The journey of recovery and empowerment embraced by nature — clients’ perspectives on nature-based rehabilitation in relation to the role of the natural environment
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This paper presents findings from real life situations, a longitudinal single case study on the role of natural environments in nature-based rehabilitation (NBR) for individuals with stress-related mental disorders, at the Alnarp Rehabilitation Garden in Sweden. A sample of 43 former clients voluntarily participated in semi-structured interview, and the data were analyzed according to interpretative phenomenological analysis (IPA). Three main superordinate themes were identified as the three phases of NBR—Prelude, Recuperating and Empowerment—explaining and illuminating the role of the natural environments in each phase. An explanatory model of NBR in this context is presented including the three phases of NBR, IRP supportive occupations and a pyramid of supporting environments. A new component of supportive environments was identified and herby named, Social quietness, an important component facilitating personal and intimate engagement with the natural environments.
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Individuals with insecure attachments may experience good consolation by companion animals and/or places in nature, since they do not have any memories of inconstant and insecure emotional attachment to these objects.
“In fact, individuals with insecure attachments may experience good consolation by companion animals and/or places in nature, since they do not have any memories of inconstant and insecure emotional attachment to these objects (Grahn et al., 2010; Sahlin et al., 2012; Pálsdóttir et al., 2014).”
From The Oxytocinergic System as a Mediator of Anti-stress and Instorative Effects Induced by Nature: The Calm and Connection Theory (2021) · cites this paper as Pálsdóttir et al., 2014
The Results (§3.2, page unavailable) describe participants finding comfort and emotional support in the garden and other natural places. The paper does not establish that these participants had insecure attachments, discuss consolation from companion animals, or give the claimed explanation about memories of inconsistent attachment. (LLM, conf=0.86)
Experimental — accuracy not yet measuredExperiences from nature-based interventions, such as in Alnarp Rehabilitation Garden, show that it is important that participants experience security and calmness.
“Experiences from nature-based interventions, such as in Alnarp Rehabilitation Garden, show that it is important that participants experience security and calmness (Sahlin et al., 2012; Pálsdóttir et al., 2014).”
From The Oxytocinergic System as a Mediator of Anti-stress and Instorative Effects Induced by Nature: The Calm and Connection Theory (2021) · cites this paper as Pálsdóttir et al., 2014
In nature-based therapy in Alnarp Rehabilitation Garden, participants initially find it difficult to find a place, be able to take in and communicate with nature.
“It is a process where the participants in nature-based therapy in Alnarp Rehabilitation Garden initially find it difficult to find a place, be able to take in and, even less, be able to communicate with nature (Sahlin et al., 2012; Pálsdóttir et al., 2014).”
From The Oxytocinergic System as a Mediator of Anti-stress and Instorative Effects Induced by Nature: The Calm and Connection Theory (2021) · cites this paper as Pálsdóttir et al., 2014
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- Authors
- Pálsdóttir, A., Persson, D., Persson, B., & Grahn, P.
- Affiliations
- Swedish University of Agricultural Sciences (SE)
- Lund University (SE)
- Corresponding author
- Pálsdóttir, Anna
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2014-07-14
- Volume
- 11
- Issue
- 7
- Pages
- 7094-7115
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC4113863
- OpenAlex
- W2129731884
- Cited by
- 104
- References
- 49
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 13 · 2023: 8 · 2022: 12 · 2021: 18 · 2020: 6 · 2019: 4 · 2018: 5 · 2017: 11 · 2016: 5 · 2015: 2 · 2014: 2
- FWCI
- 4.38
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Epsilon Open Archive (Sveriges lantbruksuniversitet biblioteket (Swedish University of Agricultural Sciences)) (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Lund University Publications (Lund University) (submittedVersion, other-oa)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Urban Green Space and Health
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- nature-based rehabilitation, natural environment, stress-related disorders, customer perspective, empowerment, recovery, supportive environment, occupational therapy, explanatory models
- MeSH terms
- Adult, Mental Disorders, Environment, Female, Humans, Male, Middle Aged, Sweden, Nature
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