Brain injury patients often face a lack of empathy that leads to feelings of being disrespected and powerless. This article explores the use of photo-elicitation as one way to generate empathy in research (and clinical) relationships with acquired brain injury survivors through a re-examination of the process and products of photo-elicitation research conducted several years ago. The 'case' starkly illustrates the limits of researcher empathy and analysis even as the ethics of visual methods create opportunities for participants to share research power, contest research analyses, and present an alternate view that displays health and strength as well as illness. The 'case' prompts us to remain vigilant of the ways in which our personal lenses and histories affect what we see and shape our production of knowledge. Practicing empathy by using photos to create discursive spaces in research relationships may help us to learn about ourselves as we learn with patients.