Professional Documents
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Building to heal
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CHAPTER SIX …
Illness doesn’t only have physical causes. For ther in cause nor in predictability. Rabbits or let-
humans there’s also a psychological dimension. In tuces don’t need inspiration and motivation to give
this light pathogens can be viewed as similar to meaning and fulfillment to life. We do. At least as
those trivial irritations that trigger divorce-scale much as nutrition and hygiene, inspiration, moti-
domestic arguments. The interaction between vation, meaning and fulfillment are crucial to
psychological state, and the susceptibility to, and human health.
development and outcomes of illness – is a med- Even in terms of physical health it’s not sufficient
ical specialism, called psychoneuroimmunology.3 to say of the human being: ‘You are what you eat’.
What does this mean for the design of human The health of a plant reflects its nourishment –
environment? though included as nutrients are light, water,
That buildings can adversely affect health is now warmth and other more subtle influences. Animal
widely recognized. Sick building syndrome is now health is likewise influenced by nutrition, but also
a household phrase. This is about physical cause by life-style: witness the well-fed but inadequately
and effect. It’s important to understand how, at this exercised fat dog. Even for animals, psychological
level, places make us ill. But environment doesn’t factors influence health. Reindeer can be scared to
only have negative effects. Nor does it only work neurosis by helicopter herding; dogs pine to death
at the physical level. If you’ve ever been somewhere without their owners.
that renewed energy, bathed you in calm, inspired While healthy food and life-style are important
you, you will know that places can actually be also to humans, unhealthy health-food faddists are
health-giving. To support health, merely avoiding not uncommon. By contrast, serenely religious fig-
sick building syndrome is not enough. ures tend to look younger and live longer than the
How can buildings improve health? Pathogens average. This is scientifically explained in terms of
in food tend to make us ill, but hygienically pre- alpha wavelengths in the brain, and is now the stuff
pared food, although it can prevent this, doesn’t of stress management meditation courses.
necessarily cause good health. Research on Illness, however, isn’t only the consequence of
French cuisine, however, has found that enjoyment pathogens and stress, and health isn’t only not
of the meal outweighs even high cholesterol, to the being ill. Health is a state of being, not just of suc-
extent that heart disease is markedly lower. cessful bodily function. A state of living, renewing,
It’s similar with buildings. While there are clear balance. Bodily health is but a symptom of our
causal relationships between, for instance, inner state. It involves wholeness and balance at
pathogen-breeding air-conditioning and infec- and between each level of our being. Imbalance
tious illness, it’s much harder to see the relation- at any level can trigger illness. Repetitive strain
ship between good health and beautiful injury, for instance, is triggered by unbalanced
surroundings. But why do so many lists of quali- physical strains. Nutrition-related ailments, by
ties for ‘healthy buildings’ include ‘no noise pollu- unbalanced life-renewing nourishment (food,
tion’ and ‘good architecture’? Obviously desirable water and air – also light spectrum and suchlike
but what have they to do with health? less commonly recognized nutrients). Dis-balance
Noise contributes to stress. And stress breeds, or starvation in our feeling life can lead to emo-
feeds and triggers many illnesses. Not only tional, psychological and psychosomatic ailments.
extreme noise like aircraft, industrial equipment Spirit-malnourishment can result in personality
and heavy traffic. Think of the relief that floods over damage, with manifestations from consumerism
us when a background unnoticed noise suddenly and relationship-dependence to alcoholism and
stops. Like noise or smell, most of us only notice criminality.
our surroundings when we first arrive somewhere. Unfortunately, daily life is rarely whole, balanced
They then fade into an ambient background, work- and nourishing to body, life-energy, soul and spir-
ing on us subliminally. it. Just taking vitamin pills, going to the gym, hav-
To understand how environment can make us ill, ing psychotherapy and going to church on Sunday
we need to understand why we get ill. Human ill- isn’t enough. This would allow us to eat processed
ness isn’t the same as animal or plant illness, nei- foods, be sedentary most of the day, let our life be
Environment and health 183
led by what we want and live in one world six days nization of clear categories. Fluid lines support our
a week, another on the seventh – so compartmen- life energies. They also encourage mobile and lat-
talizing life. eral thinking. Rhythms, harmonies, counter-
Health depends on wholeness and balance, and points, sensory delight and the whole qualitative
even a simple illness often includes several levels side nourish our feeling life, sharpening our intu-
of cause. To heal, as distinct from symptom-treat, itive abilities. Qualities that nourish life energy also
we must address every level. In fact, for lasting speak to the soul. Values imprinted into matter tell
healing, medicine alone is never enough. Spirit us how we are valued – or not – confirming, or
motivation, levity of soul, forgiveness and freedom undermining our individual identity.
from grievance, as well as healthy diet, exercise and As health involves the whole human being, we
environment are also essential.4 need balance, support and nutrition at all these lev-
The world is made up of inanimate matter, liv- els. Unsullied ‘nature’ (is there such a thing?) can
ing organisms and individually thinking, sentient, do this, but how can the made environment?
living human beings. As already mentioned, one Physical aspects include ergonomic design,
way of looking at the human being is as compris- impact absorption and electromagnetic (EMF)
ing all four levels. Along with animals, plants and avoidance. All these touch on life: posture affects
rocks, we have a physical, mineral body. We also lung capacity, hence blood oxygen; impact has
are alive – as are animals and plants. Like animals, bone, joint and spine implications and EMF
we experience feelings. Unlike animals, however, affects cell development.
we have the ability to make conscious moral deci- Chemical aspects mostly concern air-born
sions. Healthy or unhealthy, every single person toxins: choosing materials that don’t emit them
has a physical body, life-energy, a feeling soul and and absorbing them with plants, water, and ex-
a unique individual spirit on a purely personal path living materials like wood, lime, peat and silk.
of development. This brings us to ‘meaning-of-life’ Bio-chemistry bridges the physical and the
issues. All living things give to the world. We may living.
not feel this about fleas, lice or bacteria, but it is
to the whole community of life we owe the fertili-
ty of our planet. Humans also gain – our lives are
journeys of spirit growth. We need nourishing envi-
ronment. It needs nourishment by us.
In different ways, each level of being can be
nourished or abused. The differentiated arts work
with different levels. Architecture (in its classical
definition) with the planes, lines, spaces and forces
(such as gravity) of the physical world: sculpture
with the form-giving forces behind the physical.
Colour is soul experience. Music raises this to a
spiritual plane; and poetry and drama transport our
consciousness to the world beyond the physical.5
Like the arts, our environment works on us at This clinic aims to motivate healing. Patients typi-
all levels. A constant healing or poisoning influ- cally progress through three stages during their stay.
They arrive turned inward, struggling with the fact
ence. Unlike the arts, we live every moment of our of their illness. Their rooms have to function as ‘com-
life within our surroundings – mostly within, or plete worlds’. As they begin to open up, so does the
near, buildings. How, specifically, does environment building: inviting passages lead to window alcoves
work upon each level of our being? and social spaces, maximizing opportunities for social
Proportion and organizing lines work inductively interaction with other patients and staff. As healing
continues, so are patients drawn more into the outer
on the physical body. Cartesian geometric forms world. A wind-protected two-storey gallery around a
support the rational – especially the simple, causal central courtyard encourages them to actually go out
and logical; everything that depends on the orga- in most weathers (Sweden).6
184 Building to heal
Life energy aspects include contact with the The physical body
cycles of nature: seasonal and diurnal rhythms of
Our material body, like all matter, is subject to
light, activity, sounds and scents; growth and decay
physical forces, such as gravity, stress, tension and
(from food growing – even if only windowsill mus-
kinetic energy. The whole of nature, dead or alive,
tard and cress – to waste, even toilet, composting).
us included, is governed by physical laws. Few dis-
Also relevant are the principles by which our sur-
pute that artefacts need to be ergonomic but there
roundings are given form. Living things tend to be
are other aspects of the physical often ignored.
mobile in form, non-definable in simple geometric
Cushioned footwear notwithstanding, designers
terms but structured by invisible principles, which
steer their growth. Both in time and space, they don’t always think about impact. It took a shop-
develop and metamorphose. keeper’s story to wake me up to this. In a wooden
De-stressing involves the feelings – and these in floored shop, the family worked 14-hour days with-
turn, involve all the senses, each of which works out problems. Their new shop had terrazzo con-
in a different way. In particular, colour, light, sound crete floors. After only four hours, aches, pains and
and smell work strongly on mood. They also have arguments would start.
direct physiological effects – so the senses both reg- Physical influences also affect other levels of
ister life-energy influences and let the outer world being. Posture affects health. Sitting slumped
touch the inner soul. reduces lung capacity by 40 per cent – not to men-
Different rooms house different activities. For tion what it does to the spine, to alertness and self-
our inner state to be in accord with what we’re possession. Clothing, chairs and counter heights
doing, each room, activity, needs its appropriate affect how we stand, sit and move. So do the induc-
mood. Bedrooms need to ‘feel’ different from tive effects of our surroundings. We feel very
kitchens: soft restful security, in contrast to warm different amongst the verticality of medieval
food-focused sociability. cathedrals, where that which is separate below is
In daily life, we do a variety of things in a vari- interwoven above; in renaissance buildings whose
ety of places, hence pass through many states. Jour- graceful proportions reflect those of our bodies; or
neys between rooms can help us move from one surrounded by the fierce unsettling diagonals,
state, appropriate to one activity – hence place – heavy pressing overhead elements and unfinished
to another. These outer, physical, journeys function energies of deconstructivist architecture.
as inner, spirit-preparatory journeys. Paths, These are all pictures of the values then current
bridges, archways, gates and steps do this outdoors. in society: medieval society of powerful separate
Indoors: passages, doorways, turns for changed fiefdoms but uplifted by divine grace; the perfect
views, changes in floor textures, space, light and renaissance human being as the rational measure
acoustic absorbency. Just about every element of everything in art or science, and today’s society
buildings are made of, from door handles to ele- in crises of human and spiritual value, if not
vator lobbies can serve these journeys. collapse.
Places of transformative beauty – places which Almost certainly this imprinting of accepted val-
inspire, motivate, give meaning and fulfillment – ues into surroundings was unconscious. Even
are spirit-nurturing. This is about artistic commit- today, we need to travel to stand outside our own
ment. Not ego-assertive ‘art’, but listening to culture and bring to consciousness the previously
situations so form condenses out of the needs of taken-for-granted.
place, people and circumstance. Social participa- In the same barely conscious way, spatial gesture
tion and ecological appropriateness are part of this influences physical and mental state: vertical pro-
– so is loving commitment: inspiration, care, ener- portions and gestures draw us up, horizontals are
gy and will. calming. Some spaces are only to move through,
This is how surroundings affect our four levels others invite stopping. Old Norwegian farm-
of being. But how specifically can they nurture each houses had low doors. To enter you must duck, so
level? become vulnerable – and thus humble yourself.
Palace doors are invariably huge. Visitors feel small
Environment and health 185
Children do one thing, are in one state-of-soul, in the playground; quite another in the classroom. Doorways,
stairs, corridors are all part of their journey from one state to another; spirit-functional elements as well as
practical ones.
– an inferiorizing pressure continued throughout about physical stability, energy and proportional
the whole journey to throne or state room. relationship. Aspects of order and organization (or
We experience shapes and dimensions in relation their absence). Order and organization are impor-
to bodily scale, proportions and gestures. Hence tant, but there is more to life, more to the human
they can induce feelings like repose, dynamism, being, and more to what we need from our
compulsion, instability, awe, repression. This is surroundings.
186 Building to heal
or are fearful, depressed. And this, in turn, upon both doctor and patient believe in the treatment)10
our confidence and positivity – the ‘spirit’ of the – which is something to do with the value we
times. accord things.
We live in a time of widespread concern to bet- Modern buildings are different from old ones.
ter human environment – but focus is primarily on They’re more air-tight, hence less ventilated.
the physical sphere. Human beings are more than Draughty old buildings could cope with damp.
just bodies. For wholeness – the basis of health – Modernized and draught-proofed, this shows up as
we need nourishment at every level. The complex mould. Vapour permeable construction lets build-
and dynamic organization of the physical body ings breathe without draughts, so dissipating
underpins our relationship to spatial qualities. Life- moisture and any chemical vapours.
enhancing qualities around us support our life ener- Natural materials, being borrowed from life, are
gies. Colour, harmony, and multi-sensory delight life-compatible. ‘Man’-made ones, being made by
support our feeling life, particular moods redress- industrial, not natural processes, have no innate
ing personal and situational imbalances. Journey compatibility with life. Many off-gas toxins, some-
sequences, beauty and care-imprinted environment times creating ‘cocktail’ combinations. Heating
can nurture our spiritual development. Buildings accelerates this. Some products contain preserva-
built upon these principles are buildings to nurture tives, namely bio-cides. Masonry paint and wall-
the whole human being. paper paste, for instance, commonly include
slow-release fungicides, some mercury based. I’ve
learnt to regard processed materials with the same
Building for health mistrust as processed food. There might not be any-
thing wrong with them, but with natural ones, you
can be confident there isn’t. To obviate such wor-
Sick building avoidance
ries, I use both natural, non-toxic materials and
Buildings can support health physically and spiri- breathing construction.
tually. But they can also make us ill. Indeed, even Synthetic materials, air, heat, light are quite dif-
at the most physical level, one in three do so – ferent from natural ones. They connect us with a
according to World Health Organization esti- world that’s been linearly processed, unrelated to
mates.8 While many of these are badly built or in life – which is cycle-bound. There’s nothing living
disrepair, the same proportion occurs in affluent about a chemical factory, transformer yard or air-
countries with high material standards. In Sweden, conditioner. ‘Natural’ materials are closer to
for instance, some 30 per cent of all buildings built source. They minimize industrial processing and
after the 1973 energy crisis. Health involves more relate us to the living cycles and processes of nature
than such physical issues, but ignore these and we (including aging) upon which all life (including
can’t expect buildings to be healthy to live in. human) depends. If local, they reduce transport
‘Sick buildings’ are nothing new. Building pollution and connect us to place. Is it merely coin-
related bronchitis, rheumatism and tuberculosis are cidence that they tend to be healthier?
age-old. But old and new buildings – and building- This is about sustenance, fundamental to
related illness – are different. Until about 1950, health. Also about physical substance, wood or
most buildings were constructed of materials min- wood-grain plastic, things from the land we stand
imally processed from their natural state. They on or distant things, ravagingly mined, smelted,
could decompose back to nature – a process involv- refined, synthesized or blended then moulded,
ing fungal spores, rodents and other such rolled or stamped.11 The spirit imparted by their
unhealthy undesirables. To be healthy for their biography works into our soul, reassuringly stabi-
occupants, old buildings must be maintained, lizing or unsettlingly alienating. This, in turn, influ-
which means cared for, even loved. Not uncoinci- ences our physical health.
dentally, loving care is also fundamental to healing. Most of us, most of the time, are surrounded by
In fact, half (35–70%) the healing effect of medi- materials chosen to perform certain functions,
cines is attributed to ‘placebo effect’9 (70% when which don’t necessarily include supporting life.
188 Building to heal
This is completely opposite to living in, say, a for- the problem of chemical indoor pollution. Living
est, where natural forces have arranged materials matter also goes through stages of decay cycles
to support life, but not necessarily keep us dry and which create products poisonous to animal life, like
warm. fungal and microbial cultures, or even just CO2
In chemical terms, few things in our surround- from fresh hay, fatal to those seeking a warm hay-
ings are completely non-reactive to bodily com- shed bed.
pounds; Glass, fired clay and most stones don’t Synthesized materials have become so distanc-
taste. Nearly everything else does – meaning it ed from life by chemical processing that there’s no
reacts with saliva. Smell tells us about airborne reason their wastes or breakdown products
chemicals. Everything has been on a journey should be benign. Organic chemicals tend to react
through transformations. These journeys are part with each other. PVC cable, for instance, eats into
of the greater and lesser cycles of our living earth. polystyrene insulation. Related to body chemistry,
Smell is about a substance’s chemical journey – they’re often easily assimilable, hence toxic.
about where it is on its cycle through living and life- Plastics aren’t totally inert; they do breakdown,
less states. On this journey, nearly everything, even sometimes through very toxic stages. Moreover,
rock when broken, gives off substance, usually plastic synthesis is a multi-stage process with exact
gaseous, so smells a little. component balance never possible. Hence small
Smell is a very delicate sense, unbelievably unanchored amounts of unstable ingredients
refined in some animal species. As, for broad-band remain, slowly giving off vapour. Health concern
air quality evaluation, the nose outperforms every focuses on phthalates, but there are also mono-
instrument, the ‘OLF’ scale, developed in Denmark mers, co-polymers, catalysts, stabilizers, fillers,
by Professor Fanger to quantify indoor pollution, antioxidants, colours and flame retardants.12
is nose-based. Some are mildly toxic; some highly so. Concern
We immediately notice changes in smell – a lega- about vinyl chloride has led to PVC bans in sever-
cy of ancient survival necessity. As ambient back- al European states. Fortunately, many alternatives
ground, smell fades from notice, but still affects to PVC exist from clay drains and aluminium gut-
mood. Aromatherapy is built upon the relationship ters13 to linoleum flooring and polythene insulat-
between scent, state of soul and physiological reac- ed electric cable. Indeed it’s easy to substitute a
tions. Rooms that smell of wood, flowers, natural natural material for nearly every synthetic one.
fabrics or the essential plant oils of ‘natural’ paints, Off-gassing from materials declines with age. In
can uplift the spirit just as synthetic carpet or new buildings full of factory-fresh materials it can
fungal smells can oppress it. We take the aromas be high. Finishing-off tradespeople, like carpet-lay-
of our home so much for granted that we don’t ers and electricians continually work in such build-
notice them. Yet 15 years after my first house was ings. So great are health risks that Swedish trade
built, visitors still comment on the scent of wood. unions sponsor sick-building research. For the rest
And I notice how different houses smell in differ- of us, indoors 90% of the time, even low levels of
ent countries – just from the materials with which toxicity accumulate14 Some cause minor irritations;
they are built and furnished. Cooking, wood-fire others can develop into serious illness, even per-
and cigarette-smoke, vapours from cleaning com- sonality change.15 There are all sorts of reasons for
pounds, glues and plastics, and many other sorts illness, but if symptoms disappear after sleeping
of smell also impregnate soft furnishings, giving a with windows open and heating off, or away from
second layer of olfactory identity. workplace, they’re probably building related. This
Primarily heat-produced inorganic minerals is the chemical aspect of building sickness.
(like ceramic, glass and iron) are largely inert. Except for those very few who are sensitive to nat-
Materials from living or life-supporting origin (like urally occurring chemicals like turpene in pine, this
wood and wool) maintained in a state that arrests can be avoided simply by using natural materials,
decomposition, are mostly benign. Their vapours cleaning products and suchlike.
originate within the cycles of life. The use of nat- There are psychological as well as physiological
ural, or close to natural, materials avoids most of aspects to building sickness. Warmth is central to
Environment and health 189
my buildings were healthier than synthetic-material plants are also rooms infused with care, bringing
ones. Nowadays, however, thought is the dominant in other levels of healing influence.
shaper of places, so we easily think ‘performance’ Much floor dust is due to static electricity. Vinyl,
but forget ‘delight’. It is mono-dimensional thought polyurethaned wood and synthetic carpet, being
that has generated health-damaging buildings. By electrostatic, attract dust, whereas waxed wooden
thinking in broader, more holistic ways than the floors, linoleum and natural carpet don’t – though
norm, re-integrating thought with feeling, develop- all carpet, of course, traps dust in the pile. You can
ing our sensitivity to feelings of wellness and vital- vacuum it up, but unless your vacuum cleaner has
ity, and recognizing the role of buildings as homes special filters, it’ll just blow the fine stuff back into
for the spirit, we unavoidably build different kinds the air.
of buildings, and modify old ones in new ways. Heating is entwined with air quality in several
Buildings that are health supporting, even healing. ways. It dries air, exacerbating static-electricity
build-up. It also increases off-gassing, and this pol-
lution uses up negative ions. Hence occupation,
Material factors pollution and heating ‘age’ air. Aged air isn’t made
fresh by the man-made world outside most win-
dows but by plants and moving water, indoors as
Indoor air
well as outdoors.
Whether buildings are sick or healthy involves A bowl of water is a folk tradition for absorbing
many factors, foremost amongst which is indoor smell. More effective are Flowforms and cascades,
air. Awake or asleep, we exchange such huge vol- which both wash and ionize air. Even cheap mini-
umes of air with our surroundings that we can’t fountains in the bedroom do this to some extent.
avoid its chemical effects. Off-gas from materials, All air is full of particles, visible in sunbeams and
micro-organisms, dust, body-odours and breath as deposited dust. Our upper respiratory tracts
make air inside buildings, on average, five times as cope with most of this, but not with fungal spores
polluted as that outside them.21 and minute, irradiating or chemically reactive par-
Fresh air invigorates us. It’s important we have ticles.23 Asbestos fibres are particularly dangerous
enough. So sensitive are we to small increases in because their sharpness remains unblunted by body
CO2, that concentration and vigour fade in stuffy secretions. Glass fibres are notionally too long to
rooms. This doesn’t necessarily mean large rooms. be breathed deep into the lungs. But glass can be
Well ventilated small ones can be more economical broken by vibration, so long fibres become short-
to heat than larger spaces with less air changes.
Much building sickness is due to ventilation
reduction to save heating costs, exacerbated by duct-
ing and air-recycling. But building sickness isn’t just
recycled bacteria and micro-organism breeding air
ducts. There are interconnected multiple factors.
Some building materials actually have health
benefits. Lime is bactericidal. Ex-living materials,
when alive, had to buffer external conditions: tem-
perature, humidity, and organic pollution – they
still do so as building materials.22 Others do so to
some extent. Clay especially, being colloidal, also
to a lesser extent, lime and gypsum. All of these are
materials associated with life. Spray and water–air interchange (including transpi-
Plants don’t just photo-synthesize CO2, giving ration) negatively ionize air content. Water also
out oxygen. Some, as listed earlier, can effectively absorbs odour (airborne toxins) and rehumidifies
clear the air of particular chemicals. But plants die over-dry air. Flowforms and active water also mask
without care – so rooms whose air is cleaned by noise.
Environment and health 191
2/3 1/3
Swedish joinery catalogues. We can also try to ceilings. So slowly does air filter through breath-
avoid all allergenic plant species when landscaping, ing walls that it’s chill, draught and dust-free. Such
but it’s impossible to completely do so. Anyway walls can also act as a micro-cellular filters. ‘Dif-
some pollens blow great distances. fusive ventilation’ allows gas molecules to pass
All living things need specific environmental con- through porous insulation at different rates. Large
ditions. Dust mites, major asthma triggers, enjoy
modern life. Polyester bedsheets aren’t boiled, sun-
dried and ironed – which killed them. Loving fitted
carpets in warm rooms, they’re the most common
allergen we’re exposed to. In Scandinavia, schools,
offices and public buildings are increasingly
removing carpeting; most homes have smaller rugs,
easily beaten out or washed. Brick
Inadequate ventilation, high humidity and cool
surfaces guarantee condensation. Moist air
extraction at source, more ventilation, including
free airflow behind obstructions and warmer sur-
faces can prevent this. Water-based paints allow the
building to draw water from the air.26 Clay plasters,
earth walls and timber surfaces act this way – one
reason wooden buildings feel drier. They really are!
Humid air can be ‘heavy’, soporific and thermal-
ly unpleasant – such a good conductor you always
feel too hot or too cold. Formaldehyde release from
glues increases with humidity, and dust-mites need
at least 50% relative humidity to live;27 70% is opti-
mum.28 Fungi are completely moisture dependent
(though can draw moisture from other things, as
dry-rot does). This is why some call moisture vapour
the most common home pollutant. Outdoors also,
it changes local climate: lawn-watering intolerably
humidifying dry Nevada heat; English power-
stations contributing to mild and overcast weather.
Concrete
Moisture inputs for a typical three-person house-
hold29
molecules, typical of indoor pollutants, diffuse discernible by the senses. We can’t see or smell
faster than oxygen or CO2 – making walls gas, as microwaves, ultra-violet light, electricity and ion-
well as particle, air-cleaners.30 izing radiation – to name but a few.32
All living organisms function through the agency
of minute electrical charges.33 Electric and, partic-
Lighting
ularly, electromagnetic fields interfere with these.
Light is important to health. Few of us get enough, The magnetic field close to household wiring is four
or of the right kind. Indoors it rarely exceeds a tenth times that of the earth’s. Technically generated fields
of outdoor daylight. Artificial light is partial spec- have a mechanically unvarying oscillation pattern,
trum only, so tungsten lights, red-rich and blue-vio- whereas nature’s electromagnetic rhythms, like our
let deficient, we experience as ‘warm’; red-deficient heartbeat – which is influenced by breathing, exer-
fluorescents as ‘cold’. ‘Full spectrum’ lights include tion and excitement – are always subtly changing.
benign waveband ultra violet, but their spectrum Chaos theory tells us that with two variables, the
balance declines with age. Does this really matter? result is unpredictable. Hence no living rhythm is
Laboratory mice living under restricted spectrum ever mechanically repeated. Exact repetition is a
lights become ill, also socially disturbed.31 And machine-, not life-based concept. Fortunately, we
too long under fluorescent lighting and most of us don’t have to live close to electrical wiring. Even
start to feel irritable, if not exhausted. Not sur- small distances reduce EMF significantly. Current –
prising as its mechanical oscillation, spectrum and and therefore EMF – can also be induced in non-
anonymous lack of modelling are quite different connected conductors like steel reinforcement,
from what our eyes are made for. The 100 Hz fre- even bedsprings. Some bed manufacturers, there-
quency, distortingly resonating with body-vibration fore, use thin ash planks, naturally springy.
frequencies, and stimulus-absent spatial evenness Induced currents aren’t strong, so electromagnetic
commonly causes eye strain and headaches. High fields are weak. Moving beds a few feet away from
frequency fluorescents are better, though not perfect, reinforced concrete columns makes a big difference
in this respect. Fluorescent tubes fail to highlight – just as it does to a radio’s signal when you move
objects and shadow and colour them (particularly it away! Incidentally, stainless steel isn’t magnetic –
faces) in a peculiar way. Adapting to this unnatu- but it’s expensive!
ralness causes subtle, but insidious, psychological Electromagnetic fields can affect immune system
as well as physiological stress. Not to mention how responses, synthesis of protein, cell communica-
such light affects our light-sensitive organs. tions, calcium metabolism and, many believe, are
Living matter, from bones to muscles, grows linked to cancers.34 Obviously, foetuses and chil-
strong through activity. Both for optical and hor- dren are at greater risk. In parts of America, such
monal health, the eye needs to move, and be stim- is concern about EMF health effects that property
ulated by light and shade. Three-dimensional values are halved near power lines. In some states
shade modelling needs directional lighting. More- mortgages are contingent upon EMF surveys.35
over, the archetypal indoor experience – caves, then Electric fields (EF) exist between charged objects
houses – is side, not overhead, lit. (like cables) and earth, even when appliances are
Daylight – the light humanity has evolved in – switched off. These are voltage related. Fortunate-
varies in intensity and colour throughout the day. ly, normal building materials shield these.
This also is important to eye and whole-body Electromagnetic fields (EMF), on the other
health. Daylight’s effects on us are physiological hand, are proportional to load, and difficult and
and psychological; biological, physical and chemi- costly to shield.36 Both types of field reduce rapid-
cal. So important is it to health that it deserves its ly with distance.37 Double the distance – quarter
own section. the field.
There’s not much you can do about power lines,
transformers and microwave transmitters except
Electrical pollution
keep away from them, by locating sensitive rooms
Not everything that physically influences health is – and, most especially, children’s’ beds – at the
194 Building to heal
furthermost end of buildings. A rule of thumb is a This means routing wiring (including that in the ceil-
minimum of 1 m distance for every 1000 volts ing below upstairs rooms) at least 1200 mm (4 feet)
(after allowing for cable swing). Though these are from beds. Sedentary work positions in front of –
the most visible sources of electromagnetic expo- or worse, behind the back of your neighbour’s –
sure, most, in fact, originates within buildings, computer (or television) for around eight hours are
from wiring and appliances. also undesirable.
Just like thermal insulation, electrical insulation Friction, normal to daily life, produces static elec-
is not absolute – that’s why it has to be thicker tricity. If electrical insulators impede release to
for higher voltages. A minute amount of leakage earth, charges accumulate. Hence plastic furnish-
is inevitable, which means current, hence electro- ings and fittings, like nylon carpet and PVC floor-
magnetic fields, even when appliances are ing can load us with electrostatic charges, up to
switched off. Only disconnection stops them. 15 000 volts,38 causing fatigue, even occasional
‘Demand switches’ sense load demand and break shocks. Negative charges also attract particles to the
the circuit when there isn’t any. Autonomously skin, sharp fibres even stabbing in like flea bites. Or
switching appliances need to be on separate later you wipe an eye, rubbing them into it; it then
circuits, otherwise all circuits become live when- itches so you rub it again … Danish research found
ever refrigerator or central heating pump switch on. schools with fitted carpets have one-and-a-half
EMF exposure can also be reduced by simple times the rate of eye infections of those without.39
design measures: particularly distance from source. Unless abnormally dry, natural materials don’t
At 4 feet (1.2 m) most domestic origin fields are very cause electrostatic problems. In desert climates,
low. As microwave ovens, mains electric clocks, flu- like Las Vegas, winter heating super-dries the
orescent lights, dimmers and other transformers can already dry air, so sparks arc from light switch
induce high frequency fields in wiring to which they plate-screws and any other earthed metal. As sta-
aren’t connected, this means distance from cable as tic from carpets is the cause, chemical added to car-
well as from distribution board and appliances. Most pet shampoo can overcome this. Many are allergic
EMF exposure is brief, as we move around so much to this, however. Water-features to re-humidify the
– but not when we’re in bed. When we sleep, we’re air would be healthier – and more attractive! In
in the same place for around eight hours; Moreover more normal humidity, natural material surfaces
the body is in ‘cellular repair mode’. So it’s especially (including paints) overcome most static electricity
important that beds are distant from EMF sources. problems. Simple design measures.
Pull-switch increases
distance to electrical
fitting
Distance
Earthing of water pipes permits transfer of induced Twisted cable in conduit quarters EMF
currents – so earth at a point as near as possible to
incoming supply. Rules of thumb to reduce domestic EMF.
Environment and health 197
Electric field reduction. Ring-main laid out like spur layout – avoids voltage polarities across ring circuit.
Route cabling in non-sensitive areas, e.g. passage, utility rooms.
198 Building to heal
Uranium 238
Underfloor
ventilation
Radon 222
Polonium 218
Whole house
ventilation (but
if only upstairs
windows are
open, the
negative pressure
draws radon in)
Lead 214
Bismuth 214
Polonium 214
Radon well – can be
retro-fitted but is
more effective if
porous pipes have
been laid below
floors; a wise
precaution for any
new building where
Lead 210 even slight
risk exists.
rely on antibiotics instead of sunlight, in 1956 sun- varied. Like the beating of the heart, its rhythms
light was found to ameliorate infant jaundice. are alive. In contrast, electric light, though un-
Indeed this seems to be caused by lack of sunlight varying, endlessly repeats identical mechanical
– which has implications for obstetric ward and fluctuations. Living things, from bones and mus-
nursery design. Physiologically, sunlight accelerates cles to eyes, need movement and stimulation for
toxin elimination.49 It’s vital for calcium assimila- growth and health. So even do thoughts and feel-
tion, vitamin D production and liver processes.50 ings. Change is bound up with life. No wonder day-
Also, we have hormone-regulating organs (pitu- light gives us life energy.
itary, pineal and hypothalmus) that are nourished, Daylight varies in quality in different sky direc-
at least in part, by light. Hormonal consequences tions. Whereas single direction windows simplify
of inadequate light include depression. All life light quality, windows on different walls bring out-
depends upon sunlight. Daylight is sunlight scat- door daylight’s life-filled interplay of colour and
tered by the atmosphere and radiating upon us intensity indoors. Rooms with windows in two or
from all directions, though not with equal colour
or intensity. It has a wide spectrum, visible and
invisible, all of it necessary for health. So impor-
tant is daylight to the pineal gland that sheep – par-
ticularly sensitive in this respect – can’t breed
indoors, raising questions about human fertility.
Restricted-spectrum lighting causes serious ill-
health in laboratory animals and, many believe, in
humans.51
Seasonal affective disorder (SAD) is variously
estimated to affect 5–10% of the UK population,
linking inadequate light to suicides. ‘Gloomy’
relates both to light and mood. Duration, bright-
ness, spectrum and direction of light are important,
but, most especially, so is life. Think of the mood
candle-light gives to a room and then imagine elec-
tric lighting to the same level.
I can read with a single candle, yet recommend-
ed office illumination levels are the equivalent of
10–15, a foot (300 mm) away. Not because eyesight
has deteriorated since candles, but because of the
nature of the light. Fluorescent lights by oscillat-
ing on and off, only intermittently inform the eye.
Unlike daylight and flame-lights, they are spectrum-
limited and lack life-stimulating variety, so don’t
‘feed’ it either. No wonder candles and open-fires
Daylight from interactive directions does several
are so mesmerizing for children, even adults. things:
Part of our nourishment comes from light. Nour-
• It reduces gloom–glare contrasts.
ishment is quite different from stimulation. It • It gives fuller three-dimensional modelling, ‘rounding-
requires enough but never excess, and involves con- out’ visual information, instead of flat-lit or
stant, gentle change and a whole range of qualita- silhouette.
tive factors, sensory and aesthetic. • Its constantly changing interplay of colours,
Daylight is time-related. Part of the cycle of light intensity and directional balance stimulates the
eye. Stimulation is essential for health – as NASA
and darkness, its strength, direction, duration and sensory-deprivation research has demonstrated.
spectrum have diurnal and seasonal rhythms. Both • This nourishes hormone regulating organs:
spatially and temporally, its qualities are infinitely pituitary, pineal and hypothalmus.
202 Building to heal
solar-control glazing, insect screens, net curtains and Balancing light against heat loss – and gain –
triple-glazing reduce light, so require larger windows. means (in the UK) windows equalling about 20%
(Each pane of glass swallows about 20% – so warms of floor area – for south-facing rooms around 30%.
up.) Visual privacy can obviate the need for net cur- Good thermal storage, ventilation, seasonal shad-
tains and ceiling-fan or air-curtain pressurized inte- ing and movable insulation allow more.
riors can force incoming flies backwards. In hot climates, the issue is daylight without sun
heat. A problem exacerbated by cultural expecta-
tions: small windows are traditional in Spain, but
large ones obligatory in California. Southern
windows are easy to shade from steeply angled
summer sun with moveable awnings, seasonally
leafing vegetation or fixed overhangs (including
solar collectors). Anything that warms up, like
uninsulated roofs, photovoltaic panels, shutters or
blinds, needs hot-air-escape ventilation. ‘Light
shelves’ shade in summer but reflect shallower win-
ter sunlight to bounce off ceilings deep indoors.
East and west windows are harder to shade as
sun-angle is so low. If mornings are cool, east sun-
light may be acceptable, but west sun coincides
with the accumulated heat of the day. In Arizona,
with principle views (and therefore windows) due
west, we used hinge-down blinds to lower roof
eaves, adjustable external shutters and orchard
trees pruned for shade but unobstructed view.
Window shades for cooling are over twice as
effective if external. Indoors they heat up, becom-
ing heaters themselves. As radiation declines
rapidly with distance they’re best well in front of
windows. They must be vented or trapped hot air
will heat windows, which radiate heat indoors.
From my own experience, when outdoor air was
108°F, I could feel the radiant heat from shaded
north-facing windows six feet away. As, even in
northern Europe, large south windows can warm
buildings in the winter but overheat them in the
summer, a combination of limited overhang and
operable blinds gives tolerable temperatures
before shade plants are mature, also day-to-day
adjustability.
Shading policy can organize the layout of build-
ings and planting. In our Californian project, this
meant no east-west streets without twists and turns
to block sun-cast; horizontal-spread trees to the
south, taller ones to the west; plant species chosen
Splayed reveals allow in more light per heat-losing for leaf season coinciding with shade need.
window area. They also reflect, and, if textured,
scatter light into the room. Moreover, they intercede The higher the top of a window, the further is
a middle tone between the bright outside and the light cast. At around 17° from tabletop to window
darker room, so mitigating contrast glare. head, rooms wider than 4 m need taller windows
204 Building to heal
Life-energizing surroundings
Common to all forms of life from slug and let- have relationships where expanding contraction
tuce to animal and human are: mobile-shape forms passes into contracting expansion. Streets and pas-
(but organized by invisible principles), develop- sages needn’t meander, but alternate spatial open-
ment over time, metamorphic transformations, ings, views, interesting activities, and swings of
breathing between polarities, cyclic rhythms, axis. Whereas rectangles tend to bound forms so
dependency on cosmic energies. These qualities are stifling any inner energy, structural forces, human
manifestations of life. Present in our daily sur- movement and non-regularized materials give it
roundings, they support our life-energies form; they tend therefore to generate non-rectan-
Breathing isn’t the same as dramatic contrast; gular forms. Even when circumstances demand rec-
development not the same as enlargement; nor is tangular buildings, I try to achieve fluid spaces,
metamorphosis mere variation. In breathing, the especially for walking routes between buildings.
first movement is already preparing for the second, But I also try to ensure this fluidity is generated by
so alternations of light and dark, open and closed meaningful factors – otherwise it just feels con-
don’t joltingly shock, but prepare for what follows. trived, whimsy and a nuisance if you’d wanted to
In development, the cycle never returns to the same walk straight.
starting point: each spring is a new spring – the Lifeless objects can exist (effectively) outside
world is not the same as it was last year. Growth time, but life is bound to it. Time processes mani-
transforms what was. In metamorphosis, outer cir- fest in life as rhythm, evolving cycles, breathing
cumstances evolve, develop, change scale, but inner between polarities, and metamorphic transforma-
continuity retains unity. tion and development – quite different from repe-
These are architectural qualities. Form, shape tition or simple expansion. The rhythms of the
and surface mobility and rhythmical relationships universe subtly evolve – it isn’t an endlessly repet-
are easy to incorporate in every aspect of buildings, itive clock. These time-related qualities are also
though some parts may need to be tranquil, imprinted into the matter of living things, from the
quietly alive, not dynamically active. Sequential earthward and skyward gestures of lower and upper
relationships, like metamorphic transformations tree branches to the metamorphic evolution of
and breathing between expansion and contraction species.
lend themselves to journeys through buildings.
Through sunlight streaming into rooms, awareness
of time and season is inevitable with solar and
climate-sensitive design.
The lines of natural living forms are fluid but
organized by invisible principles both structural
and elemental: gravity, levity, spiral growth, pres-
sure, surface tension; and warmth, solidity, fluidi-
ty and airiness. The life-filled lines in nature, from
the swirls of free-flowing water and curves of the
human body to the projective geometry of flowers,
are in complete contrast to Newtonian-geometric
lines resulting from singular immutable (and
therefore lifeless) principles. Crystals tend to be
faceted, rocks to break into sharp edged planes.
Only after weathering by life-filled forces do they It’s easy to make mobile forms with clay – a good rea-
become softened and rounded.55 son for modelling buildings before drawing them –
The life-energy generated approach to forms and but can these forms be built? I therefore work through
spaces discussed in ‘objects and places’ can create a sequence: clay model, rough plans and sections,
enlarged drawings, card model to evaluate spaces and
life-energizing places. Forms don’t need to be spi-
constructability, Only then am I ready to ‘harden-up’
ral, just have accelerating and decelerating curves. drawings. They can thus both retain their form
Inter-breathing spaces need not be lemniscates, just fluidity and be built (Wales).
208 Building to heal
The design processes I’ve described centre need to be generous for shade and rain-shelter, or
upon the essence, the spirit at the heart of each pro- minimal to avoid wind-uplift, downsloping to
ject. This essence generates the language of rela- anchor a building, rising for levity or arching to wel-
tionships (moods), the form-giving principles come us. The windows and doors beneath them
(life) and ultimately, the forms themselves (sub- reflect these shapes and their purposes, but
stance). These are underlying principles. But the they’re all made, and have to perform thermally,
bits and pieces of buildings need to respond to dif- much the same way. Such forms are principle-struc-
ferent circumstances. Roof eaves, for instance, may tured, but metamorphosed by circumstance.
The same applies to new buildings in old places. need, surroundings shaped for life. Surroundings
Traditional forms were generated by the structur- so shaped, impregnated by life-qualities, are also
al, constructional and scale implications of local surroundings that nourish the soul.
materials. They also responded to climate and way-
of-life. New buildings need to meet new life-style
and comfort expectations, which have appearance Soul, place and health
implications. Imitating the old is meaningless – and
rarely even practical. It’s done, but, as we can’t The body and mind are as a jerkin and its lining,
afford the old labour-intensive techniques, never rumple the one and you rumple the other.
looks convincing so feels dishonest, fake. New Lawrence Sterne 1759
styles, on the other hand, look disrespectfully out-
of-place – someone’s ‘idea’ that’s blown in from
De-stressing
somewhere else, nothing to do with the place
already there. If, however, the forms of the new are Places affect us. Beyond their biological effects,
generated by principles related to those that they make us feel uncomfortable and ill-at-ease,
shaped the old, not only can new fit comfortably energetic and stimulated or relaxed and at peace.
with old, but the continuum of built form meta- These effects aren’t just transient, but resound in
morphoses honestly and appropriately to circum- us. They can work so deeply into our being that
stance. they affect our state of health.
All living things, without exception, manifest, or The human being can adapt to any habitat – but
are bound to, the characteristics I’ve described. We life is no longer ‘natural’. Meaning is disassociated
and our surroundings work reciprocally on each from stimulus to an extent wholly unprecedented
other. Living things deserve, are nourished by, in our 40 000 years of existence.57 Noise used to
Environment and health 213
mean danger.58 Now it’s just background to daily 50% of all deaths in the Western world.60 On Mon-
life. Often loud noise: emergency vehicle sirens days with return to work and its psychological
now approach the threshold of physiological pain, demands, heart attacks increase 40 per cent.61
well beyond heart-muscle contraction level. Many Many other ailments are now recognized as stress-
consider noise stress a significant contributor to related. Indeed, some view stress as a primary
mental illness – and tranquil quiet a powerful heal- cause of illness. The converse also seems true: that
er. Noise exacerbates some illnesses – tetanus, for inspiration, spiritual equanimity, and – most
instance; and calm, relaxed quiet is considered especially – love, renew and prolong life-vigour long
therapeutically essential for ‘tension illnesses’ like into old-age.
duodenal ulcers.59 Stress-related illness is no small matter. In
Noise generators may be beyond our personal Britain it loses 100 million work days, worth
control, but we can shield with buildings, walls and £1.3 billion, each year62 and in the USA, at 15%
landform, absorb with plants and soft surfaces. of all occupational disease claims, the total of com-
Also mask with splashing water and rustling leaves, pensation, absenteeism, reduced productivity
especially effective if located in the same wind and medical and health insurance costs total
direction as the noise source. ‘Noise’ is not a rigid, $200 billion. The stress these statistics refer to
objective term. It is context that makes random is predominately psycho-social, but our surround-
sounds into zest or noise. The quiet appropriate to ings have a significant influence on how stressed
a country footpath is ghostly in a city centre – the or relaxed we feel. They affect our ‘state of
multipally overlapping sounds of bustling human- being’ which in turn affects the way we relate to
activity are urban soul-blood. others. Competition and aggression aggravate
Ugliness, to the point that emotional responses psycho-social stress; harmony and gentle respon-
are blanked off, is so common we rarely question siveness mitigate it. These are qualities of human
whether it must be so. Adding a flower-basket, a relationships – but they’re also architectural
fountain; inserting a window, shaping the frame of qualities.
a view, even just re-focusing attention, can change As long ago as 1984, Roger Ulrich’s ground-
a desolate corner into a meeting place. When done breaking hospital study found that patients in beds
with care and sensitivity, even such minor adjust- with attractive views recovered faster than those
ments can transform the nature of those meetings without them. This statistical corroboration of what
– create places to be in, not just pass through. most of us regard as commonsense has been further
Places that enliven, ensoul, ensocialize. developed until what had formerly been dismissed
Stress is now recognized as a major trigger fac- as ‘mere aesthetics’ has attained economic signif-
tor in illness as well as accidents. It’s a significant icance. Hence a key step in rejuvenating the ailing
contributor to heart disease, which accounts for New York subway was to make it attractive.
There is now a significant volume of research
tracing the material paths by which environment
affects health. Psychological state influences hor-
monal balance, so strengthening or weakening
immunity. Still more recent work increasingly looks
beyond hormonal paths. Focusing on self-value, it
involves issues of spiritual development. This is
serious work by medical practitioners and univer-
sity hospital researchers.63
But how do places affect our feelings – and hence
state of soul? There’s much more to our feelings
than behaviourist satisfaction of instincts and sur-
vival needs. Even psychologists have difficulty
Rail-generated towns foster life at their centres. Road- describing humour in survival terms, let alone land-
generated ones, at the periphery. scape appreciation, art or music. To look at archi-
214 Building to heal
tecture in this way, is to oversimplify. Certainly fac- mothers. To understand things by touching them
tors like over-looking rather than being over- we need to move our hands – in other words we
looked, sitting in corners rather than in the have to make some sort of effort. Touchable tex-
middle of empty spaces, have something to do with tures therefore, encourage us to become involved
security. But we interact with, and are influenced with them, untouchable ones induce a feeling of
by, our surroundings in many ways, enjoy or dis- exclusion.
like them for many reasons and experience them Many textures we ‘touch’ only with the eye.
through many senses. Shapes and patterns invite us to follow them with
eye movement. They induce inner movement, stim-
ulating or calming, staccato or rhythmic, direction-
The senses: stimulus, stress and delight
al or undemanding. As our eyes travel from focus
The senses form the gateway between inner expe- to focus, we begin to understand things from the
rience, personal to each one of us, and the outer outside. External, conceptual knowledge is found-
world. Different influences, both physical and men- ed on vision, but, unlike smell, warmth and touch,
tal, work upon us through different senses. we learn little about the soul-being of what we are
Urban life is full of stimulus – especially visual looking at. In addition to clarity and understanding,
and auditory. Quite a lot, like traffic, we can’t afford however, colour, shapes and their relationships work
to ignore, so must always stay alert to. Environ- upon our feelings. Sight is a highly developed sense
mental psychologists call this involuntary atten- and the optic nerve is many times larger than those
tion. This can easily grow to stressful levels. There’s from other sense organs. Information, of a rationally
just as much to look at, listen to, smell and touch processable kind, is central to human activity.
in a landscape setting, but we can choose how As quantifiable information grows in importance
much we do so. They call this voluntary attention, in all spheres of life, our culture is increasingly
and consider nature settings as places of respite. So visually-dominated. Our other senses meanwhile
much so that parks are now recognized to be eco- decline. Walking in pitch-darkness is one effective
nomic assets.64 With respite from over-stimulus, way to sharpen them. You hear the space or bound-
people work more productively. There are, of aries around you, feel the path underfoot, and nav-
course, more reasons why nature is so therapeutic: igate also by smell and temperature.65
it also connects us with life-energies, and is a world Being predominately visually informed, appear-
of harmonious relationships: symbiosis, compan- ance is of major importance – product manufac-
ionship and cooperation, even harmonies through turers think so anyway. To them whether a
competition, parasitism and predation. More product looks good is normally much more impor-
importantly, elemental interaction and the mood- tant than how it sounds, smells or feels. How else
auras of (largely invisible) fauna build spirit-nur- do noisy refrigerators, synthetic carpet and wood-
turing places. grain plastic (or polyurethane lacquer on wood –
We recognize the essence of things through the which denies smell, feel, warmth and sound) sell?
mutually supporting messages we get from many What the eye actually sees is movement and
senses. Indeed, in natural situations, we always use areas of tone and colour. Outlines, forms and
several senses. You can hear, smell and see the objects are interpretations. These have to be
weather, as well as feeling warmth and rain on the learnt, whereas we live directly in colour all around
skin. There are also more delicate, less tangible us.66 So directly we just can’t escape colour’s influ-
senses which tell us about ourselves or others, like ence on mood. Just paint a largish picture – or a
the senses of health and meaning. Whatever we room – all pink, black, blue or any other colour, and
experience – or numb ourselves to – through the observe how you feel. You won’t, however, feel the
senses, feeds – or poisons – our soul life. Balance same about, say, pink in different colour contexts,
is fundamental to the healthy soul. as contrast, after-image, and the colour of the light
Touch tells us about contact between ourselves we’re under affect how we experience colour.
and other things. It’s especially feeling laden: our That colour affects our inner state is well estab-
first welcome experiences involve touch with our lished. Red, for instance, activates the metabolism
Environment and health 215
and encourages activity – even aggressive behav- filled way than if we pre-mix them. You can make
iour – whereas blue quietens us, bringing us more beautiful, soul-calming, subtly varied hues that no
into ourselves – even to a state of melancholy iso- standard colour system can duplicate.
lation. Strong pigments can be too compelling The world we live in is a world of colour. Only
whereas subtle ‘breath’ of colour can encourage at, or very near to, this living edge between the cos-
mood, without compromising freedom. Such mic and the material, between light and impene-
moods of light can be created with coloured glass, trable matter, does life exist. Only here does colour
reflection, transparent veils, ‘lazure’ painting or fil- arise – and everything here is coloured.
tered light through vegetation. It is the colour of light which works on our
Despite such general principles about colour and organs, metabolism and mood. Light is initially
mood, it is all about feelings, not at all about ratio- coloured by its primary source – sun, sky direction,
nal thought. Feelings include the subtle and elusive, or artificial light, then on a subtractive basis, by pig-
and are from too many sources to be bound by rules. ment filters, both translucent like leaves, and reflec-
Rules are only valid for the reactive – animal – level, tive like floor, wall, and outside ground surfaces.
but when colour speaks to the soul, much more del- A blue sky doesn’t give a blue light. Blue is the
icate sensitivities interplay. As colour affects the colour of the slightly illuminated darkness of space.
soul directly, experience is a much better guide than The scattering of the sun’s rays warms black to blue
any handed down ‘wisdom’. and gives a warm light, infusing even shadows with
Colour design is situation specific. Space, light- warmth. Cold northern skies are yellow – but the
ing, human situation and duration of exposure are light is cold. Different regions are characterized by
all relevant. Short-term stimulus and long-term different light. With such different facial expres-
ambiance needs are completely different. Subtle sions beneath Mediterranean skies or industrial
colour combinations may seem inadequate to those grey pall, it’s hard not to believe there’s a rela-
whose colour sensitivities have been blunted by tionship between folk-soul and light colour. As we
modern media, particularly television – which can become more and more an indoor civilization, liv-
make nature seem quite dull. Colours stimulating ing in a man-made spectrum, this becomes an
enough to enliven otherwise white paper in the increasingly important issue.
designer’s office, may perhaps be too powerful to Sound can resonate beyond the feelings to affect
live with – especially so in situations of physical or our inner state. Sounding each vowel induces a dif-
psychological disorientation. Hospital patients ferent state and the consonants establish different
recovering from anesthetic, for example, can find bridges between them. Try sounding each of the
vigorous and joyous colour-patterned curtains dis- four archetypal vowels: A (ah), O (oh), E (eh) and
turbing to the point of nausea. Children’s toys are I (ee) for a while, notice how you feel and the ges-
often in bright primary colours. Like sugar, this tures your body automatically makes. Gestures
attracts and stimulates them, but – as with sugar which, in buildings, induce like states. Meditation,
– after a while, they can get a bit too hyperactive. eurythmy, speech and writing, not to mention poet-
Pure, strong colour can shock, jolt and compel ry and song, have all grown from this base. Audi-
– but colour really lives in its subtleties and rela- tory environment is a powerful influence on how
tionships. When painting, I used to use colour to we are and consequently how we act – too power-
fill in areas of shape – albeit with broken-up brush ful to be left to tension-inducing sounds.
strokes. A similar approach to painting by numbers. Smell brings us into contact with the essence of
Only when introduced to ‘wet-painting’ did I start things. Like sound, smells come to us without our
to live into colour for its own sake. The colour can’t choosing, and also like sound, we notice changes
serve as a mere agent of line; it can only live in its but not established ambiances. Whenever I visit
own right. In this technique, watercolour is London, within a day or two I cease to notice its
brushed onto damp paper so it isn’t possible to smell or background noise. Yet even without con-
paint sharp boundaries, but colour meets and scious awareness, sounds and smells depress or
merges with colour. Colours laid over each other elate, enliven or calm us. So effective is aro-
in transparent veils, mix in a more varied and life- matherapy, it’s sometimes even used in air condi-
216 Building to heal
tioning systems to manipulate employees’ or cus- children, the elderly, ill and thermally sensitive need
tomers’ moods. Just as aftershave always fore- to stay warm.
warned the Vietcong of American soldiers, we can Research suggests that every cell in the body
smell things we can’t see.67 Virtually everything, is regulated by sensory experience; smell affecting
building materials included, smells, thereby con- bio-rhythms, sight: the endocrine system, sound:
veying messages about itself and inducing
responses. Rooms smelling of wood, the essential
plant oils of ‘natural’ paints, flowers and natural
fabrics, can uplift the spirit just as fungal or syn-
thetic carpet smells oppress it.
Smell gives alarm signals. That’s why it’s put into
almost odourless natural gas – and why the smell
of burning will wake most of us from sleep. (a)Sleeping living-eating (social)
(private)
Unpleasant smell usually indicates something
harmful. A world understood through its smells, as
it is for dogs, has quite a different profile from one
understood through sight. There is a whole geog-
raphy of sound, smells and light that makes the
world – and its peoples – so wonderfully diverse.
Warmth is a basic need. It fosters relaxed well-
being. But what sort of warmth? Depending on
(b)
temperature, mode of heat transfer and how heat
is produced, some warmths can be sleep inducing
or even fatiguing, others energizing. Temperature
rise from 20 to 27°C reduces performance at work
by 30–40%.68 But being too cold drains the will. Also
the more clothes you wear, the less free you feel –
and the more physical effort everything is.
Thermal contrast stimulates our personal tem-
perature control mechanisms. Saunas and cold (c) Steps between living room and kitchen make each room
a distinct place, even without a wall.
baths alternate extremes of temperature – as indeed
did traditional British homes. Vividly I remember
the houses of my childhood: swelter in one room,
shiver in the rest. Many people substituting central
heating for focal warmth notice greater suscepti- Private
bility to colds and flu. Some doctors believe ther-
mal stimulation vital to health.
Focal radiant heat, differing temperature zones
and outdoor chores give thermal stimulation. To
close Swiss window shutters, you must open win- Social
dows, briefly flooding your room with bracingly
cold fresh air, before sealing it for the night. As radi-
ant heating (open fireplaces excepted), thermal (d)
zoning, insulated shutters and outdoor chores also Vertical distances have a disproportionately inhibit-
save energy, environmental and personal health ing effect. It’s a bigger psychological effort to go
benefits coincide. The borderline between thermal upstairs if storey height is 9 foot (2.75 m) than if only
7 foot (2.15 m). More things get piled at the bottom
stimulation and stress varies from person to per- step waiting to go up ! Bungalows, therefore, are more
son, particularly with age. Occasional cold, while convenient but houses have more clearly differen-
good for most of us, can kill some people. Young tiated realms.
Environment and health 217
cellular electric charge.69 The inductive effect of visual – only about how places look. But the under-
environment is no small matter. How we move, or lying spirit of places is communicated by all the
even just move our eyes – abrupt turns or fluid senses. This is about the truth that is at their heart.
curves, and rhythmic, even, or cacaphonic punc- Tinkering with appearance – or any other sensory
tuation – brings tension or relaxation, alertness or quality – won’t alter that truth, only its superficial
dreaminess; uphill slopes check us, downhill ones packaging. Hence no amount of visual improvement
bring children, even some adults, into a run. can overcome the effects of noise or the smell of pol-
Words like hard, cold, foul, fresh, warm and soft, luted air. Tranquil waterside isn’t complete without
both describe sensory qualities of environment and glittering light, sound of wavelet lap, moist vegeta-
invoke feelings that go with them. Most design is tion scents and feeling of air on your face, nor is
fireside cosy without the warmth, glow, crackle
and smell of fire. Comparable urban palettes
include texture of paving under foot, rustle of leaves
overhead, dancing light and shade, sheltered
sun-trap with sun-warmed walls – sensory micro-
climates. Indoors, it’s the warmth, sounds, smells,
The effort, rhythm of steps and landings and chang- tactile and visual textures, colours and richness of
ing viewpoint of different staircases affect us.
light that make a kitchen cosy. No wonder these sort
Leuverenz designed long shallow stairs for Gothen-
burg courthouse specifically to induce in court of kitchens increasingly supplant the industrially
members a contemplative, balanced, even compas- sterile Formica counters and fluorescent lights of
sionate state. What state would these stairs induce? the 1960s. They don’t have to look neo-farmhouse;
Balance
Places: their shapes, forms, spaces, gestures and
sensory qualities, can be socially cohesive, like con-
cave spaces, circular meeting rooms, and food-
steamy kitchens, or socially fragmenting like long,
straight corridors, courtyards with convex forms
thrusting into them and clinically sterile rooms.
Contrast a staircase landing with a sunlit window
bay to the inside of a lift, a soft textured, warm-
hued room with a gloss hard, echoey, icy one.
We may always want approachable, welcoming
places, but don’t always want to be sociable – it’s
important also to be sometimes on one’s own. Some-
times long refractory tables or open benches suit us
better.
Different cultures, ages, life-situations and
activities require different balance points between
The aura emanating from things used ensouls
qualitative polarities. Polarities of ensocialization kitchens, just like workshops. Natural materials:
and breathing-out, of thought and nature, organi- wood, stone, roofing-slate counter, are also soul-
zation and life-support, the straight and the supports.
curved. Balance is about the control of forces, phys-
ical and emotional. Spatially, for instance, dynam- Too many things can anchor us over-much in the
ic proportions need to find a living resolution material, but it depends what things and why
between the uplifting, the onward-drawing and the they’re there. Things stored turn rooms into
surrounding (sideways) calming spaciousness. dumps or warehouses. Things displayed are dif-
Busy-ness, in any form, though sometimes exces- ferent. Just a few make a place, room, garden, ‘pret-
sively stimulating, is about unfettered life, whereas ty’ (as my old neighbours used to say) – part of
restraint is about conscious taste and disciplined loving and looking after it. But too many turn it
refinement – order. Most life-needs lie between the into a showcase of wares. Good to impress perhaps,
extremes of ordered sparseness and chaotic abun- but no longer somewhere to nourish the soul.
dance. Ascetic surroundings support the inner life, Things used, however, echo with life and feed us
whereas the bits and pieces of the world relate to with its richness. Minimalist design in industrial
outer tasks.70 Sometimes we need surroundings near- materials demands tidiness, but places visibly built
er to the monk’s cell, sometimes to the cluttered of approachable materials, nearer to living source,
workshop. leave you freer to find the level of order or lived-
There are, of course, many kinds of tidiness, in-ness you feel comfortable with.
many kinds of clutter. Obsessive tidiness, sterility Particular situations need particular balancing
and boredom cramp the soul. Very different from qualities. Amidst unduly strong nature forces,
the tidy cleanliness of somewhere loved – which ordered forms assert our human-ness; where
frees it. Excessive clutter buries both body and soul. urban stresses are intense, softer surroundings help
Environment and health 219
Spirit nourishment fresh from the factory. But it’s not enough just to
occupy a previously empty building. There’s a huge
What makes food nourishing? Ingredients are only span between the spirit of some places and of
part of it. At least as significant, is the attitude with others. The spirit that grows up in a place is fed by
which it’s prepared. Also served and eaten, and how that place is used, what thoughts, actions,
how it was grown, handled, sold … The sum of values become imprinted into it. That’s how cars
these attitudes is more important than the mater- – almost hand-free, certainly love-free, products of
ial ingredients. But with love throughout their robotic assembly lines – get personalities.
growing, handling, exchange and cooking, how can Every place, however, has a history before its
such ingredients be poor? occupation and use. It was built, designed, imag-
Nutrition isn’t just what we eat. We drink sever- ined and willed into being. The whole process from
al times as much as we eat and breath thousands of commissioning through planning, building, buying,
times as much as we drink. Water and air aren’t just living-in and maintaining is part of the growth of
‘there’. They are made by cosmic powered living spirit in a place. It is this spirit that nourishes us,
processes. And human action, deliberate or uncon- not the beauty of the place. But then beauty is a
sidered, affects these processes and the quality of manifestation of that spirit, for to strive towards it
that air and water. Whatever we do to air and water can only be done out of love, however narrowly
we do to ourselves, for it cycles back to us, surpris- focused. That’s why places designed to be attrac-
ingly quickly – as Chernobyl demonstrated in 1986. tive, but executed and used without commitment,
But nutrition is more than what we eat, drink have no spirit-raising beauty. They have a theme-
and breathe. Our sensory experiences also nourish park hollowness.
– or poison us. Both more obvious senses, like Nowadays we can rarely afford to build spaces
smell, sight and touch, and finer ones like sense of for occasional occupation. We no longer build front
meaning and recognizing individualities, the parlours for Sunday use only. There was much less
essential being in both people and things. Does our money around a generation or two ago, yet every
environment feed or sap, heal or infect us? What family kept a room it didn’t ‘need’, could barely
does what we do to it do to us? afford – a sort of vestigial shrine. Multi-use makes
The world around us is damaged, however economic and also ecological sense – less buildings,
acceptable its surface appears. One manifestation less heating, less energy. Generally, this is practi-
– directly impacting our health – is the low nutri- cal, but not always. I’ve been asked several times
tional quality of modern food. Another is the 400 to design school halls for assembly, music, theatre
animal species disappearing each year, 10 times the and indoor basketball, football and sports. But to
‘natural’ extinction rate. This both impoverishes build something large (and robust) enough for foot-
our life and weakens environmental cycles whose ball at a quality standard suitable for music isn’t
value we have yet to appreciate.72 Healing our envi- cheap. Two separate buildings: a concert-hall and
ronment also brings benefit for us. Improvements a pole-barn would be more economical.
driven by self-interest don’t help because they Such practical problems usually reflect spiritual
imprint negative values. Working with charity fund- mis-matches. Schools aren’t comfortable in former
raising, I repeatedly found that financial crises squire-archy dominated stately homes nor hotels in
seemed insuperable whenever money was our main prisons because of what used to happen there. Dis-
concern. When we thought about good for others, putatious evening meetings in kindergarten rooms
however, the crises disappeared. disturb the children the next day, just as TV in the
Fundamentally, it is the spirit of places that feeds next room disturbs them while asleep. They sense
us, that nourishes health and contributes to heal- the spirit in a place and behave accordingly. Handi-
ing. And this spirit reflects – indeed is formed by capped children even more so, as anyone who’s
– our values. worked with them knows. After all, a room recent-
What does this mean for buildings? ly the site of an argument, has a different feeling
Buildings are houses for spirit. Contrast two to one repeatedly prayed in. The spirit behind
identical mobile homes: One lived-in, the other these, and indeed any, actions imprint long-lasting
Environment and health 221
echoes. Not all old houses have ghosts, but all have burdens – is central to spirit oases. This allows us
character. These spirit-echoes can conflict or sup- to be ourselves, not our defences.
port subsequent activities. While many uses aren’t Tranquillity frees us from the need to mask sen-
compatible, many others – from concerts in sory assault with counter-noise, lets us listen to our
churches to cafes in bookshops and poetry in spirit-voice. For tranquillity, places need to be calm
kitchens – are. to eye as well as to physical movement. This implies
Every place has some sort of spirit presence – not a degree of spaciousness – but they don’t have to
always benign. So we live every moment of our lives be dimensionally large. Freedom from clutter, gen-
in places of spirit – spirit that affects us, spirit that tle surfaces and enlivened, but undramatic, light
we ourselves continually modify, support or strug- suffice. For places to be spirit-uplifting, it helps if
gle against. What architecture is ultimately about is there aren’t too many things around – for too many
building the opportunities for spirit to grow up with- things involve us too much with the material. But
in places. We can’t design ‘good-spirit buildings’ too bare can be unwelcoming, even anti-human.
(though we can physically make them). But what Only simple, but graceful furnishings and only
we can do is build places beautiful enough to invite those needed – including those needed for non-
the spirit. For places affect how occupants behave, utilitarian functions – give a room, garden or court-
relate to each other, think – and hence the attitude, yard balance and clarity of purpose.
mood, spirit with which they do whatever they do
there, and the spirit echo they’ll imprint there.
But what does a place’s soul, its colours, tex-
tures, warmth and sounds have to do with this? Its
flows, rhythms, energies and Chi? Or its forms and
spaces, their meetings and interweaving? We may
set out to ‘grow’ spirit, but intention, like airy-fairy
ideas, is never enough without understanding – so
the more we know about how these qualities work
on the human soul, the better can we initiate the
process of ensouling place.
Not every place of soul uplifts the spirit, but no
place of spirit is devoid of soul. There are, howev-
er, some qualities common to all spirit uplifting
places.73 Wild places can feed the spirit, but they
do so through the power of creation, of nature, of
God. But in human-formed places, we’re in a dif-
ferent relationship to these raw powers. We need
respite from external pressures – which generally
means a balance to external extremes. Flame-
warmth in cold climates, watery coolness in hot
ones, quiet in a howling wind, a green garden in
an ochre-dry desert. This environment-balancing
needs to come from the essence, the substance of
the place. Indirect, contrived, and especially,
mechanical means seem somehow manipulative,
false. The coolness of air-conditioning isn’t the
same as that from massive walls, nor central
heating like warmth from fire or sun. This gives a
spirit dimension to bio-climatic design. For the Shakers, refined simplicity and dedicated
The feeling of security – from weather, from craftsmanship imprinted reverence and spirit purity
people, from machines, even from psychological into places (Kentucky).
222 Building to heal
To strengthen places as rehabilitating havens, Things made by a person are for a person (even
how we enter them, how we leave them and re- if maker never meets buyer). There’s an element of
enter the hubbub world, is important. Welcoming gift, however weakened. Things made by a
entry is about spatial gesture, paving and journey machine are only designed by a person, an indi-
space leading you in; also about the re-assurance vidual spirit, not made by one. Mass-produced
of indoor acoustics – from audible enclosure and furniture has no individual imprint in it. There’s
soft absorbent materials to the sound of footfall on no giving emanating from it – neither gift nor
floor. Leaving is about knowing the place is ‘strong’ spirit. And, if made from industrial – de-natured –
enough to still be there when you again need it – materials, no life either.
like a box of treasures you can close when you We can live with mass-produced bits and pieces,
leave, but that waits for your return. This is why I absorbing them into a melange of the spirit-filled
focus so much on entry journeys when we work and spirit-empty. But what if we live in houses
with what places say. just made by machines – houses that have taken
You enter buildings (other than home) for a pur- a mere 24 hours (or less!) to assemble, tape the
pose, and leave them bringing what you’ve gained factory-fitted wallpaper seams and move into? How
into the world. So, in a multi-faith sacred tower, we can we initiate the imprint of spirit in the age of
arranged an interior, candle-lit ascent to the mass-production?
sacred sanctum, but the descent looks outward, so The first step, of course, is how we decorate and
you first focus and reinforce your inner being, then finish a building. The more this requires the artis-
bring this strength into the outer, everyday, world. tic hand, the greater the heart involvement and the
Above all, places for the spirit need to be true. more this permeates the space. And it’s heart
The more levels of truth, the more meaningful. This involvement that gives soul meaning to a place.
gives a spiritual role to ecological architecture. So Lazure painting74 with its careful subtlety of
fundamental is truth that even a hint of deception colour and its ‘listening to the light’ engages the
undoes everything. Integrity of form and character painter in a different way from the exacting but pre-
aren’t qualities that can be added to places, but a cise, unliving craft of the conventional house
direct result of how they’ve come into being. painter. In lazure, sponge, ‘bag-painting’ and
Places don’t spring into being fully formed. suchlike techniques, quality is dependent on
They’re formed through processes. But processes heart-engaged subtlety. Consciously or uncon-
can be long and dominated by legalistic, econom- sciously, such hand-dependent techniques initiate
ic, technical and other, often dull, aspects. The the imprint of spirit.
more humanity – namely the attitude of gift – is Indoor plants aren’t just decorations, air-clean-
active in the process, the more enspirited will it, ers and scents. They’re alive and breathe this life
and the resultant place, be.
The spirit of a place is supported by its mood, its
soul. This mood is, in turn, supported by the flow
of experiential relationships – the way a place
breathes and gestures as we move within it. And this
is the result of what is there – the material substance
of the place: the architecture, paving and planting.
Spirit is about individuality. Only individuals
can give. Groups also, as group individuality is
linked to each member. Institutions have lost this
individualized link. They don’t have hearts. Their
‘giving’ all too easily doesn’t listen – which rapid-
ly leads to enslaving. Certainly, individuals can do
the same, but then they’re not giving but buying. An empty room, imprinted with care in its construc-
Where are gifts of individual spirit in our sur- tion, emanates that care. Even unfinished and un-
roundings? furnished, it’s a place fit to live in (Wales).
Environment and health 223
imprints of human contact and care. They are enno- stretch it and we can disappear into personal indul-
bled by life. They are also vulnerable to abuse, gence. The only reliable way to deepen intuition is
which is why many people prefer maintenance-free to deepen consciousness.
synthetic finishes (like polyurethane varnish) or Authenticity may sound simple, but in our time,
even wholly synthetic materials. But in the same intent isn’t enough. We can buy building materials
way that robots can never (theoretically) perform from all over the world, build any shape of build-
worse than a human being, they can never rise ing and – but for legal and cost constraints – place
above a fixed level. Life-imprintable materials run it wherever we want. Authenticity demands that
like risks – but eliminate the risk and this crucial buildings feel so ‘right’ in place that you can’t imag-
potential is lost. ine the place better without them. To be right in
The less ‘finished’ are materials, the more place, they must be at one with their context, and
robustly can they withstand misuse. Unlike seamlessly woven into the surrounding ecology,
French-polished, inlaid furniture, a sawn-wood while at the same time, ennobling the place
plank is not unduly compromised by nail-holes and around them, raising it above the everyday.
children’s carving. Fine craftsmanship, on the other Correct relationship to environmental context,
hand, leaves record of days of patient work. Cared seamless weaving into ecology, raising matter above
for with polish and protection from abuse over the ‘everywhere’ – this sounds like gardening.
many years and spanning eras of history, no won- Thinking about gardening, I’ve often wondered
der antiques are so sought after. This is the spirit why ‘weeds’ do so well, and what they can tell us
value hiding behind their scarcity-based monetary about the design of places. One definition of weed
value. We can of course put this same care and love is ‘a plant in the wrong place’. But an experiential
into buildings, can make them of substances that definition would be, ‘a plant which survives
will record their contact with life so their imprint- regardless of abuse, whereas a “chosen” plant dies
ed spirit grows and feeds reciprocally. at the slightest insult’ – namely that the weed is so
Nonetheless, in a world where ‘time costs well adapted to its environment that it can hardly
money’ and there isn’t enough money, we often help living. In other words, a weed is a plant in the
need to be frugal with time. Where is this best right place.
directed? Obviously, surface finishes benefit by Our buildings, and the places we make, need to
hand-touch more than do drains, but there’s a lot have the same rightness in place as weeds in a gar-
of surface to a building. Sight may be the most den, but also the sacred specialness of the gardener’s
informational sense, but we come nearer to those tended plants. If only we approached architecture,
bits we touch. Messages to the hands we experi- place-design and building construction with the
ence more directly than those to the eyes. They sensitivity that bio-dynamic gardening demands.76
‘touch’ us. To some extent, appearance can be It’s hard to hear our inmost voice, our reverence
designed, but the tactile must be made. for the sacredness of all things, when we’re full of
The issue is not one of artistic indulgence ver- noise and clutter, with more and more pushed into
sus materially rational economy. Economy makes us wherever we turn. Inner peace not only lets the
good sense at every level of income. Indulgence spirit voice blossom – many say it’s the prime foun-
doesn’t. It’s about consecration. Making places dation of outer, world peace. Inner peace may not
beautiful and spirit-lifting. And to do this these be so easy to attain, but it’s much easier to reach
places must be true. Deceit, however artful, has the towards in surroundings of tranquillity. Tranquilli-
opposite effect. To be true, they must be meaning- ty isn’t just a matter of design, but is underpinned
fully ecologically enmeshed in their context and by ‘rightness’ – both integrity and the seamless
socially enwoven into the processes which form our weaving of buildings into the ecology around them.
world. To be true and to be beautiful, they must also For a place to infuse us with healing spirit,
be willed and directed – as far as consciousness per- such tranquillity is a precondition. For a place to
mits, and then led into that zone beyond the emanate healing spirit it must communicate
known: intuition. But intuition is foggy. Ignore it transcendental qualities. Its material substance,
and we remain static, limited to the known, but honestly, rightly and harmoniously arranged, must
Environment and health 225
Cowsheds converted into a retreat centre – a haven for the spirit (Wales).
Notes
1 Specifically tuberculosis and cholera. Over the
next couple of decades Klebs and Pasteur
identified the bacteria associated with many
other infectious diseases.
2 Pincus and Callan, Are mind–body variables a
central factor linking socio-economic status &
health (Response). Advances, vol. 11, no. 3,
Summer 1995, Fetzer Institute, Kalamazoo,
Michigan, USA.
3 See (for one example amongst many): Henry
Dreher, The social perspective in mind–body
studies: missing in action? Advances: The
Journal of Mind–Body Health, vol. 11, no. 2,
Spring, 1995, Fetzer Institute, Kalamazoo,
Michigan, USA.
4 This is why holistic health centres work with
multiple therapies. At Park Attwood Clinic in
England, for instance, counselling, painting,
eurythmy, massage and baths as well as
Calm, proportion, gesture and colour (England). homeopathic remedies.
226 Building to heal
5 These insights are developed by Rudolf Steiner 19 For sick leave; also $1 billion for medical care.
in The Arts and Their Mission, Green Workplaces, March, 1997.
Anthroposophic Press, New York, 1964 – 20 For the acutely sensitive, life is only possible
translation of 1923 lectures. away from roads, machinery and synthetic
6 Gary Coates and Susanne Siepl-Coates, materials – effectively living as though the
Vidarkliniken: A Study of the twentieth century had never happened.
Anthroposophical Healing Center in Järna, Allergies also include biological materials such
Sweden, Kansas State University. as pollen starch, turpenes from conifer resin,
7 The influences of sun and moon on life and animal fur, so allergy-free housing can end
rhythms are well known, but even the planets up made of only the most sterile inert materials
and stellar constellations have effects – some like tile, glass, steel. This approach is technical,
infinitely subtle, some strong enough to be not human, and it does nothing to help rebuild
clearly demonstrable see, in particular, Dr life energies.
Thun’s research over almost half a century, 21 Linda Mason Hunter, The Healthy Home; An
published annually as Planting with the Sun Attic to Basement Guide to Toxic-free Living.
and Moon, Lanthorn Press, England. Pocket books, Simon & Schuster, New York,
8 Holdsworth and Sealey, Healthy Buildings, 1989. Also Sunda och Sjuka Hus, op. cit.
Longman, England, 1992. 22 For the chemically sensitive, however, even
9 Helmut Kiene, Questioning the Dogma of the natural materials must be used with
Placebo Effect, Newsletter, The Anthroposo- discrimination. Some people are allergic to
phical Society, London, Summer, 1997. terpines in softwood, for instance, and to a
10 Ian Wickramsekera, Secret kept from the mind wide range of plant pollens. Ironically,
but not the body. Advances, vol. 15, no. 1, chemically sensitivity is often a consequence
Winter, 1999, Fetzer Institute, Kalamazoo, of exposure to synthetic, not natural,
Michigan, USA. chemicals.
11 Mining: so aptly characterized by Louis 23 2.5 μm particles and smaller are critical. Dust
Mumford as ‘blast, steal, dump’. Particles in Indoor Air, ASHRAE seminar,
12 Steve Curwell, Chris March and Roger Boston, June, 1997. Solplan Revue, November.
Venables, Buildings and Health, RIBA 1997. Sharp fibres 30 μm long and 0.2 μm
Publications, London, 1990. diameter are the most carcinogenic.
13 Aluminium is a high energy material, but where Planverkets Rapport 77: Sunda och Sjuka Hus
easily recoverable for recycling, there is a case Statens Planverket, Stockholm, 1987.
for it. 24 These figures from New Zealand are broadly
14 Swedish figures: Sunda och Sjuka Hus. We are applicable to modern air-conditioned offices
within buildings or vehicles 85–95% of the time the world over. D. Rogers: Sick Buildings –
(65% of time at home). What are the Issues? International Clean Air
15 Henry Dorst, Detecting unseen energies which Conference, Auckland, New Zealand 1990. In
affect the health of home and city. ICER the UK some 28% of office workers lose one to
Journal, USA, Summer 1993. Harriet Ryd, My five days a year due to indoor air quality.
home is my castle – psychological perspectives 25 Linda Mason Hunter in The Healthy Home;
on ‘sick’ buildings. Building and Environment, An Attic to Basement Guide to Toxic-Free
vol. 26, no. 2, 1991. Living, Pocket books, Simon & Schuster, New
16 BSRIA research described by Mike Well in York, 1989, recommends duct cleaning prior to
Building related sickness. Building Services each heating season and replacing disposable
Journal, March, 1993. filters every two months (or, if metal, hosing
17 Ian Clark and Bryan Walker, Towards healthier and scrubbing them monthly).
buildings. Building Services Journal, February, 26 Professor Susan Roaf, op. cit. Brick Bulletin,
1991. Summer, 2000.
18 House of Commons Environment Committee 27 Research at Wright State University, USA.
estimate quoted by Paul Appleby in A testing 28 Linda Mason Hunter, op. cit.
time for buildings. Building Services Journal, 29 Peter Warm, Ventilation; in Green Building
June, 1992. Between £330–650 million per Digest, Issue 20, Summer, 1999, Queens
annum. University, Belfast.
Environment and health 227
Soviet towns. In Deelstra and Yanitsky (eds) The Fetzer Institute, Kalamazoo, Michigan,
Cities of Europe: The Public’s Role in Shaping USA
the Urban Environment, Mezhunarodnye 70 Manfred Schmidt-Brabant, The spiritual
Otnoshenia, Moscow, 1991. background of the housemother’s work.
61 Study by Stefan Willich of Free University of Anthroposophy Today, no. 12, Spring, 1990.
Berlin on 5596 cardiac arrests in Augsburg: 71 See further: Kenneth Bayes, Living
Brain/Mind and Common Sense, December, Architecture, Floris Books, Edinburgh, 1994.
1992, p. 3, Los Angeles. 72 One example is the fruit bat of Central America
62 Estimate from Sun Alliance Insurance – nearly exterminated as a pest before its
Company. recognition as a pollinator, indispensable for
63 See in particular Advances. agriculture.
64 BBC Radio 4, 25 May 1999. 73 For this insight, I am indebted to Penina
65 There are some safety precautions: choose Finger. See her Spirit & Place Website:
somewhere you know. If there’s a risk of http://www.webcom.com/penina/
walking into things, (like doors, nose on!) spirit-and-place
swing your arms in front of your face, likewise 74 If you want to do this, and need more
your legs if there is trip risk. If you need to information than in previous chapters, I have
cheat, crouch down to see your surroundings in written this in detail in A Haven for
silhouette. Childhood, Starborn, Dyfed, 1998.
66 Some learning, of course, is archetypically 75 Actually, though generally cheaper, they aren’t
inherited. Monkeys who have never seen always!
snakes nonetheless fear them when they see 76 Bio-dynamic agriculture is organic, but also
one. Babies (in laboratories, though not on seeks to balance elemental qualities and is
beds!) are cautious of optical illusions sensitive to cosmic influences on life. It
appearing to show precipitous drops. involves local cycles of substance, including
67 Apparently the Americans never smelt the fodder and compost, homeopathic preparations
Vietcong sweat – which says something about for the soil, companion species and planting
declining olfactory sense in Western society. according to the constellations. It has grown
68 Research by David Wyon at Swedish Institute out of lectures Rudolf Steiner gave to farmers
for Building Research. Building Design, 10 in 1924.
December, 1993.
69 Ranjan, Magic or logic: can ‘alternative’
medicine be scientifically integrated into
modern medical practice? Advances in Mind-
Body Medicine, vol. 14, no. 1, Winter, 1998,
CHAPTER SEVEN …
Healing by design
Healing environment: not just Thinking and feeling Life-energies and
for the ill activity destroys physical activity
bodily substance build bodily substance
Health, healing and our four levels of being (catabolism) (anabolism)
Love heals. The imprint of heart forces can trans- Head Pole Metabolic Pole
form a place from just something materially useful Excessive head pole Excessive metabolic
to a healing place. Healing means redressing ills activity leads to: pole activity leads to:
and re-establishing processes that lead toward • physical exhaustion • delirium
health. It’s more than just nourishing. Healing • coldness • warmth
environment is not just a need for those who are • degenerative illness • inflammatory
ill. It’s also for the healthy to make the most of illnesses
living, being, thinking, feeling and doing. We all Adapted from ref. 3.
benefit from healing surroundings. They’re as
important to home and workplace as to buildings
specifically for health-care. When noise intrudes into sleep, it compromises
Central to healing is growth towards wholeness. regenerative processes. The next step is called
Wholeness means a balanced integration of the four stress. So receptive are we during sleep, that recov-
levels of our being – body, life-energy, soul, and ery from surgery is influenced by what the surgi-
individuality. Inner growth is a process of spiritu- cal team say – and think and do – while patients
al development – spirit raising matter – whereas are anaesthetized.4
wholeness also requires grounding balance – mat- In waking life, progressive levels of being
ter anchoring spirit. influence each other in both directions, so body and
These levels work in different ways. The life spirit work on each other reciprocally. Psycho-
processes of the body are regenerative, but feeling, logical shock and grief, for instance, erode will and
thinking and doing use up energy and break down even life energies, sometimes to the point of being
cells.1 Counter-processes essential to maintain in unable to stand. Similarly, inspiration fires enthu-
balance for we’re not on earth just to live, but also siasm and energy, giving spring to physical
to feel, think and do.2 Breaking-down processes movements and alert uprightness to posture.
predominate in waking life; regenerative ones dur- Conversely, physical condition (both body and life
ing sleep. Hence the concern about cellular dis- condition) has such a bearing on stress resistance,
rupters, electromagnetic and chemical, at night. positive thinking, will and thought energy that
In sleep, only body and life are evident. Feelings some companies have compulsory employee fitness
and individuality – our conscious self – are ‘some- programmes. Matter influences mind, and mind,
where else’. Not only is sleep important, but how matter.
we sleep. During sleep we are semi-consciousness This interaction of levels is also relevant
of sounds; we integrate them into our dreams. medically. A broken bone, for instance, affects our
230 Building to heal
physical structure (so it’s splinted or otherwise sup- well as expressing and releasing these dishar-
ported). The regenerative forces of the body heal monies, illness causes incapacity. This changes our
the fracture. The injury hurts, which tends to relationship to the world, hence brings an oppor-
depress mood, and the incapacity forces us to be tunity to see things in a different light and to step
conscious of actions which were formerly habitu- aside from the blinkered tram-tracks we’ve
al, thereby changing our relationship to the world. become bound to by habit. Serious illness can often
Or, from mind to matter: psychological factors can mark a turning point in life.
cause emotional pain and psychosomatic illness, or In this light, illness can be seen to be healing, but
even just postural habits which mechanically as it can be painful, traumatic, crippling and fatal,
stress the spine. Medically, the more is this inter- we, rightly, try to cure it. This is what medicine is
play recognized – even conventional medicine about. But to heal, what lies at the root of any ill-
increasingly does so – the more whole, effective and ness requires more than a pharmaceutical cure. It
lasting is the treatment. needs the release of disharmonies. Also that all four
Likewise, the battle against infection is more levels of being are re-balanced and re-invigorated.
effective if multi-level. Bacterial pathogens can be And, in particular, we need to find a new relation-
physically destroyed by lifeless chemicals – actu- ship with external circumstance that’s no longer
ally life-opposed chemicals: anti-biotics. Though stress-building. We need, in other words, to grow
commonly done, this isn’t enough on its own, for inwardly. Beyond healing from illness, this is heal-
internal antibody production needs stimulation. ing through it.
Unfortunately, antibiotics also destroy benign Although ailments and symptoms usually man-
micro-organisms, weakening life-energies and ifest at single levels, health involves wholeness.
immunity. Strengthening vitality is particularly How many back problems are only due to posture?
important in the case of viral illnesses so cell struc- How much obesity only diet? How much anger
ture can override ‘imprinting’ by the virus. For this, only outer provocation? These obviously are sig-
emotional state – and consequent hormonal nificant factors, easy to remedy, but are rarely the
secretions – needs re-balancing, and the spirit whole story.
realigned towards health. Because humans are multi-level beings,
As human immune systems continue to weaken, treatment at any one level can (within limited
bacterial antibiotic immunity increases and more parameters) appear effective. Physical restraint,
viral illnesses emerge, strengthening immunity is behaviouristic psychology or hormone-modifying
emerging as a medical field. Enhancing life-ener- drugs, for instance, can control emotional violence.
gies, balancing and harmonizing inner state and Indisputably, such techniques can be effective treat-
nourishing personal development, are central to ment. And there certainly are times when such
prophylactic practice. This moves both human measures help break destructive cycles to allow
(counselling and nursing) and physical (architec- space for healing therapies.
tural) environment towards the centre of the heal- Treatment, however, tends to be symptom-
ing process. focused and reactive. It rarely addresses issues deep
enough to effect deeper healing. Ailments after all
have deep roots; only manifestations are found at
Illness and recovery: a journey
the surface. This isn’t necessarily how it feels at the
At some time or other, virtually all of us will go time. Usually, only years later can we see illness,
through illness. In one way a curse, in another, it or any other life-trauma, in the context of a mean-
can be a valuable, healing part of life. The value, ingful pattern.
however, isn’t in the illness, but in the process of One way of looking at the underlying layering of
healing from it. Why? What does illness mean for illness and health, is that all matter is held togeth-
us? er by force fields. Living matter is organized by liv-
One common root of illness is disharmony at lev- ing force fields, imprinted with archetypal form.
els too deep for us to easily access. This can work When living things die, other influences work to
its way to the surface and manifest as illness. As rearrange matter, degrading it to the level of chem-
Healing by design 231
ical compounds. Life in turn is sustained by the Any building where people are treated in a non-
will. Records abound of people who have willed individualized way and established procedures
recovery against all medical odds. The reverse is dominate the way things are done is unavoidably
also true. People – and animals – really do die of an institution.
broken hearts. Will is sustained by spirit – enthu- It’s easy enough to institutionalize any building
siasm, inspiration, convictions. Spirit is central to – just add:
human wholeness. Different aspects and qualities
• daunting – or lovelessly utilitarian – entrance
of environment work on each of these levels.
experience.
The process of healing physical symptoms is led
• straight corridors for fast movement, with
by the spirit – the inmost, totally non-material
anonymous doorways both sides.
level. So how then can outer, physical environment
• regimental rhythms, patterns, grids and the like.
contribute to this process?
• right-angle turns and crossings.
Surroundings, as discussed, can nourish us at all
• utilitarian atmosphere: visual, olfactory, auditory
levels – body, life-energy, emotions and spirit. This
and tactile.
can both support us during recovery and aid our
• standardized experience – to all senses – regard-
ultimate re-alignment. In particular, uplifting sur-
less of function of space and emotional state of
roundings allow us to lower our defences, freeing
person.
us from the blocks these bring. Strikingly beauti-
• total indoor experience in space and in time
ful sequences of experience feed the spirit – the
(especially by the use of constant, even, fluo-
underlying level of our being and the foundation
rescent lighting).
of health. In what way do our surroundings sup-
port each level of our being? And ensure that the building:
• is a box to containerize people
Physical surroundings • requires the user to unnaturally adapt behaviour
• processes occupants, users or visitors in a linear
Although much design is appearance led, our
sequence.
ergonomic needs are normally well catered for. The
postural and movement inductive effects of scale, Even homes start to feel institutional if they’re like
proportion and gesture also get some attention. this – how much more so hospitals! So simple is
These are sufficiently everyday to merit no further this, it gives clues how to de-institutionalize, by for
discussion. instance:
• angling walls so that entries, routes and sitting
Enlivening surroundings positions avoid confronting wall planes
• swelling corridors to differentiate stopping
Unlike material, bodily, concerns, support for life-
places from routes, with plants and water features
energies, however, is rare. As discussed earlier,
• insetting doorways so that each room or room
curves and mobility of surface, characteristic of liv-
group is something special
ing forms, induce like energies within us, whereas
• frequent openings to the outer world, to gardens,
straight lines, characteristic of lifeless physical
and foliage brushed balconies
forces and forms, induce the crystallized, rigid and
• interweaving daylight from different directions
weight- and matter-bound, in concept-formation,
• softer, diffuse and varied artificial light
emotional category, bodily movement and life-ener-
• meaningful variety in materials, especially
gies. Similarly, the more engaged we are in form-
flooring, ceiling heights and door, window and
giving processes, the more energized are we.
ceiling gestures.
That’s why the creative process can unlock ener-
gy, whereas exclusion from such processes saps it. and so on …
Institutions tend to stifle independence, initia- Gentle spaces that leave you free to choose are
tive and creativity, fostering dependency. No won- more welcoming than abrupt, compelling ones,
der institutionalized buildings are de-energizing. apparently designed for object storage. Curves and
232 Building to heal
What places say, how they respect, soothe, de-stress and invigorate us, is important to how they function
therapeutically. How can hospital corridors be more alive? More life-supporting?
bends are softer than straight lines and right-angles; – so do the qualities of energizing surroundings
interactive daylight gentler and more alive than sin- resonate in our soul.
gle window walls; obtuse angles more inviting than
right-angles; approachable natural materials and tex-
Surroundings to feed the soul
tures more welcoming than sterile synthetic ones.
Just as ergonomics affect movement and the way Environment has direct and measurable effects on
we flow between postures – hence our life energies health. Studies in hospitals show that in window-
How can they be welcoming and restful to the soul? Enhance journey and place (such as waiting area)
experiences?
Healing by design 233
less units, twice as many surgical patients devel- in the Chinese proverb: ‘If there is harmony in the
oped post-operative delirium as those in units with house, there will be order in the nation. If there is
windows. They also showed more symptoms of order in the nation, there will be peace in the
depression.5 Patients with a view of trees and flow- world’, this is widely known, but it’s not always
ers took 9% less time to convalesce than those with recognized as widely applying. Underlying harmony
views of a brick wall.6 Hospitals are expensive to is the resolution of forces so that they create one
stay in, but landscape budgets are normally 1 per gentle, living, whole. Forces aren’t resolved by
cent of project cost – a false economy (as well as eliminating them. Indeed absence of stimulus is
disregard for patients wellbeing). Savings accruing boring. Harmony – as force-resolving conversation
from a window view have been calculated at – requires elements to respond to one another.
$500 000 per bed-space over a 10-year period – When colours, shapes and gestures are modified by
which buys a lot of landscaping and care in each other, and conflicting meetings are resolved
window design!7 by moderating elements, a harmonious whole
Focus in the made environment is invariably on emerges. A whole greater than the sum of its parts.
buildings. We tend to undervalue vegetation, but The same principle that, in the social realm, under-
in situations of acute stress, the greatest thera- lies consensus design.
peutic influence is neither therapist nor buildings, Harmony is healing, but harmonious environ-
but plants and gardens.8 Indoors, these can range ment isn’t enough on it’s own. The pressures of
from pot plants to whole indoor gardens. Trees and daily life tend to be destabilizing. They cause ten-
climbers outside windows can also support bird sion and exhaustion. We develop psychological
life, moderate extremes of light, infuse it with defences and programmed responses – reactive
colour and cast textured moving shadows. All valu- inner states which can lead to illness. We need sur-
able in hospital situations, particularly for the bed- roundings which can de-stress, renew, re-integrate
bound. and enliven us – especially places of tranquillity,
The life forces of Nature are powerful stress reliev- delight, human-vitality, and social warmth. Wher-
ers. No surprise. As Thomas Berry9 observes: ‘Why ever we are or whatever we’re doing we need access
are we so delighted with the dawn, the sunset, the to a calm haven – a sanctuary. Also to that other
song of the bird, the beauty of the flower? Every pole – a warm sociable heart. What is a home, a
being is nourished both physically and psychically workplace, or a town without these?
by other beings; nothing nourishes itself.’ Tranquillity – the embodiment of silence – is
Beyond air-cleaning and masking traffic, office deeply therapeutic. ‘True silence’ wrote William Pen
machinery and duct-borne noise, natural sounds three hundred years ago ‘is to the spirit what sleep
like water and moving leaves change the atmos- is to the body, nourishment and refreshment’. But
phere from the mechanical to the living. Quiet what is silence? Unchanging soundless environ-
havens allow you to rest and recover inner equi- ments are dead. There are places where absolute
librium. Even from the most harmonious workplace stillness is oppressive – others where it breathes
you need an occasional deep, quiet break. Even a peace into you. Why? A church can echo, but be
city centre office can find place for a sheltered sun- silent, whereas a carpeted hotel corridor, though
lit court and pool, roof garden, or vegetation- technically silent, may be just a rectilinear tube.
shrouded balcony. Even 10–15 minutes in a park, The more life in form and surface, the closer to nat-
especially lying on the ground, reduces stress. This ural source the materials, the more do quiet places
so raises productivity that some offices now incor- re-enliven; the more harsh, hard and life-lessly
porate roof-top ‘parks’.10 processed, the more they deaden. In this they
State of soul has a significant effect on health. manifest the spirit of their making – lifeless or life-
Beyond hormonal effects, stress can lead to filled. No wonder the living flicker of candle-light
courses of action – from smoking and speed-eating can quieten a room and make it welcoming where-
to aggressive driving – that invite illness or accident. as the flat hardness of fluorescent light makes it
Outer harmony supports inner harmony – a oppressively lifeless. Subtle as are such qualities,
foundation of both personal and social health. As they have significant effect.
234 Building to heal
In our age of split families, distant kin and mono- Tranquillity and warmth are also colour moods,
layered ‘communities’, loneliness is the bane of mod- for colour is deeply bound up with mood. Can you
ern life. If you live on your own, with no-one to talk imagine an ice blue hearth?11 Or a tranquil medi-
to, there’s no social environment to influence mood; tation space in reds and oranges?12
physical environment has a proportionately greater To Goethe, colour was that palette of mood-
effect. There is an acute distinction between cruelly beings that lie between the poles of light and
imprisoning silence and the reverentially peaceful, darkness – two converging streams: those that pro-
even though it may only be wall-texture, house-plants gressively densify light and those that en-lighten
or prism-refracted sunlight that makes the difference. matter. Is colour like this? If you look at wood-
At heart, a reverent atmosphere needs to be tranquil. smoke, it’s brown against the light – densifying light
And tranquillity needs qualities immune from frenetic – but blue with light behind you – when light illu-
activity, competition and suchlike assertive pressures; mines its particles. Looking at colour this way, it’s
qualities that stand outside time. easy to understand why warm yellow is joyous,
For places to have a timeless quality, buildings brown somber, and blue calm; and how there are
need to belong where placed, and the implied two balance meeting points in purplish blush and
movement, vital for life, brought to rest. How they green, one almost immaterial, the other matter-
fit into their setting, meet the ground and converse bound. In principle, colours that condense out of
with vegetation and the process by which we arrive light activate. Yellows more gaily, reds more
at them can make them seem imposed strangers – forcibly; red is the colour of sexual desire, also
with the latent instability of a mid-action photo- anger. The colours of matter infused by light are
graph – or ‘just right’ – at peace with themselves quieter: from dreamy, even soporific blue, to
and the world, and breathing that peace into us. tension-calming green.13
Intrusive ego-projection destroys this time- Does this mean you can paint your living-room
freed spaciousness. Unpretentiousness is essential green to soothe after a stressful day? I’ve done it
for tranquil places to grant you an inner spacious- – and soon felt sick, as everybody in the room had
ness. This is one reason why I stress the need for a green complexion from the reflected light. This
ego-transcendent communal design processes and just shows how inadequate is any formularistic
authenticity of form and materials. Unpreten- solution. There are so many factors involved that
tiousness, honesty, simplicity and silence can give it’s better to first use your eyes, both inner and
an inner expansive freedom that makes rooms seem outer, and only then use ‘outer’ knowledge to under-
larger than they are. stand what’s happening and how to work with it.
Healthy life spans many moods and situations; Colour, of course can be used to manipulate mood
it includes joy and vitality, sociability, challenge and and behaviour. The borderline between mood-
fulfillment as well as peace. We need both the out- support and manipulation is a delicate one, but as
ward, social, and inward, personal. This polarity trust and growth are central to healing, honesty and
has a warmth-coldness dimension, relevant to every freedom are essential.
sense. Acoustically, tactily, in colour or whatever, One important aspect of using colours to support
places can be welcoming or repelling, socially relax- mood is change. For someone out of balance, a pro-
ing or thought clarifying. Part of the psychology of longed one-sided experience can be therapeutic,
warmth is protection. This implies enclosure. but normally we need to be able to move, or at least
Places formed to shut out the cold can concentrate look, from one colour mood to another – just as we
social life. Hearth-side and outdoor sun-trap do different things throughout the course of a day.
cafes, cozy and heartwarming, do this. Social vital-
ity is warm, interactive and communal. Doors, win-
Places to nourish the spirit
dows, activities and spatial gestures which open
towards one another, and interweaving activities, Places nourishing to body, life energies and feelings
enhance the social mood. Spaces complex enough are good to be in, but don’t necessarily heal. To
to be alive, but not dominatingly so, enliven it. heal, buried disharmonies must also be addressed
Warm materials give it warmth. – and inner harmony cultivated. Unlike animals, we
Healing by design 235
are individualities on personal journeys through prisons, a cloister walk can become like repeating
life. These journeys give the opportunity to grow a catechism. Places we continually choose to revis-
inwardly. The defences we employ to survive life’s it become anchoring frameworks within which we
pressures, however, take their price in establishing live our temporal lives – rooting support in a chang-
habits, rigidity, restricted viewpoint and so on. ing world, fundamental to inner stability.
These can grow into unconscious blocks to our
inner development, blinkering our openness to the
Healing as process
world, entrenching our fixed positions and
obstructing inner change so that sometimes the Healing is a process, focus shifting from one level-
only way out is to become ill. of-being to the next with each stage. In the case of
Waking life is bound up with activity. To be in illness, physical deterioration is arrested only by
harmony within ourselves, we need to be in the self-healing. This requires life-energy – which sur-
right state for the activity we’re undertaking. It’s roundings can support. Recovery depends on the
not just a matter of being in beautiful surroundings will – soul forces. We have to want to get better.
– a directors’ boardroom, shop or crèche need dif- Attractive and harmonious surroundings help de-
ferent atmospheres. stress us. Central to healing is inner change to
For different activities in daily life, different restore balance at the deepest level. Surroundings
moods and ‘states of being’ are appropriate. These can help trigger and support this. Beauty is an
aren’t different sides of an individual’s character, unfashionable, emotionally laden and subjectively
but different aspects which are drawn out by outer interpreted word but to be surrounded by it can be
circumstances. If state-of-being isn’t appropriate to a transforming experience; you’re never again quite
circumstances, even the smallest matters – or most the person you were. Even at non-transcendental
beautiful of places – can be stressful. A first require- levels, such surroundings allow you to put aside at
ment of places, therefore, is to match mood and least some of the burden of defences against the
state-of-being to those activities that go on there. world and feel inwardly free. What a relief! What
Sooner or later we leave one activity and state- therapy! These qualities abound in the natural
of-being behind and enter into another. This world, from fly’s wing to sunset. As we no longer
requires a physical journey – going to another look with the open wonder of children, buildings
room. Also an inner journey – a preparatory jour- can focus attention by framing sky views, flowers,
ney. Corridors, lobbies, stairs, handrails, everyday landscape and so on. Looking at something, how-
elements of every sort, are the vocabulary of these ever, isn’t the same as being in it. Most places today
journeys. The extent to which they support or are not God-given. They are made. They have, at
diminish this inner journey can be glimpsed if you least in part, been formed by human will, by art.
compare a palatial curved stairway to a lift; an insti- Unlike composition, or even harmony, art is
tutional corridor to a cloister. beyond rules. It takes struggle to achieve. And any-
Looking at even the most ordinary of everyday one who undertakes this struggle, with all the sin-
journeys as serving an inner preparatory function, gle-minded dedication it demands, is an artist. For
casts new light on everything we experience from art is much more than latent ability – and nothing
door handle to footfall echo. Why else did houses to do with fashion or style. This effort is a gift of
traditionally have door-steps and dark passage human spirit – and selfless giving is an act of love
entrances; mansions impressive gates, tree avenues, which shines from the finished product. When
sweeping stairs and oversize entry doors? Even places are built and maintained with care and love,
simple country churches have churchyard gates, we who inhabit them later can still feel this, and
dark, quiet porches and heavy, iron latched doors. be nourished by it.
How would it be to enter one through a light hard- Such input can’t be specified, written into a
board (masonite) door with plastic handles? checklist. Indeed, only in part can it even be
Many of these journeys are repeated daily. designed, for its source is the heart. It must be
Whereas smooth textures, hard geometries and made, and made with total involvement. This begs
hard light can turn rooms into boxes, houses into the whole question of whether the conventional
236 Building to heal
ter and ecological harmony to connect us with the Indeed, the process by which our world has been
rhythms, processes and life of nature. They must formed, is one in which the inhospitable, toxic and
nourish our feeling life through harmony and radioactive ‘primal soup’ has been continually mod-
delight for all our senses. And they must embody ified to make it more and more habitable for a wider
messages of value, support for self-esteem. The and wider diversity of species. All levels of life in
more participatory are processes of forming, nature, including the human, were active in this
changing and caring for places, the stronger will process. In response to the interweaving forces of
these be. Above all, and directly resulting from nature, we have been co-shapers of our world, mod-
these, they must be places of beauty. erating extremes, harmonizing polarities and
Places so made imbue matter with spirit enhancing both productiveness and beauty.
meaning. This alone can justify the environmental The power of modern technology, the orches-
costs which all building, even the most eco- tration of will by distant, locality-alienated,
friendly, carries. Striving to do things this way finance, is increasingly transforming this given and
moves us beyond mere sustainability concerns – co-shaped world into a made one. From pole to
they become too integrated to separate out – to sus- pole, no part of the planet, not even climate,
tenance. Actions dedicated to human healing have remains untouched by human actions. Mostly,
influence on wider issues – healing our environ- however these run counter to the harmony-build-
ment as well as ourselves. ing processes of unconscious nature. In contrast to
the vernacular era when ecological harmony,
ingrained by the habits of generations, was a pre-
Sanctifying the everyday requisite for survival, our abilities, expectations and
daily experience of overcoming natural limits sep-
Refinding everyday sacredness
arate us from the currents of nature. We live in
We have inherited a given world – many believe communities unrelated to local carrying capacity,
God-given. A world of unimaginable diversity and turn night into day, winter into summer, travel
beauty. But it’s not, and never has been, a static faster than any living thing, communicate around
world. Its form is continually modified by elemen- the globe, faster than the earth’s shadow. Nor do
tal forces: water, wind and thermal, geological and we often experience uncontrived nature, see our
gravitational forces. Its surface is covered by living food grow or what happens to our wastes, nor even
vegetation – the equivalent of the Chinese fifth ele- notice the absence of the link between these.
ment. This also is a shaper of both landscape and However savage and survival-tenuous was the
underlying earth. God-given world our ancestors inherited, it was, at
The forms that result, whether enduring, like every scale, sustainable, harmonious and beautiful.
mountains; shifting, like sand-dunes; developing, But not the world we’re making. Little that we
like trees; or ever-changing, like waves, are the make, places we shape, these days is sustainable,
inevitable consequence of these forces – and the liv- harmonious or beautiful. This isn’t a chosen path
ing complexity of their interactions. Such landforms – just the consequence of other priorities, other val-
have an anchoring integrity no man-shaped form ues. It’s not the inevitable consequence of human
can achieve. Laudable as is reclamation of despoiled- action. And it’s not so hard to reverse.
landscape, and gracious as are the composed views How can we create places so meaningfully
of eighteenth-century English landscape gardeners, shaped that they inevitably feel in harmony with
they’re rarely multi-dimensionally whole. Likewise, their surroundings? Places so linked into the liv-
only vegetation well-matched to soils, climate and ing ecology around them that they root, enliven,
animal population will survive unaided. The inter- nurture and inspire those who live in them?
specieal communities of plants, animals and Natural forces, particularly climate, have
human communities that have endured over cen- shaped outlook, religion, society, culture, economy,
turies, if not millennia, are symbiotically matched to language and buildings, the world over. Like most
location and to each other. They have (or had) an people before they’ve worked on themselves, most
inevitable harmony. climates – especially of man-made places – are ele-
238 Building to heal
mentally one-sided. But we’re beings for whom bal- The processes I describe require us to put aside
ance is central to health. We have solid bodies but any rigid professional ‘shells’ and cast ourselves
watery life-processes. We breathe, speak and into the unknown, the form-free ‘chaos’ into which
socially expand, yet are dependent on constant impulses from the not-yet-materialized, the world
warmth to keep alive, and inspiration and motiva- of formative forces, can imprint themselves. Just as
tion to live. Surroundings that manifest rooting we dissolve in the chaos of orgasm to facilitate con-
durability, are shaped by living processes into fluid ception, this allows the spiritual world to find form
forms, breathe the freedom of space and air, and in matter, what wants to be to become what is.
are enlightened and enlivened by light, en-social- Fortunately, not everything called ‘ideas’ comes
ized by warmth, support this wholeness and help from individual ‘creativity’. Many people, in fact,
re-balance us. are already on the listening, trans-individual,
Places, like communities, can’t be created in- path. In every profession these days, there’s been
stantly – they evolve. They’re process-formed, a major shift from all-knowing expert to facilitator
bound to the flow of time. We can enjoy a place, who listens to others needs and helps these find
but only by taking part in its processes can we appropriate form. The trouble is that any process
meaningfully connect to it. These processes that involves and empowers all on an equal foot-
include localized cycles of substance, the progres- ing takes time. It’s much easier to just expect the
sion of the seasons, and its evolving biography. expert to serve up ideas to evaluate, accept or dis-
These lead us towards ecological building; card.
seasonal responsiveness and listening design. This brings us to buildings – what are they for?
But how can human development of places have Climate protection, security and privacy don’t ade-
an appropriateness and harmonious balance com- quately describe why we build houses to become
parable to natural development? Fundamental to homes. With but slight modifications a bunker or
knowing a place, formed as it has been by the past, warehouse could fulfill those requirements. We
is understanding what makes it, what has made it, build buildings to house activities – and whether
how it is; how we relate to it and what underlies we choose it or not, a spirit presence grows up out
it – its ‘spirit-of-place’. of these. We can’t design spirit into places, but we
The process-based methods I’ve described can design places to nurture the soul. These affect
enable design to condense out of listening to that how we use and feel in places and value them and
which is waiting to happen, to what the place is each other – the foundation from which spirit-of-
asking for. In so doing, we marry the currents from places grows.
the future with those from the past, and synthesize Most places, buildings and rooms are designed
ecological responsibility and nurturing art. for particular tasks but unless we’re in ‘the right
mood for the job’ work, or anything else, is stress-
ful. An important function of design is to support
moods appropriate to these activities. There’s never
Design for the twenty-first century
one ‘right’ design – some places need to be stimu-
As I’ve described, the way I work isn’t through lating, others peacefully harmonious, some warm
ideas. There’s a basic distinction between ideas and and sociable, others cool and tranquil; some need
processes. Ideas are inherently formed, albeit pre- to expand our attention outwards, others focus it
liminarily so, while processes are essentially fluid. towards an interior, protected hearth. The list is
Ideas, by definition, spring from individuals and so endless. Mostly we need places embodying sever-
originate outside a situation. The ideas-method, al qualities to nourish us in the varied circum-
therefore, tries out proposals, discarding, modify- stances of life.
ing and re-presenting them. Through process a Neither life nor places are balanced if their qual-
group can learn to inwardly know a place, clarify ities are too polarized. Extreme polarities make for
motives and directions and let proposals condense extreme consequences. It’s thermal extremes that
into a concordance between the needs of place, breed hurricanes (the more so, the less forest there
people and situation. is to moderate them), privilege extremes that breed
Healing by design 239
may not tread. This was also a symbolic journey: Preparatory journeys – even using the most
death-experience leading to spiritual initiation, everyday palette: from floor-surfaces to lighting,
then bringing this redemption back to earth by weather-exposure to warmth – can spiritualize the
gathering with neighbours for after-church gossip. secular in a wide range of situations. They can con-
secrate space by the attitude you bring with you,
every time you walk them.
So, if shaped with reverence, can the destina-
tions themselves. Apart from more obvious build-
ings like churches, shrines and crematoria, there
are many everyday situations with underlying
sacred function. Bedrooms, for example, are
where we start and close each waking day, indeed
start, create and leave our earthly life. Formerly
prayed in nightly, they’re gateways to the spiritual
world. Gentle light, harmonious forms and
colours and both visual and acoustic quiet can help
them develop a shrine-like atmosphere.
The messages places speak grow from the values
imprinted into them at several levels: why and how
they were conceived, planned, financed, built, used
and cared for. Central to this are how places are
designed and – especially – built. This brings up
issues of employer-employee relations, contract
arrangements and so on. Any accomplished
craftsperson will agree (if only in private) that work
isn’t just duty or ‘bread-winning’ – we must pour
love into it. By this means even the most unlikely
places gain new life and radiate healing impulse.
Volunteer projects have a tremendous advantage
here. The principle of gift – which, by definition,
can only be given in freedom – is imprinted into
building substance, which in turn, radiates these
forces upon us. Even more so if imprinted by the
human hand, for this is connected to the heart –
we engage our feelings to the things we make. Not
to do so is to wither inwardly.
We don’t normally think of work as sacred, how-
ever Protestant our ethic. Yet to Kahlil Gibran
‘Work is love made visible’. We can also describe
I didn’t design the rocks in this chapel. They were an it as commitment to spiritual task in the earthly
accident. Responding to an urgent summons to site, I realm of matter. This approach leads us to find a
found the excavator driver apologetic; he couldn’t
budge them, so suggested dynamite. But dynamite is potential for beauty and imprinted love in the most
an imprecise art and the adjoining retreat centre was pragmatic of situations – from food production to
all-but complete. It could be costly! As importantly, sewage treatment, air-cleaning to car- parking. For
should we found house of peace on an explosion? should not everything we do be infused with the
Much deliberation – till someone suggested we leave sacred?
them there. So little did the design need altering, I
began to wonder whether their presence was an acci- There is so much potential for architecture to
dent. Or perhaps listening to places lets us hear things heal and enrich humanity. Indeed, if architecture
we couldn’t anticipate on our own? isn’t about such spirit functionalism what is it
Healing by design 241
about? Unless it condenses out of living process, bilities. Nor are we dominators – for when we dom-
lovingly responsive to place, people and situation, inate, we damage. Environmental, social or psy-
how can it be relevant? If it doesn’t manifest chological damage is inevitable if you push ideas
integrity in its response to form giving forces, how onto things that didn’t ask for them. And the envi-
can we connect with it? If it doesn’t nourish the ronment that we’ve damaged, damages us in turn.
spirit with beauty, sanctifying the everyday, what Co-shaping demands listening to what is, but also
does it have to offer those whose lives it frames? inspiration. Inspiration to build, insofar as we are
And unless environmentally responsible, how can able, ‘as in Heaven, so on Earth’.
it be relevant, honest and nourishing, except at
superficial levels?
‘As we bless the source of life
These are currents of goodness, truth and beauty.
so are we blessed’
They give us both inspiration and means to
make a world of consciously chosen values. The Book of Blessings;
Indeed, we can seek to build a better world than Marcia Falk; Harper, San Francisco, 1996
that we’ve inherited – for to the integrity, ecologi-
cal harmony, health and beauty of natural forma-
tive forces we can add loving intention.
Notes
Nowadays, we’re no longer given a wonderful
world: harmonious, sustainable, beautiful. We
1 To be technical, these processes are,
have to make it. And make it practical and respectively, called anabolic and catabolic.
meaningful, for beauty without practicality is 2 In clinical situations however it may be
rootless; and practicality without beauty, matter- necessary to enhance one or another.
bound and lifeless. To restore our damaged 3 Adapted from Anthropophical Medicine:
environment may seem hopelessly daunting, and Dr Michael Evans and Iain Rodger, Thorsons,
any individual action insignificantly small. But 1992.
every action, large or small, alters things, even 4 Advances.
if only a little. And even small alterations initiate, 5 Roslyn Lindholm, op. cit.
further or deflect processes. Hence the importance 6 Averaging 7.9 days for patients with tree view,
8.7 days for brick wall view. Research by Roger
of process-based design. Whereas idea-based
Ulrich at Pennsylvania Hospital in 1984.
design tends to impose ‘shock lumps’, obstacles to
7 Donald C. McKahan, Ensouling Healthcare
flow, process-based design is carried by this flow Facilities, Lennon Associates, Del Mar,
of life, by forces already at work, so any action is California, 1994.
magnified in its beneficial effect. Hence the 8 Identified in a 1000-person survey. Anita Rui
importance of developing awareness of the Olds.
elemental, cyclic and unfolding forces of life, and 9 Earth community, op. cit.
their workings at ecological, social, cultural 10 Clare Cooper-Marcus, lecture, op. cit.
and economic levels. 11 In the days sterile industrial-image kitchens
Working with processes that build layer upon were popular, a major British stove
layer, we can recognize not just the life, soul and manufacturer produced ice-blue stoves. But
only briefly!
essence behind substantive material, but that
12 There can of course be warm blues, cool reds
every action has effects at all levels. Consciousness
and earthbound oranges but to draw out these
of the wholeness of situations makes them less qualities takes great sensitivity.
daunting as we can now see the small, accessible 13 More details of how colours work on the soul
steps. are in Places of the Soul. Thorsons/Harper
Ultimately we are co-shapers of our world. Not Collins, London, 1990 and Architectural Press,
victims – for, apart from the hopelessness of such Oxford, 2003.
a state, we’d be abdicating our human responsi- 14 Now ING Bank, near Amsterdam.
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PA R T F O U R …
A new beginning
It and us
I
magine a world weaving between elements and breathing between
extremes, fluidly alive. A world unlike the past, neither struggling
against, nor exploiting nature, but a world where mankind and
nature, thought and life, benefit each other. A world, in wisdom like the
past, but conscious with new understanding.
Imagine a world where new imaginations need not force assertively,
but build on that already there. A world with human action so aligned
to extant forces, natural and social, that new fits seamlessly with old.
A world whose underlying pressures are orchestrated by ideals-fed
inspiration, and shaped for benefit to all.
Imagine a world continuously formed and modified by living processes,
natural and social, thought-organized and life-energetic, matched to
archetypal soul-needs and needs of situation. A world as beautiful as it
is practical.
Imagine, not an unworldly, utopian heaven, nor a spiritless, matter-
bound earth, but a world of enspirited matter, spirit grounded in
practical, everyday reality. A socially inclusive, nature respectful world.
A healing world.