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Moreover, her account of Goodman's third level of reflection takes reflective practice in adifferent direction. She notes that,"... this takes the reflective activity one stage further by relating the parameters of care tosocietal norms and constraints, such as health policy, health economics and resources."(Jasper, 2003 p.75)My work is more concerned at the next stage of reflection by looking at the 'logic' that underpinsthe IMs. In some ways it is contrastingly introspective by comparison with Goodman viaJasper's extrapolation to the bigger picture. In short, my fourth stage is designed to help me findout more about me than to find out more about them.Stage 4: Analysis by case study ‘logic’ rulesDespite the positioning of this work at the qualitative end of the continuum of researchmethodology, it draws support for its claims to validity from social science methods, one ofwhich is the use of case studies. Although, the illustrative moments are not recorded in themanner and style of a traditional case study, they were subjected to the same rigorousinvestigative approach. The final stage of the research process was therefore the analysis of thefive IMs to explore their:• Coherence as a set of signifiers,• Patterns of similarity and difference,• Signification of underlying and enduring logic and,• Likelihood of replication in other contexts, settings or with other people.188Simon Hughes Ph.D. Thesis (October 2012)