Holling CS (2001) Understanding the complexity of economic, ecological, and social systems. Ecosystems 4: 390–405
von Bertalanffy L (1968) General system theory: Foundations, development, applications (Revised ed.), New York: George Braziller Inc
Waltner‐Toews D, Kay JJ, Neudoerffer C, Gitau T (2003) Perspective changes everything: Managing ecosystems from the inside out. Frontiers in Ecology 1: 23–30