治疗性景观、退伍军人户外项目和公共土地。

Therapeutic landscapes, outdoor programs for veterans, and public lands.

机构信息

Department of Geography and Environmental Studies, University of Colorado Colorado Springs, 1420 Austin Bluffs Pkwy, Colorado Springs, CO, 80918, USA.

Pacific Northwest Research Station, USDA-Forest Service, 400 N. 34th St., Suite 201, Seattle, WA, 98103, USA.

出版信息

Soc Sci Med. 2021 Jan;268:113540. doi: 10.1016/j.socscimed.2020.113540. Epub 2020 Nov 19.

Abstract

In recent decades, scholars have developed ideas about therapeutic landscapes that explore how social processes, symbolism, and physical features generate diverse meanings. We examine here how therapeutic landscapes are produced and utilized for outdoor programs for military veterans, particularly veterans experiencing post-traumatic stress. Outdoor programs for veterans (OPVs) provide restorative opportunities through nature immersion and outdoor recreation. OPVs involve diverse social settings, activity types, durations, geographic and land management contexts, and degrees of therapeutic intervention. In many combinations they can generate therapeutic landscapes conducive to some degree of recovery. Our analysis relies on qualitative data gathered through semi-structured interviews with OPV providers and participants, mental health specialists, and public land officials. Arguing against a reductionistic approach, we suggest that the diversity of OPVs and disparate character of activities, locations, and dosages may contribute in important ways to the efficacy of these programs. Ironically, the very qualities that present challenges for measuring and evaluating the benefits of OPVs may prove to be advantageous with respect to therapeutic outcomes. We highlight how public lands present a distinctive set of attributes that make them particularly well-suited to provide therapeutic opportunities, and that agency policies can shape the development of therapeutic landscapes.

摘要

近几十年来,学者们提出了治疗性景观的概念,探讨了社会过程、象征意义和物理特征如何产生多样化的意义。我们在这里探讨了治疗性景观是如何产生的,以及如何将其用于退伍军人的户外项目,特别是那些经历创伤后应激的退伍军人。退伍军人户外项目(OPV)通过自然沉浸和户外娱乐提供恢复机会。OPV 涉及到不同的社会环境、活动类型、持续时间、地理和土地管理背景以及治疗干预的程度。它们以多种组合形式可以产生有利于一定程度康复的治疗性景观。我们的分析依赖于通过与 OPV 提供者和参与者、心理健康专家和公共土地官员的半结构化访谈收集的定性数据。我们反对简化论的方法,认为 OPV 的多样性以及活动、地点和剂量的不同特征可能会以重要的方式促进这些项目的效果。具有讽刺意味的是,对于衡量和评估 OPV 益处来说具有挑战性的那些特性,可能会在治疗结果方面具有优势。我们强调了公共土地如何呈现出一组独特的属性,使它们特别适合提供治疗机会,并且机构政策可以塑造治疗性景观的发展。

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