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Conference papers and symposia by Felice Bisogni
Resocontiamo la costruzione di un setting con i familiari entro un’organizzazione sociosanitaria ... more Resocontiamo la costruzione di un setting con i familiari entro un’organizzazione sociosanitaria per adulti con diagnosi di disabilità intellettiva. In coerenza con un modello semiotico dell'inconscio (Fornari 1976; Matte Blanco 1975) fondato sul costrutto di collusione (Carli & Paniccia 2003) istituiamo piccoli gruppi con genitori e familiari di famiglie differenti. L'intervento mostra come le culture collusive delle famiglie ascrivano ruoli stereotipati reciproci (Sharff, 1989/1999). Ruoli che delineano i figli come privi di risorse e prescrivono ai genitori un ruolo di assistenza e controllo. Ruolo agito con gli psicoterapisti cui si chiede di eliminare la conflittualità dei figli reattiva al controllo genitoriale e di essere sostituiti nell’obbligo ad assistere. Il setting permette di riconoscere come tali culture collusive creino relazioni insoddisfacenti entro le famiglie, tra famiglie e con l'organizzazione, e di recuperare i desideri di sviluppo reciproci.
In this paper the authors present a research committed by a local authority to explore the relati... more In this paper the authors present a research committed by a local authority to explore the relationship between not self-sufficient elders, their family members and the community based assistance services they uses. The exploratory data analysis, conducted with the Emotional Text Analysis (ETA) (Carli, Paniccia, 2002), was used to identify emotional and cultural factors related to the experience of assisting and being assisted at home and within the community based services. The ETA has been realized on an assembled text corpus produced transcribing 45 audio recorded interviews to not self-sufficient elders and their family members, patients of general practitioners and/or users of the community based services (home-based and half-residential). The
interviews has been processed with T-Lab statistic software (Lancia, 2004) and ETA has been applied to produce a clusters analysis. Four clusters of dense words related to each others on 3 factorial axes emerged. From the factorial axes emerges a emotional representation of elderlness as a continuos allert related to the risk of dyng
and as a depressive prescription to survive related to the pretension to be assisted within their own family in virtue of “blood ties”. The reciprocal control and contentiousness, and the desirers to transgress the obligation of care giving and being cared are some relevant emotions emerging by the ETA. The research's results shows also a demand of a new assistance model emerges, founded on the possibility to talk, to play and to have fun with others. Finally it emerges a demand of services not only dealing with medical problems but also providing psychological support and training to the families to develop relational competences and to build reliable relationship out of the family. In the conclusions of the paper some considerations regarding the relationships between the clusters on the factorial axes and between clusters and illustrative variables are highlithed.
The term " psychosocial " is mostly used in mental health research to emphasise the role of socia... more The term " psychosocial " is mostly used in mental health research to emphasise the role of social and political factors in mental health problems, in contrast to the historically dominant biomedical model; at the same time, the term " psychosocial studies " defines a critical inter-disciplinary approach, theoretically committed to investigate the link between subjective experience and social processes assuming their constant interdependence and vital tension. The notion of psychosocial will be placed at the heart of this symposium, not only in terms of critical and theoretical reflection, but principally for the key questions it raises today regarding models and methods of psychological intervention. First, we will examine two psychoanalytically inflected methods of textual and discourse analysis – i.e., Emotional Textual Analysis (ETA) and Lacanian Discourse Analysis (LDA) – the use of which within psychosocial interventions with social groups, institutions and organisations has engendered meaningful results and new perspectives in mental health. Then, three research contributions using ETA in the context of school education, adult disability and migration, will show how in order to understand mental health problems and risks as well as related demands and evolutive trajectories, it is crucial to re-inscribe them into the increasingly complex dynamics of social coexistence.
Contributions:
- EMOTIONAL TEXTUAL ANALYSIS (ETA) AND LACANIAN DISCOURSE ANALYSIS (LDA) COMPARED
Fiorella Bucci, Katia Romelli
- WHAT RELATIONSHIP BETWEEN SCHOOL CULTURE AND DIAGNOSTIC
CULTURE IN ITALY NOWADAYS
Rosa Maria Paniccia, Felice Bisogni, Alberta Mazzola, Stefano Pirrotta
- THE RELATIONSHIP BETWEEN ADULTS WITH DISABILITY, THEIR FAMILY MEMBERS AND COMMUNITY-BASED SERVICES: AN EXPLORATORY ACTION RESEARCH PROJECT THROUGH EMOTIONAL TEXTUAL ANALYSIS
Felice Bisogni, Stefano Pirrotta
- HOSPITALITY FOR MIGRANTS IN A TIME OF GLOBALISATION: A
PSYCHOSOCIAL STUDY FOSTERING DEBATE ABOUT COHABITATION AND DIVERSITY
Rosa Maria Paniccia, Graziana Di Noja, Francesca Romana Dolcetti
Papers by Felice Bisogni
The paper reports a research-intervention realized within a Complex Operative Unit (COU) of an It... more The paper reports a research-intervention realized within a Complex Operative Unit (COU) of an Italian Local Health Authority realizing services for adult with disability and their family members. After the
recognition by the management and the operators of problems in the relationship with the service users and the absence of shared working criteria, the Local Culture of the COU has been analysed to develop its
organizational competence. Posed as a premise the crisis faced by the sociosanitary services in relation to the collusive failures of both the sanitary and the assistive paradigm, the intervention is reported starting from the commitment meetings. Therefore, the authors present the results of the research in which 26 interviews to the sociosanitary personnel have been realized and analysed with the Emotional Text Analysis. The research shows the crisis of a self-referred organizational model, the difficulty in being client oriented and in defining problems to treat. This crisis seems associated to the medicalization and to the infantilization of the adult with disability, as to the feeling of being obligated to respond to all the requests of the families. In the final part of the paper the authors report the research data restitution and the products of the intervention.
The paper reports a research-intervention realized within a Complex Operative Unit of a Italian L... more The paper reports a research-intervention realized within a Complex Operative Unit of a Italian Local Health Authority providing sociosanitary services for adults with disability and their family members. The research explored, with the Emotional Text Analysis, the local culture of 90 adults with disability and their family members regarding their expectations towards the organization and the services used. The research was motivated by the opeators’ difficulty in analyzing the users’ demand and expectations, as highlighted by a previous research that explored the operators’ local culture (Bisogni & Pirrotta 2018). The research results presented here show that the cohabitation crisis in the family context motivates the clients’ demand towards the organization. The crisis is linked to the difficulty in developing relationships based on sharing desirers, as an alternative to the assistance’s obligation between family members. This is also associated with a dynamic of medicalization of relational problems and with the infantilization of the adults with disability. The research participants express the demand to discuss the emotional problems experienced within the families and the desire to participate in the verification of the used services.
The authors propose an interview with Zana SkejoSkoric, Project Manager of the Association of Per... more The authors propose an interview with Zana SkejoSkoric, Project Manager of the Association of Persons with disability “Bubamara”, specialised in providing social services within the north Eastern Croatian region of Vukovar and Siriem. The interviewee explores the deinstitutionalisation process resulting from Croatia’s entry to the European Union and the construction of the territorial services, developing some reflections on the demand that the families with disability pose to her organization. Considering her professional
experience, Zana Skejo Skoric, underlines the problems faced in the application of a model of social assistance oriented to guarantee the surviving of the persons with disability substituting the family members
in the assistance functions. In this regard, the interviewee asks herself how to organize services for persons with disability that are going back to their family units due to the closing of mental hospitals. It is underlined the importance of offering services limiting the social isolation of the persons with disability, of their family members, and the need of developing criteria of assistance to intervene at the level of relationships and of cohabitation. In particular, it is considered the function that psychological categories can carry on within the assistance services for families with disability.
The authors present an interview with Dana Migaliova president of Association of Lithuanian Welfa... more The authors present an interview with Dana Migaliova president of Association of Lithuanian Welfare Societies
of Person with Mental Disabilities -Viltis. Retracing the deinstitutionalization process and the construction of
territorial services for disability in Lithuania, the interviewee reflects on the development of the relationships
between families, professionals and local politicians. In particular, Migaliova underlines the changing of the
demands of the families during the time and the transition of the families from being actively involved in the
construction of the services to consider the services as given and guaranteed by the state a priori. In this regard, it
is critically read the role of the European Union and of the international foundations in promoting the
development of the territorial services and the dissemination of the human rights’ culture within the NGO
movement. The paper end with some conclusive reflection on the opportunity to consider the families as clients
of the services for disability to develop their quality and efficacy.
The authors present an interview with Jamie Rutherford, performance manager of Enable Works, depa... more The authors present an interview with Jamie Rutherford, performance manager of Enable Works, department of the not for profit organization Enable Scotland, providing services for the supported employment of
persons with disabilities. The interview with Rutherford draws a picture of an organization, since many years engaged in the construction of territorial services in Scotland, moving from a perspective aimed to
rehabilitate/cure the person with disability to a perspective aimed to build competences within productive activities. For Rutherford the working inclusion represents an useful end to promote the social integration of persons with disabilities that poses the families and the persons with disabilities in front of opportunities and risks related to get in touch with contexts lived by the families as “not protected”. Within the interview Rutherford deals with these issues reflecting of the complex relationship between the families, the territorial services, the local authorities and the local community. Relationships in which the families express emotions such as distrust,displacement, fear towards the changing and the difficulty in making plans for the future. In this regard Rutherford proposes to develop services aimed to go along the families in a reliable way helping them to build objectives and social relationships rather than to cure the disability of the person. Finally the interviewee explores the topic of the transition from school to work highlighting that organizing interventions within the schools can reduce social isolation and prevent the marginalization of persons and families with disabilities.
Resocontiamo la costruzione di un setting con i familiari entro un’organizzazione sociosanitaria ... more Resocontiamo la costruzione di un setting con i familiari entro un’organizzazione sociosanitaria per adulti con diagnosi di disabilità intellettiva. In coerenza con un modello semiotico dell'inconscio (Fornari 1976; Matte Blanco 1975) fondato sul costrutto di collusione (Carli & Paniccia 2003) istituiamo piccoli gruppi con genitori e familiari di famiglie differenti. L'intervento mostra come le culture collusive delle famiglie ascrivano ruoli stereotipati reciproci (Sharff, 1989/1999). Ruoli che delineano i figli come privi di risorse e prescrivono ai genitori un ruolo di assistenza e controllo. Ruolo agito con gli psicoterapisti cui si chiede di eliminare la conflittualità dei figli reattiva al controllo genitoriale e di essere sostituiti nell’obbligo ad assistere. Il setting permette di riconoscere come tali culture collusive creino relazioni insoddisfacenti entro le famiglie, tra famiglie e con l'organizzazione, e di recuperare i desideri di sviluppo reciproci.
In this paper the authors present a research committed by a local authority to explore the relati... more In this paper the authors present a research committed by a local authority to explore the relationship between not self-sufficient elders, their family members and the community based assistance services they uses. The exploratory data analysis, conducted with the Emotional Text Analysis (ETA) (Carli, Paniccia, 2002), was used to identify emotional and cultural factors related to the experience of assisting and being assisted at home and within the community based services. The ETA has been realized on an assembled text corpus produced transcribing 45 audio recorded interviews to not self-sufficient elders and their family members, patients of general practitioners and/or users of the community based services (home-based and half-residential). The
interviews has been processed with T-Lab statistic software (Lancia, 2004) and ETA has been applied to produce a clusters analysis. Four clusters of dense words related to each others on 3 factorial axes emerged. From the factorial axes emerges a emotional representation of elderlness as a continuos allert related to the risk of dyng
and as a depressive prescription to survive related to the pretension to be assisted within their own family in virtue of “blood ties”. The reciprocal control and contentiousness, and the desirers to transgress the obligation of care giving and being cared are some relevant emotions emerging by the ETA. The research's results shows also a demand of a new assistance model emerges, founded on the possibility to talk, to play and to have fun with others. Finally it emerges a demand of services not only dealing with medical problems but also providing psychological support and training to the families to develop relational competences and to build reliable relationship out of the family. In the conclusions of the paper some considerations regarding the relationships between the clusters on the factorial axes and between clusters and illustrative variables are highlithed.
The term " psychosocial " is mostly used in mental health research to emphasise the role of socia... more The term " psychosocial " is mostly used in mental health research to emphasise the role of social and political factors in mental health problems, in contrast to the historically dominant biomedical model; at the same time, the term " psychosocial studies " defines a critical inter-disciplinary approach, theoretically committed to investigate the link between subjective experience and social processes assuming their constant interdependence and vital tension. The notion of psychosocial will be placed at the heart of this symposium, not only in terms of critical and theoretical reflection, but principally for the key questions it raises today regarding models and methods of psychological intervention. First, we will examine two psychoanalytically inflected methods of textual and discourse analysis – i.e., Emotional Textual Analysis (ETA) and Lacanian Discourse Analysis (LDA) – the use of which within psychosocial interventions with social groups, institutions and organisations has engendered meaningful results and new perspectives in mental health. Then, three research contributions using ETA in the context of school education, adult disability and migration, will show how in order to understand mental health problems and risks as well as related demands and evolutive trajectories, it is crucial to re-inscribe them into the increasingly complex dynamics of social coexistence.
Contributions:
- EMOTIONAL TEXTUAL ANALYSIS (ETA) AND LACANIAN DISCOURSE ANALYSIS (LDA) COMPARED
Fiorella Bucci, Katia Romelli
- WHAT RELATIONSHIP BETWEEN SCHOOL CULTURE AND DIAGNOSTIC
CULTURE IN ITALY NOWADAYS
Rosa Maria Paniccia, Felice Bisogni, Alberta Mazzola, Stefano Pirrotta
- THE RELATIONSHIP BETWEEN ADULTS WITH DISABILITY, THEIR FAMILY MEMBERS AND COMMUNITY-BASED SERVICES: AN EXPLORATORY ACTION RESEARCH PROJECT THROUGH EMOTIONAL TEXTUAL ANALYSIS
Felice Bisogni, Stefano Pirrotta
- HOSPITALITY FOR MIGRANTS IN A TIME OF GLOBALISATION: A
PSYCHOSOCIAL STUDY FOSTERING DEBATE ABOUT COHABITATION AND DIVERSITY
Rosa Maria Paniccia, Graziana Di Noja, Francesca Romana Dolcetti
The paper reports a research-intervention realized within a Complex Operative Unit (COU) of an It... more The paper reports a research-intervention realized within a Complex Operative Unit (COU) of an Italian Local Health Authority realizing services for adult with disability and their family members. After the
recognition by the management and the operators of problems in the relationship with the service users and the absence of shared working criteria, the Local Culture of the COU has been analysed to develop its
organizational competence. Posed as a premise the crisis faced by the sociosanitary services in relation to the collusive failures of both the sanitary and the assistive paradigm, the intervention is reported starting from the commitment meetings. Therefore, the authors present the results of the research in which 26 interviews to the sociosanitary personnel have been realized and analysed with the Emotional Text Analysis. The research shows the crisis of a self-referred organizational model, the difficulty in being client oriented and in defining problems to treat. This crisis seems associated to the medicalization and to the infantilization of the adult with disability, as to the feeling of being obligated to respond to all the requests of the families. In the final part of the paper the authors report the research data restitution and the products of the intervention.
The paper reports a research-intervention realized within a Complex Operative Unit of a Italian L... more The paper reports a research-intervention realized within a Complex Operative Unit of a Italian Local Health Authority providing sociosanitary services for adults with disability and their family members. The research explored, with the Emotional Text Analysis, the local culture of 90 adults with disability and their family members regarding their expectations towards the organization and the services used. The research was motivated by the opeators’ difficulty in analyzing the users’ demand and expectations, as highlighted by a previous research that explored the operators’ local culture (Bisogni & Pirrotta 2018). The research results presented here show that the cohabitation crisis in the family context motivates the clients’ demand towards the organization. The crisis is linked to the difficulty in developing relationships based on sharing desirers, as an alternative to the assistance’s obligation between family members. This is also associated with a dynamic of medicalization of relational problems and with the infantilization of the adults with disability. The research participants express the demand to discuss the emotional problems experienced within the families and the desire to participate in the verification of the used services.
The authors propose an interview with Zana SkejoSkoric, Project Manager of the Association of Per... more The authors propose an interview with Zana SkejoSkoric, Project Manager of the Association of Persons with disability “Bubamara”, specialised in providing social services within the north Eastern Croatian region of Vukovar and Siriem. The interviewee explores the deinstitutionalisation process resulting from Croatia’s entry to the European Union and the construction of the territorial services, developing some reflections on the demand that the families with disability pose to her organization. Considering her professional
experience, Zana Skejo Skoric, underlines the problems faced in the application of a model of social assistance oriented to guarantee the surviving of the persons with disability substituting the family members
in the assistance functions. In this regard, the interviewee asks herself how to organize services for persons with disability that are going back to their family units due to the closing of mental hospitals. It is underlined the importance of offering services limiting the social isolation of the persons with disability, of their family members, and the need of developing criteria of assistance to intervene at the level of relationships and of cohabitation. In particular, it is considered the function that psychological categories can carry on within the assistance services for families with disability.
The authors present an interview with Dana Migaliova president of Association of Lithuanian Welfa... more The authors present an interview with Dana Migaliova president of Association of Lithuanian Welfare Societies
of Person with Mental Disabilities -Viltis. Retracing the deinstitutionalization process and the construction of
territorial services for disability in Lithuania, the interviewee reflects on the development of the relationships
between families, professionals and local politicians. In particular, Migaliova underlines the changing of the
demands of the families during the time and the transition of the families from being actively involved in the
construction of the services to consider the services as given and guaranteed by the state a priori. In this regard, it
is critically read the role of the European Union and of the international foundations in promoting the
development of the territorial services and the dissemination of the human rights’ culture within the NGO
movement. The paper end with some conclusive reflection on the opportunity to consider the families as clients
of the services for disability to develop their quality and efficacy.
The authors present an interview with Jamie Rutherford, performance manager of Enable Works, depa... more The authors present an interview with Jamie Rutherford, performance manager of Enable Works, department of the not for profit organization Enable Scotland, providing services for the supported employment of
persons with disabilities. The interview with Rutherford draws a picture of an organization, since many years engaged in the construction of territorial services in Scotland, moving from a perspective aimed to
rehabilitate/cure the person with disability to a perspective aimed to build competences within productive activities. For Rutherford the working inclusion represents an useful end to promote the social integration of persons with disabilities that poses the families and the persons with disabilities in front of opportunities and risks related to get in touch with contexts lived by the families as “not protected”. Within the interview Rutherford deals with these issues reflecting of the complex relationship between the families, the territorial services, the local authorities and the local community. Relationships in which the families express emotions such as distrust,displacement, fear towards the changing and the difficulty in making plans for the future. In this regard Rutherford proposes to develop services aimed to go along the families in a reliable way helping them to build objectives and social relationships rather than to cure the disability of the person. Finally the interviewee explores the topic of the transition from school to work highlighting that organizing interventions within the schools can reduce social isolation and prevent the marginalization of persons and families with disabilities.