What role do creative individuals have in "the power of image"?

Creative individuals (artists, designers, photographers, film directors, etc.) can have a lot of influence within society and are often found on the forefront of social issues. My question, what role do creative individuals have in "the power of image"? is intended to start a discussion about participation, responsibility, and sensitivity to issues that stem from "the power of image".

Ex: In relation to the fashion industry, what role do creative individuals have in "the power of image"?