80 research outputs found
The AMDP-based Psychiatric Information Systema: A Proposal for a Computerized Clinical Record
No full textMetabolic dysfunction in obsessive-compulsive disorder: an [18 f] FDG PET follow-up study in patients treated with inhibitors of serotonine re-uptake
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Il DUNDRUM ToolKit, versione italiana e il suo potenziale utilizzo nel modello trattamentale forense italiano
No full textThe legislative process that led to the closure of the Judicial Psychiatric Hospitals (OPG), replaced by theResidences for the Execution of Security Measures (REMS), constituted a significant step forward towardsthe establishment of a community model of care of offenders with severe socially dangerous mental disordersmore respectful of human rights. Among the main criticalities that had been identified in the previous forensicpsychiatric treatment system, based on OPGs, were considered the overcrowding, the problematic hygienic-sanitary conditions, the inexistence of treatment programs that were adequate to the levels of social danger that changed over time, the non-therapeutic-rehabilitative nature of the internment in OPG, the“anti-therapeutic” presence of the Penitentiary Police personnel, the hypothetically unlimited duration ofthe internment. The new model has certainly remedied these critical issues, but other issues have arisen thatneed to be worked on. The authors report here the first data of a multicenter research project that developedon the national territory during the years 2021 and 2022 aimed at validating the DUNDRUM Toolkit, a toolfor evaluating the effectiveness of forensic treatment and recovery, in validation course also in other Europeancountries, particularly adaptable to the treatment model that has been developing in Italy with the establishment of REMS.Il processo legislativo che ha portato alla chiusura degli Ospedali Psichiatrici Giudiziari (OPG), sostituitidalle Residenze per l’Esecuzione delle Misure di Sicurezza (REMS), ha costituito un significativo passo inavanti verso l’istituzione di un modello comunitario di cura degli autori di reato affetti da gravi disturbi mentali socialmente pericolosi più rispettoso dei diritti umani. Tra le principali criticità che erano state ravvisatenel precedente sistema trattamentale psichiatrico forense, basato sugli OPG, sono state considerate il sovraffollamento, le condizioni igienico-sanitarie problematiche, l’insussistenza di programmi trattamentaliche fossero adeguati ai livelli di pericolosità sociale modificantisi nel tempo, la natura non terapeutico-riabilitativa dell’internamento in OPG, la presenza “anti-terapeutica” del personale di Polizia Penitenziaria, ladurata ipoteticamente senza termine dell’internamento. A queste criticità il nuovo modello ha certamenteposto rimedio, ma sono sorte altre problematicità su cui bisognerà lavorare. Gli autori riportano in questasede i primi dati di un progetto di ricerca multicentrico che si è sviluppato sul territorio nazionale nel corsodegli anni 2020-2022 teso a validare il DUNDRUM Toolkit, strumento di valutazione dell’efficacia del trattamento forense e della recovery, in corso di validazione anche in altri Paesi europei, particolarmente adattabile al modello trattamentale che si è andato sviluppando in Italia con l’istituzione delle REMS
Plasma aminoacids in patients with primary generalized epilepsy and in their first grade relatives: A study on the influence of valproic acid [AMINOACIDI PLASMATICI IN PAZIENTI CON EPILESSIA GENERALIZZATA PRIMARIA E LORO PARENTI DI PRIMO GRADO: STUDIO SULL'INFLUENZA DELL' ACIDO VALPROICO]
No full textIl percorso di superamento dell’OPG e i suoi effetti nell’applicazione delle misure di sicurezza
No full textLaw 180/1978 determined the closure of Psychiatric Hospitals and the transition of public services to a model of community psychiatry in Italy. This change did not affect the Forensic Psychiatric Hospitals, which were closed many years later with Law 81/2014. Twenty years of judgments concerning defendants with substantially diminished or excluded criminal responsibility by reason of insanity are evaluated. The authors analyzed the possible relations between the frequency of the application of psychiatric security measures and the jurisprudential pronouncements and actions by the legislator occurred in the same period. Security measures have increased in a manner not specifically related to a single event among those taken into consideration; in particular, non-custodial measures have risen steadily from 8.5% in 2001 to 88.2% in 2019. The consequences of this trend for the activity of the Departments of Mental Health are discussed, also in light of the ongoing debate on the outcomes of the reform.In Italia la legge 180/1978 determinò la chiusura degli Ospedali Psichiatrici e il passaggio dei servizi pubblici ad un modello di psichiatria di comunità. Tale cambiamento non ha interessato gli Ospedali Psichiatrici Giudiziari che sono stati chiusi molti anni dopo con la legge 81/2014. Gli autori, attraverso l’analisi di 20 anni di sentenze riguardanti persone con vizio parziale o totale di mente, hanno messo a confronto le variazioni della frequenza di applicazioni delle misure di sicurezza psichiatrica con le pronunce giurisprudenziali e gli interventi del legislatore registrati nello stesso periodo. Le misure di sicurezza sono aumentate in maniera non connessa specificatamente a un singolo evento tra quelli presi in considerazione; in particolare quelle di tipo non detentivo sono aumentate costantemente passando dall’8,5% del totale nel 2001 all’88,19% nel 2019. Le conseguenze di questo incremento per l’attività dei Dipartimenti di salute mentale sono discusse, anche alla luce del dibattito in corso sugli esiti della riforma.
Renaming schizophrenia? A survey among psychiatrists, mental health service users and family members in Italy
No full textThis survey explores how psychiatrists, service users and family members in Italy perceive the term schizophrenia and if they consider a name change a useful option in order to overcome the stigma attached to it. Opinions on the term schizophrenia were collected by a self-rated questionnaire used in previous international surveys. Questionnaires were delivered members of the Italian Psychiatric Association. Survey of mental health users was conducted among members of the main users' association of the Veneto region; survey of family members was conducted among one of the most representative Italian family association. Overall, 350 psychiatrists, 71 mental health users and 110 family members filled in the questionnaires. Considering the whole sample, 41.5% found the term inappropriate, 67.6% stigmatizing and 72.3% advocated a name change. Among psychiatrists 57% reported that schizophrenia was inappropriate, 70% considered the term stigmatizing and 71% was in favor of a name change. Similarly, 56% of service users and 71% of family members found schizophrenia a stigmatizing term and, respectively, 75% and 77% advocated a name change. Conflicting results were found on possible alterative terms: psychiatrists proposed a wide range of possible options, most of which referred to the term ‘psychosis’ (53%), whereas users and family members preferred terms referring to the broad category of ‘mental health suffering’. Overall, most of respondents in the three stakeholders' groups agree that schizophrenia should be renamed to reduce the stigma attached to it; the main challenge, however, is the lack of consensus on the best alternative term to use
The rise of securities markets : what can government do?
No full textUsing U.S. securities markets as a case history, the author explores the role securities markets play in economic development, how they emerge, and how regulation can make them more effective. Why the United States? Two centuries ago, it was a small undeveloped country with serious financial problems. It confronted those problems and, guided by Alexander Hamilton, creatively reformed its financial system, which then became a foundation of the U.S. economic infrastructure and a bulwark for long-term growth. When Hamilton's program established public credit and securitiesmarkets in the 1790s, U.S. citizens were immediately able to borrow from older, richer countries. U.S. wealth then increased until, by the end of the nineteenth century, U.S. residents began to lend and invest more abroad than they borrowed. During the 1820s and 1830s, the United States (usually state governments) borrowed large sums from foreign investors to build roads, canals, and early railroads, to make other transportation improvements, and to capitalize state banks. From the 1830s to the end of the century, still larger sums from overseas went into private U.S. railway companies that provided cheap transcontinental transportation. Most of this borrowing took the form of state and corporate bond sales to overseas investors. The pristine U.S. government credit established by Hamilton thus rubbed off on U.S. state and corporate debt. The British stock market did better than the U.S. market until the United States adopted security-market regulation (including disclosuire rules) under the SEC. Then the U.S. market became a world leader. The U.S. stock market developed more slowly than the bond market, but it both aided and benefited from foreign investment in U.S. bonds. Foreign investors preferred debt securities to equities, yet equities create a safety margin for bondholders who, because of this margin, are more willing to purchase and hold bonds. Foreign investors preferred bonds; U.S. investors, after exporting bonds, held more stocks than bonds at home. Why? Because good stock markets permit the conversion of equity securities into cash.Environmental Economics&Policies,Payment Systems&Infrastructure,Financial Intermediation,International Terrorism&Counterterrorism,Economic Theory&Research,Housing Finance,Insurance&Risk Mitigation,Financial Intermediation,Environmental Economics&Policies,Economic Theory&Research
Limiti e diritto
No full text“Quest’opera raccoglie alcuni scritti di dottorandi e neo-dottorati in Diritti e Istituzioni dell’Università degli Studi di Torino, seguendo il fil rouge dei concetti di “Limiti e Diritto”. La scelta di questo tema nasce dalla necessità di riunire contributi in materie giuridiche differenti, le quali hanno in comune la natura pubblicistica, ma ciascuna con declinazioni pratiche eterogenee. Si passa, infatti, dalla filosofia del diritto al diritto amministrativo, dalla prospettiva internazionalistica al diritto penale”. (Dal testo
Limiti e diritto
No full text“Quest’opera raccoglie alcuni scritti di dottorandi e neo-dottorati in Diritti e Istituzioni dell’Università degli Studi di Torino, seguendo il fil rouge dei concetti di “Limiti e Diritto”. La scelta di questo tema nasce dalla necessità di riunire contributi in materie giuridiche differenti, le quali hanno in comune la natura pubblicistica, ma ciascuna con declinazioni pratiche eterogenee. Si passa, infatti, dalla filosofia del diritto al diritto amministrativo, dalla prospettiva internazionalistica al diritto penale”. (Dal testo
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