Janardhan Malakapalli

(PhD) M.Tech, AITP, AIIA, Dip. Arch.,

Social Problems Related to

Building Design.
Architect, Urban Planner & Research Scholar.
Visiting faculty-SPA Dept. of Architecture & Digital Design. SAP
VSAP, SPA SVCA, & MCA Warangal.
 Healthy Living
Humans are social
beings.
Contact with family,
friends and social
circles is not just
pleasurable, it is
essential.

An individual’s very sense of self is shaped and maintained through

social life.
The quality and quantity of social interaction and sense of belonging
strongly influence physical and mental health.
 Healthy Living
It is common today to talk about
health only in terms of physical
health. The “Active Living” program
is often considered the solution to
all health problems. In fact, even as
cities enact “Active Living” programs
to solve obesity, they discover the
programs are ineffectual if the
society is fragmented or the
individual is marginalized.

Social health is the foundation for

physical health. This has serious
implications for planning and A healthy city must have a healthy
urban design. "social immune system".
 Social Isolation
High-rise housing has
been associated with Further the literature suggests that
greater rates of high-rises are less satisfactory than
juvenile delinquency other housing forms for most
greater feelings of people, that they are not optimal
alienation. for children, that social relations are
Gifford provides a more impersonal and helping
comprehensive review behaviour is less than in other
of the literature on the housing forms, that crime and fear
effects of high rise of crime are greater, and that they
housing on children, may independently account for
mental health, social some suicides.”
behaviour, crime, and
suicide.
 Social Isolation in Monkeys
Harlow (1964) dramatically They developed “autistic”
raised awareness of the behaviour, “repetitive stereotyped
effects of social isolation. movements, detachment from the
Rhesus monkeys, isolated at environment, hostility directed
birth, developed signs of outwardly toward others and
depression, violence and self- inwardly toward the animal's own
immolation. body, and inability to form
adequate social or heterosexual
attachments to others when such
opportunities are provided in
preadolescence, adolescence, or
adulthood” (Cross and Harlow,
1965).
 Elderly – Social Problems
Breakdown in community social life has particularly serious
health consequences for elders.
An increased risk of ill health and death exists “among persons
with a low quantity, and sometimes low quality, social
relationships.” (House et al, 1988;) 
According to Cohen (1988) and Berkman (1995), lack of social
ties or social networks predicts mortality from almost every
cause of death.
According to Berkman et al (2000), “The power of these
measures to predict health outcomes is indisputable”.
 Elderly – Social Isolation
With insufficient or Bellah et al (1985) proposed that
negative social without a meaningful sense of
interaction elders connectedness to others, and
especially are vulnerable without a clear involvement in a
to suffer loneliness, low meaningful social fabric,
self-esteem, social individuality and life itself lose
anxiety and depression meaning. As Durkheim (1897;
(House et al, 1988; Hawe 1951) proposed, the underlying
and Shiell, 2000; Cohen- reason for suicide is lack of social
Mansfield and Parpura- integration to a supportive
Gill, 2007). group.
 Elderly – Social Isolation
In early studies of One study found support for the
schizophrenia, Faris (1934) hypothesis that the “shut-in” or
observed that insufficient “seclusive” personality, “generally
and unsatisfactory social considered to be the basis of
interaction can lead to schizophrenia, may be the result of
further withdrawal. an extended period of ‘cultural
isolation’, that is, separation from
intimate and sympathetic social
contact”. He adds that
“seclusiveness is frequently the
last stage of a process that began
with exclusion or isolation which
was not the choice of the patient”
(p. 159).
 Elderly – Social Isolation
Social isolation and neighborhood fragmentation proved an involuntary death sentence
for hundreds of elderly during the 1999 Chicago heat wave. Klinenberg (2003) found
that disproportionately high numbers of elderly deaths occurred in neighborhoods
“dominated by boarded or dilapidated buildings, rickety fast-food joints, closed stores
with faded signs, and open lots” filled with “tall grass and weeds, broken glass and
illegally dumped refuse…”  In these areas, elders lived in isolation, afraid to go onto the
street, and far from people or places that could help them survive the heatwave.
In an adjacent, equally poor neighborhood, elders were protected in the heatwave.
“First, the action in and relative security of the local streets pulled older people into
public places, where contacts could help them get assistance if they needed it. Second,
the array of stores, banks and other commercial centers in the area provided senior
with safe, air-conditioned places where they could get relief from the heat. Seniors felt
more comfortable in and are more likely to go to these places, which they visit as part
of their regular social routines, than the official cooling centers that the city established
during the heatwave…. The robust public life of the region draws all but the most infirm
residents out of their homes, promoting social interaction, network ties, and healthy
behavior.”
 Children
Sprawl has created a world in which children have fewer friends
than ever before. The absence of accessible, lively public places
where children can meet, forbidden to play on the street, and
under strict instructions to stay in the house, teens spend more
time alone – 3 ½ hours per day – than with family or friends
(Eberstadt, 1999). With long work hours, long commutes, and
long drives to run simple errands, parents leave kids.

When children lack social contact, they do not learn the social
skills needed to maintain health and well-being throughout
life, and to strengthen resilience in avoiding social pathology.
Positive social interactions, membership in a social support
system and a sense of belonging protect and promote good
health (House et al, 1988).
 Shyness
Given the lack of real social networks, it is no surprise that children and
adolescents find difficulty in social situations. Shyness is increasingly
treated as a medical problem, termed “Social Anxiety Syndrome”, for
which medications are often prescribed – though these occasionally lead
to violence and suicide.
Lynn Henderson (Henderson and Zimbardo, accessed 2008), Director of
the Palo Alto Shyness Clinic, maintains that “this rise in shyness is
accompanied by spreading social isolation within a cultural context of
indifference to others and a lowered priority given to being sociable, or
in learning the complex network of skills necessary to be socially
competent.” She proposes this may be “a warning signal of a public
health danger that appears to be heading toward epidemic
proportions.” Lack of real life social skills may also lead young people
desperate for some form of social contact into inappropriate, predatory
or damaging exchanges in technologically mediated social networks.
 Depression & Bullying
In the US, 8.3 per cent of adolescents suffer from depression
(Birmaher et al, 1996). Since young people with limited social skills
do not know how to solve problems through negotiation and
discussion, they may act self-destructively, particularly if they are
being bullied and made to feel worthless.
Combative youth lacking social skills to resolve differences, and
needing to increase their self-esteem may be violent towards
others, especially towards those who are different and who lack
social skills to defend themselves.
“as children become more alienated from the lives of others… we
can expect to see increasing levels of violence and extremism and
less collaboration and empathy.”
 Children & Youth – Social Isolation
Good social skills, and the ability to take pleasure in social interaction are
fundamental to maintaining good health, to all aspects of child
development, and to achieving success and well-being later in life (Levine,
2002).  Social skills do not develop automatically. They are learned in the
community social contexts in which children are raised. They learn this
through observation of how adults around them behave, and by re-
enactment of the same behaviour.
Children must learn the skills of making friends, and of maintaining
friendships. They must learn how to interact with people very different
from themselves – involving the ability to understand a person’s character,
and to distinguish between “friend” and “foe”. “The more varied and
reciprocal these interactions, the richer will be the individual’s self-image
and the more comprehensive her consciousness” (Greenspan, 1997).
 Adult & Elders – Social Isolation
The opportunity for social interaction, companionship, people-watching, and a
“friendly neighbourhood” were reported as reasons why adults chose to walk in
their neighbourhood, whether to shop, run errands, recreate, or simply to get
exercise.
More active adolescents considered that the social environment and neighbours
with recreational facilities are associated with higher levels of physical activity.
Social capital at the neighbourhood level, as measured by reciprocity, trust, and
civic participation, is associated with lower neighbourhood mortality rates.
Communities with high collective efficacy, i.e. “mutual trust and a willingness to
intervene in the supervision of children and the maintenance of public order”
(Sampson et al, 1997) generally experience low homicide and violence rates and
low levels of physical and social disorder, while neighbourhoods with low
collective efficacy suffer high rates of violence and significant physical and social
disorder.
 Intergenerational community
Peter Benson, President of the Search Institute observed, “Instead of
embedding our children in webs of sustained relationships, we
segregate them from the wisdom and experience of adults, raising them
in neighbourhoods, institutions, and communities where few know their
names. Instead of celebrating them as gifts of energy, passion, and hope,
we view them with suspicion in public places and places of commerce
and deny them meaningful roles in community and civic life.”
He recognized that the key problem that thwarts these efforts is that our
physical environment does not support community, and adds, “If there
were only one thing we could do to alter the course of socialization for
American youth, it would be to reconstruct our towns and cities as
intergenerational communities. Cross-generational contacts would be
frequent and natural.”
 Healthy Urban Fabric
To support a healthy immune system, we must rebuild the
compact, mixed use built urban fabric characteristic of
traditional towns.
Here, people’s paths cross in multiple situations – on the way to
work or school, at the market or running errands, at a “Third
Place” or relaxing -- and in different social contexts – alone, with
family members, friends or business associates. Community
members' normal everyday lives overlap.
Meetings may lead to introductions that expand social networks.
This promotes resilience in the community's social immune
system.
 Healthy Urban Fabric
A significantly greater sense of community is found in mixed use
neighbourhoods (Nasar and Julian, 1995; Leyden, 2003, Lund, 2002).
The availability of local shops and restaurants is seen by residents to be
health promoting. “The provision of decent housing, safe playing areas,
transport, green spaces, street lighting, street cleaning, schools, shops, banks,
etc. impacts upon participation in that their presence facilitates social
interaction and a ‘feel good’ sense about a place.” (Baum and Palmer, 2002).
Mehta (2007) emphasized additional factors supportive of social interaction,
such as hospitable commercial streets, mixed use streets with shops and
restaurants , wide sidewalks and a personalized public realm.
As Cozens and Hillier (2008) stressed, it requires a great many more factors
than simple street layout to create a neighbourhood that fosters social
interaction.
 Healthy Urban Fabric
Frank et al (2004) showed that the greater the degree of land use mix, the
less time adults spent in cars and the lower the rate of obesity. Small city
blocks, street connectivity, mixed land uses and proximity of shops are
associated with an increase of walking (Cervero and Duncan, 2003; Duncan
and Mummery, 2004; Frank et al, 2005).
Dangerous settings discourage individuals from building social ties (Evans,
2006). Public places must be designed to feel safe as well as to prevent
criminal activity. This is achieved by encouraging a sense of ownership,
ensuring eyes on the street, maintaining active use of the space and
surrounding buildings, and controlling access (Crowe, 2000).
Even a courtyard in an apartment building can provide some support for a
significantly greater development of community among residents than exists
in an apartment building without a courtyard (Nasar and Julian, 1995).
 Healthy Urban Fabric
Style of housing and land use patterns have been found to affect social
networks (Cattell, 2001) and thereby to affect health (Macintyre et al.,
1993; Macintyre and Ellaway, 1998; Macintyre and Ellaway, 1999;
Macintyre and Ellaway, 2000).
Their data showed a strong link between social interactions and ‘local
opportunity structures’—‘socially constructed and socially patterned
features of the physical and social environment which may promote
health either directly or indirectly through the possibilities they provide
for people to live healthy lives’ (Macintyre and Ellaway, 2000), p. 343].
They argue that: “Social capital is often seen to be inherent in social
interactions and social relations, but we would like to suggest that these
might be facilitated by local opportunity structures, often of a mundane
kind.” (Ibid, p. 169]
 Healthy Urban Fabric
Williams and Pocock (2010) emphasize that the more informal “third places”
there are in a neighbourhood, the greater the opportunity for serendipitous
social interaction that can lead to caring relationships and social capital.
They also stress that people of different age groups need different kinds of
places that facilitate unplanned meetings.
Some third places such as cafes and bars cater to specific population groups
(adult drinkers, those who can afford to eat there) and some exclude children.
Pendola and Gen (2008) demonstrated that neighbourhoods with main streets
have a significantly higher sense of community than exists in high density
neighborhoods of suburban style neighborhoods without a main street.
Of still greater value for community social life that includes children and youth
are central public plazas open to all.
 Public space design
The key element is the public realm, specifically, the availability of
community squares that support positive face-to-face social interaction
between young and old.
The intrinsic value of personal social contact consists in the boost to self-
esteem, pleasure, and sense of well-being associated with eye contact, being
acknowledged and confirmed by another human being, emotional
reciprocity, an “authentic” encounter, and knowing others are concerned and
interested in one’s well-being (Buber, 1965). “The unavowed secret of man”
stressed Buber (1967) “is that he wants to be confirmed in his being and his
existence by his fellow men and that he wishes them to make it possible for
him to confirm them.
The architects must be set the task of also building for human contact,
building surroundings that invite meeting and centres that shape meeting.”
 Public space design
When located at the heart of a mixed-use neighbourhood, with a farmers
market, surrounded by shops serving daily needs, and a residential
population overlooking the square, these places are powerful catalysts in
building community, and the social support systems that protect health
(Crowhurst Lennard and Lennard, 2008).
Successful plazas are places people need to visit, or pass through on a
frequent basis to go shopping, to go to the market, or to go to work.
Only this level of use by a local community can generate the high degree of
community life required to develop inclusive community ties. 
 Conclusion
If we want to improve physical and mental
health, reduce social pathology, and strengthen
community “social immune systems”, then we
must rebuild our sprawling suburbs and inner
city neighbourhood's so that they support the
development.
• mandates that accredited programs include
defined course work related to human-
environment relations, including but going
beyond human factors/ergonomics.
 Socio
• The “Active Living” program is often considered
the solution to all health problems. In fact, even
as cities enact “Active Living” programs to solve
obesity, they discover the programs are
ineffectual if the society is fragmented or the
individual is marginalized. Social health is the
foundation for physical health. This has serious
implications for planning and urban design. A
healthy city must have a healthy "social immune
system".
• Humans are social beings. Contact with family,
friends and social circles is not just
pleasurable, it is essential. An individual’s very
sense of self is shaped and maintained
through social life. The quality and quantity of
social interaction and sense of belonging
strongly influence physical and mental health
Today we can better understand through research how the planning,
design, and management of the built environment influence and help
shape our behaviour, attitudes, health, and well-being in settings that
range in scale from regions to rooms, and as diverse as offices, schools,
hospitals, museums, and prisons. What it has not done, however, is
eliminate the “gap” between architects and designers and social
scientists; and in particular, the fear that “evidence” will limit design
creativity (Hamilton, 2003).

In the design community there is still widespread confusion, scepticism,

and resistance to the value of what has become known as “evidence-
based design.” This begins very early in an architect’s career.
Why should we expect architects to be familiar with, let alone
knowledgeable about and an advocate of, the potential for
evidence-based design to contribute to great buildings when
their studio instructors and advisors are disinterested and often
disdainful?
There always have been, of course, exceptions to the “gap” rule, both among
individual practitioners and among firms and college and university programs. Of
interest to me has been how one closes the “gap” more broadly, rather than relying
on a few enlightened practitioners or educators. Professional education programs are
obviously important, but as the Cornell example illustrates, academics are among the
most conservative of professionals when it comes to their own teaching and research
profession. Often, it is firms working in the trenches of everyday professional practice
faced with demanding clients who have been forced to consider new ways of working
(e.g., shipping graphics work to offshore firms in India, China, and Indonesia who do it
much more quickly and at a fraction of the cost; or working as part of multi-
disciplinary teams). These are changes in the profession led by economic realities. The
choice is to participate in the new world order or risk losing the client. That same
dynamic may be at play in the healthcare sector, to good effect, with architectural
firms becoming real players in an evidence-based design process from necessity as
much as choice.
The potential for the design professions to embrace research as an ally in a quest for buildings
that work on many levels—economic, operational, sustainable, and aesthetic—is aided. in the
case of healthcare facilities, by the culture of science that permeates the medical field.
Funds are tighter and much more internal and external oversight exists in medicine than in the
corporate world.
Of greatest importance, mistakes in medicine are more than annoying or mildly dysfunctional.
In the hospital environment, both patients and staff can and do suffer great pain, and patients
can lose their lives as a result of design decisions that increase the likelihood of nosocomial
infection, falls, medication errors, and poor communication and interaction patterns
Open plan offices, for example, whose lack of auditory privacy may bother staff, are not life
threatening.
In this context, clients increasingly expect their buildings and the teams responsible for
planning and designing them to draw on available evidence to help them make more informed
decisions.
 Evidence-Based Design:
What, exactly, is “evidence-based design?” Cama (2006) defines it as “a
deliberate attempt to base design decisions on quantitative and sometimes
qualitative research” (p. 8). Hamilton (2003) writes “Exemplary evidence-
based architecture comfortably blends the architect’s rich experience and
understanding of classic design principles, and creative inspiration with
design decisions based on insightful interpretation of a broad range of
research results” (p. 19).
Like research itself, these definitions raise more questions than they answer.
Does “basing” design decisions on research evidence mean that the research
dictates design solutions? “Deliberate attempt” is more helpful. It implies
that those planning and designing facilities will expend time and energy to try
to identify relevant research and explore how it might help shape thinking
about relevant factors that need to be considered in generating design
solutions.
But who is to engage in this exploration? What
kind of expertise is required? Who decides what
is the “best available” research evidence? What
does one do when there is no or contradictory
research evidence? Clearly, even when
evidence-based design is embraced as a
concept, knowing how to implement it in
practice is difficult.
 Rules of Thumb
One can think of “evidence-based design” as
corresponding with two roles:
1) consumer of research and
2) producer of research.
These facets are two sides of the same coin.
While the same person or team may be able to
operate effectively in both roles, the education,
skills, and expertise for each are different.
 Research Consumer
The research consumer, like any consumer, must be well-informed about
different product categories (e.g., car versus SUV), what constitutes desirable
qualities in each category product (e.g., safety ratings, miles per gallon,
carrying capacity), and the extent to which the products being considered
demonstrate the qualities. Typically, we have implicit or explicit criteria for
performance. We want the car to get at least 30 mpg or have a minimal
towing capacity. We weigh all the information available, including the need
to make trade-offs (the vehicle that has the right safety features and carrying
capacity may have a fuel rating lower than we want). With this information in
hand, we choose from the range of available products those which, overall,
we prefer. This is a highly judgmental process, but one grounded in
“evidence.” The evidence informs but does not dictate the decision about
which product to purchase.
 Research Producer
The role of research producer requires much more specialized knowledge
and education. Almost anyone willing to invest significant time and energy
into understanding a product can become a knowledgeable consumer. It
takes an engineer to design an engine, with the years of formal education
and experience that implies. The same holds true for those wanting to
produce evidence-based design research. Acquiring the skills needed to
develop a research design that effectively tests what one hopes it will, design
a quality questionnaire or observation protocol, conduct a focused interview,
analyze quantitative and qualitative data, and a myriad of other research
tasks, take years. When my students finish after two years of intensive study
what I believe are very high quality research Master’s theses, they are now
ready to begin the pursuit of a Ph.D. At the end of another three to four years
of intensive study, they will become proficient researchers.
 Implications for Practice
Just as there are different categories of vehicles (SUV,
convertible, sedan), each with their own advantages and
disadvantages, there are different categories of research (e.g.,
ethnography, field experiment, laboratory experiment,
comparative case study), also with their own pros and cons.
Within each category, there are better and worse examples of
that type of research. As a research consumer, one needs to
know and appreciate these differences. There is no answer to
the question “Which is best?” The relevant question is “Which is
best for what we are trying to do, given our resources, time, and
what is available?”
 Implications for Practice
There is not nor ever will be published research that addresses every design
decision that must be made in planning and designing a hospital. That means
one must be prepared to interpret, extrapolate, and generalize from
information that is incomplete. This is where experience and diverse views
become important. The production of evidence-based research requires
specific technical skills, and often takes months if not years to complete.
Considering how to apply such research benefits from a collaborative process
involving designers, researchers, and administrators; and depending on the
nature of the decision, patients and family members. Informal benchmarking
of best practices, long experience planning and designing hospital facilities,
and so on play an important role here, but should not be confused with
generation of research.
 Implications for Practice
Related to the above point, there will be times when brief studies of a
problem that lack the necessary academic rigor of a formalized research
project can add great insight to a problem, particularly when considered in
conjunction with more formalized studies. These short, project-focused
investigations benefit from applying whatever possible tenants of more
formalized research one can (e.g., accepted practices in conducting an
interview, or developing a short survey), even though they are unlikely to
have the necessary rigor (e.g., sample size, data points) of more formalized
research.
 Conclusion
The application of evidence-based research in the search for and evaluation
of design solutions is a collaborative process involving many players and
benefiting from different forms of expertise. This overall process is, in effect,
what is meant by “evidence-based design.” It involves the interpretation
and application of whatever research evidence that has been brought to
bear, and is likely to be supplemented by other forms of information
including literature searches, benchmarking, and practice-based studies.
Research is the infrastructure on which evidence-based design rests. It is
more formalized than professional experience and project-based studies,
and it is grounded in the specialized expertise of people trained to conduct
various forms of formally structured research. Such research can be
quantitative or qualitative (e.g., ethnographic studies), experiment or case
study, but in all cases adheres to accepted canons of research methodology
appropriate to that approach.
 Conclusion
• Good design, in the end, requires people with different experience, skills,
and perspectives drawing on many forms of information in the pursuit of
making creative and informed applications of knowledge as they generate
and evaluate possible design solutions. Most important of all is a mindset
that acknowledges that more information, including that generated
through formally structured research processes, has the potential to
generate plans and buildings that, as noted earlier, work synergistically on
multiple levels: financially, operationally, aesthetically, and in a
sustainable manner over time in the face of constant change. Informed
clients in a corporate culture where “evidence” is a common currency
may be just the ticket for bringing “research” and “evidence” into the
studio from the cold, and transforming them into just another tool in an
ever-expanding tool chest.