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Middlesex University / Metanoia Institute

Psychotherapists’ experience of client-initiated sharing of a photograph in therapy

Abstract

dc:description.abstract

In a world with an increasing availability of photographic technology, it may be important to explore and understand visual tools as a potential form of non-verbal communication within counselling and psychotherapy. The field of phototherapy, which explores the therapeutic use of photographs as an adjunct technique, has provided valuable evidence and strategies for employing photographs to support client healing. However, the experiences of therapists who are not formally trained in phototherapy techniques remain largely unexplored. Many therapists lack phototherapy training, yet clients often spontaneously share photographs during sessions. This research seeks to bridge that gap by contributing to counselling psychology's understanding of how therapists navigate these moments. Utilizing Interpretive Phenomenological Analysis (IPA) and a snowball sampling approach, this study examines the lived experiences of eight UKCP or BACP accredited therapists without formal phototherapy training, who encountered client-initiated sharing of photographs. This research also explores how these experiences influenced the therapeutic process. Three major themes emerged from the analysis: ‘Vulnerability,’ ‘Alliance,’ and ‘Poignance,’ each comprising of two sub-themes. This research contributes that while photographs may bring moments of vulnerability for therapists, they can also foster profound connection and act as a powerful medium for healing within the therapeutic process.

Degree

thesis:*
Name dc:type.qualificationname
DCPsych
Level dc:type.qualificationlevel
DCPsych thesis
Grantor dc:publisher.institution
Middlesex University / Metanoia Institute
Year dc:date.issued
2025

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Barsen, C.

Subjects

dc:subject × 5

Identifiers

dc:identifier.*
Identifier
oai:repository.mdx.ac.uk:36835q
OAI identifier oai:identifier
oai:repository.mdx.ac.uk:36835q

Chain of custody

source
Harvested from
Middlesex University
Base URL
repository.mdx.ac.uk/oai2
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Barsen, C.. Psychotherapists’ experience of client-initiated sharing of a photograph in therapy. DCPsych thesis thesis, Middlesex University / Metanoia Institute, 2025.