Joseph Riefler
"It 's crazy!" Says Matthew. Nicola, who has just given a medical examination and does not know yet what it will, it reveals: "No, it's crazy ... he's intelligent eyes!" In this sense, the film is the description of a generation that will choose to devote those years to psychiatry, many will approach you because it represented an additional and unique framework in which the decline of class conflict. And "the order psychiatric" (Castel) concerned the embodiment of an ancient and enormous power, untouchable. Many of our generation, of course, we have found themselves in the film, but the feeling that prevailed was to find himself in a photo album as "another time". Perhaps this is in large part to the success of the film. It happens to recontact with emotion and nostalgia has a dream that involved a generation and that, while there was the dream, she felt alive and young, incredibly masters of the years that were ahead because "the dinosaurs that had to be swept away "were really arrived - for themselves - at the end of a cycle. The cycle of psychiatry came from far and started from the late nineteenth century, the founding of the asylum as a "medical device for the care of Madness" (Fontana). Tuttosommato, another illusion that it had already been supported by the evidence that general paralysis was due to the bacillus of syphilis and pellagra - which also had poor disease - a deficiency of vitamin PP. I think the film has a basic substance winking (which does not mean that in a film is only a negative thing ....): You find yourself a dream, knowing that I have lived and with the advantage of being able to see when it has already turned down 'whole dish. But here the problems begin to affect us: the parable is really exhausted?. Talking with my friend, I understand (I seemed to understand ...) that the film does not cover all the best youth of those years, but only one that has covered the entire dish that started from '68 until now never return to compromise with the power he wanted to fight. Who is identified in the film can dream until the end, because none of the characters in the film touches upon many of those who, in fact, during the course - both in society and in psychiatry - have jumped on the horse power and opportunism: it is a film on the generation of those years, despite the vicissitudes of life can remain until the end "Healthy" and consistent, in fact "the best". Part of the background of these events concerns the psychiatric exactly to the extent that the psychiatric question, in those years, dealt with some of the "Best of Youth" at the time. The delicate aspect of the film is not wanting to support a critical or celebratory. Of course, it appears that the parable of the "best psychiatry at the time. The path is linked to the personal lives of characters - Nicola, Giorgia and Matthew - and therefore each of us can find some of the old emotions that the tension of those years trying to make his way through adherence to a cause that seemed incredibly obvious .
the same day of the first television "The Best of Youth" I read The Republic an unpublished note on some of Foucault and his lectures to ' Academies of 1973 - '74 related to the project to follow up on research that had led to "History of Madness in the Classical . These are the years in which Nicola, without having decided, is to travel the reasons that forced him to become a psychiatrist, and of course it all starts with the encounter of a young slave to 'psychiatric order that this order should be denied because they do not know - Never know she did - watch the eyes of the people. The film is savage in its simplicity, on this point when, through Matthew, describing the violence of psychiatric power already denounced his impotence therapy: The professor's house Quiet, who sought a complicity with the willing and enthusiastic young man who had "entertain" the young patient but incurable, we find awkward to dismiss patients who are so subservient to the polishing machine: "... so to keep them busy," explains Matthew, just an observer of a cold and empty power, as it happened In those years, it becomes immediately - and inevitably - court.
The training of psychiatrists is made out of the asylum, even attending the mental urges you to seek out suffering in life and not in the "body" (Foucault). Matthew and Nicola Giorgia must therefore return to its context of affection and free from the oppressive power that psychiatrists, "Lords of Madness' organizations in their asylums" ... enclosed space for a fight where a matter of victory and subjugation "(Foucault).
The parable is clear. The ideology that seemed to have found an easy solution to the contradictions of the explicit power of the ' order psychiatric must soon deal with the complexity of conflicts and social organization. A first outcome is the scapegoating of the context that resists change even if the context is that you belong in the newspaper and affections simpler, far from the organizations of power. "George did not need a doctor ... he needs a father," cries the father of Matthew Giorgia, evidently powerless to accept his daughter in his new family that now has also organized its absence. Nicola adds another good reason for this view: "With all the money spent to pay the clinic, she could keep her." A first point. The complexity of the solutions that seemed simple can lead to not understand the fragility and the reasons of that, although very close, can easily become an opponent if not an enemy. Our project to free people from the ' order psychiatric inevitably begins to present its limits and perhaps the initial claim should be reviewed in order to maintain the essence of the undeniable initial intuition that mental aberration seen in any treatment plan . But before the asylum on the outskirts of the city is in people's heads and, therefore, everywhere, because it is natural to fear the madness and defend in every way. Nicola did not yet know and can confuse the mental with the origin of madness: if you free yourself from the mental recovery of life! The illusion is revealed in the film very soon, "going to buy three Zatterin" "I do not do it!" Giorgia answers. But Nicola is sure that being free from the asylum means not having any more difficulties in relations with the world, "it's easy." Giorgia Zatterin should buy it because that can be made by the powerful suggestion of certainty of the other. But it will be guilty of a way to return to the asylum and chronicity saving her certainty. The thing that makes me think is that, despite the past years should make us think, many times, desperate, in the work of local services, we try to treat with the deep conviction in our beliefs. Could someone put this conviction among the variants of "violent Innocence" (Bollas), or "what I did is right. But why do not you heal?".
the first problems begin. Giorgia attacked furiously in a notebook that Matthew is reckless in his desire to know the secrets of the patient: the summit from which to grasp the object is different, it is not easy - even though it may be ideologically right - enter the intimacy of the patient. Entire route is to earn your trust and the patients we want to know closely to what we are and not for what we say we are: how often we carelessly open "their diary or have decided for them, confident that we were deciding on their interest! I remember now the cry of a patient who had a service organized a personalized therapeutic program "highly structured" doctor, but must also understand that I am a sick man and I can not do all those things they ask me to do. "
Sure enough, though its patients in recent years have reported that their interest was in the right to live and have some practitioners of the subjects concerned and do not always sure of their solutions, the first test were the way - directly or indirectly - to disappear. Matthew, who had turned the entire operation of "liberation" of Giorgia, does not stand the fatigue of frustration: "But you can not do anything?" Take the train and party. Not only leaves the station, but moved sharply across the social order. Many of those years psychiatry has not stood the frustration and moved away. In the area of \u200b\u200bpsychiatry enlightened and progressive this was accomplished in two ways: both lead to the eclipse of the clinic and patients. Some (both individual players and entire services) went to work on pharmacological management and specific patient or disappointed by the initial enthusiasm, have left local services. Other, very soon you are placed in positions of power contributing to the construction of elephantine care devices, so bureaucratic that most of the resources committed to support the survival of their own organization: the patients, as in a new edition of the asylum, are now a category whose name services are organized, cross-cutting areas, study groups, which can simply project the actual to avoid an encounter with the patient's subjectivity, that is the thing that every time undermines your confidence and you all forced to invent possible solutions contingent, perhaps after a while, we must modify or abandon it altogether. I work in Rome and I know of situations in my context where this has been avoided: dealing with clinical risks becoming a luxury in particular against the commitment that each relies on bureaucratic procedures or in any formal, when they become violent too must, in I think, make you think.
Nicola seems to take a long period of reflection and life goes back to: Iceland, love, politics, family. I end up with the photo of Basaglia in his study that deals with difficult patients. Giorgia is taken up by asylum chameleon in the meantime it is disguised in a small structure in which patients (if not most patients in a mental hospital) are treated as numbers to get straight from the agreement. The service we provide these facilities is twofold. Psychiatrists to provide support for the successful closing of mental hospitals and families avoidance, to set straight, coexistence is impossible with the crowds now deteriorated. But beware, not to support the easy argument that the deterioration is due to the institution: Please note that the station, many years ago, the ideological position of Nicola had substantially Giorgia-handed with a failure in more - the space of segregating institutions. I visited personally a number of these small "manicomietti" that proliferate on the outskirts of Rome. The serious thing is that I often had to ask them "please" to accept some of my patients that no one knew precisely where to place! Now there will certainly be someone who will take it to the "lack of alternative facilities that the law had predicted 180." I think the question is not so simple, and if there are alternative structures, perhaps it is because we have not been able to invent solutions alternatives in recent years that they also should deal with the undeniable reality that belongs to the chronic psychotic paths and mental center only because they are the best cure. But our care have been sufficient? Departments and our gigantic spaces that give care to patients? The manicomietti proliferate because of the absence of treatment, although we recognize that the care we are talking about is something terribly complex.
Calma. It 'obvious that I think I belong to those of the "best of psychiatry, but better than who? And why?
few days ago, while I was in a supermarket queue I feel a hand that gives me a pat on the shoulder. The greeting was John, a patient who for years have followed the service. With her, for years we had to learn the limits of our tolerance and the power of active patients who want to be treated making you fully understand what it means to be crazy: admissions, placements in day care centers, home visits ... When suffering is every organization is still alive very partial to contain it. Joan was serving with his sheepdog and there scary, all were angry with each other because it was his duty .... Perhaps our ability to care consisted of the ability to stay close in spite of everything. In the supermarket queue I'm excited to think that none of the other customers could have imagined that this was a serious patient and was now tail like so many others because the whole family was holding on his shoulders. Perhaps these patients lead us to understand that they do not need precise "individual projects, but to verify that, despite their folly and others survive this means for them to stay alive .. In The Republic of makes me think that in the years of "best psychiatry" people like Foucault and many other foreign intellectuals looked to Italy, where perhaps you were playing the realization of a dream, and for some time no one is interested to this dream. This should reflect primarily the "best psychiatrists" because it is not a phenomenon of which we can be victims, but rather to understand how we are also responsible. The film does not mention this psychiatry: Nicola who are - and we leave it - in a study of a territorial presence Basaglia with the photo of the wall. Giorgia seems to have taken his life thanks to new treatments, but this time nothing is known of the route and the price that you and your psychiatrist should have paid. I wonder if the evolution of the story is similar to that of Giorgia Giovanna. I do not know, because the story of Joan comes after "the best psychiatry," which by necessity had to be certain, but now the walls of mental hospitals have historically been unthinkable, and asylums, in substance, are creeping in more and more formal certainties of elephantine institutions which commit all their energies to survive themselves. My fear (in a sense it is my belief) is that the asylum do not the legislators who are giving back opaque and discuss in a false instrument for reform of 180, but the perennial ghost reappeared promptly when no longer has the ability-technical, physical and emotional - to look intelligent eyes of patients.
All the characters in the film find themselves intimately in the house in the country where conflict and reunite especially bereavement. The end of the film can be irritating because I proposes the fusion of a dream, where those returns to be the beginning of the dream and, above all, you fear that all that has happened may have been only a dream.
There was a time when psychiatry has formed the best known. It 'possible that psychiatry has stopped in a farmhouse in the Tuscan countryside to keep on dreaming to heal deep wounds through the repetition of treatment modalities in order reparative fusion, but I think that, reassembled the enthusiasm, this may be a necessary period reflection not to lose what is good and there has been indispensable. Perhaps this is the little big limit of the film: the thin vein of nostalgia in that you review the photos in an album, often prevents you from leaving the house of the Tuscan countryside and accept that you can not replace one who died because we are called to accept that in the eyes of intelligent children wives and perhaps will always remain the desperation for something they have lost, and this is vital to recognize than impotent, but not defeated. The Best of psychiatry at that time maybe he could not tolerate these losses. Psychiatry that is hard to leave the house in the Tuscan countryside. We hope to not have to leave just because someone quit. In that case - but we can start from now - there is no need to do victims too, because it is natural that everyone does their job.
* Article published in shortened version on "unity" of 20.12.2003
0 comments:
Post a Comment