GGNet, Network for Mental Healthcare in the Region Oost Gelderland, Kenniscentrum, Vordenseweg 12, 7230 GC, Warnsveld, The Netherlands.
Health Care Anal. 2012 Jun;20(2):177-95. doi: 10.1007/s10728-011-0176-x.
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.
本研究旨在描述阐释摄影，尤其是阐释摄影的一种应用，即摄影仪器，如何可用作促进精神疾病体验的意义（重新）构建的保健干预措施。研究表明，患者在疾病叙述中构建意义的方式表明，对经验的审美表达可能在意义的产生和分享中发挥重要作用。该研究是一个更大的研究项目的一部分，该项目旨在了解使用摄影仪器的一组精神病患者产生的摄影故事。在聚焦民族志方法中，我们采用了单一案例研究的定性设计。对摄影故事的文本分析与观察数据相结合。使用解释学理论分析数据。参与者观察用于三角测量和补充。在摄影小组的背景下，医疗保健专业人员和患者之间的互动和协作成为构成摄影仪器的核心概念。这种互动引发了患者疾病叙述中意义的重新构建，为积极的身份成长提供了新的视角。发现可视化图像中的意义赋予了该过程以动态的力量，并在特定情境下的行动背景下引发了现实生活环境和想象力之间的辩证关系。研究结果表明，摄影仪器促进了疾病叙述中意义的积极重新构建。
