Archive for the ‘Healing Garden’ Category

Labyrinths for Healthcare: Approach with Caution

Friday, May 29th, 2015
Labyrinth at St. Joseph Memorial Hospital. Photo by Clare Cooper Marcus

St. Joseph Memorial Hospital, Santa Rosa, CA. This labyrinth is appropriate for a healthcare setting since the walking route is relatively short (7-circuit); there are no overlooking windows, and vegetative screening ensures privacy; it is shaded; and a simple explanatory sign explains its use. Photo by Clare Cooper Marcus

This post might invite more invective or controversy than usual (which is usually none, so we’ll see), but it’s something important to discuss: Labyrinths are not always appropriate for healthcare gardens. When they are used, they need to be sited and designed to best benefit garden users. Clare Cooper Marcus and I discuss this issue in our book Therapeutic Landscapes: An Evidence-Based Approach to Designing Healing Gardens and Restorative Outdoor Spaces and some of the text below is excerpted from Chapter 6 (p. 78).

Please understand: I have nothing against labyrinths per se. In fact, in the right place and context, I think they are wonderful and I very much enjoy walking them. The TLN has a page on labyrinths. In our chapter on Gardens for Veterans and Active Duty Personnel, we discuss how labyrinths are used in the therapeutic process (p. 210-211).

First, what is a labyrinth?
The classical labyrinth consists of a continuous path that winds in circles into a center and out again. This basic form dates from antiquity and is intended for contemplative walking. A labyrinth is sometimes erroneously referred to as a maze, which consists of a complex system of pathways between tall hedges, with the purpose of getting people lost. The aim of a maze is playful diversion, whereas the aim of the labyrinth was, and is, to offer the user a walking path of quiet reflection. See this earlier TLN Blog post for more on the distinction between labyrinths and mazes.

Labyrinth at St. Paul’s Anglican Church, Thunder Bay, Ontario, Canada

Labyrinth at St. Paul’s Anglican Church, Thunder Bay, Ontario, Canada

The labyrinth trend
L
abyrinths have become increasingly popular in healthcare settings (hospitals, outpatient clinics, hospices, elder care facilities, etc.). Designers often include them in their plans, sometimes encouraged by the client or the funding donor.

I’m not sure what led to this trend, but here are some guesses:

1. Labyrinths are immediately recognizable as contemplative spaces that encourage silent walking and meditation. Like “Zen gardens,” they symbolize peace and relaxation.

2. They are usually easy to install and, unlike planting beds, require very little maintenance. However, most labyrinths are paved and according to many research studies, people prefer less paving and more plants in healing gardens. So, hmmmmm….

Here is why labyrinths are often not the right choice for healthcare gardens:

1. They take up a lot of space. Space that could be used for plants or a covered gathering area or a more flexible activity space. Because people view labyrinths as somewhat sacred, they are reluctant to walk across them to get from Point A to Point B. Unless the garden is quite large, a labyrinth is probably not the best use of space.

2. Labyrinths are usually not sheltered (by trees or another shade structure). People in hospitals – especially patients – are extremely vulnerable to sun and glare.

3. They take a long time to walk, which may not be good or even possible for some patients. See guidelines, below.

4. They are usually not wheelchair accessible. So people who have limited mobility (anyone in a wheelchair, scooter, walker, or even with a large stroller) can’t use them. Which, especially in a hospital environment, is rather sad.

Labyrinth at Burford Priory, courtesy of St. James's Piccadilly

Labyrinth at Burford Priory, courtesy of St. James’s Piccadilly

Design guidelines
If you do plan to include a labyrinth in a healthcare garden, consider the following design guidelines from Therapeutic Landscapes:

1. The classical labyrinth consists of 11, 7, or 5 concentric circles. The path of the 11-circuit labyrinth is 860 feet long and thus should not be considered for a healthcare garden. Walking that far would likely tax the energy of patients or the time of visitors or staff. The 7- or 5-circuit labyrinth is more appropriate, both in terms of the length of the path and in terms of the space it claims.

2. People walking a labyrinth are in a contemplative, introspective mood and do not want to be stared at. Site the labyrinth in a secluded location out of sight of other garden users and nearby windows.

3. Since some people view the process of walking a labyrinth to be a spiritual experience, site it where others will not be forced to walk across to get from one destination to another.

4. Since many people may be unfamiliar with the purpose of a labyrinth, provide information nearby indicating how to walk the path.

5. Consider a “finger labyrinth” – they take up far less room and can still provide people with a meditative practice.

Finger labyrinth at the American Psychological Association. Photo by Naomi Sachs

Finger labyrinth at the American Psychological Association. Photo by Naomi Sachs

I’d love to hear your comments, and would also love to hear about examples of labyrinths in healthcare gardens that are really appropriate for the place and the people.

Some of the text for this post was excerpted with permission from the publisher, Wiley, from Therapeutic Landscapes: An Evidence-Based Approach to Designing Healing Gardens and Restorative Outdoor Spaces by Clare Cooper Marcus and Naomi A. Sachs. Copyright 2014.

 

The healing garden down the street: Guest blog post by Joan Vorderbruggen and Lisa Overby-Blosser

Friday, August 22nd, 2014
Joan Vorderbruggen's garden patio. All photos by  Joan Vorderbruggen

Joan Vorderbruggen’s garden patio. All photos by Joan Vorderbruggen

I first met Joan Vorderbruggen at the Environmental Design Research Association (EDRA) meeting in 2013 in Providence, RI. She presented an expanded version of this lovely post, and I was very moved. Sometimes we researchers and designers get so bogged down in trying to analyze and quantify everything that we forget the more human and – dare I say it? – even the spiritual dimension. Joan’s and Lisa’s words, along with images from Joan’s garden, get to the heart of it. Many thanks to both of them for sharing here.

The healing garden down the street
By Joan Vorderbruggen and Lisa Overby-Blosser

The spring of 2012 held little hope for my neighbor, Lisa, wife and mother of four teenagers.  Lisa had just been diagnosed with stage four breast cancer and was given a year or less to live. Asking me if she could spend time in my backyard garden, she felt time in a peaceful setting would help her deal with the upcoming chemotherapy, radiation, surgery, and other stresses.

Over that summer, Lisa spent a great deal of time walking the 5-house distance to my yard, sometimes barely able to put one foot in front of the other.  Still, she persevered, settling in to journal, sketch, and just be in the moment.  While I encouraged her to come and go as she pleased, I was happy that at times, she would join me on my deck and, without any prompting, speak of how the garden and natural world supported her during that time. I asked if I could share her words with others.

Lisa’s words (italicized) fit neatly within the framework of Stephen Kellert’s Biophillic Design Elements (below). According to Kellert, these elements stem from an intuitive human-nature connection, where people feel that spending time in nature can help them heal mentally, physically and spiritually. The Biophilia hypothesis assertion is that because humans evolved with nature, they feel comforted by nature (Kellert and Wilson, The Biophilia Hypothesis, 1993).

PROSPECT
The idea of prospect is primarily about being able to control your view, to scan the horizon and understand where you are in relationship to your surroundings.
In the garden you have control – of where you sit, where you look, what you choose to focus on – whether it’s a wide view or something really small…  There are so many choices available to you.  The fact that you can make a choice of something can be healing.

Prospect. Photo by Joan Vorderbruggen

Prospect and Refuge

 

REFUGE
Refuge allows us to feel safe, sheltered and protected.  In my garden, Lisa chose to sit under a grapevine trellis.  She speaks more in metaphor of her feelings of refuge.
The garden is always welcoming; no plants fall over or trees drop their leaves in disgust or empathy when I took my hat off exposing my baldness….  The garden accepts where your body and emotions are at that moment in time.

(more…)

Healing garden for a veteran wins national award

Friday, July 25th, 2014
Harvest Home -  Julie Melear

The Wounded Warrior home, built for the Solar Decathalon, with its award-winning landscape design

George Washington University graduate students Julie Melear, Janet Conroy, and Mary Sper’s landscape design for HARVEST HOME, a Wounded Warrior home built for a veteran, has won the Gold Award in outdoor design from the Association for Professional Landscape Design (APLD). The house was designed and built by college students competing in the U.S. Department of Energy’s Solar Decathlon, which challenges collegiate teams to design solar powered houses that are cost effective, energy efficient, and attractive.

(more…)

The first therapeutic garden in Romania!

Thursday, July 10th, 2014

Planting in Romania healing garden

Landscape engineer Nicsanu Marcela recently posted a photo on our TLN Facebook page with an image of raised flower beds and this caption: “First therapeutic garden in Romania!” That was pretty exciting. I emailed her to ask whether she’d like to do a guest blog post, and she agreed. Here is her post:

The first therapeutic garden in Romania opened its doors in June 2014, at Mocrea Psychiatric Hospital in Arad County. This first garden opened the way for horticultural therapy, a healing method used in almost some psychiatric hospitals in Western Europe and the USA.

(more…)

Enter now! Landscape Architecture for Healthcare Communities awards

Friday, June 27th, 2014
Smilow Cancer Hospital healing garden

The stream at Yale-New Haven’s Smilow Cancer Hospital. Design by Towers Golde. Photo by Naomi Sachs

2013 was a momentous year for landscape architecture in healthcare design: It was the first year that Healthcare Design and Environments for Aging held the Landscape Architecture for Healthcare Communities Awards.

The projects were chosen by two different panels of jurors – one for Acute Care (Healthcare Design) and one for Senior Living (Environments for Aging and Long-Term Living). Acute Care and Senior Living project award winners were featured in the December digital issues of Healthcare Design and EFA magazines. Acute Care award winners were also featured in the May/June 2014 print edition and will be honored in November at HEALTHCARE DESIGN14 in San Diego, CA. Senior Living project winners were honored at the Environments for Aging conference in May.

And here’s more good news: They’re doing it again! Submission are due for both categories on July 14, 2014 so get busy with your applications.

This is a terrific opportunity for landscape architects and healthcare facilities with successful therapeutic landscapes to showcase their work, and for everyone else to see the best examples of how it should be done. (more…)