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Design, Landscape, and Health: Volume 5, Issue 4 - InformeDesign

Design, Landscape, and Health: Volume 5, Issue 4 - InformeDesign

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Implications<br />

www.informedesign.umn.edu<br />

<br />

Decreasing Stress: The Natural Area <strong>and</strong> the<br />

Meditative Area<br />

The viewing of nature is universally associated<br />

with decreased stress <strong>and</strong> a sense of psychological<br />

restoration. A natural area provides a place for<br />

small groups to view an area planted in a more<br />

natural form. The plantings are loosely arranged<br />

but clumped to create visual impact. Plants that attract<br />

wildlife were prioritized as they would increase<br />

the sense of wilderness that the site is intended to<br />

impart.<br />

The meditative area also functions to decrease arousal<br />

<strong>and</strong> stress. Meditative states are associated with<br />

positive physiological states of lowered blood pressure,<br />

pulse, <strong>and</strong> circulating stress hormones. A water<br />

feature was designed to enhance this state by providing<br />

a focus, positive distraction, <strong>and</strong> screening out intrusive<br />

visual <strong>and</strong> auditory stimuli. Conifer plantings<br />

were designed to provide a quiet <strong>and</strong> restful complement<br />

to the space. Their density would create a calm,<br />

enclosed space to facilitate a meditative experience.<br />

The garden walkway.<br />

Exercise: The Garden Walkway<br />

Exercise is associated with relaxation <strong>and</strong> induces a<br />

relaxation response. The site was designed to encourage<br />

walking within the site <strong>and</strong> positive distraction.<br />

The walkways are circular in layout to provide easy<br />

wayfinding for those residents who may suffer from<br />

dementia. The garden walkway plantings were selected<br />

to be bold <strong>and</strong> colorful, to stimulate the senses<br />

in a positive way, <strong>and</strong> to encourage movement to<br />

see what lies ahead. The plantings were designed for<br />

four season interest, shade <strong>and</strong> respite, <strong>and</strong> sheltered<br />

views to the street for “people watching.”<br />

3. Determining the Effectiveness of the <strong>Design</strong><br />

The therapeutic garden can be evaluated through<br />

several disease-specific, biological markers of disease<br />

activity (such as viral loads <strong>and</strong> CD4 counts), <strong>and</strong><br />

measures of mental health status, social functioning,<br />

<strong>and</strong> quality of life. Additionally, it may be useful to<br />

ascertain which areas of the garden are frequented<br />

most often by residents to determine if certain spatial<br />

qualities prove more successful than others in<br />

accomplishing the goals of the design. The hypothesis<br />

is that the installation of the garden will lead to<br />

an improvement in medical, psychiatric, <strong>and</strong> social<br />

indicators among the residents. Measurements of<br />

these health indicators should be made before <strong>and</strong><br />

after installation of the garden to determine what effect,<br />

if any, the garden has upon the health of the<br />

residents.<br />

Toward a New Paradigm of Therapeutic Gardens<br />

As the interest in the field of therapeutic gardens continues<br />

to exp<strong>and</strong>, system for research must be developed.<br />

The chairs of the American Society of <strong>L<strong>and</strong>scape</strong><br />

Architects (ASLA) Therapeutic Garden <strong>Design</strong><br />

Professional Interest Group have stated:<br />

We propose a renewed effort to encourage academic<br />

research that is useful to practitioners, <strong>and</strong> to provide<br />

publicity for the new research to get the word out. Research<br />

is important to validate intuition <strong>and</strong> to motivate<br />

policy change...We need research approaches that<br />

address current problems.<br />

These same sentiments are echoed throughout the<br />

literature <strong>and</strong> writings of l<strong>and</strong>scape architects interested<br />

in this field. And yet, there appears to be little<br />

progress in the answer to these calls.<br />

Where Research Informs <strong>Design</strong>®

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