Original ArticlesInstilling Hope and Resiliency A Narrative Photo-Taking Intervention During an Intercultural Exchange Involving 9/11 Survivors in Post 3/11 JapanLurie, Jacob Michael MPH; Lever, Hazel MD, MPH; Goodson, Lucy MD; Lyons, Daniel Jack MPH; Yanagisawa, Robert T. MD; Katz, Craig L. MDAuthor Information Icahn School of Medicine at Mount Sinai, New York, New York. Send reprint requests to Jacob Michael Lurie, MPH, 50 E 98th St, Suite 6G1, New York, NY 10029. E-mail: email@example.com. Jacob Michael Lurie, MPH, is a fourth-year medical student at the Icahn School of Medicine at Mount Sinai in New York, NY. Hazel Lever, MD, MPH, is an internal medicine resident at the Massachusetts General Hospital, Boston, MA. Lucy Goodson, MD, is an emergency medicine resident at the University of Washington, Seattle, WA. Daniel Jack Lyons, MPH, is a senior global health educator at the Icahn School of Medicine at Mount Sinai, New York, NY. Robert T. Yanagisawa, MD, is a professor of medicine, endocrinology, diabetes, and bone disease at the Icahn School of Medicine at Mount Sinai, New York, NY, and he also codirects the Global Health Program in Japan. Craig L. Katz, MD, is a clinical professor of psychiatry, medical education, system design, and global health at the Icahn School of Medicine at Mount Sinai, New York, NY, where his responsibilities include directing the Program in Global Mental Health. The Journal of Nervous and Mental Disease: June 2020 - Volume 208 - Issue 6 - p 488-497 doi: 10.1097/NMD.0000000000001152 Buy Metrics Abstract On March 11, 2011 (“3/11”), a magnitude 9.0 earthquake in Northeastern Japan triggered a tsunami and nuclear power plant meltdown that killed 16,000 people and displaced more than 470,000 people. Since 2012, a group of volunteer docents from the September 11th Families Association in New York City has traveled throughout Northeastern Japan and held organized meetings where 9/11 and 3/11 survivors share their experiences and stories of trauma as part of an intercultural exchange to promote posttraumatic recovery. We sought to elucidate whether participating 9/11 docents developed a sense of increased resiliency by participating in this international outreach. This study employed photo-taking as well as framing questions, which were developed by 9/11 docents from the August 2016 trip. These questions guided photo-taking and resulting photographs informed discussion in individual and group sharing sessions. This process helped identify codes that guided analysis. Participants acquired a deeper appreciation of their own ability to overcome adversity and experienced a gratifying desire to help 3/11 survivors better cope with their experiences. This narrative photo-taking and group sharing experience demonstrates that a cross-cultural exchange between survivors of different disasters can instill feelings of resilience among participants. It additionally provides early evidence of the efficacy of such an exchange in benefitting disaster survivors in the long term. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.