Franco Basaglia (; 11 March 1924 29 August 1980) was an Italian psychiatrist, neurologist, professor who proposed the dismantling of psychiatric hospitals, pioneer of the modern concept of mental health, Italian psychiatry reformer, figurehead and founder of Democratic Psychiatry architect, and principal proponent of Law 180 which abolished mental hospitals in Italy. He is considered to be the most influential Italian psychiatrist of the 20th century.
Biography
Franco Basaglia was born on 11 March 1924 in Venice. After obtaining his medical degree from University of Padova in 1949, he trained in the local school of psychiatry, where he acquainted himself with the philosophical ideas of Karl Jaspers, Ludwig Binswanger and Eugène Minkowski, developed an interest in the study of phenomenological philosophers such as Edmund Husserl, Martin Heidegger, Maurice Merleau-Ponty, and Jean-Paul Sartre, and analyzed the work of sociological and historical critics of psychiatric institutions such as Erving Goffman and Michel Foucault.
He died in Venice.
Views
According to Renato Piccione, the intellectual legacy of Franco Basaglia can be divided into three periods: university period which initiated the process of criticizing psychiatry as "science" that ought to cure and liberate a person but in fact oppresses them; institutional negation which coincides with experience in Gorizia (1962–1968); deinstitutionalization which coincides with direction of experience in Trieste (1971–1979).
When Basaglia arrived at Gorizia, he was revolted by what he observed as the conventional regime of institutional 'care': locked doors only partly successful in muffling the weeping and screams of the patients, many of them lying nude and powerless in their excrement. And Basaglia observed the institutional response to human suffering: physical abuse, straitjackets, ice packs, bed ties, ECT and insulin-coma shock therapies to 'quiet' the melancholy and the terrified, and to strike terror in the agitated and the difficult.
In 1961, Franco Basaglia started refusing to bind patients to their beds in the Lunatic Asylum of Gorizia. He also abolished any isolation method. From this initiative started a wide theoretical and practical debate all over Italy. Such a huge debate resulted in the endorsement in 1978 of a national reform bill in 1978 that provided the gradual but radical closure and dismantling of the mental hospitals in the whole country.
Basaglia insisted that much in the inveterate stereotypes of madness was actually the consequence of institutional conditions, but not a real danger which the walls of a mental hospital had been required to contain. He considered psychiatric hospital as an oppressive, locked and total institution in which prison-like, punitive rules are applied, in order to gradually eliminate its own contents; and patients, doctors and nurses are all subjected (at different levels) to the same process of institutionalism.
Basaglia recognized that many of the characteristics of his patients which were believed to be inherent in their mental illness, such as the vacant stares and the repetitive gestures and movements, appeared to dissolve as the patients left the confines of the asylum. Basaglia concluded from this that society would not know what mental illnesses were, or what limitations they would inherently put on persons with them, until both staff and patients were freed from the beliefs, attitudes and culture of the asylum. Basaglia was concerned that, without the complete closing of asylums, mental health professionals would unknowingly reconstitute the asylum culture in community facilities. As long as confinement remained possible, professionals would continue to regard themselves as the ultimately responsible parties, and patients would continue to regard their agency and freedom as dependent on the doctor's will.
Basaglia considered mental illness as the consequence of the exclusion processes acting in social institutions. He stated: "The mental illness is not reason and origin but the necessary and natural consequence of the power dynamics–related exclusion processes potentially and concretely acting in all social institutions. It is not sufficient to liberate the ill to restore life, history to the persons who were deprived of their life, their history."