Posttrationalist institutional intervention in psychoses (towards a "secure base" service).

Abstract

This relation represent the first attempt to apply Vittorio Guidano’s post-rationalist model to the institutional intervention of Mental Health Public Services, of psychosis and of the hard personality disorders. The author, a Guidano’s pupil and collaborator, and Director of an Italian Mental Health Service, describes the positive interaction between a direct experience and the technical contributions of a perspective that propose a reflection on “what we can do” with not-rationalist categories. In particular underlines on a hand the importance of an Observer-Service analysis, its functioning and interaction mode with the psychotic subject, as a preparation to understand the personal meanings underlying a psychotic crisis. On the other hand describes a series of practical intervention modalities that permit a therapeutic approach to the psychotic subjectivity and that can avoid intervention to contain or to silence the crisis: that modality, extending Bowlby’s metaphor, try to configure a “Secure Base” Service.