Mekânda Terapi: Psikoterapi Yaklaşımları İç Mekân Kurgusunu Nasıl Biçimlendirir?

Öz

Psikoterapi süreci yalnızca terapötik teknikler ve sözel etkileşimler üzerinden değil bu süreci çevreleyen fiziksel mekânın sunduğu koşullar üzerinden de şekillenmektedir. Terapi mekânı, terapötik ilişkinin kurulmasını, sürdürülmesini ve derinleşmesini destekleyen sessiz bir arayüz olarak işlev görmekte ve farklı psikoterapi yaklaşımlarının kuramsal varsayımları, iç mekân kurgusunda farklı tasarım beklentileri üretmektedir. Bu bağlamda çalışma, terapi mekânlarının çoğunlukla standart ve yaklaşımdan bağımsız çözümlerle ele alınmasına karşın, farklı psikoterapi yaklaşımlarının terapist-danışan ilişkisi, etkileşim biçimi, mekânsal mesafe, yönelim ve hareket serbestliği açısından farklı mekânsal ihtiyaçlar ürettiği varsayımına dayanmaktadır. Çalışmada psikanalitik, Adlerci, varoluşçu, birey merkezli, gestalt ve bilişsel davranışçı terapi yaklaşımları, ‘kuram-terapötik ilişki-mekân’ sistematiği çerçevesinde analiz edilmiştir. Karşılaştırmalı değerlendirmelerin yapılabilmesi amacıyla 4×4 metre ölçülerinde standart bir terapi odası tipolojisi belirlenmiş ve her yaklaşım için mekânsal organizasyon şemaları geliştirilmiştir. Bulgular, psikoterapi kuramlarının terapi mekânının organizasyonunu doğrudan etkilediğini göstermektedir. Psikanalitik yaklaşım sabit ve kontrollü bir düzen önerirken Adlerci yaklaşım eşitlikçi ve esnek bir mekânsal kurgu sunmaktadır. Varoluşçu ve birey merkezli terapiler güvenli, hiyerarşisiz ve ilişkisel alanları öne çıkarırken gestalt terapi hareket ve deneyimi destekleyen açık mekânlara ihtiyaç duymaktadır. Bilişsel davranışçı terapide ise işlevsel ve uyarlanabilir mekânsal düzenlemeler önem kazanmaktadır. Sonuç olarak çalışma, terapötik mekânların psikoterapi yaklaşımlarına özgü, esnek ve ilişki odaklı biçimde tasarlanması gerektiğini ortaya koymaktadır.

Anahtar Kelimeler

• Terapi odası
• İyileştirici mekân
• Psikoterapi kuramları
• İç mekân planlanması
• terapi mekân tasarımı

Therapy in Space: How Do Psychotherapy Approaches Shape Interior Spatial Design?

Öz

Psychotherapy is influenced not only by clinical techniques and verbal interaction, but also by the physical environment in which it occurs. The therapy space operates as a silent interface that supports the therapeutic relationship, while different psychotherapeutic approaches generate distinct spatial requirements in interior design. This study assumes that, despite standardized designs, different approaches create specific spatial needs regarding therapist–client relationship, interaction style, spatial distance, orientation, and movement freedom. Within this scope, psychoanalytic, Adlerian, existential, person-centered, Gestalt, and cognitive behavioral therapy approaches were analyzed through a ‘theory–therapeutic relationship–space’ framework. A standardized 4×4 meter therapy room was defined for comparative purposes, and spatial organization schemes were developed for each approach. The findings show that psychotherapeutic paradigms directly shape spatial organization. Psychoanalytic therapy emphasizes fixed and controlled arrangements; Adlerian therapy promotes egalitarian and flexible configurations; existential and person-centered approaches prioritize safe, non-hierarchical, and relational environments; Gestalt therapy requires open and action-oriented spaces that support experiential processes; and cognitive behavioral therapy focuses on functional, structured, and adaptable settings. In conclusion, the study demonstrates that therapeutic spaces should not be treated as universal or standardized environments, but rather as flexible, relationship-oriented, and approach-specific spatial systems within interior design discourse.

Anahtar Kelimeler

• Therapy room
• Healing environment
• Psychotherapy theory
• Interior planning
• therapy space design

Kaynakça

1. American Psychological Association. (t.y.). American Psychological Association. 10 Mart 2024 tarihinde https://www.apa.org adresinden erişildi.
2. Anthony, K. H. ve Watkins, N. J. (2007). The design of psychologists' offices: A qualitative evaluation of environment–function fit. The Academy Journal, 10. 1–31.
3. Ansbacher, H. L. ve Ansbacher, R. R. (Ed.). (1956). The Individual Psychology of Alfred Adler: A systematic presentation in selections from his writings. Harper Torchbooks.
4. Atılgan, S. (2020). Gestalt terapi yaklaşımı. M. Eskin, Ç. G. Dereboy ve A. N. Karancı (Ed.), Klinik psikoloji: Bilim ve uygulama içinde (ss. 451–472).
5. Ayaz Başımoğlu, T. (2020). Geştalt yaklaşımının doğuşu. Temas: Geştalt Terapi Dergisi, 1, 9–56. https://www.gestalt.org.tr/img/temas-dergisi/temas_dergisi_2020.pdf
6. Baldwin, M. (1987). Interview with Carl Rogers on the use of the self in therapy. M. Baldwin ve V. Satir (Ed.), The use of self in therapy içinde (ss. 45–52). Haworth Press.
7. Brodley, B. T. (1986, September). Client-centered therapy: What is it? What is it not? [Conference presentation]. First Annual Meeting of the Association for the Development of the Person-Centered Approach, Chicago, IL, United States. https://www.adpca.org/wp-content/uploads/2020/12/24_7.pdf
8. Brodley, B. T. (2000). Personal presence in client-centered therapy. The Person-Centered Journal, 7(2), 139–149. https://www.adpca.org/wp-content/uploads/2020/11/7_2_7.pdf

9. Cain, D. J. (2012). Person-centered therapy. J. L. Lebow (Ed.), Contemporary psychotherapies for a diverse world içinde (ss. 165–214). Routledge.
10. Castonguay, L. G., Constantino, M. J., McAleavey, A. A. ve Goldfried, M. R. (2010). The therapeutic alliance in cognitive-behavioral therapy. J. C. Muran ve J. P. Barber (Ed.), The therapeutic alliance: An evidence-based guide to practice içinde (ss. 150–171). Guilford Press.
11. Chand, S. P., Kuckel, D. P. ve Huecker, M. R. (2023). Cognitive behavior therapy. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470241/
12. Coffey, S. F., Banducci, A. N. ve Vinci, C. (2015). Common questions about cognitive behavior therapy for psychiatric disorders. American Family Physician, 92(9), 807–812. https://pubmed.ncbi.nlm.nih.gov/26554473/
13. Corey, G. (1991). Theory and practice of counseling and psychotherapy. Thomson Brooks/Cole Publishing Co. https://psycnet.apa.org/buy/PI
14. Cooper, M. (2008). Existential psychotherapy. J. L. Lebow (Ed.), Twenty-first century psychotherapies: Contemporary approaches to theory and practice içinde (ss. 237–276). Wiley.
15. Dijkstra, K., Pieterse, M. ve Pruyn, A. (2006). Physical environmental stimuli that turn healthcare facilities into healing environments through psychologically mediated effects: A systematic review. Journal of Advanced Nursing, 56(2), 166–181. https://doi.org/10.1111/j.1365-2648.2006.03990.x
16. Erbaş, M. M. (2023). Adlerian therapy: A general review. International Journal of Innovative Approaches in Education, 7(2), 79–90. https://doi.org/10.29329/ijiape.2023.567.3
17. Fonagy, P. ve Kächele, H. (2009). Psychoanalysis and other long-term dynamic psychotherapies. M.-G. Gelder, J. J. Lopez-Ibor ve N. Andreasen (Ed.), New Oxford textbook of psychiatry (Cilt 2, ss. 1337–1349) içinde. Oxford University Press.
18. Freud, A. (1966). The writings of Anna Freud: Vol. 2. The ego and the mechanisms of defence (C. Baines, Çev.). International Universities Press. (Orijinal eserin yayımlanma tarihi 1937).
19. Freeman, D., Garety, P. A., Bebbington, P., Slater, M., Kuipers, E., Fowler, D., Green, C., Jordan, J., Ray, K., & Dunn, G. (2005). The psychology of persecutory ideation II: a virtual reality experimental study. The Journal of nervous and mental disease, 193(5), 309–315. https://doi.org/10.1097/01.nmd.0000161686.53245.70
20. Gabbard, G. O. (2004). Long-term psychodynamic psychotherapy. American Psychiatric Publishing. Ginter, E. J., Roysircar, G. ve Gerstein, L. H. (2018). Psikolojik danışma ve psikoterapi kuramları ve uygulamaları: Farklı kültürlere ve bağlamlara uygunluğu. Nobel Akademik Yayıncılık.
21. Harris, P. B., McBride, G., Ross, C. ve Curtis, L. (2002). A place to heal: Environmental sources of satisfaction among hospital patients. Journal of Applied Social Psychology, 32(6), 1276–1299. https://doi.org/10.1111/j.1559-1816.2002.tb01436.x
22. Haase, R. F. ve DiMattia, D. J. (1970). Proxemic behavior: Counselor, administrator, and client preference for seating arrangement in dyadic interaction. Journal of Counseling Psychology, 17(4), 319–325. https://doi.org/10.1037/h0029662
23. Holosko, M. J., Skinner, J., & Robinson, R. S. (2008). Person centered theory. In B. A. Thyer (Ed.), Comprehensive handbook of social work and social welfare: Vol. 2. Human behavior in the social environment (ss. 297–326). John Wiley & Sons.
24. Jacob, A. L., Regazzoni, P., Steinbrich, W. ve Messmer, P. (2000). The multifunctional therapy room of the future: Image guidance, interdisciplinarity, integration and impact on patient pathways. European Radiology, 10, 1763–1769. https://doi.org/10.1007/s003300000485
25. Jones, J. K. (2020). A place for therapy: Clients reflect on their experiences in psychotherapists’ offices. Qualitative Social Work, 19(3), 406–423. https://doi.org/10.1177/1473325020911676
26. Kunter, Z. (1995). Gestalt terapisi. Marmara Üniversitesi Atatürk Eğitim Fakültesi Eğitim Bilimleri Dergisi, 7(7), 189–197. https://izlik.org/JA87YR93AJ
27. Lantz, J. E., & Walsh, J. F. (2007). Short-term existential intervention in clinical practice. Chicago: Lyceum Books.
28. Lattimore, K. L. (2013). The effect of seating orientation and a spatial barrier on students’ experience of person-centered counseling [Doktora Tezi, Cornell University]. https://ecommons.cornell.edu/
29. Lebow, J. L. (2012). Twenty-first century psychotherapies: Contemporary approaches to theory and practice. John Wiley & Sons.
30. Leichsenring, F., Biskup, J., Kreische, R. ve Staats, H. (2005). The Güttingen study of psychoanalytic therapy: First results. The International Journal of Psychoanalysis, 86(2), 433–455. https://doi.org/10.1516/XX6F-AU0W-KWM3-G6LU
31. Liddicoat, S. (2020). The therapeutic waiting room: Therapist and service user perspectives on the psychologically supportive dimensions of architectural space. HERD: Health Environments Research & Design Journal, 13(2), 103–118. https://doi.org/10.1177/1937586720904805
32. Lundin, S. (2015). Healing architecture: Evidence, intuition, dialogue [Doktora tezi, Chalmers University of Technology]. https://research.chalmers.se/en/publication/223475.
33. May, R. (1983). The discovery of being: Writings in existential psychology. W. W. Norton & Company.
34. Miwa, Y. ve Hanyu, K. (2006). The effects of interior design on communication and impressions of a counselor in a counseling room. Environment and Behavior, 38(4), 484–502. https://psycnet.apa.org/doi/10.1177/0013916505280084
35. Okken, V., van Rompay, T. ve Pruyn, A. (2012). Exploring space in the consultation room: Environmental influences during patient-physician interaction. Journal of Health Communication, 17(4), 397–412. https://doi.org/10.1080/10810730.2011.626498
36. Özgen, E. (2018). İnsan-Mekan Etkileşiminde Sağlık Yapıları ve Mekanın İyileştirici Rolü. Sanat ve Tasarım Dergisi, 8(2), 184–195. https://doi.org/10.20488/sanattasarim.529764
37. Pearson, M. ve Wilson, H. (2012). Soothing spaces and healing places: Is there an ideal counselling room design? Psychotherapy in Australia, 18(3), 46–53. https://search.informit.org/doi/10.3316/informit.317122780048316
38. Perls, F., Hefferline, G. ve Goodman, P. (1951). Gestalt therapy: Excitement and growth in the human personality. Julian Press.
39. Rapoport, A. (1990). The meaning of the built environment: A nonverbal communication approach. University of Arizona Press.
40. Rogers, C. R. (1979). The foundations of the person-centered approach. Education, 100(2), 98–107.
41. Saari, C. (2002). The environment: Its role in psychosocial functioning and psychotherapy. Columbia University Press.
42. Sanders, R. ve Lehmann, J. (2019). An exploratory study of clients’ experiences and preferences for counselling room space and design. Counselling and Psychotherapy Research, 19(1), 57–65. https://doi.org/10.1002/capr.12202
43. Sinclair, T. (2021). What’s in a therapy room?—A mixed-methods study exploring clients’ and therapists’ views and experiences of the physical environment of the therapy room. Counselling and Psychotherapy Research, 21(1), 118–129. https://doi.org/10.1002/capr.12376
44. Spinelli, E. (2006). Existential psychotherapy: An introductory overview. Análise Psicológica, 24(3), 311–321. https://doi.org/10.14417/ap.170
45. Stern, D. B. (1997). Unformulated experience: From dissociation to imagination in psychoanalysis. Analytic Press.
46. Stichler, J. F. (2001). Creating healing environments in critical care units. Critical Care Nursing Quarterly, 24(3), 1–20. https://doi.org/10.1097/00002727-200111000-00002
47. Sommer, R. (1969). Personal Space: The Behavioral Basis of Design. Englewood Cliffs, NJ: Prentice-Hall. https://eric.ed.gov/?id=ED036112
48. Taiwo, A., Chinyio, E., Hewson, H. ve Agberotimi, S. (2023). Client and therapists’ subjective understanding of an ideal therapy room: A divergent reflection of experience. The European Journal of Counselling Psychology, 12. https://doi.org/10.46853/001c.91127
49. Turemuratova, A., Amonov, U. ve Õrozboyev, A. (2025). General information about gestalt therapy and its basic principles. New Renaissance International Scientific and Practical Conference içinde (ss. 297–302).https://doi.org/10.5281/zenodo.15256717
50. Ulrich, R. S., Zimring, C., Quan, X., Joseph, A., ve Choudhary, R. (2004). The role of the physical environment in the hospital of the 21st century: A once-in-a-lifetime opportunity. The Center for Health Design. https://www.healthdesign.org/sites/default/files/Role%20Physical%20Environ%20in%20the%2021st%20Century%20Hospital_0.pdf
51. Vos, J. (2023). Existential psychological therapies: An overview of empirical research. Pratiques Psychologiques, 29(4), 211–229. https://doi.org/10.1016/j.prps.2023.09.001
52. Yalom, I. D. (1980). Existential psychotherapy. Basic Books.
53. Yolcu, F.Z., Zengin, G., Güçlü, H.K. ve Yalçınkaya, Ş., (2024). Terapötik oyun ile hastane iç mekan tasarımı arasındaki ilişki. İstanbul Nişantaşı Üniversitesi Sosyal Bilimler Dergisi, 1(12) 257–275. https://doi.org/10.52122/nisantasisbd.1448257
54. Yolcu, F. Z. ve Aydıntan, E. (2024). Influence of interior design in art therapy applications. P. Karakurt ve G. Giurgiu (Ed.), Proceedings of the 8th International Artemis Scientific Research Congress içinde (ss. 161–196). Artemis. https://doi.org/10.5281/zenodo.12580602
55. Yontef, G. ve Simkin, J. (1993). Gestalt therapy: An introduction. Gestalt Journal Press.
56. Zimmermann, J., Löffler-Stastka, H., Huber, D., Klug, G., Alhabbo, S., Bock, A. ve Benecke, C. (2015). Is it all about the higher dose? Why psychoanalytic therapy is an effective treatment for major depression. Clinical Psychology & Psychotherapy, 22(6), 469–487. https://doi.org/10.1002/cpp.1907
57. Watts, R. E., ve Shulman, B. H. (2003). Integrating Adlerian and constructive therapies: An Adlerian perspective. J. Carlson ve M. E. Englar-Carlson (Ed.), Adlerian, cognitive, and constructivist psychotherapies: An integrative dialogue içinde (ss. 9–37). Springer Publishing Company.
58. Winnicott, D. W. (1965). The maturational processes and the facilitating environment: Studies in the theory of emotional development. Hogarth Press.
59. Witty, M. C. (2007). Client-centered therapy. N. Kazantzis, F. P. Deane ve N. Ronan (Ed.), Handbook of homework assignments in psychotherapy: Research, practice, and prevention içinde (ss. 35–50). Springer.
60. Wright, J. H., Brown, G. K., Thase, M. E. ve Basco, M. R. (2017). Learning cognitive-behavior therapy: An illustrated guide. American Psychiatric Publishing.