“…Most studies were undertaken over 40 years ago, based on quantitative designs in controlled, but artificial situations, which may lack external validity (Pressly & Heesacker, ). More recent studies suggest a renewed interest in healthcare environments, particularly hospital settings (Anthony & Watkins, ; Baack, ; Dellinger, ; Liu, Ji, Chen, & Ye, ; Miwa & Hanyu, ; Pearson & Wilson, ; Smith & Watkins, ). While these studies contribute to general understandings of human interaction in built environments, they fail to consider the psychological state of individuals seeking counselling, which usually occurs when people are experiencing disadvantage, vulnerability, confusion or sadness.…”