Hermeneutic Photography: An Innovative Intervention in Psychiatric

This article is about an intervention or approach in mental health care that has been developed from hermeneutics, more specifically the hermeneutics of Ricoeur. In this intervention photography is used as a means to assist patients in a process of meaning making from experiences in their life world. It aims at empowerment and strengthening the agency of patients. It does so by facilitating storytelling. Mimesis, as interpreted by Ricoeur, was found to be a central concept with which we could explain the therapeutic working of the approach and legitimize its ethical claims of empowerment and recovery. Another aspect is the concordance between narrative and action, as described by Ricoeur, which has a pendant in the goal orientation of the photography intervention. At the same time demonstrations and experiences from professional practice (nurses applying the intervention) will give us feedback on the theory and enrich it with new insights, e.g. on ‘iconic representation’

The Photo-Instrument as a Health Care Intervention

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

Photography as a nursing instrument in mental health care: How to use clients' photo stories for recovery

Abma, T.A. [Promotor]Widdershoven, G.A.M. [Promotor

Working with families affected by mental distress: stakeholders' perceptions of mental health nurses educational needs

Family and informal caregivers provide a substantial amount of care and support to people who experience mental health problems. The aim of this study was to explore mental health nurses’, students’ and service users’ perceptions of the knowledge, skills and attitudes that are required by mental health nurses to work with families and carers using a qualitative methodology. Three themes emerged from the data: Knowledge of the family and how mental distress affects the family; Working with the family – support and education and Valuing the role of the family. The three themes demonstrate the complexity of preparing mental health nurses to work with families and carers and the paper offers recommendations about how this might be achieved

Therapeutic photography: enhancing patient communication.

Using photography with patients to help them express concerns, investigate coping strategies and learn from their peers is known as therapeutic photography. The practice has benefits to both professionals and participants, particularly with 'hard to reach' populations who may feel intimidated or disempowered. Neil Gibson explains how this intervention can be structured in the health setting

From the rhetoric to the real: a critical review of how the concepts of recovery and social inclusion may inform mental health nurse advanced level curricula – the eMenthe project

Objectives This critical review addresses the question of how the concepts of recovery and social inclusion may inform mental health nurse education curricula at Master’s level in order to bring about significant and positive change to practice. Design This is a literature-based critical review incorporating a modified rapid review method. It has been said that if done well, this approach can be highly relevant to health care studies and social interventions, and has substantial claims to be as rigorous and enlightening as other, more conventional approaches to literature (Rolfe, 2008). Data sources In this review, we have accessed contemporary literature directly related to the concepts of recovery and social inclusion in mental health. Review methods We have firstly surveyed the international literature directly related to the concepts of recovery and social inclusion in mental health and used the concept of emotional intelligence to help consider educational outcomes in terms of the required knowledge, skills and attitudes needed to promote these values-based approaches in practice. Results A number of themes have been identified that lend themselves to educational application. International frameworks exist that provide some basis for the developments of recovery and social inclusion approaches in mental health practice, however the review identifies specific areas for future development. Conclusions This is the first article that attempts to scope the knowledge, attitudes and skills required to deliver education for Master’s level mental health nurses based upon the principles of recovery and social inclusion. Emotional intelligence theory may help to identify desired outcomes especially in terms of attitudinal development to promote the philosophy of recovery and social inclusive approaches in advanced practice. Whilst recovery is becoming enshrined in policy, there is a need in higher education to ensure that mental health nurse leaders are able to discern the difference between the rhetoric and the reality

Interventie en non-interventie: Het Amerikaanse buitenlandse beleid ten opzichte van Guatemala en Argentinie, 1944-1955.

De Monroe Doctrine en haar verschillende uitvloeisels hebben sinds de afkondiging van de doctrine in 1823 tot en met de jaren tachtig van de twintigste eeuw het buitenlandse beleid van de Verenigde Staten ten opzichte van het Westelijk halfrond bepaald. Na de Tweede Wereldoorlog werd de dreiging van het opkomende communisme gebruikt als legitimatie voor een Amerikaanse invloedssfeer. Zo intervenieerden de Amerikanen in 1954 in de binnenlandse aangelegenheden van Guatemala met als doel het communistische gevaar de kop in te drukken. Echter de 'derde weg' positie van de Argentijnse president Peron werd met rust gelaten. Hoe kan dit? In deze scriptie wordt getracht een antwoord te geven op de vraag welke factoren het Amerikaanse non-interventie beleid ten opzichte van Argentinie bepaald hebben