1. Introduction
"At the International Congress "Building, Dwelling, Thinking" held in 2001, Heiddeger concludes by highlighting the convenience and importance for the scientific architect to develop architecture by
Architecture has been defined in many ways throughout history, but its focus, its aim, its purpose, is dwelling. For this reason, Norberg-Schulz (1980) affirms that in order to research and understand an architectural space, it is necessary to understand
In an architect’s work, there is an underlying notion, which may be evident to a greater or lesser extent, that the built environment is a space that is to be
Likewise, for many years, architecture has taken into account the existence of people with different types and degrees of disabilities (mainly visual, hearing and motor), and the architect has planned and designed, either in accordance with their convictions or purely down to legal guidelines, so that spaces can also be inhabited by these people. So, here we are talking about “accessibility”, which is a clearly (although not exclusively) physical concept: this is a matter of enabling disabled people to access buildings/spaces, which subsequently makes it possible for them to inhabit them.
However, there are other deficiencies or disabilities that are not so “visible”, and that are obviated in making a built environment “accessible”. According to Dianne Smith (2009), in the design process (of a building, of a street, of a town, of an interior space…) two paradigms intervene, almost exclusively: that of the client/property developer and that of the architect. That is, it is the visions that these two agents have of reality, of how things work and are perceived, which give shape to the building. This, moreover, on numerous occasions, with the prior assumption that said environment is to be practically limited to being a container or backdrop for certain activities or functions.
Nonetheless, for people with certain cognitive and sensory deficiencies, etc., which are
Therefore, the surroundings, the built environment, is a factor which notably affects (directly and in many other indirect ways) people with certain
2. Autism
In this section, the intention is to give a global vision of what is understood by the term ‘autism’, and what the characteristics of people with autism are. The intention is not to assert that the characteristics are unique. Each person with autism shows symptoms in an almost unique manner. It is a matter of seeing the common characteristics, aspects and behaviour that are frequently apparent in people with autism.
2.1. General concept
Autism is one of the most fascinating disorders that medicine and psychology have had to face. Isolation or solitude is one of the most enigmatic characteristics of autism. In fact, when American psychiatrist Leo Kanner (1943) describes the autistic disorder for the first time, he points out that the pathognomic sign is the inability to relate to other people, which causes an
Inability to relate to other people, at least in a normal way
Extreme autistic solitude which apparently isolates the child from the outside world
Deficiencies in the language, which may include muteness, pronominal inversion, echolalia or an idiosyncratic way of speaking, among others
In some cases, an excellent literal memory
Preference for certain specific foods (from a very young age)
Fear of intense noises
An obsessive desire to repeat and insistence on an invariable environment
The term used by Kanner is sameness, which could be interpreted as “similarity” or “monotony”, but none of these two words can completely describe the original meaning (situation in which there are no changes). This is often interpreted as “invariance in the environment” or “Kanner’s autism”
Scarce repertoire of spontaneous activities (like normal play)
Strange motor stereotypes, like spinning or swaying
Normal physical appearance
Appearance of the disorder in the first three years of life
2.2. Historical evolution of the consideration of autism
During the years prior to the appearance of Kanner and Asperger’s articles, as a consequence of the wide diffusion of psychoanalytical theories, and in spite of the fact that Kanner himself had suggested a biological deficiency, it was considered that autistic disorder had a psychodynamic aetiology, that is, that it had originated due to emotional causes, leading to the blame being laid on the parents (there was talk of cold mothers, unaffectionate fathers…). So, it was finally affirmed that the cause of autism was the parents’ wish for the child not to exist (Bettelheim, 2001). The psychoanalytical therapies used tried to restore these alleged emotional wounds and reconstruct the supposedly broken affections. This type of psychodynamic treatment, in the opinion of many contemporary researchers, has not made many contributions. (for example JK Wing, 1968: Escobar Solano, Caravaca Cantabella, Herrerro Navarro and Verdejo Bolonio, s.d.).
From the mid 1960s until around the middle of the 1980s, autism has gone from being considered an emotional disorder to the opinion that it has a neurological origin, finally being treated as a cognitive disruption, rather than affective (Escobar Solano et al., s.d.). Methodical and rigorous research began on autism, to try to understand alterations in communication and language, as well as in social relationships, resistance to change, etc (for example, Rutter and Schopler, 1984; L. Wing and Gould, 1979).
From that moment, and thanks to the progress made in research, autism is now considered to be a developmental disorder. Autism is included among the so-called Generalised Development Disorders, which, as well as autistic disorder Which would correspond with the so-called “classic autism” or “Kanner’s autism” This is known as “Wing’s triad” (L. Wing and Gould, 1979)
3. Design criteria
We will go on to present, fleetingly and not in great depth, some aspects of people with ASD to whom a solution can be given using architectural project and design mechanisms. We will group them, in order to make their presentation more systematic, according to the different areas that may be affected in said people.
3.1. Imagination
Resistance to change and a limited capacity of imagination are one of the essential characteristics of autistic spectrum, and these are reflected in aspects such as difficulty or extreme nervousness when changing activity, and even when moving from one space to another (because people with ASD are incapable of “imagining”, in the sense of creating a mental image of what there might be at the other side of a door or wall, for example). From an educational point of view (and even in family life) this aspect is faced by “anticipating” the activities that are going to be carried out next, and avoiding or lessening, as far as possible, unexpected changes in the planned routines.
From the point of view of an architectural project, the inability to construct a mental image of the environment, as well as to integrate parts into a whole, may be faced by looking for a clear structure in the building, as well as by providing elements that give it a certain order and unity, in such a way that the building can be easily read, predictable,
3.2. Communication
Difficulties in verbal and non-verbal communication, together with difficulties processing information, make it necessary to “remove certain psychological “barriers” and adapt the environment with codes which […] are characterised by being specific and easily perceivable (as opposed to subtle), simple, that is, containing few elements (as opposed to complex) and permanent (as opposed to temporary)” (Tamarit, De Dios, Domínguez, and Escribano, 1990).
The person with ASD needs visual support for communicating and pictographs or photographs of objects, people, etc. are usually used. The built environment should be able to “welcome” these forms of communication, foreseeing their correct location and integration. Colour coding, for example, of different elements may also help to improve communication.
3.3. Social interaction
Difficulties in social interaction are taken into account, by definition, although to varying degrees, in people with ASD. For this reason, different educational strategies try to influence this aspect. Therefore, it will be necessary to provide the spaces in which to allow and even encourage social interaction, although always taking into account that people with ASD may show particular proxemics Proxemics refers to the space that exists between people in different social interactions. Proximity may be perceived as a threat by a person with autism.
3.4. Sensory difficulties
In the case of ASD sufferers, it is also common for malfunctions to exist in the reception (or the processing) of stimuli, which is demonstrated by a visual, acoustic, vestibular or tactile (although also often related to smell or taste) hypersensitivity (or sometimes hyposensitivity). The proprioceptive sense is also altered at times. A consideration of this aspect should lead us to be careful when designing with colours (which do not clash excessively, are not too strong or too bright), textures or patterns, with acoustic properties in these spaces and the construction elements separating one from another, with lighting (soft lighting is recommended, preferably sunlight, and in all cases avoiding fluorescent strip lights, as the flickering and buzzing may upset a person with visual or auditory hypersensitivity),as well as with the fittings, etc. Another example of sensory alteration is a different perception of the sensation of pain, which may mean that a person with ASD could suffer serious burns on their hands, due to not moving them in time when water from a tap, for example, comes out at a very high temperature, or they may have a serious cut or injury and barely notice.
Multi-sensory stimulation rooms (“Snoezelen” rooms) allow people with ASD to adjust their sensory perceptions and also reduce anxiety at specific moments.
3.5. Behaviour and safety
Behavioural problems are also frequent in people with ASD, and may lead to aggressive conduct, meaning that the elements in the built environment have to be designed, chosen and implemented taking into account these potential bouts of aggression. Examples of these elements that are to be paid special attention to are bathroom fittings, electrical devices, metal door fittings, banisters and railings, exterior carpentry, tiles, etc.
4. Conclusion
It has been proven that existing scientific literature regarding built environments in relation to people with ASD and vice versa is scarce, and this is in spite of significant research activity carried out in relation with autism in recent years. This interest is due to the significant increase in the number of cases diagnosed, meaning that prevalence studies produce much greater ratios than the figures of 1 to 3 people in every 10,000 that were handled at the beginning of the 1990s and which were previously even lower. Recently it has been affirmed that there is one child with ASD in every 110 born (CDC – Center for Disease Control and Prevention, 2009). It is clear that the increase in numbers does not reflect (at least not exclusively) a real increase in the number of cases, but the expansion that the concept of autism has undergone, stretching to that of autistic spectrum, and to health care and education which allow for early diagnosis, with a greater awareness of the existence of the disorder (Ahrentzen and Steele, 2009). In spite of this, figures reveal that it is a significant group of the population, which requires attention from society. In our area of discipline this should also be the case. In just a few years, architects have been made aware of how to draw up plans without the so-called “architectural barriers” that limit accessibility for people with a disability. However, under this concept of a barrier, we do not usually include those which limit the use of the built environment for people with cognitive or mental disabilities. As Baumers and Heylighten (2009, 2010) state, these people perceive space in a unique, different way, with the “mind’s eye”.
It is necessary to progress in research in this sense, analysing the architectural achievements designed and built for people with ASD, checking how suitable they are for the particular characteristics of this part of the population, even studying any defects they may have and verifying the new contributions that can be made in them.
It would also be interesting to encourage field studies with specific interventions in the built environment, even on a smaller scale, such as that of Magda Mostafa (2008), which allows us to extract results that can be checked and verified on how certain activities improve, and to what extent, the experience of the person with ASD in their built environment.
If, in general, the constant reflection upon the relationship between the person and space, between the individual and their environment (built), is important for the discipline of architecture, we believe that the particularisation of this reflection for the
Finally, we will conclude with a quote from Luis Fernández-Galiano, which allows us to situate the role of the architect, especially in the case of people who are to be found “within the spectrum”:
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Notes
- The intention is not to assert that the characteristics are unique. Each person with autism shows symptoms in an almost unique manner. It is a matter of seeing the common characteristics, aspects and behaviour that are frequently apparent in people with autism.
- The term used by Kanner is sameness, which could be interpreted as “similarity” or “monotony”, but none of these two words can completely describe the original meaning (situation in which there are no changes). This is often interpreted as “invariance in the environment” or “Kanner’s autism”
- Which would correspond with the so-called “classic autism” or “Kanner’s autism”
- This is known as “Wing’s triad” (L. Wing and Gould, 1979)
- Proxemics refers to the space that exists between people in different social interactions. Proximity may be perceived as a threat by a person with autism.