Basaglia's International Legacy: From Asylum to Community

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Basaglia's International Legacy: From Asylum to Community

Edited by Tom Burns and John Foot

Abstract

Italian Law 180 of 1978 is probably the most radical Mental Health Act ever passed. It forbade the admission of any new patients to mental hospitals forthwith and called for the rapid closure of such institutions. The Law crowned the work of the charismatic Italian psychiatrist Franco Basaglia and his ‘Democratic Psychiatry’ movement. The Italian reforms resulted in arguably the lowest number of psychiatric beds in any developed country, and have been widely debated and emulated. They have been adopted enthusiastically by several Mediterranean and South American countries. However, the implementation of Law 180 was patchy, with critics both internally and internationally. This book brings together historians and clinicians, including Basaglia’s colleagues and followers, for the first time. These authors report on the responses to the reforms from over 15 countries. These range from exuberant implementation in Brazil and Italy, through partial and localized initiatives in several countries, through to outright rejection in the UK and USA. These responses reflect differences in clinical and practical realities, but also professional rivalries and often profound conceptual differences. This is a transnational history of psychiatric debates, reform, and psychiatric practice. The excitement of Basaglia’s thinking and the Italian reforms is captured, as are the inconsistencies in both his thinking and practice. Basaglia and the Italian movement did not arrive from nowhere, and its global influences are also examined. Basaglia’s radical human rights agenda was expressed through psychiatric reforms. His ambivalences engaged artists and thinkers as well as clinicians, and his legacy, as this book vividly demonstrates, is far from straightforward.

Bibliographic Information

Publisher:: Oxford University Press

Print Publication Date:: Jun 2020

Print ISBN-13:: 9780198841012

Published online:: May 2020

DOI:: 10.1093/med/9780198841012.001.0001

Authors

Tom Burns, editor Professor Emeritus of Social Psychiatry, University of Oxford, Oxford, United Kingdom

John Foot, editor Professor of Modern Italian History, University of Bristol, Bristol, United Kingdom

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Front Matter
- Acknowledgements
- Abbreviations
- Contributors
- Introduction
1 Franco Basaglia: A man, a movement, institutions, and outcomesJohn Foot
2 Basaglia and the British anti-psychiatrists, 1960–70Oisín Wall
3 Basaglia after Basaglia: Recovery, human rights, and Trieste todayRoberto Mezzina
4 Basaglia’s legacy and Italian mental healthcare todayAngelo Fioritti
5 Basaglia’s international influenceBenedetto Saraceno and Sashi P. Sashidharan
6 The impact in Latin America of Basaglia and Italian psychiatric reformJosé Miguel Caldas de Almeida
7 The optimism of practice: The impact of Basaglia’s thoughts on BrazilErnesto Venturini, Maria Stella Brandão Goulart, and Paulo Amarante
8 From the asylum to community mental health services: The path to human rightsDiana Mauri and Alejandra Barcala
9 Spain: The critical movements and the influence of Franco Basaglia and ‘Democratic Psychiatry’Victor Aparicio Basauri
10 Franco Basaglia’s influence on the Greek mental health systemTheodoros Megaloeconomou
11 The United Kingdom’s rejection of BasagliaTom Burns
12 Franco Basaglia: Another conspicuous non-event in the history of psychiatry in Ireland?Brendan D. Kelly
13 Asylum: A magazine for democratic psychiatry in EnglandHelen Spandler
14 ‘Visions of another world’: Franco Basaglia and German reformChantal Marazia, Heiner Fangerau, Thomas Becker, and Felicitas Söhner
15 Has the spirit of Basaglia affected Polish psychiatry?Jacek Moskalewicz, Grażyna Herczyńska, and Katarzyna Prot-Klinger
16 A spectre for some, a Mecca for others: The impact of Basaglia in the NetherlandsGemma Blok
17 Basaglia in France: The marginality of exemplarityNicolas Henckes and Anne M. Lovell
18 Borderline deinstitutionalization: Yugoslav resonance and dissonance with BasagliaVito Flaker, Vladimir Jović, Nataša Cvetković Jović, and Andreja Rafaelič
19 The Trieste model: Obstacles to replication in San FranciscoRobert Okin
20 Deinstitutionalization, the welfare state, and social engineering: Basaglia in the Swedish contextAlain Topor
21 Making sense of Basaglia: Cross-cutting themes and unresolved issuesTom Burns and John Foot
End Matter
- Index

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date: 04 March 2021

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Edited by Tom Burns and John Foot

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Basaglia's International Legacy: From Asylum to Community

Edited by Tom Burns and John Foot

Abstract

Bibliographic Information

Authors

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Contents