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Green Care: A Conceptual Framework - Frisk i naturen

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There is also a growing body of evidence on the positive relationship<br />

between exposure to nature (incorporating a variety of outdoor settings,<br />

from the open countryside, fields and forests, to street trees, allotments and<br />

gardens) and an individual’s mental health (see, for example, Bird, 2007;<br />

Hartig et al, 2003; Mind, 2007). The key message emerging is that contact<br />

with nature improves psychological health by reducing pre-existing stress<br />

levels, enhancing mood, offering both a ‘restorative environment’ and a<br />

protective effect from future stresses.<br />

Combining the effects of physical activity and contact with nature on<br />

psychological health, recent studies have found that ‘green exercise’ (the<br />

synergistic effect of engaging in physical activities whilst simultaneously<br />

being directly exposed to nature) results in significant improvements in<br />

self-esteem and mood measures, as well as leading to significant reductions<br />

in blood pressure (Pretty et al, 2005a & 2005b, 2007; Peacock et al, 2007;<br />

Hine et al, 2008).<br />

Recent research also suggests that therapeutic applications of facilitated<br />

green exercise activities (particularly walking) as ‘green exercise therapy’<br />

may prove to be an even more effective treatment response than exercise<br />

alone in mild to moderate depression as it encourages people to re-connect<br />

with nature and experience the additional positive health benefits that are<br />

associated with this (Peacock et al, 2007; Mind, 2007). In Australia there<br />

has also been some research initiated into the participation in forest and<br />

woodland management as a treatment for depression (Townsend, 2006).<br />

The pilot project engages people experiencing depression in naturebased<br />

activities in a woodland environment. The project is on-going but<br />

initial findings suggest encouraging improvements to physical and mental<br />

health, along with a reduction in social isolation. Using green exercise as<br />

a treatment for mild to moderate depression can be considered a form of<br />

green care.<br />

4.5 Ecotherapy<br />

Ecotherapy as an approach has been proposed as a form of practice since<br />

the mid nineties (Roszak, 1995; Clinebell, 1996; Burns, 1998). George W.<br />

Burns, an Australian clinical psychologist and hypnotherapist developed<br />

what he termed ‘ecopsychotherapy’ and ‘nature-guided therapy’. His<br />

primary thesis was that a positive relationship with the natural world is<br />

42 <strong>Green</strong> <strong>Care</strong>: A <strong>Conceptual</strong> <strong>Framework</strong>

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