the physical setting has not been regarded as a mental health concern,
and is at best treated as an afterthought rather than as an important aspect
of therapy. Failure to look at the physical environment ignores a potentially
powerful, inexpensive, and noninvasive adjunct to treatment that may bene-
fit both patients and health care providers.

The authors wish to thank Dan Golletz, PhD for his contribution to the
manuscript.

Andrews G., Crino R., Hunt C., Lampe L., & Page A. ( 1994). The treatment of anxiety disorders:
Clinicians's guide and patient manuals. Cambridge: Cambridge University Press.

Bennett-Levy J., & Marteau T. ( 1984). "Fear of animals: What is prepared?" British Journal of
Psychology, 75, 37-42.

Benson H. ( 1975). The relaxation response. New York: William Morrow.

Birnbaum A. ( 1991, September/October). "Haven hugs & bugs". American Journal of Hospice
and Palliative Care, 23-29.

Bowlby J. ( 1982). Attachment ( 2nd ed.). New York: Basic Books.

Burke K. C., Burke J. D., Regier D. A., & Rae D. S. ( 1990). "Age at onset of selected mental
disorders in five community populations". Archives of General Psychiatry, 47, 511-518.

Cook E. W., Lang P. J., & Hodes R. L. ( 1986). "Preparedness and phobia: Effects of stimulus
content on human visceral conditioning". Journal of Abnormal Psycholog, 95, 195-207.

Cook M., & Mineka S. ( 1989). "Observational conditioning of fear to fear-relevant versus
fear-irrelevant stimuli in rhesus monkeys". Journal of Abnormal Psychology, 98, 448-459.

Coss R. G., Clearwater Y. A., Barbour C. G., & Towers S. R. ( 1989). Functzonal decor in the
international space station: Body orientation cues and picture perception. Mountain View, CA:
NASA-Ames Research Center.

Costello C. G. ( 1982). "Fears and phobias in women: A community study". Journal of Abnormal
Psychology, 91, 280-286.

Davey G. C. L. ( 1994a). "Self-reported fears to common indigenous animals in an adult UK
population: The role of disgust sensitivity". British Journal Psychology, 85, 541-554.

Davey G. C. L. ( 1994b). "The disgusting spider: The role of disease and illness in the
perpetuation of fear of spiders". Journal of Agricultural and Environmental Ethics, 2, 17-25.

Delprato D. J. ( 1980). "Hereditary determinants of fears and phobias: A critical review". Behavior
Therapy, 11, 79-103.

Dorfman P. W. ( 1979). "Measurement and meaning of recreation satisfaction: A case study
of camping". Environment and Behavior, 11, 483-510.

Everly G. S., & Benson H. ( 1989). "Disorders of arousal and the relaxation response:
Speculations on the nature and treatment of stress-related diseases". International Journal
of Psychosomatics, 56, 15-21.

Golletz D. ( 1995). Uses of nature stimuli in relaxation therapy for anxiety and anger. Unpublished
doctoral dissertation. University of Washington, Seattle.

Herman J. L. ( 1992). Trauma and recovery. New York: Harper Collins.

-190-