title: The photo-instrument as a health care intervention.
abstract: The aim of this study is to describe how hermeneutic photography and one application of hermeneutic photography in particular, namely the photo-instrument, can be used as a health care intervention that fosters meaning (re-)construction of mental illness experiences. Studies into the ways how patients construct meaning in illness narratives indicate that aesthetic expressions of experiences may play an important role in meaning making and sharing. The study is part of a larger research project devoted to understanding the photostories that result from groups of psychiatric patients using the photo-instrument. Within a focused ethnography approach we employed a qualitative design of a single case study. Text analysis of photostories was combined with observational data. Data were analyzed using hermeneutic theory. Participant observations were used for triangulation and complementarity. The interaction and collaboration between health care professionals and patients in the context of a photo group emerged as core concept that underlies the photo-instrument. The interaction triggered a reframing of meaning in the patient's illness narrative that offered new perspectives on positive identity growth. The role of visualizing meaning in images was found to lend a dynamic power to the process and triggered a dialectic between real life circumstances and imagination played out in the context of situated action. The findings suggest that a positive reframing of meaning in illness narratives is facilitated by the photo-instrument.
authors: GGNet, Network for Mental Healthcare in the Region Oost Gelderland, Kenniscentrum, Vordenseweg 12, 7230 GC, Warnsveld, The Netherlands. j.sitvast@ggnet.nl
authors: J E
authors: JE
authors: Sitvast
authors: T A
authors: TA
authors: Abma
references: Qual Health Res. 2008 Mar;18(3):428-36
references: 18235165
references: Qual Health Res. 2003 Jan;13(1):77-99
references: 12564264
references: J Exp Psychol Gen. 1980 Dec;109(4):373-92
references: 6449530
references: Sociol Health Illn. 1982 Jul;4(2):167-82
references: 10260456
references: Arch Psychiatr Nurs. 2010 Oct;24(5):349-61
references: 20851326
references: Qual Health Res. 2007 Dec;17(10):1340-50
references: 18000073
references: Can J Nurs Res. 2001 Mar;32(4):21-41
references: 11928299
references: ANS Adv Nurs Sci. 2008 Jul-Sep;31(3):268-79
references: 18724116
references: Qual Health Res. 2007 Jul;17(6):850-8
references: 17582026
references: Health Care Anal. 2009 Dec;17(4):345-55
references: 19784779
references: Health Educ Behav. 1997 Jun;24(3):369-87
references: 9158980
references: ANS Adv Nurs Sci. 1997 Mar;19(3):70-7
references: 9055031
references: J Adv Nurs. 2000 Jun;31(6):1469-75
references: 10849160
references: Nurs Inq. 1995 Jun;2(2):75-82
references: 7664152
references: Issues Ment Health Nurs. 1997 Sep-Oct;18(5):477-94
references: 9362724
references: Nurs Inq. 2003 Jun;10(2):81-90
references: 12755857
references: Issues Ment Health Nurs. 1996 Nov-Dec;17(6):517-27
references: 9052091
references: J Holist Nurs. 1994 Mar;12(1):23-33
references: 7806848
references: J Adv Nurs. 2005 Feb;49(3):254-9
references: 15660549
references: Sch Inq Nurs Pract. 1999 Spring;13(1):57-70
references: 10420797
references: Health Care Anal. 2008 Jun;16(2):77-96
references: 17985247