精神疾患患者における「場所の意味付け」及び「空間の認識プロセス」に関する考察: 段階的空間構成を持つ精神科病院の治療・療養環境に関する研究　その1

摘要

本報の考察において、病棟の空間構成、生活リズムや他の入院患者など様々な「外在的要素」が相互に作用し合いながら、患者自身の症状、在院目数などの「内在的要素」に影響を与え、最終的に患者個々の生活像が形成されている姿を捉えることが出来た。今回の調査を通して明らかになった空間利用の特徴を以下に記す。%The aim of this study is to make it clear how space recognition process of psychiatric patients develop and how patients give meaning to space through their use. Observation survey was carried out in a psychiatric hospital with space hierarchy. There are two types of patient ward in it, the one consists of all single bed rooms, the other has all four-bed rooms. Findings are as follows; 1. Type of patient room and disease have great impact on patients1 behavior. Schizophrenia patients in four-bed room and depression patients in single bed room use more semi-public space. Schizophrenia patients in single bed room for short stay and patients in four-bed room for a long time use more semi-private space. 2. It is revealed that space recognition process can be classified into three stages: learning stage in treatment period, understanding stage in trial and recovery period and establishing stage in rehabilitation period. Especially at the learning stage, staff involvement and activity program play an important role for patients to use space. 3. Patients regard public space as four specific types of their own: private space, part of patient room, buffer zone and urban area.