La non normalità come spinta al cambiamento Una panoramica dei processi sistemici

Author/s Primavera Fisogni
Publishing Year 2023 Issue 2023/2 Language English
Pages 21 P. 77-97 File size 711 KB
DOI 10.3280/RSF2023-002006
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this paper moves from the multifaceted frame of ‘normality’ to inquiry how the processes of change work in case of perturbations. The aim is not simply to investigate the opaque region of the world of life that belongs to metamorphosis but to reflect on the possibility to move further obsolete paradigms about what is normal/abnormal/pathological. Through several forms of normalities that result from processes that follow shocking events (social emergencies, severe diagnoses and chronic diseases) the author will highlight the dynamic texture of normality and the transformative power of non-normality. Normality in case of perturbation results not from the limit of the norm, but from the constant effort to re-modulate it. Furthermore, it will be argued that new normalities originate from a process of renormalization, a dynamic which refers to a relation of scale. Deeply intertwined with change, the dy- namic texture of normality cannot be detected by the observer. For a valuable understanding of the opaque region of transformation, it ought to investigate through the lenses of systemic thinking. This approach brings into light two main phases, which are the breaking of a previous balance and the emer- gence of novel, unpredictable conditions. A special concern is addressed to post-traumatic creativity: it will be possible to assume that creativity can be recognized as the capacity to grasp and institute new relations. Finally, it will be questioned whether the term normality in the discourse about health can be substituted by another one, which can better fit the trans- formative power of non-normality and can put into brackets any moral as- sessment of the pathological/abnormal condition of the person. It will be con- cluded that it is not only possible, but also highly recommended in a frame where disease and health can be understood in relation to the harmonic inte- gration among parts and levels.

Keywords: normality, normalization, renormalization, change, systemic thinking, emergences, creativity.

  1. Conti AA, Conti A, Gensini GF. The concept of normality through his- tory: a didactic review of features related to philosophy, statistics and medicine. Panminerva Med. 2006; 48:203-5. PMID: 17122759.
  2. Jaramillo JC, Restrepo-Ochoa DA. Normality and Mental Health: anal- ysis of a multivalent relationship. Journal of Psychology CES 2015; 8(1): 37-46.
  3. Wakefiekd J C, First M B. Clarifying the Boundary Between Nor- mality and Disorder. A Fundamental Conceptual Challenge for Psy0203.144216. chiatry. Canadian Journal of Psychiatry 2013; 58 (11): 603-605. DOI: 10.1177/070674371305801104
  4. Galstyan N, Galstyan M. Social remittances during COVID-19: on the “new normality” negotiated by transnational families. CMS 2021; 9 (51):1-19.
  5. Graso M. The new normal: Covid-19 risk perceptions and support for continuing restrictions past vaccinations. PLoS One 2022; 17 (4):1-20.
  6. Cuschieri S. COVID-19: the transition towards a new normal-experi- ences from the European country of Malta. Journal of Public Health 2022; 30: 2641-2648.
  7. Carrol N, Conboy K. Normalising the “new normal”: Changing tech-driven work practices under pandemic time pressure. Internation- al Journal of Information Management 2020; 55: 1-6.
  8. Tesar M. Towards a Post-Covid-19 ‘New Normality?’: Physical and So- cial Distancing, the Move to Online and Higher Education. Policy Fu- tures in Education 2020; 18 (5): 556-559. DOI: 10.1177/1478210320935671
  9. Lin X, Lin Y, Hu Z, Alias H, Wong LP. Practice of New Normal Lifestyles, Economic and Social Disruption, and Level of Happiness Among General Public in China in the Post-COVID-19 Era. Risk Management and Healthcare Policy 2021; 14: 3383-3393. DOI: 10.2147/RMHP.S320448
  10. Codagnone C, Bogliacino F, Gómez C, Folvord F, Liva G, Charris R et al. Restarting “Normal” Life after Covid-19 and the Lockdown: Evi- dence from Spain, the United Kingdom, and Italy. Social Indicator Re- search 2021;158, 241-265.
  11. Germeni E, Vallini I, Bianchetti MG, Schulz PJ. Reconstructing nor- mality following the diagnosis of a childhood chronic disease: does “rare” make a difference? European Journal of Pediatrics. 2018; 177 (4): 489-495.
  12. Carricaburu D, Pierret J. From biographical disruption to biographical reinforcement: the case of HIV-positive men. Sociology of Health and Illness 1995; 17 (1): 65-88.
  13. Bury M. Chronic illness as biographical disruption. Sociology of Health and Illness 1982; 4 (2): 167-182.
  14. Williams S. Chronic illness as biographical disruption or biographical disruption as chronic illness? Reflections on a core concept. Sociology of health and illness 2000; 22 (1): 40-67. DOI: 10.1111/1467-9566.00191
  15. Hilton BA. Getting back to normal: the family experience during early stage breast cancer. Oncology Nursing Forum 1996; 23 (4): 605-614.
  16. Jordens C, Little M, Paul K, Sayers E. Life disruption and generic com- plexity: a social linguistic analysis of narratives of cancer illness. So- cial Science and Medicine 2001; 53 (9): 1227-1236. DOI: 10.1016/S02779536(00)00422-6.
  17. Gildberg FA, Bradley SK, Fristed P, Hounsgaard L. Reconstructing normality: Characteristics of staff interactions with forensic mental health inpatients. International Journal of Mental Health Nursing 2012; 21 (2): 103-113.
  18. Al-Akkad A, Ramirez L, Denef S, Boden A, Wood L, Büscher M, Zimmermann A. Reconstructing normality: The use of infrastruc- ture leftovers in crisis situation as inspiration for the design of resil- ient technology. Conference: Australian Computer-Human Interaction Conference, 25-29 November, Adelaide, Australia 2013; 457-466. DOI: 10.1145/2541016.2541051
  19. Bryan S. ‘Routine Infrastructuring’ as ‘Building Everyday Resilience with Technology’: When Disruption Becomes Ordinary. Proceedings of the ACM on Human Computer Interaction 2019, 3 (73): 1-24. DOI: 10.1145/3359175
  20. Ruan J, Zhou Y. Regaining normality: A grounded theory study of the illness experiences of Chinese patients living with Crohn’s disease. In- ternational Journal of Nursing Studies 2019; 93: 87-96.
  21. Khisa AM, Nyamongo IK, Omoni GM, Spitzer RF. A grounded theory of regaining normalcy and reintegration of women with obstetric fistu- la in Kenya. Reproductive Health 2019; 16 (1): 29.
  22. Molassiotis A, Rogers, M. Symptom experience and regaining normal- ity in the first year following a diagnosis of head and neck cancer: A qualitative longitudinal study. Palliative & Supportive Care 2012; 10 (3): 197-204. DOI: 10.1017/S147895151200020X
  23. Misztal BA. Multiple Normalities. Making Sense of Ways of Living. London: Palgrave, Macmillian; 2015.
  24. Canetto SS. What is a normal family? Common assumptions and cur- rent evidence. The Journal of Primary Prevention 1996; 17 (1): 31-46. DOI: 10.1007/BF02262737
  25. Catita M, Águas A, Morgado P. Normality in medicine: a critical re- view. In: Catita et al. Philosophy, Ethics, and Humanities in Medicine 2020; 15: 1-6.
  26. Levesque RJR. Normality. In: Levesque, RJR. (eds) Encyclope- dia of Adolescence. Cham, Switzerland: Springer 2016. p. 1-3. DOI: 10.1007/978-3-319-32132-5_575-2
  27. Oppong FB, Agbedra SY, Assessing Univariate and Multivariate Nor mality. A Guide for Non-Statisticians, Mathematical Theory and Mod- eling 2016; 6 (2): 26-33
  28. Comte A. The foundation of sociology. London: Nelson; 1976.
  29. Misztal B A. Rethinking the Concept of Normality: The Criticism of Comte’s Theory of Normal Existence. Polish Sociological Review 2002; 138: 189-202.
  30. Forti S. Vita della mente e tempo della polis. Hannah Arendt tra filoso- fia e politica, Milano: FrancoAngeli, 1996.
  31. Arendt, H. The Life of the Mind. Boston: Houghton Mifflin Harcourt Publishing Company; 1978.
  32. Appiah KA. Quell’ex tale che… Introduzione alla filosofia contempo- ranea, Roma, Bari: Laterza; 2009.
  33. Fisogni, P. Cartoline dall’inferno. Fenomenologia del male nello stato islamico. Lucca: Tra Le Righe Libri; 2017.
  34. Fisogni, P. La profondità del bene. Etty Hillesum e la vita buona nei tempi bui. Città di Castello: Luoghi Interiori; 2018.
  35. Misztal BA. Multiple Normalities. Making Sense of Ways of Living. London: Palgrave, Macmillian, 2015.
  36. Collins, J. Renormalization, Cambridge: Cambridge University Press, 1984.
  37. McMullen CT. Complex Dynamics and Renormalization, Annals of Mathematics Studies. Volume 135, Princeton: Princeton University Press; 1994.
  38. Foucault M. Security, Territory, Population. Lectures at the Collège de France 1977-1978. London: Palgrave Macmillian; 2009.
  39. Tremain S. Normalization and Discipline. In: Heller T, Parker Harris S, Gill CJ, Goudl R ed. Disability in American Life. An Encyclopedia of Conceptes, Policies, and Controversies, Santa Barbara-Denver: ABC- CLIO; 2019. p. 495-498.
  40. Bobbo N, Bottaro C and Musacchio E. Chronically Ill Patients, Life Incidents and Reactive Strategies: A Qualitative Study among Pa- tients Suffering from four Types of Diseases, Followed-up in the North Eastern of Italy, Encyclopaideia, 2022; 26 (64): 45-58.
  41. Aujoulat I, d’Hoore W, Deccache A. Patient empowerment in theory and practice: polysemy or cacophony? Patient Education and Counsel- ing 2007; 66 (1): 13-20.
  42. Von Bertalanffy L. General System Theory. Foundations, Develop- ment, Applications, New York: Braziller; 1967.
  43. Urbani Ulivi L. Mind and Body. Whose? Philosophy of Mind and the Systemic Approach. In: Urbani Ulivi, ed. The Systemic Turn in Hu- man and Natural Sciences. A Rock in The Pond. Cham, Switzerland: Springer; 2019. 1-39. DOI: 10.1007/978-3-030-00725-6
  44. Minati, G. Phenomenological Structural Dynamics of Emergence. An Overview of How Emergences Emerge. In: Urbani Ulivi, ed. The Systemic Turn in Human and Natural Sciences. A Rock in The Pond. Cham, Switzerland: Springer, Cham; 2019. 185-205. DOI: 10.1007/978-3-030-00725-6_1
  45. Agazzi E. Systemic Thinking: An Introduction. In L. Urbani Ulivi (Ed.), The Systemic Turn in Human and Natural Sciences. A Rock in The Pond. In: Urbani Ulivi, ed. The Systemic Turn in Human and Natural Sciences. A Rock in The Pond. Cham, Switzerland: Springer, Cham; 2019. xi-xvii. DOI: 10.1007/978-3-030-16673-1_13
  46. Prigogine I. Structure, dissipation, and life. Theoretical Physics and Biology, Versailles, 1967. Amsterdam: North-Holland; 1969.
  47. Minati G, Licata I. Emergence as Mesoscopic Coherence, Systems 2013; 1: 50-65.
  48. Minati G, Pessa E. From Collective Beings to Quasi-Systems. In: From Collective Beings to Quasi-Systems. Contemporary Systems Thinking. New York, NY-Switzerland: Springer; 2018. 145-185. DOI: 10.1007/978-1-4939-7581-5_4
  49. Amaldi E. Fisica Generale, Parte II, cap. X. In La Luce. Corpi traspar- enti e corpi opachi, Roma: Tipo-Litografia Marves; 1962.
  50. Vitiello G. The World Opacity and Knowledge. In: Urbani Ulivi, ed. The Systemic Turn in Human and Natural Sciences. A Rock in The Pond. Cham, Switzerland: Springer; 2019. 41-51. DOI: 10.1007/978-3-030-00725-6_2
  51. Freeman WJ and Vitiello G. Dissipation and spontaneous symmetry breaking in brain dynamics. Journal of Physics A: Mathematical and Theoretical, 2008; 41: 1-17. DOI: 10.1088/1751-8113/41/30/304042
  52. Curie P. Sur la symétrie dans les phénomènes physiques, symétrie d’un champ électrique et d’un champ magnétique. Journal de Phy- sique Théorique et Appliquée.1894; 3: 393-415.
  53. Thomae Aquinatis Opera Omnia. In: E. Alarcón (Coord.), Corpus Thomisticum. Pamplona: Università di Navarra 2000. Online: http://
  54. Marconi PL, Penna P. The Reaction of Complex Systems to Symmetry Breaking Events: A Mathematical Simulation Model for Neurosciences and Social Sciences. In: Minati, G, ed. Multiplicity and Interdisciplin- arity. Contemporary Systems Thinking. Cham, Switzerlad: Springer; 2021. 85-92. DOI: 10.1007/978-3-030-71877-0_7
  55. Ilardi GJ. The 9/11 Attacks - A Study of Al Qaeda’s Use of Intelligence and Counterintelligence. Studies in Conflict & Terrorism 2009; 32 (3): 171-187. DOI: 10.1080/10576100802670803.
  56. Fisogni P. Global Terrorism as a Virus: Pathogenesis of Evildoing. In- ternational Journal of Cyber Warfare and Terrorism 2021; 11 (4): 58-73. DOI: 10.4018/IJCWT.2021100104
  57. Lopreite M, Panzarasa P, Puliga M, Riccaboni S. Early warnings of COVID-19 outbreaks across Europe from social media. Scientific Re- ports 2021; 11, 2147.
  58. Di Paolo P. Il caso Kureishi e la letteratura della malattia, 30 gennaio 2023. Online: -- ishi_social_uomo_senza_mani_connessione_con_il_proprio_cor- po-385664302/
  59. Matthews PM. Creativity: Lessons from Disease, Drugs, and Neuro- imaging. In: Nalbatian S and Matthews PM. Secret of Creativity: What Neuroscience, the Arts, and Our Minds Reveal. Oxford: Oxford Aca- demics; 2019. 150-168.
  60. Taylor S. Post-Traumatic Creativity. How Psychological Turmoil Can Un- lock Our Creative Potential. Psychology Today November 2020. Online: post-traumatic-creativity
  61. Urbani Ulivi L, Fisogni P. Intelligent Systems. Many Manners of Adapting to Environment. In Minati, G, ed. Multiple Systems. Switzer- land, Springer, expected issue 2023. (Unpublished).
  62. Marconi P L. La prospettiva sistemica in psichiatria. In Urbani Ulivi,
  63. L. (Ed.) Strutture di Mondo, Bologna: il Mulino, 2013; 171-198.
  64. Fisogni P and Urbani Ulivi L. Metamorfosi di sistema. Il cambiamento come processo nella prospettiva del pensiero sistemico, Atque 2019; 24 (N.S.): 117-137. --
  65. Urbani Ulivi (a cura di). L’intelligenza della natura. Prefazione e Postfazi- one di Camillo Ruini. Lugano-Firenze: Eupress Ftl – Cantagalli; 2023.
  66. Canguilhem C. The Normal and Pathological. New York: Zone Books; 1991.
  67. Dupre J. Normal People. Social Research 1998; 65 (2): 221-248.

Primavera Fisogni, Non-Normality as a Drive for Change An Overview of Systemic Processes in "RIVISTA SPERIMENTALE DI FRENIATRIA" 2/2023, pp 77-97, DOI: 10.3280/RSF2023-002006