Prophylactic Architecture

Abstract

Biophilia, the affinity humans have for nature, has been widely demonstrated to manifest both physiological and psychological benefits in those who are exposed to natural settings. By incorporating such elements in architecture, biophilic design has been put forth as a remedy to many of the health concerns associated with urban environments. However, most of the focus has been on treatment rather than prevention, leaving the root causes unaddressed. This thesis aims to reorient the focus toward the proactive use of biophilic design to promote well-being and avert the onset of these issues. Design principles draw from the theory of Salutogenesis, which employs elements of Psychologically Supportive Design (PSD) and Attention Restoration Theory (ART) to promote physical, mental, and emotional well-being. This approach contrasts and augments the concept of Pathogenesis, the focus on resultant illnesses and disease that defines the current healthcare paradigm. If biophilia is salutogenic (i.e. generates health), this thesis postulates that such architecture will also act as a prophylaxis, or preventative medicine. To evaluate the potential efficacy of various biophilic strategies, an IRB-approved research study has been designed to gather qualitative and quantitative responses from individuals viewing alternative design proposals. Rather than putting forth a hypothesis to be supported, the project centers on a thesis proposition to be explored through an inductive process of seeking emergent theories. With funding from the American Institute of Architects through the AIAS Crit Scholar Program, design alternatives were developed and presented in Virtual Reality to individuals associated with a local organization, Community Health Center of the New River Valley. While the results presented are neither prescriptive nor universally generalizable, findings are relevant in both the context of healthcare and across building types.