(Lenz 2013)

Article/Study Title:

Evidence for the Utility of a Photovoice Task as an Empathic Skill Acquisition Strategy Among Counselors-in-Training

DOI or Website Link: DOI: 10.1002/J.2161-1939.2013.00031.x

Publication: JOURNAL of HUMANISTIC COUNSELING

Authors: A. STEPHEN LENZ AND VARUNEE FAII SANGGANJANAVANICH

Date: April 2013

Affiliation(s): A. Stephen Lenz, Department of Counseling, Educational Psychology, and Research, The University of Memphis; Varunee Faii Sangganjanavanich, Department of Counseling, The University of Akron.

Citation: Lenz, A. S., & Sangganjanavanich, V. F. (2013). Evidence for the utility of a Photovoice task as an empathic skill acquisition strategy among counselors-in-training. Journal of Humanistic Counseling, 52(April), 39-53.

Abstract: Cut and pasted:

An instructional technique derived from photovoice was compared with a didactic approach for empathic skill acquisition among 38 master's-level counselors-in-training. Participants in the photovoice condition demonstrated marked improvements in quality of empathic statements compared with those receiving didactic lecture. Considerations for implementing this educational approach are provided.

Topic Area:

Counselor training

Definition:

(How was empathy defined?)

Empathic responding: 'Raskin and Rogers (2000) proposed an encompassing and accepted description of this empathic demonstration, and they stated that demonstrating empathy was "an active, immediate, and continuous process" (p. 147) in which the counselor becomes aware of the client's attitudes and feelings, experiences those states, and creates a mirror through which the client can explore and discover deeper meanings through the counselor's accurate understanding.'

Benefits:

(Were any benefits of empathy mentioned?)

"understand the experiences and affirm a holistic perspective of clients as they engage in the processes of growth and development over the life span"

Methods:

(What were the methods used to train empathy?)

    • "Photovoice, a method of participatory pedagogy, involves the use of photographs to evaluate social and cultural phenomena associated with diverse populations by someone outside of the community that is depicted (Wang & Burris, 1997). In photovoice activities, participants are encouraged to critically examine photos of situations in communities that are different from theirs and to explain perceptions of the situations that represent a changed perspective."

  • Participatory visual analysis ... provides an opportunity to evaluate the world of diverse populations by having participants select photographs that have already been taken and narrate their subjective response to the images (Wang & Burris, 1997).

    • We hypothesized that engaging in this adaptation of a participatory visual analysis photovoice activity would be positively associated with CITs' increased ability to demonstrate empathic communication for client issues when responding to case example prompts.

    • In this quasi-experimental design, students in one course section were randomly selected to receive a traditional didactic lecture and the other to complete an alternative pedagogical strategy based on the participatory visual analysis task associated with photovoice; both groups addressed developing the knowledge and skills for communicating empathy with clients.

Target Group:

(Who participated in this study / training?)

40 master's-level counseling students (34 women, 6 men) completing an orientation to counseling course

Measurements:

(About the assessment: How was the change in empathy measured before/after the intervention/method?)

Pretest for level of empathy

Postlecture empathic skill acquisition assessment and self-reports

Result:

(What was the result?)

Our findings indicated that participants in the photovoice group increased their ability to demonstrate empathic responding as measured by their EQ (M = 7.22) when compared with participants in the traditional lecture condition (M = 4.06).

Our findings provide evidence supporting the hypothesis that a photovoice participatory visual analysis task is a more effective means for counselor educators to facilitate the demonstration of empathy by CITs when compared with didactic lecture.

Posted By:

Dorothy Della Noce

Notes:

(Any other relevant information)

Good discussion in article about experiential and multisensory learning. Instructions provided in how to carry out a photovoice task.

References:

Association for Experiential Education. (2010). What is experiential education? Retrieved from

http://www.aee.org/about/whatIsEE

Barone, D. E, Hutchings, P. S., Kinimel, H. ]., Traub, H. L., Cooper, J. T., & Marshall, C. M. (2005).

Increasing empathie accuracy through practice and feedback in a clinical interviewing

course. Journal of Social and Clinical Psychology, 24,156-171. doi:10.1521 /jscp.24.2.156.62275

Barrett-Lennard, G. T. (1981). The empathy cycle: Refinement of a nuclear concept. Journal of

Counseling Psychology, 25, 91-100. doi:10.1037/0022-0167.28.2.91

Blatner, A., & Blatner, A. (1991). Imaginative interviews: Apsychodramatic warm-up for developing

role-playing skills. Journal of Group Psychotherapy, Psychodrama & Sociometry, 44,115-120.

Book, H. E. (1988). Empathy: Misconceptions and misuses in psychotherapy. American Journal

of Psychiatry, 145, 420-424.

Carkhuff, R. R. (1993). The art of helping (7th ed.). Amherst, MA: Human Resources Development

Press.

Catalani, C, & Minkler, M. (2009). Photovoice: A review of the literature in health and public

health. Health Education and Behavior, 37, 424-451. doi:10.1177/1090198109342084

Chapman, E., Baron-Cohen, S., Auyeung, B., Knickmeyer, R., Taylor, K., & Hackett, G. (2006).

Fetal testosterone and empathy: Evidence from the empathy quotient (EQ) and the "Reading

the Mind in the Eyes" test. Social Neuroscience, 1,135-148. doi:10.1080/17470910600992239

Chio, V. C. M., & Fandt, P. M. (2007). Photovoice in the diversity classroom: Engagement,

voice, and the "eye/I" of the camera. Journal of Management Education, 31, 484-504.

doi:10.1177/1052562906288124

Clark, A. (2004). Empathy: Implications of three ways of knowing in counseling. Journal of

Humanistic Counseling, Education and Development, 43, 141-151.

Cohen, J. (1988). Statistical power analysis for thebehavioral sciences (2nd ed.). Hillsdale, NJ: Erlbauin.

Dale, E. (1969). Audiovisual methods in teaching. New York, NY: Dryden Press.

Darbyshire, P., Macdougall, C, & Schiller, W. (2005). Multiple methods in qualitative

research with children: More insight or just more? Qualitative Research, 5, 417-436.

doi:10.1177/1468794105056921.

Decety, J., & Jackson, P. L. (2006). A social-neuroscience perspective on empathy. Current Directions

in Psychological Science, 15, 54-58. doi:10.1111/j.0963-7214.2006.00406.x

DeKanter, N. (2005). Gaming redefines interactivity for learning. TechTrends: Unking Research

& Practice to Improve Learning, 49, 26-31

Deloney, L. A., & Graham, C. J. (2003). Wit: Using drama to teach first-year medical students

about empathy and compassion. Teaching and Learning in Medicine, 15,247-251. doi:10.1207/

S15328015TLM1504

Downey, L., Ireson, C, & Scutchfield, F. (2009). The use of photovoice as a method of facilitating

deliberation. Health Promotion Practice, 10, 419-427. doi:10.1177/1524839907301408

Feller, C. P., & Cottone, R. (2003). The importance of empathy in the therapeutic alliance.

Journal of Humanistic Counseling, Education and Development, 42, 53-61.

Fernald, P. S. (1995). Teaching students to listen empathically Teaching of Psychology, 22,

183-186. doi:10.1207/sl5328023top2203

Freedberg, S. (2007). Re-examining empathy: A relational-feminist point of view. Social Work

52, 251-259.

Gladstein, G. A., & Feldstein, J. C. (1983). Using film to increase counselor empathie experiences.

Counselor Education and Supervision, 23, 125-131.

Gosselink, C, & Myllykangas, S. (2007). The leisure experiences of older U.S. women living with

HIV/AIDS. Health Care for Women International, 28,3-20. doi:10.1080/07399330601001402

Harrison, B. (2002). Photographic visions and narrative inquiry. Narrative Inquiry, 12, 87-111.

doi:10.1075/ni.l2.1.14har.

Hodges, N. J., Chua, R., & Franks, L M. (2003). The role of video in facilitating perception

and action of a novel coordination movement. Journal of Motor Behavior, 35, 247-260.

doi;10.1080/00222890309602138

Kottler, J., Montgomery, M. J., & Marbley, F. (1998). Three variations on a theme: The power

of pure empathy. Journal of Humanistic Counseling, Education and Development, 37, 39-46.

doi:10.1002/j.2164-4683.1998.tb00404.x

Kunst-Wilson, W., Carpenter, L., Poser, A., Venohr, I., & Kushner, K. (1981). Empathie perceptions

of nursing students: Self-reported and actual ability. Research in Nursing and Health,

4, 283-293.

LoCicero, A., & Hancock, J. (2000). Preparing students for success in fieldwork. Teaching of

Psychology, 27,117-120. doi:10.1207/S15328023TOP2702_09

Lockett, D., Willis, A., & Edwards, N. (2005). Through seniors' eyes: An exploratory qualitative

study to identify environmental barriers to and facilitators of walking. Canadian Journal

of Nursing Research, 37, 48-65.

Martz, E. (2001). Expressing counselor empathy through the use of possible selves. Journal of

Employment Counseling, 38, 128-133.

McAuliffe, G. J., & Eriksen, K. P. (2002). Classroom strategies for constructivist and developmental

counselor education. Westport, CT: Bergin & Garvey.

Moyn, S. (2006). Empathy in history, empathizing with humanity. History and Theory, 45,397-415.

Pranis, K. (2000, Spring). Empathy development in youth through restorative practices. Public

Service Psychology Newsletter, 25(2). Retrieved from http://www.corr.state.mn.us/rj/

publications/rjempathy.htm

Preston, S. D., Bechara, A., Damasio, H., Grabowski, T. J., Stansfield, R. B., & Damasio, R.

B. (2007). The neural substrates of cognitive empathy. Social Neuroscience, 2, 254-275.

doi:10.1080/174709101376902

Raskin, N. J., & Rogers, C. R. (2000). Person-centered therapy. In R. J. Corsini & D. Wedding

(Eds.), Current psychotherapies (6th ed., pp. 133-167). Belmont, CA: Thompson Learning.

Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change.

Journal of Consulting and Clinical Psychology, 11, 95-103. doi:10.1037/h0045357

Rogers, C. R. (1980). A way of being. Boston, MA: Houghton Mifflin.

Romm, J. (2007). Teaching empathy, learning about equanimity. Archives of Women's Mental

Health, 10, 91-92.

Shaffer, D. W., Squire, K. R., Halverson, R., & Gee, J. P. (2005). Video games and the future of

learning. Phi Delta Kappan, 87,105-111.

Shaffer, R. (1983). Beyond the dispensary. Nairobi, Kenya: African Medical and Research

Foundation.

Shapiro, J. (2008). Walking a mile in their patients' shoes: Empathy and othering in medical

students' education. Philosophy, Ethics, and Humanities in Medieine, 3,10. doi:10.1186/1747-

5341-3-10

Stepien, K. A., & Baernstein, A. (2006). Educating for empathy. Journal of General Internal

Medicine, 21, 524-530. doi:10.1111/j.l525-1497.2006.00443.x

Stevens, C. (2006). Being healthy: Voices of adolescent women who are parenting. Journal for

Specialists in Pédiatrie Nursing, 11, 28-40. doi:10.1111/j.l744-6155.2006.00041.x

Streng, J., Rhodes, S., Ayala, G., Eng, E., Arceo, R., & Phipps, S. (2004). Realidad Latina: Latino adolescents,

their school, and a university use photovoice to examine and address the influence

of immigration./owraa; o/ífíferpro/essiDn«; Care, IS, 403-415. doi:10.1080/13561820400011701.

Suri, J. F. (2001). The next 50 years: Future challenges and opportunities for empathy in our

science. Ergonomics, 44, 1278-1289. doi:10.1080/00140130110105850

Sweeney, T. J. (2009). Adlerian counseling and psychotherapy: A practitioner's approach (5th ed.).

New York, NY: Routledge.

Toranzo, N. C. (1996). Empathy development: A critical classroom tool. The Volta Review 98

107-125.

Van Hell, J. G., Bosman, A. M. T., & Bartelings, M. C. G. (2003). Visual dictation improves the

spelling performance of three groups of Dutch students with spelling disabilities. Learning

Disability Quarterly, 26, 239-255. doi:10.2307/1593637

Wang, C, & Burris, M. A. (1997). Photovoice: Concept, methodology, and use for participatory

needs assessment. Health Education & behavior, 24,369-387. doi:10.1177/109019819702400309

Winefield, H. R., & Chur-Hansen, A. (2000). Evaluating the outcome of communication skill

teaching for entry-level medical students: Does knowledge of empathy increase? Medical

Education, 34, 90-94.