(Re)thinking the dynamics between healthcare and place: therapeutic geographies in treatment and care practices
Open Access
- 17 September 2004
- Vol. 36 (3) , 307-318
- https://doi.org/10.1111/j.0004-0894.2004.00228.x
Abstract
Although the concept of therapeutic landscapes has assisted health geographers to explore the intimate connections between well‐being and place, arguably, after a decade of applications, the common interpretations and assumptions of commentators should be reviewed. Based on theoretical insights from psychoanalytic geographies and geographies of nursing, this paper makes two observations. First, that landscape has been almost exclusively interpreted in a physical sense with co‐presence being a necessary condition. In turn, this assumption has led to the neglect of non‐physical (imagined) places. Second, that therapeutic effects have been interpreted as experiences attained outside of clinical practices. Hence, healthcare workers and their direct treatments and care have also been neglected. To explore these omissions together, an interview survey of complementary therapists investigates the many ways in which imagined places are constructed and manipulated in therapy sessions. Arguably, beyond this example, extending the therapeutic landscape concept to both physical and non‐physical features of treatments could provide fresh insights into the dynamics between healthcare and place. In disciplinary terms, the benefits are twofold. Whilst it could help develop a critical tradition in health geography, perhaps ironically, it could also provide a stronger disciplinary connection between qualitative health geography, various forms of medicine and their research traditions.Keywords
This publication has 56 references indexed in Scilit:
- Disturbing geography: obsessive‐compulsive disorder as spatial practiceSocial & Cultural Geography, 2004
- ‘Cultivating health’: therapeutic landscapes and older people in northern EnglandSocial Science & Medicine, 2003
- Distal nursingSocial Science & Medicine, 2003
- New Zealand children’s health camps: therapeutic landscapes meet the contract stateSocial Science & Medicine, 2000
- Hans Castorp’s journey-to-knowledge of disease and health in Thomas Mann’s The Magic MountainHealth & Place, 2000
- ‘…the world was getting smaller’: women, agoraphobia and bodily boundariesArea, 2000
- Stages on Journeys: Some Remarks about Human Geography andPsychotherapeutic PracticeThe Professional Geographer, 1999
- Nursing in quality space: technologies governing experiences of careNursing Inquiry, 1996
- Therapeutic Landscapes: Theory and a Case Study of Epidauros, GreeceEnvironment and Planning D: Society and Space, 1993
- FROM NOVICE TO EXPERTThe American Journal of Nursing, 1984