City Know-hows
How do concepts from Kevin Lynch’s ‘The Image of the City’ (1960) help to explore the qualities of urban public spaces used to support recovery from psychosis? This paper offers a reflection on paths with feathered edges, vistas and nodes.
Share
Target audience
This research is aimed at two broad groups of professionals who have a stake in the city. Firstly, people who plan, design, develop, and manage city spaces; secondly, public health professionals who need to contribute to the design of places and planning process.
The problem
Mental health needs are poorly understood in the development and management of public space. However, people recovering from health issues such as psychosis need to use city space in their everyday lives. We note that large sites in city centres continue to be made available. As such their redesign and management needs to factor in these broader needs. There will be further benefits to people with conditions such as anxiety, depression and autism.
What we did and why
This work is the product of a three-year-long evaluation of NHS-led group walks in public space, designed to aid recovery from early psychosis. The study includes sat-down interviews and walks outside with service users. Our work harnesses the knowledge and experience of the two authors: the first author has spent over 12 years managing place-making and regeneration initiatives, and the second author is a mental health nurse with a master’s degree in urban planning.
Our study’s contribution
This study provides an appraisal of two cities in England, UK. We use concepts from the influential work ‘The Image of the City’ to present the experience of researchers and service users. The urban fringe of Bath and Bristol Floating Harbour offer different qualities. For example, a stark difference is how Bristol has been reshaped around its history since the 1980s and continues to evolve. However, the experience of Bath seems constrained by its heritage protection.
Impacts for city policy and practice
Our paper offers approaches for city managers and wider stakeholders to engage with marginalised voices. Whilst the walking group is a mobile, democratic and dynamic way of exploring cities, we show how the city can have such qualities itself. For example, walking Bristol’s Spike Island offers feathered edges to explore varied land uses (public art, boat yards and leisure), which allow people recovering from health issues, like psychosis, to gradually (re)gain confidence in public space.
Further information
Full research article:
[OPEN ACCESS] Urban public spaces as a mobile, democratic and dynamic clinic to support recovery from early psychosis by Aled Singleton & Mark Batterham
Related posts

Well-planned cities and neighbourhoods are building blocks for health and wellbeing. Our study evaluated one approach that two English local government organisations took to facilitate healthier environments, in both ‘healthy places officers’ were employed to bridge the gap between planning and public health teams.

We asked runners across Metro Manila to rate their usual running spots, not just based on convenience or safety, but on how these places make them feel. Do they offer a sense of community? Do they reduce stress? Can people connect with others there, even informally? These questions are rooted in the idea of “third places”, spaces that are neither home nor work but still feel like a meaningful part of daily life.

Our findings revealed that despite the limited play destinations compared to the local child population, children’s outdoor play experiences are predominantly positive. This positive outlook is attributed to their sense of safety within familiar spaces and strong social ties with neighbours beyond their immediate families. Key contributing factors include the proximity of schools and play areas to residential locations, the strategic placement of playgrounds along home-to-school routes, and the hierarchical relationship among neighbourhood open spaces.