001476460 000__ 07127cam\\22007097i\4500 001476460 001__ 1476460 001476460 003__ OCoLC 001476460 005__ 20231003174422.0 001476460 006__ m\\\\\o\\d\\\\\\\\ 001476460 007__ cr\cn\nnnunnun 001476460 008__ 230902s2023\\\\sz\\\\\\ob\\\\001\0\eng\d 001476460 019__ $$a1396064506$$a1396939931 001476460 020__ $$a9783031344183$$qelectronic book 001476460 020__ $$a3031344189$$qelectronic book 001476460 020__ $$z3031344170 001476460 020__ $$z9783031344176 001476460 0247_ $$a10.1007/978-3-031-34418-3$$2doi 001476460 035__ $$aSP(OCoLC)1395946027 001476460 040__ $$aYDX$$beng$$erda$$cYDX$$dGW5XE$$dQGK$$dEBLCP$$dYDX$$dOCLCO 001476460 043__ $$ae-it--- 001476460 049__ $$aISEA 001476460 050_4 $$aRC450.I8$$bR67 2023 001476460 08204 $$a362.2/10945$$223/eng/20230926 001476460 08204 $$a362.20945$$223/eng/20230914 001476460 1001_ $$aRossero, Eleonora,$$eauthor. 001476460 24510 $$aCare in a time of crisis :$$ban ethnography of coercive practices in Italian acute mental health provision /$$cEleonora Rossero. 001476460 264_1 $$aCham :$$bPalgrave Macmillan,$$c[2023] 001476460 300__ $$a1 online resource 001476460 336__ $$atext$$btxt$$2rdacontent 001476460 337__ $$acomputer$$bc$$2rdamedia 001476460 338__ $$aonline resource$$bcr$$2rdacarrier 001476460 504__ $$aIncludes bibliographical references and index. 001476460 5050_ $$aIntro -- Acknowledgements -- Contents -- About the Author -- Abbreviations -- List of Tables -- 1: Introduction -- 1.1 Exploring Care and Coercive Practices -- 1.2 Aims of the Research -- 1.3 Outline of the Book -- 1.4 Terminological Choices -- References -- 2: On Coercion in Inpatient Psychiatric Settings -- 2.1 Coercion in Psychiatric Settings: An Introduction -- 2.1.1 What Counts as Coercive? Defining and Justifying Coercion -- 2.2 Involuntary Admission and Treatment -- 2.2.1 Involuntary Admission and Treatment in Italy: "Trattamento Sanitario Obbligatorio" 001476460 5058_ $$a2.3 Restraint and Its Multiple Forms -- 2.3.1 Contenzione: Mechanical restraint -- 2.3.2 Contenimento: Holding or Manual Restraint -- 2.3.3 The Sedative/Curative Divide: Pharmacological Restraint -- 2.3.4 Locked Versus Open-Door Wards: Environmental Restraint -- References -- 3: A Necessary Evil? Alternatives to Coercive Interventions -- 3.1 The No-Restraint Movement: A Historical Overview -- 3.2 Contemporary Attempts to Reduce Coercion in Psychiatric Settings -- 3.3 Defining the Object: Situated Care and Coercive Practices -- References 001476460 5058_ $$a4: The Empirical Research: Context, Data, and Methods -- 4.1 Ethnographic Research on Acute Inpatient Psychiatric Settings: An Introduction -- 4.2 Investigating Coercion -- 4.3 Feeling the Field -- References -- 5: Crisis and Its Places: Boundary-making in and Around Mental Healthcare Services -- 5.1 The Birth of Community Mental Health Services: A Historical Look at Italian Deinstitutionalization -- 5.2 A Fundamental Dicothomy: ospedale Versus territorio -- 5.3 "We Are in the Hospital, but We Are Not Hospital": A Narrative of "Otherness" 001476460 5058_ $$a5.4 Places of Crisis: Institutional Maps and Wards' Shape -- 5.4.1 Shape-Preservation Strategies: Circulation Work and Pertinence Permeability -- 5.5 Conclusion -- References -- 6: Combining Healthcare, Compassion, and Coercion Repertoires and Strategies to Provide (Good) Care in Acute Psychiatric Settings -- 6.1 Managing Crisis in and Outside the Hospital -- 6.1.1 The Pine Ward and the Iris Ward -- 6.1.2 The Violet and the Tulip Mental Health Centres -- 6.2 Outsourcing Coercion: Segregating Care and Coercion -- 6.3 Embedding Coercion: Performing Coercion as (Good) Care 001476460 5058_ $$a6.3.1 Therapeuticization of Coercion -- 6.3.2 Proceduralization of Coercion -- 6.3.3 Relationalization of Coercion -- 6.3.4 Multiplication of the Objects of Care -- 6.4 Conclusion -- References -- 7: Care in the Time of Crisis -- 7.1 Preferability Between Restraining Practices -- 7.2 What's Wrong with Mechanical Restraint? 'Delegating' Versus 'Staying in the Relationship' -- References -- 8: An Empirical Ethics Approach to Acute Psychiatric Care: Advancing "Situated Suggestions" -- References -- Appendix A -- The Ethnographic Fieldwork: Methodological Information -- References 001476460 506__ $$aAccess limited to authorized users. 001476460 520__ $$aThe book presents the results of an ethnographic study examining the post-deinstitutionalized organization and provision of acute mental health care in Italy. While the achievements of the Basaglia law which imposed the closure of psychiatric hospitals in Italy in 1978 have been well-documented, this book sheds fresh light on its aftermath and possible continuing influence. The author examines two Italian regions Piedmont and Friuli Venezia Giulia (internationally known to be the first Italian region to close down asylums) respectively as representatives of the restraint and no-restraint models. Within each context, participant observation and discursive interviews have been conducted in Mental Health Centres (CSM) and acute psychiatric wards (SPDC) to explore care and coercive practices, as well as notions of good care and values embedded in everyday working activities of these services. Situated suggestions for possible improvement of todays acute mental health care are also proposed. This book offers a novel ethnography of mental health care in the Italian context that will appeal in particular to practitioners and scholars in the fields of critical mental health, cross-cultural psychology, the history of psychiatry and the sociology of health. Eleonora Rossero is a researcher in the field of the sociology of health, particularlymental health, as she works closely with healthcare services and professionals. Dr Rossero has published previously on the impact of Covid-19 on Italian mental health services, narratives of autoimmune diseases, psychiatric coercive interventions, and Italian de-institutionalization practices and cultures. 001476460 588__ $$aOnline resource; title from PDF title page (SpringerLink, viewed September 14, 2023). 001476460 650_0 $$aPsychiatric hospital care$$zItaly. 001476460 650_0 $$aMentally ill$$xCommitment and detention$$zItaly. 001476460 650_0 $$aInvoluntary treatment$$zItaly. 001476460 650_6 $$aHôpitaux psychiatriques$$xSoins$$zItalie. 001476460 650_6 $$aInternement (Psychiatrie)$$zItalie. 001476460 650_6 $$aTraitement non volontaire (Thérapeutique)$$zItalie. 001476460 655_0 $$aElectronic books. 001476460 77608 $$iPrint version: $$z3031344170$$z9783031344176$$w(OCoLC)1377800249 001476460 852__ $$bebk 001476460 85640 $$3Springer Nature$$uhttps://univsouthin.idm.oclc.org/login?url=https://link.springer.com/10.1007/978-3-031-34418-3$$zOnline Access$$91397441.1 001476460 909CO $$ooai:library.usi.edu:1476460$$pGLOBAL_SET 001476460 980__ $$aBIB 001476460 980__ $$aEBOOK 001476460 982__ $$aEbook 001476460 983__ $$aOnline 001476460 994__ $$a92$$bISE