Analytical framework in designing the landscape of psychiatric hospital (Case study: Razi Therapeutic Psychiatric Center)

Document Type : Original Article


Department of Urban Planning and Design, South Tehran Branch, Islamic Azad University, Tehran, Iran


Psychiatric hospitals are forgotten elements in cities, that are considered as a dark part
of the city, and even the connection with the hospital and its patients, is seen as taboo.
The design of hospitals is significant in general, but the design of a mental hospital is
especially crucial due to the prevailing attitudes of society towards hospitals and the
fear of the presence of patients. Patients with mental illness have been exiled behind
the walls of the hospital for years, and they are far from their normal daily lives. During
the day, they do not see a view other than the hard concrete walls of the hospital. In
this article, in order to achieve a framework for designing the landscape of mental
hospitals, the methodology involved qualitative methods by using the descriptive
phenomenological research method and a semi-structured in-depth interview with
patients. Then, a focus group consisting of the hospital’s medical staff discussed the
topic of the research. To analyse the interview texts, we used Colaizzi’s seven-step
method, which led to the formation of 164 codes, 31 subthemes, and 9 main themes
shaping the main framework. The results and findings of this research report indicate
that social and cultural aspects of the design of the mental hospital environment are
essential and effective in the patient’s treatment process. For future studies, utilization
of an interdisciplinary team consisting of social scientists, engineers, architects, and
building scientists may serve to facilitate the production of research that enhances
comprehension within the respective domain.


Curtis, S., Congdon, P., Atkinson, S., Corcoran, R., MaGuire,
R. and Peasgood, T. (2020). Adverse conditions for
wellbeing at the neighbourhood scale in England:
Potential and challenges for operationalising indicators
relevant to wellbeing in and of places. Wellbeing, Space
and Society, 1, p.100009.
Curtis, S., Gesler, W., Fabian, K., Francis, S. and Priebe, S.
(2007). Therapeutic Landscapes in Hospital Design:
A Qualitative Assessment by Staff and Service Users
of the Design of a New Mental Health Inpatient Unit.
Environment and Planning C: Government and Policy,
25(4), pp.591–610. Available from: http://journals.
Eastoe, S. (2016). ‘Relieving gloomy and objectless lives’.
The landscape of Caterham Imbecile Asylum. Landscape
Research, 41(6), pp.652–663. Available from: http://
Ebad, S. (2011). Designing a thrapeutic hospital with the
approach of interaction between the environment and
the patient [unpublished]. Isfahan University of Arts.
Egoz, S. and De Nardi, A. (2017). Defining landscape
justice: the role of landscape in supporting wellbeing
of migrants, a literature review. Landscape Research,
42(sup1), pp.S74–S89. Available from:
Ergun, G. and Isik, I. (2018). The Examination Of The Some
Aspects Of The Therapeutic Environment Of Psychiatric
Inpatient Clinics In Turkey. Clinical and Experimental
Health Sciences, 11 December 2018. Available from:
Evans, J.D., Crooks, V.A. and Kingsbury, P.T. (2009).
Theoretical injections: On the therapeutic aesthetics
of medical spaces. Social Science & Medicine, 69(5),
pp.716–721. Available from: https://linkinghub.elsevier.
Gesler, W.M. (1992). Therapeutic landscapes: Medical
issues in light of the new cultural geography. Social
Science & Medicine, 34(7), pp.735–746. Available
Gesler, W.M. and Kearns, R.A. (2005). Culture/Place/
Health. 0 ed. Routledge. Available from: https://www.
Gesler, W.M.C.N.-R. (2003). Healing places. Lanham, Md:
Rowman & Littlefield.
Golestani, S. and Zahedan, A. (2017). The Landscape of
Hospital Areas. MANZAR, the Scientific Journal of
landscape, 9(38), pp.48–59. Available from: http://www.
Iyendo, T.O., Uwajeh, P.C. and Ikenna, E.S. (2016).
The therapeutic impacts of environmental design
interventions on wellness in clinical settings: A narrative
review. Complementary Therapies in Clinical Practice,
24, pp.174–188. Available from: https://linkinghub.
Jansen, F.M., Ettema, D.F., Kamphuis, C.B.M., Pierik, F.H.
and Dijst, M.J. (2017). How do type and size of natural
environments relate to physical activity behavior?.
Health & Place, 46, pp.73–81. Available from:
Jarrott, S.E. and Gigliotti, C.M. (2010). Comparing
Responses to Horticultural-Based and Traditional
Activities in Dementia Care Programs. American Journal
of Alzheimer’s Disease & Other Dementiasr, 25(8),
pp.657–665. Available from: http://journals.sagepub.
Kearns, R.A. and Gesler, W.M. (1998). Putting Health into
Place: Landscape, Identity, and Well-being. Syracuse
University Press.
Lester, S. (1999). An introduction to phenomenological
research. , 1 January 1999.
Moon, G., Kearns, R. and Joseph, A. (2006). Selling the
private asylum: therapeutic landscapes and the (re)
valorization of confinement in the era of community
care. Transactions of the Institute of British Geographers,
31(2), pp.131–149. Available from: https://onlinelibrary.
Neducin, D., Krkljes, M. and Kurtovic-Folic, N. (2010).
Hospital outdoor spaces: Therapeutic benefits and
design considerations. Facta universitatis - series:
Architecture and Civil Engineering, 8(3), pp.293–305.
Available from:
Pearce, J., Cherrie, M., Shortt, N., Deary, I. and Ward
Thompson, C. (2018). Life course of place: A longitudinal
study of mental health and place. Transactions of the
Institute of British Geographers, 43(4), pp.555–572.
Salkind, N. (2010). Encyclopedia of Research Design. ,
2010. Available from:
Setola, N. and Borgianni, S. (2013). The Role of Spatial
Layout of Hospital Public Spaces In Informal Patient-
Medical Staff Interface 025.
Tafahomi, R. and Nadi, R. (2022). Insight into the missing
aspects of therapeutic landscape in psychological
centres in Kigali, Rwanda. Cities & Health, 6(1), pp.136–
148. Available from:
Ulrich, R.S. (1999). Effects of gardens on health outcomes:
Theory and research. In C. C. M. Whiley: Whiley.
Ulrich, R.S. (1984). View Through a Window May Influence
Recovery from Surgery. Science, 224(4647), pp.420–421.
Available from:
Ward Thompson, C. (2011). Linking landscape and health:
The recurring theme. Landscape and Urban Planning,
99(3–4), pp.187–195. Available from: https://linkinghub.
Williams, A. (2017). Therapeutic Landscapes. 1st ed.
Routledge. Available from: https://www.taylorfrancis.
Wood, V.J., Curtis, S.E., Gesler, W., Spencer, I.H., Close, H.J.,
Mason, J. and Reilly, J.G. (2013). Creating ‘therapeutic
landscapes’ for mental health carers in inpatient
settings: A dynamic perspective on permeability and
inclusivity. Social Science & Medicine, 91, pp.122–129.
Available from:
Wood, V.J., Gesler, W., Curtis, S.E., Spencer, I.H., Close, H.J.,
Mason, J. and Reilly, J.G. (2015). ‘Therapeutic landscapes’
and the importance of nostalgia, solastalgia, salvage and
abandonment for psychiatric hospital design. Health &
Place, 33, pp.83–89. Available from: https://linkinghub.