[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?

[EN] Caring ecologies. An excerpt

From "Activist Sense and Urban Ecologies of Care": My first gateway into the complex ecology of Trieste is a specific programme that operates within the general healthcare system itself. I will move through it in dialogue with the voices and practices of those who run it, as my thoughts and reflections on the local integrated care program (and on the caring ecologies in general) rely on an ongoing collaboration with Margherita Bono, who works in the Micro Area Programmes and who in the last few years has led action research projects to redefine their functioning.

[ES] [IT] Detrás de los muros, nacen los monstruos / Dietro i muri, nascono i mostri

La tercera semana de marzo de 2017 recibimos en Madrid la visita de los psiquiatras italianos Franco Rotelli y Giovanna del Giudice, compañeros de Franco Basaglia durante la reforma psiquiátrica en Trieste, y después en el resto de Italia, poniendo en práctica la Ley 180 que cerraba los manicomios. El linaje de las transformaciones en salud mental de 1970 se extiende hoy a las prácticas de salud en el territorio, que comparten la concepción basagliana de la salud como un proyecto colectivo a la par que individual, y la tarea de la institución como aquella que es capaz de alinearse con ese proyecto en una lucha cotidiana por abrirse a la complejidad de lo social, produciendo democracia al hacer salud.

[ES] La crisis neoliberal y las crisis de lo público

En Entrar Afuera, la relación con la experiencia griega en salud se centra en las clínicas autogestionadas y, en concreto, en el trabajo conjunto con la Social Clinic of Solidarity de Tesalónica (KIA) y con la Worker’s Clinic dentro de la fábrica ocupada Viome. En el cruce con Madrid y con Trieste, el diálogo con Tesalónica asume todas las dificultades que conlleva el intento de poner en relación contextos, culturas políticas, tiempos y normalidades muy diversas. Al tiempo, los tres lugares conforman un sur de Europa con procesos de despojo compartidos y preguntas comunes en la búsqueda de prácticas de salud y cuidado emancipadoras: cada cual, desde su lugar, se plantea cómo interpelar a la institución médica, cómo hacer salud y a la vez democracia, y cómo sostener esas prácticas que se van inventando.