Phototherapy MANUAL PDF
Phototherapy MANUAL PDF
Phototherapy MANUAL PDF
www.phototherapy-europe.com
Viterbo, 6-13 November 2011
Associazione Culturale E.U.R.E.C.A. via del Teatro Nuovo 10 Viterbo
Con il sostegno Della Commissione Europea, “Youth in Action Programme”
Associazione Culturale
However these definitions, though widely accepted, are not written in stone. One of the best
known Phototherapy practitioner, the late British photographer Jo Spence, worked
therapeutically with her photography and used the term Phototherapy to describe her practice
in the 1980s together with fellow photographer Rosy Martin, who still describes herself as a
phototherapist.
Another well known photographer who now works as a Phototherapy practitioner, Ellen
Fisher-Turk, writes on her website: “I am not licensed nor do I currently practice as a
psychotherapist. I photograph and practice Phototherapy, asking you, as you choose, to process
your insights with your therapist”. (Fisher-Turk:2011/a)
I personally don’t accept the strict division outlined by Judy Weiser (and it seems I am not
alone!), given that ‘Phototherapy’ is also the scientific term used to indicate skin treatments
with light, and I will use the term Phototherapy throughout this text to indicate the use of
photography and photographs as healing tools, regardless of the presence of a licensed
therapist.
There are many different Phototherapy techniques and the theories behind them can
sometimes go against each other; I will nevertheless try and summarize the various techniques
I have encountered in my studies of Phototherapy and my own practice. For clarity, I will
always refer to the people involved as ‘the Phototherapist’ and ‘the client’. Inevitably, my
explanations will appear schematic and reductive, as this is just an attempt to summarize what
happens during a session, detailing at the same time every type of Phototherapy known to me.
Re-enactment Phototherapy: Jo Spence and Rosy Martin
Jo Spence and Rosy Martin were two british photographers operating in London in the 1980s.
Starting from 1983, they developed a practice they initially defined ‘Re-enactment
Phototherapy’. At the base of this was a new look at the family album, such as could be found
in their households. On examining the visual representations of their lives as shown by their
albums, Spence and Martin became aware of the structured absences which were quite
noticeable within them. On close inspection the family album appeared to be most revealing
in its showing of absences, rather than presences. Absences not only of people (who is taking
the photograph? Who has been excluded from this particular family group photo?) but also of
the multitude of identities which had been left out in favour of a single, elected, iconic image.
By creating images that explored the multiplicity of their identities, Spence and Martin began
their task of reconstructing. “Exploring the self as fictions, as a web of interrelated stories told to
us, about us, and by us, we used therapeutic techniques to look behind the ‘screen memories’, the
simplifications and myths of others, too long accepted as our histories. We began to tell and
explore ways of making visible the complexity and contradictions of our own stories, from our
own points of view.” (Martin:1996)
By analysing whether the photographic portrait represents one’s self, the whole notion of the
self is looked at so that the therapeutic part of Phototherapy makes no assumptions, and aims
to ‘start afresh’ by analyzing the client’s perception of themselves and questioning any
construction or assumption which might have been put upon the client in their vision of
themselves.
A close look at the family album then brings up the issue of construction of identity, and who
the creator of this construction, the creator of meaning is. Once this is identified, therapist and
client go on to explore the client’s history from the client’s point of view. The narrative
changes from clients ‘reading’ the family album as a story of their lives, to them creating the
narrative, and telling their own story.
As one of the practitioners explains in her website, client and therapist (or a therapist and
different clients in a group session) use photography to re-stage and re-enact past experiences
or current issues they might have. Clients and therapist use props and clothes, and take
photographs while this re-enactment takes place.
Issues linked to memories unearthed and explored through counselling would be made visual
with the use of carefully selected clothes and props. Scenarios are staged with the client as
protagonist in a variety of power situations—for example mother-daughter. (In some
situations models might be used.) The Phototherapist offers reassurance, support, and
reflection. The goal is to enable the client to re-experience a previously repressed trauma in a
secure setting, re-examine his or her perceptions and feelings, and achieve a degree of
cathartic release.
The photographs produced during the sessions make visible aspects and parts of the selves
that remain hidden in the 'everyday'; they will create new narratives, new outcomes and
transformations. (R. Martin/R. Lenman:2011)
The 'work' itself is about process rather than product, about using photography to explore
personal issues and to begin to tell one's own story, from one's own point of view. Each
session, each block of time, also has a definite sense of closure. Time is allocated for validations
and sharing in the group, and for grounding: for leaving behind any distressful feelings or
painful memories which may have been brought up in doing the work.
In her workshops, Rosy Martin uses techniques for opening up memories and trust exercises to
create a sense of safety. Time is spent on group processing, since group dynamics are an
important aspect of these workshops.
The re-enactment Phototherapy workshops are divided into two parts - Part one: the
explanation of Phototherapy and experience of opening up memory in pairs and sharing with
the group and for exploring how to make the feelings and issues visible, including searching for
props and clothes. Part two (which takes place on a different day): the practical re-enactment
Phototherapy and processing the images - both the chemical processing - and talking through
in pairs and a therapeutic exploration led by the Phototherapist within the group as a safe and
containing place for the emotions that arise, to make new meanings and integrate the work
done emotionally. (Martin: 2011)
As well as the re-enactment Phototherapy, another technique used by Spence and Martin is
exploring the family album. Clients bring to the session some photographs from their own
family album which are particularly significant for them, and these are used, amongst other
things, to bring back long-forgotten or buried memories. expanding the possible readings.
The use of found photographs as fictions introduces participants to the notions of using
images as a route to unconscious processes.
In a group session/workshop, clients work with their chosen existing family album photographs
to open up the absences and silences hidden by nostalgia. Working in pairs, with their own
photos, participants begin to open up old, hidden feelings, submerged memories and explore
their personal identities. (R. Martin:2011)
Around 1980 Jo Spence was diagnosed as having breast cancer. She responded to her disease
and treatment through photography, channelling her feelings about breast cancer and
orthodox medicine into a series of Phototherapy sessions, which later became an exhibition, ‘A
Picture of Health?’.
Her Phototherapy work dealing with her illness raises several important issues based on her
experience of cancer treatment, offering a unique insight of a patient’s perspective for those in
the medical profession. She was particularly interested in the power dynamics of the
doctor/patient relationship and the role of the healthcare institution in the infantilization of
patients. Jo Spence responded to this by deciding to document what was happening to her
through photographic records, thereby becoming the active subject of her own investigation,
rather than the object of the doctors’ medical discourse.
“She used Phototherapy to tackle the emotional crisis which suffering from cancer created for
her. Through Phototherapy she explained how she felt about her powerlessness as a patient, her
relationship to doctors and nurses and her infantilization whilst being managed and processed by
a state institution. Through Phototherapy she tried to regain the individuality that the cancer
treatment had robbed her of. This work included photos of her dressed as an infant, and to some
extent echo her feelings about the class struggle, and her fight to stand as an individual, on an
equal footing with those who hold power in our society”. (C.Hagen: 1991)
In 1986 Jo Spence wrote a book called “Putting myself in the picture: A political personal and
photographic autobiography” which is almost like a Phototherapy manual, showing her journey
of discovery through the use of Photography in a healing context.
Jo Spence died in 1992, but Rosy Martin continues to run Phototherapy workshops and give
lectures on the subject.
Creating a positive body image: Ellen Fisher Turk
New York based photographer Ellen Fisher Turk helps women overcome the poor body image
that springs from eating disorders and sexual abuse. She has also worked with cancer patients.
The idea is that by showing women suffering with anorexia, bulimia, and over-eating difficulties
some well made images of themselves, she can help them accept their bodies. "Even if there
are just a few frames that a woman likes," says Turk, "she will think that there must be something
lovely about her." (E.Fisher-Turk:2011/a)
New York Post journalist Amy Worden, who wrote an article on the subject in 1998, explains
that It's part of a therapeutic treatment process called The Fisher Turk Method that Turk
developed with her partner, massage therapist Lisa Berkley. Apparently the idea originated
when Berkley, a rape victim, approached her friend asking to pose naked. She hoped that
seeing her body in a new light might improve her self-image; that a nurturing photo session
would erase negative feelings she had about her body having been violently "captured" years
before. Fisher-Turk says : " As we worked, I looked for what was unique and authentic about her -
the real-ness of who she was. I found that in her lines and her form, the way light hit her face, the
angles of her body. When I saw these things, I captured them. It soon became apparent that how
I saw her was different from how she saw herself. Gradually she started describing herself the
way I would."
It worked, and gradually the camera changed the way Berkley saw herself. Ellen Fisher Turk has
since used the same technique with more than 100 women. The New York photographer is now
helping other women confront their problems and develop a more positive image through
photography and journal keeping; in some cases, this method appears to be succeeding where
traditional therapy has failed. (A. Worden:1998)
“I call my work Phototherapy” writes Fisher-Turk in The International Journal of Healing and
caring – “Phototherapy combines black and white photography and journal writing as tools for
changing women’s negative self-image. I ask women to keep a journal when they decide to be
photographed through six weeks afterward. Women start the photographing clothed and
disrobe during the session. Everywhere we look, in magazines, on television, the images are
retouched They look perfect How should we feel? Phototherapy is about how women take back
the appraisal of what is beauty.
Phototherapy uses a woman’s multiple images to shift her negative self-perceptions. By being
seen and not judged, by being photographed nude and seeing what they’re most afraid of
seeing, women have had the opportunity to reconstruct how they see themselves.
I photograph all women. Some suffer from eating disorders such as anorexia or bulimia. Others
are overweight. Some have negative feelings about their bodies caused by rape, incest, sexual
abuse, or surgery. The rest are, perhaps, like you and me – ordinary women who have been spared
trauma, but not the reality of aging or having expectations of being more perfect.
During the past ten years, I have worked with over 100 women and have seen my use of
photography transform their self-image and the way they perceive their bodies. It has also
empowered their lives. I’ve seen them change their way of dressing, their friends, their partners,
their jobs. The photography seems to jump start their lives.
I photograph women as works of art. I see ordinary women as divinely inspired. They choose
where they’ll be photographed and in what position. Many of them are nude. That vulnerability
makes their sessions more powerful. They’re given contact sheets with 36 pictures on a page and
are asked to keep journals of the experience of being photographed, of looking at their
photographs, and their thoughts about these experiences. Through this process, they are able -
many for the very first time in their lives - to experience their beauty as well as a sense of their
potential, strength, individuality, and uniqueness. The ’gaze’ is now used by the ’Object’ Instead
of comparing themselves with the cultural standard, they see themselves, their uniqueness.
They are now the one doing the gazing. They are now the source of what’s beautiful. None of
these women are movie stars. All are ordinary women, photographed as works of art. We are
what we believe we are. (E.Fisher-Turk:2011/b)
Ellen Fisher Turk’s brand of Phototherapy works by using women’s multiple images to change
their negative perceptions about themselves and their bodies. By being seen and not judged,
by being photographed nude and seeing what they’re most afraid of seeing, women have had
the opportunity to reconstruct how they see themselves. (E.Fisher-Turk: 2011/b)
Fisher Turk has done a lot of work on young women suffering from eating disorders. Dr Ira
Sacker, internationally known expert in the field of eating disorders and author of ‘Regaining
Your Self’ and ‘Dying to be Thin’, has referred many patients to her with great success. Dr Sacker
says while these photo-sessions do not cure eating disorders they can help shift entrenched
negative perceptions. "For more than 70 per cent of patients I've referred, it's been effective."
However, he warns that it's important to be in therapy at the same time because you need an
eating disorders expert with whom to process the experience. "This isn't something you play
with. You need to understand what you're dealing with”. Turk agrees: "Don't try this yourself.
People might take terrible pictures and make things worse. It could feel like a confirmation of
'lousy me.'"(E.Fisher-Turk: 2011/a)
Ellen Fisher Turk’s practice doesn’t stop at eating disorders though: her moist poignant work is
conducted with women who have suffered from sexual abuse of any kind. In her website some
of her clients share the ‘journals’ that Turks asks them to keep, where they write about their
own reaction to the photographs of their bodies.
"I wonder what my parents will say…” says a woman in her Incest Journal “I haven't confronted
them with the sexual abuse memories I've been having. Well a funny thing happened when I saw
myself in those pictures. I saw a beautiful, sad, complicated, courageous woman. I realized the
worst was really not so bad. There was nothing wrong with me. I didn’t look like a "Playboy"
centerfold but I didn’t care. For the first time I had sympathy for this somewhat tragic girl
staring at me in all her naked vulnerable beauty. I finally started to see me as a person, not as this
thing. The pictures helped me see it! They were tangible! I could hold myself in my own hands and
see me in black and white, so that I couldn’t explain it away, blame my feelings on my body, how
fat I thought I was, or how small my breasts were. It was the start of a new relationship with my
body." (E.Fisher-Turk:2011/a)
Ellen Fisher Turk also runs “Make peace with your body” workshops, teaching therapists,
photographers and college students her Phototherapy techniques.
The five techniques: Judy Weiser
Weiser started life as qualified mental health therapist and began incorporating photographs in
her practice quite by chance at the beginning of her career, whilst training to be a counsellor,
when some of her photographs taken as a ‘hobby photographer’ were being exhibited in a
local coffee-shop gallery. On engaging in conversation with some people who were discussing
her photographs, and realising that they didn’t know she was the author of them, Weiser
started asking questions about the pictures: “I started asking them about which picture they
liked and why the liked them, what they thought that people would say if they could speak, which
one they’d like to bring home and why and which one made them laugh… I was so amazed by
how differently thay saw my pictures that I got more and more intrigued”. (L. Granato: 1998)
In most of Judy Weiser’s Phototherapy techniques the printed photographs are used as
external objects to help the (qualified) therapist bring out the client’s internalised reality.
As she herself has explained, “ Each person encountering an image responds to both explicit and
implicit messages, (…) embedded in its contents. (…) A person searching for the meaning of a
given photograph will never be able to find the truth it holds for anyone else. In this supposed
limitation lies the power of snapshots as therapeutic tools for accessing unconscious feelings,
thought, memories, personal values, and deeply held beliefs.” (Weiser:1993)
Weiser’s techniques are based on the very strong reactions that clients often have when
confronted with images. Most of her techniques are based on client and therapist looking at
photographs together and talking about them, but sometimes in her practice some
photographs are taken, mostly self-portraits of the client. Self-portraiture is not just used
literally: the client might be asked to take pictures of objects or ‘things’ which represent them,
or – in the projective technique where therapist and client look at many pictures together – the
client might be asked to pick a photograph which they feel really depicts them, from a pile of
pictures on the therapist’s desk.
In her work with self-portraits, Weiser challenges the problem that many people have, of not
having a strong sense of self. Very often clients need to clarify to themselves who they really
are, as opposed to who they are in relationship to other people in their lives.
“If people have grown up with only conditional approval or love, their sense of self becomes
primarily other-defined. Such clients need to find out who they are when none of the definers are
around. Self-portrait Phototherapy work can help clients clarify their self images and raise their
self-esteem and self-confidence through making, viewing and accepting images of themselves
and owning their positive perceptions.” (Weiser:1993)
During a session in which Weiser might be using the Working with Photos of Clients Taken by
Other People technique, clients are asked, as an assignment, to bring in some photos of
themselves taken by others. The therapist might ask the client to bring in some photographs of
themselves that could best explain to who they are, or tell their life story to someone who
doesn’t know them, or to bring some photographs of themselves that they like and some they
dislike. “(…) Once the client has brought in snapshots others have taken of them, the second
stage can begin: reviewing the photographs, discussing the meanings embedded in their visual
contents and in the interactive process of having them taken”. (Weiser:1993) In this case the
photographs are again the starting point for verbal, traditional therapy, where the therapist
asks the client some probing questions about themselves. Only in this case it’s far easier for the
client to talk, because the subject of the discussion is perceived as being an external object.
When things aren’t going quite right or when life isn’t flowing as ordinarily expected, people
instinctively construct stories to explain to themselves (or others) why things aren’t proceding
as they were supposed to. In trying to make sense of it all, people tend to try to ‘normalize’
what has interrupted their natural process of living in order to reduce its degree of strangeness
and enhance their position with regard to the threat. People’s attempts to make life more
conprehensible place them in the role of outside observer of their own life. (…)(Weiser:1993)
In Working with Photos Taken or Collected by Clients “The client takes the time in a safe setting
to tell their story to a stranger and, in doing so, often gets a better understanding of it. In naming,
labeling, and otherwise trying to explain what is going on, people gain insight and acquire
understanding and control over what may have previously escaped their conscious grasp.(…) the
therapeutic advantage to asking clients to take pictures (…) is that constructing and presenting a
vusual story of what is going on in their lives can help them to understand it more fully”
(Weiser:1993)
“(…) after viewing a family’s album pages and collected photographs, a therapist can begin to
formulate questions based on patterns that seem to be presenting themselves. Bearing in mind
that the therapist is as far outside the secrets the snapshots hold as any other nonfamily viewer,
the therapist can be trained to observe recurring positionings, relationships, alignments,
nonverbal messages, and emotional expressions (or lack thereof) that signal questions that need
to be explored with the client or the family”. (Weiser:1993)
Meeting the past: Lietta Granato
I first discovered Phototherapy when I was studying for my Degree in Photography and
Multimedia at Westminster University in London. A professor had told me a little bit about it,
and he had mentioned Jo Spence’s name as she was also from London.
What I did at that point was a little bit adventurous and a lot arrogant (I was young then!). As I
had a few problems from my past which I wanted to come to terms with, I decided to work on
them by using Phototherapy, but BEFORE reading Jo Spence’s book (Putting myself in the
picture: A political personal and photographic autobiography. London: Camden Press 1983), and
before knowing exactly how Phototherapy works. I didn’t want to be influenced by her work,
so I went ahead and formed my own version of Phototherapy, which ended up by helping me a
lot with some very personal issues. The amazing thing is that after exhibiting my work, once I
finally read Jo Spence’s book, I discovered that I had come to exactly the same conclusions,
and that the Phototherapeutic work I had done on myself was almost exactly the same as the
work Jo Spence and Rosy Martin had done before me.
After that I became totally engrossed with the subject, and I wrote my final dissertation on
Phototherapy. By then I had discovered Judy Weiser’s book (Phototherapy Techniques –
Exploring the secrets of Personal Snapshots and Family Albums, Jossey-Bass Publishers, San
Francisco, 1993) and a wealth of practitioners using Phototherapy all around the world.
In the work I did on myself, I used clothes and props to impersonate every member of my
family, and the final piece was a family photograph in which I had impersonated all of my
family. I also did other pieces where I told a difficult truth about myself in the form of a comic
strip: In my photographic studio I built a cartoon-like set and dressed up in vivid colours with a
green wig, and shot a series of pictures which I then printed and put together on a gigantic
white board that resembled a comic book page but was in fact made out of many photographs.
What I had done was restaging a difficult moment in my family’s past, and taken photographs
(self-portraits) of me restaging these moments.
Just like in Jo Spence and Rosy Martin’s Phototherapy practice, by restaging a difficult
situation we have lived in the past, the trauma of our memories lessens and the power of
these memories to influence us in the present is very much defused. It also helps to be
reminded of the context in which the restaging happens: a photographic session in a studio.
This helps because one can, at will, step back and forth between restaging/emotional
involvement, and photographing/intellectual detachment. The most important aspect of
restaging a family portrait is being totally in control from start to finish. In this respect,
Phototherapy, even when practiced in a group, is closer to self-portraiture than to portrait
photography. In Phototherapy client and therapist work together to explore the identity of the
sitter who is in front of the camera. The usual power dynamics between photographer and
sitter are subverted, and creativity is no longer credited only to the photographer, but the
product of a joint effort.
During a Phototherapy session of the type I practice, client’s past experiences can be restaged
and re-photographed with the client’s choice of clothing, props and facial expressions. Also,
photographs from the family album are often restaged and recreated, with the difference
that this time it is the client’s point of view which is taken into account, and not the original
photographer’s. This allows for a shift in self-perception, as by restaging images of the client as
a child, for instance, the client feels more empowered and able to tell his/her story.
This restaging of one’s past experiences – and these are often cathartic moments from the
client’s point of view, and not what is usually deemed important, such as weddings, births etc.
– has a double impact on the client. First, as the moment is restaged it is also re-lived
emotionally: this functions as a powerful catalyst for any strong feelings which might not
previously have been acknowledged by the client. Secondly, the restaging of events from the
past often involves the client – literally – stepping into someone else’s shoes: it is not
uncommon during a Phototherapy session for the client to impersonate their
father/mother/significant person from their lives. This ‘embodiment’ of someone else close to
us, simplistic as this may sound, makes it easier for the client to experience things from the
other person’s point of view.
The type of Phototherapy I practice in my workshops is very similar to the one developed by Jo
Spence and Rosy Martin. However, the strongest difference I perceive between Spence and
Martin’s initial work and mine, is their specific desire to demistify the notion of photographs as
art objects. In their own form of Phototherapy, Spence and Martin seem to make a distinct
effort not to use artistic techniques in therapy, perhaps believing this to be a ‘filter’ which
defuses the power of the ‘real’ picture.
On the other hand, during the Phototherapy sessions I hold with my clients, I make sure there’s
always plenty of art materials and clothes, accessories, props etc. etc. I personally think the
sessions should be self-explorative and tackle something which we perceive as a problem, but
also take place in a ‘light’ athmosphere whith a strong element of play which can help us in
‘letting go’ and reveal ourselves to the camera.
During a Phototherapy session a client would like solve a personal problem. For example, they
might say ‘I’m too jealous and I would like to come to terms with my jealousy’. The client talks to
the Phototherapist about this problem and how it affects them, and why they want to get rid
of it or at least come to terms with it. This type of session can be one-to-one or happen in a
group setting: one Phototherapist and a group of clients. In a group setting (and this is exactly
the work we are going to be douing this week) all clients and the Phototherapist sit in a circle,
often on the floor, and each person in turn talks about the problem they brought into the
session, and how it affects them.
After that, PhotoTherapist and client/s together decide the best way to represent this problem
(in this case: jealousy) using photography. The client might paint their face green, or dress like
‘jealousy’ for instance, making use of clothes and props that are always available during the
sessions. The main ideas will come from the client: the Phototherapist is there simply as a
facilitator: he or she will make suggestions on how to represent the client’s problem, but it’s
the client’s idea that counts.
Once a representation of the client’s problem has been decided on, with the use of make-up,
clothes, props, backgrounds and different camera angles, the clients in their own time let
themselves be photographed and try to evoke feelings of jealousy while their photo is being
taken. It is important to stress how this is almost a self-portrait, and the Phototherapist is just
a facilitator, a helper.
After the photographic session the picture is printed as soon as possible, and the client is then
confronted with a printed photograph of their problem. They can now do what they want with
it. They can use it in artwork (the client will have coloured card, scissors and art materials
available during the session), or they can even decide to destroy it.
The last part of the Phototherapy session is again sitting down, and each client explains what
they have done during the session and what they have done with their picture afterwards, and
why. They then talk about how they feel now, compared to how they felt before the
Phototherapy session. This type of session can be useful, as I said, to come to terms with a
problem one might have (I’m always late’ ‘I don’t trust people’ ‘I get angry for silly reasons’) or
even to get to know oneself better by exploring a side of one’s personality which is usually
hidden.
Sitting around in a circle and sharing one’s problems with others can be very liberating; half the
time we carry a burden with us that can be made lighter by just talking about it with someone.
I’t like the old british saying: ‘A problem shared is a problem halved’.
Listening to other people opening up about their own problems and their own insecurities
generally makes us feel better because we understand that we are not alone when it comes to
having problems. A group setting can be a wonderful tool where clients help each other see
their problems from a different perspective.
When we decide to act on our problem and start making decisions about how to best
represent it in a photograph, we become more empowered. No matter what happened to us in
the past, this time around we are in charge. Impersonating a part of our personality which is
difficult to deal with, for example, can be a very cathartic moment. On the one hand we decide
exactly how to represent something, so we feel less like victims. On the other, the moment we
dress up and impersonate that difficult thing/problem/hidden aspect of our personality we
want to explore, we start feeling something, we are ‘unkocking’ the problem, getting it free
from our inner self, and bringing it up to the surface. When we act as our jealousy, for instance,
when we give it a voice by representing it in a photograph, we have (in a way) ‘met our enemy’.
We now feel we know our problem a bit better. We have brought it out into the open, brought
it to light, and this is certainly the first step to handle a problem of any kind.
In the last part of the session, once our photograph has been printed, what happens is that we
now have a physical representation of our problem. We are holding it in our hands, so to speak,
and we now feel we can do whatever we want with it.
Having a problem that affects us and holding it inside, is very different from feeling that we are
holding that same problem in our hands. In this second scenario we feel very powerful: the
thing we wanted to change is now literally in our hands, and we can do what we want with it.
We feel strong, empowered, and much better equipped in dealing with it.
People generally find that at this stage of their Phototherapy session that problem/hidden
aspect of their personality no longer feels so scary or difficult to deal with. It is at this point that
they feel lighter, less burdened, and they start making artwork with their photograph. I have
seen some clients make a greeting card out of their ‘scary jealousy’, for instance… Some other
clients prefer to keep the photograph which resulted from their session as a reminder not to
act a certain way, or as a reminder of something negative which used to hold them back, and
no longer has the power to do so.
The final group talk when clients explain what they have done with their photograph and why,
gives everybody a sense of ‘closure’. Clients really feel that they have managed to come to
terms with whatever issue they were takling; that they have managed to handle it directly
without ignoring it.
Phototherapy and Youth Work
Phototherapy and photography in general can and should be used in youth work to
pursue two different avenues. On the one hand, Phototherapy can help young people express
themselves and get to know the hidden, not obvious aspects of their personality at a time
(adolescence) when the formation of identity is a core problem. On the other hand,
Phototherapy and photography can also be used as an empowering tool for youth to tell their
own story, to communicate without words and show their life, their environment and their
relationships by taking pictures of them. This is sometimes called Participatory Photography: a
creative modality that asks participants to represent and analyze themselves using
photography.
Many of the youth projects shown below do just that: they teach young people how to use a
camera, and then they ask them to go and photograph what really matters to them, what
surrounds them, what defines them. As the AYA Project’s website explains, “visual arts-based
programming helps youth build cultural literacy and discuss social tension in a non-threatening
manner, in a way that encourages reflective thinking and understanding about oneself and
others.” (ajaproject.org:2011) All information on the following projects comes directly from the
single organizations’ websites, and is copyrighted by them.
Ph15, Argentina
The name of this project, Ph15, comes from Ph= photography and 15, the name designated to
identify the slum "Ciudad Oculta", or Hidden City, located at the edge of Buenos Aires. Ph15
is a space where a group of kids and adolescents are encouraged to express their personal
views through the use of photography. In this art workshop, they explore who they are and
what they feel.
Ph15 is formed by a group of photographers that believe in education through visual arts and
the use of art as a means to promote social inclusion. It offers workshops that possess a
completely innovative character, from the didactic nature of the classes to their role as a space
where underserved youth can develop their identity and artistic expression.
The project started in August of 2000 at the initiative of a group of adolescents from
the"Ciudad Oculta", or Hidden City, who wanted to learn photography.
The workshop activities aim to spread photographic creativity. Through learning how to look at
and depict the different realities of their lives, both as individuals and in a group, the students
learn to explore everything that surrounds them and to express themselves through their
personal views, and with a new perspective. Without ever leaving aside the search for artistic
quality, ph15 generates a space where adolescents can develop their identities, and
subsequently, improve their social and cultural conditions. Ph15 uses the creative power of
photography to open an alternative route for students that transmits values and cultural
understanding that belong to them and are not imposed by others.
Ph15 helps the students to take full ownership of the neighborhood in which they live, to
discover new spaces through field trips organized by the Foundation, and to better interact
with their surroundings. Through Ph15 activities, the students not only leave the neighborhood,
but also learn how to move around the city and know places where they usually don’t go or do
not have access. Ph15 students are aged 11 to 26. (ph15:2011)
You can find out more about this project at: www.ph15.org.ar
The In-sight Photography Project, Vermont (USA)
Michelle Rubino, a Children's Advocate writes: "The chance to learn and become skilled at a form
of self-expression such as photography, under the guidance of caring and sensitive adults, offers
children a very significant healing experience, increasing their self-awareness, their ability to vent
their feelings in positive and constructive ways, and their sense of their own potential and worth."
The In-Sight Photography Project offers students a creative voice and outlet, an opportunity to
experience success, tools for self-awareness and self-worth, and encourages them to become
actively engaged in their communities. In-Sight teaches photography to youth ages 11-18
throughout Southern Vermont, regardless of their ability to pay.
The Project was founded by Bill Ledger and John Willis when they were distracted by a large
number of teenagers hanging around aimlessly in downtown Brattleboro and by the police
who were moving them along for loitering. This scene was so distressing that they decided to
teach a free course for these youths. Encouraged by an outpouring of community support,
John and Bill built a darkroom and teaching facility.
Exposures, one of In-Sight’s newest programs works with groups and educators in partnering
locations to offer Exchange programming designed to create meaningful, creative
conversation among youth from distinct geographic and cultural regions. Youth in Exposures
Exchange programs learn photography skills to document their experiences, cultures, and
communities and collaborate with youth in participating locations through an online gallery
and forum in which they share and respond to one another’s creative works. Exposures is a
cross-cultural exchange program that establishes the arts as a common language among youth
from diverse communities. Programming is based in artistic collaboration and exchange, and is
intended to facilitate creative cross-cultural dialogue and experiences that lead to a better
understanding of our diverse communities and cultures.
Exposures youth participants, facilitators and program staff have come from southern
Vermont, Chicago, the Navajo Nation in Arizona, the Pine Ridge Reservation in South Dakota,
and New York City. (insight photography:2011)
You can find out more about this project at: www.insight-photography.org
You can find out more about this project at: www.studioartecrescita.com
Literacy Through Photography, North Carolina (USA)
In 1989 the Center for Documentary Studies (CDS) invited photographer Wendy Ewald to
Durham, North Carolina, to offer a two-week workshop for local schoolchildren. A year later,
with encouragement from Durham school administrators and support from CDS, Ewald started
the Literacy Through Photography (LTP) program, working in the Durham Public Schools to
make photographs the basis for a variety of learning experiences across the curriculum. Since
then, LTP has worked with numerous elementary- and middle-school teachers and with
hundreds of children of varying ages and backgrounds.
At its core, Literacy Through Photography encourages children to explore their world as they
photograph scenes from their own lives, and then to use their images as catalysts for verbal
and written expression. Framed around four thematic explorations — self-portrait,
community, family, and dreams — LTP provides children and teachers with the expressive and
investigative tools of photography and writing for use in the classroom.
In connecting picture making with writing and critical thinking, LTP promotes an expansive use
of photography across different curricula and disciplines, building on the information that
students naturally possess. LTP also provides a valuable opportunity for students to bring their
home and community lives into the classroom. Photographs can give teachers a glimpse into
their students’ lives and, in increasingly diverse classrooms, give students a way to understand
each other’s experiences.
Since 1992 the Center for Documentary Studies has offered weeklong Literacy Through
Photography workshops in Durham, attended by artists, photographers, and educators from
across the United States and other countries. These hands-on workshops train participants in
Literacy Through Photography’s methods for combining photography and creative writing,
while also providing a technical understanding of photography. Over the course of the week,
participants design individual plans for their own LTP-based projects. In recent years, LTP staff
members increasingly have taken these workshops to other settings, broadening opportunities
for participation.
Ewald and her staff also teach a seminar at Duke University in which students collaborate with
a local public school teacher and classroom in devising and carrying out an LTP project.
Students read and discuss materials on teaching, photography, and contemporary social issues
relevant to Durham.
With support from Duke University’s Rare Book, Manuscript, and Special Collections
Library, LTP has archived work made by more than one thousand Durham students. This
archive, with more than seven hundred contact sheets and written pieces, is a resource for
researchers and the general public. (Literacy Through Photography:2011)
You can find out more about this project at: http://cds.aas.duke.edu/exhibits/past
AYA, Youth and Photography transformation, California (USA)
The AjA Project provides photography-based educational programming to youth affected by
war and displacement; students think critically about their identities, develop leadership skills,
and become agents of personal and social transformation.
The AjA Project, founded in 2000, is an acronym for the phrase, “Autosuficiencia Juntada con
Apoyo” (supporting self-sufficiency).
In July of 2002, AjA launched Journey, a photography-based after-school program in San Diego,
California. The Journey program utilizes the process of participatory photography to help
refugee youth reflect upon and process their experiences of displacement, migration and
resettlement, as well as to help them think critically about their cultural identities and
communities.
A 2006-2008 program evaluation indicated that AjA plays a significant role in alleviating despair,
loss, and alienation among refugee youth acculturating to life in America. The AjA Project has
two international sister organizations -- Record of Truth in Burma and Disparando Cameras
(para la Paz) in Colombia – and is currently looking into further national and international
expansion opportunities.
The AjA Project is a nonprofit organization headquartered in San Diego, California. Utilizing
participatory photography methods and an assets-based model, AjA’s after-school and in-
school programs transform the lives of displaced youth.
In 2007, AjA was invited to speak at Visible Rights: Photography for and by Youth, a
conference hosted by Harvard University.
The participatory photography process is the underpinning for all of AjA’s programs.
Participatory photography is a creative modality that asks participants to represent and
analyze themselves using photography. The process validates the participant’s voice and
provides a venue for self-guided reflection, reconciliation, and growth. The method has begun
to be utilized as a collaborative intervention tool with marginalized populations, who are often
represented as the silent subjects and rarely given an opportunity to control their own
representation.
In 2010, AjA implemented its newest arts-based initiative – the Social Justice Program, for the
purpose of increasing youths’ self-efficacy, reducing bullying, and creating more inclusive
school environments. Building on the Journey and Cultural Literacy Programs, the Social Justice
Program uses photography as an alternative tool for teaching at-risk youth about identity and
social issues. The program offered students an innovative and visual approach for exploring
how their race, class and gender intersected with current social issues.
Visual arts-based programming helps youth build cultural literacy and discuss social tension in
a non-threatening manner, in a way that encourages reflective thinking and understanding
about oneself and others. It also helps students to embrace art as a powerful tool for creating
change in their communities. (aja project:2011)
You can find out more about this project at: www.ajaproject.org
PhotoVoice, England
PhotoVoice's mission is to bring about positive social change for marginalised communities
through providing them with photographic training with which they can advocate, express
themselves and generate income. PhotoVoice’s vision is for a world in which no one is denied
the opportunity to speak out and be heard. PhotoVoice’s mission is to build skills within
disadvantaged and marginalised communities using innovative participatory photography
and digital storytelling methods so that they have the opportunity to represent themselves and
create tools for advocacy and communications to achieve positive social change.
Working in partnerships with other charities, NGOs and community organisations PhotoVoice
designs and delivers tailor-made participatory photography, digital storytelling and self-
advocacy projects for socially excluded groups. Their pioneering approach brings together the
arts, media, development and social change agendas to work with hard-to-reach groups on
projects that give voice, build skills, provide platforms for advocacy and work towards
sustainable change. Since 1999 PhotoVoice has pioneered the use of participatory photography
as a tool for communication, self expression and advocacy. They have worked in the UK and
across the globe with marginalised and vulnerable communities whose human rights are being
undermined. Organisational partners have included Amnesty International, World Vision,
UNICEF, Save the Children, The International HIV/AIDS Alliance and United Response.
This problem for photography, says Kooi, may lie within the power structure of the portrait,
between the photographer and the subject. As Craig Owens claims, “despite his or her
benevolence in representing those who have been denied access to the means of representation,
the photographer inevitably functions as an agent of the system of power that silenced these
people in the first place.” (Owens:1983)
The issue of representation and of the multiplicity of selves brought up by Spence and Martin
becomes even more important in this case. In my own Phototherapy practice, a young woman
who was disabled once asked me to photograph her with purple hair. She had dyed her hair
purple on purpose, and was going to keep it that way. “I don’t want people referring to me as
‘that girl in the wheelchair’” she told me “So now they can say ‘that girl with purple hair’”.
Kooi also explains how the re-enactment of old family photographs can be helpful in the case
of disabled subjects. First, she says, they find a photograph of themselves from the past. Then
they re-create the scene from the photograph they had found, using props and accessories.
This practice can be effective in the exploration of the disabled subject’s personal narrative. It
is similar to the work of Ellen Fisher Turk: it’s another way of getting to like yourself, your body,
and seeing it in a new light. Spence and Martin firmly believed that this Phototherapy practice
is initially about changing the images in our heads and hearts, but also represents the first step
for us as individuals towards broader social and economic change. To them, photography is an
important tool in the creation of identity, including bodily identity. (M. Kooi:2011)
Just last week an article in the online magazine Digital Photography School talked about the
story of a man, Shaun, who was involved in a serious road accident and as a result of it is now in
a wheelchair and unable to use his left arm. About six months ago, on the suggestion of his
therapist, he started using a digital camera to take ‘creative’ photographs.
“Over the last 6 months my life has changed a lot. Physically I’m improving a little – although still
live life in a wheelchair and am very restricted in my movement – but emotionally I’m a different
guy and much of it is a result of photography.” he writes. “Despite the challenges photography
has made me feel alive again. It has become a very therapeutic thing. It gives me something to
think about that is not related to my pain or injuries. It gives me motivation to get well again. It
takes me out of sitting alone in my apartment. It has given me dreams for the future. It has given
me a social interaction with other photographers (online and in real life). My photos are not as
technically brilliant as [other] authors – but that’s not what photography is about for me. For me
it is a part of getting well and celebrating life, something I never thought I’d do again.” (Digital
Photography School:2011)
Almost Phototherapy
Moira Ricci, Italy
Moira Ricci is an italian photographer based in Tuscany. In her series titled “20.12.53 -
10.08.04”
she explores family relationships by ‘putting herself in the picture’ quite literally, using some
old snapshots of her family and her prematurely deceased mother. With the aid of digital
processing the artist manages to appear in a series of old family photographs beside her
mother, and observe her while remaining an extraneous figure, a sort of ubiquitous ghost
hovering on the edges of the images and events. The photographer seems to follow the tracks
of her mother, whose dates of birth and death provide the series with its title and indicate the
time span covered by the images. In all pictures the photographer’s gaze in directed toward
this woman, whom she clearly misses. This is a way of building a new relationship with her
deceased parent; to ‘feel closer’ to her. Her images are very delicate and deeply moving,
especially the one in which she looks as if she is going to kiss her mother’s neck.
“(…) It is not, however, in response to retrospective needs that Ricci addresses these
photographs of the past. She looks at reality in an attempt to overcome its spatiotemporal
dimension by meeting her mother virtually in various moments of her life before her sudden
death. Digital image manipulation serves the artist to eliminate temporal distance and use the
photographs of her “family chronicles” to consider her mother’s past and her own present and
origins at the same time. Moira Ricci takes the intimate, family photographs lodged in the
memory of every individual as the subject of her work. As the social psychologist Harald Welzer
points out in his Theorie der Erinnerung (Theory of Memory), while these shots can sometimes
come to replace our memories of situations we actually experienced, others taken in our absence
remain alive and fixed in our memory as though we had really been present on the occasion
shown.” (strozzina.org/manipulatingreality/e_ricci:2011)
Martin, R. (1996). You (Never) Can Tell: Phototherapy, Memory & Subjectivity” in: BlackFlash,
Vol. 14.3 Fall 1996
Worden, A. (1998) A Picture worth a thousand positive self-image words, New York Post, June
Granato, L. (1998) On Phototherapy: Uses and Abuses of Photographs in the Mental Health Field
Weiser, J. (1993) Phototherapy Techniques – Exploring the secrets of Personal Snapshots and
Family Albums, Jossey-Bass Publishers, San Francisco
Further reading
Spence, J. (1986). Putting myself in the picture: A political personal and photographic
autobiography. London: Camden Press.
Newbury, D. Reconstructing the Self: Photography, Education and Disability in: Disability and
Society No. 11 (3) Sept. 1996
Williams, B.E. Reaching Adolescents through Portraiture Photography in: Child and Youth care
Quarterly, No. 16 (Winter 1987)
Berman, L. Beyond the Smile: the Therapeutic Use of the Photograph, Routledge 1993
Useful websites
http://www.Phototherapy-centre.com
http://missrepresentation.org/
http://www.rachelleleesmith.com/PridePage.html
http://www.photographicsocialvision.org/puntdevista/index.htm (Barcelona-based
organization using photography as an instrument of expression and social integration).
Finding your Identity
Phototherapy Training Course
Participants quotes
Anna, Bulgaria
“I released my emotions during the Phototherapy session. First I felt happy, then sad, and
after the session I started thinking about Phototherapy a lot. I know now that with these
techniques I can help young people express themselves”.
Anna, Bulgaria
Sergio, Spain
“Last year my art teacher offered me the chance to be a model, but I refused. I was too self-
conscious about my body and hated being in front of the camera. When I return home from
this course my answer will be YES! I now feel more comfortable with myself”.
Sergio, Spain
Alessia, Italy
Petya, Bulgaria
“We have a disability centre near my hometown, and I think it will be a very good experience to
practice Phototherapy with the children there”.
Petya, Bulgaria
Elena, Italy
“I think Phototherapy is the perfect instrument to be used with youth who are experiencing
difficulties. It can help them reach a certain emotional awareness”.
Elena, Italy
Dimitris, Greece
“In working with young people, I will try to take pictures of the subjects as they would like to
be, as opposed to who they are now. These strong pictures hopefully will inspire them to
change and actually become what they really want to be..”
Dimitris, Greece
Roxana, Romania
“My knowledge and feelings about other european cultures has changed after this course.
Communicating with people from different backgrounds was really interesting and it changed
my view of certain people and Countries”.
Roxana, Romania
Mireia, Spain
“When I saw my final picture I felt really good about myself. The whole experience changed my
body image. Before taking this course, I was always a bit self-conscious and very critical of
myself. But now, when I saw that everyone liked my pictures, and I had a lot of positive
feedback, I feel a lot more confident”.
Mireia, Spain
Chrysanthi, Greece
“I will definitely try to organize something like this in Athens, hopefully with your assistance!”
Chrysanthi, Greece
Daniela, Romania
“I think I will use Phototherapy in my work with young people, once I finish this course. I am
thinking of organizing a Phototherapy project in some high schools in Bucharest”.
Daniela, Romania