Developing Pictorial Conceptual Metaphors as a means of understanding and changing the Australian Health System for Indigenous People

This paper describes the development of Pictorial Conceptual Metaphors, a pictorial outcome of systemic action research that captures and explains complex systems from the perspectives of the participants involved. The Pictorial Conceptual Metaphors presented in this paper developed from the authors’ work on a literature review for the Indigenous Health and Wellbeing Node of the National Indigenous Research and Knowledges Network (NIRAKN). In this paper, the authors provide an overview of the theories that influenced their development of Pictorial Conceptual Metaphors (PCMs), including systems theory, soft systems thinking, visual metaphor theory, and the eco-sciences approach of PCMs. They work from a systemic action research perspective, and argue that PCMs provide a powerful way of ‘seeing the system’, understanding a system within its historical context, and developing a channel for systemic change. They propose that PCMs can be used, to encourage conversations and enhance understandings about the change needed in Australia’s health system, in a way that is culturally respectful and appropriate for Indigenous Australians.