Unravelling mind-space interactions : design and mental health in an acute psychiatric ward at Mount Carmel Hospital

Abstract

This dissertation seeks to explore the influence of ‘healing’ architecture on the mental states of its inhabitants, specifically focusing on how the design of spaces can act as a catalyst in the healing process of people with mental illnesses. When evaluating the grand scheme of architecture for the recovery of service-users, it is a relatively new concept that the built environment is viewed as having a participatory role in being a catalyst during the healing process of those affected. The notion of an institution, when considering this potential within architecture, is contradictory in nature. An institution is primarily designed to control and to contain individuals, whereas the notion of a home empowers the self. These notions will thus be challenged within the physical setting of Mount Carmel Hospital’s Acute Ward 4. The research employs qualitative methods, primarily via conducting interviews and observations within the research location to explore the juxtaposition of institutional and domestic architectural elements and their impact on the service-users. Analysis revealed that despite efforts to reduce institutional cues, the space retained an institutional quality. However, the residents’ behaviour highlighted mixed reactions, with some positive experiences. The relationship between individuals and space was strained at times, with the concept of control (or a lack thereof) and the loss of self within the space being the main points of distress. The findings illustrate that a change should occur within the architectural milieu, advocating for the empowerment of the self, whilst still maintaining a balance between safety and security within the space. This shift could potentially enhance therapeutic outcomes by alleviating distress related to spatial control; and fostering a reinstatement of the self.