“…In contrast to the reductionist approach that the studies reviewed above have followed in dealing with design as separate components, there are a few studies that adopt a more holistic synthesis. For example, Muenchberger, Ehrlich, Kendall, and Vit () highlight Gesler's (2003) and Williams' (2002) findings that environmental significance comprises multiple dimensions—built, natural, symbolic, social, identity, security, privacy, time. Gesler, Bell, Curtis, Hubbard, and Francis () report on the role of democratization, permissiveness, reality confrontation, communalism, interpersonal relationships, personal growth, and program structure in the rehabilitation process.…”