Department of Psychiatry II,Ulm University,Bezirkskrankenhaus Günzburg,Günzburg,Germany.
Department of the History,Philosophy and Ethics of Medicine,Medical Faculty,Heinrich-Heine-University Düsseldorf,Germany.
Epidemiol Psychiatr Sci. 2018 Aug;27(4):314-318. doi: 10.1017/S2045796017000658. Epub 2017 Nov 6.
How things are perceived from a distance may help better understand their nature. Perceptions at home are likely to shape perceptions abroad. The mutual cross-references between local and distant perspectives on the Italian Mental Health Law 180 may help understand the process which preceded and resulted in the reform. This editorial argues that Law 180 came about at a unique - enabling - time in history. It argues that the run-up to and passing of Law 180 constituted a great accomplishment by professionals, the wider public and politicians/administrators. This editorial goes on to argue that the profession managed to cope with (many) adverse effects of the reform. The attention that Law 180 has received internationally should be devoted to other national (or regional) mental health reform processes as this may help us to understand how mental health care systems evolve and what defines 'windows of (operative) opportunity' or 'moments for (public) action'.
从远处观察事物有助于更好地理解事物的本质。国内的看法可能会影响对国外的看法。对意大利《精神卫生法》180 号的本地和远程视角的相互参照，有助于理解改革之前和之后的过程。本社论认为，180 号法是在历史上一个独特的有利时期出台的。它认为，180 号法的出台和通过是专业人员、更广泛的公众和政治家/管理人员的巨大成就。本社论接着认为，该行业设法应对了（许多）改革的不利影响。国际上对 180 号法的关注应该转向其他国家（或地区）的精神卫生改革进程，因为这有助于我们了解精神卫生保健系统是如何发展的，以及什么定义了“（操作）机会之窗”或“（公众）行动时刻”。
