Skip to main content
×
×
Home

How Law 180 in Italy has reshaped psychiatry after 30 years: past attitudes, current trends and unmet needs

  • A. Carlo Altamura (a1) and Guy M. Goodwin (a2)
Abstract
Summary

Law 180 eliminated psychiatric hospitals for the care of people with chronic psychosis in Italy. After 30 years, we review the consequences for the practice of psychiatry in Italy and parallels for England and Wales. We argue that the substitution of legal/political direction for clinical leadership means psychiatrists may cease to merit the privileges and responsibilities of being doctors.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      How Law 180 in Italy has reshaped psychiatry after 30 years: past attitudes, current trends and unmet needs
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      How Law 180 in Italy has reshaped psychiatry after 30 years: past attitudes, current trends and unmet needs
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      How Law 180 in Italy has reshaped psychiatry after 30 years: past attitudes, current trends and unmet needs
      Available formats
      ×
Copyright
Corresponding author
A. Carlo Altamura, MD, Department of Psychiatry, University of Milan, IRCCS Ospedale Maggiore Policlinico, Via F. Sforza 33, 20122, Milan, Italy. Email: carlo.altamura@policlinico.mi.it
Footnotes
Hide All

Declaration of interest

A.C.A. has received honoraria from: AstraZeneca, Sanofi-Aventis, MSD. He has been an advisor for Wyeth, AstraZeneca, Lilly, Pfizer, GlaxoSmithKline and MSD. G.M.G. has received grants from Sanofi-Aventis and Servier, and honoraria from AstraZeneca, Bristol-Myers Squibb, Eisai, Lundbeck, Sanofi-Aventis and Servier. He has been advisor for AstraZeneca, Bristol-Myers Squibb, Lilly, Lundbeck, P1Vital, Sanofi-Aventis, Servier and Wyeth.

Footnotes
References
Hide All
1 Cazzullo, CL, Tacchini, G, Altamura, AC, Tansella, M. The establishment, monitoring and evaluation of community care services. In Evaluation of Comprehensive Care of the Mentally Ill (eds Freeman, H, Henderson, J): 3044. Gaskell, 1991.
2 Papeschi, R. The denial of the institution. A critical review of Franco Basaglia's writings. Br J Psychiatry 1985; 146: 247–54.
3 Lieb, R, Becker, E, Altamura, C. The epidemiology of generalized anxiety disorder in Europe. Eur Neuropsychopharmacol 2005; 15: 445–52.
4 Altamura, AC, Mundo, E, Bassetti, R, Green, A, Lindenmayer, JP, Alphs, L, et al. Transcultural differences in suicide attempters: analysis on a high-risk population of patients with schizophrenia or schizoaffective disorder. Schizophr Res 2007; 89: 140–6.
5 Kendler, KS, Greenspan, RJ. The nature of genetic influences on behavior: lessons from ‘simpler’ organisms. Am J Psychiatry 2006; 163: 1683–94.
6 Charney, DS. Psychobiological mechanisms of resilience and vulnerability: implications for successful adaptation to extreme stress. Am J Psychiatry 2004; 161: 195216.
7 Lieberman, JA, Drake, RE, Sederer, LI, Belger, A, Keefe, R, Perkins, D, et al. Science and recovery in schizophrenia. Psychiatr Serv 2008; 59: 487–96.
8 Craddock, N, Antebi, D, Attenburrow, MJ, Bailey, A, Carson, A, Cowen, P, et al. Wake-up call for British psychiatry. Br J Psychiatry 2008; 193: 69.
9 Altamura, AC. Law 180 after 30 years – reflections on unmet needs and risks of loss of identity for Italian psychiatrists. Acta Psychiatr Scand 2009; 120: 501–2.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 49 *
Loading metrics...

Abstract views

Total abstract views: 209 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 21st August 2018. This data will be updated every 24 hours.

How Law 180 in Italy has reshaped psychiatry after 30 years: past attitudes, current trends and unmet needs

  • A. Carlo Altamura (a1) and Guy M. Goodwin (a2)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *