The Photo-instrument

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The Photo-instrumentThe Photo-instrument

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The Photo-instrumentThe Photo-instrument

Today’s workshopToday’s workshop

5 min.: Notes on the background of developing

the intervention

10 min: Practical introduction: how does it work ?

5 min : Questions and discussion

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NameName

Dr. Jan Sitvast, MA, PhD:

nurse researcher/historian

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Educational objectivesEducational objectives

theoretical conceptsBeing able to identify the basic structure and therapeutic aims of the interventionUnderstand how a reflexive stance is realized that helps clients to find new meanings in their lives

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BackgroundBackground

Trauma treatment:

Creative arts therapies (CAT) Cognitive behavioral therapies (CBT) Narrative-based therapies (NBT)

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Therapeutic actions of CAT and Therapeutic actions of CAT and NBTNBTAssimilation of memories into newly

developed contexts of meaningExpression of disclosed memories and

cognitions within a relational context and contained

A relational context is provided

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Victims of violenceVictims of violence

Reminiscing is useful when the focus

is on self-efficacy beliefs and valued

relationships and goals

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OffendersOffenders

Shame management is needed to prevent remission into self-justification

How to develop new positive scripts that re-align offenders with community

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Expression and contextExpression and context

Expression within a context of sharing

stories helps victims and offenders to

imbue their personal story with greater

significance and meaning

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We aim atWe aim at

a positive adaptation of clients, namely

by reducing a sense of shame by building a strong sense of connection

and fellowship by making transparent what

is valuable in life (focusingon strengths and values)

by finding goals and find new meanings

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Photos prompt participants to talk Photos prompt participants to talk about delicate subjectsabout delicate subjects

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The intervention stimulates The intervention stimulates active participationactive participation

With their ‘photo-essays’ clients make a representation of what they think is important in their lives

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GOALFINDINGGOALFINDING

The assignment is to make The assignment is to make photographs of:photographs of:

A wish or goal to go for What is needed to realize your wish

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WILLIAMWILLIAM

“My goal is to

abstain from alcohol.”

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Photograph 1: motivationPhotograph 1: motivation

“ I am motivated to abstain from alcohol. My son means everything to me. I want to be a good father to him

without using alcohol.”

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“I am motivated to take my medicine against alcohol. I have to do it myself. I am very precise at it, because alcohol and medication are a dangerous combination.”

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RESULTSRESULTS

46 % of all participants explores in

depth emotions and meanings 65 % of all participants mentioned

illness experiences explicitly and

reflected on them. 55 % of all participants

tended to evaluate their lives as

told in their stories.