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Portrait of an Angry Man – or not?

August 13, 2020 by Fay

Portrait of an Angry Man – or not?

The Author

Juliet Roberts

Part of our Emotions and Ethics series, ‘Portrait of an Angry Man’ is written by Juliet Roberts.

Portrait of an Angry Man – or not?

The focus of my presentation for the Webinar on 17 June 2020 was a portrait created in 1918 by the French illustrator, Raphaël Freida. The sitter is Albert V., a French soldier who was severely disfigured in action in Belgium 1915. He was a patient under the care of the orthodontist Albéric Pont, who had established a specialist maxillofacial unit at Lyon in 1914. The middle section of his face was shattered, and along with several fractures of his upper and lower maxillae his nose was torn away. He lost several teeth.

I found this particular image unsettling, since his gaze seems to fix on the viewer, and for some reason I interpret his emotional state as angry. Few of Freida’s portraits have corresponding images in alternative media. However, I was intrigued to find four photographs of Albert V. in Albéric Pont’s albums at the BIU Santé in Paris. This I hoped might resolve my idea that it was an ‘angry man’ in the portrait by Freida, or at least give broader scope to analyse the man and his injuries. With this in mind, I wanted to explore themes of objectivity and tensions between photographic or ‘scientific’ reproduction as opposed to artistic interpretations of clinical images. (Daston & Galison, 1992)

My other concern was that as historians, speculating on the emotional state of an individual may be an overly subjective approach to analysing an image as a primary source.  The following questions came to mind: Is it really possible to decipher the sitter’s emotional state from the images or, in the case of this portrait, are we simply staring at the artist’s own anger? Are the photographs of Albert V. examples of how a ‘mechanical image’ produces a more dispassionate picture of disfigurement and its resolution? Are the words ‘analysis’ and ‘interpretation’ in some way interchangeable? Does their own emotional reaction to and ‘reading into’ an image produce ethical problems for the historian?

Albert V

Using just five colours, Freida’s full-face portrait shapes Albert V.’s features and scarring using multiple, precise strokes, a technique which belies his pre-war profession as an illustrator. The sitter’s eyes and forehead have been spared injury, but the lower section of his face is a gnarled mess of disfigurement. A band of tissue covers the space where his nose was, and there is extensive scarring around his mouth. The viewer is left in no doubt as to how Albert V. received his injuries; he is wearing his military uniform.

Undated, the ‘before’ and ‘after’ photographs show Albert V. with and without a nasal prosthesis. They were part of an album of maxillofacial cases used by Albéric Pont, an orthodontist and prosthetist who established a facial surgery unit at Lyon in 1914. There is more extensive damage visible here, with a large, gaping hole where his nose should be. The corners of his mouth are turned upwards into what appears to be a smile, particularly with the nasal prosthesis in place, and there is a perceptible glint in his eyes (presumably due to light exposure). Somehow, the man in the photograph does not seem to be as troubled as he is in the portrait.

Approaching primary sources

Since subjectivity is such a personal concept, I wondered if any scientific methods had been deployed to measure emotional reactions to art. One study by Leder et al (2014) revealed that ‘challenging’ or controversial art produced more negative reactions from ‘lay’ viewers than ‘art experts’. However, I found this research unsatisfactory as it was based on anticipation of art being a pleasurable experience, or expectation of some kind of mood enhancement; obviously for those who research medical visual culture this is not always possible.

As historians, our approach to primary sources requires us to consider an object beyond its superficial impact. We have to consider how images are manipulated and audiences are targeted. The words ‘interpretation’ and ‘analysis’ produce similar explanations in the Chambers Dictionary (2008); to elucidate, unfold or resolve to arrive at the root cause of something. Consequently, exploring the context in which these images were created allows us to better understand our reactions to them. Certainly, the aim was more than simply recording the injuries for pedagogical purposes.

Portrait and viewer

Freida saw action during the Great War, and was subsequently deployed as an orderly at the military hospital in Lyon. He created a series of portraits of Albéric Pont’s patients and intended to publish a portfolio of these images entitled Les Misères de la Guerre after the war. In view of Freida’s war experience, it is essential to consider the possibility that he absolutely meant to provoke an emotional reaction from the viewer, hence his desire to publicise his portraits of these broken men. As for the photographs, it is clear that behind the recording of Albert V.’s injury and its attempted resolution lay Pont’s desire to promote his work, even if to a limited audience. Accordingly, the photographs were carefully chosen for the album (Mazaleigue-Labaste, 2015).

With regard to the ethical challenges posed by the provocation of emotions, it is reasonable to suggest that it is perfectly acceptable for the viewer, historian or not, to react to and interpret an image in terms of their personal feelings. Whether positive, negative, indifferent, these remain sentient reactions to an image. This portrait is an example of how an image forces the viewer to confront their own emotions, if not that of the sitter and the artist as well.  However, the methodological tools we have as historians allow us step back and take into consideration the broader context of these materials and hopefully reach a satisfactory, balanced conclusion to our inquiry.

Author Bio

Juliet Roberts is a second-year PhD candidate based at the Centre for Contemporary and Digital History at the University of Luxembourg. Her interest lies in artistic representation of facially-wounded soldiers from World War I. Following on from her Master’s research on the theme, her PhD project is entitled Altered Images: A Comparative Study of Medical Portraits by Henry Tonks and Raphaël Freida in the Great War.

Further reading

view all
March 10, 2023 | 4 MIN READ

The making of a blueprint. How historical, qualitative research should inform face transplant policy and practice.

January 23, 2023 | 4 MIN READ

Before and After? What the humanities bring to medical images

January 23, 2023 | 4 MIN READ

Diminishing their Voices: Face Transplants, Patients, and Social Media

January 23, 2023 | 4 MIN READ

Robert Chelsea and the First African American Face Transplant: Two Years On

January 23, 2023 | 4 MIN READ

History has Many Faces: researching histories of facial surgery

January 23, 2023 | 4 MIN READ

When face transplants fail: Carmen Tarleton and the world’s second retransplant

January 23, 2023 | 4 MIN READ

Drag Face: exploring my identity through masculine performance

January 23, 2023 | 4 MIN READ

Future Faces

January 23, 2023 | 4 MIN READ

Reflecting on Reflections

January 23, 2023 | 4 MIN READ

Owning My Face

January 27, 2023 | 4 MIN READ

Portrait of an Angry Man – or not?

January 23, 2023 | 4 MIN READ

Picturing Death: Dealing with Post-Mortem Images

Filed Under: ethics, faces, facial injury, facial surgery, guest blog, history

Picturing Death: Dealing with Post-Mortem Images

August 12, 2020 by Fay

Picturing Death: Dealing with Post-Mortem Images

The Author

Jennifer Wallis

This blog post is part of our Emotions and Ethics series, following the webinar ‘Emotions and Ethics: the use and abuse of historical images,’ held on 17 June 2020. This guest blog is written by Dr Jennifer Wallis, a historian based at Imperial College London.

Picturing Death: Dealing with Post-Mortem Images

Ten years ago I began a PhD in the history of 19th century psychiatry, focusing on the body in British asylum practice. During my work in the archives, I came across a photograph album kept by a pathologist that would come to shape and inform much of my PhD. In the album, alongside patient portraits, pathological specimens, and photomicrographs, were several photographs of dead patients in the asylum mortuary.

The post-mortem photograph is one of several variants of death photography. ‘Ever since cameras were invented,’ writes Susan Sontag in Regarding the Pain of Others (2003), ‘photography has kept company with death’. Unlike the romanticized post-mortem photograph popularized by Stanley Burns’ Sleeping Beauty collections and The Thanatos Archive, the post-mortem images I worked with were very ‘raw’ images of the dead body. There was no attempt to arrange the body in an aesthetically pleasing manner, much less to construct the illusion of a person who was merely sleeping. Limbs were contorted into impossible positions, mouths frozen into gasping O’s.

Post-mortem photography

Like the ‘unconventional’ medical portrait of the blood-spattered surgeon described in Daniel Fox and Christopher Lawrence’s Photographing Medicine (1988), the post-mortem photograph was not intended for dissemination. Rather, it was ‘private imagery’ shared among doctors. In the photographs I worked with, the main reason for the photographs being taken seemed to be to record the contraction of patients’ limbs, but some simply documented spectacular or anomalous bodies.

The images in the album were instructive, however. They helped to illuminate practices of asylum photography, the use of pathological instruments, and (by examining the backgrounds of pictures) hospital architecture. I still have a photocopy of the album, which the archive allowed me to make for my research. It is covered in my handwritten notes – matching a patient or pathological specimen to a case record, for example, or occasionally to a published article by one of the asylum staff. I have meticulously noted the measurements of each photograph, and arrows in bright blue ink point to features within the images that I thought important. Looking back at this photocopy now, I see that I didn’t make any notes about my emotional reactions to the images. Did I really not have any? Or did I purposefully concentrate my attention on other things: the dark sheets the bodies lay upon, the pieces of equipment visible on the table, the tiled mortuary wall in the background?

Somewhere along the line my immediate emotional response to these images has been lost. Ten years ago, I don’t think I experienced these images as particularly shocking or upsetting. Yet, over time, I seem to have undergone an opposite process to desensitization: I have come to find these images increasingly difficult to look at. Roland Barthes’ punctum (the intense personal effect a photograph may have on a viewer) is fluid and changeable, with the affective power of photographs shifting over time. Correspondingly, our interpretation of the ethics surrounding such images may also shift: Why do I still have these images in my office? What do I expect to do with them.

Image courtest of Jennifer Wallis

No simple answers

The questions I pose here have no simple answers, just as there is nothing straightforward about images of death. What the images depict is messy, unfathomable, abstract yet painfully real. For some, these are easy sources to work with. For others, they are impossible objects. For many of us, the position is somewhere in between. I confess that I remain fascinated by many of these images. They are valid subjects of historical inquiry that I continue to work with, but they can come with a heavy burden. I will wonder, towards the end of the afternoon, why it is that I feel suddenly depressed, crestfallen. Oh! Of course! I’ve spent the day alone, looking at images of death.

Much scholarship about the ‘emotion work’ of research focuses on research with living participants –interviews, for instance. The experience of working with historical materials is less often discussed. In her recent blog for this website, Beatriz Pichel articulates similar experiences to mine in regard to the historical photographs she works with and suggests that we acknowledge our emotional responses to such materials as a valid part of the research experience. Alongside the recognition that our research can have significant emotional effect, there is a need for more guidance and support – especially for PhD students embarking on a course of research that will be, for many, a very solitary endeavour. At the University of Sheffield Kay Guccione and colleagues have produced a guidance paper for those engaged in ‘emotionally demanding research’. They offer several practical suggestions for researchers, including avoiding taking sensitive materials home and identifying peers and supervisors to take part in debriefing sessions. There are obvious ethical issues in looking at, reproducing, and disseminating images of the dead body. But we also have ethical duties to our students and colleagues: as well as thinking about what the researcher may do with such images, we should also be asking what such images may do to the researcher.

Author Bio

Dr Jennifer Wallis is a historian based at Imperial College London, where she is Lecturer in History of Science and Medicine in the Centre for Languages, Culture and Communication, and Medical Humanities Teaching Fellow in the Faculty of Medicine. Her publications include Investigating the Body in the Victorian Asylum (2017) and the co-authored volume, Anxious Times: Medicine and Modernity in Nineteenth-Century Britain, which was published by University of Pittsburgh Press in 2019.

Further reading

view all

March 10, 2023 | 4 MIN READ

The making of a blueprint. How historical, qualitative research should inform face transplant policy and practice.

January 23, 2023 | 4 MIN READ

Before and After? What the humanities bring to medical images

January 23, 2023 | 4 MIN READ

Diminishing their Voices: Face Transplants, Patients, and Social Media

January 23, 2023 | 4 MIN READ

Robert Chelsea and the First African American Face Transplant: Two Years On

January 23, 2023 | 4 MIN READ

History has Many Faces: researching histories of facial surgery

January 23, 2023 | 4 MIN READ

When face transplants fail: Carmen Tarleton and the world’s second retransplant

January 23, 2023 | 4 MIN READ

Drag Face: exploring my identity through masculine performance

January 23, 2023 | 4 MIN READ

Future Faces

January 23, 2023 | 4 MIN READ

Reflecting on Reflections

January 23, 2023 | 4 MIN READ

Owning My Face

January 27, 2023 | 4 MIN READ

Portrait of an Angry Man – or not?

January 23, 2023 | 4 MIN READ

Picturing Death: Dealing with Post-Mortem Images

Filed Under: ethics, guest blog, history

Teaching the History of Sexuality with Difficult Images

July 29, 2020 by Fay

Teaching the History of Sexuality with Difficult Images

The Author

Sarah Jones

The next blog in our Emotions and Ethics series is about teaching the history of sexuality with difficult images, and is written by Dr Sarah Jones.

Teaching the History of Sexuality with Difficult Images

Teaching the history of sexuality can be a complicated process. We have to ensure intellectual rigour, of course; acting as guides through decades of rich scholarly debate, navigating complex theories, and working with students to think about a wide variety of different kinds of primary material. At the same time, though, the seminar room can often be a space for deeply personal reflection and discovery: Timothy Stewart-Winter has written on the need to handle the ‘confessional impulse’ when teaching a topic that feels so ‘natural,’ intimate, and innate to many students. Even further, classrooms in which issues such as gender, sex, sexuality, and the body are being interrogated are often intensely political spaces; spaces where discussions of the past have real ramifications for the way students understand and respond to these same issues in the present.

‘Looking history in the eye’

Images, and especially photographs of different kinds, have always been an important tool for me when I try to navigate this complex space. My students have often reflected on how affected they have been by ‘looking history in the eye,’ using sources that they say make the past, and the people who lived that past, feel more tangible, or somehow more human. Time and time again they remark in class feedback that photos make for more immersive teaching sessions, where they feel they are coming face to face with the history I am pushing them to think about. Depending on the sources and topic being covered, their reactions can be joyful or amused. Often, however, visual materials provoke feelings of discomfort, shame, or outrage – all responses I make space for and even encourage, and ask them to interrogate. While this is by no means without its flaws and some historians might prefer a more ‘objective,’ detached room, I am great advocate of using sources to help find a balance between the academic, the personal, and the political – giving students the resources to think through issues in the past, but also to reflect on what looking at the past can teach us about ourselves.

Recently, though, I’ve been starting to address the ethical ramifications of this kind of pedagogical approach. As I stated in the paper, I am becoming increasingly uneasy about reproducing images of sexualised bodies in my seminars and lectures. In particular, by putting these kinds of images out there, I am aware that I may be unwittingly replicating the power structures around race, class, and gender they were originally meant to serve. How, then, should I go about balancing the pedagogical power and importance of such images with such ethical dilemmas? I am keenly aware (and very frustrated) that I didn’t have any satisfying answers to offer in my paper. Instead, I saw it as an opportunity to engage with a group of generous scholars who are explicitly engaging with such issues around the emotional and ethical uses of historical images. The seminar as a whole was such an excellent opportunity to think about how we, as historical researchers, work with and respond to images that we might think of as difficult or sensitive: I hope my contribution also encouraged those present (and whoever might watch this back) to start further conversations about how such insights might also change our practice as educators, too.

Author Bio

Following a research fellowship with the Rethinking Sexology Project at the University of Exeter, Sarah Jones joined the University of Bristol as Lecturer in the History of Sexuality and Gender in January 2020. Her historical work looks at ‘popular’ sexual science in the early twentieth century, but she also undertakes research into creative and innovative pedagogical practice.

Further reading

view all

March 10, 2023 | 4 MIN READ

The making of a blueprint. How historical, qualitative research should inform face transplant policy and practice.

January 23, 2023 | 4 MIN READ

Before and After? What the humanities bring to medical images

January 23, 2023 | 4 MIN READ

Diminishing their Voices: Face Transplants, Patients, and Social Media

January 23, 2023 | 4 MIN READ

Robert Chelsea and the First African American Face Transplant: Two Years On

January 23, 2023 | 4 MIN READ

History has Many Faces: researching histories of facial surgery

January 23, 2023 | 4 MIN READ

When face transplants fail: Carmen Tarleton and the world’s second retransplant

January 23, 2023 | 4 MIN READ

Drag Face: exploring my identity through masculine performance

January 23, 2023 | 4 MIN READ

Future Faces

January 23, 2023 | 4 MIN READ

Reflecting on Reflections

January 23, 2023 | 4 MIN READ

Owning My Face

January 27, 2023 | 4 MIN READ

Portrait of an Angry Man – or not?

January 23, 2023 | 4 MIN READ

Picturing Death: Dealing with Post-Mortem Images

Filed Under: ethics, guest blog, history

Entwined practices: ethical engagements with medical photography in historical enquiry

July 29, 2020 by Fay

Entwined practices: ethical engagements with medical photography in historical enquiry

The Author

Jason Bate

Part of our Emotions and Ethics series, this guest blog on medical photography in historical enquiry is written by workshop participant Jason Bate. In today’s blog, Jason explores what ethical engagements with medical photography might look like for historians and other researchers.

Entwined practices: ethical engagements with medical photography in historical enquiry

In recent years medical photograph collections have been recovered and repurposed as part of a museum providing an appropriate gateway to their resources as well as physical access to the material, ensuring that collections of long-term historical value are placed in the most appropriate publicly accessible repository. In the context of new propositions for a museum’s ecosystem and extending out from the medical institutions to others outside, the boundaries between ‘official collections’ and ‘informal archive collections’ are often porous and difficult to defend, from materials for scholars to ancestral images. Amidst this, the status of the WW1 medical photographs of facially injured soldiers as photo-objects is seen as precarious and collections management systems must respect the sensitivity of the communities outside of the museum, who are linked to these specific photographs.

Butcher family picnic, 1950, photographer unknown. Dewhurst family collection. Courtesy of the family of George Butcher.

Medical photography

With public access to these medical collections, relatives of the injured and disfigured ex-servicemen that were photographed by the Army Medical Services have been taken up in the business of memorialisation and reclamation. These family practices and the resulting remediation of museum space within community members’ personal connections, historical knowledge and medical heritage, can lead to a challenge of dominant public histories and to criticism of the often limiting context of the museum. Current visual repatriation methodologies are encouraging museums to reposition photographs as living entities, rather than limiting them to their traditional role of providing informative backdrops for surgical practices or demonstrating past lives of patients. Therefore, the positive benefits of visual repatriation for both museums and source communities, in terms of photographs acting as building blocks in cultural relations, generally far outweigh any negative consequences and costs.

Re-presentation and representation

Under the care of the families of ex-servicemen, bureaucratic records and photographs have been recovered from the museums, reinterpreted and placed into different and new circumstances, reclaimed as family possessions that desires to overturn their original oppressive logic. Even though the medical photographs are kept in collections external to this family community, the questioning of these institutional assumptions is a fruitful way to reassert the ex-service patients’ voice.

Devoid of asymmetrical relations, non-medical in character, the family members’ photographic encounter transcends the cultural distance and the medical outlook that we recognise in the genre of medical photography. Released of contemporary medical relations, the photographs situate outside, and become external to, military-medical practices. This presentation explores the aims and practices of the families in relation to the wider concerns and questions of visibility and occlusion, consent and complicity, of not showing, and about what is publicly present in the process of visual repatriation espoused by family validation, such as family desire for representation and fundamental questions about ‘how to care?’ and ‘who has the right to re-present?’

Author Bio

Jason is a historian of photography, with particular interest in Edwardian histories of medicine, the First World War, visual culture and medical humanities. He lectures in the practices and histories of photography at Falmouth University and is a cataloguer at the Bill Douglas Cinema Museum at the University of Exeter. His research focuses on medical photographic archives and collections and he has published in the journals Visual Culture of Britain, History and Technology, Social History of Medicine, Science Museum Group Journal, and contributed a chapter to Approaching Facial Difference: Past and Present (Bloomsbury Academic, 2018). He is currently writing a book on the research ethics of working with medical and family archives for Bloomsbury’s History series.

Further reading

view all

March 10, 2023 | 4 MIN READ

The making of a blueprint. How historical, qualitative research should inform face transplant policy and practice.

January 23, 2023 | 4 MIN READ

Before and After? What the humanities bring to medical images

January 23, 2023 | 4 MIN READ

Diminishing their Voices: Face Transplants, Patients, and Social Media

January 23, 2023 | 4 MIN READ

Robert Chelsea and the First African American Face Transplant: Two Years On

January 23, 2023 | 4 MIN READ

History has Many Faces: researching histories of facial surgery

January 23, 2023 | 4 MIN READ

When face transplants fail: Carmen Tarleton and the world’s second retransplant

January 23, 2023 | 4 MIN READ

Drag Face: exploring my identity through masculine performance

January 23, 2023 | 4 MIN READ

Future Faces

January 23, 2023 | 4 MIN READ

Reflecting on Reflections

January 23, 2023 | 4 MIN READ

Owning My Face

January 27, 2023 | 4 MIN READ

Portrait of an Angry Man – or not?

January 23, 2023 | 4 MIN READ

Picturing Death: Dealing with Post-Mortem Images

Filed Under: ethics, guest blog, history

Emotions and Ethics: the use and abuse of historical images

July 29, 2020 by Fay

Emotions and Ethics: the use and abuse of historical images

The Author

Sarah Hall

This is the first in a series of blogs arising from a workshop on historical image use, and its ingrained emotional and ethical issues. Don’t miss the later blogs to hear a range of perspectives from our workshop attendees.

Emotions and Ethics: the use and abuse of historical images

Visual representation is key to many themes of AboutFace. Our work on face transplantation necessarily exposes us to medical images of faces, in various states of injury and in different environments. Some of these images have also been made public, circulated by global media outlets. Such photographs of face transplant recipients often juxtapose a ‘before’ and ‘after,’ a comparison that implies a moment of transformation from ‘injured,’ to ‘fixed.’ This is not a new development. It dates back to the mid-nineteenth century, where imaging has allowed for the comparison and cataloguing of difference to enable practitioners to assess progress and outcomes. However, as Fay Bound Alberti recently explained in an article for The Lancet, for arts and humanities scholars, the use of medical imaging is more complex. 

As a team, we are careful to honour and respect the boundaries of the patient and have taken the decision not to include patient images routinely on the website. But the same images that we choose not to use circulate widely on other forms of media, and people expect to see them. And we are not alone in grappling, as historians, in the ethical use of images.

On 17 June 2020, we were joined online by a community of researchers for a workshop on ‘Emotions and Ethics: the use and abuse of historical images.’ This blog seeks to draw together some of the common threads of the webinar, and some of the tensions that arose from our discussion. We include the video of Fay Bound Alberti’s short introduction to the event, which explains why we, as a project, are so interested in images and their uses. This blog will also outline Ludmilla Jordanova’s reflections on the papers given during the webinar.

Responsibility

One of the core themes of the day was the responsibility that researchers have to our work and to the subjects of that research. There are political, ethical and emotional implications to what we do, and how we use images, which necessarily impact on our approaches, processes and outputs. This was evident throughout the webinar. Our speakers engage with their images in different ways, asking different questions, and coming to different conclusions on whether we should, or should not, show or publish historical images as part of our work. But how do we as researchers manage in a world where access to information and images is ever increasing? What underpins our motivations to protect or display images? And what does it mean to do so?

We are reminded that the historian cannot truly know the response a viewer will have to the image that they publish. Some viewers may react in vastly different ways to others, something that we notice in the classroom as often as we do in theatres, cinemas, and even in our own homes. This diversity in response complicates the question of whether we should protect images from viewers, or vice versa. It is worth considering the relationship that we have with our readers: do we owe them the opportunity to see the images that we are working with? We may underestimate the empathetic capacity of our readers, but could it be our duty as historians to offer readers the capacity to increase their empathetic experience with actors in the past?

Moderation?

The closing roundtable discussion touched on the reality that it is impossible to moderate or prevent inappropriate or macabre reactions, and we recognised that sensitive images will be circulated whether or not we approve of it. These discussions ran throughout our webinar, and it became clear that different opinions and approaches were present in the ‘room.’ Where it could be seen as moralistic, or controlling to hide the images we use from our audience, it was also strongly argued that the subjects of photographs have a right to confidentiality, to privacy. The ethical issues surrounding the use of images are certainly complex, and the webinar revealed tensions that are not easy to resolve. But this is part of debate, discussion, and progress. One of the key arguments made in Ludmilla Jordanova’s response is that all historical practice needs to have ethics at its heart.

As previously mentioned, AboutFace has adopted the position that we will limit the use of patient photos on our site, so these discussions raise further questions about our choice to do so. But what happens when we don’t show an image? What sensory and emotive capabilities are we drawing on in our readers and our students in these instances? These questions are posed with no easy or finite answers. Discussion on this subject prompted us to think about the contexts of the images that we work with, because each speaker referred to different kinds of images and used them in different ways. Context necessarily dictates how we approach, understand, and disseminate images, and we were encouraged to think about the photographers, artists, and documenters who created the images that we use. We feel a particular unease when seeing pictures of enslaved peoples, lynched bodies, and others who presumably did not consent to their image being taken, or later shared. To look at these images is seemingly to replicate the eye of the oppressor, or perpetrator. The imbalance of power in the image is palpable and uncomfortable. So context is a vital part of our consideration as a project of what we will, or will not show, but it seems that it may be down to each of us as individuals, or teams, to consider our own particular stance on different images, and types of images.

A surgical operation. Oil painting by Reginald Brill, 1934-1935. Credit: Wellcome Collection.

A working ethical model?

But if we do hope to move towards a working ethical model for using and reproducing images, how might we do it? Collaboration with others is at the heart of academic practice, and is absolutely central to the work we do on AboutFace. We talked a lot in the webinar about the many benefits of interdisciplinary work, and how bringing together researchers from different fields will be vital to reaching any sort of consensus on the issues that were raised during the course of our webinar.

As a team, we are committed to being critical about the ways in which we use images on our website, in our publications, and on our public platforms, such as social media. As our website undergoes a redesign in the next month, we intend to build in the functionality to blur out sensitive images that we do choose to use. This way, with appropriate content warnings in place, our audiences can choose whether to click to ‘clear’ the image and view it, making a conscious decision of whether or not to do so. This does not mean that we will always show images, or host particular images on our website. We recognise our own role in making conscious decisions as to what we show, and do not show, based on the context of both image and platform, and in light of the discussions that began in the Emotions and Ethics webinar. Guest bloggers, including our webinar participants, will be given the choice themselves about what they want to include in their posts, and as a team we may choose to reflect with them on their decisions. This is, for us, very much an ongoing process.

It is perhaps no coincidence that this blog has posed more of the questions that arose out of our discussion than answers, and this is because we are only at the very beginning of our work on this. In the coming weeks, we will publish a number of blogs and some of the talks from the webinar, and will be asking further questions on our Twitter feed about the issues raised. We want you to contribute to the discussion. So get in touch! Tell us how you feel about the use of historical images. Do you have thoughts on any of the questions that we have raised here in this blog? We would be delighted to hear from you.

Further reading

view all

March 10, 2023 | 4 MIN READ

The making of a blueprint. How historical, qualitative research should inform face transplant policy and practice.

January 23, 2023 | 4 MIN READ

Before and After? What the humanities bring to medical images

January 23, 2023 | 4 MIN READ

Diminishing their Voices: Face Transplants, Patients, and Social Media

January 23, 2023 | 4 MIN READ

Robert Chelsea and the First African American Face Transplant: Two Years On

January 23, 2023 | 4 MIN READ

History has Many Faces: researching histories of facial surgery

January 23, 2023 | 4 MIN READ

When face transplants fail: Carmen Tarleton and the world’s second retransplant

January 23, 2023 | 4 MIN READ

Drag Face: exploring my identity through masculine performance

January 23, 2023 | 4 MIN READ

Future Faces

January 23, 2023 | 4 MIN READ

Reflecting on Reflections

January 23, 2023 | 4 MIN READ

Owning My Face

January 27, 2023 | 4 MIN READ

Portrait of an Angry Man – or not?

January 23, 2023 | 4 MIN READ

Picturing Death: Dealing with Post-Mortem Images

Filed Under: ethics, history

Attentive Looking: Emotions and ethics

July 29, 2020 by Fay

Attentive Looking: Emotions and ethics

The Author

Ludmilla Jordanova

Ludmilla Jordanova

Part of our series resulting from and reflecting on the webinar ‘Emotions and Ethics: the use and abuse of historical images.’ Today’s guest blog is written by Ludmilla Jordanova, who sits on the AboutFace Advisory Board. Here, Ludmilla discusses attentive looking, emotions and ethics in the context of using and researching with historical images.

Attentive Looking: Emotions and ethics

People spend so much of their time looking at faces in one form or another that our minds are chockablock with prejudices and preferences as well as half-formed theories about facial expression and visual habits so ingrained they can scarcely be avowed. The AboutFace project has to grapple with such complexities both as they present themselves in human interactions and in images. The ‘Emotions and Ethics’ workshop in June 2020 addressed the ethics of looking at images that are readily described as ‘difficult’ or ‘sensitive’. In a digital world there are formidably difficult challenges to address since more and more such images from archives are freely available and the thirst for materials relating to medicine, the source of much harrowing material about faces, is seemingly unquenchable. I write this blog as a historian with a long standing interest in medicine, faces, portraiture, visual culture, historiography and the ethics of historical practice.

I am not a generally a big fan of lessons from history, but one we can surely take from the rise of digital media and the near ubiquity of the internet, is the difficulty of exerting control over what is seen and read. There are ethical quandaries aplenty here. The drive to make archival materials openly available has been strong for some time. This is often couched in terms that suggest the opening up of collections is democratising in and of itself, hence the support of governments and funding bodies for massive digitisation programmes. I wrote about these phenomena in the third edition of History in Practice, in the hope that readers would be encouraged to take a critical look at the trend and to reflect on its implications for the ways in which history is taught and researched, including by historians outside the academy.

Hard thinking

The workshop demonstrated the hard thinking that is required when medical images are interpreted and (possibly) published. If large organisations choose to make this form of visual culture freely available, there is very little that scholars can do about it. And this illustrates a major tension – between accessibility and protection – that runs right through our world. We worry about children being exposed to pornography, yet recognise that it is all too easy to find on the internet. Some countries have elaborate laws designed to protect personal data, while those who want to harass public figures can usually find their home addresses.

As historians we are accountable to our employers, our peers, indeed to anyone who reads our published work. There are recognised mechanisms that underpin these relationships, starting with footnotes and bibliographies that make our ‘workings’ clear. Ideally enough is revealed so that claims and approaches can be rigorously evaluated. Professional associations and institutions of higher education address ethical issues through statements and administrative procedures. Transparency is highly valued. We do not expect to be harassed for our views, although historians with a public profile may be engulfed in social media storms. On the one hand there are structured ways in which ethical matters are dealt with, and on the other there is imagery and commentary, which swirl around in a free for all, a situation that resembles the positions in which public figures find themselves.

Historians and historical practice

Historians, however, also have a responsibility to those they study, to historical actors, to dead people who can’t push back on what we say about them, and with whom we experience complicated relationships. It’s vital to avow the emotional dimensions of historical practice, to use the insights we gain through working in a self-aware manner, to inform the handling of ethical dilemmas. Some aspects of these relationships are regulated by laws covering medical records and the naming of patients. The workshop made clear that many participants still worry, precisely because so much is available on the internet, and also because they feel uncomfortable teaching with and publishing some medical images. Open discussion and the recognition that there will be a diversity of opinions on what to show and to whom are helpful. The AboutFace project can show real leadership in fostering informed and honest conversations about what approaches will work best. In fact the project works mainly with living participants, where the existing regulations and protocols are more elaborate.

Now is a moment of possibility for historians working with medical images. We might start by asking what makes an image ‘sensitive’ or ‘difficult’, who is making that judgement, and in whose interests. We must consider whether it is right to speak and write about images that are not shown to audiences. To do so without including the visual materials, does not show our ‘workings’, that is, it does not share the forms of attentive looking that are indispensable when undertaking research on images. Without illustrations, it becomes impossible to evaluate the interpretations being offered. Ideally our accounts take both verbal and visual forms, so along with attentive looking must go an awareness of the ways in which the words we use shape responses to our work. And if we owe something to historical actors, it is to all of them, to nurses, doctors, health workers of any kind as well as to patients, their families and descendants.

An ongoing process

Attentive looking in the context of the history of medicine raises enumerable questions that may be described as ‘ethical’. It will be more productive if, having granted that ethical considerations pervade all historical practice, we work as a community on generating guidelines that suit the challenges we face. Unanimity may not be possible, and there will be an on-going process of discussion, refinement and constant reappraisal. It’s vital that these conversations are shared with audiences that are as broad as possible. It will never be feasible now to restrict the availability of digital imagery, but we can share widely our ideas about how to handle and interpret them. It will always be worth developing our self-awareness as historians, and as attentive, skilled interpreters of the visual culture generated in relation to medicine and health.

Author Bio

Ludmilla Jordanova is Emeritus Professor of History and Visual Culture at Durham University, where she was Director of the Centre for Visual Arts and Culture 2015-19. She is also an Honorary Professorial Fellow at the Edinburgh College of Art, University of Edinburgh. She has been a Trustee of the Science Museum Group since 2011, and was a Trustee of the National Portrait Gallery 2001-9.  Her books include History in Practice (third edition 2019), Defining Features: Scientific and Medical Portraits 1660-2000(2000), and Physicians and their Images (2018).  She writes about visual culture, the histories of science and medicine, cultural history and the nature of historical practice. Among her current writing plans are books on portraiture and on ethics in historical practice.

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Filed Under: ethics, faces, history

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