[IT] L’istituzione inventata

Il progetto di deistituzionalizzazione coincide con la ricostruzione della complessità dell’oggetto (intera esistenza e non mera "malattia"). Se l’oggetto è cambiato le nuove istituzioni dovranno esserne all’altezza. L’istituzione inventata (e mai data) sarà questo: riproduzione sociale, ingegneria di ricostruzione di senso, presa in carico, identificazione di situazioni di sofferenza e di oppressione, scambio, nuovi ruoli, altri modi materiali di essere per l’altro, agli occhi dell’altro.

[EN][IT] Inventing a new welfare / Inventando un nuovo welfare

There are different models: on one side Trieste, with an extraordinary accumulation of knowledge and experience in the field of health, which is currently confronted with the national restriction of welfare, with political and administrative interlocutors that aren’t especially friendly, and recently with the social situation in which we lack movements that might allow us to play in new ways with the relationship between the inside and the outside of the institutions; on the other side there are the Greek experiences, which are extraordinarily capable of innovation in the field of what Rotelli calls the “contraptions”, the “artefacts”, the “engineering”. However, these kinds of experiences are born and develop out of absolute emergencies, so their longevity is always in question.

[EN] [IT] The city that heals / La città che cura

I am always astonished when I speak with a young doctor and I ask him what he does. And he explains it. If you ask him about the context in which a certain practice is enacted, either he knows nothing, or he refuses to know. Sometimes he has a vague notion of it. But there is nothing more overdetermined than what happens in the field of health: huge institutional assets, big economic interests, powerful professional corporations. And then there are the citizens as users of the services, who are what should matter in all this. There are enormous issues on a political, organisational, administrative and cultural level revolving around this doctor doing his work. But he is unaware of all of this.

[EN] [IT] Neighbours / Vicini

Sari Massiotta. Whether it is possible or not to rethink territorial health care policies and care practices from within the institutions today depends principally upon the institutions’ own ability to put themselves at risk: to move through urban life and the perception of the forms of social life that articulate care. Instead of trying to make life orderly and reify health through technical assistance, the workers would become fellow-residents articulating an internal tension, critical of the public institutions’ capacity to act.

[EN] [IT] Emancipation / Emancipazione

Monica Ghiretti. The transformation of the institution also entails the experience of those who, at the threshold between the city and the institution, start experimenting: those who open the doors of institutional spaces, challenge the codes of the institution and therefore their own identities. The worker puts his or her own power at risk, but in so doing doesn't turn away from his or her institutional responsibilities to the city. The worker moves through the territory every day, constructing a practice of health based on initiative rather than a medical system of waiting.

[EN] [IT] Questions / Domande

Michela Degrassi. The thresholds of institutional transformation in Trieste always land us in the midst of another crisis, a crisis that must be confronted from within the limits of our own work. Is it possible to think about a democratic practice in a context in which the right to health is ever more fragile? How can we make democracy more concrete within the right to health itself? How can the micro-area serve not only to build health for the city but also to build democracy in our institutions?