Chronic Traumatic Encephalopathy and the Built Environment

Main Article Content

Published Jan 24, 2020
Issue Vol 3 No 1 (2020)
Section Articles
Article downloads 192

Dak Kopec Kendall Marsh

Abstract

Traumatic Brain Injuries (TBIs) are often connected to the development of Chronic Traumatic Encephalopathy (CTE), a degenerative brain disease commonly found in athletes, military veterans, and others that have a history of repetitive brain trauma. This formative exploratory study looked at person-centred design techniques for a person with CTE. The person-centred design method used for this study was based on a two-tiered reductionist approach; the first tier was to identify common symptoms and concerns associated with CTE from the literature. This information provided specific symptoms that were addressed through brainstorming ideations. Each singular ideation accommodated the singular, or small cluster of symptoms, that affected a person with CTE in a residential environment. This method of understanding a health condition through its symptoms, and then designing for those symptoms can extend the practice of interior design by providing probable solutions to specific health symptoms, thereby including designers into the healthcare team. Commonly identified behavioural and physical symptoms of CTE served as the factors of analysis and thus a variable of design. The health condition symptoms became the variables of design, and each symptom was assessed through additional data obtained from the literature for environmental causality, mitigation, or accommodation. Once the outcomes were determined, each design implication was assessed for its relationship to specific design actions.

Keywords: person-centred design, Traumatic Brain Injuries (TBIs), Chronic Traumatic Encephalopathy (CTE), residential design

Article Details

How to Cite
Kopec, D., & Marsh, K. (2020). Chronic Traumatic Encephalopathy and the Built Environment. Interiority, 3(1), 97-116. https://doi.org/10.7454/in.v3i1.71
Author Biographies

Dak Kopec, University of Nevada, Las Vegas, USA

Dak Kopec holds a Ph.D. in Environmental Psychology, master’s degrees in Community Psychology and Architecture, and a bachelor’s degree in health sciences. He has published five books pertaining to person-centred design: Environmental Psychology for Design is considered a seminal publication and is in its third edition. He served two appointed terms as Fulbright reviewer, and is two-time recipient of the Joel Polsky Prize. He has been invited to Costa Rica and Qatar to discuss health and wellbeing, and to Taiwan to discuss future trends toward health and wellbeing in design.

Kendall Marsh, University of Nevada, Las Vegas, USA

Kendall Marsh, a native of California, earned her bachelor’s degree in Interior Design at the Art Institute of California – Inland Empire. She contributed to a wide range of projects and gained valuable knowledge of the industry working alongside experienced architects and small business owners for more than five years before relocating to Nevada to pursue her master’s degree. As a graduate student in the Healthcare Interior Design program at the University of Nevada, Las Vegas, she presented at the Inaugural International Nursing Conference for Excellence in Healthcare Design at the Clemson School of Nursing in South Carolina. Kendall continually strives to learn and create innovative environments that positively impact health and wellbeing.

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References

ADA National Network. (2019). ADA: Findings, purpose, and history. Retrieved from https://www.adaanniversary.org/findings_purpose

American Academy of Orthopedic Surgeons. (2014, March 14). Significant head, neck injury risk associated with extreme sports. ScienceDaily. Retrieved from http://www.sciencedaily.com/releases/2014/03/140314093733.htm

American Speech, Language, and Hearing Association (n.d.). Traumatic Brain Injuries in Adults. Retrieved from http://www.asha.org/PRPSpecificTopic.aspx?folderid=8589935337&section=Incidence_and_Prevalence

Blennow, K., Brody, D. L., Kochanek, P. M., Levin, H., McKee, A., Ribbers, G. M., Yaffe, K., & Zetterberg, H. (2016). Traumatic brain injuries. Nature Reviews Disease Primers 2, 16084. https://doi.org/10.1038/nrdp.2016.84

Centre for Excellence in Universal Design (2014). The 7 Principles. Retrieved from http://universaldesign.ie/What-is-Universal-Design/The-7-Principles/#p1

Deng, H., Yue, J. K., Winkler, E. A., Dhall, S. S., Manley, G. T., & Tarapore, P. E. (2019). Adult firearm-related traumatic brain injury in United States trauma centers. Journal of Neurotrauma, 36(2), 322-337. https://doi.org/10.1089/neu.2017.5591

Dewan, M. C., Rattani, A., Gupta, S., Baticulon, R. E., Hung, Y. C., Punchak, M., Agrawal, A., Adeleye, A. O., Shrime, M. G., Rubiano, A. M., Rosenfeld, J. V., & Park, K. B. (2018). Estimating the global incidence of traumatic brain injury. Journal of Neurosurgery, 130(4), 1039–1408.

Deziel, C. (2018, April 23). Which colors reflect more light? Sciencing. Retrieved from: https://sciencing.com/colors-reflect-light-8398645.html.

Filer, W., & Harris, M. (2015). Falls and traumatic brain injury among older adults. North Carolina Medical Journal, 76(2), 111–114. https://doi.org/10.18043/ncm.76.2.111

Friedman, D.I., & De Ver Dye, T. (2009). Migraine and the environment. Headache: Journal of Head and Face Pain, 49(6), 941–952. https://doi.org/10.1111/j.1526-4610.2009.01443.x

Harvey, L. (2012). Social research glossary. Retrieved from https://www.qualityresearchinternational.com/socialresearch/positivism.htm.

Jernigan, R., Johnston, C., McAlister, B., & Lin, H. (2015). Design for active aging. Gensler Research Institute: Research & Insight. Retrieved from https://www.gensler.com/research-insight/gensler-research-institute/design-for-active-aging

Kaplan, R., & Kaplan, S. (1989). The experience of nature: A psychological perspective. Cambridge, England: Cambridge University Press.

Knox, N. (2015). What is WELL? Retrieved from https://www.usgbc.org/articles/what-well

Kopec, D. (2018). Environmental psychology for design (3rd ed.). New York: Bloomsbury Press.

Kopec, D., & Harte, J. D. (2019). Design as the missing variable in trauma-informed schools. In R. Rosen (Ed.), Supporting and educating traumatized students: A guide for school-based professionals (2nd ed.). Oxford: Oxford University Press.

Leifer, L., & Meinel, C. M. (2016). Design thinking becomes foundational. In H. Plattner, C. Meinel, & L. Leifer (Eds.), Design thinking research: Making design thinking foundational (pp. 1–4). New York: Springer.

Li, D., and Sullivan, W.C. (2016). Impact of views to school landscapes on recovery from stress and mental fatigue. Landscape and Urban Panning, 148, 149–158. https://doi.org/10.1016/j.landurbplan.2015.12.015

Mace, R. (2019). What is "Universal Design?" Retrieved from https://universaldesign.org/definition

McKee, A. C., Stein, T. D., Kiernan, P. T., & Alvarez, V. E. (2015). The neuropathology of chronic traumatic encephalopathy. Brain Pathology, 25(3), 350–364. https://doi.org/10.1016/B978-0-444-63954-7.00028-8

National Institutes of Health: National Institute of Aging (2017, May 1). Aging in place: Growing older at home. Retrieved from: https://www.nia.nih.gov/health/aging-place-growing-older-home

Ohly, H., White, M. P., Wheeler, B. W., Bethel, A., Ukoumunne, O. C., Nikolaou, V., & Garside, R. (2016). Attention Restoration Theory: A systematic review of the attention restoration potential of exposure to natural environments. Journal of Toxicology and Environmental Health, Part B, 19(7), 305–343. https://doi.org/10.1080/10937404.2016.1196155

Patel, D., Sharma, K., Chauhan, C. S., Jadon, G., & Diwaker, A. (2013). An Overview - Chronic traumatic encephalopathy (CTE). International Journal of Advanced Research in Pharmaceuticals and Bio Sciences, 3(3), 73–83.

Reed-Guy, L. (2018, April 9). Head injury. Retrieved from: https://www.healthline.com/health/head-injury

Reiner, M., Rozengurt, R., & Barnea, A. (2014). Better than sleep: Theta neurofeedback training accelerates memory consolidation. Biological Psychology, 95, 45–53. https://10.1016/j.biopsycho.2013.10.010

Risdall, J. E., & Menon, D. K. (2011). Traumatic brain injury. Philosophical Transactions of the Royal Society B: Biological Sciences, 366(1562), 241–250. https://doi.org/10.1098/rstb.2010.0230

Sánchez-Tena, M. A., Alvarez-Peregrina C., Valbuena-Iglesias M. C., & Palomera, P. R. (2018). Optical illusions and spatial disorientation in aviation pilots. Journal of Medical Systems, 42(5), 79. 10.1007/s10916-018-0935-4

Smith, D. H., Johnson, V. E., Trojanowski, J. Q., & Stewart, W. (2019). Chronic traumatic encephalopathy: Confusion and controversies. Nature Reviews Neurology, 15, 179–183. https://doi.org/10.1038/s41582-018-0114-8

Taylor, A. F., & Kuo, F. E. M. (2011). Could exposure to everyday green spaces help treat ADHD? Evidence from children’s play settings. Applied Psychology: Health Well-Being, 3(3), 281–303. https://doi.org/10.1111/j.1758-0854.2011.01052.x

Turner, R. C., Lucke-Wold, B. P., Robson, M. J., Lee, J. M., & Bailes, J. E. (2016). Alzheimer’s disease and chronic traumatic encephalopathy: distinct but possibly overlapping disease entities. Brain Injury, 30(11), 1279–1292. https://doi.org/10.1080/02699052.2016.1193631

Vynorius, K. C., Paquin, A. M., & Seichepine, D. R. (2016). Lifetime multiple mild traumatic brain injuries are associated with cognitive and mood symptoms in young healthy college students. Frontiers in Neurology, 7(3), 188. https:// 10.3389/fneur.2016.00188

Wiglesworth, S., & Farnworth, L. (2016). An exploration of the use of a sensory room in a forensic mental health setting: Staff and patient perspectives. Occupational Therapy and Criminal Justice, 23(3), 255–264. https://doi.org/10.1002/oti.1428

Williams, J. D., & Gruzelier, J. H. (2001). Differentiation of hypnosis and relaxation by analysis of narrow band theta and alpha frequencies. International Journal of Clinical and Experimental Hypnosis, 49(3), 185–206. https://doi.org/10.1080/00207140108410070

Zetterberg, H., Winblad, B., Bernick. C., Yaffe, K., Majdan, M., Johansson, G., Newcombe, V., Nyberg, L., Sharp, D., Tenovuo, O., & Blennow, K. (2019). Head trauma in sports: Clinical characteristics, epidemiology and biomarkers. Journal of Internal Medicine, 285(6), 624–634. https://doi.org/10.1111/joim.12863