Una intervista che prova a ricorrere la deinstituzionalizzazione del manicomio: l'esperienza diretta dell’istituzione totale; la sua chiusura; l'invenzione di nuove pratiche e nuove istituzioni; fino al precipizio del nostro presente.
Un análisis crítico sobre la relación entre salud comunitaria y sistema nacional de salud, atención primaria y salud pública.
We published these notes in the Special Issue of Ephemera Journal, Theory & Politics in Organisation, "Repair Matters". Here, we shared the questions and challenges around care and health that emerged in our research project, with a specific emphasis on the common ethics of emancipation in institutional critique. We asked ourselves how institutions are caring for the people in our critical present and toward a horizon of change.
Last year, the Scottish magazine “The Drouth” and “Vessel Art Project” asked us to share some reflections about our research, Entering Outside, as a multi-site and multi-format dialogue among critical practices of healing and caring in the south of Europe.
A petición de Cristina Vega, que estaba compilando un libro sobre las intersecciones entre cuidados, comunidad y común, tradujimos al castellano extractos de una entrevista que Giovanna Gallio le realiza a Franco Rotelli sobre el sistema sanitario triestino, así como un Manifiesto por la ciudad social, como ese horizonte que inspira la práctica sanitaria de las Microáreas.
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.
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.