40 years after Law 180

Journal title RICERCA PSICOANALITICA
Author/s Enrico Vincenti, Floriana Irtelli
Publishing Year 2018 Issue 2018/3
Language Italian Pages 15 P. 37-51 File size 185 KB
DOI 10.3280/RPR2018-003004
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

In the present paper we trace a panorama of the change in perspective in mental health services that took place in the past 40 years after the reform of psychiatry in Italy. We therefore briefly argue that the change of paradigm is the fruit of a wider epistemological change. In order to better locate this process we outline how de-institutionalization has taken place in Italy and in other European countries describing the move from a "hospital model" to an "assistance model". We then analyze the theoretical approach at the basis of this shift and how this change has promoted a new multi-disciplinary approach. In summary, to discuss this issue we have examined the history of the events related to the approval of Law 180 and the change in theoretical perspective that gave rise to this historical transformation as well as some examples of new contemporary practice.

Keywords: Law 180, de-institutionalization, assistance model, community

  1. Kerr D., Lu S., McKinlay L. (2013). Towards patient-centred care: perspectives of nurses and midwives regarding shift-to-shift bedside handover. International Journal of Nursing Practice, 20(3): 250-257.
  2. Maturana H. R., Varela F.J. (1985). Autopoiesi e cognizione. La realizzazione del vivente. Venezia: Marsilio.
  3. Maturana H. R., Varela F.J. (1987). L’albero della conoscenza. Milano: Garzanti.
  4. Minolli M. (2009). Psicoanalisi della Relazione. Milano: FrancoAngeli.
  5. Morin E. (1982) Science avec conscience. Paris: Fayard (trad.it.: Scienza con coscienza. Milano: FrancoAngeli,1984).
  6. Morin E. (1977). La Methode I. La nature de la nature. Paris: Seuil (trad. it.: Il metodo, ordine, disordine, organizzazione. Milano: Feltrinelli, 1988).
  7. Munizza C., Gonella R., Pinciaroli L., Rucci P., Picci R. L., Ribaldi G. (2011). CMHC adherence to National Menta Health Plan standards in Italy: a survey 30 years after national reform law. Psychiatric Services, 62(9): 1090-1093.
  8. Piccinelli M., Politi P., Barale F. (2002). Focus on psychiatry in Italy. British Journal of Psychiatry, 181: 538-544.
  9. Pietropolli Charmet G., Savuto G. (2001). Padre quotidiano. La cultura affettiva in un percorso terapeutico. Torino: Bollati Boringhieri.
  10. Piat, M. & Lal S. (2012). Service Providers’ Experiences and Perspectives on Recovery- Oriented Mental Health System Reform. Psychiatric Rehabilitation Journal, 35(4): 289-296.
  11. Pyke J. & Lowe J. (1996). Supporting people, not structures: changes in the provision of housing support. Psychiatric Rehabilitation Journal, 19(3): 5-12.
  12. Rodini C. (2004). Infant Research e nuove prospettive su teoria e tecnica della psicoterapia e della Psicoanalisi.. Ricerca Psicoanalitica, 1: 91-122.
  13. Rosen A., O'Halloran P.M., Mezzina R. & Thompson K. S. (2015). International trends in community-oriented mental health services. In: E. Mpofu (Eds.). Community-Oriented Health Services: Practices Across Disciplines (pp. 315-343). New York, NY: Springer.
  14. Sabet Sarvestani R., Moattari M., Nasrabadi A.N., Momennasab M. & Yektatalab S. (2015). Challenges of Nursing Handover: A Qualitative Study. Clinical Nursing Research, 24(3): 234-252.
  15. Schiavetti G. (2008). La schizofrenia non esiste, e se esistesse io la vorrei. Viterbo: Stampa alternativa/Nuovi equilibri.
  16. World Health Organization (WHO). (2013). Comprehensive Mental Health Action Plan 2013-2020. Geneva: World Health Organization. -- Text available on: http://apps.who.int/gb/ebwha/pdf_files/WHA66/A66_R8-en.pdf.
  17. Holley H., Hodges P. & Jeffers, B. (1998). Moving psychiatric patients from hospital to community: Views of patients, providers, and families. Psychiatric Services, 49(4): 513-517.
  18. Freud S. (1932). Introduzione alla Psicoanalisi (Nuova serie di lezioni). OSF, Vol. XI. Torino: Bollati Boringhieri,1979.
  19. Freud, S. (1901). Psicopatologia della vita quotidiana. OSF, Vol. VI. Torino: Bollati Boringhieri, 1979.
  20. Faiella M. G. (10 maggio 2018). 40 anni di Legge Basaglia, 20 milioni di italiani curati fuori dai manicomi. -- Testo disponibile al sito: https://www.corriere.it/salute/neuroscienze/18_maggio_09/40-anni-legge-basaglia-20-milioni-italiani-curati-fuori-manicomi-04737158-538b-11e8-ba7d-2cfb6470ec10.shtml.
  21. De Robertis D. (1994). L’autoconvalida del Sistema e la fuga nella clinica. Ricerca Psicoanalitica, 1-2: 33-45.
  22. Conci M., Dazzi S., Mantovani M.L., a cura di (1997). La tradizione interpersonale in psichiatria, psicoterapia e psicoanalisi. Bolsena (VT): Erre Emme Massari Editore.
  23. Coin R. (2010). Recensione del testo Psicoanalisi della Relazione di Michele Minolli. Ricerca Psicoanalitica, 2: 115-118.
  24. Carling P. J. (1995). Return to Community: Building Support Systems for People with Psychiatric Disabilities. New York, NY: Guilford Press.
  25. Caldas de Almeida J. M., Mateus P.,Tomé G. (2015). Towards community-based and socially inclusive mental health care. Situation analysis and recommendations for action. Joint Action on Mental Health Well Being. -- Text available on: http://www.mentalhealthandwellbeing.eu/assets/docs/publications.
  26. Basaglia F., a cura di (1968). L’istituzione negata. Torino: Einaudi.
  27. Basaglia F. (2000). Conferenze brasiliane. Milano: Raffaello Cortina.
  28. Babini V. (2014). Looking Back. Italian Psychiatry from its origins to law 180 of 1978. The Journal of Nervous and Mental Disease, 202: 428-431.
  29. Accordini M., Saita E., Irtelli F., Buratti M., Savuto G. (2017). Stories of change: the Text Analysis of handovers in an Italian psychiatric residential care home. Journal of Psychiatric and Mental Health Nursing, 24(4): 232-242.

  • Dal dialogo all’assunzione della propria condizione Enrico Vincenti, in Ricerca Psicoanalitica /2021
    DOI: 10.4081/rp.2021.603

Enrico Vincenti, Floriana Irtelli, A quarant’anni dalla Legge 180 in "RICERCA PSICOANALITICA" 3/2018, pp 37-51, DOI: 10.3280/RPR2018-003004