The legacy of Italian psychiatry

Fiorillo, Andrea; Ventriglio, Antonio

doi:10.1080/09540261.2018.1435771

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…In order to accommodate this clinical, ethical, social and ideological change, all asylums were closed. 8 Psychiatric wards were opened within general hospitals, and a community-based model of care was implemented. 6 The need for multidisciplinary èquipes to care for patients with severe mental disorders became immediately clear; the care of patients with severe mental disorders is now provided not only by psychiatrists but also by psychologists, psychiatric nurses, social workers, rehabilitation technicians and other mental health professionals working in multidisciplinary teams in order to provide personalized and integrated treatments for each patient.…”

Section: Discussionmentioning

confidence: 99%

Community Mental Health Services in Italy

Sampogna

Vecchio

Rosa

et al. 2021

Consortium Psychiatricum

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In 1978, in Italy, approval of Basaglias reform law marked a shift from an asylum-based to a community-based mental health system. The main aim of the reform was to treat patients in the community and no longer in psychiatric hospitals. Following the Italian model, similar reforms of mental health care have been approved worldwide. The community-based model aims to promote integration and human rights for people with mental disorders on the basis of their freedom to choose treatment options. By 2000, all psychiatric hospitals had been closed and all patients discharged. Mental health care is organized through the Department of Mental Health, which is the umbrella organization responsible for specialist mental health care in the community; this includes psychiatric wards located in general hospitals, residential facilities, mental health centres, and day-hospital and day-care units. Approval of Law 180 led to a practical and ideological shift in the provision of care to patients with mental disorders. In particular, the reform highlighted the need to treat patients in the same way as any other patient, and mental health care moved from a custodialistic to a therapeutic model. Progressive consolidation of the community-based system of mental health care in Italy has been observed in the past 40 years. However, some reasons for concern still exist, including low staffing levels, potential use of community residential facilities as long-stay residential services, and a heterogeneity in the availability of resources for mental health throughout the country.

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Section: Discussionmentioning

confidence: 99%

Community Mental Health Services in Italy

Sampogna

Vecchio

Rosa

et al. 2021

Consortium Psychiatricum

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“…Little-p phenomenology is distinct from Phenomenology in that it does not by definition include, or develop from, analyses of structures of experience. In some countries – such as the UK or USA – psychiatric training is arguably not strongly informed by Phenomenology, while others, such as Italy do involve a greater phenomenological emphasis (Fiorillo & Ventriglio, 2018 ).…”

Section: Phenomenologymentioning

confidence: 99%

Thinking about hallucinations: why philosophy matters

Wilkinson

Green

Hare

et al. 2021

Cognitive Neuropsychiatry

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Introduction: Hallucinations research is increasingly incorporating philosophy or the work of philosophically trained individuals. We present three different ways in which this is successfully implemented to the enhancement of knowledge and understanding of hallucinations and related phenomena. Method: We review contributions from phenomenology, philosophy of cognitive science, and philosophy of science and psychiatry. Results: We demonstrate that these areas of philosophy make significant contributions to hallucinations research. Phenomenology gives us a sophisticated and critical understanding of the lived experience of hallucinations. Philosophy of cognitive science enables big-picture theorising and synthesis of ideas, as well as a critical engagement with new paradigms. Philosophy of science and psychiatry raises valuable and theoretically informed questions about diagnosis and categorisation. Conclusions: These contributions reflect both the methodological variety within philosophy and its relevance to the hallucinations researcher.

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