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Therapeutic landscapes, outdoor programs for veterans, and public lands

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  • Havlick, David G.
  • Cerveny, Lee K.
  • Derrien, Monika M.

Abstract

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

Suggested Citation

  • Havlick, David G. & Cerveny, Lee K. & Derrien, Monika M., 2021. "Therapeutic landscapes, outdoor programs for veterans, and public lands," Social Science & Medicine, Elsevier, vol. 268(C).
  • Handle: RePEc:eee:socmed:v:268:y:2021:i:c:s0277953620307590
    DOI: 10.1016/j.socscimed.2020.113540
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    References listed on IDEAS

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    1. Williams, Allison, 2002. "Changing geographies of care: employing the concept of therapeutic landscapes as a framework in examining home space," Social Science & Medicine, Elsevier, vol. 55(1), pages 141-154, July.
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    4. Sarah L. Bell & Benedict W. Wheeler & Cassandra Phoenix, 2017. "Using Geonarratives to Explore the Diverse Temporalities of Therapeutic Landscapes: Perspectives from “Green” and “Blue” Settings," Annals of the American Association of Geographers, Taylor & Francis Journals, vol. 107(1), pages 93-108, January.
    5. Gesler, Wilbert M., 1992. "Therapeutic landscapes: Medical issues in light of the new cultural geography," Social Science & Medicine, Elsevier, vol. 34(7), pages 735-746, April.
    6. Bell, Sarah L. & Foley, Ronan & Houghton, Frank & Maddrell, Avril & Williams, Allison M., 2018. "From therapeutic landscapes to healthy spaces, places and practices: A scoping review," Social Science & Medicine, Elsevier, vol. 196(C), pages 123-130.
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    1. Milligan, Christine & Chalfont, Garuth & Kaley, Alex & Lobban, Fiona, 2021. "Wilderness as therapeutic landscape in later life: Towards an understanding of place-based mechanisms for wellbeing through nature-adventure activity," Social Science & Medicine, Elsevier, vol. 289(C).

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