Assignment 4: Digital identities 1

Assignment 4: Themes work is addressing or what it’s attempting to communicate

At the start of this assignment I explored my identity as a theatre nurse, inspired by photographers such as Thomas Ruff, Claudia Angelmaier, Tom Hussey and Brian Griffin. Due to winter pressures and filming from the BBC, exploring my other self at work as planned did not happen. Instead I developed a couple of ideas influenced by Anne Collier’s “Cut” and “Eye” and Jo Spence’s “The picture of health” series.
Figure 1 Cut (2010)
Figure 2 Eye #3 (2014)
My role is different from that of a ward nurse although it still encompasses stereotypes such as “surgeons handmaiden”, “nurse as skilled knower and doer” and “sexual plaything”. Image can be embraced photographers and the media, for example we worked closely with medical photography to film a natural caesarian section operation at the request of a patient as an educational tool (which subsequently went viral on social media 2016). 
Contact sheet 1 - work me


Contact sheet 2 - presentation
Contact sheet 3 - identity
Jo Spence and Juana Gomez photograph their bodies; I explored mark making and potential scar formation on my skin to understand how I would feel if I became a patient. Scars affect patients psychologically and physically; some patients embrace them, others don’t; some later covering them with tattoos. Although scars give people identity, the current trend on social media is for body perfection which can lead to people suffering with body dysmorphia. Routine elective surgery incisions and trauma scars can be anything from unsightly to a neat line hidden within skin creases when healed. Peoples’ skin heals differently; some develop keloid (raised red) scars and others may show marks from the closure device. If a patient presents for the same surgery with what they consider to be an unsightly scar, they often discuss concerns over suture material and refashioning.
Contact sheet 4 development of idea
By photographing my body and adding sutures to typical incision sites, texture and colour is added to the image. An in-depth look shows the holes left by the suture needle (Prolene suture - blue dyed polypropylene) knots on the image and trauma from the implements and heavy handedness which is comparable to real surgery. The lifelike colour from printing onto glossy photographic paper represents the skin under the bright operating lights. (Matt paper removed the shine giving the opposite effect) By working with the printed image I can look at parts of my body in more detail than I would normally see. The relationship between the initial printed photograph and holding the image to re-photograph it creates a relationship between me and my body and demonstrates an empathy between nurse and patient. I am privileged to see inside people’s bodies; something patients don’t often get the chance to see without a physical and emotional journey. My role involves altering people’s appearances every day. I have only had a handful of investigations performed on my body and imagining what is under the skin through the study of anatomy, I am photographing the unseen.
Contact sheet 5 - not using

Contact sheet 6 
Contact sheet 7
Inspired by the desire to gain a perspective of scars from a patients’ viewpoint, marking my own body created an uncanny feeling as my brain believed I had sutures in my physical skin. Stitches in the analogue print link the pixels from the digital image together. By working in two mediums the captured image recording part of myself changed into a representation of how my role affects my body through understanding of scar formation. In effect, this work becomes a projection of myself rather than a reflection of reality. By holding the printed image and re-photographing, the image moves from being a medical record into something more personal and cognitive.

List of illustrations
Figure 1 Collier, Anne. (2010) Cut (colour) [photograph: c-type print 45 ¾ x 55 inches paper]
last accessed 15/2/18
Figure 2 Collier, Anne. (2014) Eye #3 [photographc print 9 11/16 x 65 ¼ inches]
Last accessed 15/2/18

Brief self-evaluation

I thought I would feel more inspired when stood in front of Thomas Ruff’s photographs at Whitechapel Gallery which led me to develop ideas around presenting the work so that it was different. I found it quite hard to act in front of the camera and was uncomfortable looking at the images in the beginning because it wasn’t what I thought I looked like! Time was the biggest factor required to develop ideas. I prefer keeping my body under clothes so deliberately chose areas which are on display although I could use drapes to protect my modesty. My set-up started as self-portrait but when I could not reach the remote-control camera lead I tried directing someone else to take the shots I envisaged. However, I re-photographed all the areas again myself; the longest time spent trying to photograph my eye from the surgeon’s perspective. Dressing up to take the images became the performance.

I think the idea works; I was unsure and thought I might have an issue with putting sutures in my eye. However, because I have assisted with cataract surgery it was OK. My biggest fear is knee surgery and so this is what I found most difficult. I changed the suture material to a commonly used absorbable suture but couldn’t get the knots to stay in, so reverted back to Prolene. Perhaps the eye needs to be larger as I struggled with the placement of the sutures? A surgeon would use a needle holder and threads smaller than an eyelash for closing some incisions – I don’t have the skill so worked with a 3” long needle attached to quite a thick thread designed for being handheld. The sutures are therefore a representation of surgery because some stitch techniques and materials didn’t work on photopaper.

Ideas for development: gloved hand holding photo, shadow in photo representing hand (inflated glove on stick to create shadow), change thread (tried another thread), staples, blurred image, photograph some images without the hand (use some diptych or triptych images) different sized images for punctuation, AV presentation with muffled talking as soundtrack, typology, iron drape!

Audience journal or web viewers. Book – small text intro at the beginning and captions. Limited interest because of the subject – not a wide appeal whereas images of nurses may be more appealing.  Medical interest self-portraiture

I researched scar photography after developing my idea and found Emily Goddard’s work in the BJP who documents patients with impressive scars. 

List of practitioners looked at in relation to this assignment

Research to support Assignment 4: Representation of nurses and nursing through popular image and culture


There are several articles covering the representation of nurses and nursing through popular image and culture which tend to feature examples of literature, TV shows and films. Historical content is covered but media and online sharing has developed over the last few years. One nurse researcher started to address images on YouTube, and now Gifs and memes have been added the image of nurses / nursing – often shared by nurses, colleagues of nurses and family and friends. Since the 1900’s, postcards collections have contained images of nurses and nursing, and now collections encompass Pinterest, Facebook and Twitter.


Darbyshire (2014) explains that there is more literature on images of nurses than other professional groups. Most of it is collated by nurses so he argues that nurses have the issue with the way in which they are portrayed.

Images of a modern caring nurse appeared in the 14th century which was a change from the Romano Greek idea of the baby nurse. Religious orders had caring nuns who taught women in communities how to care. But some were burnt as witches under religious persecution orders. In the 15th century, Kampers (1988) identifies the observation that “several features were common to the scenes of nursing sisters help to define the nature of their role; they nurse patients who are most often men lying in bed, they work in a distinctive location that does not look like a house, they wear distinctive costumes, their activities are domestic and religious rather than specifically medical and most importantly they are never subordinated to patients and doctors.” (Kampen, 1988 cited by Derbyshire, 2014).

The earliest referenced photographs of nurses were a few taken of Florence Nightingale during her career as a nurse which enhanced the stereotypical view of a nurse. Today nursing roles are many and varied, from community nurses to acute medical nurses, operating theatre nurses and including mental health and children’s specialisms. Nurses in the UK have been recruited internationally since the 1960’s and in 2007, Mary Seacole (Florence Nightingale’s Jamaican contemporary) was introduced to the National Curriculum in a bid to embrace multiculturalism? By comparison there is only one known photograph of Mary Seacole. This appears to show her place of work. She is cast in a very similar pose to Florence Nightingale with her head not looking towards the viewers.

Lizzie Cadwell Smith’s photograph (figure 6)showed the viewers a personal side of Nightingale. However, male photographers were still capturing the formal portrait. 

Figure 7 Red Cross Nurse (1924) 

August Sander’s photograph from People of the 20th Century was entitled “Occupation – group: the woman This studio portrait gives no clues as to the working conditions or location of the nurse.



















Figure 8 Nurse (1951) 
Irving Penn included the nurse portrait in his “Small Trades” body of work in the early 1950’s; a series of 250 portraits of people initially recruited from New York, London and Paris. Workers were photographed against a plain background wearing their uniform and with their tools. The nurse appears with her hands as tools of trade. Penn thought that “taking people away from their natural circumstances and putting them into the studio in front of a camera did not simply isolate them – it transformed them. (Penn, as cited by Elysée Lausanne, 2010). A press release for the J Paul Getty Museum (2009) describes Penn’s work as “austere and theatrical”. Lacoste (2009) explains that Penn conveys workers’ pride.









Figure 9 Eight Student Nurses (1966) 
In I964, Gerhard Richter’s Eight Student Nurses painted from individual photographs of student nurses murdered by a serial killer, the nurses remain anonymous (although their names were published in a newspaper at the time) and the nurses gain collective identity. The typology paintings were the same size and Gerhard Richter blurred the images slightly as if to remove some identity but kept distinguishing features such as hairstyles.  




Figure 10 Surf safari Nurse (2002-3) 
Richard Prince’s nurse paintings (2002-08) use popular novels as the source material. Prince scans and prints onto canvas before painting, sometimes changing the book title. He retains the characteristics of the nurse and constructs a stereotypical fantasy. Viewers are asked to reconsider the American visual culture depicting the nurse.









Modern student nurses are taught to critically review historical and contemporary representations of nursing so that they have a public and professional voice when dealing with major health care issues raised by the media and can challenge public perception.

“Even stereotypes are regarded as dubious, may after a measure of exposure become internalised and naturalised, they are thereby metamorphosed into categories of the normal, the real and the healthy and desirable.” (Delacour, 1991, as cited by Darbyshire, 2014) Academics have used different categorisations and the majority have been depicted in popular culture.

 “Muff (1982) suggests 6 major nursing stereotypes: Angel of mercy, handmaiden of the physician, Omen in white, Sex symbol / idiot, battle-axe, torturer.” (Darbyshire, 2014)

Dunn (1985) credits the average tabloid newspaper [with] only 3 types of nurse; angel, battle-axe and nymphomaniac. (Darbyshire, 2014)

Kelly’s (2011) YouTube study identifies 3 stereotypes, 2 are similar such as sexual plaything and witless incompetent although nurses are engaging with audiences through the skilled knower and doer stereotype although there may be more as it was a fairly small study and subjective interpretation by nurse researchers could equate differently if different groups of researchers undertook the same study.

Hoeve (2014) suggests that Bridges (1990) found 34 stereotypes. Kalisch and Kalisch (1981) categorised them into time frames. Angel of Mercy 1854-1919, Girl Friday 1920-1929, Heroine 1930-1945, Sex Object 1960-1982, Careerist 1983-present.

Angels with pretty faces and empty heads
Figure 11 The White Angel (1936) 
Figure 12 Lady with a lamp (1951)


Australian nurses in the 1800’s were “redefining image of nurses as motivated primarily by self-sacrifice.” (Bashford, 1997, as cited by Darbyshire, 2014) Nurses appeared in movies such as The White Angel (1936) and Lady with the Lamp (1951) which was Nightingale repackaged. Most cinema goers were women, so this was an ideal time to advertise to boost recruitment. Culturally women had become used to going out to work.

 In Catholicism, the symbol of the angel is used to obey, uncritical of what is written. Created by God – therefore women don’t need to be educated because they are divine and virtuous which opens arguments about pay, education and skills.

Doctor’s handmaidens
Figure 13 Chicago Hope (1994-2000)
This stereotype was based on military and Christian origins (Nelson 2001 as cited by Darbyshire, 2014)

A 19th century idea was that nurses helped the physician and not the patient. Skills were borrowed from physicians and were not questioned. Popular TV series such as Chicago Hope were developed.
This stereotype still exists among some nurses.














Battle-axe
Figure 14 Carry On Nurse (1959) 

A battle-axe is represented as an asexual, large person who is usually cruel. These stereotypes have Feminist ideas and challenge male power. They could be in a managerial role e.g. matron. Hattie Jaques in Carry On Nurse (1959) and Carry on Matron (1972). There was over a decade between the two films but the stereotype remained the same.

In looking to address this stereotype, nurses removed the formality from their job titles – e.g. “Staff Nurse ….” to first name. Patients were not sure who was the nurse.  In a frightening theatre environment, first names still apply although job roles or descriptions are stated in introductions to patients because all staff wear scrubs.

Naughty nurse and nymphomaniac
“Translocated ideal” (Hunter 1988 as cited by Darbyshire, 2014)

In nursing, traditional social power relations are reversed when a patient comes into hospital. The balance of power is reversed, and men may sexualise the encounters with nurses and fantasize. Nurses work without sexualising the encounter. The nurse becomes a metaphor for sex and subservience to men and can be seen in pornographic films.

Skilled knower and doer
YouTube Nursing videos show techniques and celebrations featuring multi-cultural staff and male nurses. In Kelly’s YouTube presentation of her study, “The Image of You – constructing nursing identities in YouTube” (2011) she explains that identity is “contextually variable description that draws on cultural meanings and the kind of person that one is can be bounded by the acceptable descriptions available at a [particular historical – cultural juncture.” […] “It is socially constructed through public discourses, is a linguistic construction, can be constructed in written and spoken language and other texts such as photographs and film.” (Kelly, 2011)

Kelly (2011) argues that nurses who wanted “likes” on YouTube knew how to reach audiences in which they thought they were promoting the nurse as a skilled doer but used objectification and sometimes placed the nurse in the other 2 categories (witless incompetent and sexual plaything) without realising. The main users of YouTube are young males and YouTube sends a suggestion to the viewer based on what they have already watched thereby not overcoming the stereotype if the watcher has previously chosen to watch a sexual plaything video.

Other studies which have taken place include Stanley’s (2008) study of 36,000 film synopses. Early films showed self-sacrificial heroines, sex objects and romantics and later films showed “strong, self-confident individuals.” (as cited by Hoeve, 2014) In a bid to be more open about roles, a postcard collection collected by Nurse Michael Zwerdling held digitally in the National Library of Medicine includes 600 images of nurses from 1893-2007. This includes images such as male nurses in New Jersey (1910) and accurately represented theatre nurses in 1951 (USA). Images copyright – see link https://www.nlm.nih.gov/news/zwerdling_postcard_collection.html

There are two schools of thought around how nurses should respond to the stereotyping of nurses in the media. In comedy, it should probably be left alone. In documentary, nurses should work with the directors in ensuring there is accurate representation of their role. If the stereotypes are changed, what will they become? There is a tendency for nurses to avoid challenging the media as they do not handle negative criticism and inaccurate portrayal well. Kelly (2011) reasons that responsibility should lie with professional representatives to moderate YouTube content through lobbyists and individual responsibility should be mindful of uploading user generated content which can have a negative impact on stereotypical issues. Recommendations from her study included a counter discourse. Student nurses are taught about self-concept and public identity. “Negative public image has a negative impact on nurses’ self-concept and the development of their professional identity.” (Hoeve, 2014)

List of illustrations

Figure 1 Collier, Anne. (2010) Cut (colour) [photograph: c-type print 45 ¾ x 55 inches paper]
last accessed 15/2/18
Figure 2 Collier, Anne. (2014) Eye #3 [photographc print 9 11/16 x 65 ¼ inches]
Last accessed 15/2/18
Figure 3 Hering, H (1856-7) Florence Nightingale [photograph] Available at:  https://www.npg.org.uk/collections/search/portrait/mw111411/Florence-Nightingale?LinkID=mp03298&wPage=0&role=sit&rNo=10 Last accessed 26/2/18
Figure 4 Kilburn, W E (1856) Florence Nightingale [photograph] Available at: https://www.npg.org.uk/collections/search/portrait/mw123091/Florence-Nightingale?LinkID=mp03298&wPage=0&role=sit&rNo=11 Last accessed 26/2/18
Figure 5 Lenthall, H (1864-77) Florence Nightingale [photograph] Available at: https://www.npg.org.uk/collections/search/portrait/mw17094/Florence-Nightingale?LinkID=mp03298&wPage=0&role=sit&rNo=16 Last accessed 26/2/18
Figure 6 Mary Seacole (1873) [photograph] Available at: https://en.wikipedia.org/wiki/Mary_Seacole last accessed 26/2/18
Figure 7 Payne, S G and son (1891) Florence Nightingale [postcard]Available at: https://www.npg.org.uk/collections/search/portrait/mw150696/Florence-Nightingale?LinkID=mp03298&wPage=1&role=sit&rNo=24 Last accessed 26/2/18
Figure 8 Caswell Smith, L  (1910) Florence Nightingale [photograph] Available at: http://www.dailymail.co.uk/news/article-1054508/Uncovered-The-haunting-photograph-Lady-Lamp-Florence-Nightingale.html last accessed 26/2/18
Figure 9 Sander, A (1924) Red Cross Nurse [photograph] Available at: https://www.nationalgalleries.org/art-and-artists/114368/red-cross-nurse-1924 last accessed 26/2/18
Figure 10 Penn, I.  (1951) Nurse (Small Trades) London. [photograph].  Available at: https://www.pinterest.co.uk/pin/5911043233885078/ last accessed 20/2/18
Figure 11 Richter, G (1966) Eight student nurses [oil on canvas] Available at: https://www.gerhard-richter.com/en/art/paintings/photo-paintings/death-9/eight-student-nurses-5770?&categoryid=9&p=1&sp=32&tab=notes-tabs last accessed 26/2/18
Figure 12 Prince, R (2002-3) Surf Safari Nurse [inkjet and acrylic on canvas] Available at: http://www.richardprince.com/paintings/nurses/ last accessed 26/2/18
Figure 13 The White Angel (1936) [movie poster] https://en.wikipedia.org/wiki/The_White_Angel_(1936_film) last accessed 26/2/18
Figure 14 Lady with the lamp (1951) [movie poster] Available at: https://en.wikipedia.org/wiki/The_Lady_with_a_Lamp last accessed 26/2/18
Figure 15 Chicago Hope (1994-2000) [photograph] Available at: https://en.wikipedia.org/wiki/Chicago_Hope last accessed 26/2/18
Figure 16 Carry On Nurse (1954) [photograph] Available at: http://www.britishpictures.com/photos/photo024.htm last accessed 26/2/18


References

Archino, S (2018) Richard Prince Artist and Overview. The Art Story [online] Available at: http://www.theartstory.org/artist-prince-richard-artworks.htm last accessed 24/2/18
Elysée Lausanne (2010) Irving Penn Small Trades [online press release] Available at: http://www.elysee.ch/fileadmin/user_upload/elysee/Medias/Dossiers/Documents/PressKit_Irving_Penn_EN.pdf  last accessed 20/2/18
Hallam, J. (2001) Nursing the images: Media, culture and professional identity. [online] Available at: https://ebookcentral.proquest.com/lib/ucreative-ebooks/detail.action?docID=165601 last accessed 11/12/17
J Paul Getty Museum (2009) Irving Penn Small Trades [online press release] Available at: http://news.getty.edu/irving-penn-small-trades-related-events-and-publications.tekdownload last accessed 20/2/18
Kelly, J, Fealy, G and Watson, R. (2011) The image of you: constructing nursing identities in YouTube. Journal of Advanced Nursing. [online] Available at: https://www.scribd.com/document/266629346/Journal-of-Advanced-Nursing-Volume-68-Issue-8-2012-Doi-10-1111-2Fj-1365-2648-2011-05872-x-Jacinta-Kelly-Gerard-M-Fealy-Roger-Watson-The-Image last accessed 11/12/17
Ten Hoeve, Y, Jansen, G and Roodbul, P (2014) The nursing profession: public image, self concept and professional identity. A discussion paper. Journal of Advanced Nursing70(2) 295-309 [online] Available at: http://www.truthaboutnursing.org/research/lit/orig/hoeve_2014_jan.pdf last accessed 11/12/17
US National Library of Medicine (2014) NLM launches “Pictures of Nursing: The Zwerdling Postacrd Collection” [online] Available at:   https://www.nlm.nih.gov/news/zwerdling_postcard_collection.html last accessed 12/12/17


Bibliography

Bright, S. (2010) Auto Focus The sef portrait in contemporary photography. London: Thames and Hudson
Fox, A and Caruana, N (2012) Behind the image. London: Thames and Hudson
Gomez, J (2018) Constructural Available at: https://www.juanagomez.com/constructal last accessed 2/3/18
National Galleries of Scotland (2018) National Galleries of Scotland. August Sander Available at: https://www.nationalgalleries.org/art-and-artists/114368/red-cross-nurse-1924#related-media-anchor last accessed 26/2/18
Prince, R (2018) Paintings Nurses Available at: http://www.richardprince.com/paintings/nurses/ last accessed 26/2/18
Richter, G (2018) Art Available at: https://www.gerhard-richter.com/en/art/paintings/photo-paintings/death-9/eight-student-nurses-5770?&categoryid=9&p=1&sp=32&tab=notes-tabs last accessed 26/2/18
Short, M. (2011) Context and narrative. London: Thames and Hudson

Tutor report Assignment 4 Digital Identities 1



I was pleased to receive helpful feedback from my tutor, as I realised that I needed to find a narrative for it the assignment to link it to assignment 5. We discussed  lots and I felt more positive after the skype session.

"Very good piece of preparatory work for this assignment exploring the representation of nurses and nursing through popular image and culture."

My tutor suggested that the research could form a piece of work in itself using the archive to create a visual database which is what my resulting Assignment 5 became. I had looked at the work of Anne Collier, and my tutor suggested "Christian Marclay, who uses not only found image (here; https://www.theguardian.com/music/2005/feb/14/popandrock)but latterly film (most famously in his 2010 tour de Force The Clock: http://www.tate.org.uk/whats-on/tate-modern/exhibition/christian-marclay-clock)."

"You’ve identified a wide range images form a variety of sources which explore the representations of the nurse and nursing in an interesting and critical way. You’ve researched thoroughly and found images from the archive, including popular film, advertising and media."

"NOTE: I wonder if you’ve considered juxtaposing some of these found images of nurses (especially ones in popular culture with photographs of you) or another in the theatre? The juxtaposition might be an interesting one – a coming together of the reality and the myth"

"very interesting things going on in the contact sheets – particularly the shot of the back of your head with the circular mirror so there’s plenty of material to play with there. I also like the snapshots of (you?) as a young nurse in the garden and think there’s something very interesting that you could put together working with a narrative – either a series of frames together, an animation or a book.
In the research, you’re looking at the multiple identities that nurses (women) are expected to absorb (you mention some: Naughty nurse, nymphomaniac, battle axe, doctor’s handmaiden, etc.) and this is expressed in images but also, as you note in your list of names, in language."

"I think to fully do justice to your interesting research, you’re probably going to working with series of images and with juxtaposition. In other words, you might be thinking of bringing one image together with one that on the surface is very different but when paired with another begins to communicated the ideas you’re interested in exploring (multiple identities, etc.)."

"This leads me on to your photographs taken of yourself in the theatre. These images remind me of some of the early work of performance artist Marina Abramovic (especially in relation to pain and performance: https://www.apollo-magazine.com/inside-mind-marina-abramovic/ . Like her, you are producing still images that are highly performative. Your still images - like Abramovic’s – begin to explore the boundaries between subject and object. By putting yourself in the place of the other (in your case, the patient) you are acting out the patient’s necessarily passive role. This is an interesting thing to do and begins to explore the relationship between empathy and the institution, etc. You might also be interested in looking at the work of these two artists who work directly with patients and with the medical profession, exploring the issues regarding ethics and empathy in a clinical setting:

Suggested relevant reading



Feedback to Tutor report


I found this skype session really helpful as I had taken several of images according to my plan and was not sure how to link them together. I had come to the conclusion that none of them were enough for a series of stand alone images and perhaps a narrative would work but I couldn’t find a direction with them.

We discussed Christian Marclay’s clock as using clips of film based around a given time shown on the clock. The clock becomes the referent. Following the skype session I watched some clips and found it an interesting concept. I am not sure whether something like this would work with my work but it is certainly something to consider My sutured images could work as a referent if using online video clips.

Wendy suggested I consider fantasy and reality with images working in binary opposition creating tension and include words. A series of images would probably work well (narrative) looking at my identity as a nurse.

We discussed that I had looked at the work of Anne Collier. Wendy suggested looking at the work of Marian Abramovic. This was based on her experiences of pain and she uses performance to tell her story. Also Christine Borland and Jacqueline Donachie were another two artists to look.  Their work was fascinating and so I have started to look their work in more detail and see how I can link it in with other artists and my own work. I need to look at the Wellcome Institute too.

It is acceptable for some images to just be words. These could work in binary opposition or be the stereotype words. Another option is looking at magazine covers and seeing how nurses are represented and possible remaking something. This would bring the research up to date. Perhaps a couple of opposite images or words and image could be combined together? Richard Prince uses image and words. This would work well as a book or prints.
I need to think about what I want to say.

Following this, I looked at magazine covers for the Nursing Standard and National Association of Theatre Nurses to study juxtaposition. Exploring the Wellcome collection and with the NHS 70 years and release of some old photographs, experimented using the code of conduct as a narrative. I also looked at plant based drugs used in anaesthesia and whether I could juxtapose these with images of nurses and operating theatres. This series wasn't large enough though.

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