Journal title RIVISTA SPERIMENTALE DI FRENIATRIA
Author/s Giuseppe Riefolo
Publishing Year 2017 Issue 2017/1 Language Italian
Pages 20 P. 75-94 File size 1744 KB
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"Complaining" is a ruthless symptom in public mental health services. It highlights the system’s loss of "autopoietic capacity" and "autonomy". Such a system, if left untreated, passes from paralysis to implosion. The complaining stance is engendered by specific processes. The author describes three approaches and practices presenting case studies on the topic: a cognitive model that focuses on "living systems", a psychoanalytic model of group dynamics and the ‘containercontained’ relationship; and a model that analyses the creative block of a service as block of the autopoietic capacity of a system to dissociate continuously its pathological assumptions, promoting new connections between the different elements of the system. To deal with the complaining stance does not require new resources, but a different organisation of existing functions utilizing a more complex approach. In other words, when the capacity for autonomy, depression and the capacity for dissociation spawn more complexity in service relationships.
Keywords: Complaining, institutions, living systems, autopoiesis, autonomy, dissociation
Giuseppe Riefolo, Dinamiche di lamentazione nei servizi territoriali in "RIVISTA SPERIMENTALE DI FRENIATRIA" 1/2017, pp 75-94, DOI: 10.3280/RSF2017-001006