Journal of Environmental Psychology (1998) 18, 85–94 0272-4944/98/010085+10$30·00/0
1998 Academic Press
Article No. ps980089
ENVIRONMENTAL
PSYCHOLOGY
Journal of
WHEN BUILDINGS DON’T WORK: THE ROLE OF ARCHITECTURE IN
HUMAN HEALTH
G
ARY
W. E
VANS AND
J
ANETTA
M
ITCHELL
M
C
C
OY
Cornell University, Ithaca, U.S.A.
Abstract
We spend upwards of 90% of our lives within buildings, yet we know much more about the effects of ambient
environmental conditions on human health than we do about how buildings affect our health. This article
employs the heuristic of psychological stress to generate a taxonomy of architectural dimensions that may
affect human health. Specific interior design elements illustrating each of these architectural dimensions are
provided. There is little existing evidence that specific design features directly impact human health. The aim
of this article is to provoke further thinking and research on this possibility.
1998 Academic Press
Introduction that stress significantly contributes to physical
health is well established (Cohen et al., 1995). Most
research on stress and ill health has focused on per-People spend more than 90% of their lives within
buildings. Yet we know much more about how ambi- sonal variables (e.g. Type A behavior) or social con-
ditions (e.g. social support) (Kiritz & Moos, 1974;ent environmental conditions affect human health
than we know about how the built environment Taylor, Repetti, & Seeman, 1997). With the excep-
tion of ambient environmental stressors such asinfluences health. There is very little direct evi-
dence that characteristics of the built environment noise, traffic, crowding, and air pollution (Evans, in
press; Evans & Cohen, 1987), very little attentioncan affect human health. The aim of this paper is to
provoke additional thinking and research on proper- has been paid to the potential role of the built
environment in human health. In the next sectionties of the built environment that can adversely
affect human health. A heuristic that may provide five architectural dimensions are defined and linked
to stress. For each dimension, ideas are presentedsome insight is the concept of stress (Saegert, 1976;
Zimring, 1982). about specific interior design elements that consti-
tute that particular dimension.Stress occurs when there is an imbalance of
environmental demands and human resources
(Evans & Cohen, 1987). This article develops a pre-
liminary taxonomy of design characteristics that Linking Architectural Dimensions to Stress
have the potential to challenge human adaptive
coping resources. We acknowledge that stress is a Stimulation
dynamic process that depends heavily upon individ-
ual coping resources. However, until we understand Stimulation describes the amount of information in
a setting or object that impinges upon the humanmore about how salient properties of typical, every-
day interiors challenge human coping capacities, user. Intensity, variety, complexity, mystery and
novelty are specific design qualities pertinent toour understanding of environment and human
health will remain incomplete. stimulation. Human beings function optimally with
moderate levels of stimulation. Lack of stimulationBelow we describe five dimensions of the designed
environment that potentially could affect human leads to boredom or, if extreme, sensory depri-
vation. Insufficient stimulation may also deprivehealth by altering stress levels. The proposition
86 G. W. Evans and J. Mitchell McCoy
F
IGURE
2. Mystery, the promise of further information, invites
the user to explore the scene further. Partially occluded spaces
and views, embedded spaces, and the suggestion of additional
interesting spaces foster mystery.
and orientation of an interior space directly influ-
ence stimulation levels. Adjacencies to sources of
F
IGURE
1. High levels of complexity created by variety and
stimulation and proximity to circulation paths can
intensity lead to an overabundance of stimulation. The sheer
diversity of elements and size of the space combine to overload
directly affect stimulation levels. Location in space
the senses. The space lacks any strong unifying theme or
and room shape can both affect visual
pattern.
exposure—the extent to which others can see a per-
son in a room (Archea, 1977). The visual and acous-
tic properties of barriers can obviously affect stimu-the human organism of practice in successfully
accommodating environmental challenges. Too lation levels in terms of the degree of shielding they
provide.much stimulation causes distraction and overload
which interfere with cognitive processes that People like small amounts of change but do not
adapt well to large amounts of variation. Thus, fam-demand effort or concentration. Overstimulation
makes it difficult to focus attention and interrupts iliarity and routine will influence reactions to
stimulation levels. Over time we gain coherenceongoing, planned action patterns (Wohlwill, 1974).
Levels of stimulation are influenced by properties with a setting but lose our sense of involvement and
interest since the challenges of exploration and dis-of interior settings such as intensity, complexity,
and novelty of stimulus characteristics. Loud noise, covery diminish (Kaplan & Kaplan, 1982). People
need enough complexity and mystery to providebright light, unusual or strong smells, and bright
colors, particularly at the red end of the spectrum, challenging opportunities so that meaningful prob-
lem solving can happen. Complexity refers to theall appear to increase stimulation (Berlyne, 1971;
Mehrabian & Russell, 1974). Crowding and inap- degree of variety and diversity in a setting. Mystery
indicates the promise of further information withpropriately close interpersonal distances increase
stimulation (Aiello, 1987; Baum & Paulus, 1987). continued exploration. Partial vistas, spaces that
are not fully comprehensible without exploration,Extremes of stimulus intensity and very complex or
incoherent patterns of stimulation are potentially and building layout configurations that portend but
not restrict what is ahead contribute to mystery.stress-inducing. A typical example of such an
environment is shown in Figure 1. Too much complexity or mystery makes interiors
confusing and unanalyzable; too little renders pre-Exposure to visual and acoustic stimulation is
strongly influenced by layout, circulation systems, diction trivial (Kaplan & Kaplan, 1982). This is
illustrated in Figure 2.and the individual’s location in space. The shape
87When Buildings Don’t Work: The Role of Architecture in Human Health
Coherence
Coherence refers to the clarity or comprehensibility
of building elements and form. Ambiguity, disor-
ganization, and disorientation are major impedi-
ments to coherence. Purposive actions require leg-
ible interiors. Coherence enables users to make
reasonable deductions about the identity, meaning
and location of objects and spaces inside of build-
ings. Coherence is inversely related to complexity
and directly related to the clarity of thematic or
underlying patterns of stimulation. Multiple, repeti-
tive features, underlying expression of rules, and
thematic continuity, all contribute positively to
coherence (Lynch, 1960; Kaplan & Kaplan, 1982).
Stress can occur when changes or disruptions in
physical surroundings make prediction difficult.
Incoherence can also arise from disorganization
where it is difficult to discern the underlying form
or pattern of spaces. Incoherence is also caused by
mixed or ambiguous cues about prescripted
behaviors in a setting (e.g. what behaviors are
appropriate). Barriers that are nonsynchronous
with behavior setting functional boundaries elevate
incoherence plus increase the potential for misfit
F
IGURE
3. This space is incoherent for several reasons: too much
between organizational objectives and design
information in the signage; the space is homogeneous; it is hard
to formulate a mental map of the overall plan or configuration of
(Bechtel, 1976). Conflicting information from adjac-
the space; comprehending one’s location in the building is
ent design elements or abrupt shifts in size, color,
difficult.
texture, or stimulation levels can heighten stress.
Highly ambiguous spaces may cause stress because
people cannot make sense out of them—their mean- Affordances
ing, function, or even their basic form and compo-
sition are hard to discern. This is shown in Figure 3. We utilize interior spaces according to our under-
standing of the functions that they provide us. WeLegibility, the ease with which one can compre-
hend the spatial configuration of an interior space, also rely on information systems to provide feed-
back about building or equipment performance.is a critical component of building coherence. Legi-
bility in interiors is enhanced by regular geometric When we are unable to readily discern the func-
tional properties of a space or incorrectly gaugebuilding shapes (Weisman, 1982), distinctive
interior markings (Evans, 1980) and views of the building or technological function, misaffordances
occur (Heft, 1997). An example of misaffordance isexternal environment (Ga
¨
rling et al., 1986). Good
signage and other navigational aids contribute to shown in Figure 4.
Ambiguities or misinformation about the func-building legibility, although their ability to compen-
sate for a disorienting space is limited (Passini, tional meaning of interior elements can occur for
several reasons. Rapid changes in visual access pro-1984; Zimring & Gross, 1991).
Given extensive research on wayfinding at the duced by movement across a sharp vertical or hori-
zontal barrier can cause marked disorientation.urban scale showing this, it is likely that distinc-
tive, interior landmarks located at decision nodes Corners, entryways, and stairs are sometimes
designed so that little is discernable about impend-and at major path termini and origins would facili-
tate coherence in buildings (Appleyard, 1976; Carp- ing space until one has crossed the barrier. Many
accidents in buildings are attributable to this misaf-man et al., 1986; Evans, 1980). Similarly, circu-
lation patterns aligned with building facades, fordance (Archea, 1985).
An ill affordance may also occur when ambiguousconnected at right angles, and providing visual cues
about progression toward goal points, ought to be or conflicting information is present. A typical
example of such a misaffordance is a single stepmore legible (Evans, 1980).
88 G. W. Evans and J. Mitchell McCoy
F
IGURE
4. These doors illustrate a misaffordance because it is not clear how to utilize the doors. On which side and in what direction
should one operate the doors?
down from one identical surface to another. The Control
ledge of the step is indistinguishable from the lower
surface, obscuring any cues for a change in depth. Control is defined herein as mastery or the ability
to either alter the physical environment or regulateSeveral optical illusions function by pitting compet-
ing cues for distance and or size against one exposure to one’s surroundings. Physical con-
straints, flexibility, responsiveness, privacy, spatialanother.
Ambiguity can also be caused by vague or missing syntax, defensible space, and certain symbolic
elements are key design concepts salient to control.cues for use or too many competing cues. When a
building user cannot see what or how something in Physical constraints that reduce choice or
behavioral options can produce or exacerbate stressthe space functions or when confronted with cues
about purpose or use which are vague or in conflict, (Glass & Singer, 1972; Evans & Cohen, 1987). Pro-
longed experiences with uncontrollable environ-human reactions are likely to encompass frus-
tration, annoyance, and, on occasion, even hostility mental conditions have also been associated with
learned helplessness (Cohen et al., 1986). Helpless-or helplessness (Norman, 1989). Design features
that provide little or no feedback about the conse- ness, in turn, is clearly related to psychological dis-
tress and may be associated with physical diseasequences of their use can also evoke negative reac-
tions. Confusion about use can also arise when the (Peterson et al., 1993). Insufficient spatial
resources, inflexible spatial arrangements, and lackuser and designer’s respective mental models do not
coincide. For example a ‘You Are Here’ indicator in of climatic or lighting controls, all threaten individ-
ual needs to effectively interact with interior spacea directional system that is not in the same Eucli-
dean orientation as the user is very difficult for (Hedge, 1991; Sherrod & Cohen, 1979).
Spatial resources include both density and vol-most people to utilize (Levine, 1982). Programming
one’s VCR is perhaps the contemporary archetype ume. In addition to amount of available space, vis-
ual exposure, structural depth, openness of the per-for a nearly insurmountable user-designer gap in
understanding an intended use. imeter, brightness, and extent of view have all been
89When Buildings Don’t Work: The Role of Architecture in Human Health
to be a major factor in the development of helpless-
ness, particularly among children (Cohen et al.,
1986).
Privacy, or the ability to regulate social inter-
action, is a major contributor to a sense of control in
interior settings (Altman, 1975). Perhaps the cen-
tral design element influencing privacy is spatial
hierarchy. The provision of spaces ranging from
places that provide solitude and intimacy, through
small group meetings, to those that foster contact
with the public, constitute the major components of
spatial hierarchy within buildings (Alexander,
1972; Greenbie, 1981; Zimring, 1982). Size, location,
and degree of stimulus isolation of interiors, influ-
ence the effectiveness of buildings to provide priv-
acy. The scheme of the dormitory in Figure 5 is a
good example of a design providing privacy.
The extent to which spaces are interconnected via
doorways and passages influences social regulation
capabilities of spaces. The visual or acoustical per-
meability of barriers affects social interaction
potential (Zeisel, 1981). Depth refers to the number
of spaces one must pass through to get from one
point in a structure to another (Hillier & Hanson,
1984). Deeper spaces afford more privacy and
enhance ability to regulate social interaction. They
also affect visual access and visual exposure
(Archea, 1977).
The functional distance between spaces also influ-
ences social interaction potential (Festinger et al.,
1950). The directness of doorway openings and the
intersection of circulation paths influence social
F
IGURE
5. Privacy in this dormitory is well supported by a
interchange. Focal points provide socialization and
spatial hierarchy. Spaces for solitude or intimacy, small groups,
and for larger social gatherings are all accommodated and well
small group interaction opportunities. Well-
defined.
designed focal points include activity generators,
are centrally located, function as neutral territories,
and provide prospective visual access (Bechtel,
1976; Becker, 1990), as shown in Figure 6.shown to moderate the effects of crowding on
human behavior (Evans, 1979). Flexibility can be Furniture arrangements can directly affect social
interaction potential (Sommer, 1969). Sociopetalprovided by degree of perimeter openness, moveable
partitions, and semi fixed furniture (Sommer, furniture arrangements encourage interaction by
moveable components, provision of comfortable1969).
Another interior design element influencing con- interpersonal distances, ease of eye contact, and
physical comfort during conversation. Sociofugaltrol is responsiveness. Responsiveness refers to the
clarity and speed of feedback one receives when act- furniture arrangements that are inflexible and that
orient people in space so that eye contact is difficulting upon a setting or object (Wachs, 1989;
Wohlwill & Heft, 1987). Particularly important to or interpersonal distances that are inappropriately
close or far have the opposite effect, discouragingresponsiveness is differential feedback. Distinct
actions in a responsive environment produce unique social interaction.
There are also major symbolic elements of controlfeedback about the consequences of each act. In
addition to differential feedback, responsiveness is in design. Large size, sterility, uniformity of
materials and furnishings, and restrictions on per-also sensitive to the latency between actions and
feedback. The longer the delay, the poorer the sonalization options, all contribute to the insti-
tutional quality of buildings. An important qualityresponsiveness. Unresponsive environments appear
90 G. W. Evans and J. Mitchell McCoy
F
IGURE
6. Focal points facilitate social interaction. In this office building, the focal point is located centrally, near several major
circulation paths, and can be viewed prospectively, prior to making a behavioral commitment to the space. The focal point is neutral
territory, has a pro-social furnishing arrangement, and provides coffee and food which attract and hold interest for prospective users.
of institutionalization may be a sense of power- afford more opportunities for control than the indi-
vidual desires or has the competency to utilize.lessness among users (Rivlin & Wolfe, 1985).
Jurisdiction over space is enhanced by actual or Lawton (1989), in particular, has emphasized the
importance of matching individual competenciessymbolic ownership. Good surveillance opportunit-
ies, clearly delineated and visibly marked bound- with design resources. Among the elderly some indi-
viduals with limited capabilities require morearies, semi-public spaces that provide community
meeting space, and smaller, subunits of large living restricted environmental opportunities, which the
general public would find oppressive.complexes can all enhance feelings of territoriality
(Newman, 1972; Kaminoff & Proshansky, 1982;
Taylor, 1988). Territoriality enables regulated use
Restorativeand occupancy of space. It also enhances the
expression of personal or group identity (Brown,
1987; Taylor, 1988). Restorative qualities define the potential of design
elements to function therapeutically, reducingAlthough our analysis has focused primarily on
interior elements that reduce control, settings can cognitive fatigue and other sources of stress.
91When Buildings Don’t Work: The Role of Architecture in Human Health
F
IGURE
7. Stimulus shelters provide opportunities for solitude and a chance to get away from overstimulating situations or routines
of work and daily life. Such spaces may buffer stress by providing a temporary respite; a time out from prolonged or high levels of
environmental demands or stressors.
Restorative elements of design represent a theoreti- example, Figure 7) may offset some of the stressful
impacts of high levels of stimulation. Having acally distinct category. Rather than directly produc-
ing stress, restorative elements provide resources space to retreat to, for example, appears to buffer
some of the negative impacts of residential crowd-that can attenuate stress. Thus design can function
as a coping resource that can help building occu- ing and noise (Wachs & Gruen, 1982).
Focused or voluntary attention can create mentalpants alter the balance between environmental
demands and personal resources. Restorative fatigue. Restoration entails the replenishment of
cognitive capacity and is fostered by several types ofdesign elements include retreat, fascination, and
exposure to nature. Certain types of settings such design characteristics. Involuntary attention or fas-
cination facilitates recovery from mental fatigueas religious sanctuaries, hospitals and other thera-
peutic facilities are explicitly designed with restora- (Kaplan & Kaplan, 1989). Fascination can be cre-
ated by design elements such as window views,tive intent. Such settings may uplift the human spi-
rit and promote healing. burning fireplaces, and various displays (e.g. aquar-
ium, moving water) (Coss, 1973). Direct contactDesign may offer opportunities to combat stress
by providing rest, recovery, or contemplation. with natural elements as well as views of nature
provide restoration (Hartig & Evans, 1993;Reflective activities in particular demand a mini-
mum of distraction and some degree of isolation. Kaplan & Kaplan, 1989; Ulrich, 1993), as shown in
Figure 8.Privacy nooks and stimulus shelters (see, for
92 G. W. Evans and J. Mitchell McCoy
Summary and Conclusions
Building design has the potential to cause stress
and eventually affect human health. At present we
know very little about the potential role of interior
design elements in human health. Stress which
occurs when environmental demands exceed coping
resources may be a useful heuristic to conceptualize
design elements potentially relevant to human
health.
Stimulation, coherence, affordance, control, and
restoration are a preliminary set of environmental
dimensions inter-related to stress. Each of these
dimensions, in turn, consists of explicit interior
design elements (see Table 1). Better understanding
of these dimensions coupled with greater knowledge
of their underlying physical properties may enable
F
IGURE
8. Restoration is supported by design elements that
designers to more consciously create healthy
draw our attention effortlessly. Mental fatigue is reduced by
environments. Theoretically, scientists have largely
views of nature as well as other design elements that foster
ignored the potential role of the designed environ-
involuntary attention or curiosity. Fascination helps replenish
mental reserves depleted by sustained concentration or efforts to
ment to contribute to human health.
pay attention.
A major weakness of our taxonomy is the lack of
empirical evidence linking the design elements we
have identified to human health. At present the
knowledge base is simply not there. In addition this
taxonomy was derived with the heuristic of psycho-
logical stress. However, stress is only one of several
T
ABLE
1
Interior design elements that may influence stress
Stimulation Affordances
intensity ambiguity
complexity sudden perceptual changes
mystery perceptual cue conflict
novelty feedback
noise
light Control
odor crowding
color boundaries
crowding climatic & light controls
visual exposure spatial hierarchy
proximity to circulation territoriality
adjacencies symbolism
flexibility
Coherence responsiveness
legibility privacy
organization depth
thematic structure interconnectedness
predictability functional distances
landmark focal point
signage sociofugal furniture
pathway configuration arrangement
distinctiveness
floorplan complexity Restorative
circulation alignment minimal distraction
exterior vistas stimulus shelter
fascination
solitude
93When Buildings Don’t Work: The Role of Architecture in Human Health
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Notes
Evans, G. W. (1979). Design implications of spatial
research. In A. Aiello & A. Baum, Eds, Residential
Correspondence and reprint requests and should be
Crowding and Design New York: Plenum,
addressed to Gary Evans, Department of Design and
pp. 197–216.
Environmental Analysis, Cornell University, Ithaca, NY
Evans, G. W. (1980). Environmental cognition. Psycho-
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This article is based in part on the Taacquard Patillo and
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Wilson Centennial Lecture, Human Ecology, University
In D. Stokols & I. Altman, Eds, Handbook of Environ-
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and Steve Verderber for critical feedback on earlier drafts
Festinger, L., Schacter, S. & Back, K. (1950). Social
of this paper.
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