???The original publication is available at www.springerlink.com???. Copyright Springer. [Full text of this article is not available in the UHRA]The Cognitive Dimensions of Notations framework has been created to assist the designers of notational systems and information artifacts to evaluate their designs with respect to the impact that they will have on the users of those designs. The framework emphasizes the design choices available to such designers, including characterization of the user???s activity, and the inevitable tradeoffs that will occur between potential design options. The resulting framework has been under development for over 10 years, and now has an active community of researchers devoted to it. This paper first introduces Cognitive Dimensions. It then summarizes the current activity, especially the results of a one-day workshop devoted to Cognitive Dimensions in December 2000, and reviews the ways in which it applies to the field of Cognitive Technology
Background: Cognitive Muscular TherapyTM (CMT) is an integrated behavioural intervention developed for knee osteoarthritis. CMT teaches patients to reconceptualise the condition, integrates muscle biofeedback and aims to reduce muscle overactivity, both in response to pain and during daily activities. This nested qualitative study explored patient and physiotherapist perspectives and experiences of CMT.Methods: Five physiotherapists were trained to follow a well-defined protocol and then delivered CMT to at least two patients with knee osteoarthritis. Each patient received seven individual clinical sessions and was provided with access to online learning materials incorporating animated videos. Semi-structured interviews took place after delivery/completion of the intervention and data were analysed at the patient and physiotherapist level.Results: Five physiotherapists and five patients were interviewed. All described a process of changing beliefs throughout their engagement with CMT. A framework with three phases was developed to organise the data according to how osteoarthritis was conceptualised and how this changed throughout their interactions with CMT. Firstly, was an identification of pain beliefs to be challenged and recognition of how current beliefs can misalign with daily experiences. Secondly was a process of challenging and changing beliefs, validated through new experiences. Finally, there was an embedding of changed beliefs into self-management to continue with activities.
Conclusion:This study identified a range of psychological changes which occur during exposure to CMT. These changes enabled patients to reconceptualise their condition, develop a new understanding of their body, understand psychological processes, and make sense of their knee pain.
A decade ago, Castells argued that most surveillance would have no directly damaging consequences. Heproposed that what should be of more concern were the unpredictable consequences of our over-exposed lives, the lack of explicit rules for on-line behaviour and how this then was interpreted by a 'multitude of little sisters' who process and store this information, forever (Castells 2001:180
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