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The  Psychologically  Beneficial  Aspects  of  

Photography  
 
Adam  Natoli    

Dr.  John  Suler  (advisor)  

Independent  Study  Project  

Psychology  Department,  Rider  University  

Fall  Semester,  2011  

 
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Background  and  Purpose  of  Project    

The  psychodynamic  and  humanistic  therapies  suggest  the  belief  that  a  person  

has   to   understand   him   or   herself   better   to   fix   the   presenting   or   underlying   problem.  

The  psychologist  is  a  guide  and  along  with  different  exercises  and  techniques  helps  

their   client   to   find   insight.   Insight   is   a   personal   awareness   of   how   and   why   a   person  

feels   and   behaves   the   way   they   do.   Sigmund   Freud   suggested   that   certain   memories  

were   repressed   and   forced   into   the   unconscious   and   by   finding   insight   the   person  

recovers   and   works   through   these   memories   and   all   emotions   and   symptoms   that  

result   from   them.   Insight   allows   a   person   to   better   understand   themselves   and   their  

emotions.   In   doing   so   they   create   more   choices   for   themselves   and   understand  

which  choices  are  best  for  them  (Morris,  1990).  

There  are  many  ways  that  photographs  are  used  therapeutically  and  dozens  

of   techniques   in   which   they   are   used   within   therapy.   Creating,   viewing,   or   sharing  

photographs   are   different   ways   that   all   of   these   techniques   assist   in   therapy.  

Sometimes   words   are   unable   to   express   emotions   and   thoughts   that   the   use   of  

photography   or   photographs   allows.   Judy   Weiser   attributes   five   techniques   in   the  

practice  of  Phototherapy.    The  first  is  using  photographs,  which  have  been  taken  or  

created   by   the   client.   These   photographs   are   used   because   the   person   created   this  

photograph   for   a   reason   and   that   reason   contains   important   psychological   and  

emotional  information  about  the  person.  Photographs  of  the  clients  taken  by  other  

people   allow   the   client   to   see   the   many   ways   that   other   people   view   them.   Self-­‐

portraits   or   photographs   made   by   the   client   of   themselves   allows   the   client   to  

explore  themselves  as  well  as  assist  in  the  conversation  about  the  way  in  which  the  

 
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client  views  themselves.  Family  albums  or  any  photographs  that  the  client  has  saved  

show   who   and   what   is   valued   in   the   clients   world   and   may   create   a   story   of   the  

clients  past  as  well  as  current  lifestyle.  Finally,  there  are  photo-­‐projective  situations  

which   is   the   client   discovers   personal   meanings   and   memories   while   viewing   any  

photograph.   A   famous   quote   sometimes   attributed   says,   “a   picture   is   worth   a  

thousand  words.”  Through  photographs  and  the  reactions  that  they  invoke  in  people,  

therapists  are  able  to  approach  their  client’s  needs  from  an  entirely  different  angle,  

often  discovering  underlying  thoughts  and  feelings.  

Therapeutic  Photography  

Therapeutic  Photography  is  any  self-­‐initiated  activity  that  is  also  self-­‐

conducted  and  is  centered  on  photography,  but  includes  no  formal  therapy.  The  

pursuit  of  photography  as  a  form  of  self-­‐help  is  usually  done  as  a  means  to  gain  

personal  insight,  or  a  better  understanding  of  one’s  self.  It  could  also  be  used  to  gain  

a  mastery  over  a  certain  element  of  a  person’s  life.  Although  often  started  alone,  

people  conducting  therapeutic  photography  sometimes  join  themed  groups  or  

contribute  to  a  project  in  which  others  have  also  contributed  to.  These  groups  are  

not  guided  by  a  therapist  or  other  counseling  professional  but  maintained  by  the  

individual  members.  The  distinction  between  people  who  just  do  photography  and  

people  who  knowingly  participate  in  photography  as  a  form  of  self-­‐therapy  may  

best  be  described  in  three  stages.  

Professor  Joel  Morgovsky  of  Brookdale  Community  College,  NJ  suggests  that  

the  ability  of  a  photographer  to  express  their  thoughts  and  emotions  develops  

through  three  stages  (DynamicS,  n.d.).  The  first  stage,  “Innocents”,  involves  those  

 
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who  periodically  take  photographs  for  personal  reasons  and  includes  the  majority  of  

camera  users.  The  next  stage  of  photographers  is  labeled  “Amateurs”.  Amateurs  are  

the  individuals  who  analyze  and  discuss  matters  relating  to  photography  and  

photographs.  The  final  stage,  where  photography  is  consciously  used  as  a  form  of  

creative  self-­‐expression  is  termed  “Mature  photographers”.    

The  work  done  by  Jo  Spence  (Dennett,  2009)  is  a  wonderful  example  of  

therapeutic  photography.    Techniques  taught  to  Jo  Spence  by  Keith  Kennedy,  an  art  

and  drama  teacher  at  the  Henderson  Psychiatric  Hospital,  eventually  lead  to  

Spence’s  self-­‐initiated  photography  as  a  form  of  self-­‐help  after  a  diagnosis  of  breast  

cancer  in  1982  (Dennett,  2009).  Jo  Spence  began  taking  photographs  for  her  “visual  

illness  diaries”.  She  created  these  albums  on  a  regular  basis.  One  of  the  first  

techniques  that  Spence  used  was  “therapeutic  staging”  where  she  re-­‐enacted  her  

body’s  struggle  for  survival.  She  then  moved  on  to  using  mirrors  in  her  photographs.  

This  “mirror  therapy”  is  a  way  to  watch  your  own  process  of  taking  photographs  of  

yourself.  Unlike  having  another  person  take  the  photographs,  using  a  mirror  allows  

a  person  to  be  uninhibited  because  a  mirror  is  unable  to  pass  judgment.  Finally  

“scripting”,  where  an  entire  photo  shoot  is  imagined  and  planned  out  prior  to  taking  

the  photographs  was  used  during  Spence’s  therapeutic  photography.  Eventually  Jo  

Spence  began  to  work  in  collaboration  with  professional  therapists  but  her  early  

work  is  a  strong  testament  to  the  positives  of  therapeutic  photography.  

Essentially  Jo  Spence  used  self-­‐portraiture.  Self-­‐portraiture  is  a  specific  

aspect  of  therapeutic  photography.  “On  your  own,  you  can  learn  a  lot  about  yourself  

from  self-­‐portraits”  (Suler,  2009a).  Portraying  yourself  in  different  ways  can  be  used  

 
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as  a  form  of  personal  expression  of  who  you  are,  what  you’re  feeling,  even  whom  

you  want  to  be.  The  understanding  of  yourself  and  who  you  are  is  knowledge  that  

many  cultures  and  religions  strongly  value.  Through  this  form  of  personal  

photography  a  deeper  understanding  of  the  self  is  attainable.  Aside  from  the  

therapeutic  aspect  of  knowing  who  you  are,  the  use  of  self-­‐portraits  in  therapeutic  

photography  can  also  help  with  self-­‐actualization  when  a  self-­‐portrait  is  used  to  

provide  proof  that  you  posses  the  ability  to  strive  for  the  possibilities  of  what  you  

can  become;  becoming  the  ultimate  you  often  makes  life  more  heartening.  

Every  photograph  is  a  representation  of  some  characteristic  of  whoever  took  

it.  This  establishes  a  relationship  and  allows  the  capacity  for  that  characteristic  to  be  

controlled  by  or  mastered  by  the  photographer.  Dr.  John  Suler  in  his  online  book  

"Photographic  Psychology:  Image  and  Psyche"  (Suler,  n.d.a)  describes  that  through  a  

photograph  the  photographer  is  able  to  “capture  their  relationship  to  the  subject”  

(Suler,  n.d.b).  The  photographer,  through  their  camera  as  well  as  post  processing,  

gains  control  over  the  subject  that  is  in  the  photograph.  This  ability  to  connect  with  

and  even  control  the  subject  of  their  photograph  could  understandably  be  cathartic  

for  the  photographer.    

Often  our  thoughts  and  emotions  interfere  with  our  awareness;  we  are  living  

inside  our  mind  opposed  to  experiencing  the  life  we  are  actually  living.  Through  the  

camera  lens  people  let  go  of  their  objective  view  of  the  world  and  begin  to  

experience  it,  this  may  be  referred  to  as  “mindfulness”  (Suler,  n.d.e).  The  

photographs  are  no  longer  taken  but  offered  to  the  photographer.  Mindfulness  in  

 
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photography  becomes  therapeutic  because  it  provides  a  greater  awareness  of  the  

world,  the  self,  and  how  they  interact.    

PhotoTherapy  

Insight  can  be  achieved  though  many  techniques  in  therapy,  one  of  which  is  

through  phototherapy.  Phototherapy  is  the  use  of  photographs  in  any  form  during  

psychotherapy.  Dr.  Hugh  Diamond  first  documented  phototherapy  in  1856  only  

twenty  years  after  the  invention  of  photography  (Prosser  &  Cronin,  1998).  However,  

Judy  Weiser  is  perhaps  the  most  well  known  psychotherapist  who  has  integrated  

photography  into  clinical  work  (Weiser,  1993).  Soon  after,  her  work  and  that  of  

other  like-­‐minded  psychotherapists  such  as  Dr.  David  Krauss  (Weiser,  n.d.)  and  Dr.  

John  Suler  (Suler,  n.d.c)  began  to  be  published;  networks  and  symposiums  were  

being  held  both  in  North  America  and  internationally  on  the  topic  of  Phototherapy.  

Creating,  viewing,  or  sharing  photographs  within  therapy  generates  a  new  

way  to  communicate.  While  verbal  language  is  still  the  most  common  way  in  which  

we  communicate  our  inner  thoughts  and  feelings  to  others  and  sometimes  to  

ourselves,  words  are  simply  representations  of  reality.  Not  all  experiences  or  

feelings  are  capable  of  being  translated  and  accurately  expressed.  It  is  when  these  

experiences  and  feelings  are  forced  through  translation  that  breaks  and  barriers  are  

established.  In  contrast,  a  photograph  is  an  actual  depiction  of  an  experience  or  

feeling  that  is  not  suppressed  by  the  perimeters  of  language.  Judy  Weiser  states  that  

photographs  “…have  the  power  to  capture  and  express  feelings  and  ideas  in  visual-­‐

 
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symbolic  forms,  some  of  which  are  intimately  personal  metaphors.”  (Weiser,  1999,  

p.  6).      

The  ability  for  a  photograph  to  communicate  so  much  is  due  to  the  way  

people  typically  respond  to  photographs.  When  a  person  looks  at  a  photograph  they  

are  taken  to  that  place,  at  that  moment.  The  interest  is  often  the  various  meanings  or  

emotions  that  are  projected,  sometimes  subconsciously  onto  a  photograph  by  the  

viewer.  Because  the  viewer  is  seeing  the  photograph  in  real  time,  any  emotions  

would  also  be  present.  It  is  this  response  to  a  visual  “fact”  of  a  moment  of  time;  

discussed  in  a  PhotoTherapy  group  on  Facebook,  that  phototherapy  utilizes.  

Techniques  Used  in  PhotoTherapy    

There  are  many  techniques  of  PhotoTherapy;  whether  it's  through  creating,  

viewing,  or  sharing  and  talking  about  photographs.  These  techniques  among  others  

all  assist  in  the  process  of  therapy.  Photographs  often  express  emotions  and  

thoughts  that  otherwise  a  client  may  be  unable  to  communicate  to  their  therapist,  or  

may  still  reside  in  their  unconscious.  The  majority  of  techniques  used  in  

PhotoTherapy  are  to  utilize  those  aspects  of  photographs.  One  of  the  most  notable  

pioneers,  Judy  Weiser  (Weiser,  1999),  attributes  five  techniques  in  the  practice  of  

Phototherapy:    

1.  Exploring  the  client’s  reaction  to  any  photograph;  the  projective  process  

2.    Discussing  self-­‐portraits  by  the  client    

3.  Working  with  photos  of  the  client  taken  by  other  people  

4.  Understanding  the  personal  meaning  of  any  photo  the  client  has  taken  or  

 
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saved  

5.  Discussing  the  client’s  personal  family  albums  or  autobiographical  photos  

  The  projective  process  that  occurs  in  all  five  of  these  techniques  “deals  with  

the  ways  and  reasons  that  a  person  gets  any  meaning  from  any  photograph  in  the  

first  place”  (Weiser,  1999,  p.  13).  There  are  photo-­‐projective  situations,  in  which  the  

client  discovers  personal  meanings  and  memories  while  viewing  any  photograph.  

Similar  to  the  variety  of  traditional  projective  tests  such  as  the  Rorschach  inkblot  

test,  the  photograph  becomes  a  stimulus  that  elicits  emotional  and  cognitive  

responses  from  the  client.  It  is  these  responses  to  the  photograph  or  photographs  

that  become  a  starting  point  for  therapy.  

  The  photographs  used  may  either  be  selected  by  the  therapist  for  a  particular  

reason  or  selected  by  the  client  out  of  the  therapist’s  collection.  By  using  

photographs  that  are  selected  by  the  therapist,  a  particular  emotion,  area  of  the  

client’s  life,  or  issue  may  be  brought  up.  Maintaining  a  focus  on  the  photographs  

enables  clients  to  discuss  their  responses  in  an  objective  manner;  this  technique  is  a  

way  to  give  attention  to  matters  that  the  client  is  otherwise  uncomfortable  with  in  

an  impersonal  and  non-­‐intrusive  manner.  When  using  photographs  that  were  

selected  by  the  client,  the  therapist  should  concern  themselves  less  with  the  content  

of  the  photograph  and  more  with  the  “why”  it  was  selected  and  the  responses  it  

stimulates  within  the  client.  There  is  often  conscious  and  unconscious  reasoning  

behind  a  client’s  selections  and  these  may  serve  as  valuable  aspects  that  should  be  

addressed.  

Working  with  self-­‐portraits  by  the  client  is  a  technique  that  uses  any  style  of  

 
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photograph  or  photographs  that  deal  with  the  self-­‐perception  of  one’s  self.  This  self-­‐

perception  is  a  good  practice  of  self-­‐presentation  and  may  be  an  actual  

representation,  a  metaphoric  representation,  or  any  combination  of  the  two.  In  

practice  self-­‐portraits  may  be  self  initiated  by  the  client,  made  under  the  supervision  

of  the  therapist,  or  even  assigned  as  homework.  The  focus  also  has  different  

variations.  Dr.  John  Suler  (Suler,  2009b)  suggests  that  self-­‐portraits  may  be  a  way  in  

which  the  photographer  attempts  to  illustrate  a  specific  aspect  of  the  self.  He  

continues  to  explain  that  because  most  photographers  are  not  consciously  aware  of  

all  aspects  of  their  personality  that  their  photograph  reveals,  the  more  the  

photograph  is  studied  the  more  they  might  understand.  Through  utilization  of  this  

the  therapy  may  come  from  discussing  the  planning  and  act  of  taking  the  self-­‐

portrait  or  working  with  and  talking  about  the  self-­‐portraits.    

A  common  issue  that  is  addressed  in  psychotherapy  is  that  of  personal  

insight,  the  understanding  of  one’s  self.  Through  planning,  creating,  viewing,  and  

working  with  these  self-­‐portrait  representations  the  client  is  able  to  explore  himself  

or  herself  as  well  as  assist  in  the  conversation  about  the  way  in  which  they  may  view  

themselves.  By  doing  so,  the  client  is  improving  their  understanding  of  themselves  

and  could  result  in  raising  their  self-­‐esteem  and  self-­‐confidence.  Another  area  that  

self-­‐portraits  have  strong  success  is  with  disempowered  people  such  as  some  abuse  

survivors.  The  ability  to  communicate  through  non-­‐verbal  information  gives  these  

clients  a  voice.  Due  to  the  fact  that  these  photographs  were  created  by  the  client  and  

document  these  new  discoveries,  the  photograph  becomes  a  form  of  proof  for  them.    

Along  the  same  lines  as  self-­‐portraits,  another  technique  involves  working  

 
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with  photographs  of  a  client  taken  by  other  people.  Photographs  of  the  clients  taken  

by  other  people  are  usually  spontaneous  or  at  a  point  where  the  subject  has  little  to  

no  control  over  the  outcome.  They  involve  those  photographs  that  were  made  for  

other  people’s  reasons  rather  than  the  client’s;  these  photographs  show  the  client  

through  the  interpretation  of  others.    

People  often  forget  that  a  photograph  is  an  image  of  a  single  moment  that  

was  seen  through  another  person’s  eyes,  another  person’s  perception  of  that  

moment.  A  person  will  usually  view  a  photograph  of  their  self  and  believe  that  

perception  to  be  who  they  are.  Any  aspect  of  the  photograph  that  they  are  

displeased  with  would  then  be  taken  as  a  personal  fault.  However  this  self-­‐criticism  

has  the  ability  to  be  approached  as  a  reference  to  become  more  self-­‐aware  of  how  

that  photographer  perceives  them,  a  chance  at  an  outside  view  of  themselves.  Judy  

Weiser  states    

“How  we  think  we  are  seen  is  usually  very  different  from  how  others  see  us.”  

(Weiser,  1999,  p.  189).  Photographs  of  the  client  taken  by  another  person  often  

reveal  the  characteristics  of  the  client  that  are  valued  by  the  photographer  as  well  as  

how  the  photographer  feels  about  their  relationship  with  the  client.  These  situations  

may  be  used  therapeutically  to  discover  personal  insight  or  as  tools  for  work  on  

communication  and  relationships.  

The  settings  as  well  as  any  object  or  person  included  in  a  photograph  also  

brings  to  surface  various  unconscious  knowledge;  an  ability  that  becomes  greater  

when  patterns  or  a  repeating  theme  are  present.  Background  settings,  emotional  

affect,  body  language,  as  well  as  accidental  and  unaware  inclusions  or  exclusions  are  

 
   11  

some  of  these  elements  that  will  stay  present  in  a  photograph  even  if  they  were  

unconsciously  tuned  out  at  the  moment  it  was  taken.  These  elements  regardless  of  

how  inconspicuous  often  possess  some  form  of  significance  or  foster  an  emotion  or  

memory.  In  regards  to  particular  parts  of  the  photographer  that  are  hidden  or  

revealed  often  reflect  their  positive  or  negative  feelings  about  that  aspect  of  their  

body  (Suler,  2009c).  A  client  could  search  for  better  knowledge  and  understanding  

by  discussing  these  aspects  and  the  topics  that  they  lead  to.  

Photographs  of  the  client  taken  by  another  person  over  time  are  useful  to  

show  transitions.  Much  like  the  before  and  after  photographs  on  any  weight-­‐loss  

commercial,  photographs  of  clients  throughout  the  process  of  therapy  can  show  

visual  proof  of  their  progress  and  other  times  of  deterioration,  such  as  might  result  

from  problems  with  body  image  or  addiction.  By  seeing  and  being  able  to  physically  

hold  proof  of  either  their  progression  or  digression,  clients  may  be  more  likely  to  

accept  a  problem  and  work  towards  improvement.  Photographs  that  have  been  

taken  and  collected  over  time  have  also  been  used  as  coping  strategies  for  those  who  

are  terminally  ill  as  well  as  their  loved  ones  while  mourning.  Used  by  an  individual  

as  a  way  to  escape  back  to  a  time  or  place  before  they  began  to  face  mortality,  or  by  

family  and  friends  as  memories  of  time  spent  together,  these  photographs  help  those  

affected  by  death  and  dying.  

Photographs  that  are  taken  by  or  even  selected  by  the  client,  whether  or  not  

they  are  part  of  an  assignment,  are  each  a  form  of  self-­‐expression.  This  technique  

uses  these  photographs  because  they  were  created  or  selected  for  a  reason;  that  

reason  contains  important  psychological  and  emotional  information  about  the  

 
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person.  Hopes,  dreams,  ideas,  values,  emotions,  as  well  as  triumphs  or  strife  are  

often  captured  in  photographs.  In  essence,  photographs  may  be  seen  as  a  microcosm  

of  a  person’s  life.  They  become  representations  of  a  specific  dimension  in  their  life,  

conscious  or  unconscious  mine,  or  even  of  themselves  in  entirety.    

Photographs  taken  by  the  client  become  a  way  to  allow  the  client  to  inform  

themselves  about  themselves  in  a  physical  manifestation.  Spontaneous  photography  

is  very  freeing  and  the  resulting  photographs  will  reflect  the  photographer;  however,  

the  creation  of  these  photographs  may  also  be  done  as  part  of  an  assignment.  A  

therapist  can  assign  themes  or  questions  for  a  client  to  address  while  taking  their  

photographs.  The  possibilities  are  infinite.  They  can  be  as  simple  as  taking  

photographs  of  people  and  items  that  are  valued  or  an  instruction  as  specific  as  a  

photograph  that  shows  “The  me  I  would  be  if  I  weren’t  being  the  me  I  am  now.”  

(Weiser,  1999,  p.  180).    

Ansel  Adams  (Adams,  n.d.)  is  quoted  saying,  “You  don't  take  a  photograph,  

you  make  it.”  The  “act”  of  photography  is  never  simply  an  action;  with  every  close  of  

the  shutter  the  person  behind  the  lens  is  creating  a  metaphor  of  some  element  of  

himself  or  herself.  As  a  result  the  ability  for  later  analysis  and  possible  therapy  is  

created  in  the  form  of  a  photograph.  

Judy  Weiser’s  final  technique  category  involves  the  use  of  family  albums  and  

other  autobiographical  photographs.  Family  albums  or  any  photographs  that  the  

client  has  saved  show  who  and  what  is  valued  in  the  clients  world  and  may  create  a  

story  of  the  clients  past  as  well  as  current  lifestyle.  These  collections  are  made  up  of  

photographs  that  were  consciously  saved  with  the  intentions  of  being  kept  forever.  

 
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More  recently,  the  use  of  online  social  networks  such  as  Facebook  and  Flickr  has  

become  a  modern,  technological  way  to  post  and  create  albums  and  therefore  may  

also  be  used  therapeutically.  While  the  previous  four  techniques  generally  address  

the  client’s  examination  of  the  self,  working  with  family  albums  and  other  

autobiographical  photographs  addresses  the  world  throughout  generations  that  

relates  both  directly  and  indirectly  to  the  client.    

Any  photograph  that  involves  the  client,  including  those  that  the  client  was  

the  photographer  can  be  examined  for  insight  into  the  client’s  role  in  both  their  

family  and  any  relationship  that  is  portrayed.  Because  family  albums  are  generally  

created  over  time  and  include  meaningful  photographs  they  are  a  wonderful  source  

for  observing  the  interrelationships  of  a  person’s  world  as  well  as  how  they  may  

have  changed.  If  the  time  of  onset  of  the  client’s  presenting  problem  is  known,  the  

timeline  created  by  a  personal  album  may  contain  information  related  to  possible  

contributors  or  a  better  understanding  of  its  development.  

The  photographs  that  the  client  is  not  involved  in  may  still  relate  to  them  

indirectly.  Photographs  such  as  these  document  the  history,  beliefs,  and  values  of  a  

family  and  its  members,  some  of  which  may  span  generations.  A  better  

understanding  of  the  world  that  surrounded  a  client  throughout  their  life  is  often  a  

valuable  addition  during  therapy.  However,  the  individual  who  decides  which  

photographs  are  to  be  included  in  an  album  must  be  considered.  While  the  album  

relates  to  all  those  who  are  included,  the  greatest  reflection  is  that  of  the  individual  

whom  selects  which  photographs  are  to  be  included  and  which  photographs  will  

not.  

 
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The  way  in  which  the  photographs  are  organized  and  presented  might  also  be  

considered  significant  and  contribute  information  through  this  form  of  self-­‐

portraiture  (Weiser,  1999,  p.  24).  As  previously  stated,  the  greatest  reflection  is  that  

of  the  individual  who  created  the  album.  This  individual  controls  either  consciously  

or  unconsciously  the  way  the  album  will  be  presented.  If  viewing  an  album  not  

created  by  the  client,  discussing  ways  in  which  they  would  change  the  album  or  

specific  photographs  is  often  beneficial.    

A  famous  quote  says,  “A  picture  is  worth  a  thousand  words.”  Through  

photographs  and  the  reactions  that  they  invoke  in  people,  therapists  are  able  to  

approach  their  clients’  needs  from  an  entirely  different  angle,  often  discovering  

underlying  thoughts  and  feelings.  

Aspects  of  a  photograph  that  reflect  personality  and  lifestyle    

In  his  book  “Photoanalysis”,  Dr.  Robert  U.  Akeret  (Akeret,  1973)  says  “It’s  all  

there  in  the  photo”.  While  this  may  be  true  it  is  important  to  understand  what  

elements  are  comprised  within  a  photograph.  Composition  is  combining  parts  or  

elements  to  form  a  whole;  it  is  the  way  in  which  a  final  product  is  created  through  

the  use  of  individual  parts.  There  are  no  fixed  rules  in  photography;  however,  there  

are  various  elements  that  are  present  in  most  if  not  all  photographs.  The  elements  

that  will  be  discussed  are:  

1. Organization  (composition)  

2. Lines  and  shapes  (particularly  circles  and  triangles)  

3. Negative  space  

 
   15  

4. Lighting  and  color  

5. Focal  point/s  

Organization  refers  to  the  inclusion,  exclusion,  and  spatial  relationships  

between  elements  involved  in  a  photograph.  The  more  obvious  relationships  in  

photographs  are  between  any  people  that  are  in  the  image  although  within  some  

photographs  an  item  may  be  identified  as  a  symbolic  representation  of  another  

person.  These  relationships  are  primarily  structured  through  body  language  but  the  

spatial  relationship  between  subjects  also  offers  a  reflection  of  the  interpersonal  

relation;  in  the  case  of  the  organization  between  items  or  a  person  and  an  item  the  

reflection  is  more  often  intrapersonal.    

  The  second  element  of  a  photograph’s  composition  is  lines.  One  of  the  most  

basic  visual  elements,  a  line  may  be  thought  of  as  any  anomaly  in  a  photograph  or  

image  that  may  guide  the  observer’s  eye,  create  a  connection  between  items,  or  

create  a  boundary  or  separation.  When  a  line  creates  a  direction  in  which  the  

photograph  is  observed  this  may  signify  the  photographer’s  priorities.  The  

conscious  or  unconscious  creation  of  a  story  from  the  past,  present  or  future  could  

also  be  considered  (Akeret,  1973,  p.  20).  A  connection  or  separation  between  two  

items  or  spaces  created  by  a  line  often  illustrates  a  relationship  between  items,  their  

significance  or  what  they  may  symbolize.  The  connections  in  the  photograph  may  

relate  to  their  relationships  in  life.  When  the  pattern  of  strong  connections  in  

photographs  is  present  it  may  reflect  the  photographer’s  strong  value  of  

relationships  or  a  nurturing  and  caring  personality.  

  In  a  photograph  the  area  surrounding  and  between  subjects  is  known  as  

 
16    

negative  space,  sometimes  referred  to  as  the  background.  Negative  space  includes  

all  areas  of  a  photograph  that  are  not  necessarily  empty,  but  simply  not  filled  by  the  

subject  of  focus;  the  area  filled  by  the  subject  of  focus  is  known  as  positive  space.  

Negative  space  does  not  imply  that  it  should  be  overlooked,  in  some  cases  it  is  a  

shape  or  the  interaction  between  the  negative  and  positive  space  that  can  offer  the  

most  insight.  When  an  object  or  person  is  framed  by  negative  space  it  may  be  that  

this  person  or  object  plays  an  important  role  in  the  photographers  life.  The  amount  

of  negative  space  may  also  relate  to  the  personality  or  lifestyle  of  the  photographer.  

When  there  is  little  or  no  negative  space  the  photograph  seems  cluttered  and  busy  

which  may  be  similar  to  the  way  the  photographer  views  their  life;  the  need  to  make  

every  second  matter  and  to  waste  nothing.    

A  difference  in  the  lighting  and  color  of  a  photograph  communicates  different  

moods  and  emotions.  In  a  study  on  colors  and  mood-­‐tones  (Murray  &  Deabler,  

1957),  correlations  between  certain  colors  and  mood  tones  were  found.  If  these  

findings  are  applied  to  photographs,  then  the  photographer  is  given  another  

element  of  their  photograph  that  they  could  alter  in  accordance  with  the  mood  that  

they  are  conveying.  Common  relations  between  colors  and  mood  consist  of  red  and  

anger  or  passion,  blue  and  depression  or  calmness,  and  yellow  with  joy  or  energy.  

The  type  of  photograph  may  also  reflect  the  personality  and  lifestyle  of  a  

person.  The  two  main  categories  include  color  and  black  &  white.  Ted  Grant  is  

credited  with  saying  “When  you  photograph  people  in  colour  you  photograph  their  

clothes.    But  when  you  photograph  people  in  B&W,  you  photograph  their  souls!”  

(Grant,  n.d.).  Many  people  have  similar  feelings  in  response  to  this  nostalgic  style  of  

 
   17  

photography;  now  with  the  infinite  styles  of  presenting  a  photograph,  the  type  of  

photograph  is  able  to  better  represent  its  creator.    

Lighting  plays  an  important  role  in  photography  and  is  often  utilized  to  

change  how  the  final  photograph  turns  out.  Lighting  includes  both  highlights  and  

shadows  caused  by  either  a  natural  or  artificial  source,  in  some  cases  both  are  

applied.  Highlights  bring  attention  to  areas  of  a  photograph  that  may  other  wise  be  

overlooked  whereas  shadows  tend  to  negate  attention.  However,  when  a  majority  of  

a  photograph  is  light  the  effects  of  highlights  and  shadows  alternate.  Closely  related  

to  contrast,  high-­‐key  and  low-­‐key  photographs  utilize  lighting  techniques  or  post-­‐

processing  tools  to  take  the  concept  of  contrast  to  an  extreme.  High-­‐key  

photographs  are  done  by  setting  exposure  levels  very  high,  making  the  photograph  

very  bright  with  little  contrast.  The  mood  of  these  photographs  are  generally  happy,  

joyful,  and  sometimes  mystical  or  mysterious.  Low-­‐key  photographs  on  the  other  

hand  have  a  much  darker  tone  and  the  dominant  color  is  often  black.  There  are  

many  dark  areas  of  the  photograph  with  highlights  drawing  attention  to  specific  

features.  Low-­‐key  photographs  convey  a  darker  mood  sometimes  creating  a  feeling  

of  drama,  anxiety,  or  tension.    

  Each  of  the  previous  four  components  of  a  photograph’s  composition  has  the  

ability  to  create  a  focal  point.  A  focal  point  is  simply  the  area  of  the  photograph  that  

instantly  draws  the  attention  of  the  person  viewing  the  photograph.  This  

characteristic  often  causes  the  viewer  to  only  focus  on  the  focal  point  instead  of  it  

only  being  a  starting  point.  The  other  aspects  of  the  photograph  and  the  ways  that  

they  interact  are  often  just  as  revealing.  In  some  cases  the  focal  point  is  created  

 
18    

unconsciously  but  generally  there  is  a  conscious  effort  while  taking  the  shot  or  in  

post  processing  to  create  a  focal  point.  When  a  specific  object  such  as  a  favorite  

stuffed  animal  or  individual  such  as  a  loved  one  is  the  focal  point  it  would  prove  

useful  to  understand  its  relationship  with  the  photographer  and  then  use  that  as  a  

guide  to  discover  the  entire  photograph.  When  the  focal  point  of  a  photograph  of  a  

group  is  one  specific  person,  the  relationship  of  this  person  to  the  photographer  

may  be  stronger  than  the  relationships  with  the  other  people  in  the  photograph.  

Another  example  is  in  a  self-­‐portrait;  when  the  focus  of  the  shot  is  a  specific  body  

part,  the  photograph  may  relate  to  the  individuals  opinion.  They  may  exemplify  

parts  of  their  body  that  they  find  attractive  and  hide  or  cover  parts  that  they  dislike.  

Bodies  and  they  way  they  are  positioned  offer  a  great  deal  of  information  about  the  

subject  in  a  photograph.  

Body  language  helps  in  the  process  of  communication.  At  times  it  tells  more  

than  words  ever  could.  Many  forms  of  psychotherapy  encourage  addressing  the  

client’s  body  language;  often  focusing  on  the  overall  posture,  the  limbs,  or  the  hands  

and  face  of  the  client.  The  main  difference  between  these  and  the  body  language  in  

photographs  is  the  depth  in  which  body  language  may  be  analyzed.  Photographs  

have  the  ability  to  capture  facial  and  body  expressions  and  saves  them  for  later  

analysis.  The  permanent  nature  of  a  photograph  encourages  there  to  be  less  focus  

on  the  interpretations  of  the  therapist,  allowing  the  client  to  observe  their  own  body  

language  and  offer  their  own  interpretations.    

While  a  single  body  posture  element  may  help  direct  the  conversation,  the  

therapist  should  prioritize  “message  clusters”  over  individual  gestures;  according  to  

 
   19  

the  website  Changingminds.org  “Recognizing  a  whole  cluster  is  thus  far  more  

reliable  than  trying  to  interpret  individual  elements.”  (Using  Body  Language,  n.d.).  

Message  clusters  are  simply  a  grouping  of  body  language  patterns  that  each  

portrays  a  similar  message.  Observing  body  language  and  message  clusters  within  a  

photograph  may  assist  in  understanding  the  internal  emotion  or  mental  state  of  the  

subject,  subjects,  or  between  subjects.  When  the  body  language  elements  in  a  

photograph  appear  to  be  contradictory,  conflicting  or  ambivalent  feelings  within  the  

person  may  be  represented.    

How  online  photosharing  can  be  therapeutic    

Through  the  use  of  the  Internet,  the  therapeutic  aspects  of  sharing  and  

discussing  a  photograph  with  others  may  now  be  done  in  the  familiarity  and  

comfort  of  cyberspace,  often  through  photo-­‐sharing  websites.  To  use  many  of  these  

photo-­‐sharing  websites  it  is  required  that  an  individual  create  an  account.  Through  

that  account  a  user  is  then  able  to  interact  with  others  in  regard  to  their  own  images  

or  someone  else’s.  These  interactions  can  be  organized  into  three  categories  of  

interaction:  image,  word,  and  action  (Suler,  2008).    

Every  time  a  person  uploads  a  photograph  they  are  sharing  more  than  just  an  

image;  in  essence  they  are  sharing  a  piece  of  themselves,  their  personality,  

relationships,  and  lifestyle  (Suler,  2008,  p.  556).  However  the  representation  that  

the  image  conveys  does  not  necessarily  have  to  be  of  the  present  self.    The  image  

may  represent  the  past  self  or  a  specific  aspect  of  himself  or  herself  from  the  past.  

The  representation  may  not  even  be  of  the  self  past  or  present,  but  of  the  idealized  

 
20    

or  feared  self.  These  images  can  be  a  way  of  testing  the  waters  of  a  certain  change.  

Some  expressions  may  be  less  threatening  through  an  image  posted  online  than  in  

reality  if  it  is  a  representation  of  the  individual  in  a  way  their  peers  may  not  

embrace.  After  sharing  this  representation  of  themself  online,  sharing  with  others  in  

reality  may  be  seen  as  less  daunting.    

Written  language  is  often  used  in  online  photosharing.  By  creating  a  title  and  

writing  a  description,  whoever  posted  a  particular  image  may  guide  the  view  in  

which  their  image  is  seen.  The  title  may  simply  state  what  the  image  depicts,  such  as  

Charles  C.  Ebbets’  1932  photograph  “Lunch  atop  a  Skyscraper”.  However,  the  

photographer  to  “set  the  scene”  may  use  the  title.  In  the  1905  photograph  “An  Oasis  

in  the  Badlands”  an  Oglala  Sioux  known  as  Red  Hawk  is  sitting  atop  of  his  horse.  

During  this  time  period  Native  Americans  were  seen  as  little  more  than  savages.  

Edward  S.  Curtis’  title  strengthens  the  dignified  depiction  of  Red  Hawk  and  offers  

the  idea  that  these  people  are  not  simply  obstacles  to  cross  (the  Badlands)  but  a  

culture  that  should  be  embraced  and  valued  (an  oasis).  In  an  online  photosharing  

group  it  is  not  uncommon  for  someone  to  post  a  photograph  and  ask  for  suggestions  

for  a  title.  With  a  discussion  focused  on  possible  titles,  the  different  interpretations  

of  the  photograph  begin  to  surface.  A  simple  shot  of  a  bridge  to  some  may  appear  to  

be  a  journey;  to  others  it  represents  an  obstacle  that  they  have  overcome,  and  to  

some  the  focus  of  the  shot  may  not  be  the  bridge  at  all,  but  the  water  under  the  

bridge.  

Image  descriptions  take  this  communication  process  to  another  level.  While  

still  able  to  narrate  their  meanings  and  interpretations,  image  descriptions  are  a  

 
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way  to  include  a  more  in-­‐depth  personalization.  Writing  about  any  feelings,  

memories,  fantasies,  and  associations  that  the  image  may  bring  to  light  and  posting  

this  can  be  a  cathartic  experience.  This  relationship  can  be  seen  in  research  

published  in  APA’s  Journal  of  Experimental  Psychology.  Klein  and  Boals  show  that  

expressive  writing  reduces  intrusive  and  avoidant  thoughts  about  negative  events  

(Klein  &  Boals,  2001).    

The  image’s  poster  is  not  the  only  one  that  is  able  to  write  about  the  image.  

The  ability  to  comment  on  another’s  image  is  another  way  in  which  written  

interactions  occur  in  photo-­‐sharing  communities.  These  comments  may  be  simple  

compliments,  critiques  and  technical  remarks,  personal  reactions,  interpretations  of  

the  photographer,  topical  comments,  or  questions  (Suler,  2008,  p.  559).  A  benefit  of  

written  interactions  over  simply  socializing  is  the  ability  to  think  about  and  

rearrange  your  thoughts  in  the  way  you  wish  to  present  them.  Before  posting  a  

comment  you  can  read  over  what  you  wrote,  include  or  exclude  parts  and  better  

clarify  what  you  are  communicating.  Therapeutically,  written  interaction  unlike  

socializing  offers  the  chance  to  reread  comments  at  any  time.  Rereading  comments  

might  reaffirm  beliefs  or  confidence  in  relationships.  This  written  language  is  one  of  

the  main  tools  used  to  communicate  thoughts  about  an  image,  however  some  times  

actions  speak  louder  than  words.    

When  someone  views  another  person’s  image  there  is  the  option  to  either  

rate  the  image  or  add  it  to  their  favorites;  a  list  of  images  that  a  person  considers  to  

be  their  favorites.  There  are  many  reasons  why  a  person  may  consider  an  image  as  

one  of  their  favorites.  The  obvious  explanation  would  be  that  the  image  is  simply  

 
22    

visually  pleasing,  but  an  image  may  also  be  psychologically  pleasing.  This  may  be  in  

the  form  of  a  strong  emotion  or  opinion.  The  action  of  adding  an  image  as  a  favorite  

might  have  nothing  to  do  with  the  image  at  all;  it  may  be  a  gesture  of  friendship.  

Finally,  because  any  image  that  a  person  selects  as  a  favorite  is  saved,  adding  an  

image  to  their  favorites  is  a  way  for  that  person  to  return  to  that  image  in  the  future;  

making  it  something  important  to  them.  Having  someone  add  one  of  your  own  

photographs  as  a  favorite  may  be  therapeutic  for  some.  They  may  feel  a  connection  

to  this  person  or  supported  and  encouraged.  The  process  of  giving  a  favorite  may  

also  become  therapeutic.  If  the  particular  photograph  prompted  a  positive  emotion  

adding  the  photograph  as  a  favorite  not  only  shows  thanks  to  the  poster  but  also  

saves  the  photograph  for  the  viewer  to  return  to  if  they  wish  to  revisit  the  emotion.  

On  some  websites,  such  as  Flickr  (Flickr,  2004),  users  are  also  able  to  join  

public  or  private  groups.  The  definition  of  a  group  is  highly  controversial  and  rarely  

agreed  upon.  In  this  situation  a  group  is  defined  as  a  collection  of  individuals  who  

have  decided  to  declare  themselves  members  of  a  group  that  has  a  declared  theme  

and  whose  interactions  in  some  capacity  relate  to  an  image  or  images.  Groups  can  

be  formed  around  an  infinite  number  of  themes.  Thousands  of  these  groups  consist  

of  themes  related  to  mental  health  issues,  over  eight  hundred  devoted  to  depression  

alone.  These  groups  offer  an  opportunity  for  people  to  connect  and  discuss  not  only  

their  photography  but  also  their  experiences.    

The  environment  and  the  interactions  between  members  often  resemble  

those  of  traditional  self-­‐help/support  groups  with  the  addition  of  images.  The  

therapeutic  effect  of  photosharing  groups  may  be  best  compared  to  that  of  a  self-­‐

 
   23  

help  group  which  has  a  focus  on  overcoming  or  coping  with  life  stresses  (Johnson  &  

Johnson,  2009).  Posting  photographs  and  then  discussing  them  with  others  allows  a  

person  to  self-­‐disclose  and  receive  feedback  on  their  images  and  comments.  Because  

of  the  vulnerability  that  some  people  subject  themselves  to  in  photosharing  groups,  

negative  feedback  or  personal  attacks  may  occur  and  be  detrimental.  In  addition  to  

this,  within  the  photosharing  group  there  may  be  people  who  try  to  provide  

“therapy”  who  are  not  licensed  or  even  trained  to  do  so.    Although  the  therapeutic  

effects  of  some  of  these  groups  may  be  questionable,  many  provide  a  setting  where  a  

person  can  participate  in  some  form  of  therapeutic  photography.    

  The  use  of  conscious  and  unconscious  photographs  may  be  productive  in  

discovering  the  areas  of  life  in  which  one  can  find  personal  insight.  Through  this  

study  I  intend  to  support  this  hypothesis  and  understand  a  productive  way  in  which  

to  aid  in  the  assistance  of  psychotherapy  and  in  finding  personal  insight.  I  will  

demonstrate  the  significance  of  photographs  that  the  participant  remembers  taking  

(conscious)  in  contrast  to  the  photographs  that  the  client  doesn't  remember  taking  

or  has  forgotten  (unconscious),  the  possible  therapeutic  aspects  of  this  exercise  (e.g.  

doing,  thinking,  and  talking  about  their  photography)  and  how  the  information  

gathered  from  a  client  while  doing  this  exercise  could  be  utilized  in  their  overall  

therapy.  

METHODS  

  Seven  participants  were  recruited  randomly  with  an  age  range  of  19  to  23  

years.  Five  participants  were  female  and  two  participants  were  male.  All  of  the  

 
24    

participants  were  enrolled  at  Rider  University  and  declared  psychology  as  either  a  

major  or  minor.  One  of  the  participants  may  be  described  as  being  advanced  in  their  

experience  with  photography  while  the  remaining  six  may  be  described  as  average  

to  slightly  above  average.  

  The  prospective  participant  was  given  an  informed  consent  statement  form  

(see  appendix  1)  and  had  the  content  of  the  form  explained  to  them.  The  consent  

form  elaborated  that  information  gathered  from  their  participation  may  be  used  in  

an  Independent  Study  for  the  Psychology  Department  at  Rider  University,  under  the  

supervision  of  Dr.  John  Suler.  Additionally,  anything  that  was  mentioned  during  the  

interview  may  be  included  in  the  paper,  excluding  any  information  that  could  be  

used  to  identify  them.  They  were  also  informed  that  at  any  point  they  may  skip  a  

question  during  the  interview  or  in  the  Quality  of  Life  Scale,  or  withdraw  from  the  

study.  The  participant  was  then  given  a  film  camera  with  a  minimum  of  twenty-­‐

four(24)  exposures  as  well  as  the  ability  to  use  a  flash,  and  instructed  that  they  had  

twenty-­‐four(24)  hours  to  take  photographs  with  the  instructions  to  “Take  

photographs  of  anything  you  find  interesting,  or  that  feels  important  to  you  and/or  

your  life”.  The  participant  was  also  instructed  that  they  must  use  all  (24)  of  the  

exposures.  The  participant  was  given  a  copy  of  the  informed  consent  statement  

form  to  be  used  as  a  reference  to  remind  them  of  their  instructions  for  shooting.    

  Upon  completion  of  taking  their  photographs  the  participant  returned  the  

camera  to  the  researcher  and  were  given  the  Quality  of  Life  Scale(QOLS)  assessment  

(see  appendix  2).  The  QOLS  is  an  assessment  in  which  the  participant  rates  their  

quality  of  life  in  each  of  the  sixteen(16)  specific  areas  of  life;  on  an  ordinal  scale  

 
   25  

between  delighted(7)  and  terrible(1).  The  QOLS  assessment  was  chosen  for  its  

simplicity  of  application  and  used  to  show  ordinal  changes  of  the  self  reported  

quality  in  different  areas  of  the  participant's  life.  These  changes,  either  positive  or  

negative,  indicate  personal  insight  in  the  specified  areas  and  will  lead  to  areas  that  

may  be  beneficial  in  further  exploration  during  therapy.  To  take  the  QOLS  

assessment  the  participants  were  read  the  following  instructions,  which  were  also  

written  on  the  top  of  each  assessment.  “Please  read  each  item  and  circle  the  number  

that  best  describes  how  satisfied  you  are  at  this  time.  Please  answer  each  item  even  

if  you  do  not  currently  participate  in  an  activity  or  have  a  relationship.  You  can  be  

satisfied  or  dissatisfied  with  not  doing  the  activity  or  having  the  relationship.”  Each  

assessment  was  scored  individually  by  summing  the  items  to  make  a  total  score.  For  

any  missing  data  the  mean  score  of  mixed(4)  was  inserted.    

  Seven(7)  days  after  the  participant  took  their  photographs  the  participant  

was  instructed  to  describe  each  of  the  photographs  that  they  had  recalled  taking.  

These  descriptions  were  given  orally  and  recorded  with  an  audio  device.  The  

participant  was  then  given  copies  of  the  photographs  that  they  had  previously  

recalled  and  allowed  five(5)  minutes  to  look  over  the  photographs.  This  was  

followed  by  a  structured  interview  that  was  given  orally  and  recorded  with  an  audio  

device  and  involved  all  of  the  following  questions  in  order.  

1. What  thoughts  and  feelings  immediately  come  to  mind  about  these  photos?  

2. What  does  this  image  remind  you  of?  

3. If  you  could  retake  this  photograph,  would  you  change  anything  about  it?  

Would  you  still  take  the  photograph?  

 
26    

4. If  this  photograph  could  speak,  what  would  it  tell  or  ask  you?  Would  it  tell  or  

ask  me  something  different?  

5. What  were  you  thinking  and  what  was  happening  when  you  took  this  

photograph?    

6. What  would  you  like  to  do  with  this  photograph  if  you  could  do  anything?  

(e.g.  hide  it,  display  it,  rip  it  up,  throw  it  out,  save  it  somewhere)  

7. What,  if,  anything  is  missing  from  this  photo?  (If  the  photo  is  incomplete,  

what  is  needed  in  order  to  complete  it?)  

8. Looking  at  this  photograph  now  could  this  photograph  have  been  taken  for  

someone?  

9. What  are  three  ways  that  this  photograph  connects  to  you  as  a  person?  What  

are  three  ways  that  this  photograph  is  opposite  to  you  as  a  person?  

10. What  mood  would  you  describe  this  photograph  as?  

11. Do  you  notice  any  patterns  or  connections  between  photographs?  

12. How  would  you  divide  your  photographs  if  you  had  to  divide  them  into  

groups?  What  would  those  groups  be?  

13. What  color  crayons  would  you  use  if  you  could  recolor  your  photograph?  

14. If  you  were  asked  to  place  yourself  into  the  photograph,  what  pose  would  

you  use  and  where  in  the  photograph  would  you  be?  What  would  you  be  wearing?  

What  would  you  be  feeling,  thinking,  and  doing?  

The  participant  was  then  given  their  remaining  photographs;  the  

photographs  that  they  had  not  recalled  taking,  and  allowed  five(5)  minutes  to  look  

 
   27  

over  these  photographs.  This  was  followed  by  a  structured  interview  that  was  given  

orally  and  recorded  with  an  audio  device  and  involved  all  of  the  following  questions  

in  order.    

1. What  thoughts  and  feelings  immediately  come  to  mind  about  these  photos?  

2. What  does  this  image  remind  you  of?  

3. If  you  could  retake  this  photograph,  would  you  change  anything  about  it?  

Would  you  still  take  the  photograph?  

4. If  this  photograph  could  speak,  what  would  it  tell  or  ask  you?  Would  it  tell  or  

ask  me  something  different?  

5. What  were  you  thinking  and  what  was  happening  when  you  took  this  

photograph?    

6. What  would  you  like  to  do  with  this  photograph  if  you  could  do  anything?  

(e.g.  hide  it,  display  it,  rip  it  up,  throw  it  out,  save  it  somewhere)  

7. What,  if,  anything  is  missing  from  this  photo?  (If  the  photo  is  incomplete,  

what  is  needed  in  order  to  complete  it?)  

8. Looking  at  this  photograph  now  could  this  photograph  have  been  taken  for  

someone?  

9. What  are  three  ways  that  this  photograph  connects  to  you  as  a  person?  What  

are  three  ways  that  this  photograph  is  opposite  to  you  as  a  person?  

10. What  mood  would  you  describe  this  photograph  as?  

11. Do  you  notice  any  patterns  or  connections  between  photographs?  

 
28    

12. How  would  you  divide  your  photographs  if  you  had  to  divide  them  into  

groups?  What  would  those  groups  be?  

13. What  color  crayons  would  you  use  if  you  could  recolor  your  photograph?  

14. If  you  were  asked  to  place  yourself  into  the  photograph,  what  pose  would  you  

use  and  where  in  the  photograph  would  you  be?  What  would  you  be  wearing?  What  

would  you  be  feeling,  thinking,  and  doing?  

The   subjects   were   also   asked   why   they   thought   they   remembered   taking   some   of  

the  photographs,  but  not  the  others.  

  A  second  QOLS  assessment  was  then  given  to  measure  any  ordinal  changes  

that  had  occurred.  To  take  the  QOLS  assessment  the  participants  were  read  the  

following  instructions,  which  were  also  written  on  the  top  of  each  assessment.  

“Please  read  each  item  and  circle  the  number  that  best  describes  how  satisfied  you  

are  at  this  time.  Please  answer  each  item  even  if  you  do  not  currently  participate  in  

an  activity  or  have  a  relationship.  You  can  be  satisfied  or  dissatisfied  with  not  doing  

the  activity  or  having  the  relationship.”  Each  assessment  was  scored  individually  by  

summing  the  items  to  make  a  total  score.  For  any  missing  data  the  mean  score  of  

mixed(4)  was  inserted.  The  two  assessment  scores  were  then  compared  and  

analyzed  after  which  the  participant  was  asked  about  any  changes  that  had  

occurred.  

Discussion  

 
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The  reaction  to  the  reviewing  of  photographs  and  the  symbols  within  them  is  

well  described  by  Dr.  John  Suler  (Suler,  2009).  He  explains  that  “Closer  to  the  

language  of  primary  process  thinking,  as  in  dreams  and  fantasy,  visual  images  

convey  underlying  thoughts,  memories,  and  emotions  while  bypassing  ego  

defenses”.  This  insight  is  the  ability  embedded  within  viewing  photographs  and  the  

processes  of  creating  and  post-­‐processing  photographs.  Additionally  we  may  

separate  photographs  that  are  created  by  the  client  into  two  distinct  categories,  

conscious  and  unconscious  photographs.  

Conscious  photographs  are  photographs  the  photographer  has  the  ability  to  

recall  taking  and  in  some  cases  able  to  describe  in  detail.  The  conscious  photographs  

were  typically  premeditated  shots;  the  photographer  may  have  arranged  the  objects  

seen  in  the  photograph  or  consciously  considered  the  influence  a  specific  aspect  

may  have  on  the  final  composition  of  the  photograph.  This  understanding  of  

conscious  photographs  was  discovered  through  observed  patterns  seen  in  the  

photographs  by  the  participants  involved  in  this  study  (e.g.  arranging  stuffed  

animals  or  friends  and  turning  on  the  flash  in  darker  settings  opposed  to  taking  the  

shot  without  the  flash  resulting  in  a  distorted  shot).    

While  all  photographs  have  a  purpose  behind  their  creation,  the  

photographer  often  knows  the  purpose  in  the  case  of  these  photographs.  Within  the  

study  the  purposes  behind  conscious  photographs  were  often  described  as  “I  took  

this  shot  because  this  is  my  favorite…”  or  “I  took  this  shot  because  this  is  an  

important  part  of  my  life.”  However,  while  a  majority  of  conscious  photographs  are  

these  premeditated  shots,  photographs  that  are  a  result  of  a  “decisive  moment”  

 
30    

when  something  visually  and/or  emotionally  exciting  catches  the  attention  of  the  

photographer  are  often  remembered.  These  photographs  weren’t  planned  or  

necessarily  taken  for  a  specific  purpose,  possibly  because  the  unconscious  mind  was  

that  which  chose  the  shot  for  its  meaning  and  emotion.  The  reasoning  behind  why  

these  photographs  are  often  remembered  is  likely  due  to  the  fact  that  things  

attached  to  emotion  are  better  remembered  than  those  that  are  not.  Although  these  

photographs  are  remembered,  all  the  ideas  and  feelings  involved  in  taking  the  shot  

may  not  be  consciously  understood  or  even  known.  This  brings  up  the  topic  of  

repression  or  suppression  in  photographs.  

Dr.  Simon  Boag  or  Macquarie  University  in  Sydney,  Australia  explains  that  

repression  and  suppression  “…are  said  to  involve  removing  mental  content  from  

awareness.  However,  repression  is  generally  said  to  be  unconscious,  whereas  

suppression  is  said  to  be  conscious.”  (Boag,  2010,  p.  164).  In  the  situation  of  this  

study,  there  was  a  span  of  seven  days  between  the  times  the  participants  took  the  

photographs  and  being  asked  to  recall  them.  During  this  time,  the  participants  may  

have  unconsciously  repressed  photographs  that  they  had  taken  due  to  the  memories  

or  emotions  that  were  related  to  them.  These  photographs  then  become  known  as  

“unconscious  photographs”.  

Unconscious  photographs  are  photographs  the  photographer  is  unable  to  

recall  taking.  These  are  often  the  result  of  a  more  spontaneous  shot,  such  as  a  shot  of  

the  front  door  of  your  house  that  was  taken  as  you  walked  to  your  car.  Unlike  

decisive  moments  shots,  which  commonly  involve  a  nice  composition,  beautiful  

colors,  or  other  positive  aesthetics,  unconscious  photographs  would  usually  involve  

 
   31  

the  excitement  and  emotion  of  a  “perfect”  and  personally  meaningful  and  emotional  

shot  emerging  before  the  photographer’s  eyes.  This  spontaneity  allows  the  

unconscious  of  the  photographer  to  control  the  aspects  within  the  photograph.  

Through  photography,  the  photographer;  as  explained  by  Aniela  Jaffé  in  Carl  G.  

Jung’s  book  Man  and  His  Symbols  (Jung,  C.  G.,  Franz,  M.,  &  Jaffe,  A.,  1964,  p.  257),  

“…unconsciously  transforms  objects  or  forms  into  symbols  (thereby  endowing  them  

with  great  psychological  importance)  and  expresses  them  in  both  his  religion  and  

his  visual  art.”  There  must  be  a  distinction  here  between  photographs  that  are  “not  

remembered”  and  photographs  that  are  “forgotten”.  Photographs  that  are  forgotten  

might  consist  of  photographs  that  are  simply  unimportant,  where  as  photographs  

which  are  not  remembered  may  have  held  importance  at  one  time  and  was  

“repressed”.  The  critical  factor  here  may  be  whether  an  emotion  or  memory  was  

related  to  the  photograph  or  at  the  time  of  the  photograph.    

In  the  study  it  was  also  found  that  the  unconscious,  or  forgotten  photographs,  

tended  to  relate  to  negative  areas  of  the  individuals  life.  The  conscious,  or  

remembered  photographs  pertained  to  the  more  positive  areas  of  their  life.  In  a  few  

cases  a  conscious  photograph  symbolized  a  remedy  or  the  way  the  individual  

addresses  an  issue  in  their  life  that  was  also  symbolized  by  an  unconscious  

photograph.    

Participant  1  suffers  from  a  chronic  pain  that  in  some  cases  creates  a  need  for  

a  wheelchair.  During  the  time  of  this  research  participant  1  was  experiencing  

complications  with  their  medication  and  she  was  experiencing  an  increase  of  pain.  

The  conscious  photographs  reflected  some  of  the  participant’s  techniques  for  coping  

 
32    

with  this.  When  asked  question  five,  “What  were  you  thinking  and  what  was  

happening  when  you  took  this  photograph?”  the  participant  replied  to  a  photograph  

of  the  sky  “when  I’m  upset  I  like  to  be  outside  and  look  at  the  clouds.  So  it  was  

calming  to  me.”  The  participant  also  referred  to  this  photograph  of  the  sky  

mentioning  that  they  would  “hang  it  up”  as  an  answer  to  question  six,  “What  would  

you  like  to  do  with  this  photograph  if  you  could  do  anything?  (e.g.  hide  it,  display  it,  

rip  it  up,  throw  it  out,  save  it  somewhere)”.  By  choosing  to  hang  this  photograph  up,  

the  participant  shows  a  desire  to  remember  the  photograph  and  most  likely  the  

calming  feeling  that  it  creates.  

In  participant  1’s  unconscious  photographs  there  were  two  photographs  that  

related  to  their  desire  to  be  calm.  The  first,  a  photograph  of  a  girl  with  her  head  

down  and  sleeping  at  a  table  was  mentioned  in  response  to  two  questions.  When  

asked  question  two  “What  does  this  image  remind  you  of?”,  the  participant  replied  

that  it  reminded  them  of  being  tired.  As  patterns  are  important  in  any  projective  

assessment  it  should  be  mentioned  that  in  response  to  question  nine,  “What  are  

three  ways  this  photograph  connects  to  you  as  a  person?  What  are  three  ways  that  

this  photograph  is  opposite  to  you  as  a  person?”,  the  participant  replied  “Tired,  it  

connects  to  me  because  I  was  tired,  gloomy,  and  worn  out.”  to  the  same  photograph  

of  a  girl  with  her  head  down  and  sleeping  at  a  table.  Additionally,  in  response  to  

question  fourteen,  “If  you  were  asked  to  place  yourself  into  the  photograph,  what  

pose  would  you  use  and  where  in  the  photograph  would  you  be?  What  would  you  be  

wearing?  What  would  you  be  feeling,  thinking,  and  doing?”  the  participant  referred  

to  a  photograph  of  a  pillow  and  said  “I’d  be  laying  down  with  my  head  on  the  pillow,  

 
   33  

probably  wearing  sweatpants  and  a  sweatshirt  and  I  would  just  be  relaxed.”  We  see  

in  the  response  to  this  question  the  wish  for  the  remedy  that  appeared  in  the  

conscious  photo.  These  findings  positively  correlated  with  data  from  the  Quality  of  

Life  Scale(QOLS).  Participant  1  showed  a  rating  drop  from  seven  (delighted)  to  five  

(mostly  satisfied)  in  the  area  of  “Learning-­‐  attending  school,  improving  

understanding,  getting  additional  knowledge”.    This  change  in  addition  to  a  rating  

drop  of  one  (1)  in  the  areas  of  “Understanding  yourself-­‐  knowing  your  assets  and  

limitations-­‐  knowing  what  life  is  about”,  “Participating  in  active  recreation”,  and  

“Independence,  doing  for  yourself”  may  reflect  the  findings  discussed  earlier.  

The  desire  for  relaxation  and  calmness  reflects  finding  by  Dr.  John  Suler  

(Suler,  n.d.f).  In  his  research  it  was  found  that  after  viewing  a  slideshow  of  200  

images,  the  most  common  reaction  from  students  concerning  these  images  was  a  

desire  for  a  state  of  “peacefulness,  joy,  contentment,  love,  relaxation,  comfort,  

security,  oneness,  rejuvenation,  synchronization,  immersion,  and  pure  tranquility”.  

The  differentiation  between  the  positive  areas  of  life  portrayed  in  the  

conscious  photographs  and  the  negative  areas  of  life  portrayed  in  the  unconscious  

photographs  were  a  common  theme.  Other  examples  of  this  were  seen  in  participant  

4.  Participant  4’s  conscious  photographs  included  photos  of  her  grandmother,  

brother,  boyfriend  and  the  stuffed  animals  that  he  had  given  to  her.  The  people  in  

these  photographs  are  those  that  the  participant  has  close  and  loving  relationships  

with,  which  offer  her  support.  When  question  two  “What  does  this  image  remind  

you  of?”  was  asked  about  participant  4’s  unconscious  photographs  there  were  four  

photographs  that  were  included  in  her  answer.  The  photographs  were  of  an  old  

 
34    

roommate  and  herself,  an  autism  volunteer  button,  a  framed  photo  of  her  and  her  

grandmother  at  her  graduation,  and  her  house.  The  photograph  of  the  participant  

and  her  old  roommate  reminded  her  of  her  old  roommate,  who  “…was  my  

(participant  4)  best  friend,  then  she  moved,  went  to  another  school.”  The  

photograph  of  the  autism  volunteer  button  brought  back  memories  of  the  

difficulties  her  brother  faces.  The  photograph  of  a  framed  photograph  of  her  and  her  

grandmother  at  her  graduation  brought  back  negative  emotions  and  was  stated  that  

graduation  “…usually  would  be  a  happy  time,  but  it  wasn’t  for  me.”  Finally,  the  

participant  claimed  to  have  “mixed  feelings”  about  the  photograph  of  her  house.  

These  are  four  additional  examples  of  how  conscious  photographs  containing  

positive  and  unconscious  photographs  containing  negative  areas  of  life  is  a  common  

theme.    

 However,  in  some  cases  when  a  negative  area  of  life  was  recently  improved,  

any  photographs  reflecting  this  area  of  life  were  observed  in  the  conscious  

photographs.  This  was  most  clearly  observed  in  information  collected  from  

participant  7.    

Participant  7  recently  ended  a  relationship  with  a  partner  who  was  in  and  

out  of  rehab  for  drugs.  During  the  time  of  this  research  she  was  in  the  process  of  

moving  into  a  new  living  space  separate  from  this  person.  One  of  participant  7’s  

photographs  portrayed  her  ex-­‐boyfriend  along  with  her  two  dogs.  This  photograph  

was  selected  in  response  to  question  three  “If  you  could  retake  this  photograph,  

would  you  change  anything  about  it?  Would  you  still  take  the  photograph?”.  She  

replied  that  she  would  still  take  the  photograph  however  she  would  change  the  fact  

 
   35  

that  her  ex-­‐boyfriend  was  in  the  photograph.  By  removing  him  from  the  photograph,  

in  a  sense  she  was  reflecting  the  act  of  removing  him  from  her  life.  The  data  

collected  from  the  Quality  of  Life  Scale(QOLS)  mirrored  this.  Participant  7  showed  a  

rating  drop  from  seven  (delighted)  to  two  (unhappy)  in  “Close  relationships  with  

spouse  or  significant  other”  and  an  increase  from  four  (mixed)  to  six  (pleased)  in  

“Independence,  doing  for  yourself”.    While  the  participant  appears  to  be  unhappy  

with  her  current  relationship  status,  she  has  increased  quality  of  her  independence,  

which  may  be  attributed  to  her  choice  to  put  her  own  needs  above  the  needs  of  

others,  an  issue  that  was  addressed  in  her  photographs.    

A  realization  of  an  aspect  that  contributes  to  the  better  understanding  of  life  

is  an  important  part  of  many  theories  of  psychotherapy.  In  the  case  of  participant  2,  

the  better  understanding  of  their  relationship  with  their  parents  and  their  role  to  

others  was  addressed  in  their  interview.  Although  participant  2  failed  to  utilize  all  

twenty-­‐four  shots;  a  possible  relation  to  the  participant’s  personality  style  or  visual  

ability,  which  may  have  led  to  the  outcome  of  every  photograph  being  remembered,  

two  of  the  photographs  are  related  to  the  positive  areas  of  life  and  furthermore  

provided  insight  and  support  the  positive  correlation  between  the  Quality  of  Life  

Scale(QOLS)  and  the  topics  discussed  in  response  to  his  photographs.      

The  first  photograph,  a  photograph  of  his  parents,  was  selected  to  answer  

two  of  the  interview  questions.  When  asked  question  three  “If  you  could  retake  this  

photograph,  would  you  change  anything  about  it?  Would  you  still  take  the  

photograph?”  the  participant  explained  that  it  was  important  to  him  to  take  a  

photograph  of  his  parents.  He  answered  that  he  would  change  the  fact  that  they  

 
36    

appeared  tired  from  the  long  day  and  night  that  the  three  of  them  spent  together,  

yet  he  couldn’t  think  of  a  better  time  to  take  the  photograph.  While  the  participant  

was  not  in  the  photograph,  he  had  the  desire  to  be.  When  asked  question  fourteen  

“If  you  were  asked  to  place  yourself  into  the  photograph,  what  pose  would  you  use  

and  where  in  the  photograph  would  you  be?  What  would  you  be  wearing?  What  

would  you  be  feeling,  thinking,  and  doing?”  the  participant  referred  to  the  

photograph  of  his  parents  and  stated  “I  would  place  myself  in  this  photograph  either  

behind  or  between  my  them  (his  parents).  I  would  be  wearing  comfy  clothes  and  

either  be  hugging  them  or  behind  them  doing  something  stupid.”  The  photograph  

was  taken  while  in  Walt  Disney  World  and  although  the  participant  said  that  

“Disney  is  impersonal”,  meaning  that  it  provided  fun  but  it  wasn’t  his  kind  of  fun  the  

fact  that  he  placed  himself  in  the  photograph  with  his  parents  either  hugging  them  

or  “doing  something  stupid”  behind  them  may  be  a  way  of  connecting  to  his  

childhood.  This  discussion  might  have  contributed  to  the  positive  change  from  a  

rating  of  five  (mostly  satisfied)  to  six  (pleased)  in  the  area  of  “Relationships  with  

parents,  siblings  &  other  relatives-­‐  communicating,  visiting,  helping”.  

The  second  photograph  was  of  the  participant  and  two  of  his  teammates  that  

were  new  to  the  team.  When  discussing  this  photograph  the  participant  mentioned  

that  this  was  his  final  year  on  the  team  and  that  this  photograph  symbolized  the  

relationship  he  has  had  with  these  two  teammates.  While  the  end  of  the  season  of  

his  final  year  on  the  team  may  be  seen  as  a  negative  area  of  life,  the  way  in  which  the  

participant  approached  the  issue  should  be  seen  as  positive.  In  the  “Helping  and  

encouraging  others,  volunteering,  giving  advice”  area  of  the  Quality  of  Life  

 
   37  

Scale(QOLS),  participant  2  showed  an  increase  from  five  (mostly  satisfied)  to  six  

(pleased).  The  possible  contribution  of  this  photograph  to  the  change  may  be  best  

explained  by  the  participant’s  answer  of  “passing  the  torch”  when  asked  question  

one  “What  thoughts  and  feelings  immediately  come  to  mind  about  these  photos?”.    

This  positive  approach  of  the  issue  of  termination  might  relate  to  the  participants  

personality  in  general.  Additionally,  it  would  be  advantageous  to  state  that  one  of  

participant  2’s  photographs;  a  reflection  of  Walt  Disney  World’s  Spaceship  Earth,  

elicited  the  feelings  of  being  calm  and  serene  as  support  for  Dr.  John  Suler’s  findings  

as  well  as  the  previous  discussion  on  conscious  photographs  relating  to  positive  

aspects  of  life.  

Throughout  the  study  there  were  photographs  that  were  simply  forgotten  

because  they  simply  lacked  any  emotional  attachment  or  memory.  Some  examples  

of  this  type  of  unconscious  photograph  that  appeared  in  the  study  included,  a  

participant’s  shoes,  cellphone,  juice  boxes,  a  fish  tank,  and  headache  pills.  It  should  

be  noted  that  emotion  or  memories  that  create  an  emotion  have  been  found  to  

contribute  to  which  photographs  are  remembered  and  which  photographs  are  not  

remembered  as  well  as  forgotten.  

Conclusion  

In  this  study  it  was  found  that  the  unconscious  photographs  typically  related  

to  the  negative  areas  on  a  person’s  life  while  the  conscious  photographs  typically  

related  to  the  positive  or  desires  for  relaxation  and  calmness.  Furthermore,  the  

positive  areas  of  life  portrayed  in  conscious  photographs  might  represent  the  way  in  

 
38    

which  the  individual  copes  with  a  negative  area  of  life  portrayed  in  the  unconscious  

photographs.    The  conscious  photographs  might  also  reflect  negative  areas  of  life  

that  were  recently  improved  or  addressed.  Finally,  the  understanding  between  

forgotten  photographs  and  non-­‐remembered  photographs  was  clarified.  

The  limitations  of  this  study  would  be  the  instruction  set  to  take  shots  of  

“anything  that  you  find  interesting,  or  that  feels  important  to  you  and  your  life.”,  

which  was  included  to  increase  the  likelihood  of  the  photographs  involving  emotion,  

which  might  make  them  remembered  or  repressed,  depending  on  the  negative  or  

positive  emotion  elicited.  If  this  instruction  were  not  included  the  significance  of  the  

unconscious  photographs  as  well  as  the  relationship  between  the  conscious  and  

unconscious  photographs  might  have  diminished.  The  personality  and  lifestyle  of  

the  subject  may  be  considered  a  variable.  Whether  the  personality  of  the  subject  

was  introspective  or  not,  psychologically  sophisticated  or  not,  and  whether  they  

were  experiencing  life  difficulties  or  not  may  have  contributed  to  the  contents  and  

emotions  that  were  involved  in  their  photographs.  

Another  factor  that  might  influence  the  significance  of  unconscious  

photographs  and  the  relationship  between  conscious  and  unconscious  photographs  

is  the  introspective  and  photographic  skill  of  the  photographer.  For  those  

approaching  photography  from  a  purely  artistic  mindset  both  the  conscious  and  

unconscious  would  be  significantly  less  therapeutic  than  someone  approaching  

photography  as  a  therapeutic  tool  such  as  in  therapeutic  photography.    

The  equipment  and  photograph  processing  was  an  additional  limitation.  It  

was  found  that  an  auto-­‐focus  film  camera  should  be  used  over  a  disposable  camera  

 
   39  

whenever  possible.  The  emphasis  on  using  the  entire  roll  of  film  must  be  better  

communicated  to  the  participants  because  low  number  of  photographs  diminishes  

the  significance  of  the  remembered  photographs.  Finally  it  must  be  understood  that  

no  statistical  tests  of  significance  were  done  on  these  QOLS  scores.    

The  data  and  ideas  discovered  in  this  research  may  lead  to  follow  up  

research  that  addresses  the  significance  in  the  number  of  photographs  taken  related  

to  the  therapeutic  qualities  of  the  conscious  and  unconscious  photographs,  

reoccurring  patterns  or  themes  observed  in  unconscious  photographs  and  in  

conscious  photographs,  and  further  applications  of  conscious  and  unconscious  

photographs.  

 
40    

Appendix 1
Informed Consent
The beneficial aspects of photography
Independent Study Project, Fall 2011
Adam Natoli
Psychology Department, Rider University

Thank you for your interest in participating in my research project. The purpose of
the project is to understand how taking photographs and talking about them might be
helpful to people as a way to understand themselves and their lives. I am doing the
project as an Independent Study for the Psychology Department at Rider University,
under the supervision of Dr. John Suler.

If you decide to participate, you will be given a disposable film camera consisting of
27 shots. Sometime during the next week, spend 30 to 90 minutes taking shots of
anything you find interesting or that feels important to you and your life. Please let
me know when you finish taking the shots so I can pick up the camera and have the
film developed.

No longer than one week after you take the shots, we will meet to look at and talk
about the photos. In this interview, which I will record, I will ask you to describe any
thoughts, feelings, or memories that come to your mind about the photos.

At two points during the study, I will also ask you to fill out a Quality of Life Scale
that asks you to rate how satisfied you feel about different aspects of your life, such
as family relationships, job, hobbies, etc.

Please feel free to skip any question in the Quality of Life Scale or in the interview I
will conduct with you after you take the photos. If at any time you decide that you
would rather not participate in this study, please feel free to let me know and you can
withdraw from the study at any time.

In the paper that I will write for this research, I may use quotations of things you said
during the interview. Any information that could identify you will not appear in the
paper or in any notes I might take during the study. At the end of my project, I will
delete the interview recordings, and you may keep the photos.

If you have any questions at any time, feel free to ask me or Dr. Suler:
[email protected] – 609-895-5430

Thanks again for your help with my project.

(your signature) (date)

 
   41  

Appendix 2
Participant Number:___________ Time Started:_________
Researcher:____________________________

Date:___/____/______

Please read each item and circle the number that best describes how satisfied you are at
this time. Please answer each item even if you do not currently participate in an activity
or have a relationship. You can be satisfied or dissatisfied with not doing the activity or
having the relationship.

Mostly Mostly
Delighted Pleased Mixed Unhappy Terrible
Satisfied Dissatisfied
Material comforts home, food,
1 7 6 5 4 3 2 1
conveniences, financial security
Health - being physically fit and
2 7 6 5 4 3 2 1
vigorous
Relationships with parents,
3 siblings & other relatives- 7 6 5 4 3 2 1
communicating, visiting, helping
4 Having and rearing children 7 6 5 4 3 2 1
Close relationships with spouse or
5 7 6 5 4 3 2 1
significant other
6 Close friends 7 6 5 4 3 2 1
Helping and encouraging others,
7 7 6 5 4 3 2 1
volunteering, giving advice
Participating in organizations and
8 7 6 5 4 3 2 1
public affairs
Learning- attending school,
9 improving understanding, getting 7 6 5 4 3 2 1
additional knowledge
Understanding yourself -
knowing your assets and
10 7 6 5 4 3 2 1
limitations - knowing what life is
about
11 Work - job or in home 7 6 5 4 3 2 1
12 Expressing yourself creatively 7 6 5 4 3 2 1
Socializing - meeting other
13 7 6 5 4 3 2 1
people, doing things, parties, etc
Reading, listening to music, or
14 7 6 5 4 3 2 1
observing entertainment
15 Participating in active recreation 7 6 5 4 3 2 1
16 Independence, doing for yourself 7 6 5 4 3 2 1

 
42    

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