Photovoice is a participatory action research strategy by which people
create and discuss photographs as a means of catalyzing personal and
community change. The use of photovoice as an effective tool for carry
ing out participatory needs assessment, conducting participatory evalu
ation and reaching policy-makers has been discussed elsewhere. Here th
e authors examine the claims made for the effectiveness of photovoice
as a participatory method. To do so, they describe one large-scale cas
e study and then consider where it succeeded or failed in fulfilling i
ts participatory aims. Differences among participants in political pow
er, class, education and control over one's life illustrate certain ad
vantages and potential costs of participation, and suggest considerati
ons for minimizing the risk of unintended consequences.