iTunes is generally the way you access files on your iPhone, right? Is there another way? I'd like to get the image files onto my OS X system so I can work with them as with any image file -- open them in Photoshop, attach them to emails, etc. The only option I can find in iTunes is to "sync" them "from" iPhoto. I don't want to mess around with iPhoto. I just want to get the files in a standard format like JPEG or TIFF and move them to a directory of my choosing. Is there a way to do that?
Image Capture, which comes with OS X should be able to do this. Upon plugging the device in it will allow you to download photos from it:
You may also like PhotoToMac, it allows you to transfer them wirelessly.