Stories for Us, or for Others: Digital Storytelling with a Harm Reduction Organization as Culture-Centered Health Communication.

Digital storytelling is a participatory media creation process. To illustrate how digital storytelling may be used as a method within the culture-centered approach to health communication, this paper presents a case study analysis of two 2-day digital storytelling workshops in collaboration with a local harm reduction organization that supports people who use drugs. Storytellers used the communicative space of digital storytelling to confront stigmatizing cultural and institutional narratives related to substance use. Storytellers also demonstrated how harm reduction work engendered a sense of purpose and an alternative to punitive drug policies. However, storytellers felt that stories produced for the harm reduction community could be misunderstood by outsiders, limiting the potential of the stories for advocacy communication. Overall, we find that digital storytelling as a method within the culture-centered approach has potential to elevate the experiences, understanding, expertise, and goals of communities that have been excluded from health communication. The digital storytelling method will have the most value as a critical narrative intervention if the principles and reflexivity of the culture-centered approach are foundational to the process.