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Attualità di Goffman: quanto contribuisce alla carriera morale di malato mentale la psichiatria di comunità italiana contemporanea?
Author/s: Lorenzo Burti 
Year:  2017 Issue: Language: Italian 
Pages:  36 Pg. 211-246 FullText PDF:  324 KB
DOI:  10.3280/PU2017-002003
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Erving Goffman revisited: How extensive is the contribution of today’s commu-nity mental health services in Italy to the moral career of the mental patient? In his 1961 book Asylums, Erving Goffman describes how the mental hospital promotes the career of the mental patient. Upon admission to the institution, the person is systematically, albeit often un-intentionally, mortified through a series of abasements, degradations and profanations of the self and is stripped of his individuality. In this way, the institution creates a population of inmates, reduced to obedience and standardized in their needs, that can be managed in large number in a reduced space and with few resources. This paper then investigates whether the present organization of Italian community-based psychiatric services presents similar detrimental effects and suggests possible scenarios for further developments of our model of community mental health.
Keywords: Asylums; Career; Mental patient; Community psychiatry; Alternative treatments

  1. Almerie M.Q., Okba Al Marhi M., Jawoosh M., Alsabbagh M., Matar H.E., Maayan N. & Bergman H. (2015) Social skills programmes for schizophrenia. Cochrane Database of Systematic Reviews, CD009006.
  2. American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disor-ders, Fifth Edition (DSM-5). Washington, D.C.: APA (trad. it.: DSM-5. Manuale diagno-stico e statistico dei disturbi mentali. Quinta edizione. Milano: Raffaello Cortina, 2014).
  3. Becker T. & Kösters M. (2012). Psychosocial interventions in people with severe mental illness: A Bleulerian perspective. Neuropsychobiology, 66, 1: 70-75., DOI: 10.1159/000338549
  4. Bola J.R. & Mosher L.R. (2002). At issue: predicting drug-free treatment response in acute psychosis from the Soteria project. Schizophrenia Bulletin, 28, 4: 559-575.
  5. Burti L., Amaddeo F., Ambrosi M., Bonetto C., Cristofalo D., Ruggeri M. & Tansella M. (2005). Does additional care provided by a consumer self-help group improve psychiatric outcome? A study in an Italian community-based psychiatric service. Community Mental Health Journal, 41, 6: 705-720.
  6. Burti L. & Cazzoletti L. (2014). Mettiamo caso che... (i manicomi fossero rimasti). Minerva Psi-chiatrica, 55: 35-43.
  7. Carpenter W.T.Jr. & Strauss J.S. (1991). The prediction of outcome in schizophrenia. IV: Elev-en-year follow-up of the Washington IPSS cohort. Journal of Nervous and Mental Disease, 179, 9: 517-525., DOI: 10.1097/00005053-199109000-00001
  8. Catty J.S., Burns T., Comas A. & Poole Z. (2007). Day centres for severe mental illness. Cochrane Database of Systematic Reviews, CD001710.
  9. Clement S., Lassman F., Barley E., Evans-Lacko S., Williams P., Yamaguchi S., Slade M., Rüsch N. & Thornicroft G. (2013). Mass media interventions for reducing mental health-related stigma. Cochrane Database of Systematic Reviews, CD009453.
  10. de Girolamo G., Picardi A., Santone G., Falloon I., Morosini P., Fioritti A., Micciolo R. & PROGRES Group (2005). The severely mentally ill in residential facilities: a national survey in Italy. Psychological Medicine, 35, 3: 421-431., DOI: 10.1017/S0033291704003502
  11. Demopoulos C., Hopkins J. & Lewine J.D. (2016). Relations Between Nonverbal and Verbal Social Cognitive Skills and Complex Social Behavior in Children and Adolescents with Autism. Journal of Abnormal Child Psychology, 44, 5: 913-921.
  12. Goffman E. (1961). Asylums: Essays on the Social Situation of Mental Patients and Other In-mates. New York: Anchor Books (trad. it.: Asylums. Le istituzioni totali: i meccanismi dell’esclusione e della violenza. Torino: Einaudi, 1968).
  13. Harding C.M., Brooks G.W., Ashikaga T., Strauss J.S. & Breier A. (1987). The Vermont longi-tudinal study of persons with severe mental illness, I: Methodology, study sample, and overall status 32 years later. American Journal of Psychiatry, 144, 6: 718-726.
  14. Jann M.W. (2014). Diagnosis and treatment of bipolar disorders in adults: a review of the evi-dence on pharmacologic treatments. American Health & Drug Benefits, 7, 9: 489-499.
  15. Kłapciński M.M. & Rymaszewska J. (2015). Open Dialogue Approach - about the phenomenon of Scandinavian Psychiatry. Psychiatria Polska, 49, 6: 1179-1190., DOI: 10.12740/PP/36677
  16. Komeda H., Kosaka H., Saito D.N., Mano Y., Jung M., Fujii T., Yanaka H.T., Munesue T., Ishitobi M., Sato M. & Okazawa H. (2015). Autistic empathy toward autistic others. Social Cognitive and Affective Neuroscience, 10, 2: 145-52.
  17. Lawrence P.R. & Lorsch J.W. (1967). Differentiation and integration in complex organizations. Administrative Science Quarterly, 12, 1: 1-47., DOI: 10.2307/2391211
  18. Leucht S., Burkard T., Henderson J., Maj M. & Sartorius N. (2007). Physical illness and schiz-ophrenia: a review of the literature. Acta Psychiatrica Scandinavica, 116, 5: 317-333.
  19. Lichtenberg P. (2011). The residential care alternative for the acutely psychotic patient. Psychi-atric Quarterly, 82, 4: 329-341.
  20. Lloyd-Evans B., Slade M., Jagielska D. & Johnson S. (2009). Residential alternatives to acute psychiatric hospital admission: systematic review. British Journal of Psychiatry, 195, 2: 109-117.
  21. Mandiberg J.M. (2010). Another way: Enclave communities for people with mental illness. American Journal of Orthopsychiatry, 80, 2: 170-176.
  22. Marshall M., Crowther R., Sledge W.H., Rathbone J. & Soares-Weiser K. (2011). Day hospital versus admission for acute psychiatric disorders. Cochrane Database of Systematic Reviews, CD004026.
  23. Morosini P., Gigantesco A., Mazzarda A. & Gibaldi L. (2003). HoNOS-Roma: una versione ampliata, personalizzabile e che facilita la compilazione ripetuta nel tempo dello strumento HoNOS. Epidemiologia e Psichiatria Sociale, 12, 1: 53-62., DOI: 10.1017/S1121189X00006059
  24. Owens D.C., Johnstone E.C., Miller P., Macmillan J.F. & Crow T.J. (2010). Duration of un-treated illness and outcome in schizophrenia: Test of predictions in relation to relapse risk. British Journal of Psychiatry, 196, 4: 296-301.
  25. Perrow C. (1970). Organizational Analysis: A Sociological View. Belmont, CA: Wadsworth.
  26. Ridgway P. & Zipple A.M. (1990). The paradigm shift in residential services: From the linear continuum to supported housing approaches. Psychosocial Rehabilitation Journal, 13, 4: 11-31.
  27. Rubenstein J.L. (2011). Annual Research Review: Development of the cerebral cortex: implica-tions for neurodevelopmental disorders. Journal of Child Psychology and Psychiatry, 52, 4: 339-355.
  28. Seikkula J. (2014). Il dialogo aperto. L’approccio finlandese alle gravi crisi psichiatriche. Roma: Fioriti.
  29. Spivak M. (1987). Introduzione alla riabilitazione sociale: teoria, tecnologia e metodi di inter-vento. Rivista Sperimentale di Freniatria, CXI, 3: 522-574.
  30. State M.W. & Levitt P. (2011). The conundrums of understanding genetic risks for autism spectrum disorders. Nature Neuroscience, 14, 12: 1499-1506.
  31. Tan B.L., Lee S.A. & Lee J. (2016). Social cognitive interventions for people with schizophrenia: A systematic review. Asian Journal of Psychiatry, 2016, -- 10.1016/j.ajp.2016.06.013.
  32. Veltro F., Chiarullo R., Leanza V., Di Padua P., Oricchio I., Addona F., Vendittelli N. & di Giannantonio M. (2013). Descrizione dell’esperienza, dell’efficacia pratica e della diffusione dell’intervento cognitivo-comportamentale di gruppo nel Servizio Psichiatrico di Diagnosi e Cura di Psichiatria. Rivista di Psichiatria, 48, 2: 130-139., DOI: 10.1708/1272.14037.
  33. Ward M.J. (1946). The Snake Pit. New York: Random House (trad. it.: La fossa dei serpenti. Milano: Bompiani, 1947)
  34. Wyatt R.J. (1991). Early intervention with neuroleptics may decrease the long-term morbidity of schizophrenia. Schizophrenia Research, 5, 3: 201-202., DOI: 10.1016/0920-9964(91)90073-Z
  35. Wykes T., Huddy V., Cellard C., McGurk S.R. & Czobor P. (2011). A meta-analysis of cogni-tive remediation for schizophrenia: methodology and effect sizes. American Journal of Psychiatry, 168, 5: 472-85.
  36. Xia J. & Li C. (2007). Problem solving skills for schizophrenia. Cochrane Database of System-atic Reviews, CD006365., DOI: 10.1002/14651858.CD006365

Lorenzo Burti, in "PSICOTERAPIA E SCIENZE UMANE" 2/2017, pp. 211-246, DOI:10.3280/PU2017-002003


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