Landscape Design and Neuroscience Cooperation: Contributions to the Non-pharmacological Treatment of Alzheimer’s Disease

  • Rachel ZuanonEmail author
  • Barbara Alves Cardoso de Faria
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 10917)


Research studies on neuroplasticity suggest that architecture and design have the potential capacity to alter the brain structure and its functions. With regard to constructed healing spaces, the landscape design project acts as a key feature in clinics that treat patients with Alzheimer’s disease. The relationship between the patients and nature is essential because living in a green area has a number of positive effects such as the following: adjustment of the patients to their circadian rhythm; an increase in the production of Vitamin D; basic notions of time; better quality air and a wide range of stimuli. Thus the landscape and architectural features of a green environment play a key role in the sensorimotor and cognitive stimulation of the patients. Against this background, this paper seeks to investigate how there can be the collaboration between the area of landscaping and neuroscience, especially with regard to a comprehensive list of recommendations involving therapeutic design gardens, with a view to offering non-pharmacological treatment to patients suffering from Alzheimer’s disease. The 38 proposed recommendations that were set out, are based on a review of the literature and a research field carried out in the wards of a center for elderly people requiring care called ‘Recanto Monsenhor Albino’ [Monsignor Albino’s Rest Home], located in the town of Catanduva (Sao Paulo – Brazil). The main benefits that can be highlighted include the set of guidelines for the project, together with an analysis of therapeutic gardens and the quality of life and well being of the people in this environment.


Landscape design Neuroscience Alzheimer’s disease Non-pharmacological treatment Therapeutic gardens Guidelines on design 


  1. 1.
    Eberhard, J.: Neuroscience & Architecture of Health Care Facilities. In: 2nd Workshop Neuroscience & Architecture. Woods Hole, Massachusetts (2014)Google Scholar
  2. 2.
    Anthes, E.: Building around the mind. Sci. Am. Mind 20, 52–59 (2009)CrossRefGoogle Scholar
  3. 3.
    Ulrich, R.: Aesthetic and affective response to natural environment. Human Behavior and Environment, pp. 85–125. Plenum Press, New York (1983)Google Scholar
  4. 4.
    Ulrich, R., Simons, F., Losito, B., Fiorito, E., Miles, M., Zelson, M.: Stress recovery during exposure to nature and urban environments. J. Environ. Psychol. 11, 201–230 (1991)CrossRefGoogle Scholar
  5. 5.
    Ulrich, R.: How design impacts wellness. Healthc. Forum J. 30, 20–25 (1992)Google Scholar
  6. 6.
    Zeisel, J., Hyde, J., Levkoff, S.: Best practices: an environment behavior (EB) model for Alzheimer special care units. Am. J. Alzheimer’s Care Relat. Disord. Res. 9, 4–21 (1994)Google Scholar
  7. 7.
    Zeisel, J., Raia, P.: Nonpharmacological treatment for Alzheimer’s disease: a mind-brain approach. Am. J. Alzheimer’s Dis. Other Dement. 15, 331–340 (2000)CrossRefGoogle Scholar
  8. 8.
    Zeisel, J.: Inquiry by Design: Environment/Behavior/Neuroscience in Architecture, Interiors, Landscape, and Planning. W.W. Norton, New York (2006)Google Scholar
  9. 9.
    Zeisel, J.: Improving person-centered care through effective design. Gener. J. Am. Soc. Aging 37(3), 45–52 (2013)Google Scholar
  10. 10.
    Mallgrave, H.: The Architect’s Brain. Wiley, United Kingdom (2010)CrossRefGoogle Scholar
  11. 11.
    Zuanon, R.: Bio-Interfaces: designing wearable devices to organic interactions. In: Ursyn, A. (ed.) Biologically-Inspired Computing for the Arts: Scientific Data through Graphics, pp. 1–17. IGI Global, Hershey, Pennsylvania (2011)Google Scholar
  12. 12.
    Zuanon, R.: Designing wearable bio-interfaces: a transdisciplinary articulation between design and neuroscience. In: Stephanidis, C., Antona, M. (eds.) UAHCI 2013. LNCS, vol. 8009, pp. 689–699. Springer, Heidelberg (2013). Scholar
  13. 13.
    Zuanon, R.: Using BCI to play games with brain signals: an organic interaction process through NeuroBodyGame wearable computer. In: Huggins, J.E. (ed.) Fifth International Brain-Computer Interface Meeting 2013, 66th edn, p. 64. Graz University of Technology Publishing House, Austria (2013)Google Scholar
  14. 14.
    Zuanon, R.: Design-Neuroscience: Interactions between the Creative and Cognitive Processes of the Brain and Design. In: Kurosu, M. (ed.) HCI 2014. LNCS, vol. 8510, pp. 167–174. Springer, Cham (2014). Scholar
  15. 15.
    Lima Jr., G.C., Zuanon, R.: Fashion design and tactile perception: a teaching/learning methodology to enable visually handicapped people to identify textile structures. In: Streitz, N., Markopoulos, P. (eds.) DAPI 2016. LNCS, vol. 9749, pp. 233–244. Springer, Cham (2016). Scholar
  16. 16.
    Zuanon, R.: Game design and neuroscience cooperation in the challenge-based immersion in mobile devices as tablets and smartphones. In: Streitz, N., Markopoulos, P. (eds.) DAPI 2016. LNCS, vol. 9749, pp. 142–153. Springer, Cham (2016). Scholar
  17. 17.
    Lima Jr., G.C., Zuanon, R.: The foundation of the SEE BEYOND method: fashion design and neuroeducation applied to the teaching of the project methodology to students with congenital and acquired blindness. In: Streitz, N., Markopoulos, P. (eds.) DAPI 2017. LNCS, vol. 10291, pp. 528–546. Springer, Cham (2017). Scholar
  18. 18.
    Pallasmaa, J., Mallgrave, H., Arbib, M.: Architecture and Neroscience. Tapio Wirkkala - rut Bryk Foundation, Finland (2013)Google Scholar
  19. 19.
    Pallaasma, J.: Body, mind and imagination: the mental essence of architecture. In: Pallasmaa, J., Robinson, S., Farlling, M. (eds.) Mind in Architecture Neuroscience, Embodiment, and the Future of Design. MIT Press, Massachusetts (2015)Google Scholar
  20. 20.
    Farlling, M.: From intuition to immersion: architecture and neuroscience. In: Pallasmaa, J., Robinson, S., Farlling, M. (eds.) Mind in Architecture Neuroscience, Embodiment, and the Future of Design. MIT Press, Massachusetts (2015)Google Scholar
  21. 21.
    Robinson, S.: Nested bodies. In: Pallasmaa, J., Robinson, S., Farlling, M. (eds.) Mind in Architecture Neuroscience, Embodiment, and the Future of Design. MIT Press, Massachusetts (2015)Google Scholar
  22. 22.
    Lundy-Ekman, L.: Neurociência: fundamentos para reabilitação. Elsevier, Rio de Janeiro (2004)Google Scholar
  23. 23.
    Lent, R.: Neurociência da Mente e do Comportamento. Guanabara Koogan, Rio de Janeiro (2008)Google Scholar
  24. 24.
    Kaplan, R., Kaplan, S.: The Experience of Nature: A Psychological Perspective. Cambridge University Press, Cambridge (1989)Google Scholar
  25. 25.
    Wilson, O., Kellert, S.: Biophilia and the Conservation Ethic: The Biophilia Hypothesis. The Island Press, Washington DC (1993)Google Scholar
  26. 26.
    Grinde, B., Patil, G.: Biophilia: does visual contact with nature impact on health and well-being? Int. J. Environ. Res. Public Health 6, 2332–2343 (2009)CrossRefGoogle Scholar
  27. 27.
    Ulrich, S., Kellert, S., Edward, W.: Biophobia and Natural Landscapes in The Biophilia Hypothesis. The Island Press, Washington DC (1993)Google Scholar
  28. 28.
    Ulrich, S.: Effects of Gardens on Health Outcomes: Theory and Research. Wiley, New York (1999)Google Scholar
  29. 29.
    Marcus, C., Sachs, A.: Therapeutic Landscapes: An Evidence-Based Approach to Designing Healing Gardens and Restorative Outdoor Spaces. Wiley, Hoboken (2013)Google Scholar
  30. 30.
    Filho, J.: Paisagismo: elementos de composição e estética. Aprendefácil, Viçosa (2002)Google Scholar
  31. 31.
    Pappas, A.: Exploring therapeutic restoration theories of nature and their application for design recommendations for an Alzheimer’s garden at Wesley Woods Hospital. Master Thesis in Architecture, University Of Georgia, Athens (2006)Google Scholar
  32. 32.
    Gerlach-Springgs, N., Kaufman, R., Warner, S.: Restorative Gardens: The Healing Landscape. Yale University Press, New Haven (1998)Google Scholar
  33. 33.
    Olmsted, F.: Civilizing American cities: writings on city landscapes. Paperback, New York (1971)Google Scholar
  34. 34.
    Nightingale, F.: Notes on Nursing: What it is and What it is Not. Knopf, New York (1980)Google Scholar
  35. 35.
    Hernandez, R.: Effects of therapeutic gardens in special care units for people with Dementia. J. Hous. Elder. 21(1–2), 117–152 (2007)CrossRefGoogle Scholar
  36. 36.
    Garcia, J.M.: Clinica SeniorVit, Campinas. Presential interview held in August 2017 (2017)Google Scholar
  37. 37.
    Instituto Alzheimer Brasil.
  38. 38.
    Alzheimer’s Association.
  39. 39.
    Center for Disease Control and Prevention.
  40. 40.
    Associação Brasileira de Alzheimer.
  41. 41.
    Kuller, R.: Familiar design helps dementia patients cope. Design Intervention: Toward a more humane Architecture, pp. 255–267. Van Nostrand Reinhold, New York (1991)Google Scholar
  42. 42.
    Instituto Alzheimer Brasil.
  43. 43.
    Nitrini, R., Herrera, J., Carmelli, P.: Estudos epidemiológico populacional de demência na cidade de Catanduva, estado de São Paulo. Rev. Psiq. Clin. 25, 70–73 (2014)Google Scholar
  44. 44.
    Kaplan, R., Kaplan, S.: With People in Mind: Design and Management of Everyday Nature. Island Press, Washington DC (1998)Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Rachel Zuanon
    • 1
    Email author
  • Barbara Alves Cardoso de Faria
    • 1
  1. 1.Anhembi Morumbi UniversitySao PauloBrazil

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