
{"id":15006,"date":"2025-10-20T14:24:00","date_gmt":"2025-10-20T14:24:00","guid":{"rendered":"https:\/\/8d.nl\/professor-ineke-van-der-ham-on-recognition-and-treatment-of-topographical-disorientation-disorder-atopia\/"},"modified":"2025-10-21T13:35:59","modified_gmt":"2025-10-21T13:35:59","slug":"professor-ineke-van-der-ham-on-recognition-and-treatment-of-topographical-disorientation-disorder-atopia","status":"publish","type":"post","link":"https:\/\/8d.nl\/en\/professor-ineke-van-der-ham-on-recognition-and-treatment-of-topographical-disorientation-disorder-atopia\/","title":{"rendered":"Professor Ineke van der Ham on recognition and treatment of topographical disorientation disorder Atopia"},"content":{"rendered":"\n<div class=\"wp-block-columns alignfull is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n\n\n<div id=\"block_67346995d7614\" data-block-name=\"schaduwkader\"\n    class=\"alignfull bg-light\" data-vscode-dir='\/var\/www\/vhosts\/8d.nl\/httpdocs\/wp-content\/themes\/8dgames\/blocks\/schaduwkader' data-vscode-file='block.php:50:0'>\n  \n\n    <div class=\"content\">\n        \n\n<p><strong><strong>In 2009, researchers discovered that some people are born with a disorientation disorder. Those affected lack the ability to form a mental map of their surroundings. While most of us can find our way back without much thought, they can only perceive what is directly in front of them. \u201cA severely reduced sense of navigation has an enormous impact,\u201d explains Professor Ineke van der Ham. \u201cPeople may be unable to travel independently or even go to the supermarket. A GPS phone often doesn\u2019t help either, since many struggle to translate a map into the real world.\u201d<\/strong><\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong><strong>The condition has recently been given a name: <em>Atopia<\/em>. The term was chosen as part of Professor Van der Ham\u2019s current research project, which aims to raise awareness of the disorder. \u201cWithout language and recognition, people cannot be helped,\u201d she explains. \u201cThrough this project, we want to make the condition known and ensure that it is recognized much earlier.\u201d<\/strong><\/strong><\/p>\n\n\n    <\/div>\n    \n\n\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\"><\/div>\n<\/div>\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:10px\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-7e8c9f633ce2123c35eb1caf6b511a4d\">More than dots and dashes in the lab<\/h2>\n\n\n\n<p>Van der Ham is Professor of Technological Innovations in Neuropsychology at Leiden University. Her career began with abstract laboratory research, but over time she felt that this work was too detached from patients\u2019 real experiences. \u201cWhen I met people who, after a stroke, suddenly began getting lost more often, something clicked,\u201d she says. \u201cThey became deeply anxious and insecure; it had a huge impact on their daily lives. And I thought: the lines and dots I study in the lab say nothing about this, even though this is what truly affects people.\u201d<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>Van der Ham then turned to virtual simulations as a way to bring her research closer to people\u2019s real experiences. In 2018, for instance, she launched a public game that allowed tens of thousands of people to test their navigation skills from home. \u201cFor the first time, this gave us reference values for different age groups,\u201d she explains. \u201cTo better understand Atopia and develop treatments, we first needed to understand how healthy people navigate and which factors &#8211; such as age and environment &#8211; influence that ability.\u201d<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>The experiment produced surprising insights that attracted widespread media attention. It revealed that age, not gender, is the most important factor in navigation ability. The study also showed that stereotypes play a major role in how people assess their own sense of direction: men tend to overestimate their skills, women underestimate theirs \u2014 and interestingly, children appear to have a more accurate sense of their own ability than adults do.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-6a4224dcc4ff51f54589cb93f9e20b04\">Increasing awareness of Atopia in classrooms and consulting rooms<\/h2>\n\n\n\n<p>Many people don\u2019t realize until later in life that they have trouble finding their way. \u201cWhat we often see is that people only start coming up with coping strategies around the age of sixty,\u201d says Van der Ham. \u201cBut by then, they\u2019ve already spent a lifetime being dependent. The earlier you know you have this, the sooner you can develop ways to navigate independently.\u201d<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>To raise awareness, Van der Ham and her research team developed a public website about Atopia together with team 8D. Over time, the site will bring together all the tools created within the project \u2014 including personal stories, practical tips, and educational materials for healthcare and education professionals. Beyond sharing information, the website is also meant to be a place for connection. \u201cThat\u2019s why we\u2019re adding a forum function,\u201d Van der Ham explains. \u201cThis way, people with Atopia can find one another and share their experiences.\u201d<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"has-text-align-center has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-8ad5340eafd9355ba4488a2cc59ddbc9\"><strong>\u201cThrough this website, people with Atopia can find each other and share their experiences.\u201d<\/strong><\/p>\n<\/blockquote>\n\n\n\n<div style=\"height:35px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:10px\"><\/div>\n<\/div>\n\n<div id=\"block_6853de6fc58b3\" 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jQuery;\n$(document).ready(function() {\n\n    var swiper_block_6853de6fc58b3 = new Swiper('#block_6853de6fc58b3 .swiper-container', {\n        \n    simulateTouch:false,\n    disableOnInteraction: true,\n    loop:true,\n\n    stopOnLast: false,\n    speed: 1000,\n    freeMode: false,\n    autoplay: {\n      delay: 5000,\n    },\n    breakpoints: {\n        1200: {\n          slidesPerView: 3,\n          spaceBetween: 20\n        },\n    \n        992: {\n          slidesPerView: 2,\n          spaceBetween: 20\n        },\n  \n        576: {\n          slidesPerView: 1,\n          spaceBetween: 10\n        }\n    }\n    ,\n\n        navigation: {\n            nextEl: '.block_6853de6fc58b3-next',\n            prevEl: '.block_6853de6fc58b3-prev',\n        },\n\n\n    });\n\n   \n\n});1<\/script>\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:10px\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div style=\"height:35px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-eadd0758f9e76e32ed75c6a73954d0be\">Atopia Training Game<\/h2>\n\n\n\n<p>In addition to raising awareness, Van der Ham is also working on practical solutions. Earlier research showed that six weeks of training with navigation games can actually improve people\u2019s navigation skills. Her research group developed a prototype game that allows players to practice navigating in a virtual environment. In collaboration with 8D, this game has now been further developed into a version suitable for use in hospitals and rehabilitation centers. A pilot will be conducted in 2025 and 2026 at three institutions: UMC Utrecht, Delft Rehabilitation Center, and De Hoogstraat Rehabilitation. \u201cWhat\u2019s great is that this game will become part of standard treatment,\u201d says Van der Ham. \u201cWe\u2019re not only looking at whether there\u2019s measurable improvement, but also at how patients and therapists experience using the training game. That\u2019s the only way to know whether an innovation truly has a chance to find its place in healthcare.\u201d<\/p>\n\n\n\n<p><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"has-text-align-center has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-b4dc0cda5135c82f483556999ab4697c\"><strong>\u201cEveryone says technology should ease the burden on healthcare, but if the conditions don\u2019t change, it never will.\u201d<\/strong><\/p>\n\n\n\n<p><\/p>\n<\/blockquote>\n\n\n\n<p>The implementation process comes with its share of challenges. Van der Ham explains: \u201cYou spend endless hours talking to committees and privacy officers, and in the end, nothing is allowed. It\u2019s frustrating, but it also holds up a mirror to the system. Everyone says technology should ease the burden on healthcare, but if the conditions don\u2019t change, it never will.\u201d<br\/><br\/>That\u2019s why Van der Ham looks beyond the pilot with the training game. Together with 8D and other project partners, she\u2019s exploring ways to bring the challenges of implementation into public discussion. \u201cWe don\u2019t just want to develop an intervention &#8211; we also want to expose the barriers that prevent such innovations from reaching everyday practice. By making those problems visible, we hope to work with researchers, healthcare professionals, and industry partners to find real solutions.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-513dd60f565c5cc0110613f4d5d80e32\">The role of co-creation and design<\/h2>\n\n\n\n<p>Co-creation is a natural part of Van der Ham\u2019s work. For instance, the first version of the training game featured a Greek mythology theme; it looked impressive, but feedback from the target group revealed several concerns. Van der Ham explains: \u201cTherapists told us that people need to get lost virtually in a familiar setting, like a shopping street or a market. That makes it easier to translate what they learn in the game to the real world and to their own experiences.\u201d<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>In these kinds of co-creation processes, a good designer can play a key role, says Van der Ham. \u201cDesigners ask practical and critical questions that researchers don\u2019t always consider. They\u2019ll simply say, \u2018this won\u2019t work in practice,\u2019 or encourage you to bring prototypes to the target group early on. That may sound simple, but it adds tremendous value. It keeps projects grounded and prevents them from getting stuck in abstraction.\u201d<br\/><\/p>\n\n\n\n<p>Van der Ham experiences the collaboration with 8D as genuine and impact-driven. \u201cYou truly look at what\u2019s needed, instead of just trying to sell a product or create something trendy. That means there\u2019s much more focus on <a href=\"https:\/\/8d.nl\/social-design-method\/\" target=\"_blank\" rel=\"noreferrer noopener\">making effective choices<\/a>, with an awareness of the system the innovation will become part of. You can really feel that difference.\u201d<\/p>\n\n\n\n<p><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"has-text-align-center has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-59b110dc2b047f781acac6793f33e947\"><strong>\u201cDesigners ask practical and critical questions that researchers don\u2019t always think of &#8211; it keeps projects grounded and prevents them from getting lost in abstraction.\u201d<\/strong><\/p>\n<\/blockquote>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-873bfb87e567aae451ab6a8cd196ac9a\">Outlook<\/h2>\n\n\n\n<p>The <a href=\"https:\/\/dewegkwijt.com\/\">public website on disorientation disorders (called \u2018De Weg Kwijt\u2019)<\/a> was launched in September 2025. This site will gradually bring together all resources related to Atopia, from flyers to personal stories and exercises. One important next step is the launch of an experiential game. \u201cHow do you explain what Atopia is if you don\u2019t have it yourself? That\u2019s almost impossible. That\u2019s why we\u2019re developing a game that allows relatives and professionals to experience what it\u2019s like to live with this condition.\u201d<br\/><br\/>These initiatives are part of a broader social ambition. Van der Ham explains: \u201cWe need to recognize Atopia much earlier, especially in young people. And we need a healthcare system where innovations can find their place more quickly. I hope this project not only raises awareness of Atopia but also helps to spark systemic change.\u201d<br\/><br\/><br\/><br\/><em>Want to participate in the research or stay up to date? Visit www.dewegkwijt.com<\/em><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:10px\"><\/div>\n<\/div>\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:10px\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:10px\"><\/div>\n<\/div>\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div id=\"block_6853dca35132c\" data-block-name=\"kader\"\n    class=\"alignfull bg-primary  \" data-vscode-dir='\/var\/www\/vhosts\/8d.nl\/httpdocs\/wp-content\/themes\/8dgames\/blocks\/kader' data-vscode-file='block.php:54:0'>\n  \n\n    <div class=\"content\">\n        \n\n<h4 class=\"wp-block-heading has-text-align-center has-secondary-color has-text-color has-link-color wp-elements-35cba7746495e8d27d39756d53796948\">Further reading tips for researchers interested in design<\/h4>\n\n\n\n\n<div id=\"block_6853dcb45132d\" data-block-name=\"mogelijkheden\"  class=\"alignfull style-card \"  data-vscode-dir='\/var\/www\/vhosts\/8d.nl\/httpdocs\/wp-content\/themes\/8dgames\/blocks\/mogelijkheden' data-vscode-file='block.php:54:0' >\n\n  \n      <script>\n    jQuery(document).ready(function($){ \n      const stijlen =[{\"id\":13499,\"title\":\"Effective knowledge transfer: turning research findings into societal value\",\"url\":\"https:\\\/\\\/8d.nl\\\/en\\\/mogelijkheden\\\/effective-knowledge-transfer\\\/\"},{\"id\":13841,\"title\":\"Design thinking in healthcare\",\"url\":\"https:\\\/\\\/8d.nl\\\/en\\\/mogelijkheden\\\/design-thinking-in-healthcare\\\/\"},{\"id\":13770,\"title\":\"Dissemination strategies for researchers\",\"url\":\"https:\\\/\\\/8d.nl\\\/en\\\/mogelijkheden\\\/dissemination-strategies-for-researchers\\\/\"}];\n          init_mogelijkheden(\n          \"#block_6853dcb45132d\", stijlen\n         \n          );    \n      \n     });\n    <\/script>\n  \n  <div class=\"posts\">\n                <a href=\"https:\/\/8d.nl\/en\/mogelijkheden\/effective-knowledge-transfer\/\" class=\"post-card\">\n    <div class=\"post-img\">\n        <img src='https:\/\/8d.nl\/wp-content\/uploads\/DSC01814_edit_kleiner-990x660.jpg'>\n    <\/div>\n    <div class=\"post-body\">\n        <h5 class=\"titel\">Effective knowledge transfer: turning research findings into societal value<\/h5>\n        <div><p>How can research findings be shared effectively with society? This article explores how participatory design supports effective knowledge transfer by aligning form, content and context. Real-world examples illustrate how design enhances the practical usability of academic insights.  <\/p>\n<\/div>\n \n    <\/div>\n    <i class=\"fa fa-chevron-right text-right text-red\"><\/i>\n    <div class=\"shadow\"><\/div>\n<\/a> \n                  <a href=\"https:\/\/8d.nl\/en\/mogelijkheden\/dissemination-strategies-for-researchers\/\" class=\"post-card\">\n    <div class=\"post-img\">\n        <img src='https:\/\/8d.nl\/wp-content\/uploads\/1732011094424-990x743.webp'>\n    <\/div>\n    <div class=\"post-body\">\n        <h5 class=\"titel\">Dissemination strategies for researchers<\/h5>\n        <div><p>How do you disseminate research results in a way that truly lands in policy and practice? Our vision: dissemination is an integral and substantive part of the research process, not a box to tick at the end.<\/p>\n<\/div>\n \n    <\/div>\n    <i class=\"fa fa-chevron-right text-right text-red\"><\/i>\n    <div class=\"shadow\"><\/div>\n<\/a> \n                  <a href=\"https:\/\/8d.nl\/en\/mogelijkheden\/design-thinking-in-healthcare\/\" class=\"post-card\">\n    <div class=\"post-img\">\n        <img src='https:\/\/8d.nl\/wp-content\/uploads\/IMG_0007-1-660x990.webp'>\n    <\/div>\n    <div class=\"post-body\">\n        <h5 class=\"titel\">Design thinking in healthcare<\/h5>\n        <div><p>Many healthcare innovations don\u2019t fail due to poor design, but because of inadequate implementation. Design thinking often ends at the prototype, while rollout demands human-centered design just as much.<\/p>\n<p>This article explores how co-creation, empathy, and iteration can make a real difference during implementation \u2013 and argues for using design thinking to shape change, not just solutions.<\/p>\n<\/div>\n \n    <\/div>\n    <i class=\"fa fa-chevron-right text-right text-red\"><\/i>\n    <div class=\"shadow\"><\/div>\n<\/a> \n          <\/div>\n\n<\/div> \n\n    <\/div>\n    \n    \n<\/div>","protected":false},"excerpt":{"rendered":"<p>More than dots and dashes in the lab Van der Ham is Professor of Technological Innovations in Neuropsychology at Leiden University. Her career began with abstract laboratory research, but over&#8230;<\/p>\n","protected":false},"author":5,"featured_media":14403,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[67],"tags":[],"sector":[],"class_list":["post-15006","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Atopia: working toward recognition and treatment through creative tools<\/title>\n<meta name=\"description\" content=\"Atopia (also known as DTD) is a congenital disorientation disorder. 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