There is an increasing literature on visual methodologies in which images are generated by participants as part of the research, as distinct from the analysis of existing images or images taken by the researcher. Although there are growing numbers of publications that present frameworks for analysing images and their meaning, this is an area requiring further deliberation and consolidation. Our contribution is to give serious attention to the processes of image production in participant-generated visual methodologies. We examine methodological and ethical considerations that arise before, during and after image production. Our work is in health research and we focus specifically on two methods: first, a combination of photovoice and photo-elicitation, in particular with young people; and second, drawings as research method. Based on examples using these two methods, we pose questions of process for image production and submit this for interrogation for reasons of methodological, analytical and ethical rigour.
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