Glick I D
Department of Psychiatry, Cornell University Medical College, New York, NY.
Psychiatry. 1990 Aug;53(3):316-23. doi: 10.1080/00332747.1990.11024514.
Recent reviews of the results of the important Italian Psychiatric Reform have been unusual in that they have ranged from very enthusiastic to very negative. No recent report has focused on extrapolating from the Italian experience the pluses and minuses that might be applicable to the U.S. system of delivery of mental health services so as to improve the care of the seriously mentally ill. In this paper I will summarize my observations and clinical research during 6 months in Italy, emphasizing what has not been reported by others; I will analyze the impact of the Italian changes on Italian practice and try to identify in a balanced way any inferences that can be drawn from the Italian experience that add to ideas now current in the United States about treatment of the severely mentally ill.
近期对意大利重要精神科改革成果的评论各执一词，从极为热烈到极为负面都有。最近没有任何一份报告专注于从意大利的经验中推断出可能适用于美国心理健康服务体系的优缺点，以便改善对严重精神疾病患者的护理。在本文中，我将总结我在意大利6个月期间的观察结果和临床研究，重点强调其他人尚未报道的内容；我将分析意大利的变革对意大利实际情况的影响，并试图以一种平衡的方式确定从意大利经验中可以得出的任何推论，这些推论能够丰富美国目前关于严重精神疾病治疗的观点。
