Stocco Ester, Dario Claudia, Piazzi Gioia, Fiori Nastro Paolo
Dipartimento Salute Mentale ASL RM/D Regione Lazio, Italy.
Med Secoli. 2009;21(3):1181-203.
The different models of mental illness which have followed one another in Italian psychiatry have been linked to the history of psychiatric legislation and its various attempts at reform. The first law of the newly United State which unified legislations and former procedures, whose prevalent psychiatric theories were those that referred to degeneration, was the law 36/1904 that set up the asylums. Accordingly psychiatric praxis was focused on social protection and custody, given that the mentally ill was seen as incurable; Fascism added the inmate's obligation to be enrolled in the judicial register. Afterwards numerous attempts to reform the psychiatric legislation were made that eventually gave rise to law 431/1968 which paved the way to territorial psychiatry. Law 180/1978 changed the organization of Italian psychiatry abolishing asylums and the concept of dangerousness, including psychiatry in the National Health Service but adopting an idea of mental illness as simply social unease.
意大利精神病学领域中相继出现的不同精神疾病模式,与精神病学立法的历史及其各种改革尝试相关联。新成立的统一立法和先前程序的意大利的第一部法律,其盛行的精神病学理论是那些涉及退化的理论,是1904年第36号法律,该法律设立了精神病院。相应地,精神病学实践侧重于社会保护和监护,因为精神疾病患者被视为无法治愈;法西斯主义增加了患者必须登记在司法登记簿上的义务。此后,人们多次尝试改革精神病学立法,最终产生了1968年第431号法律,该法律为地区精神病学铺平了道路。1978年第180号法律改变了意大利精神病学的组织形式,废除了精神病院和危险性概念,将精神病学纳入国家卫生服务体系,但采用了将精神疾病仅仅视为社会不安的观念。