Micheli Giuseppe A
University of Milano Bicocca, Italy.
Hist Psychiatry. 2019 Jun;30(2):133-149. doi: 10.1177/0957154X19827479. Epub 2019 Feb 4.
The Italian psychiatric 'revolution' is the story of a range of flexible, changing formulas, exposed to many 'contaminations'. Historical reconstructions have remained anchored to the lure of a founding myth and an eponymous hero. This essay aims to shed light on the multi-faceted concept of the Italian 'moral management revolution'. We especially focus on: the circumstances which triggered the innovation in its various form; the 'prototypes' available in other countries which have been variously recombined in the different local contexts; the 'special path' of action strategies which has driven the change towards radical closure of the asylums; and the cause-effect relationship between the above 'special path' and several aspects of the current state of deadlock.
意大利的精神病学“革命”讲述了一系列灵活多变、不断变化的模式，这些模式受到了诸多“影响”。历史重构一直受困于一个创始神话和一位同名英雄的诱惑。本文旨在阐明意大利“道德管理革命”这一多面概念。我们尤其关注：引发其各种形式创新的情况；其他国家存在的“原型”，这些原型在不同的当地背景下以各种方式重新组合；推动精神病院彻底关闭变革的行动策略“特殊路径”；以及上述“特殊路径”与当前僵局状态的几个方面之间的因果关系。
