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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5516_Библиотеки_им_академика_М_И_Перельмана
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292 NATURE THERAPY
Children. See also ADHD; Autism
with disabilities, 270
est bathing, 53
for
green space access, 65–66
nature deficit, 244
outdoor classroom, 268–274, 270,
274
Children’s Aid Society, 86
Chlorpromazine, 7, 153
Chronic obstructive pulmonary dis-
ease, 21
Circadian rhythm, 123, 130, 132
Civil disobedience, 246, 251
Civilian Conservation Corps (CCC),
5–6
Clark’s nutcracker (Nucifraga columbi-
ana), 209
Classroom. See Outdoor classroom
Clays, balneotherapy-associated, 175
Climate
activism, 238, 242, 245–252, 255–
256, 258–259
anthropogenic change, 4, 10, 247
change as threat to mental health,
256
instability, 238, 243, 247
refugees, 247, 256
Climate Psychiatry Alliance, 252
Clinebell, Howard, 11–12, 14
Cognitive fatigue, 271
Cognitive-behavioral therapy, 15, 49
Cohort studies, 15
Cold water immersion/exposure,
157–167, 168–172, 178
Cold water wraps, 154
Collecting, 216–217
Collective unconscious, 6
Community therapy, 253
Compatibility, 26
Continuous baths, 155
Cooperation, 90, 143
Cornell Lab of Ornithology, 210
216
Coronavirus disease 2019.
See COVID-19 pandemic
–211,
Correlational evidence, of nature
benefits, 24–25
Cortisol
animals, effect on humans of, 183
forest exposure, 30, 93
green space access, 65
natural light exposure, 29
COVID-19 pandemic
bird feeding, 22
ecological interdependencies,
13–14
forest therapy, 45
growth in birding, 210–211
nature activism, 244
nature experiences, influences on,
221
response to, 111–112
stay-at-home orders, effects of,
124–126
urban green spaces, lessons on,
66–67
virtual horticulture programs, 104
Cytokines, 31
Darwin, Charles, 188–189, 189–190,
191
Darwin, Erasmus, 188
Daylight, in health care setting,
131–132
DBT (dialectical behavior therapy),
171, 191
DDT (dichlorodiphenyltrichloro-
ethane), 9
Default mode networks (DMNs),
170–171
Dehydroepiandrosterone (DHEA),
30–31
Dementia, 277–279, 279
Depression. See also Major depressive
disorder
ADHD comorbidity, 273
Alzheimer’s disease, 278
forest bathing, 268
forest therapy, 45
green space exposure, 269
0

Index 293
inactivity, 276
light therapy, 129
urban green space access, 63,
67–68
water therapy, 178
Depth perception, 205
DHEA (dehydroepiandrosterone),
30–31
Dialectical behavior therapy (DBT),
171, 191
Dichlorodiphenyltrichloroethane
(DDT), 9
Directed/voluntary attention, 25–28,
271–272
Disability, 194–195
Discovery, thrill of, 217
Diving reflex, 156, 171–172
DMNs (default mode networks),
170–171
Dune (Herbert), 242
Duration baths, 154
EAT (equine-assisted therapy), 196
eBird app, 211, 216
Ecocide/ecosuicidal, 255
Ecopsychology, 10–11, 24
Ecotherapy, 11–12
Ecotherapy: Healing Ourselves, Healing
the Earth (Clinebell), 11
Educational model, 98–99
Einstein, Albert, 239
Electroconvulsive therapy, 7
Emotional support animal (ESA),
194–195
Emotions
The Expression of the Emotions in
Man and Animals (Darwin),
188–189, 189–190
mirror neurons, 191–192
Engel, George, 8
Enteroclysis, 154–155
Environmental degradation, 9–14
Environmental Protection Agency,
U.S., 9, 62
Environmental psychology, 10
Environmental services, provided by
birds, 209
Equine-assisted therapy (EAT), 196
ESA (emotional support animal)
letter, 194–195
Ethics, 245–249, 249, 257
Eurasian tree sparrow (Passer
montanus), 209
European Environmental Agency, 62
Evolutionary psychology, 191
Executive function, 26–27
Exercise, water-based, 157–167,
168–169, 174, 178
The Expression of the Emotions in Man
and Animals (Darwin), 188–189,
189–190
Extent, 26
Fires, forest, 242, 243, 259
Flotation restricted environmental
stimulation technique (REST)
therapy, 156, 157–167, 170–171,
176, 178
Flow experience, birding as, 214–216,
215
Food and Drug Administration, U.S.,
272
Forest bathing, 12–13, 41–56
cancer treatment side effects, re-
duction in, 50
case example, 53–54
children and adolescents, 53, 268
culture, psychology, and context,
42–46
in cultures outside Asia, 45–46
forest prescription, 50
health benefits, 29–31, 46–50, 48, 51
heart failure in older adults, 49–50,
51
in Japan, 42–44
neurodevelopmental disorders, 49
practical guidelines, 50–52
in South Korea, 44–45, 268
special considerations, 52–53
studies on benefits,
, 259
29–31

294 NATURE THERAPY
Foster, Michael, 251
Freud, Sigmund, 6
Friends Hospital, 85
Fromm, Erich, 250
Galton, Francis, 188
Garden club volunteers, 88
Gardening, 244, 279
Gardens. See also
dementia patients, 2
evolution of health care–nature re-
lationship, 81–89
monastic, 83
therapeutic, 269–270, 277
Gastrointestinal system, 170
General Health Questionnaire,
63–64
Gerotranscendence, 125–126
Gillotti, Frances, 8
Goldielea Care Home, 227
Goodall, Jane, 240
Greater honeyguide (Indicator indica-
tor), 208
Green movement, 88
Green prescriptions, 13
Green spaces. See also
spaces
access to,
benefits, 268–269
and older adults, 275
Greensward Plan, 86–87
Grounding, 93, 95
Group therapy, 143, 280
Group working, 143
Hahn, Kurt, 138
Hammerschlag, Carl, 238
Hanami, 42
Happiness, and nature connected-
ness, 220
Heart failure, 49–50, 51
Heart rate variability (HRV), 28, 46,
129
Hierarchy of needs, 6, 14
Hiking, 142–143
Horticultural therapy
78–279
Urban green
244, 268
History of nature therapy, 4–14
postmodern roots, 10–12
psychiatric and environmental
revolution, 6–10
from Romanticism to New Deal,
4–
6
twe
nty-first century, 12–14
wilderness therapy, 138–140
Holism, 247
Homo erectus, 206
Homo habilis, 206
Homo neanderthalensis, 207
Honey-hunters, 208
Horticultural therapists, registered,
80
Horticultural therapy, 11, 79–114
adaptive gardening, 91
case example, 105–111
components, 96, 97
degree programs in, 88
evolution of health care–nature
relationship, 81–89
focused attention, 113
intergenerational cooperation, 90
older adults, 277
overview, 79–81
participant-reported outcome
thermometers, 94
relevant research, 92–93, 94
theoretical underpinnings, 89–92
therapeutic horticulture com-
pared, 95–99, 97
working collaboratively, 82
Hortophilia, 89, 99, 111–112
Ho
spital
pavilion-style,
private psychiatric, 85
rehabilitation, 87
“View Through a Window” study,
92–93
Houseplants, as air purifiers, 126–127
HRV (heart rate variability), 28, 46,
129
Human evolutionary history,
205–206
83–84

Index 295
Hydrotherapy
aquarium therapy, 157–
172–174, 176
cold water immersion/exposure,
157–167, 168–172, 178
definition, 156
exercise, water-based, 157–167,
168–169, 174, 178
flotation restricted environmental
stimulation technique (REST)
therapy, 157–167, 170–171,
176, 178
indications for, 154
physiological effects on body sys-
tems, 156, 168–170
virtual, 174
Hypodermoclysis, 154–155
I-it and I-thou relationships, 252
Ikebana, 42
Immune system, nature’s regulation
of, 30–31
Indigenous people, 12, 138, 238, 242,
258
Indoors, bringing nature, 119–133
Inner sense, 51–52
Insurance, 196
Integrative community therapy, 253
International Physicians for the Pre-
vention of Nuclear War, 250
Interspecies communication,
188–189, 191
Jackson, J. Allen, 154
Japan, forest bathing in, 42–44
Jung, Carl, 6
Kami, 42
Kansas State University, 85–86, 88
Kaplan, Rachel, 10, 25–26, 93
Kaplan, Stephen, 10, 25–26, 93
Kar
ōshi, 43
Kellert, Stephen, 91–92, 121–122
Kirkbride, Thomas, 85
Kraepelin, Emil, 154
167,
Last Child in the Woods: Saving Our
Children From Nature-Deficit Disorder (Louv), 13
Lessons of nature, 242–243
Levinson, Boris, 195–196
Lewis, Charles, 89
LGBTQ community, 245
Li, Qing, 43, 48
Liability insurance, 196
Life satisfaction, bird biodiversity
and, 222–223
Lifton, Robert Jay, 246, 256
Light, natural, 24, 131–132
Light quality, 123
Light therapy, 129
Long-term-care facilities, inactivity
in, 276–277
Louv, Richard, 13–14, 91
Lown, Bernard, 250
Lynch, Thomas, 191
Major depr
bird-watching, 228
case examples, 32, 178, 228
chronic stress, 30
flotation therapy, 171
green space interventions, 68
outdoor light access, 24
in urban areas, 62, 68
Malarial treatment, of neurosyphilis, 7
Malpractice insurance, 196
Mandela, Nelson, 244
Maslow, Abraham, 6
Mattson, Richard, 88
Mead, Margaret, 258
Medical model, 98
Melatonin, 29
Memory, working, 26
Menninger Foundation, 85–86
Mental health
community issues impairing,
COVID-19 stay-at-home orders,
social determinants, 246
essive disorder
246–247
124–126

296 NATURE THERAPY
Mental health (continued)
through technology, 129–130
urbanization, effects of, 62–63
Mental illness, stigma of, 178
Merlin app, 211
Middle Ages, 83
Mindfulness
contraindication in autism, 49
forest bathing combined with,
48–49
nature therapy similarity, 31
Mirror neurons, 191–192
Miyazaki, Yoshifumi, 43, 47–48
Modified Falls Efficacy Scale,
276–277
Monasteries, 83
Mood
ADHD, 271, 273
birdsong, 223
COVID-19 pandemic, 125–126
dementia, 278
disorders, 24, 49, 269, 278
forest therapy, 29–30, 45, 53
horticultural therapy, 94, 109
hydrotherapies, 171–172
indoor plants, 70
nature connectivity, 221
Profile of Mood States, 46, 126–
127
viewing nature, 65, 127
Moral treatment (traitement moral),
84–85
Multifamily therapy, 273–274
Musculoskeletal system, 169
Nature
access to, 244–245
definition, 2–3,
lessons of, 242–243
nature of nature, 242–245
Nature activism, 237–262
case example, 255–256
ethical responsibilities, 245–249, 249
history of, 249–252
Nature connectedness, 219–222,
225–226
Nature deficit, 7, 13, 50, 91, 244
Nature prescriptions, 13, 50
Nature therapy. See also specific ther-
apy modalities
availability, 244–245
contemporary definitions, 3–4
guidelines, 16–18
history. See History of nature ther-
apy
limitations to evidence
modalities, 243–244
Nature versus nurture, 188
Naturgemälde, 4
Nearby nature, 93
Nervous system, 168
Neurobiology, 191–192
Neurons, mirror, 191–192
Neurosyphilis, 7
New Deal, 5
New York City Parks, 86–87
Nightingale, Florence, 83
Nonanthropocentrism, 247
Nursing homes, 227, 275–277, 280
24
base, 15–16
National Council for Therapy and
Rehabilitation Through Horti-
culture, 88–89
National Park Foundation, 245
National Recreation and Park Associ-
ation, U.S., 245
Natural imagery, 131
Natural killer cells, 30–31
Natural resources, overexploitation
of, 9
Occupational therapy, 87
The Odyssey, 240
Off-gassing, 126
Older adults
aging population and demo-
graphics, 274–275, 276
benefits of nature therapy, 277–279
dementia,
outdoor classroom, 274–279, 276,
277–279, 279
279

Index 297
Olmsted, Frederick Law, 86–87
Oppositional defiant disorder, 140, 146
Ornitherapy, 211
Outdoor Behavioral Healthcare Re-
search Cooperative, 145
Outdoor classroom, 267–283
benefits of outdoor learning, 270
case example, 279–280
children and adolescents, 268–274,
270, 274
implementation ideas, 274
older adults, 274–279, 276, 279
Outdoorsperson, 138
Outward Bound, 138
Oxytocin, 193
Pain
water-based exercise, 174
water temperature effects on, 168
Panic disorder, 171–172, 174
Parasympathetic system, 28–29,
46–47, 53, 64, 171, 191
ParkRx, 13, 16
Parks, 86–87
Passive nature experience, 99
People-plant relationship, 79–80, 82,
89, 99, 105, 110, 112
Pet ownership, 192
Pet therapy, 194
Physiatry, 87
Physical activity
275–276
aging,
daily recommended, 268
inactivity in long-term-care facili-
ties, 276–277
urbanization, effect of, 275
Physiological recovery, 129–130
Phytoncides, 44
Pipher, Mary, 251–252, 255
Plants
effects of viewing, 127–128
horticultural therapy
houseplants as air purifiers, 126–127
people-plant relationship, 79–80,
82, 89, 99, 105, 110, 112
, 11, 79–114
Play, unstructured, 268, 273
Positive psychiatry, 224–225
Prefrontal cortex, 26, 30–31, 47, 65,
127–128, 271
escription
Pr
50
forest,
nature therapy, 13, 50, 258
social, 44
Primm, Annelle B., 245
Principles of Medical Ethics (APA),
245–246
Pristine wilderness, 2–3
Professional ethical principles,
245–249
Profile of Mood States, 46, 126–127
Prosocial behavior, 47, 143–144
Psychedelics, 253–254, 258
Psychoanalysis, 6–7, 188
Psychocentrism, 247
Psychological restoration, 214–215
Psychopharmacology, 7–8
Public parks, 86–87
Questions for investigating patient’s
relationship with nature, 17–18
Racism, 52, 251, 253
Randomized controlled trials (RCTs),
15–16, 48
Recreation specialization,
Refuge,
Refugees, climate, 247, 256
Registered horticultural therapists, 80
Resilience, transformational, 252–253
Resourcism, 247
Respiratory system, 169
Restoration, psychological, 214–215
Restorative properties of nature
Restricted environmental stimulation
Robinson, Harry, 5
Romanticism, 4–5
67
birdsong, 223–224
nature connectedness, 225
technique (REST) therapy, 156,
157–167, 170–171, 176, 178
212, 214–216

298 NATURE THERAPY
Roszak, Theodore, 10–11, 24
Rumination
definitions, 65
forest bathing, 47
nature exposure, 65
prefrontal cortex activity, 31
Rush, Benjamin, 84–85
Rusk, Howard, 87
Rusk Institute, 87
Sacks, Oliver, 89
Savanna landscape, 89–91
SBS (sick building syndrome),
122–124
Scavenging, 207–208
Schizophrenia, 24
Seasonal affective disorder, 129
Self-efficacy, 142, 144, 228
Self-esteem, 53, 139–140, 217, 228, 268
Self-referential thought, 31
Senses, paying attention to, 51
Serenity, 67
Serotonin, 65
Service animal, 194
Shinrin-yoku. See Forest bathing
Shinto, 42
Shock baths, 155
Sick building syndrome (SBS),
122–124
Silent Spring (Carson), 9–10
Sleep disorders, 278–279
Smart home automation system,
129–130
Social determinants of health, 246,
250
Social justice, 253, 257
Social prescription, 44
Social reform movement, 86–87
Social safety system, 191
Social signaling, 191
Social world, 212, 214–216, 218, 225
Soft fascination, 26, 28
Solaria, 84
Solastalgia, 247
Soundscape, 223–224
South Korea
aging population,
forest therapy, 44–45, 268
Spa towns, 153
Species richness, 221–223
Speciesism, 247
Sponging, 154–155
Sprays, 155
Stay-at-home orders, effects of,
124–126
Stigma of mental illness, 178
Stress reduction
access to urban green spaces, 67
nature connectedness, 221
S
tress reduction theory (SRT)
benefits of natural environment,
47
, 64
theoretical framework, 10, 11,
28–30, 33
Sublimation, 218
Substance use, 45, 63, 124, 147, 273
Suicidal ideation
THRIVE Program, 105
wilderness therapy, 140
Sympathetic system, 28–29, 46, 127,
191–192, 221
Task analysis, 102–103
Teamwork, 143, 270
Technological innovation, 129–130
Terror management theory, 218
Theoretical framework, 23–36
attention restoration theory
(ART), 25–28, 33
limitations and future directions
of research, 32–33
stress reduction theory (SRT),
28–30, 33
Therapeutic garden, 269–270, 277
Therapeutic horticulture. See also
Ho
rticultural therapy
beneficial outcomes of interven-
tions, 101–
components, 96, 97
274
102

Index 299
grounding activity, 93, 95
guidelines for practical use,
99–100
at intermediate care facility, 81
mindful nature engagement, 100
planning a session, 102–104, 103
populations and settings for inter-
ventions, 98
program example, 104–111, 106–109
relevant research, 92–93, 94
task analysis, 102–103
theoretical underpinnings, 89–92
treatment setting, 103–104
Therapy animal, 194
Thermosphincteric reflex, 170
THRIVE Program, 104–111
Timed Up and Go scale, 276–277
Trait e m e n t m o r al (moral treatment),
84–85
Transformational resilience, 252–253
Tree of Life, 240, 241
Tree s . See also Forest bathing
ch, 238, 239, 241
bir
nature activism, 259
therapeutic nature of, 240–242
Trichromatic vision, 206
Trust, building, 143
Ulrich, Roger S., 10, 28–29, 92–93
Unconscious attention, 25
Urban green spaces, 61–73
case example, 69–70
definitions, 61–62
important criteria, 67
lessons from COVID-19 pan-
demic, 66–67
limitations on therapeutic use,
68–69
pediatric mental health, 65–66
project examples, 67,
psycholo
theories on implications of access
use as mental health interven-
gical benefits, 63–64
to, 64–65
tions, 67–68
68
Urbanization
consequences of, 62–63
nature deficit, 219, 244
older adults, effect on, 275
U.S. Fish and Wildlife Service
(USFWS), 210–211
Vaux, C a lvert, 86
Veterans, in THRIVE Program,
104–111
“View Through a Window” study,
92–93
Virchow, Rudolf, 250
Virtual reality, 120, 131
Visible Hands Collaborative, 253
Vision, adaptations in human,
205–206
Vision quest, 138
Voice of the Earth (Roszak), 10–11
Volatile organic compounds (VOCs),
44
von Humboldt, Alexander, 4
Vultures, 207–209
Wagner-Jauregg, Julius, 7
Walking in nature, 257
Water, 151–181
history in psychiatry, 153
humanity’s history with, 152–153
physiological effects on body sys-
tems, 156, 168–170
religious associations with, 152–
153
Water therapy. See also Hydrotherapy
biomedic
case example, 178–179
comparison of modalities, 157–167
current, 156–157, 157–167
history in psychiatry, 153–156
reimbursement rates, 176
special considerations and limita-
stigma of mental illness, 178
structural barriers, 176–177
al model, influence of,
177–178
tions, 175–177
–156

300 NATURE THERAPY
Wellness, measures of, 15
Wellness model, 98, 112
Westboro State Hospital, 7–8
Wilderness therapy, 11, 137–148
applications for the physician, 145
case example, 146
cleansing phase, 141–142, 144
controversies, 144–145
definitions, 139, 141
history, 138–140
location, 141
process and structure, 140–141
targeted population for, 139–141
terminology, 139
trauma-informed, 140
Wildlife encounters, 221
Wilson, Edward O., 10, 91, 120–121,
172, 190, 250
Win dows
biophilic design, 128, 130–131
in health care setting, 83, 128, 132
nature views, 123, 131
Wolverton, Bill, 126
Wooden environments, 128
Working memory, 26
World Health Organization, 14
Yosemite National Park, 6
Zarr, Robert, 13
Zoonomia; or The Laws of Organic Life
(Darwin), 188

aplan and Levounis have collected an intriguing com-
“K
between humans and the natural world can be therapeutic. The
chapters range from broad historical and theoretical overviews of
concepts in nature therapy to reviews of specic therapies such as
the Japanese practice of forest bathing, animal-assisted therapy,
water-based therapies, and even birding as therapy! Some chapters focus on incorporating nature into urban planning and architecture and using nature to improve the educational experience
of children and adolescents. The chapters in general take an evidence-based approach, addressing possible risks, benets, and the
limitations inherent in research in this arena. Overall, this book
was a splendid read and full of creative ideas for how clinicians
can help their patients connect with themselves and the world in a
postpandemic era.”
Christopher A. McIntosh, M.D., M.Sc., Associate Professor
of Psychiatry, University of Toronto, Toronto, Ontario, Canada
pilation of authors making the case for how interactions
In Nature Therapy, readers will nd an exploration of the risks,
IIn NNatture TThherapy, readders wililll ndd an explloratition off ththe iri ksks,
benets, specic applications, and limitations of modalities that in-
clude hydrotherapy, animal-assisted therapy, and horticultural ther-
apy. This guide also considers topics such as the importance of ur-
ban green spaces, the intricacies of nature-centered indoor design,
the involvement in nature activism, and the incorporation of nature
therapy into the classroom setting.
With clinical case examples that illustrate important concepts, key
takeaways for ease of future reference, brief quizzes that aid in the
retention of knowledge, and extensive resources and references that
serve as gateways to further learning, this illuminating new volume
is an unrivaled guide to a vibrant area in mental health.
WWW.APPI.ORG
Cover design: Rick A. Prather
Cover image: Aaron D. Kaplan, M.D.
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