Exhibitions: Graphic Medicine

• Personal health narratives are powerful tools healthcare advocates can use to tell stories that educate and empower others
• NLM health information resources can provide context, research, and healthcare navigation tools that support self-knowledge and decision-making
• In this program, participants create simple, printer paper zines (pronounced “zeens,” as in magazines) that can share information, experiences, and perspectives, and explore NLM health information resources as an act of self-discovery, self-care, and self-expression

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• Identify personally useful, reliable, trusted health information resources available from the National Library of Medicine
• Engage participants with personal health narratives and empower them to create their own narratives using facts, texts, and graphics from NLM health information resources through the medium of a zine

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• Teens and young adults

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MedlinePlus provides trusted, up-to-date health information for health professional and consumers alike, such as:

• Teen Health Information:
  • Bullying and Cyberbullying
  • Drugs and Young People
  • Teen Health
  • Teen Mental Health
  • Teen Violence [including resources for Preventing Teen Dating Violence]
    
• Health System Information:
  • Personal Health Issues (topics directory)
  • Health System (topics directory)
  • Choosing a Doctor or Health Care Service
  • Talking with Your Doctor
  • Personal Health Records
  • Patient Rights
• Images from the History of Medicine (IHM) in NLM Digital Collections provides online access to images from NLM’s historical collections including fine art, photographs, engravings, and posters that illustrate the social and historical aspects of medicine dating from the 15th to 21st century.
• Consider making a selection of the graphic medicine titles highlighted in Graphic Medicine: Ill-Conceived & Well-Drawn! available to participants. Some titles featured in the exhibition which are widely available in public and academic libraries and may be particularly interesting to teens and young adults include:

1. Lighter Than My Shadow by Katie Green
2. Hyperbole and a Half: Unfortunate Situations, Flawed Coping Mechanisms, Mayhem, and Other Things That Happened by Allie Brosh
3. Fun Home: A Family Tragicomic by Alison Bechdel
4. How I Made it to Eighteen: A Mostly True Story by Tracy White
5. Turning Japanese: A Graphic Memoir by MariNaomi
6. Ghost Stories by Whit Taylor

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• College creative writing departments
• Comic bookstores
• Comic-Con or zine fairs
• Disability rights organizations
• Exhibition and gallery spaces
• Graphic novelists and cartoonists
• Health and mental health advocacy organizations
• Museums or art institutes
• Storytelling program organizers

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Time

• Planning: 5-10 hours
• Workshop duration: 2-3 hours

Budget

• A variety of on-hand supplies can be used; no funds are required to run this program as described

Suggested Supplies

• Blank standard A4 (8.5x11) paper or pre-printed templates (search online for “zine templates”)
• Scissors
• Something to write or draw with such as pens, colored pencils, crayons, and markers
• Tablets, computers, or smartphones for participants to access NLM health information resources (provided by you or by participants)
• Optional:
  • Graphic medicine books, comics, or zines in your collection for reference
  • Old magazines (with lots of pictures for people to cut out and include in their book if desired)
  • Participants may bring their own photographs, drawings, etc. to collage
  • Printer to print images from NLM sites
  • Rubber stamps, glitter, paint chips, or other art supplies

Before the program

• Select one or more NLM health information resource(s) to highlight, and be comfortable navigating through the resource(s)
• Create a graphic medicine or zine display or resource guide for titles in your collection that participants can use as inspiration
• Practice making your own zine

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• Make this program part of a National Health Observance such as Teen Dating Violence Awareness Month (February), International Adolescent Health Week (late March), Mental Health Month (May), or the Americans with Disabilities Act (ADA) Day (July 26)
• Advertise the program while exhibiting at a zine or hold the program at your local zine fair or Comic-Con

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1. Begin the program with a walkthrough of the Graphic Medicine: Ill-Conceived and Well Drawn! exhibition, an introduction to telling personal stories of illness and health, and the purpose of the program

2. Introduce one of the following prompts and demonstrate ways participants can engage with NLM health information resources in their zine-making:

• Describe a situation where a healthcare provider made you feel particularly cared for, or what would have made a negative experience better, while highlighting how others can self-advocate using NLM’s tools for talking to doctors and patients’ rights
• At what points have you felt that you did or did not have a personal voice and choice in your care or recovery? Create a step-by-step guide with resources for a peer navigating a similar situation
• Is there a depiction of health or mental health in film, television, or a book that particularly spoke to you or angered you? How did it make you feel?

3. Give participants a few minutes to brainstorm and plan out how they will convey their personal narrative over the panels of their zines. There is no “right” way to fill up the pages of a zine, but commonly, zines will have a front cover, a table of contents, a body, and a back cover. Remind them that a zine can be powerful regardless of artistic or literary ability; the focus is on telling our health stories and providing information to others through one of the following methods, a combination of these, or another of their choosing:

• Manifestos
• Personal essays or experiences
• Collages of images and text captions
• Sketches or comics
• Poetry

4. Create! A majority of the program will be creating the comic or zine. If you are not familiar with one-page zine-making, be sure to view a tutorial (easily found by searching “zine tutorial” online) to best guide participants in making zine pages that are in order and facing the same direction. Staff should circulate around the room throughout the process asking questions and assisting if needed. Encourage idea-sharing and collaboration among participants. Perhaps play music in the background to help with the creative atmosphere

5. At the end of the program, invite people to share out their creation or experiences in creating. Did they discover anything interesting about the NLM health information resource they used? How did they feel was the best way to present the information in the zine?

6. Consider asking participants to donate originals or photocopies of their zines for the library’s collection or for a special display

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• Show examples of how artists and authors have addressed stigmatized, sensitive, and personal topics, welcoming participants to share their zines, and having no taboo topics. You may point to items in the exhibition such as Ellen Forney’s description of manic periods; Julia Wertz’s illustration of lupus symptoms; and Brian Fies’ portrait of his mother undergoing cancer treatment
• Make sharing, displaying, and completing works optional and non-competitive.
• Guide participants to relevant health information resources without judgment.
• If possible, identify a staff member at your organization or a volunteer from a local health or mental health advocacy group who is comfortable offering their firsthand experiences to participants.

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While many libraries have robust zine programming and partnerships, others are just beginning to explore this exciting genre. If zines are new to your organization or to you personally, here are some resources that can provide context, exemplary health-related zines, peer-reviewed research supporting the impact of graphic medicine and personal narratives, and examples of successful zine programming in action.

• A selection of PubMed peer-reviewed articles on the importance of graphic medicine:
  • Anderson PF, Wescom E, Carlos RC. “Difficult Doctors, Difficult Patients: Building Empathy.” J Am Coll Radiol. 2016 Dec;13(12 Pt B):1590-1598. doi: 10.1016/j.jacr.2016.09.015. PMID: 27888946.
  • Venkatesan S, Saji S. “Drawing the mind: Aesthetics of representing mental illness in select graphic memoirs.” Health (London). 2019 May 13:1363459319846930. doi: 10.1177/1363459319846930. Epub ahead of print. PMID: 31081388.
  • Hernandez MY, Organista KC. “Qualitative Exploration of an Effective Depression Literacy Fotonovela with at Risk Latina Immigrants.” Am J Community Psychol. 2015 Sep;56(1-2):79-88. doi: 10.1007/s10464-015-9729-8. PMID: 25987298.
  • Corrigan PW, Powell KJ, Fokuo JK, Kosyluk KA. “Does humor influence the stigma of mental illnesses?” J Nerv Ment Dis. 2014 May;202(5):397-401. doi: 10.1097/NMD.0000000000000138. PMID: 24727719; PMCID: PMC4059196.
  • For more, search the following Medical Subject Headings (MeSH) or tailor this search in PubMed: (comix OR comic OR comics OR cartoon OR cartoons OR manga OR “visual narrative” OR “visual narratives” OR “sequential art” OR graphic narrative OR graphic narratives OR “graphic medicine” OR “comic book” OR “comic books” OR “graphic novel” OR “graphic novels” OR photonovel OR photonovels) OR "Caricatures as Topic"[Mesh] AND “mental health.”

• Background information and selections of health zines:
  • Graphic Medicine is a site that explores the interaction between the medium of comics and the discourse of healthcare. Use the search tool to find content related to specific health topics.
  • Bartel J. From A to zine: building a winning zine collection in your library. Chicago, IL: American Library Association; 2004.
  • Vigour L, Cook N. “Six personal health zines that might change your life” [Internet]. Wellcome Collection. 2018. Available from: https://wellcomecollection.org/articles/WsT4Ex8AAHruGfWz
  • Santiago Cortes M. “These Artists Show Why Making Zines Is an Empowering Process” [Internet]. Artsy. 2018. Available from: https://www.artsy.net/article/artsy-editorial-7-zines-helped-people-work-mental-health-issues
  • Mount Saint Mary’s University (CA) Libraries’ Research Guide on Zines, including zine history and techniques around teaching with zines

• Real-life examples of zine programming:
  • Columbia College Chicago Library’s monthly collaborative zine workshop is organized around a theme and often features guest zine creators from the community.
  • Arlington Public Library (Va.) launched an online zine on the library’s website to share creative projects developed by staff and community members during Covid-19 stay-at-home orders.

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