Old Forensic Psychiatric Hospital end new Psychiatric Residence for the Execution of Measures of Security (Ex-OPG vs REMS): democratic revolution and therapeutic challenge

Journal title GRUPPI
Author/s Simone Bruschetta
Publishing Year 2019 Issue 2018/1
Language Italian Pages 24 P. 13-36 File size 231 KB
DOI 10.3280/GRU2018-001002
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On the occasion of the thirtieth anniversary of the approval of the c.d. Basaglia law (law n. 180 of 1978), with which the closure of the Psychiatric Hospitals (OP), was de facto clearly outlined, on the horizon of the Italian social political evolution, the need to complete the path of legislative reforms started in 1978, initiating that ten-year process of transformation of legislation on safety measures for citizens with mental disorders, which ended with the closure of the Forensic Psychiatric Hospitals (OPG). The article illustrates the political and social path between the years 2008 and 2017, identified as the decade of the "gentile revolution", which has left the establishment of Residences for the Execution of Measures of Security (REMS) for offenders with mental disorders. In particular, it is described how, with their establishment, the REMS are facing today, those same power conflicts underway in the socio-political processes that characterized both the so-called Basaglia reform and the aforementioned gentle revolution, in which the disciplinary-normative and the protective-rescuer instances are matched. The REMS is thus presented as not only the physical place for the execution of the security measures of detention, but also as the place, mental and social at the same time, in which the aforementioned basic conflict can be dangerously revealed through the reference to democratic methodological principles or else denied by a persistent and resistant asylum logic. The methodological principle followed for this reflection is c.d. culture of enquiry of the tradition of the British Democratic Therapeutic Communities, which today arises as the foundation of the organization of every residential treatment based on a model of mental health that respects the human rights of patients and citizens.

Keywords: Forensic Psychiatric Hospital, Residence for the Execution of Measures of Security, Democratic Therapeutic Community, Culture of enquiry, Mental Health Community-Based, Psychotherapy Community-Focused.

  1. Pelissero M. (2014). Ospedali psichiatrici giudiziari in proroga e prove maldestre di riforma della disciplina delle misure di sicurezza. Diritto penale e processo, 917-930.
  2. Rapoport R. (1960). Community as Doctor. London: Tavistock Publishers.
  3. Bruschetta S. (2018). Il fattore democrazia nei Servizi di Salute Mentale delle società postmoderne. Presupposti Epistemologici e Costrutti Teorici del Progetto Visiting DTC. Nuova Rassegna Studi Psichiatrici, 16, 2. -- Testo disponibile al sito: http://www.nuovarassegnastudipsichiatrici.it/index.php/
  4. Bruschetta S. & Barone R. (2015). Democratic Therapeutic Community in a Network of “Enabling Environments”: Transformations of Psychotherapeutic Residential Services in Social Postmodern Crisis. Academic Journal of Interdisciplinary Studies, 4, 2, S2: 259-263.
  5. Bruschetta S., Bellia V. e Barone R. (2015). Manifesto per una psicoterapia di comunità. RivistaPlexus, 12: 33-47. -- Testo disponibile al sito: http://www.nuovarassegnastudipsichiatrici.it/index.php/numeri-precedenti/volume-15/valutazione-qualita-comunitaria-dispositivi-sostegno-abitare-salute-mentale
  6. Corleone F. (2016). La Rivoluzione Gentile. La Fine degli OPG ed il Cambiamento Radicale. La Nuova Città, Fondazione Michelucci Press, dicembre, serie IX, 5: 22-25.
  7. Corleone F. (2017). Seconda Relazione Semestrale sulle attività svolte dal Commissario unico per il superamento degli Ospedali Psichiatrici Giudiziari. 19 febbraio. -- Testo disponibile al sito: https://www.francocorleone.it/sito/wp-content/plugins/download-attachments/includes/download.php?id=1675
  8. Davidson L., Drake R.E., Schmutte T., Dinzeo T. & Andres-Hyman R. (2009). Oil and Water or Oil and Vinegar? Evidence-based Medicine Meets Recovery. Community Ment. Health J., 45, 5: 323-332.
  9. Davidson L. & Strauss J.S. (1995). Beyond the Biopsychosocial Model: Integrating Disorder, Health, and Recovery. Psychiatry: Interp.& Biol. Processes, 58, 1: 44-55. DOI: 10.1080/00332747.1995.1102471
  10. Davidson L., Tondora J., Staeheli M., O’Connell M.J., Frey J. & Chinman M.J. (2006). Recovery Guides: an Emerging Model of Community-Based Care for Adults with Psychiatric Disabilities. In: Lightburn A. & Sessions P. (Eds.). Community Based Clinical Practice. London: Oxford University Press.
  11. Foucault M. (1973-1974). Il potere psichiatrico. Corso al Collège de France. Milano: Feltrinelli, 2010.
  12. Foucault M. (1975). Sorvegliare e Punire. Nascita della prigione. Torino: Einaudi, 2003.
  13. Haigh R. (1999). The Quintessence of a Therapeutic Environment: Five Universal Qualities. In: Campling P. & Haigh R. (eds). Therapeutic Communities Past, Present and Future. Vol. 2. London: Jessica Kingsley Publishers.
  14. Haigh R., Harrison T., Johnson R., Paget S. & Williams S. (2012). Psychologically Informed Environments and the “Enabling Environments” Initiative. Housing, Care and Support, 15, 1: 34-42. DOI: 10.1108/14608791211238412
  15. Haigh R. & Pearce S. (2017). Theory and Practice of Democratic Therapeutic Community Treatment. London: Jessica Kingsley Publishers.
  16. Jones M., Baker A. & Freeman T. (1952). Social Psychiatry: a Study of Therapeutic Communities. London: Tavistock Publishers.
  17. Lees J. & Manning N. (2004). A culture of Enquiry: Research Evidence and the Therapeutic Community. Psychiatric Quarterly, 75, 3: 279-294.
  18. Main T.F. (1946). The Hospital as a Therapeutic Institution. Bulletin of the Menninger Clinic, 10, 3: 66-70.
  19. Main T.F. (1989). The Ailment and Other Psychoanalytic Essays. London: Free Association Press.
  20. Pearce S. & Pickard H. (2012). How Therapeutic Communities Work: Specific Factors Related to Positive Outcome. Int. J. Soc. Psychiatry, November 2013, 59, 7: 636-45. DOI: 10.1177/002076401245099
  21. Pearce S., Scott L., Attwood G., Saunders K., Dean M., De Ridder R., Galea D., Konstantinidou H. & Crawford M. (2017). Democratic Therapeutic Community Treatment for Personality Disorder: Randomized Controlled Trial. The British Journal of Psychiatry, 210, 2: 149-56.
  22. Schiaffo F. (2014). La pericolosità sociale tra “sottigliezze empiriche” e “spessori normativi”: la riforma di cui alla legge n. 81/2014. Testo disponibile al sito: www.penalecontemporaneo.it
  23. Schiaffo F. (2017). Dalla “pericolosità sociale” alla “necessità della cura”: la medicalizzazione delle sanzioni penali nella Legge n. 103/2017. Gruppi, XVIII, 1: 13-37. DOI: 10.3280/GRU2017-00100

Simone Bruschetta, Ex-OPG vs REMS, rivoluzione democratica e sfida terapeutica in "GRUPPI" 1/2018, pp 13-36, DOI: 10.3280/GRU2018-001002