The Author, in this paper, begins with the reconstruction of the main historical phases of the theoretical and practical renewal process which preceded and accompanied the approval of 180 law, which established the closure of all psychiatric hospitals. He then describes the Italian psychiatric reform characteristics, underlining how it produces the need of a new interpretation and intervention methods for psychic suffering: in this perspective psychotherapy has a crucial role and the Italian law in psychotherapeutic training regulation is a further support. Particularly systemic psychotherapy proposes common basic principles with regards to the psychiatric reform and can represent a useful instrument for developing innovative concepts and practices. Finally the Author, with a critical tone, puts in evidence the problems that remain unresolved, such as the need of a full application of the reform law, with the creation of territorial services and structures where they are still lacking or insufficient, but most of all the lack of promotion into the public services of a psychotherapeutic culture and practice.
Keywords: Italian Psychiatric Reform; Law 180; Systemic Psychotherapy; Psychotherapeutic Culture; Public Services; Mental Health Workers Formation.