20-04-23 1

The Photo-instrumentThe Photo-instrument

20-04-23 2

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

20-04-23 3

NameName

Dr. Jan Sitvast, MA, PhD:

nurse researcher/historian

20-04-23 4

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

20-04-23 5

BackgroundBackground

Trauma treatment:

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

20-04-23 6

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

20-04-23 7

Victims of violenceVictims of violence

Reminiscing is useful when the focus

is on self-efficacy beliefs and valued

relationships and goals

20-04-23 8

OffendersOffenders

Shame management is needed to prevent remission into self-justification

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

20-04-23 9

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

20-04-23 10

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

20-04-23 11

20-04-23 12

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

20-04-23 13

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

20-04-23 14

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

20-04-23 15

WILLIAMWILLIAM

“My goal is to

abstain from alcohol.”

20-04-23 16

20-04-23 17

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.”

20-04-23 18

“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.”

20-04-23 19

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.