Skip to main content
Intended for healthcare professionals
Restricted access
Research article
First published online August 28, 2014

New Roads Paved on Losses: Photovoice Perspectives About Recovery From Mental Illness

Abstract

People with serious mental illness face stigma that interferes with recovery. Photovoice is a method that integrates photography and writing, providing a valuable means for capturing the narratives of people with mental illness whose voices are often marginalized. The purpose of the present article is to explore the meaning of recovery for individuals with serious mental illness based on a qualitative analysis of a new photovoice-based intervention, Recovery Narrative Photovoice. This intervention focuses on promoting the process of recovery and sense of identity through the creation of empowering visual images and narratives of recovery for individuals with serious mental illness. In this article, we present iconographic and thematic analysis for the 23 photovoice works from two pilots of the Recovery Narrative Photovoice intervention. Results reveal several themes, including metaphors for mental illness, associated losses, recovery strategies, and recovery outcomes. A final theme pertains to recovery messages learned from the recovery process.

Get full access to this article

View all access and purchase options for this article.

References

Anthony W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16(4), 11–23.
Baldwin C. (2005). Narrative, ethics and people with severe mental illness. Australian & New Zealand Journal of Psychiatry, 39, 1022–1029.
Barbour R. S. (2001). Checklists for improving rigour in qualitative research: A case of the tail wagging the dog? British Medical Journal, 322, 1115–1117.
Cabassa L. J., Parcesepe A., Nicasio A., Baxter E., Tsemberis S., Lewis-Fernández R. (2013). Health and wellness photovoice project: Engaging consumers with serious mental illness in health care interventions. Qualitative Health Research, 23, 618–630.
Carlson E. D., Engebretson J., Chamberlain R. M. (2006). Photovoice as a social process of critical consciousness. Qualitative Health Research, 16, 836–852.
Catalani C., Minkler M. (2010). Photovoice: A review of the literature in health and public health. Health Education & Behavior, 37, 424–451.
Clements K. (2012). Participatory action research and photovoice in a psychiatric nursing/clubhouse collaboration exploring recovery narrative. Journal of Psychiatric Mental Health Nursing, 19, 785–791.
Corbin J., Strauss A. L. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory (3rd ed.). Thousand Oaks, CA: SAGE.
Corrigan P. W., Larson J. E., Rüsch N. (2009). Self-stigma and the “why try” effect: Impact on life goals and evidence-based practices. World Psychiatry, 8, 75–81.
Davidson L., Roe D. (2007). Recovery from versus recovery in serious mental illness: One strategy for lessening confusion plaguing recovery. Journal of Mental Health, 16, 459–470.
Epstein J., Barker P., Vorburger M., Murtha C. (2002). Serious mental illness and its co-occurrence with substance use disorders. Office of Applied Studies, U.S. Department of Health and Human Services. Retrieved from www.oas.samhsa.gov/CoD/CoD.htm
Fleming J., Mahoney J., Carlson E., Engebretson J. (2009). Ethnographic approach to interpreting a mental illness photovoice exhibit. Archives of Psychiatric Nursing, 23, 16–24.
Foster-Fishman P., Nowell B., Deacon Z., Nievar M. N., McCann P. (2005). Using methods that matter: The impact of reflection, dialogue, and voice. American Journal of Community Psychology, 36, 275-291.
Freire P. (1970). Pedagogy of the oppressed. New York: Herder & Herder.
Goffman E. (1963). Stigma: Notes on the management of spoiled identity. New York: Simon & Schuster.
Guion L. A., Diehl D. C., McDonald D. (2011). Triangulation: Establishing the validity of qualitative studies. Retrieved from https://edis.ifas.ufl.edu/fy394
Hergenrather K. C., Rhodes S. D., Bardhoshi G. (2009). Photovoice as community-based participatory research: A qualitative review. American Journal of Health Behavior, 33, 686–698.
Hill C. E., Knox S., Thompson B. J., Williams E. N., Hess S. A. (2005). Consensual qualitative research: An update. Journal of Counseling Psychology, 52, 196–205.
Karp D. A. (1994). Living with depression: Illness and identity turning points. Qualitative Health Research, 4, 6–30.
Kravetz S., Faust M., David M. (2000). Accepting the mental illness label, perceived control over the illness, and quality of life. Psychiatric Rehabilitation Journal, 23, 324–332.
Link B. G., Phelan J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363–385.
Mizock L., Millner U., Russinova Z. (2012). Spiritual and religious issues in psychotherapy with schizophrenia: History, culture, and practice. Religions, 3, 82–98.
Mizock L., Russinova Z., DeCastro S. (2014). Recovery Narrative Photovoice: Feasibility of a writing and photography intervention for serious mental illnesses. Manuscript submitted for publication.
Mizock L., Russinova Z., Millner U. (2014). Acceptance of mental illness: Core components of a multifaceted construct. Psychological Services, 11, 97–104.
Mueser K. T., Rosenberg S. D., Goodman L. A., Trumbetta S. L. (2002). Trauma, PTSD, and the course of mental illness: An interactive model. Schizophrenia Research, 53, 123–143.
Perlick D. A., Rosenheck R. A., Clarkin J. F., Sirey J., Salahi J., Struening E. L., Link B. G. (2001). Stigma as a barrier to recovery: Adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar affective disorder. Psychiatric Services, 52, 1627–1632.
Ridgway P. (2001). ReStorying psychiatric disability: Learning from first person recovery narratives. Psychiatric Rehabilitation Journal, 24, 335–343.
Riessman C. K. (1993). Narrative analysis. Newbury Park, CA: SAGE.
Russinova Z., Rogers E. S., Gagne C., Bloch P., Drake K. M., Mueser K. T. (2014). A randomized controlled trial of a peer-run anti-stigma photovoice intervention. Psychiatric Services, 65, 242–246.
Spaniol L., Kohler M. (Eds.). (1994). The experience of recovery. Boston: Center for Psychiatric Rehabilitation at Boston University.
Streng J. M., Rhodes S. D., Ayala G. X., Eng E., Arcero R., Phipps S. (2004). Realidad Latina: Latino adolescents, their school, and a university use photovoice to examine and address the influence of immigration. Journal of Interprofessional Care, 18, 403–415.
Thompson N. C., Hunter E. E., Murray L., Ninci L., Rolfs E. M., Pallikkathayil L. (2008). The experience of living with chronic mental illness: A photovoice study. Perspectives in Psychiatric Care, 44, 14–24.
Van Leeuwen T., Jewitt C. (Eds.). (2001). Handbook of visual 816 analysis. Thousand Oaks, CA: SAGE.
Wang C. C., Burris M. (1994). Empowerment through photo novella: Portraits of participation. Health Education Quarterly, 21, 171–186.
Wang C. C., Morrel-Samuels S., Hutchison P. M. (2004). Flint Photovoice: Community building among youths, adults, and policymakers. American Journal of Public Health, 94, 911–913.
Wang C. C., Redwood-Jones Y. (2001). Photovoice ethics: Perspectives from Flint Photovoice. Health Education & Behavior, 28, 560–572.
World Health Organization. (2010). User empowerment in mental health—A statement by the WHO Regional Office for Europe. Retrieved from www.euro.who.int/__data/assets/pdf_file/0020/113834/E93430.pdf

Biographies

Lauren Mizock, PhD, is an assistant professor in the psychology department at Worcester State University, Worcester, Massachusetts, and an adjunct assistant professor at the Center for Psychiatric Rehabilitation at Boston University, Boston, Massachusetts, the United States.
Zlatka Russinova, PhD, is a senior research associate at the Center for Psychiatric Rehabilitation at Boston University, Boston, Massachusetts, the United States.
Roni Shani, BA, is a research intern at the Center for Psychiatric Rehabilitation at Boston University, Boston, Massachusetts, the United States.

Cite article

Cite article

Cite article

OR

Download to reference manager

If you have citation software installed, you can download article citation data to the citation manager of your choice

Share options

Share

Share this article

Share with email
EMAIL ARTICLE LINK

Share access to this article

Sharing links are not relevant where the article is open access and not available if you do not have a subscription.

For more information view the Sage Journals article sharing page.

Information, rights and permissions

Information

Published In

Article first published online: August 28, 2014
Issue published: November 2014

Keywords

  1. marginalized populations
  2. mental health and illness
  3. photography / photovoice
  4. qualitative analysis
  5. recovery
  6. research, action
  7. stories / storytelling
  8. visual methods

Rights and permissions

© The Author(s) 2014.
Request permissions for this article.

History

Published online: August 28, 2014
Issue published: November 2014
PubMed: 25168704

Authors

Affiliations

Lauren Mizock
Worcester State University, Worcester, Massachusetts, USA
Zlatka Russinova
Boston University, Boston, Massachusetts, USA
Roni Shani
Boston University, Boston, Massachusetts, USA

Notes

Lauren Mizock, Psychology Department, Worcester State University, 486 Chandler Street, Worcester, MA 01602, USA. Email: [email protected]

Metrics and citations

Metrics

Journals metrics

This article was published in Qualitative Health Research.

VIEW ALL JOURNAL METRICS

Article usage*

Total views and downloads: 1485

*Article usage tracking started in December 2016

Altmetric

See the impact this article is making through the number of times it’s been read, and the Altmetric Score.
Learn more about the Altmetric Scores


Articles citing this one

Web of Science: 42 view articles Opens in new tab

Crossref: 43

  1. “Mending fractured personalities”: A photography-based cultural study ...
    Go to citation Crossref Google ScholarPub Med
  2. Visualizing a Calculus of Recovery: Calibrating Relations in an Opioid...
    Go to citation Crossref Google Scholar
  3. Housing and health for people with refugee- and asylum-seeking backgro...
    Go to citation Crossref Google Scholar
  4. The Good, the Bad, and the Vision: Exploring the Mental Health Care Ex...
    Go to citation Crossref Google ScholarPub Med
  5. “Invisible in the Most Tragic of Ways”: Exploring Internalized Transph...
    Go to citation Crossref Google ScholarPub Med
  6. The big picture of recovery: a systematic review on the evidence of ph...
    Go to citation Crossref Google Scholar
  7. A participatory journal/dialogue approach to narrative research illust...
    Go to citation Crossref Google Scholar
  8. Theory-Responsive Data Analysis: Searching for the Closest Fit
    Go to citation Crossref Google Scholar
  9. Photovoice as a Method to Reduce the Stigma of Mental Illness Among He...
    Go to citation Crossref Google ScholarPub Med
  10. Application: Photovoice: An Application of PAR
    Go to citation Crossref Google Scholar
  11. Parents’ and medical staff’s experience of adolescents with suicide-re...
    Go to citation Crossref Google Scholar
  12. A qualitative study of evidence-based therapeutic process in mental he...
    Go to citation Crossref Google Scholar
  13. Caregiver Support in Mental Health Recovery: A Critical Realist Qualit...
    Go to citation Crossref Google ScholarPub Med
  14. Photovoicing interconnected sources of recovery capital of women with ...
    Go to citation Crossref Google Scholar
  15. The rationales for and challenges with employing arts-based health ser...
    Go to citation Crossref Google Scholar
  16. Recovery From Severe Mental Health Problems: A Systematic Review of Se...
    Go to citation Crossref Google Scholar
  17. Images of Recovery: A PhotoVoice Study on Visual Narratives of Persona...
    Go to citation Crossref Google Scholar
  18. An Integrative Review of Recovery Services to Improve the Lives of Adu...
    Go to citation Crossref Google Scholar
  19. Creating a Hope Narrative for Veterans in Recovery Using Photography a...
    Go to citation Crossref Google Scholar
  20. Understanding Youth’s Lived Experience of Anxiety through Metaphors: A...
    Go to citation Crossref Google Scholar
  21. How Adults With Serious Mental Illness Learn and Use Wellness Recovery...
    Go to citation Crossref Google ScholarPub Med
  22. Recovery services and expectation of consumers and mental health profe...
    Go to citation Crossref Google Scholar
  23. Different ways of seeing: Exploring audience reactions to images of pr...
    Go to citation Crossref Google Scholar
  24. Visual stimuli in narrative-based interventions for adult anxiety: a s...
    Go to citation Crossref Google Scholar
  25. Using Linguistic Landscapes as Stimuli for Relevant EFL Writing
    Go to citation Crossref Google Scholar
  26. Mothers of Children with Complex Trauma: Occupations Viewed through Ph...
    Go to citation Crossref Google Scholar
  27. “If You Can’t Follow, You’re Out.” The Perspectives of People with Men...
    Go to citation Crossref Google Scholar
  28. Imaging Journeys of Recovery and Learning: A Participatory Arts-Based ...
    Go to citation Crossref Google ScholarPub Med
  29. Reducing stigma among healthcare providers to improve mental health se...
    Go to citation Crossref Google Scholar
  30. Strengthening quitter self-identity: An experimental study
    Go to citation Crossref Google Scholar
  31. Worth a thousand words? V isual concept ma...
    Go to citation Crossref Google Scholar
  32. Mental health service user participation in Chinese culture: a model o...
    Go to citation Crossref Google Scholar
  33. Using Photography to Explore Recovery Themes With Veterans
    Go to citation Crossref Google Scholar
  34. Using Photovoice to Explore Quality of Life Factors of Adults With Cro...
    Go to citation Crossref Google ScholarPub Med
  35. Service user and caregiver involvement in mental health system strengt...
    Go to citation Crossref Google Scholar
  36. Qualitative Methods for Routine Outcome Measurement
    Go to citation Crossref Google Scholar
  37. The big picture unfolds: Using photovoice to study user participation ...
    Go to citation Crossref Google ScholarPub Med
  38. Exploring Recovery Perspectives in Individuals Diagnosed with Mental I...
    Go to citation Crossref Google Scholar
  39. Depression Narratives in Blogs: A Collaborative Quest for Coherence
    Go to citation Crossref Google ScholarPub Med
  40. Clinical Use of an Autovideography Intervention to Support Recovery in...
    Go to citation Crossref Google Scholar
  41. Understanding Universal Elements in Mental Health Recovery...
    Go to citation Crossref Google ScholarPub Med
  42. “An Ongoing Struggle With the Self and Illness”: Α Meta-Synthesis of t...
    Go to citation Crossref Google Scholar
  43. Patient navigation and financial incentives to promote smoking cessati...
    Go to citation Crossref Google Scholar

Figures and tables

Figures & Media

Tables

View Options

Get access

Access options

If you have access to journal content via a personal subscription, university, library, employer or society, select from the options below:


Alternatively, view purchase options below:

Purchase 24 hour online access to view and download content.

Access journal content via a DeepDyve subscription or find out more about this option.

View options

PDF/ePub

View PDF/ePub

Full Text

View Full Text