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The Photo-instrument. The Photo-instrument Today’s workshop. 5 min.: Notes on the background of developing the intervention 10 min: Practical introduction: how does it work ? 5 min : Questions and discussion. Name. Dr. Jan Sitvast, MA, PhD: nurse researcher/historian.
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The Photo-instrumentToday’s workshop 5 min.: Notes on the background of developing the intervention 10 min: Practical introduction: how does it work ? 5 min : Questions and discussion
Name Dr. Jan Sitvast, MA, PhD: nurse researcher/historian
Educational objectives theoretical concepts Being able to identify the basic structure and therapeutic aims of the intervention Understand how a reflexive stance is realized that helps clients to find new meanings in their lives
Background Trauma treatment: • Creative arts therapies (CAT) • Cognitive behavioral therapies (CBT) • Narrative-based therapies (NBT)
Therapeutic actions of CAT and NBT • Assimilationof memories into newly developed contexts of meaning • Expression of disclosed memories and cognitions within a relational context and contained • A relational contextis provided
Victims of violence Reminiscing is useful when the focus is on self-efficacy beliefs and valued relationships and goals
Offenders • Shame management is needed to prevent remission into self-justification • How to develop new positive scripts that re-align offenders with community
Expression and context Expression within a context of sharing stories helps victims and offenders to imbue their personal story with greater significance and meaning
We aim at a positive adaptation of clients, namely • by reducing a sense of shame • by building a strong sense of connection and fellowship • by making transparent what is valuable in life (focusing on strengths and values) • by finding goals and find new meanings
The intervention stimulates active participation With their ‘photo-essays’ clients make a representation of what they think is important in their lives
GOALFINDINGThe assignment is to make photographs of: • A wish or goal to go for • What is needed to realize your wish
WILLIAM “My goal is to abstain from alcohol.”
Photograph 1: motivation “ I am motivated to abstain from alcohol. My son means everything to me. I want to be a good father to him without using alcohol.”
“Iam motivated to take my medicine against alcohol. I have to do it myself. I am very precise at it, because alcohol and medication are a dangerous combination.”
RESULTS • 46 % of all participants explores in depth emotions and meanings • 65 % of all participants mentioned illness experiences explicitly and reflected on them. • 55 % of all participants tended to evaluate their lives as told in their stories.