Amarante P
Hist Cienc Saude Manguinhos. 1994;1(1):61-77.
The process of change in the mental health field and psychiatric reforms bear a close relationship to practical and theoretical issues stemming from Franco Basaglia's experience. This article is intended as a reflection on Basaglia's career, stressing the main concepts and theoretical references he worked with and seeking to trace the unique nature of his contributions to the current project for de-institutionalizing psychiatry. Basaglia produces a break by profoundly challenging psychiatric knowledge and institutions, thus allowing for a new epistemological framework (a framework that was thus also new in relation to culture and mental health care) in dealing with insanity. Based on the observation that Basaglia's work is little known, this article attempts to revisit his thinking, highlighting the unique nature of his contributions and stressing the need for a better understanding of his work by those who are devoted to the field of mental health and social institutions.
心理健康领域的变革进程和精神病学改革与源自弗朗哥·巴萨利亚经历的实践和理论问题密切相关。本文旨在对巴萨利亚的职业生涯进行反思,强调他所运用的主要概念和理论参考,并试图探寻他对当前精神病学去机构化项目贡献的独特之处。巴萨利亚通过深刻挑战精神病学知识和机构实现了突破,从而在处理精神错乱问题时形成了一个新的认识论框架(一个相对于文化和精神卫生保健而言也是全新的框架)。基于巴萨利亚的作品鲜为人知这一观察结果,本文试图重新审视他的思想,突出其贡献的独特性,并强调致力于心理健康和社会机构领域的人们更好地理解他的作品的必要性。