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Dr Micol Ascoli and I meet again to discuss the principles and history behind "law 180" and the Italian mental health reform, as well as its content and how it works. We discuss how it's different from UK legislation and what other systems could learn from it. Vincenzo has already introduced this topic in episode 10, so that episode is a good introduction to this one. On this occasion, Micol offers an important perspective on this, as a Psychiatrist who has knowledge of both the British and Italian mental health systems.

British and Italian Psychiatrist and Psychotherapist Micol Ascoli joins Vincenzo to talk about her experience of working in Uk mental health services, and about how we both experienced moving from a Basaglian background and system in Italy to the UK context. This conversation happens in the context of a range of mental health care scandals which have been recently in the news in the Uk. Bureaucracy is an interesting lens through which the crisis, and the system's response to it, can be understood.

Jerome joins Vincenzo to talk about his interest in ways of organising the economy that are based on cooperation. During his studies, Jerome became unsatisfied with traditional economic structures and interested in alternatives. Italian social co-operatives were a very interesting example to Jerome and this brought him to learn about Basaglia's interest in using them to build alternative system to the asylum in the community. Take a look at Jerome's website: econ.coop For further information, see the page below: https://linktr.ee/jerome.warren

Sydney Conroy, Phd student at Cambridge University, joins me to discuss how hard science, the medical model and the system's expectations affect practicing play therapy with children. We also discuss differences between her experience of the US and how the system works in the UK, and much more!

#mentalhealth #psychiatry #NHS #UK On this episode I speak to Robert, who is on his last year of training as a Psychiatrist. It's the first time that someone with a Psychiatry background comes on the podcast, so don't miss it! We discuss a number of topics including science, the gap between theory and practice, Open Dialogue and Insulin Coma Therapy.

Ben Tuttle is the CEO of hopeguardians.com , a new organisation that offers free therapy in the UK and South Africa. In this conversation we explore the opportunities and challenges of this ambitious project. You can find more information, and also the promotional video we talk about during the episode (highly recommended!), at the link below: https://hopeguardians.com/ If you have any question or suggestion, don't hesitate to get in touch!

Professor Helen Spandler and Dr Sonia Soans join me to talk about the history of Asylum magazine, our thoughts on the twitter mental health debate, activism in the UK and India, Democratic Psychiatry and more... Please subscribe to the magazine, it promotes an important platform for a constructive dialogue between different ideas that finds little space elsewhere: www.asylummagazine.org

Steve and Sam join us (for the second time) to discuss what they learned in their experience as nurse and service user

On this episode I give a brief overview on how my position on the role of science in support services evolved through my studies. Hopefully I explained what my position is with sufficient clarity. I talk about Galilei, Kuhn, Popper, Feyerabend... since I'm not an expert in Philosophy, please correct me if I got something wrong!

A book has just been published on Basaglia's influence in the world. It's the beginning of a difficult conversation. Let's talk about it

Vincenzo shares some thoughts on the limited nature of a debate based on which treatment options to offer to patients in the current system.

Dr Lucy Johnstone joins Vincenzo to discuss the "Power Threat Meaning Framework", a new and highly influential approach that challenges traditional diagnostic thinking. We take a look at the rationale behind it and some of the criticisms that have been raised against it. Here are some related links to know more: The main PTMF website: https://www.bps.org.uk/power-threat-meaning-framework A talk on the PTMF: https://www.youtube.com/watch?v=fWAv4IBsCjc Another interview about the PTMF: https://www.madinamerica.com/2018/03/dr-lucy-johnstone-power-threat-meaning-framework/

Maria Teresa qualified as a Psychologist in Italy, she has worked in the mental health sectors in the UK and Italy and has completed a Sociology doctorate on the de-institutionalisation processes in two countries; on this episode she shares her perspective

A few thoughts on what's happening in the world...

In this episode Vincenzo looks back at the past year and discusses what apos has meant so far

Sonja and Vincenzo talk about the different meanings that alcohol use can have for men and women across cultures. How does society's way of understanding these issues shape the way we address them?

Steve and Sam join Vincenzo to discuss their experience of meeting as nurse and patient and then teaching together and co-producing their work in this respect. Among other things, we talk about the importance of the patient's perspective in care and the significant impact that lack of communication or trust can have on treatment, especially in terms of medication

The concepts of Clinical Psychology and Psychotherapy differ in the UK and Italy. In this episode Vincenzo discusses what background should be required to train in Psychotherapy and how different ways of framing these concepts can affect patients. Sorry if this episode is posted late, the next one should be published two Thursdays from now as usual.

What does building therapeutic relations look like? Vincenzo travels to Trieste to talk to two service users, Marilena and Marco, about their experience of a "youth group" within the Trieste mental health system.

Is Trieste the ideal mental health system? Should we aim to re-create the "Trieste model"? Not really. In this episode we look at problems with this perspective and why it will paradoxically never get us to the Trieste results.