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The visual vernacular: embracing photographs in research

Jennifer cleland, anna macleod.

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Received 2020 Oct 28; Revised 2021 Mar 25; Accepted 2021 Apr 21; Issue date 2021 Aug.

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ .

The increasing use of digital images for communication and interaction in everyday life can give a new lease of life to photographs in research. In contexts where smartphones are ubiquitous and many people are “digital natives”, asking participants to share and engage with photographs aligns with their everyday activities and norms more than textual or analogue approaches to data collection. Thus, it is time to consider fully the opportunities afforded by digital images and photographs for research purposes. This paper joins a long-standing conversation in the social science literature to move beyond the “linguistic imperialism” of text and embrace visual methodologies. Our aim is to explain the photograph as qualitative data and introduce different ways of using still images/photographs for qualitative research purposes in health professions education (HPE) research: photo-documentation, photo-elicitation and photovoice, as well as use of existing images. We discuss the strengths of photographs in research, particularly in participatory research inquiry. We consider ethical and philosophical challenges associated with photography research, specifically issues of power, informed consent, confidentiality, dignity, ambiguity and censorship. We outline approaches to analysing photographs. We propose some applications and opportunities for photographs in HPE, before concluding that using photographs opens up new vistas of research possibilities.

Supplementary Information

The online version of this article (10.1007/s40037-021-00672-x) contains supplementary material, which is available to authorized users.

Keywords: Health professions research, Visual data, Photographs

A Qualitative Space highlights research approaches that push readers and scholars deeper into qualitative methods and methodologies. Contributors to A Qualitative Space may: advance new ideas about qualitative methodologies, methods, and/or techniques; debate current and historical trends in qualitative research; craft and share nuanced reflections on how data collection methods should be revised or modified; reflect on the epistemological bases of qualitative research; or argue that some qualitative practices should end. Share your thoughts on Twitter using the hashtag: #aqualspace

Introduction

Smartphones, tablets, and other devices are increasingly embedded in everyday life, influencing how many people interact, think, behave and connect with other people [ 1 , 2 ]. Many people Whatsapp, tweet and text, and/or use Facebook, Instagram and Twitter for professional, social, educational and entertainment purposes. Images are increasingly accessed and used where words would have been used in the past. Indeed, more than 10 years ago, van Dijck [ 3 ] suggested that “digital cameras, camera phones, photoblogs and other multipurpose devices are used to promote the use of images as the preferred idiom of a new generation of users.”

The increasing use of digital images for communication and interaction in everyday life has given a new lease of life to a source of research data long embraced by sociology and anthropology [ 4 , 5 ]. In contexts where smartphones are ubiquitous and with groups of “digital natives” asking participants to share and engage with photographs, this aligns with their everyday activities and norms more than textual or analogue approaches to data collection. Thus, it is time to consider fully the opportunities afforded by digital images and photographs for research purposes [ 6 , 7 ].

This paper joins a long-standing conversation in the social science literature which advocates moving beyond the “linguistic imperialism” of text [ 8 ] to embrace visual methodologies. This conversation has relatively recently made its way into health professions education (HPE): for example, various authors have proposed video [ 9 ], video-reflexivity [ 10 ] and drawings [ 11 ] for research purposes. However, the use of still images or photographs in research remains niche to some areas of inquiry (e.g., exploring patient experiences, particularly mental health and experiences of serious illness (e.g., [ 12 – 14 ]) and some healthcare professions disciplines (e.g., nursing: [ 15 ])), and is an under-exploited approach in HPE research (see below for notable exceptions). Yet it is a method which offers many possibilities, particularly in respect to giving research participants more agency and power in the research process than is the case in traditional qualitative data collection approaches such as interviews.

In this paper, we discuss ways of using photographs in research, focusing on the use of photography within participatory research inquiry. We consider ethical and philosophical challenges associated with photography research, as well as its unique strengths. We outline some popular approaches to analysing photographic data. We finish with a brief consideration of how photographs could be used more in HPE research.

The photograph as data

Photography has been described as a silent voice, another language to communicate with and understand others, and a way of accessing complexities which may not be captured by text or oral language [ 16 ]. As instances of Latour’s “immutable, combinable mobiles” [ 17 ]—literally things which do not change but which carry action and meaning across time and place, as objects of memory and of relationship—photographs allow us to see what was “happening” at a particular point in time.

Photographs can be a source of data (photo-documentation and existing images) and a tool for eliciting data (photo-elicitation and photovoice). Each of these approaches are explained below.

Photo-documentation

Photo-documentation has been used in clinical medicine for nearly two centuries [ 18 ] Clinical photographs and images are vital for training purposes, to illustrate a clinical finding, steps in a process or procedure, or for comparative (“before” and “after”) purposes. They are an integral part of patient’s clinical notes in numerous specialties and are also used to offer the patient insight into realized or expected treatment results [ 19 ].

This way of using photographs—as objective records documenting an objective something—is quite different from how photographs are used in social science research. In fields such as sociology and social anthropology, photography has been used as a tool for the exploration of society [ 4 , 5 ]. Photographs help others understand how societies are culturally and socially constructed, to critically uncover the meaning people place on certain activities, places, things and rituals and to record and analyse important social events and problems. It is on this second use of photographs in research that we focus from this point onwards.

Existing images

A second way of using photographs in research is analysis of publicly available images: in other words, analysis of secondary (photographic) data. There are examples of this approach in medical education in relation to the messages given by images on public-facing documents and webpages, and how these might influence student choice of medical school [ 20 , 21 ]. Visual data is also used in research examining the relationships between architecture/space and learning [ 22 , 23 ]. Photographs can show us how people and things relate to each other. For example, what can we learn from a photo illustrating how staff are distributed around a coffee room, or around the table during a morbidity and mortality (M&M) meeting? Documenting the materials of a research space in a photograph serves as a mechanism for tracing the complexity of the field (see Fig.  1 and its accompanying explanation).

Fig. 1

A photograph as an elicitation tool. Collected as part of a sociomaterial study to document the material complexity of simulation led by MacLeod. This photograph of a manikin in a typical simulation suite could serve as a useful elicitation tool in a study of simulation. Rather than asking research participants to use their memories to imagine a simulation suite, the photograph provides concrete detail, helping to reorient participants to the space. Rather than using a phrase like “simulation is complex”, the photograph serves as “evidence” of the complexity, documenting multiple non-human elements involved in a simulation at a particular time and place. This clarity can provide a jumping-off point for more detailed and specific conversations about the topic being studied

Photo-elicitation

In photo-elicitation (sometimes called photo production [ 24 ] or auto-photography), the specific area of focus is typically decided by the researcher. The photos are either taken by the researcher or participants.

In researcher-driven photo-elicitation the researcher decides on what people, objects, settings and/or scenes they find interesting or potentially important enough for a picture. These photographs are then used as prompts for discussion within an interview with the researcher. The photo(s) is a prompt to elicit data, akin to an open question in a semi-structured interview. Unlike interview or focus group questions however, participants not only respond to photographs with extended narratives but also supply interpretations of the images, drawing from and reflecting their experiences.

In participant-driven photo-elicitation, control of data collection is handed over to participants who have the freedom to pick and choose the representation(s) which is most salient to them in relation to the question under study. For example, to explore children’s experiences of hospital, Adams and colleagues [ 25 ] asked children to photograph architectural or design features that most interested them in a vast hospital atrium (the hospital’s primary non-medical space, full of shops, restaurants and so on). The children’s photographs were then used as the anchor to dialogue [ 26 ].

Participant-driven photo-elicitation empowers the participant to both choose the image and drive the dialogue about the image. Consider a picture of an alarm clock set to an early hour. This becomes meaningful only when the photographer explains that this image signifies their transition from student to first trained job. While the participant’s perspective on the transition to practice could potentially be accessed using traditional words-alone methodologies, photographs are different because they present what the participant felt was worthy to record, help capture the immediacy of the experience and stimulate memories and feelings. In other words, one of photo-elicitation’s strengths, and how it differs from interviews and focus groups, is its potential to collect data that not only taps into the perspective of the participant but does so at the time of the experience.

Images seem to prompt a different kind of reflection on lived experiences. Harper [ 26 ] suggests that images prompt emotions and thoughts in ways that narrative alone cannot. By seeing what they did, informants may help the researcher to better understand their behaviour. Moreover, by viewing and discussing photos together, the researcher and participant actively co-construct meaning. In this way photo-elicitation offers a way to potentially enrich and extend existing interview methodologies and give a combination of visual and verbal data for analysis purposes [ 27 ]. Furthermore, the act of interpreting an image creates a critically reflective space within the research process which is lacking in interview methods. Leibenberg suggests that “collectively then, images introduced into narrative research create important links that participants can use to more critically reflect on their lived experiences and to more accurately discuss and share these experiences with others” [ 28 , p. 4].

Arguably however, if the main source of data is not the photographs themselves but the transcripts from photo-elicited discussions, this may still privilege participants who are more skilled verbally—maintaining the “linguistic imperialism” of text, or, more accurately, of transcribed responses [ 8 ]. While this criticism cannot be wholly dismissed, the many empirical studies referred to in this paper suggest that photographs help make abstract ideas accessible and encourage reflection in groups which are less literate and who do not routinely engage in reflection. Moreover, there are approaches to data analysis which privilege the image, not the accompanying text (see below).

A specific research method within the bracket of photo-elicitation is photovoice. Developed by Wang and Buriss in 1997, photovoice involves asking community members to identify and represent their community through specific photographs and tell the stories of what these pictures mean, promoting critical dialogue and potentially catalysing social action and change [ 29 ]. Photovoice allows people to see the viewpoint of the people who live the lives, and as such is considered an example of participatory research [ 30 ]. For example, MacLeod et al. [ 31 ] asked adolescent youth to take photographs pertaining to the health of their community. The adolescents created a platform for discussion, and helped the researchers, who were medical students, learn about the community they were serving. Photovoice is often used to access and explore patient experiences, particularly mental health and experiences of serious and/or life-threatening illness [ 12 – 14 ].

The ease of taking photographs with a mobile phone has opened up new ways to utilise the photovoice methodology, particularly the method of “time-space diaries” [ 32 ] or digital journals. Participants record what is meaningful to them across time and activities, such as what and where they ate over a full day, or salient events in the first few weeks of medical school. Just like non-research social media activity, a series of images can provide insight into real, lived experiences and give participants a voice to reflect on their everyday lives on issues relevant to the research topic. Consider a resident taking pictures of things and people who were significant to their first experience of a full weekend shift. The nature of the images may change over time, reflecting exposure to different patients, working with different colleagues, task demands and fatigue.

In summary, the nature of photographs as data varies according to who produces them, whether they are independent of the research or created specifically for the research, how they are used in the research process and whether they are used in conjunction with narrative (verbal) data. These key decisions can be synthesised, according to Epstein et al. [ 33 ], into three basic questions:

Who is going to make or select the images to be used in the interviews?

What is the content of the images going to be?

Where are the images going to be used, and how?

How photographs and accompanying narratives can be analysed is discussed next.

Data analysis

There are two main ways of approaching photographic data analysis. The first, the dialogic approach, focuses on analysing the verbal or written reflection on the content of photographs and what they symbolise. This approach is fundamentally constructivist, “locating visual meaning as foundational in the social construction of reality” [ 34 , p. 492]. Traditional ways of analysing verbal/transcribed data such as thematic analysis [ 35 ], content analysis [ 36 ], grounded theory [ 37 ] and various forms of discourse analyses [ 38 ] are appropriate for analysis of photograph-prompted dialogue. In this approach, the photographs themselves are usually used merely for illustration purposes, if at all [ 38 ].

Alternatively, the data can be within the photograph itself, separate from its capacity to generate dialogue and independent of any explanation. Photographs can provide new ways of seeing the phenomena under study from their visual features. For example, in their analysis of existing images on medical school websites and prospectuses in 2019, MacArthur, Eaton and Marrick [ 21 ] recorded information including gender, ethnicity, assumed role and setting, of each person on each image. They found a predominance of hospital-themed images, compared to few community-themed images. They concluded that these images signalled to students a strong preference for hospital-based settings, despite a strong national drive to recruit more general practitioners.

This approach to analysis is referred to as “archaeological” because images inherently reflect the social norms of a point in time. Consider your graduating class photograph. Clothes and hairstyles which were chic at the time may look old-fashioned and incongruous when viewed many years later. In this way, photographs contain “sedimented social knowledge” [ 34 , p. 502], manifest through the photographer’s choices of scenes, subjects, styles, compositions and so on. An educational example of this is presented in Photograph S1, found in the Electronic Supplementary Material (ESM).

Grounded, visual pattern analysis (GVPA) combines both approaches [ 39 ]. Via a structured, multi-step process of analysis, GVPA investigates the meanings individual photographs have for their photographers and also attends to the broader field (sample) level meanings interpreted from analysis of collections of photographs. Paying attention to absence (what is not photographed) is also important [ 40 ]. The analysis process ends by building conceptual contributions rather than purely empirical ones from the photographic data (see Photograph S2 in ESM).

Whichever analysis approach is taken, as with any qualitative research, it is important to consider quality and rigour in respect to the credibility, dependability, confirmability and transferability of the data [ 41 ]. Providing details of the sampling strategy, the depth and volume of data, and the analytical steps taken helps ensure credibility and transferability. Photo-elicitation allows participants to work with and direct the researcher to generate data that is salient to them, thereby increasing the confirmability of research outcomes. Allowing participants to clarify what they meant to convey in their photographs is inherently a form of member checking. As for all research, ethical considerations should be considered and addressed, as well as a clear statement made on formal research ethics committee approval or waiver. Thought must be given to the power relationship between researcher and participants and how this might affect recruitment, the nature of the data and so on. Reflexivity, reflecting on the extent to which similarities or differences between researcher and researched may have influenced the process of research, is particularly critical in photo-elicitation studies [ 42 ]. Keeping written field and methodological notes as well as a reflexive diary is important for dependability and confirmability.

Finally, in terms of data presentation, in our discipline most journals have a limit on the number of tables, figures and/or images allowed per paper, and most do not publish colour photographs. This limits the visual data which can be presented in an article. However, journals also offer the option of supplementary e‑files. We suggest that one or two pictures in an article can support key evidential points, with additional data made available electronically.

Ethical considerations associated with photographs in research

As with any method, care must be taken to ensure the proper use of photographs for research purposes. Here we briefly consider the main ethical issues of power, informed consent, anonymity, dignity and image manipulation. We direct readers to Langmann and Pick [ 43 ] for more in-depth discussion.

In any researcher/participant situation, there is a power dynamic that privileges the “expert” researcher over the object of study, the participant. Certain ways of using photographs in research, specifically photo-elicitation, can change this dynamic and empower participants by giving them an active role in the research process, making them the experts, and allowing the researcher greater insight into participant perspectives [ 29 , 30 ]. Photo-elicitation also gives those who are not verbally fluent another way to express themselves effectively, avoids the use of survey questionnaires and other research instruments that might be culturally biased, and places participants as equals—able to reflect and decide how they want to represent themselves visually [ 43 ]. Photo-elicitation is thus firmly rooted in an approach to inquiry that draws on Paulo Freire’s (1970) critical pedagogy [ 44 ] and fits within the broader participatory action research method [ 29 , 30 , 37 – 40 , 45 ].

The use of mobile phones for data collection is considered a way of connecting younger groups with research [ 46 ], connecting with populations in more remote and rural communities across the globe [ 47 ] and with “difficult to reach” populations (e.g., [ 14 ]). However, it is important to again acknowledge the “digital divide” and the associated power differential: marginalised populations and certain societal groups may not have access to equipment to take and share photographs. Where this is the case, the researcher must consider whether to supply the necessary equipment or whether an alternative method of data collection is more feasible.

Informed consent

Informed consent is particularly challenging with photographs. It is difficult to ensure that every person in an image has given their consent to the photo being taken and used for research purposes. Where images are participant-generated, clear instructions about the purpose of the research and the photographs, and the processes of ethical consent, are essential [ 48 ].

Confidentiality

Confidentiality is an issue, particularly if a photograph includes a person’s face. Faces can be pixelated or blurred to protect participants’ identities, but these approaches may objectify the people in the photo and make the photographs less powerful [ 48 ].

Our third point relates to dignity. Langmann and Pick [ 43 ] suggest three ways of considering dignity in research photography: being sensitive to the social and cultural norms of the communities being researched, being aware that those who are the focus of the research will benefit by the presentation of an authentic view of the situation and considering the impression the photograph will give if and when it is published. In all cases, it is the researcher’s responsibility to exclude photographs which are not covered by ethical approvals, as well as any potentially harmful or compromising photographs.

Photographs can mean different things to different people [ 24 , 49 ] and meanings may change over time, depending on context and how they are associated in terms of text and other images (for example, one’s interpretation of a photograph taken as a teenager is likely to differ when viewing it as an adult). This ambiguity makes some researchers uncomfortable. However, if one takes a social constructivist stance, that we live in a multi-reality world, then this possibility of multiple meanings from a photograph adds to the data.

Conscious and unconscious “self-censorship”, including when, where or what to photograph, or editing a photo to convey an intended message, is inherent in photo-elicitation [ 45 ]. However, self-censorship is not an issue if one accepts that the purpose of photo-elicitation is to access the social reality of another individual.

Strengths of using photographs in research

Participation and co-construction.

As mentioned earlier, photo-elicitation and photovoice maximise opportunities for participant agency and engagement in the research process, allowing participants to work with and direct the researcher. Furthermore, in dialogic approaches, research involves a joint process of knowledge-production where narratives are co-constructed between participant and researcher through discussion. By using participant-driven photographs, the researcher gains an understanding of what the content of the photos means to the participants without imposing their own framework or perception of a topic on the process.

Participatory research requires trust, a safe space between participant and researcher, so people can express their thoughts and views. Wicks and Reason [ 50 ] suggest that establishing this safe space must be considered throughout the research process: empowering participants in the earlier stage of the research process can also build the connection and trust between researcher and participant—and reduce participant inhibition later on. This may be particularly useful where the topic is sensitive or taboo. For example, Meo [ 51 ] reported photo-elicitation was useful in tapping “class and gendered practices” (p. 152) in greater depth than with interviews alone.

Giving power to participants within the research process can be challenging for researchers. Adjusting to participants as co-researchers may be new and unfamiliar. Continuous flexibility and reflexivity on a personal (e.g., personal assumptions, values, experiences, etc. that shape the research) and epistemological (e.g., the limits of the research that are determined by the research question, methodology and method of analysis) considerations are critical [ 52 ].

Photographs provide structure to an interview, giving the researcher something to return to, to elicit more detailed discussions and/or trigger memories and reflection [ 53 ]. In addition, participants often give information about people or things outside of the photo (the invisible) as well as on who and what are visible [ 52 ]. Similarly, the researcher may be able to access parts of participants’ lives that would be difficult to see into otherwise. For example, Bourdieu argues that visual methods of research may be particularly helpful in investigating habitus, ways of being, acting and operating in the social environment that are “beyond the grasp of consciousness” [ 54 , 55 ].

Snapshots in time and of space

As mentioned earlier, photographs are inherently snapshots in time. They also provide snapshots of space, a means of examining the material assemblages of space, of how things are ordered and used [ 56 ]. For example, a photo of students in a learning space would illustrate who sits with whom, the spatial relationships between humans (e.g., student and student, students and teachers) and the non-human (e.g., bags, laptops, phones, snacks) (see Fig.  2 as an example).

Fig. 2

An example of a photograph representing the assemblage of time and space: Students distributed in the space of a contemporary learning suite. Photograph from a publicly facing webpage on a medical school website. This photograph provides an example of how a photograph captures space and time. It provides a glimpse at a contemporary medical school. The photograph serves to document the complexity of modern medical schools, making clear the digitized learning environment. Such a photograph might evoke emotion and a sense of progress, in particular, when contrasted with more traditional images of students learning in a stadium-style lecture theatre

Applications and opportunities

Looking forward, we encourage researchers to consider the use of photographs as a source of data, as a way of accessing data that might otherwise have been obscured or overlooked if we had relied solely on language-based data. We encourage readers to consider what might be learned were we to augment current understanding by incorporating photographic data sources into healthcare professions research. In Table S1, found in ESM, we suggest some outstanding research questions and topics that could be explored. The list found there is by no means exhaustive. Rather it reflects our own interests and observations and should be regarded as a springboard to help readers consider diverse ways in which photographs may add richness in research endeavours.

There are many ways of conducting qualitative research in health professions education research (HPER). All have their affordances and limitations. In this article, we have offered a critical examination of how photographs can be used to generate rich and potentially different data to that generated through talk-only data collection. Using photographs in HPER research opens up new vistas of research possibilities, whether as a means of accessing snapshots of people and situations in time and space and/or as a means of engaging participants collaboratively, to explore taken-for-granted lived experiences which may not otherwise be accessible. This is a fertile area for future research and the empirical potential is vast, ranging from reflective practice to widening participation to questions which are as yet unknown.

Table S1 Potential applications and opportunities for using photographs in qualitative HPE research. This is arranged by area of Interest (e.g., simulation), potential research question, philosophical underpinnings, methodology, method and analysis for ease

An archeological example of the complexity of distributed medical education. Taken in the audio-visual control room of a video-conferenced medical education program (from MacLeod’s photograph research cannon)

This example features a photograph from a publicly facing webpage on a medical school website. The combination of the photograph and its accompanying text would lend itself well to a Grounded Visual Pattern Analysis (GVPA)

Acknowledgments

Acknowledgements.

This paper was inspired by JC’s move to Singapore, a society which uses photographs rather than text in all spheres of life—as proof of payment or parcel delivery, to illustrate a point, to share information, to advertise an event, etc.

The authors neither sought nor received any funding for this project.

Author Contribution

JC suggested and coordinated this collaborative effort, initiated the writing outlines and drafts. AM helped create and revise outlines and drafts. Both authors contributed significantly to the intellectual contents, gave approval of the version to be published and agree to be accountable for the work.

Declarations

Conflict of interest.

J. Cleland and A. MacLeod declarethat they have no competing interests.

Ethical standards

This is not applicable as no human or animal subjects were involved in the creation of this paper.

  • 1. Couldry N, Hepp A. The mediated construction of reality. Cambridge: Polity Press; 2016. [ Google Scholar ]
  • 2. DeLuca K. Images, audiences, and readings. In: Manghani S, Piper A, Simons J, editors. Images: a reader. London: SAGE; 2006. [ Google Scholar ]
  • 3. van Dijck J. Digital photography: communication, identity, memory. Vis Commun. 2008;7:57–76. doi: 10.1177/1470357207084865. [ DOI ] [ Google Scholar ]
  • 4. Bateson G, Mead M. Balinese character: a photographic analysis. 1942. [ Google Scholar ]
  • 5. Becker HS. Photography and sociology. Stud Anthropol Vis Commun. 1974;1:3–26. doi: 10.1525/var.1974.1.1.3. [ DOI ] [ Google Scholar ]
  • 6. Paulus T, Jackson K, Davidson J. Digital tools for qualitative research: disruptions and entanglements. Qual Inq. 2017;23:751–756. doi: 10.1177/1077800417731080. [ DOI ] [ Google Scholar ]
  • 7. van Doorn N. Assembling the affective field: how smartphone technology impacts ethnographic research practice. Qual Inq. 2013;19:385–396. doi: 10.1177/1077800413479566. [ DOI ] [ Google Scholar ]
  • 8. Mirzoeff N. An introduction to visual culture. London: Routledge; 1999. [ Google Scholar ]
  • 9. Skinner J, Gormley GJ. Point of view filming and the elicitation interview. Perspect Med Educ. 2016;5:235–239. doi: 10.1007/s40037-016-0278-0. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]
  • 10. Iedenma R. Creating safety by strengthening clinicians’ capacity for reflexivity. BMJ Qual Saf. 2011;20:83–86. doi: 10.1136/bmjqs.2010.046714. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]
  • 11. Cristancho S, Helmich E. Rich pictures: a companion method for qualitative research in medical education. Med Educ. 2019;53:916–924. doi: 10.1111/medu.13890. [ DOI ] [ PubMed ] [ Google Scholar ]
  • 12. Chew JHS, Lopez V. Empowered to self-care: a photovoice study in patients with heart failure. J Transcult Nurs. 2018;29:410–419. doi: 10.1177/1043659617745138. [ DOI ] [ PubMed ] [ Google Scholar ]
  • 13. Park J, Han JW, Choi JH, Lee KC. Photovoice-based assessment of weight management experiences of breast cancer patients treated with Tamoxifen. Int J Environ Res Public Health. 2020;17:4359. doi: 10.3390/ijerph17124359. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]
  • 14. Thompson N, Hunter EE, Murray L, Ninci L, Rolfs EM, Pallikkathayil L. The experience of living with chronic mental illness: a photovoice study. Perspect Psychiatr Care. 2008;44:14–24. doi: 10.1111/j.1744-6163.2008.00143.x. [ DOI ] [ PubMed ] [ Google Scholar ]
  • 15. Riley R, Manias E. The uses of photography in clinical nursing practice and research: a literature review. J Adv Nurs. 2004;48:397–405. doi: 10.1111/j.1365-2648.2004.03208.x. [ DOI ] [ PubMed ] [ Google Scholar ]
  • 16. Walker R. Finding a silent voice for the researcher: using photographs in evaluation and research. In: Schratz M, editor. Qualitative voices in educational research. London: Routledge; 1993. [ Google Scholar ]
  • 17. Latour B. Science in action: how to follow scientists and engineers through society. Cambridge: Harvard University Press; 1987. [ Google Scholar ]
  • 18. Harting M, DeWees JM, Vela KM, Khirallah RT. Medical photography: current technology, evolving issues and legal perspectives. Int J Clin Pract. 2015;69:401–409. doi: 10.1111/ijcp.12627. [ DOI ] [ PubMed ] [ Google Scholar ]
  • 19. DiBernardo B, Adams RL, Krause J, Fiorillo MA, Gheradini G. Photographic standards in plastic surgery. Plast Reconstr Surg. 1998;102:559–568. doi: 10.1097/00006534-199808000-00045. [ DOI ] [ PubMed ] [ Google Scholar ]
  • 20. Chowdhury S, Chowdhury R, Sandars J. A picture is worth a thousand words: the use of visual imagery in medical school application prospectuses in the UK. Med Teach. 2009;31:463–464. doi: 10.1080/01421590903051315. [ DOI ] [ PubMed ] [ Google Scholar ]
  • 21. MacArthur J, Eaton M, Mattick K. Every picture tells a story: content analysis of medical school website and prospectus images in the United Kingdom. Perspect Med Educ. 2019;8:246–252. doi: 10.1007/s40037-019-00528-5. [ DOI ] [ PMC free article ] [ PubMed ] [ Google Scholar ]
  • 22. Hawick L, Cleland JA, Kitto S. ‘I feel like I sleep here’: how space and place influence medical student experiences. Med Educ. 2018;52:1016–1027. doi: 10.1111/medu.13614. [ DOI ] [ PubMed ] [ Google Scholar ]
  • 23. Nordquist J, Kitto SC, Peller J, Ygge J, Reeves S. Focusing on future learning environments: exploring the role of space and place for interprofessional education. J Interprof Care. 2011;25:391–393. doi: 10.3109/13561820.2011.624809. [ DOI ] [ PubMed ] [ Google Scholar ]
  • 24. Radley A. What people do with pictures. Vis Stud. 2010;25:268–279. doi: 10.1080/1472586X.2010.523279. [ DOI ] [ Google Scholar ]
  • 25. Adams A, Theodore D, Goldenberg E, McLaren C, McKeever P. Kids in the atrium: comparing architectural intentions and children’s experiences in a paediatric hospital lobby. Soc Sci Med. 2010;70:658–667. doi: 10.1016/j.socscimed.2009.10.049. [ DOI ] [ PubMed ] [ Google Scholar ]
  • 26. Harper D. An argument for visual sociology. In: Prosser J, editor. Image-based research. London: Routledge; 1998. [ Google Scholar ]
  • 27. Collier JJ, Collier M. Visual anthropology: photography as a research method. Albuquerque: University of New Mexico Press; 1986. [ Google Scholar ]
  • 28. Liebenberg L. Thinking critically about PhotoVoice: achieving empowerment and social change. Int J Qual Methods. 2018;17:1–9. [ Google Scholar ]
  • 29. Wang C, Burris MA. Photovoice: concept, methodology, and use for participatory needs assessment. Health Educ Behav. 1997;24:369–387. doi: 10.1177/109019819702400309. [ DOI ] [ PubMed ] [ Google Scholar ]
  • 30. Satcher D. Foreword. In: Israel B, Eng E, Schulz AJ, Parker EA, editors. Methods in community-based participatory research for health. San Francisco: Jossey-Bass; 2005. [ Google Scholar ]
  • 31. MacLeod A, Jaiswal D, To MJ, Hunter H, Lane C, States C, et al. Twelve tips for medical students to facilitate a Photovoice project. Med Teach. 2016;38:981–986. doi: 10.3109/0142159X.2016.1170779. [ DOI ] [ PubMed ] [ Google Scholar ]
  • 32. Volpe CR. Digital diaries: new uses of PhotoVoice in participatory research with young people. Child Geogr. 2019;17:361–370. doi: 10.1080/14733285.2018.1543852. [ DOI ] [ Google Scholar ]
  • 33. Epstein I, Stevens B, McKeever P, Baruchel S. Photo Elicitation Interview (PEI): using photos to elicit children’s perspectives. Int J Qual Methods. 2006;5:1–11. doi: 10.1177/160940690600500301. [ DOI ] [ Google Scholar ]
  • 34. Meyer R, Höllerer MA, Jancsary D, van Leeuwen T. The visual dimension in organizing, organization, and organization research: core ideas, current developments, and promising avenues. Acad Manag Ann. 2017;7:489–555. doi: 10.5465/19416520.2013.781867. [ DOI ] [ Google Scholar ]
  • 35. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101. doi: 10.1191/1478088706qp063oa. [ DOI ] [ Google Scholar ]
  • 36. Margolis E, Rowe J. Methodological approaches to disclosing historiographic photographs. In: Margolis E, Pauwels L, editors. The SAGE handbook of visual research methods. London: SAGE; 2011. [ Google Scholar ]
  • 37. Drew S, Guillemin M. From photographs to findings: visual meaning-making and interpretive engagement in the analysis of participant-generated images. Vis Stud. 2014;29:54–67. doi: 10.1080/1472586X.2014.862994. [ DOI ] [ Google Scholar ]
  • 38. Rose G. Visual methodologies: an introduction to researching with visual materials. London: SAGE; 2012. [ Google Scholar ]
  • 39. Shortt H, Warren S. Fringe benefits: valuing the visual in narratives of hairdressers’ identities at work. Vis Stud. 2012;27:18–34. doi: 10.1080/1472586X.2012.642955. [ DOI ] [ Google Scholar ]
  • 40. Holm G. Photograph as a research method. In: Leavy P, editor. The Oxford handbook of qualitative research. New York: Oxford University Press; 2014. [ Google Scholar ]
  • 41. Guba E, Lincoln YS. Paradigmatic controversies, contradictions, and emerging confluences. In: Denzin NK, Lincoln YS, editors. The Sage handbook of qualitative research. London: SAGE; 2005. pp. 191–215. [ Google Scholar ]
  • 42. Richard VM, Lahman MKA. Photo-elicitation: reflexivity on method, analysis, and graphic portraits. Int J Res Method Educ. 2015;38:3–22. doi: 10.1080/1743727X.2013.843073. [ DOI ] [ Google Scholar ]
  • 43. Langmann S, Pick D. Ethical considerations in photography as a research method. Singapore: Springer; 2018. [ Google Scholar ]
  • 44. Freire P. Creating alternative research methods: learning to do it by doing it. New Delhi: Society for Participatory Research in Asia; 1982. [ Google Scholar ]
  • 45. Pain H. A literature review to evaluate the choice and use of visual methods. Int J Qual Methods. 2012;11:303–319. doi: 10.1177/160940691201100401. [ DOI ] [ Google Scholar ]
  • 46. Wilkinson S. Hold the phone! culturally credible research ‘with’ young people. Child Geogr. 2016;14:232–238. doi: 10.1080/17597269.2015.1134761. [ DOI ] [ Google Scholar ]
  • 47. Gwaka L. Digital technologies and youth mobility in rural Zimbabwe. Electron J Inf Sys Dev Ctries. 2018;84:e12025. [ Google Scholar ]
  • 48. Wiles R, Coffey A, Robison J, Prosser J. Ethical regulation and visual methods: making visual research impossible or developing good practice. Soc Res Online. 2012;17:8. [ Google Scholar ]
  • 49. Barthes R. Camera lucida: reflections on photography. New York: Hill and Wang; 1981. [ Google Scholar ]
  • 50. Wicks P, Reason P. Initiating action research: challenges and paradoxes of opening communicative space. Action Res. 2009;7:243–263. doi: 10.1177/1476750309336715. [ DOI ] [ Google Scholar ]
  • 51. Meo AI. Picturing students’ habitus: the advantages and limitations of photo-elicitation interviewing in a qualitative study in the city of Buenos Aires. Int J Qual Methods. 2010;9:149–171. doi: 10.1177/160940691000900203. [ DOI ] [ Google Scholar ]
  • 52. Borg M, Karlsson B, Kim HS, McCormack B. Opening up for many voices in knowledge construction. Forum Qual Soc Res. 2012;13:1. [ Google Scholar ]
  • 53. Clark-Ibanez M. Framing the social world with photo-elicitation interviews. Am Behav Sci. 2004;47:1507–1527. doi: 10.1177/0002764204266236. [ DOI ] [ Google Scholar ]
  • 54. Bourdieu P. Photography: the middle-brow art. Cambridge: Polity Press; 1990. [ Google Scholar ]
  • 55. Sweetman P. Revealing habitus, illuminating practice: Bourdieu, photography and visual methods. Sociol Rev. 2009;57:491–511. doi: 10.1111/j.1467-954X.2009.01851.x. [ DOI ] [ Google Scholar ]
  • 56. Fenwick T, Edwards R, Sawchuk P. Emerging approaches to educational research: tracing the sociomaterial. London: Routledge; 2011. [ Google Scholar ]

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Photography as a Research Method with Learners in Compulsory Education: A Research Review

This article offers a review of thirty-one research articles from 2001–2019 on the use of photography as a research method with learners in compulsory education. Understood within the scope of ‘visual’, ‘participatory’ and ‘arts-based’ research methods, many scholars have linked the increased use of the photographic method to greater awareness of the rights of the child and changing understandings of children as full ‘human beings’ with agency rather than simply vulnerable ‘human becomings’. Nevertheless, photography is still a relatively under-utilised approach in research with learners in school-based compulsory education and its use is not widespread globally. Against the background of the history of visual and photographic methods in general and in education in particular, this article highlights two key themes in the empirical research literature: why the photographic method is used (dealing with representation, participation and emancipation); and how the photographic method and the photos themselves are used (pre-generated and participant-generated photographs). It closes with a reflection on what may be holding back its expansion, including key ethical concerns, and a proposal for encouraging its use in education.

  • 1 Introduction

It has been argued that the research methods that social researchers use should be applied creatively so that they can be made ‘fit for purpose’ ( Kara, 2015 ). With this responsibility in mind, a plethora of visual ( Banks, 2001 ; Pink, 2001 ; Rose, 2001 ), arts-based ( Leavy, 2008 ; Knowles & Cole, 2008 ) and participatory ( Reason & Bradbury, 2008 ; Chevalier & Buckles, 2013 ) methods have been evolving, particularly over the last four decades. Scholars have linked this development to a number of shifts, two of which can be related to children and young people and school-based research. The first shift is in understandings of children and young people that came around the time of the United Nations Convention on the Rights of the Child in 1989, and particularly the legal obligation for the ‘best interests’ of children to be taken into consideration, and the views of children to be taken into account on anything that affects them ( Lundy, 2007 ; Lansdowne, 2011 ; Hanna, 2019 ). The second shift relates to the movement within the sociology of childhood that began to more vocally advocate the appreciation of different childhoods where children were increasingly seen not as a vulnerable collective who needed protection, but as individuals holding agency to act on their world and the capacity for independent thought: as fully-fledged ‘human beings’ rather than simply ‘human becomings’ ( James & James, 2004 ). These two shifts, it may be argued, lead to the conclusion that children and young people should be allowed to ‘represent’ themselves to the world ( Prout, 2001 ). Therefore, it is sometimes argued that these, more creative methods hold the potential to offer a more holistic, inclusive and flexible approach to exploring social realities – and a more enjoyable and engaging research experience – particularly with children and young people as research participants ( Thomson, 2008 ; Stirling & Yamada-Rice, 2015).

One method that may be included within this shifting methodological landscape is photography. Used widely within anthropology from the late 19th century, it now holds a firm place in 21st century research methods literature ( Banks, 2001 ). However, while photography has been used fairly frequently as a method in some other fields, as will become clear from the limited number of research articles that were available for this review, it is still a relatively under-utilised approach in school-based compulsory education. This is despite the enduring and perhaps growing salience of visual culture due to the widespread use of social media among younger people in particular ( Woodfield, 2014 ), a conundrum that this Special Issue seeks to take some steps towards addressing.

Against such a background, this article offers a review of thirty-one empirical research articles from the past eighteen years (2001–2019) on the use of photography as a research method with learners in compulsory education. It considers the development of visual and photographic methods in research in general and within educational research in particular. Then it presents the scope of this research review and the search strategy employed to find the articles included within it. Following this, it moves on to the two main themes that emerged from reviewing the research papers, namely: why the photographic method is used (dealing with the key motivations of representation, participation and emancipation); and how the photographic method and the photographs themselves are used (distinguishing between pre-generated and participant-generated photographs). It closes with a reflection on what may be holding back its expansion, including key ethical concerns, and a proposal for encouraging its use in education.

  • 2 Visual and Photographic Methods in Social Research

Photography has variously been described as a ‘visual’, ‘visual ethnographic’, ‘participatory’ and ‘arts-based’ method, depending on how and with whom it is used. Photography first began to be used as a research method within anthropology and ethnography in the early 20th century, when photographic equipment became accessible to researchers ( Banks, 2001 ). In this sense the camera was usually used by the researcher-photographer as a way of capturing an aspect of a community: as ‘photo-documentation’ ( Rose, 2001 ). Since then, the method has seen various evolutions, and particularly a significant movement towards being used as a way of involving participants in the research process itself, either through using ‘found’, researcher-produced or pre-existing photographs, or through participants producing photographs themselves.

Key scholars who have been active in the field of visual ethnography over the past two decades include Sarah Pink (2001) , Gillian Rose (2001) , and Marcus Banks (2001) , who have explored the various debates and dilemmas that have arisen as the method has evolved. For example, in her monograph, Pink (2001) proposes that images are everywhere, ‘inextricably interwoven with our personal identities, narratives, lifestyle, cultures and societies, as well as with definitions of history, space and truth.’ (p. 17) She therefore concludes that visual ethnographic researchers must appreciate the interlinkage between the oral/aural and the visual, for ‘[j]ust as images inspire conversations, conversations may invoke images…images are as inevitable as sounds, words or any other aspect of culture or society.’ (p. 17) Rose (2001) highlights issues of representation in terms of the extent to which an image can represent an object, person, place, time or concept; related to this is the issue of ‘audiencing’ which can influence how a particular image is understood and interpreted, a huge challenge for researchers in any qualitative research but perhaps particularly in visual research. Banks (2001) proposes that visual research is a ‘collaborative project between image maker and image subjects’ and so, social researchers ‘[can]not pretend that they can somehow transcend their humanity and stand outside, merely observing’. (p. 112) There have also been notable contributions from Claudia Mitchell (2011) in her monograph Doing Visual Research and Pat Thomson’s (2008) edited collection Doing Visual Research with Children and Young People . Many of the key debates explored in these monographs and volumes emerge also from the articles selected for this research review and will be returned to later.

In terms of photography in particular, it may be said that its use as a research method has expanded significantly, being used in very different ways to cover different topics and work with different groups of people, to serve different ends and to address or challenge some ethical issues. There have been notable edited collections published from the 1960s onward, such as John Collier’s collaboration with Malcolm Collier in their book Visual Anthropology: Photography as a Research Method . ( Collier & Collier, 1967 ) One of the best-known pioneers in this area has been Caroline Wang (along with Burris in the early days) who from 1997 began to publish on ‘photo-voice’ or ‘participatory photography’ in health and community contexts (see, for example, Wang, 1999 ). ‘Photo-voice’ is a method that involves participants documenting their experiences through photography and then discussing them, with a view to bringing about criticality, empowerment and change, all within a participant-led environment. ( Wang, 1999 ) It is an approach that has been used quite extensively within community settings, where a research participant will often have the use of a disposable camera and will therefore be able to take photographs within their daily lives. In this way, Wang has inspired a whole generation of researchers who wish to use a participatory approach to research, where participant-researchers are fully informed and leading and moulding the research in some way. It is also strongly associated with ‘photo-elicitation’ (Collier & Collier, 1986; Harper, 2002 ) whereby participants describe the photographs and sometimes write short inscriptions for them, that may or may not be shared publicly. However, ‘found’ or researcher-generated photographs have also been used as a way of sparking discussion or debate or tapping into a memory. Both of these approaches will feature in the themes of this research review below.

What may be apparent so far is that the best-known scholars in photography as a research method appear to be located outside of the field of education. While its use within social science research in general may be traced to the 1960s, as Kaplan, Lewis and Mumba (2007) noted, it is very difficult to trace the origin of the photographic method within compulsory education; in 1998 Wetton and McWhirter wrote on health education, in the same year, Prosser (1998) discussed the fact that text is normally more highly valued than images in educational research, and the earliest research paper that could be found for inclusion in this review was from 2001, which investigated sociability and cooperation among 4–5 year olds in England, using researcher-generated photographs ( Broadhead, 2001 ). There are some notable, more recent contributions specific to education that will interest the reader. There is extensive treatment of photographic methods in Miles and Howes’ (2015) edited collection Photography in Educational Research: Critical Reflections from Diverse Contexts . There is also the Wylie Handbook of Ethnography in Education from 2018 which includes a chapter on visual ethnography in education that refers to photography and covers such aspects as ‘participatory photography’ and ‘photo-elicitation’ interviews as well as the challenges of getting access to research sites due to institutional review boards ( Holm, 2018 ). However, while compiling this research review, what became clear was that, although photography as a research method is quite common within the early years of education, as well as in community (non-school) settings and other anthropological or sociological research ( Barker and Smith, 2012 ), it appears to be used less often with learners within compulsory education. Returning to Kaplan et al., they noted this in their work over a decade ago (2007) but it could be argued that the field has not expanded significantly since then. This is despite the fact that the method is clearly and continually being developed in other fields, while appreciation and understanding of visual culture grows. This is a curious point that will be explored more fully in the concluding section of this article, where ethical concerns and understandings of children will feature.

  • 3 Scope of this Review and Search Strategy

This research review is a qualitative, narrative review (Efrat et al., 2019) focused solely on the use of photography as a research method with learners in compulsory education. This type of review aims to ‘survey the state of knowledge in a particular subject area and offers a comprehensive background for understanding that topic.’ (p. 21) It is based on articles in English language journals that report empirical research as this is the only language in which I am fluent. Therefore, it is unsurprising that many of the articles have been written by English native speakers in English-speaking countries.

In terms of search strategy, I followed Reed’s stages (2017). I did an initial general search based on Google and Google Scholar, looking for ‘photography as research method’ to check on terminology. After reading generally about visual and photographic methods, I then turned to academic databases, beginning with Scopus. I did a Boolean search of titles, key words and abstracts, with my search terms refined to ‘photography’, ‘education’/’school’/’learning’ and ‘research’ and ‘method’. I limited the disciplines to ‘arts and humanities’ and ‘social sciences.’ I also limited the search to research articles and excluded books and book chapters. I did not limit the time period at this stage, although I was aware from my initial reading that very little was available from before the early 2000s. I also did not limit the country focus. This brought up 135 research articles. I also used the references in the selected relevant papers that were more broadly on ‘children’ and ‘photography’ to plug gaps, particularly of papers that did not appear on Scopus. Some of these used the term ‘participant photography’ or ‘photovoice’ or ‘visual’ or ‘arts-based’. Finally, I searched the Taylor and Francis journal website to fill in any remaining gaps. After a brief review of titles and abstracts, I excluded papers that did not relate to compulsory education (a significant number). Once I had briefly scanned these articles, I also excluded those that did not focus on the use of the method with learners specifically.

In total the review is based on 31 articles that report empirical research studies. The findings focus on key themes that emerge from this research review. The list of papers included in this review can be found in Table 1 and in list form at the end of this article.

Cover Beijing International Review of Education

  • 4.1 Why Photography is Used: Representation, Participation and Emancipation
  • 4.2 How Photography and Photographs are Used: Pre-generated, Researcher-generated and Participant-generated Photographs
  • 5 Summary and Reflecting on the Prospects for Photography as a Research Method in Education
  • Review Articles

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