Memories of the Manicomio: Representations of Mental Illness and Psychiatric Institutions in Contemporary Italian Writing

<p>In the long-standing relationship between mental illness and literature in Italy, where historically literary and medical discourses on neurosis have been intertwined, the criticism of mental institutions has stood out as a literary trope only since the spread of radical psychiatry movements in the 1950s. From Le libere donne di Magliano (1953), by Tuscan psychiatrist and writer Mario Tobino, many writings produced around the years of the Basaglia reform and in the following decades have openly engaged with the dark present and past of psychiatric hospitals. However, while the shocking personal testimonies and photographic and audio-visual records of internment that supported and promoted the Basaglia reform are being reassessed today as tangible acts of memory, less attention has been given to the literary representations of asylums and their role as a medium of memory for a twenty-first-century readership. This has become clear in the years around the thirtieth anniversary of the Law 180/78, when the contemporary representations of the Italian teatro di narrazione significantly dealt with the theme of the internment, seeking to debunk the cultural myths surrounding psychiatric hospitals and their patients. This thesis seeks to address this gap by arguing that the literary discourse on mental hospitals in Italy has focused on the intricate relationship between cultural perceptions of mental disorders, personal experience of treatment and internment, and their legacy on the country’s collective memory. I structure my analysis within the intersection of two main theoretical frameworks: the first refers to the recent psychiatric and historical assessments of the Italian psychiatric confinement, and the second draws from theoretical conceptualisations of the relationship between literary genres and collective memory. To do this, I consider three literary genres that have played a significant role in this debate, each within their specific conventions: the memoir, the novel and narrative theatre. After introducing the discourse on the perception of mental confinement through a review of its representations in different media, I discuss the memoir in depth, focussing on Tobino’s three published diaries, Alda Merini’s L’altra verità. Diario di una diversa (1986) and Fabrizia Ramondino’s Passaggio a Trieste (2000). This is followed by a thorough analysis of the relationship between the novel and the psychiatric institution through the reading of Tobino’s Per le antiche scale. Una storia (1972), Italo Calvino’s La giornata d’uno scrutatore (1963) and Luca Masali’s La vergine delle ossa (2010). Finally, I discuss Ascanio Celestini’s La pecora nera. Elogio funebre del manicomio elettrico (2006), Renato Sarti’s Muri. Prima e dopo Basaglia (2008) and Marco Paolini’s Ausmerzen. Vite indegne di essere vissute (2012), in the context of narrative theatre. Through my analysis of these texts and theatrical performances, I show how the manicomio gradually acquires the status of lieu de mémoire in contemporary Italian writing. Depicting, criticising and remembering the asylum, contemporary literary writings have responded to its disappearance as a physical space by rethinking it as a metaphorical means of understanding the present. Progressively challenging a literary tradition which struggled to give voice to the experience of mental disorder, these depictions have recognized persistent forms of social exclusion in contemporary Italy and highlighted the pressing need for a new culture of representing internment.</p>

Memories of the Manicomio: Representations of Mental Illness and Psychiatric Institutions in Contemporary Italian Writing

<p>In the long-standing relationship between mental illness and literature in Italy, where historically literary and medical discourses on neurosis have been intertwined, the criticism of mental institutions has stood out as a literary trope only since the spread of radical psychiatry movements in the 1950s. From Le libere donne di Magliano (1953), by Tuscan psychiatrist and writer Mario Tobino, many writings produced around the years of the Basaglia reform and in the following decades have openly engaged with the dark present and past of psychiatric hospitals. However, while the shocking personal testimonies and photographic and audio-visual records of internment that supported and promoted the Basaglia reform are being reassessed today as tangible acts of memory, less attention has been given to the literary representations of asylums and their role as a medium of memory for a twenty-first-century readership. This has become clear in the years around the thirtieth anniversary of the Law 180/78, when the contemporary representations of the Italian teatro di narrazione significantly dealt with the theme of the internment, seeking to debunk the cultural myths surrounding psychiatric hospitals and their patients. This thesis seeks to address this gap by arguing that the literary discourse on mental hospitals in Italy has focused on the intricate relationship between cultural perceptions of mental disorders, personal experience of treatment and internment, and their legacy on the country’s collective memory. I structure my analysis within the intersection of two main theoretical frameworks: the first refers to the recent psychiatric and historical assessments of the Italian psychiatric confinement, and the second draws from theoretical conceptualisations of the relationship between literary genres and collective memory. To do this, I consider three literary genres that have played a significant role in this debate, each within their specific conventions: the memoir, the novel and narrative theatre. After introducing the discourse on the perception of mental confinement through a review of its representations in different media, I discuss the memoir in depth, focussing on Tobino’s three published diaries, Alda Merini’s L’altra verità. Diario di una diversa (1986) and Fabrizia Ramondino’s Passaggio a Trieste (2000). This is followed by a thorough analysis of the relationship between the novel and the psychiatric institution through the reading of Tobino’s Per le antiche scale. Una storia (1972), Italo Calvino’s La giornata d’uno scrutatore (1963) and Luca Masali’s La vergine delle ossa (2010). Finally, I discuss Ascanio Celestini’s La pecora nera. Elogio funebre del manicomio elettrico (2006), Renato Sarti’s Muri. Prima e dopo Basaglia (2008) and Marco Paolini’s Ausmerzen. Vite indegne di essere vissute (2012), in the context of narrative theatre. Through my analysis of these texts and theatrical performances, I show how the manicomio gradually acquires the status of lieu de mémoire in contemporary Italian writing. Depicting, criticising and remembering the asylum, contemporary literary writings have responded to its disappearance as a physical space by rethinking it as a metaphorical means of understanding the present. Progressively challenging a literary tradition which struggled to give voice to the experience of mental disorder, these depictions have recognized persistent forms of social exclusion in contemporary Italy and highlighted the pressing need for a new culture of representing internment.</p>

How do Hematologists Communicate with Patients Suffering from Chronic Lymphocytic Leukemia?

Chronic Lymphocytic Leukemia (CLL) is a chronic hematologic malignancy with great heterogeneity and unpredictable clinical course. The European Research Initiative on CLL (ERIC), in the context of its CLL Patient Empowerment Program, conducted a study exploring hematologists’ experience of communication. Thirty semi-structured interviews were conducted with hematologists caring for CLL patients in Greece. Inductive thematic qualitative analysis was employed revealing 3 major themes: (i) disclosure of information encompassing ‘negotiating the level of disclosure’, ‘the power of cultural perceptions’, ‘fear of being held culpable’, ‘fear of patients’ and own emotions’; (ii) medical-decision making which described ‘balancing autonomy and beneficence’, ‘considering patients’ preferences’ and ‘adhering to practice guidelines’; (iii) emotional support which included ‘assessment of emotional distress’, ‘identifying and regulating patients’ emotions’ and ‘maintaining a supportive relationship’. In conclusion, physicians are aware of the importance of communication and its potential impact on CLL patients. They use a wide range of communication strategies which serve the diversity of communication goals they must achieve. However, the majority have not received formal education on patient interactions. Present findings highlight the need for specific communication protocols, guidance and training that will empower physicians to overcome challenges, inherent to the nature of CLL.

Using Visual Demonstrations of Learning to Promote Age-Integrated Problem Solving

Working to dismantle the “othering” of older adults requires active effort to reverse deeply ingrained cultural perceptions and attitudes. As gerontology educators, we are uniquely positioned to “move the needle” on this issue by providing students with the opportunity to engage with older adults in meaningful ways and to see the world from their perspective. In this presentation, visual demonstrations of student learning will be shared that allow students to demonstrate their mastery of course concepts in a creative way and to problem-solve a particular issue by engaging with their own future selves. This approach also allows for a deviation from the routine of written demonstrations of learning by appealing to a different set of student skills. Approaches discussed will include concept maps to deconstruct community collaboration; book bentos to explore optimal aging; multimedia presentations on meaning-making in older adulthood; and a photo elicitation project to address outdoor fall hazards.

Linguistic and Cultural Perceptions of Selected Occupations in Eighteenth-Century Proverbs (on the Basis of "Nowy dykcjonarz" by Michał Abraham Troc)

Linguistic and Cultural Perceptions of Selected Occupations in Eighteenth-Century Proverbs (on the Basis of Nowy dykcjonarz by Michał Abraham Troc)This paper is an attempt to show the possibilities offered by an analysis of a historical dictionary in researching the old ways of perceiving, categorizing and evaluating the world. The observations in question are based on proverbs extracted from Nowy dykcjonarz by Michał Abraham Troc, which is one of the most significant achievements of Polish lexicography of the eighteenth century.Using the methodology of linguistic worldview reconstruction, the authors present the ways of perceiving certain occupations (shoemakers, blacksmiths, wheelwrights, cooks, doctors, executioners) by people in the eighteenth century and provide the cultural context of these perceptions. The analysis demonstrates that language is not only a communication tool, but also a carrier of the collective experience and outlook on life. Językowa i kulturowa percepcja zawodów w XVIII-wiecznych przysłowiach (na materiale Nowego dykcjonarza Michała Abrahama Troca)Celem niniejszego tekstu jest wskazanie możliwości, jakie daje analiza słownika historycznego w badaniu dawnych sposobów postrzegania, kategoryzowania i wartościowania świata. Rozważania te opierają się na przysłowiach zaczerpniętych z Nowego dykcjonarza Michała Abrahama Troca. Słownik ten jest jednym z najważniejszych osiągnięć polskiej leksykografii XVIII wieku.Posługując się metodologią językowego obrazu świata, autorzy rekonstruują językowo-kulturowy sposób postrzegania zawodów (szewców, kowali, kołodziejów, kucharzy, lekarzy, katów) utrwalony w osiemnastowiecznych przysłowiach. Przedstawiona analiza dowodzi, że język jest nie tylko narzędziem komunikacji, ale także nośnikiem zbiorowego doświadczenia i poglądu na świat.

Japanese Anime Fandoms in the UAE: An Exploratory Study on Media Accessibility, Habits and Cultural Perceptions

The satellite TV revolution in the United Arab Emirates (UAE) in the early 1990s precipitated the proliferation of foreign media broadcasts. Japanese anime dubbed into Arabic became the most-watched content in Emirati households, a trend that continues to date because the Japanese entertainment and digital media industry offers youngsters easy access to and diverse options for anime. This paper provides an overview and analysis of the growing popularity of anime fandoms in the UAE to ascertain the level of commitment, involvement and the moral perceptions of Emirati fans vis-à-vis Japanese pop culture. A focus group discussion was conducted in a leading UAE university among the otaku or aficionados of Japanese anime (males and females). The participant responses offered comprehensive insights into the fandom trends of the region and articulated interesting opinions on Japanese pop culture and digital media accessibility. Notably, the findings of this study suggested that the enthusiasm of this fan following is often obstructed rather than celebrated and thus cannot achieve its potential. Therefore, the study finally contemplates how Emirati otaku and their practices may be better supported in UAE.

Redefining the Role of the Second National Language Teacher: Existing Perceptions vs. Changing of Practices

Sri Lanka is a multicultural country with a diverse population coming from three major ethnic groups, Sinhalese, Tamils and Muslims. Though they have been living together for several centuries in the country, it is not without conflict. After three decades of an atrocious war which erupted as a result of these ethnic clashes, currently the country is enjoying some peaceful times. To make this peace last for long the government has taken several important measures and teaching the second national language in the school for children, and appointing the first language speakers as the second national language teachers is one of the most important. Nevertheless, second national language teachers have a very different interaction with their students when compared to other teachers. They are required of an unusually high level of cultural nuance as members of a different culture to their students and need to develop cultural intelligence to overcome this challenge. This study attempts at finding the present cultural perceptions of these teachers and suggesting ways of changing practices to bridge this gap.

ETHNOMEDICAL PERCEPTIONS OF PREGNANCY THREATS AND HOMEBIRTH PREFERENCE IN RURAL CAMEROON: THE CASE OF NCHANG, SOUTH WEST REGION

The principal objective of this research has been to highlight ethnomedical understanding of risk factors causing mishaps in childbirth as the fundamental determinant to low facility-based deliveries. Skilled obstetric assistance has been proven to significantly reduce maternal morbidity and mortality. Reliance on facility-based delivery is therefore fundamental to maternal wellbeing. However, preference for homebirth is still common and prevalent in rural Cameroon where socio-cultural perceptions still exert strong influence on health-seeking decisions and behaviors. Understanding the reasons for this preference is important to design targeted interventions for more effective maternal death control schemes. This qualitative research was carried out in all ten quarters of Nchang using both random and snowball sampling techniques to select participants. Forty in-depth interviews and four focus group discussions were conducted using corresponding research tools. Verbatim translation and transcription of audio recordings was done from pidgin or kenyang to English, followed by codification and a thematic analysis. Our findings reveal that low demand for obstetric assistance and its consequential correspondingly higher maternal mortality rates are fundamentally determined by socio-cultural perceptions of pregnancy threats. KEYWORDS: perceptions, facility-based delivery, obstetric assistance, homebirth, maternal mortality

Exploring Public Recognition and Perceived Cultural Value of the Special Qualities within English Areas of Outstanding Natural Beauty

As both the concept of ‘landscape’ and ‘beauty’ have very perceptual definitions, they must be assessed by large groups to be appropriately addressed. Therefore, amid a review of AONB designation, cultural perceptions of what is valuable within these designated areas is of paramount importance. Ecosystem services have gained traction as a way to assign social value to the non-physical benefits landscape can provide. AONB landscapes have a list of ‘special qualities’ (SQs) which are the features and characteristics of this area that warrant its protection. This study looks at the extent to which SQs reflect public values. Multiple methods including photo elicitation, participatory mapping, in-person surveys and social media data analysis have been used. The study suggests that when presented with the same landscape there is huge diversity as to what should be considered ‘special’. There is a general preference of landscape heterogeneity, therefore no one SQ could be more important than any of the others if considered in isolation. SQs that have a tangible link to the cultural ecosystem services they provide, were most appreciated. All methods used had their own benefits and flaws, hence future research should use a combination of methods to address perception issues.