Digital Technology and Human Vulnerability: Towards an Ethical Film Praxis

Lead Research Organisation: University of Birmingham
Department Name: Department of English Literature

Abstract

Digital film technology, in its seemingly intimate and infinite capacities to stage the suffering of others for an ever wider audience, has transformed the encounter between those watching and the vulnerable other. While this 'ethical' encounter is the subject of much discussion within film theory, and media and arts debates, researchers are yet to consider fully the impact of the digital within it, and practitioners lack detailed ethical guidelines that move far beyond basic questions of consent or good practice.

This research explores and reflects upon how the use of digital technologies transforms our engagement with, understanding of, and response to human vulnerability. For this pilot study, the team will work with one group of vulnerable adults, those affected by terminal illness at the John Taylor Hospice in Erdington, Birmingham, to co-create digital films. This filmmaking project, linked to and informed by Art therapy and the wellbeing team at the hospice, will provide immediate therapeutic benefits for the participants but will also have enduring impact, for all stakeholders, through the digital spaces that will be developed as part of the research-the online interactive website and the exhibition-and which will bring these films and materials to wider and new audiences. Ethical issues are at the heart of this research not simply because it involves vulnerable adults, but because it depends upon ethical discussions about the mediation of the suffering of others within film theory, educational and arts practice and global ethics debate. The multi-disciplinary team of practitioners and researchers will work together to identify, share and apply the ethical issues inherent to engaging with human vulnerability from their respective fields through an initial knowledge exchange workshop, monthly review meetings and through contributing to the development of the website and the exhibition. Through all these the research will develop a prototypical model of ethical film praxis for digital arts and media researchers and practitioners, for broader application for the third sector but also as the foundation for further research development and in particular for the larger project that this pilot study initiates.

Planned Impact

The research will provide a range of benefits, personal, social, creative/practical and professional, to non-academic communities in the UK and globally. Its development of a prototype of an ethical praxis will meet the growing need for such guidelines within video advocacy and rights organisations, and for journalists, editors and media activists. In supporting the work and mission of John Taylor Hospice, and of end of life care more broadly, the research has the potential to contribute to the nation's health and wellbeing. Similarly, the larger, increasingly profound, benefit of the prototype of ethical praxis, and especially its development and enhancement through the larger research it anticipates, is to interrupt the unethical practices of visual narratives in Western culture, which have worked historically, and still, to entrench oppressive and objectifying constructions of the vulnerable.

Who will benefit from the research?

A: The Prototype of ethical film praxis:
1. Filmmakers and digital arts and media practitioners: the ethical film praxis prototype expands considerably existing guidelines on this, and will inform those using digital technologies to create screen narratives focused on human subjects.
2. Third Sector - video advocacy groups, Human Rights organisations, NGOs and charities, and the ever expanding community of makers/curators of digital films, and screen narratives, on human vulnerability.
3. Media professionals engaged in debates and policy about editorial ethics in dealing with graphic images and/or the use of UGC (User generated content) on human suffering
4. The scoping study will impact the development of future research projects. PI's collaboration with Tear Gas Research team on their 'Data Stories' project, and consultation with Witness on 'ethical guidelines on curating' their Human Rights channel.

B: The case study:
1. Hospice service-users taking part. Various impacts of involvement will emerge during research, but are likely to point to its therapeutic, creative and testimonial dimensions and, hence, enhancing of their wellbeing. The impact of the research will in some ways be evidenced through the films themselves, and will be monitored and supported through the professionals at the Hospice too.
2. Wider hospice community. Staff, other service-users and members of local community, of which John Taylor Hospice is very much a part, will be impacted by their engagement with the results of the research. The digital spaces created through and during the research will support the work and mission of the Hospice and bring them to this community and new audiences. The Hospice will also be able to make use of the scoping report on the collaborative research, and on the ethical film praxis for their future arts projects, and the digital films for other in-house or outreach activities. All digital content generated by the project will be made available to the Hospice for re-use within their own displays and collections.
3. Wider community dealing with terminal illness. The digital materials and scoping report will be useful resources for other hospices and those engaged in end-of-life care and campaigning who can make digital technologies support their goals. The exhibition within the community centre will bring the 'everydayness' of dying into the public sphere and challenge the taboo and isolation felt by those affected thereby enhancing wellbeing.
4. General Public. The digital films and spaces will raise awareness about dying and seek to counter the objectification, disavowal and spectacle or over-sentimentalisation of dying found more widely in mainstream culture. Held in the local community, it will reiterate the hospice's role within it. The exhibition, too, will bring the 'everydayness' of dying into the public sphere.

Publications

10 25 50
 
Title Participants' films 
Description The six participants made short films as part of the DTHV project. These ranged in style and length and the nature of the collaboration, or amount of direct involvement by Briony Campbell, the project filmmaker. Each film represented the individual's experience of or attitudes towards terminal illness. 
Type Of Art Film/Video/Animation 
Year Produced 2017 
Impact These are one of the main outputs of the research and their reach and impact is still happening and being developed. Their powerful affect on audiences is being harnessed for the further development of follow-on activities. Owing to their successful attainment, and even surpassing, of the research goals - three of the films have been grouped together and entered for the AHRC Research in Film competition. 
URL http://lifemoving.org
 
Description The research highlighted four main and evolving areas:

1. Understanding the 'Ethical Encounter' inherent to creating and sharing (in) digital film and difficult topics:
The research provided detailed perspective on the interpersonal dynamics underpinning our engagement with others' humanity and suffering. Mobilising the heightened stakes of such an engagement, via the filmmakers'/subjects' terminal illness and team's collaborative methodology, the research revealed new venues for this encounter: e.g. between researchers and participants, participants and each other, researchers and each other. It provided insight into the experience of interdisciplinary, collaborative research within the medical humanities and its/related taboo or difficult themes. In moving beyond the screen-spectator scenario to 'real life' (to lived, rather than spectatorial, dynamics), the research raised new questions about the everyday mediation of human vulnerability - an expansion exacerbated by the pervasiveness of digital culture and animated in the project's multiple public engagement activities, undertaken and ongoing.


2. Developing an Ethical Praxis in the Digital Age:
The efficacy of developing/applying an ethical praxis for the creation, and sharing, of digital films about the experience of terminal illness - and the value of the films themselves - could not have been clearer. The participants' and audiences' experience engendered myriad issues beyond the 'pressing concerns' anticipated. The therapeutic, cathartic, memorialising, occupational, creative, generative function of the filmmaking project, and exhibition(s), fed into the emerging ethical praxis. Originally seeking to match physical demand/disability with digital device (or in terms of exhibition, physical space to format or display), the research revealed additional personal, psychological and cultural/societal factors impacting the technologies used for making and sharing the films. It also extended the praxis to new fora - such as the films' (consequently delayed) curation online and broader questions of ethical curation.


3. Identifying Institutional and other Obstacles:
The research revealed the unforeseen imprint of misinformation surrounding terminal illness upon organisations and governance structures. DTHV was delayed a year, and aggravated afterwards, by misunderstandings by the hospice, by two NHS ethics committees and that of University of Birmingham. Located between social/health-care agendas, arts practice and critical theory, the research revealed practice/policy blind-spots. The hospice, inaccurately, required NHS ethical approval; the University inaccurately applied the Mental Capacity Act to disallow post-capacity filming. Further complications included unexpected resistance from some hospice staff and participants' frustrations at their limitations. A resounding 'obstacle as finding', however, was the sense of the different (and otherwise overlooked) nature of research/academic work when participants are dying - its requisite flexibility of time and priorities, and sensitivity to the emotional labour and wellbeing of all involved.


4. Identifying new beneficiaries:
The overwhelming outcome of the research, and its continuing dissemination, is the films' impact upon the participants, their friends and families and value to the hospice and End-of-Life community more broadly. The principal conclusion drawn was that the research and films need to be shared as widely as possible, and targeted at this community which has much/is extremely keen to learn from using film within its therapeutic, legacy, training and outreach work.

The scoping report and the Ethical Praxis Prototype, both published on the project website, provide further discussion of the research findings.
Exploitation Route The findings continue to be shared with the multiple academic and non-academic stakeholders identified on the original application. The specific interest in, and need of, the lessons of the films and research, discussed at various local, national and international end of life care events, pointed to future targeted collaboration with this sector. The highly successful, Follow-on project, 'Life:Moving Onwards' (AH/T004835/1) in 2019-2020, resulted in the development of two 'toolkits' based on the original research, which translated it, and its films, into training packages for the (international) End of Life community. Though complete, their launch has been delayed by the pandemic, but their uptake by, and value to, this community will be tracked and evaluated as far as possible in the coming years.

Members of the larger DTHV research team continue to develop work (research and teaching) linked to DTHV's outcomes.
Sectors Education,Healthcare,Government, Democracy and Justice,Culture, Heritage, Museums and Collections

URL https://lifemoving.org/scoping-report/;
 
Description The principal non-academic impact of DTHV was on the participants, their friends and families. As evidenced in the participant interviews, exhibition feedback and the impact report on the project, all of which are available on the Life:Moving website, the experience of making the films afforded a range of positive effects for participants, from enhancing quality of life to providing creative expression to relieving boredom/allowing productivity. For the audience members it provided a powerful and honest look at questions of human frailty, fears and grief. A second participant died a few months after the conclusion of the project, and his films were shown at his memorial, which, we learnt, was much appreciated by all who attended. This unanticipated role of the films for grieving friends and families became apparent when the first participant died one month into the project, and the creative process, and legacy invested in the film, played a very clear role in the family's bereavement. The impact of the research on the hospice community, specifically John Taylor Hospice (JTH) to begin with, is varied. Firstly, the films themselves were found to evidence important perspectives on care or clinical experience that were not being picked up elsewhere in JTH. It was therefore considered important that the films be shared with clinical and wellbeing staff. This happened at JTH and other End-of-Life care events in the Midlands and at Hospice UK. Subsequently, we identified the value of the films and underpinning research for staff training purposes. This has potential policy implications. Aaron and Jerwood pursued the development of this with Hospice UK, and in the Follow-on-Funding bid. Secondly, the experience of running the research project in the hospice itself, had various implications for JTH's management considerations and, potentially, policy. As Jerwood notes in the Impact report, it produced what were seen as invaluable discussions amongst patients (some of which were not involved in the project but had watched the films) and influenced the re-design of central spaces so that this kind of interaction could be enabled. DTHV's research findings have appealed to numerous cultural venues who have installed the films since the project ended, and hosted events that have brought the outcomes to new and wider audiences.
First Year Of Impact 2017
Sector Communities and Social Services/Policy,Healthcare,Culture, Heritage, Museums and Collections
Impact Types Cultural,Societal,Policy & public services

 
Description Used in teaching at UoB Medical School
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
 
Description Used in teaching at the Global Health Equity Medical School, Rwanda
Geographic Reach Africa 
Policy Influence Type Influenced training of practitioners or researchers
 
Description Life:Moving Onwards: Ethical Praxis and the use of film in the International End of Life Community
Amount £23,858 (GBP)
Funding ID AH/T004835/1 
Organisation Arts & Humanities Research Council (AHRC) 
Sector Public
Country United Kingdom
Start 09/2019 
End 03/2020
 
Description A Matter of Life and Death: Dying Matter Awareness Week 2017 
Organisation Brumyodo Community Interest Company
Country United Kingdom 
Sector Charity/Non Profit 
PI Contribution This Birmingham based group aims to increase public debate about death and dying. As part of their activities they participate in the national organisation, Dying Matters', awareness week. In 2017 Brumyodo gained Arts Council funding to run a week long festival at the regional Arts venue, mac birmingam. The PI, Michele Aaron, sat on the planning committee for the festival and, within the latter, hosted a discussion of the AHRC project alongside a special screening of the films that were made as part of it.
Collaborator Contribution The promotion of the event within the festival marketting. The provision of space at the mac (Midlands Arts Centre) for the event.
Impact N/A
Start Year 2017
 
Description Birmingham Rep exhibition 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact 'Life:Moving', the exhibition of the films made as part of the AHRC project 'Digital Technologies and Human Vulnerability', was installed at the Birmingham Rep theatre from 22 September - 21 October 2017. The exhibition was timed to coincide with their run of the award-winning play 'Duet for One' which is about life-limiting illness. This was our most 'hands-off' exhibition with no accompanying events or room to gather feedback. The impact of this exhibition is therefore unknown but it does represent its most public and mainstream exposure. The Birmingham Rep is a very busy, city centre venue and large numbers of people would have been exposed to the research during the month-long exhibition
Year(s) Of Engagement Activity 2017
URL https://www.birmingham-rep.co.uk/news/the-rep-hosts-films-made-by-john-taylor-hospice.html
 
Description Brumyodo event 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact As part of the festival 'A Matter of Life and Death' - an Arts Council funded week of activities as part of the national Dying Matters Awareness week - the research project was discussed and a special screening of the films provided. The aim of this event was to contribute to the range of work/topics covered within this cultural festival, to bring the research to new audiences, and to generate discussion about the subject.
Year(s) Of Engagement Activity 2017
 
Description CUT Radio interview 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Cut Radio is a community radio station in Cyprus. The show, dedicated to culture and the Arts, interviewed Michele Aaron (PI) and two members of another participatory project which was also part of the Respublika! festival. The one hour show went out live but is also available online, on mixcloud (link provided below).
Year(s) Of Engagement Activity 2017
URL https://www.mixcloud.com/evgenia-kagia/respublika-michelle-aaron-jaromien-den-boer-and-loes-wittevee...
 
Description Connecting or Excluding? New Technologies & Connected Communities 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact This event explored how digital technologies and infrastructure help enable innovative co-creation and co-research with communities and can build new communities of learning, shared knowledge and creativity. The event contributors included researchers, community groups and representatives, artists, and commercial partners who have worked with the AHRC's Digital Transformations and/or Connected Communities Themes over the course of their development. The two-day event will include a range of activities including talks, presentations, workshops, performances, networking and exhibition elements. Aaron and Campbell shared a screening of the Life:Moving films, and Aaron contributed to one of the panels.
Year(s) Of Engagement Activity 2018
 
Description Hospice UK Panel 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Michele Aaron, PI, and Jed Jerwood, art therapist on the research team, were invited to take part in a panel at Hospice UK 2017 which took place in Liverpool in November 2017. This annual conference, with 800 delegates from hospices and related care professionals and businesses across nation is, alongside the charity which runs it and its online presence, the principal venue for the sharing of information and research about hospice care. The panel - entitled 'Using Images and Film to Tell the Story' - was attended with approximately 120 people in the audience. The panel had been put together by the charity's head of research and clinical innovation who recognises the growing use of and interest in film within the work of their members and the need for greater guidance on this.
Year(s) Of Engagement Activity 2017
URL http://www.ehospice.com/ArticleView/tabid/10697/ArticleId/22995/View.aspx
 
Description Hospice UK exhibition 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact The Life:Moving exhibition, based on the Digital Technology and Human Vulnerability research project, was installed within the main space of the Hospice UK conference/convention in 2017. This annual event attracts around 800 delegates working within hospice and end of life care in the UK as well as the third sector, community groups and businesses that support their work. This activity allowed us to bring the research to what was becoming identified as a principal stakeholder group for it: this specific professional community.
Year(s) Of Engagement Activity 2017
 
Description Project Exhibition 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Study participants or study members
Results and Impact 'Life:Moving', the exhibition of the films made as part of the AHRC project 'Digital Technologies and Human Vulnerability', took place at St Barnabas Church in Erdington, Birmingham, on the 28-29 April 2017. The aim of this event was to share the outputs of the research project with the participants, their families and friends, the hospice and local community and a wider audience of interested researchers, University staff, arts practitioners and the general public. Integrated into the research itself, the exhibition allowed for a further exploration of the ethical encounter created through the exhibition of the films. The launch event, on the 28th April, was hugely successful in terms of the numbers of people in attendance but, more importantly, the affect that the exhibition. Feedback was collected from attendees - they were asked to write their reactions on a large tablecloth - and this is available on the project website. These comments have triggered further avenues for future engagement but demonstrate the potential of the films to create change or open up avenues for change of views and feelings.
Year(s) Of Engagement Activity 2017
URL http://lifemoving.org
 
Description Respublika! community media arts festival Limassol Exhibition 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact The Life:Moving exhibition, based on the Digital Technologies and Human Vulnerability research, was installed in the NeME arts centre in Limassol as part of Respublika!'s 'Participation Matters' installation from December 8th - Jan 19th 2018. NeMe is open daily to the general public. During the first week of these dates, the festival took place which featured an array of international artists/makers/researchers sharing their projects at the venue and attending each others events. In this way, t
Year(s) Of Engagement Activity 2017
URL http://respublika.neme.org/
 
Description Respublika! community media arts festival in Nicosia 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The Life:Moving exhibition, based on the Digital Technologies and Human Vulnerability research, was installed at Materia, a care and rehabilitation centre in Nicosia in Cyprus for the period December 11- January 31 2018. On December 12th, Materia hosted a workshop run by Michele Aaron (PI) and the filmmaker Briony Campbell (CI). This was attended by 15 people: members of staff, and patients, at Materia and other members of the Palliative care community in Cyprus. Michele and Briony talked about the research project, the ethical issues involved in this kind of activity and the practical experience of making films with the participants. A very productive discussion developed about the project and the possibilities for application within the Cyrpiot context. Marina Polycarpou, Gerontologist and Psychologist at Materia, has passed on highly positive feedback from the staff and visitors who have seen the exhibition and/or attended the talk.
Year(s) Of Engagement Activity 2017
URL http://respublika.neme.org/art-projects/briony-campbell-and-co
 
Description Respublika! exhibition at Materia in Cyprus 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The Life:Moving exhibition, based on the Digital Technologies and Human Vulnerability research, was installed at Materia, a care and rehabilitation centre in Nicosia in Cyprus for the period December 11- January 31 2018. It received a steady small stream of visitors connected to Materia. Marina Polycarpou, Gerontologist and Psychologist at Materia, has passed on highly positive feedback from the staff and visitors who have seen the exhibition and/or attended the talk.
Year(s) Of Engagement Activity 2017,2018
URL http://www.materia.com.cy/
 
Description Special Screening at JTH (John Taylor Hospice) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact The project was introduced and the films screened for staff at John Taylor Hospice. This event coincided with the temporary exhibition of the films centred on a touchtable in the reception area. The GPs and day hospice staff who attended the event, were very clear about the importance of staff seeing the films. They spoke about the role the films could play in the training of members of the clinical and nursing teams. As a result, the PI is looking to collaborate further with Jed Jerwood, an art therapist at JTH and partner on the project, to develop this side of the project's impact.
Year(s) Of Engagement Activity 2017
 
Description brumradio gig 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact The weekly Screen Brum radio show on Brum Radio focuses on music and film. In January this year, there was a live episode tackling the difficult issue of death and dying on screen. The project PI, Michele Aaron, was a special guest and discussed film's treatment of this topic and the DTHV project.
Year(s) Of Engagement Activity 2017
URL https://www.mixcloud.com/BrumRadio/screenbrum-death-27117/