[Patients, families and reform psychiatrists. A study on the relation between relatives of psychiatric patients and personnel of the psychiatric service in the province Arezzo/Italy].
Discussions with relatives of patients whose patterns of signs and symptoms, case histories and fate can be considered as quite typical of the area to be looked after by psychiatric teams in Italian rural districts, show that the strictly outpatient psychiatric care approach practised by Italian psychiatrists according to the new regulations can work successfully wherever psychiatric teamworkers do more than just their duty. As a matter of fact, the so-called "reform law 180" is very vaguely worded when describing the tasks, responsibilities and competences of the medical and administrative personnel. The interviews of the author with the person concerned also showed clearly that psychiatric reform "alla italiana" need not result in chaos, although such chaos reigns supreme in Italy almost everywhere where psychiatric reform had been imposed by decree "from above" without any genuine readiness on the part of employees and coworkers of the institutions and without an appropriate cognitive and emotional process of learning which would have been absolutely necessary before translating the new approach into reality. We must say, however, that the chaotic conditions encountered here and there are not representative of Italian psychiatry as a whole; at the same time, the conditions seen by the author in the Casentino district are also definitely not representative of the conditions in Italy in general.(ABSTRACT TRUNCATED AT 250 WORDS)
D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000458:organization & administration; D003419:Crisis Intervention; D003695:Delivery of Health Care / Q000458:organization & administration; D005190:Family; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D010347:Patient Care Planning / Q000458:organization & administration; D010348:Patient Care Team / Q000458:organization & administration; D011368:Professional-Family Relations; D011613:Psychotherapy / Q000379:methods*; D012917:Social Adjustment; D012931:Social Environment
Patienten, Familien und Reformpsychiater. Eine Untersuchung zur Beziehung zwischen Angehörigen von Psychiatriepatienten und Mitarbeitern des Psychiatrischen Dienstes der Provinz Arezzo/Italien.