Take a picture! The role of visual methods in understanding psychiatric patient’s everyday life

Main Article Content

Veronica Moretti
Chiara Brunetti
Andrea Candaten
Daniela Cannavò
Martina Manfredi
Martina Maserati
Amedea Piccinini
Melissa Rinaldi
Giovanna Artioli
Leopoldo Sarli
Paola Ferri https://orcid.org/0000-0001-7761-7226

Keywords

Visual methods, Photo-elicitation, Qualitative methods, Mental health services, Psychiatric patients, Experience of illness

Abstract

Background and aim: Understanding the patient's experience of mental illness can foster better support for this population and greater partnership with healthcare professionals. This study aims to explore the application of visual methods in the psychiatric field and, in particular, the experience of people suffering from psychotic disorders because it is still an open question that has not been only partially empirically examined.


Methods: This qualitative study was conducted using two visual methods (auto-photography and photo-elicitation) associated with the narrative that emerged from an unstructured interview, in a clinical setting of adult Mental Health in Italy, between October 2019 and February 2020. A total of 5 patients and 5 corresponding referring healthcare professionals were identified and enrolled.  Patients were asked to produce photographs following 4 thematic areas: “Fun”, “Time”, “Something indispensable”, “Place where I feel good”.


Results: A total of 85 photographs were produced. Visual methods have proved to be a useful technique in qualitative research in the area of adult psychiatry. From the interviews, it emerged that visual methods have allowed psychotic patients to use a new language to be able to communicate their emotions.


Conclusions: The healthcare professionals involved also confirm the potential of this tool which, when combined with the traditional interview, is able to deepen the patient's knowledge by overcoming the verbal barriers that often make it difficult to reconstruct the individual experience of illness.

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References

1. Jones DR, Macias C, Barreira PJ, Fisher WH, Hargreaves WA, Harding CM. Prevalence, severity, and co-occurrence of chronic physical health problems of persons with serious mental illness. Psychiatr Serv 2004; 55 (11): 1250-7. DOI: 10.1176/appi.ps.55.11.1250.
2. Di Lorenzo R, Ferri P, Cameli M, Rovesti S, Piemonte C. Effectiveness of 1-year treatment with a long-acting formulation of aripiprazole, haloperidol, or paliperidone in patients with schizophrenia: a retrospective study in a real-world clinical setting. Neuropsychiatr Dis Treat 2019; 15: 183-98. DOI: 10.2147/NDT.S189245.
3. Di Lorenzo R, Perrone D, Montorsi A, Balducci J, Rovesti S, Ferri P. Attitude Towards Drug Therapy in a Community Mental Health Center Evaluated by the Drug Attitude Inventory. Patient Prefer Adherence 2020; 14: 995-1010. DOI: 10.2147/PPA.S251993.
4. Fleming J, Mahoney J, Carlson E, Engebretson J. An ethnographic approach to interpreting a mental illness photovoice exhibit. Arch Psychiatr Nurs 2009; 23 (1): 16-24. DOI: 10.1016/j.apnu.2008.02.008.
5. Pink S. Doing visual ethnography. Sage Publication: London; 2001.
6. Faccioli P, Losacco P. Manuale di sociologia visuale. Franco Angeli: Miano; 2009.
7. Noland CM. Auto-Photography as Research Practice: Identity and Self-Esteem Research, Journal of Research Practice 2006; 2 (1): 1-19.
8. Chiozzi P. Saper vedere: il “giro lungo” dell’antropologia visuale. SocietàMutamentoPolitica 2016; 7 (14): 267-92 P. (2016). doi: 10.13128/SMP-19706.
9. Somaini A, Pinotti A. Cultura visuale. Immagini sguardi media dispositivi. Piccola Biblioteca Einaudi: Milano; 2016.
10. Frith H, Harcourt D. Using photographs to capture Women’s experiences of chemotherapy: reflecting on the method. Qual Health Res 2007; 17 (10): 1340-50.
11. Edmondson AJ, Brennan C, House AO. Using photo-elicitation to understand reasons for repeated self-harm: a qualitative study. BMC Psychiatry 2018; 18 (1): 98. DOI: 10.1186/s12888-018-1681-3.
12. Bucci S, Morris R, Berry K, et al. Early Psychosis Service User Views on Digital Technology: Qualitative Analysis. JMIR Ment Health 2018; 5 (4): e10091. DOI: 10.2196/10091.
13. Hart T. Visual Methods of Social Research. Visual Anthropology 2008; 22: 80-1.
14. Cabassa LJ, Nicasio A, Whitley R. Picturing recovery: a photovoice exploration of recovery dimensions among people with serious mental illness. Psychiatr Serv 2013; 64 (9): 837-42. DOI: 10.1176/appi.ps.201200503.
15. Weiser J. FotoTerapia: tecniche e strumenti per la clinica e gli interventi sul campo. Franco Angeli: Milano; 2017.
16. Burrows A, Schumacher I. Portraits of the Insane: the case of Dr. Diamond. Quartet Books: London; 1990.
17. Weiser J. Using photographs in art therapy practices around the world: Phototherapy, photo-art-therapy, and therapeutic photography. Fusion 2010; 2 (3): 18-19.
18. Oster GD, Gould P. Using drawings in assessment and therapy: a guide for mental health professionals. Brunner-Routledge: New York; 2004.
19. Craddick RA. The self-image in the Draw-a-Person test and self-portrait drawings. Journal of Projective Techniques and Personality Assessment 1963; 27 (3): 288-91.
20. Attard A, Larkin M. Art therapy for people with psychosis: a narrative review of the literature. Lancet Psychiatry 2016; 3 (11): 1067-78. DOI: 10.1016/S2215-0366(16)30146-8.
21. Junne F, Zipfel S. The art of healing: art therapy in the mental health realm. Lancet Psychiatry 2016; 3 (11): 1006-7. DOI: 10.1016/S2215-0366(16)30210-3.
22. Tuisku K, Haravuori H. Psychiatric visual expression interview in dissociative disorders. Psychiatria Fennica 2016; 47: 50-75.
23. Fenner P, Abdelazim RS, Bräuninger I, Strehlow G, Seifert K. Provision of arts therapies for people with severe mental illness. Curr Opin Psychiatry 2017; 30 (4): 306-11. doi: 10.1097/YCO.0000000000000338.
24. Rawling KDB. 'She sits all day in the attitude depicted in the photo': photography and the psychiatric patient in the late nineteenth century. Med Humanit 2017; 43 (2): 99-100. DOI: 10.1136/medhum-2016-011092.
25. Foote B, Smolin Y, Kaplan M, Legatt ME, Lipschitz D. Prevalence of dissociative disorders in psychiatric outpatients. Am J Psychiatry 2006; 163 (4): 623-9. DOI: 10.1176/appi.ajp.163.4.623.
26. Balmer C, Griffiths F, Dunn J. A review of the issues and challenges involved in using participant-produced photographs in nursing research. J Adv Nurs 2015; 71 (7): 1726-37. DOI: 10.1111/jan.12627.
27. Hurworth R. Photo-interviewing for research. Social Research UPDATE 2003; 40.
28. Margolis E, Pauwels L. The SAGE handbook of visual research methods. SAGE Publications: Los Angeles; 2011.
29. Ciampi M. Fondamenti di Sociologia Visuale. Bonanno: Roma; 2015.
30. Glaw X, Inder K, Kable A, Hazelton M. Visual methodologies in qualitative research: Autophotography and photo-elicitation applied to mental health research. International journal of qualitative methods 2017; 16 (1). DOI: 10.1177/1609406917748215.
31. Prosser J. Image-based Research. A sourcebook for Qualitative Researchers. Routledge: London; 1998.
32. Harrison B. Seeing health and illness worlds – using visual methodologies in a sociology of health and illness: a methodological review. Sociology of Health & Illness 2002; 24 (6): 856-72. DOI: 10.1111/1467-9566.00322.
33. Upthegrove R, Ives J, Broome MR, Caldwell K, Wood SJ, Oyebode F. Auditory verbal hallucinations in first-episode psychosis: a phenomenological investigation, BJPsych Open 2016; 2 (1): 88-95. DOI: 10.1192/bjpo.bp.115.002303.
34. Balbale SN, Locatelli SM, LaVela SL. Through Their Eyes: Lessons Learned Using Participatory Methods in Health Care Quality Improvement Projects. Qual Health Res 2016; 26 (10): 1382-92. DOI: 10.1177/1049732315618386.
35. Schmittdiel JA, Grumbach K, Selby JV. System-based participatory research in health care: an approach for sustainable translational research and quality improvement. Ann Fam Med 2010; 8 (3): 256-9. DOI: 10.1370/afm.1117.
36. Csipke E, Papoulias C, Vitoratou S, Williams P, Rose D, Wykes T. Design in mind: eliciting service user and frontline staff perspectives on psychiatric ward design through participatory methods. J Ment Health 2016; 25 (2): 114-21. DOI: 10.3109/09638237.2016.1139061.
37. Naslund JA, Aschbrenner KA, Bartels SJ. How people with serious mental illness use smartphones, mobile apps, and social media. Psychiatr Rehabil J 2016; 39 (4): 364-7. DOI: 10.1037/prj0000207.
38. Tang JP, Tse S, Davidson L. The big picture unfolds: Using photovoice to study user participation in mental health services. Int J Soc Psychiatry 2016; 62 (8): 696-707. DOI: 10.1177/0020764016675376.

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