Basaglia S International Legacy From Asylum To Community

Franco Basaglia (1924-1980) was an Italian psychiatrist and activist who proposed the dismantling of psychiatric hospitals and pioneered new ideas about mental health and its treatment. Basaglia was also one of the principal proponents of Italy's Law 180, which effectively closed down large mental hospitals in Italy. His ideas and his disciples have had a decisive influence in the move away from institutional care in many parts of the world, particularly in continental Europe and South America. However, Basaglia is strikingly absent from the literature in Germanic and Anglophone psychiatry. Most of the literature about Basaglia in the last 40 years has been published by his followers and supporters and has often been largely positive, with little exploration of differing responses or possible limitations of his model. Basaglia's International Legacy: From Asylum to Community provides an overview of current thinking and the international influence of Franco Basaglia. This resource draws on the combined knowledge of clinicians, policy makers, historians, and social scientists, including a handful of Basaglia's collaborators. It provides an in-depth understanding and critical analysis of the various applications of his thinking worldwide. Organised into three broad sections, chapters examine Basaglia's work and influence in Italy; in the 'Basaglian' countries of Europe and South America; and in those countries where his influence has either been rejected or significantly modified. The Editors bring together the contributions and draw out the important messages (both positive and negative) for current clinical practice and development within international mental health services.

When the wind of the 1960s blew through the world of psychiatry In 1961, when Franco Basaglia arrived outside the grim walls of the Gorizia asylum, on the Italian border with Yugoslavia, it was a place of horror, a Bedlam for the mentally sick and excluded, redolent of Basaglia’s own wartime experience inside a fascist gaol. Patients were frequently restrained for long periods, and therapy was largely a matter of electric and insulin shocks. The corridors stank, and for many of the interned the doors were locked for life. This was a concentration camp, not a hospital. Basaglia, the new Director, was expected to practise all the skills of oppression in which he had been schooled, but he would have none of this. The place had to be closed down by opening it up from the inside, bringing freedom and democracy to the patients, the nurses and the psychiatrists working in that “total institution.” Inspired by the writings of authors such as Primo Levi, R.D. Laing, Erving Goffman, Michel Foucault and Frantz Fanon, and the practices of experimental therapeutic communities in the UK, Basaglia’s seminal work as a psychiatrist and campaigner in Gorizia, Parma and Trieste fed into and substantially contributed to the national and international movement of 1968. In 1978 a law was passed (the “Basaglia law”) which sanctioned the closure of the entire Italian asylum system. The first comprehensive study of this revolutionary approach to mental health care, The Man Who Closed the Asylums is a gripping account of one of the most influential movements in twentieth-century psychiatry, which helped to transform the way we see mental illness. Basaglia’s work saved countless people from a miserable existence, and his legacy persists, as an object lesson in the struggle against the brutality and ignorance that the establishment peddles to the public as common sense.

This book explores how the continental philosophical tradition in the 20th century attempted to understand madness as madness. It traces the paradoxical endeavour of reason attempting to understand madness without dissolving the inherent strangeness and otherness of madness. It provides a comprehensive overview of the contributions of phenomenology, critical theory, psychoanalysis, post-structuralism and anti-psychiatry to continental philosophy and psychiatry. The book outlines an intellectual tradition of psychiatry that is both fascinated by and withdraws from madness. Madness is a lure for philosophy in two senses; as both trap and provocation. It is a trap because this philosophical tradition constructs an otherness of madness so profound, that it condemns madness to silence. However, the idea of madness as another world is also a fertile provocation because it respects the non-identity of madness to reason. The book concludes with some critical reflections on the role of madness in contemporary philosophical thought.

The second edition of the AACP's (American Association for Community Psychiatry) Textbook of Community Psychiatry is a welcome update of this notable work that comprehensively presents the state of the art in this field. Along with continuously evolving scientific advances and principles of clinical care, community psychiatry must respond to shifts in public policy as well as economic climate. The past decade has witnessed significant political and social changes, including climate change, immigration levels, technological advancement, the influence of social media and the rise of political unrest. This new edition reflects these wider changes, incorporating new chapters and enhancing previous ones. It remains the standard text for certification of those working in healthcare and social welfare systems design and delivery of services. Readers will gain knowledge of: Basic pillars of the field Evidence based interventions Telepsychiatry and technological aids Trauma informed services Integrated health systems Social determinants of health Structural discrimination

The Routledge Handbook of Medicine and Poetry draws on an international selection of authors to ask what the cultures of poetry and medicine may gain from reciprocal critical engagement. The volume celebrates interdisciplinary inquiry, critique, and creative expansion with an emphasis upon amplifying provocative and marginalized voices. This carefully curated collection offers both historical context and future thinking from clinicians, poets, artists, humanities scholars, social scientists, and bio-scientists who collectively inquire into the nature of relationships between medicine and poetry. Importantly, these can be both productive and unproductive. How, for example, do poet-doctors reconcile the outwardly antithetical approaches of bio-scientific medicine and poetry in their daily work, where typically the former draws on technical language and associated thinking and the latter on metaphors? How does non-narrative lyrical poetry engage with narrative-based medicine? How do poets writing about medicine identify as patients? Central to the volume is the critical investigation of the consequences of varieties of medical pedagogy for clinical practice. Presenting a vision of how poetic thinking might form a medical ontology this thought-provoking book affords an essential resource for scholars and practitioners from across medicine, health and social care, medical education, the medical and health humanities, and literary studies.

Drawing from a wide array of disciplinary perspectives and geographical contexts, this volume offers new insights for critically engaging with the problem of vulnerability. The essays here contained take the move from the COVID-19 pandemic, in order to explore the inherent vulnerability of individuals, but also of social, economic and political systems, and probe the descriptive and prescriptive import of the concept.Each chapter provides a self-contained perspective on vulnerability, as well as a specific methodological framework for questioning its meaning. Taken together, the chapters combine into a multi-disciplinary toolkit for approaching the various forms and structures of vulnerability, with a special attention to the intersectional factors shaping the individual experience of it: from gender to age, from disability to mental illness, from hospitalisation to incarceration. The book explores the theoretical richness and complexity of the concept and proposes new analytical approaches to it, before illustrating its multifariousness through empirically grounded case studies. The closing section engages with “the future of vulnerability”, as a hermeneutic, epistemological, and critical-normative perspective to be deployed beyond the domain of global crises and emergencies.The volume is primarily intended as a reference for scholars in the human, social and health sciences. The accessible structure and plain language of the chapters make it also a valuable didactic resource for graduate courses in philosophy, the social sciences and public health.

This book offers a general introduction to historical sources in the history of psychiatry, delving into the range of sources that can be used to investigate this dynamic and exciting field. The chapters in this volume deal with physical sources that might be encountered in the archive, such as asylum casebooks, artwork, material artefacts, post-mortem records, more general types of source including medical journals, literature, public enquiries, and key themes within the field such as feminist sources, activist and survivor sources. Offering practical advice and examples for the novice, as well as insightful suggestions for the experienced scholar, the authors provide worked-through examples of how various source types can be used and exploited and reflect productively on the limits and constraints of different kinds of source material. In so doing it presents readers with a comprehensive guide on how to ‘read’ such sources to research and write the history of psychiatry. Methodically rigorous, clear and accessible, this is a vital reference for students just starting out within the field through to more experienced scholars experimenting with new and unfamiliar sources in the history of medicine and history of psychiatry more specifically. Chapters 4, 8, 9, 10, and 13 of this book are available for free in PDF format as Open Access from the individual product page at www.routledge.com. They have been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.

Worldwide, there have been consistently high or even rising incidences of people classified as mentally ill, paired with increasing mental healthcare service utilization over the last decades. While psychiatric institutions have been consistently expanding, psychiatric knowledge has become increasingly dispersed and globalized, making psychiatric vocabularies and classificatory systems widely available, shaping increasing areas of life, creating powerful markets for therapeutic services of all kinds, and impacting how we understand ourselves and others. This process can be described as the psychiatrization of society. Psychiatrization is highly complex, diverse, and global, although it takes different forms in different contexts, involves various actors with largely diverging motives, and is part of a wider assemblage of the psy-disciplines.