The "mythodology" of Italian Law no. 180/1978 and a call for a cultural revolution
Journal title PSICOTERAPIA E SCIENZE UMANE
Author/s Franco Veltro
Publishing Year 2023 Issue 2023/2
Language Italian Pages 20 P. 285-304 File size 109 KB
DOI 10.3280/PU2023-002006
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Cavicchi’s (2022) book Oltre la 180, centered on the apology of Italian Law no. 180/1978 and on its aporias, has stimulated a great debate on the need to reform or re-found psychiatric care in Ita-ly, between proposals of a "return to Basaglia" and changes guided by Evidence-Based Medicine (EBM). With constant reference to "hard data" and documents, it is argued that the apology is not of Italian Law no. 180/1978, but of the practices of the "post-reform" movement, which has be-come an establishment that created a "mythodology" of Law no. 180/1978 based on the absence of any comparison with research data and interventions of proven effectiveness. There has been no reform of Law no. 180/1978 in the following years of its approval but, instead, an effort to implement it. Through Italian Law no. 81/2014 regarding the Forensic Psychiatric Hospitals, even today the reform field is supported by politics and ideology with the same problems observed in the years following Law no. 180/1978. However, various aspects of the debate seem, so to speak, "Jurassic" in the way they are addressed, because the question of an identity crisis in psychiatry is discussed worldwide, but on the basis of rigorous transdisciplinary knowledge and methodolo-gies. A "normalization" and a professionalization of psychiatry, with a cultural revolution that also integrates psychiatry in a One-Health approach according to the Agenda 2030 of World Health Organization is urgently needed.
Keywords: Italian Law no. 180/1978; Psychiatric re-form; Accountability and evaluation; Identity crisis of psychiatry; One-Health approach
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Franco Veltro, La "mitodologia" della Legge 180 e la necessità di una rivoluzione culturale in "PSICOTERAPIA E SCIENZE UMANE" 2/2023, pp 285-304, DOI: 10.3280/PU2023-002006