• Journal of the Korean Geographical Society
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• v.52 no.1
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• pp.25-53
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• 2017

The ultimate goal of this research is to examine the geographical characteristics of therapeutic spaces where have been appeared in Wa-dong and Gojan-dong, Ansan-si after the disaster of the MV Sewol. As looking into the inside, the aim of the therapeutic spaces, which cover each target group (victims) individually, is various and different because the disaster of the MV Sewol generated various direct and indirect victims requiring healing. The therapeutic spaces are estimated at about 10 organizations and are leaded by private agents predominantly. Furthermore, the therapeutic spaces are located near, but are aside from Danwon high school where many students are reported killed and injured in the incident. And the therapeutic spaces provide simple and repetitive diversions, for example, having a meal, knitting and studying, rather than special programs to restore a broken daily life to the original state. On the basis of such a background, the geographical characteristics of the therapeutic spaces related to the disaster of the MV Sewol can be summarized as follows; first, it seems that target groups accept the therapeutic spaces as the concept of place gradually. Even though most of the therapeutic spaces were suggested by third parties at first, target groups are involved in the management and recollection of their own therapeutic spaces as well as the plan for a future direction now; and consider the therapeutic spaces as exclusive properties. Second, the disaster of the MV Sewol have embedded collective trauma to not only direct victims, but extensive groups such as parents, brothers and sisters, relatives, friends and neighbors as noted earlier. Therefore, the therapeutic spaces support comprehensive target groups; but each therapeutic space is not overlapped each other. However, to solve collective trauma in a local community effectively, the therapeutic spaces are networked closely and build a regular cooperative system. Third, a continuous memory is mentioned as an important point to overcome collective trauma, but some phenomena such as fatigue and conflict with neighbors, out-migrants and a faded atmosphere as time passes act as risk factors in Ansan-si. To keep a continuous memory, the therapeutic spaces attempt the recovery of local communities and devise various events, for example, cultural performances; furthermore, are closely connected with external organizations.

• Architectural research
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• v.22 no.4
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• pp.113-122
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• 2020

Hospital architecture must be planned as a therapeutic space. Numerous studies have proven that exposure to nature has a healing effect. However, research on the architecture itself about this issue is still insufficient. This study analyzed Le Corbusier's Venice hospital project and its architectural configurations with nature. Le Corbusier had been interested in blurring the interior/exterior line to draw nature inside. In his projects, nature was conceived in an abstract sense as "something green." However, in the hospital project, natural elements including vegetation, the lagoon, and light, and the landscape scenery they created, were considered in the harmony of the architectural space. The architectural spaces with courtyards, pilotis, and roof gardens provided views and direct access to nature, and in the interior spaces, the connections to these external spaces and the permeation of views of nature and sunlight were incorporated. Many spaces provided the possibility to actually encounter nature, with a variety of indoor/outdoor space configurations rather than a merely passive placing of some natural elements. This project is considered to be an important reference for contemporary hospital architecture, since the architectural space and nature connected through various spatial configurations also in healthcare programs. As Le Corbusier emphasized, sunlight, vegetation, and also architectural space should be an essential factor in therapeutic hospital architecture planning.

• Journal of the Architectural Institute of Korea Planning & Design
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• v.35 no.9
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• pp.65-75
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• 2019

This study aims at analyzing the therapeutic design characteristics implemented in the indoor atriums of the outpatient areas in four children's hospitals in London and San Francisco. A mixed-method approach was used to examine the spatial configurations and design elements in the atriums, while a literature review was conducted to understand the therapeutic design characteristics relevant to atrium spaces and children's healthcare facilities. The spatial design and the pattern of use of the atrium in each hospital were studied during field visits and interviews with the hospital management staff. Based on the literature review and the observations from the field study, a Visibility Graphic Analysis was chosen to examine the visibility, accessibility, and intelligibility of the spatial configurations in the atriums of each hospital. In addition, the openness, restfulness, and vibrant ambience of the design elements in the atriums of each hospital were investigated by surveying fifty-two design professionals on the quality of the design elements in the atriums. A spatial configuration analysis, confirmed that all the atrium spaces had high visibility, accessibility, and intelligibility due to their high connectivity, integration, intelligibility, and because the atriums were laid out in the open lobby space, along the major circulation axis, or in the circulation intersection. In the survey of the design element evaluation, all atriums proved to be appropriate in terms of openness, while the adequacy of restfulness and vibrant ambience differed depending on the hospitals. Notably, location and orientation, access, natural light, outdoor view, and play facilities were found significant environmental design elements determining the successful implementation of the therapeutic design in the atriums. The observations from the aforementioned are further discussed to enhance the therapeutic design quality of atrium spaces in children's hospitals.

• Journal of the Korean Institute of Landscape Architecture
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• v.44 no.5
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• pp.26-37
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• 2016

As activities and convenience of residents in outdoor spaces in apartment houses have been considered important, strategies for making outdoor spaces in apartment houses healing spaces have emerged as a major interest. The purpose of this study is to draw elements for planning healing to create healing spaces in collective housing areas and to present design guidelines. The findings of this study are as follows. Functional elements of a healing environment were classified into safe environment, therapeutic environment, ancillary environment, orientation-reinforcing environment, amenities, and social environment. Outdoor spaces in collective housing areas were divided into collective housing entrance areas, internal and external spread areas, outdoor activity areas, and areas by theme. First, collective housing entrance areas should be planned in such a manner that residents can feel the area is private and easy to recognize. Second, internal and external spread areas should be planned in such a manner that they are easy to access and communicate with neighbors. Third, outdoor activity areas should be divided into an open space, resting space, playing space, and sports space. Open spaces should be planned in such a manner that they can command a fine view and respect the privacy of nearby residents. Resting spaces should be equipped with a shelter that protects users from direct sunlight, rain, and snow as well as include a movable bench. Playing spaces should be built considering development of children's curiosity, adventurous spirit, character, stimulation, and physical health. Playing spaces should be designed in such a manner that roadways and sidewalks can be separated for safe traffic. Sport spaces should be planned in such a manner that they can be associated with a pavilion and trail that provide residents with an opportunity to communicate with each other and rest. Fourth, spaces by theme are classified into sense garden, therapeutic garden, experiential garden, and learning garden. Sense gardens are a small garden based on the five senses. Sense gardens should be designed in such a manner that they can improve users' mental and physical health through programs that stimulate the sense of sight, auditory sense, and olfactory sense. Therapeutic gardens should be designed in such a manner that they can provide a comfortable and relaxing space by minimizing noise. It is advisable for therapeutic gardens to be equipped with a medicinal herb garden, meditation garden, and sense garden. Experiential and learning gardens should be designed in such a manner that they can provide users with a space in which they can enjoy nature and leisure activities. It is advisable for experiential and learning gardens to be equipped with a tea garden, vegetable garden, and camping garden. Healing programs should be designed in such a manner that users can feel relaxed by providing a healing environment, making the most of the natural environment. Further research on evaluating whether the findings of this study are effective in healing in a qualitative and quantitative manner is needed.

• Journal of The Korea Institute of Healthcare Architecture
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• v.28 no.4
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• pp.71-87
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• 2022

Purpose: This study examines the daylighting design factors of Korean dementia nursing homes, in order to realize a therapeutic environment based on the therapeutic effect of light in the rapidly aging trend with an huge increase in the population of dementia in Korea. Methods: Through literature reviews, this study aims to theoretically examine the therapeutic light environment for the elderly with dementia, derive daylighting design factors of Korean dementia nursing homes, and analyze their detailed design factors. Results: The result of this study can be summarized into two points. The first one is that the daylighting design factors reflected in dementia nursing homes are derived into six factors: building layout, windows, glazing, shading devices, spaces, and interior finishings that determine the availability of daylight. The second one is that the detailed daylighting design factors are shown as primary and secondary detailed design factors, and the main values to be considered when applying these factors into dementia nursing homes are analyzed as maximizing daylight availability, optimization of the possibility of therapeutic view, and anti-glare. Implications: The daylighting design factors will contribute to maximizing the availability of daylight, optimizing the possibility of view, and minimizing the glare in the living spaces of dementia nursing homes in Korea.

• Journal of The Korea Institute of Healthcare Architecture
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• v.29 no.1
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• pp.29-42
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• 2023

Purpose: This study aimed to develop a daylighting design indicator for Korean dementia nursing homes based on the therapeutic effects of light, focusing on the serious aging index facing Korea and the importance of natural light that occupies the most important position in the therapeutic environments for the elderly with dementia. Methods: A wide range of literature-oriented research methods were mobilized to develop the daylighting design indicator of Korean dementia nursing homes. Results: The daylighting design indicator of Korean dementia nursing homes was derived from three perspectives: maximizing daylight availability, optimizing therapeutic view, and minimizing glare. In addition, eighteen basic indicators were derived within seven indicator items in the range of building layout, windows, glazing, shading devices, spaces, interior finishings, and daylight factor. Implications: The daylighting design indicator of Korean dementia nursing homes revealed in this study will contribute to realizing Korean dementia nursing homes as a therapeutic environment for the elderly with dementia.

• Journal of the Korean Institute of Landscape Architecture
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• v.30 no.3
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• pp.57-63
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• 2002

This landscape design was proposed for the Buchon Special School Competition, held by the Kyonggi Province Office of Education. The authors collaborated on this design and won first prize in November of 2001. In the design proposal, on the basis of the knowledge of; mentally retarded children the children's activities, nature and health, and the healing gardens, the special school outdoor spaces were designed to meet the particular needs of the users. The school outdoor spaces are design for various types of users-children, adolescents, parents, siblings, staff, volunteers and visitors. The following are some of the basis concerns in the design of the school outdoor spaces : garden site planning, garden location, security, microclimate, entering and exiting, accessibility, usability, user group territories, supervision, attracting trained volunteers, a range of high-quality social settings, accommodation of different student types, accommodation of needs for both challenge and rest, child nature interaction, diversity of natural settings, hands-on activity, integrating the arts, and maintenance. The following are some of the major features in the design of school outdoor spaces : pleasant and inviting entry areas, sports grounds with different levels of challenge, gardens with plants having strong fragrances and/or tactile qualities, resting places with many types and forms of seating and weather-mitigating features, play grounds for all student types, roof gardens for users to experience nature in man-made environments, and walkways and winding paths with various trees, shrubs and flowers. In the special school outdoor spaces, people would perceive a unique sense of place through the various types of spaces and features described above. An example of the true meaning of a playing and resting place and a restorative and therapeutic environment is provided in the school outdoor spaces.

• Journal of the Architectural Institute of Korea Planning & Design
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• v.34 no.12
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• pp.113-122
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• 2018

The purpose of healthcare facility should be user healing and health promotion. However, healthcare facilities have a bigger impact on the natural environment than the general buildings, eventually effecting the health of people globally. 'Environmentally friendliness' is a more important concept in hospitals, not just in technical or mechanical performance but in therapeutic effects on users. Therapeutic environment is closely related to the natural environment. Depending on how the natural environment is drawn into the space, the healing effect of the patients is also increased. Most of the previous studies are statistical and comparative researches that cannot provide theoretical basis of architectural planning. Therefore, architectural research on the composition of architectural space and nature is needed. In this study, we categorize 16 types of relation between architectural space and nature, and based on this, analyze the present situation of 7 regional public hospitals' 33 spaces, and provide theoretical background and guideline for therapeutic space.

• Clinical Endoscopy
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• v.56 no.1
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• pp.23-37
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• 2023

Submucosal endoscopy or third-space endoscopy utilizes the potential space between the mucosal and muscularis layers of the gastrointestinal tract to execute therapeutic interventions for various diseases. Over the last decade, endoscopic access to the submucosal space has revolutionized the field of therapeutic endoscopy. Submucosal endoscopy was originally used to perform endoscopic myotomy in patients with achalasia cardia, and its use has grown exponentially since. Currently, submucosal endoscopy is widely used to resect subepithelial tumors and to manage refractory gastroparesis and Zenker's diverticulum. While the utility of submucosal endoscopy has stood the test of time in esophageal motility disorders and subepithelial tumors, its durability remains to be established in conditions such as Zenker's diverticulum and refractory gastroparesis. Other emerging indications for submucosal endoscopy include esophageal epiphrenic diverticulum, Hirschsprung's disease, and esophageal strictures not amenable to conventional endoscopic treatment. The potential of submucosal endoscopy to provide easy and safe access to the mediastinum and peritoneal spaces may open doors to novel indications and rejuvenate the interest of endoscopists in natural orifice transluminal endoscopic surgery in the future. This review focuses on the current spectrum, recent updates, and future direction of submucosal endoscopy in the gastrointestinal tract.

• Journal of the Korean Geographical Society
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• v.51 no.1
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• pp.109-125
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• 2016

Human life has been inextricably linked with healing. Recently, as the demands of healing are higher, it is more necessary to study spaces, places and mobilities related to healing in geographical studies. This paper draws on a case study of urban peoples walks along Seoul City Wall to explore what healing factors affect the people walking along historical landscapes in urban center and understand geographical implications of the healing process. Based on the concept and analytical lens of 'therapeutic mobilities' introduced by Gatrell, this research analyzes texts written on 181 blogs. The results show the main factors that affect their healing are 'weather climate', 'walk stroll', and 'nightscape'. Futhermore, the blogs' narratives focusing on these main factors imply healing place-making, time as limiting factor, and the social body within nightscape in the healing process.