Le Comunità Terapeutiche Riabilitative Protette in Veneto: una ricerca esplorativa sui processi che ne configurano l'identità attraverso l'analisi dei discorsi legislativi e amministrativi

Mara Olocco, Rossella Festa, Paolo Cottone

Abstract


Therapeutic and Rehabilitation Protected Communities in Veneto: an explorative research about their identity processes analysing legislative and administrative discourses

The study, based on the theoretical assumptions of social constructionism and symbolic interactionism, takes shape as a "background ethnography" for the research of the configuration processes of the Therapeutic and Rehabilitation Protected Communities in Veneto. Recent research on "psychiatric and residential services" showed a substantial heterogeneity between these structures, called to respond to unique criteria defined at both regional and national level, but operating in specific contexts and with different users. This situated process contributes to a continuous redefinition by the communities, including through the working practices, of their value to the user configuration. This work presents a discourse analysis, in the critical approach, of texts (national and regional) and documents describing the CTRP. It focuses on shaping the political-legal and administrative frame for the research context and on highlighting how communities constitute their identities, objectives and the users of their service, or not consistent with the legislative references and the theoretical and ideological assumptions that characterize them. The study is part of a research project aimed to understand the relationship between law, service definitions, discourses and practices of careers and users of psychiatric and rehabilitation community, the complexity of a reality painted as the confluence of legal, sociological, anthropological, psychological and psychiatric accounts.


Keyword


C.T.R.P., mental health, law, critical discourse analysis

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Riferimenti bibliografici


“Umanità Nova” di Reggio Emilia (a cura di).(2007). Igiene mentale e libero pensiero. Sul controllo sociale della psichiatria, Zero in Condotta.

Adams S.M., Partee D.J. (1998). Integrating psychosocial rehabilitation in a community-based faculty nursing practice, Journal of Psychosocial Nursing and Mental Health Services, vol. 36 (4), pp. 24-28.

Amerio P. (2007). Fondamenti di psicologia sociale, Il Mulino, Bologna.

Barbato A. (1998). Psychiatry in transition: Outcomes of mental health policy shift in Italy, Australian and New Zealand Journal of Psychiatry, 32, pp. 673-679.

Barbato A., D’Avanzo B., Rocca G., Amatulli A. & Lampugnani D. (2004). A study of long-stay patients resettled in the community after closure of a psychiatric hospital in Italy, Psychiatric Services, 55(1), pp. 67–70.

Berger P.L., Luckmann T. (1966). La realtà come costruzione sociale, Il Mulino, Bologna.

Burns T., Catty J., White S.C., Ellis G., Jones I.R. et al. for the ECHO Group (2009), Continuity of care in mental health: understanding and measuring a complex phenomenon, Psy-chological Medicine, vol. 39, pp. 313-323.

Castiglioni M., Corradini A. (2007). Modelli epistemologici in psicologia, Carrocci, Roma.

Corrigan P.W., Watson A.C. (2002). The Paradox of Self-Stigma and Mental Illness, Clinical Psychology: Science & Practice, Vol. 9 (1), pp. 35-53.

Crisp A, Gelder M, Goddard E, Meltzer H. (2005). Stigmatization of peolple with mental ill-nesses: a follw up study within the changing minds compaign of the Royal College of Psychiatrists, World Psychiatry, 4(2), pp. 106-14.

Davies J.P., Heyman B., Godin P.M., Shaw M.P., Reynolds L. (2006). The problems of offenders with mental disorders: A plurality of perspectives within a single mental health care organisation, Social Science & Medicine, vol. 63, pp. 1097–1108.

De Girolamo G. & Cozza M. (2000). Italian psychiatric reform: a 20 years perspective, International Journal of Law and Psychiatry, 23, pp. 197-214.

Fairlough N., Wodak R. (1997). Critical discourse analysis, in T.A. van Dijk (a cura di). Discourse as social interaction, London, Sage, pp. 258-284.

Fasola C. (2005). L’identità, Utet Libreria, Torino.

Fioritti A. (ed.) (2002). Leggi e salute mentale. Panorama europeo delle legislazioni di interesse psichiatrico. Centro Scientifico Editore: Torino.

Flick, U. (1998). The Social Construction of Individual and Public Health: Contributions of Social Representations Theory to a Social Science of Health, Social Science Information, 37, pp. 639- 662.

Foucault M. (2004). Il potere psichiatrico, a cura di Jacques Lagrange, trad. Mauro Bertani, Feltrinelli, Milano.

Goffman E. (1983). Stigma l’identità negata, Giuffrè Editore, Milano.

Goffman E. (2003). Asylums, Einaudi Editore, Torino.

Gove W.R. (2004). The career of the mentally ill: an integration of psychiatric, labelling/social construction, and lay perspective, Journal of Health and Social Behavior, vol. 45, pp. 357-375.

Gruppo Nazionale Progres (2001). Le strutture residenziali psichiatriche in Italia. I risultati della fase 1 del Progetto Progres, Epidemiologia e Psichiatria Sociale, 10 (4), pp. 260-274.

Harman J.S., Cuffel B.J. & Kelleher K.J. (2004). Profiling hospitals for length of stay for treatment of psychiatric disorders, The Journal of Behavioral Health Services & Research, 31(1), 66–74.

Harré R., G. Gillett (1996). La mente discorsiva, Raffaello Cortina Editore, Milano.

Hinshaw S.P., Cicchetti D. (2000). Stigma and mental disorder: conception of illness, pubblic attitudes, personal disclosure and social policy, Development and Psychopathology, vol.12, pp. 555-598.

Istituto Italiano di Medicina Sociale (1997). Rilevazione delle strutture e dei servizi psichiatrici pubblici e privati del personale in essi operante al 31.12.1996, Istituto Italiano di Medicina Sociale, Roma.

Jones I.R., Ahmed N., Catty J, McLaren S., Rose D., Wykes T., Burns T. for the Echo Group (2009). Illness careers and continuity of care in mental health services: a qualitative study of service users and carers, Social science and Medicine, vol. 69(4), pp. 632-639.

Kroska A., Harkness S.K. (2006). Stigma sentiments and self-meaning: exploring the modified labelling theory of mental illness, Social Psychology Quarterly, vol. 69(4), pp. 325-348.

Mantovani G. (2008). Analisi del discorso e contesto sociale, Il Mulino, Bologna.

Pescosolido B.A., Martin J.K., Lang A., Olafsdottir S. (2008). Rethinking theoretical approaches to stigma: a framework integrating normative influences in stigma (FINIS), Social Science and Medicine, vol. 67, pp. 431-440.

Pescosolido, B. A. & Boyer, C. A. (1999). How do people come to use mental health services? Current knowledge and changing perspectives, in A. V. Horwitz & T. L. Scheid (Eds.), A handbook for the study of mental health: Social contexts, theories, and systems, New York: Cambridge University Press, pp. 392–411.

Phillips M.R. et al. (2002). Stigma and expressed emotion: a study of people with schizophrenia and their family members in China, Br. J. Psychiatry, 181, pp.488-493.

Pinkney A.A., Gerber G.J., Lafare H.G. (1991). Quality of life after psychiatric rehabilitation: the client’s perspective, Acta Psychiatrica Scand, vol. 83, pp. 86-91.

Rapaport J., Bellringer S., Pinfold V., Huxley P. (2006). Carers and confidentiality in mental health carer considering the role of the carer's assessment: a study of service users', carers' and practitioners' view, Health and Social Care in the Community, vol. 14(4), pp. 357-365.

Salvini A. (2002). Diversità, devianze, terapie, Upsel-Domeneghini, Padova.

Salvini A. (2004). Psicologia clinica, Upsel-Domeneghini, Padova.

Santolone M. (1977). Gli esclusi di stato. Indagine sull’istituzione assistenziale in Italia, Savelli, Roma.

Saraceno B. (2002). The WHO World Health Report 2001 on mental health. Epidemiologia e Psi-chiatria Sociale 11, 2, 83-87.

Scheff T.J. (1966). Per infermità mentale, Feltrinelli, Milano.

Schwartz H., Jacobs J. (1987). Sociologia qualitativa, Il Mulino, Bologna.

SIEP (2001). Osservazioni sulle proposte di legge di riforma della assistenza psichiatrica in Italia, www.siep.it.

Szatz T. (1966), Il mito della malattia mentale, Il Saggiatore, Milano.

Tansella M. & Williams P. (1987). The Italian experience and its implications. Psychological Medicine 17, 283-289.

Taylor K.E., Perkins R.E. (1991). Identity and coping with mental illness in long-stay psychiatric rehabilitation, British Journal of Clinical Psychology, vol. 30, pp. 73-85.

Turchi G.P., Perno A. (2002). Modello medico e psicopatologia come interrogativo, Domeneghini Editore, Padova.

Tuzzi A. (2003). L’analisi del contenuto. Introduzione ai metodi e alle tecniche di ricerca, Carrocci Editore, Roma.

Vender S. (a cura di). (2005). La stigamtizzazione dal pregiudizio alla cura della malattia mentale, Noos. Aggiornamenti in Psichiatria, vol. 11, 3/4.

Ware N., Tugenberg T., Dickey B. (1999). An ethnographic study of the meaning of continuity of care in mental health services, Psychiatric Services, vol. 50(3), pp. 395-400.

Wodak R., Krzyzanowski M. (2008). Qualitative Discourse Analysis in the Social Science, Palgrave McMillan, New York.

Wright E.R., Gronfein W.P., Owens T.J. (2000). Deinstitutionalization, social rejection, and the self-esteem of former mental patients, Journal of Health and Social Behaviour, vol. 41, pp. 68-90.


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