{"id":{"repo_id":"middlesex","oai_identifier":"oai:repository.mdx.ac.uk:8q453"},"canonical_url":"https://search.dev.ndltd.org/etd/middlesex/oai:repository.mdx.ac.uk:8q453","repository":{"repo_id":"middlesex","name":"Middlesex University","base_url":"https://repository.mdx.ac.uk/oai2"},"display":{"title":"Enactive Agnosis: The playful use of form as a bodily activity of (not) knowing","abstract":"This is an action research inquiry that takes place within the National Health Service in the UK. I am an NHS consultant, working primarily clinically, who has been involved and interested in change and improvement since 2010. I embarked on this doctorate with the intention of knowing how to do change better, to enhance the impact of conversations about change, and to undertake second-person action research that would impact on how we improve care in the NHS. Early in the doctorate a move of cities and organisations revealed the challenge of context and how it shapes and constrains any possible inquiry. COVID-19 was then added into the mix a couple of years later and what emerged in response was first-person inquiry into my own epistemology. An exploration that resulted in a markedly altered understanding of ‘knowing’ and ‘not-knowing’ or perhaps more appropriately ‘not-knowledging’ and a focus on methodology. This thesis is about coming to recognise the challenge and importance of ‘not-knowing’ in the context of change and healthcare, the importance of physicality and metaphor, of knowing versus knowledge, of playfulness as a mindset and of a pragmatic, realistic ‘ish’ positioning. About weaving these ideas into the overarching concept of enactive agnosis. Enactive agnosis is offered as a methodology and a mindset in the realms of action research, arts-based research and healthcare change. A pragmatic, realistic, playful approach that recognises, enables and enacts ‘not-knowing’ and ‘good enough’ within the context of inquiry and change. A process of bodily active metaphorical knowing that holds and values the space of not-knowledging long enough to make sense differently, to know, to change.","abstract_html":"This is an action research inquiry that takes place within the National Health Service in the UK. I am an NHS consultant, working primarily clinically, who has been involved and interested in change and improvement since 2010. I embarked on this doctorate with the intention of knowing how to do change better, to enhance the impact of conversations about change, and to undertake second-person action research that would impact on how we improve care in the NHS. Early in the doctorate a move of cities and organisations revealed the challenge of context and how it shapes and constrains any possible inquiry. COVID-19 was then added into the mix a couple of years later and what emerged in response was first-person inquiry into my own epistemology. An exploration that resulted in a markedly altered understanding of ‘knowing’ and ‘not-knowing’ or perhaps more appropriately ‘not-knowledging’ and a focus on methodology. This thesis is about coming to recognise the challenge and importance of ‘not-knowing’ in the context of change and healthcare, the importance of physicality and metaphor, of knowing versus knowledge, of playfulness as a mindset and of a pragmatic, realistic ‘ish’ positioning. About weaving these ideas into the overarching concept of enactive agnosis. Enactive agnosis is offered as a methodology and a mindset in the realms of action research, arts-based research and healthcare change. A pragmatic, realistic, playful approach that recognises, enables and enacts ‘not-knowing’ and ‘good enough’ within the context of inquiry and change. A process of bodily active metaphorical knowing that holds and values the space of not-knowledging long enough to make sense differently, to know, to change.","abstract_has_math":false,"creators":["Dieppe, C."],"institution":"Middlesex University / Ashridge Business School","degree_name":null,"degree_level":"DProf thesis","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023","date_published":"2023","updated_at":"2026-07-24T03:03:55Z","subjects":["Enactive cognition, metaphor, change, action research, relational change, first-person, individual insider, inquiry, poetry, healthcare, method, form, arts-based research, epistemology of practice, epistemology, methodology, physicality, body, play, playfulness, ignorance, pragmatic, ‘ish’"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["oai:repository.mdx.ac.uk:8q453"],"render_values":[{"text":"oai:repository.mdx.ac.uk:8q453","href":null,"code":true}]}]},"links":{"outbound_url":null,"outbound_label":null,"outbound_source":null},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Dieppe, C."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2023"]},{"key":"dc:date.issued","label":"Date","values":["2023"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Business School"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["Middlesex University / Ashridge Business School"]},{"key":"dc:relation","label":"Dc Relation","values":["https://repository.mdx.ac.uk/item/8q453"]},{"key":"dc:relation.isreferencedby","label":"Dc Relation Isreferencedby","values":["https://repository.mdx.ac.uk/item/8q453"]},{"key":"dc:type","label":"Dc Type","values":["Thesis or dissertation"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["DProf thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Enactive cognition, metaphor, change, action research, relational change, first-person, individual insider, inquiry, poetry, healthcare, method, form, arts-based research, epistemology of practice, epistemology, methodology, physicality, body, play, playfulness, ignorance, pragmatic, ‘ish’"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["oai:repository.mdx.ac.uk:8q453"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://repository.mdx.ac.uk/download/e9bbfd294d3fde26e88fa3fb8baf0741d544305743e9568f172c9f050468afce/2882372/CDieppe%20thesis.pdf"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["This is an action research inquiry that takes place within the National Health Service in the UK. I am an NHS consultant, working primarily clinically, who has been involved and interested in change and improvement since 2010. I embarked on this doctorate with the intention of knowing how to do change better, to enhance the impact of conversations about change, and to undertake second-person action research that would impact on how we improve care in the NHS. Early in the doctorate a move of cities and organisations revealed the challenge of context and how it shapes and constrains any possible inquiry. COVID-19 was then added into the mix a couple of years later and what emerged in response was first-person inquiry into my own epistemology. An exploration that resulted in a markedly altered understanding of ‘knowing’ and ‘not-knowing’ or perhaps more appropriately ‘not-knowledging’ and a focus on methodology. This thesis is about coming to recognise the challenge and importance of ‘not-knowing’ in the context of change and healthcare, the importance of physicality and metaphor, of knowing versus knowledge, of playfulness as a mindset and of a pragmatic, realistic ‘ish’ positioning. About weaving these ideas into the overarching concept of enactive agnosis. Enactive agnosis is offered as a methodology and a mindset in the realms of action research, arts-based research and healthcare change. A pragmatic, realistic, playful approach that recognises, enables and enacts ‘not-knowing’ and ‘good enough’ within the context of inquiry and change. A process of bodily active metaphorical knowing that holds and values the space of not-knowledging long enough to make sense differently, to know, to change."]},{"key":"dc:description.abstract","label":"Abstract","values":["This is an action research inquiry that takes place within the National Health Service in the UK. I am an NHS consultant, working primarily clinically, who has been involved and interested in change and improvement since 2010. I embarked on this doctorate with the intention of knowing how to do change better, to enhance the impact of conversations about change, and to undertake second-person action research that would impact on how we improve care in the NHS. Early in the doctorate a move of cities and organisations revealed the challenge of context and how it shapes and constrains any possible inquiry. COVID-19 was then added into the mix a couple of years later and what emerged in response was first-person inquiry into my own epistemology. An exploration that resulted in a markedly altered understanding of ‘knowing’ and ‘not-knowing’ or perhaps more appropriately ‘not-knowledging’ and a focus on methodology. This thesis is about coming to recognise the challenge and importance of ‘not-knowing’ in the context of change and healthcare, the importance of physicality and metaphor, of knowing versus knowledge, of playfulness as a mindset and of a pragmatic, realistic ‘ish’ positioning. About weaving these ideas into the overarching concept of enactive agnosis. Enactive agnosis is offered as a methodology and a mindset in the realms of action research, arts-based research and healthcare change. A pragmatic, realistic, playful approach that recognises, enables and enacts ‘not-knowing’ and ‘good enough’ within the context of inquiry and change. A process of bodily active metaphorical knowing that holds and values the space of not-knowledging long enough to make sense differently, to know, to change."]},{"key":"dc:title","label":"Title","values":["Enactive Agnosis: The playful use of form as a bodily activity of (not) knowing"]}]}],"canonical_facts":{"dc:creator":["Dieppe, C."],"dc:date":["2023"],"dc:date.issued":["2023"],"dc:description":["This is an action research inquiry that takes place within the National Health Service in the UK. I am an NHS consultant, working primarily clinically, who has been involved and interested in change and improvement since 2010. I embarked on this doctorate with the intention of knowing how to do change better, to enhance the impact of conversations about change, and to undertake second-person action research that would impact on how we improve care in the NHS. 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