[Giovanni Jervis: critical conscience of the Italian psychiatric reform].

Medicina nei secoli Pub Date : 2012-01-01
Luigi Onnis
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Abstract

Giovanni Jervis, was one of the protagonist of the Italian psychiatric reform and was greatly involved in all the phases of its development, but, with his typical intellectual rigours, he was also very critical not toward the law 180 which abolished the shame of psychiatric asylums, but rather toward the ways of leading and governing the global reform process. In this paper four aspects of Jervis critical evaluations are emphasised: a) the criticism toward a "totalitarian" conception considering practices and everyday institutional management as the unique ways to research problem solutions; b) the criticism toward a renewal process exclusively focused inside the psychiatric hospital, which led Jervis to organise one of the most important outside experience in the Reggio Emilia territory; c) the criticism toward a sociological conception of mental illness, disregarding the subjective, psychological and relational aspects of the psychic suffering; d) the criticism toward the inadequacy of the mental health workers formation, which must become the basis of a real transformation of the "public services culture".

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[Giovanni Jervis:意大利精神病学改革的批判良心]。
乔瓦尼·杰维斯,是意大利精神病学改革的主角之一他参与了其发展的所有阶段,但是,以他典型的学术严谨,他也非常批判180号法律废除了精神病院的耻辱,而是对领导和管理全球改革进程的方式。本文着重分析了杰维斯批判评价的四个方面:1)对“极权主义”观念的批判,将实践和日常制度管理作为研究问题解决方案的独特途径;b)对更新进程的批评只集中在精神病院内部,这导致杰维斯组织了雷焦艾米利亚领土上最重要的外部经验之一;C)对精神疾病的社会学概念的批评,忽视了精神痛苦的主观、心理和关系方面;D)对精神卫生工作者队伍建设不足的批评,这必须成为“公共服务文化”真正转型的基础。
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