My research is situated within the literature looking at the processes of deinstitutionalisation of the mental health system through the lived geographies placed in between the walls of the asylum. It addresses mental health geographers' call for a situated knowledge about mental health and, by using the Italian psychiatric experience of the 1960s and 1970s as an example, stresses the importance of looking at care in both spatial and relational terms. Through a geographical understanding of the Italian psychiatric reform, that goes from Franco Basaglia's renowned work to the underrepresented experience of Turin, in northwest Italy, I will examine how space is intertwined with processes of mental health care. Additionally, I assess the role played by the interaction between spatial and relational elements in potentially enabling patients' self-determination, empowerment and inclusion. The case of Turin—the story of which will be told through the analysis of archival material from a grassroots association called Associazione per la Lotta contro le Malattie Mentali—will serve to expand the common narrative around the Italian lesson and to give resonance to the instrumental role played at the time by both patients and civil society. By looking at the key events that led to the gradual dismantlement of the traditional psychiatric institutions in the metropolitan area of Turin, this paper contributes to the spatial turn in mental health studies, calling upon researchers to look at past achievements as something we still need to learn from and safeguard.

中文翻译：

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超越庇护

我的研究是在文献中通过精神病院墙之间的居住地理来观察精神卫生系统去机构化的过程。它满足了心理健康地理学家对心理健康情境知识的需求，并以 20 世纪 60 年代和 1970 年代的意大利精神病学经验为例，强调了从空间和关系角度看待护理的重要性。通过对意大利精神病学改革的地理理解，从弗朗哥·巴萨利亚的著名著作到意大利西北部都灵的代表性不足的经验，我将研究空间如何与精神卫生保健过程交织在一起。此外，我还评估了空间和关系元素之间的相互作用在潜在地促进患者自决、赋权和包容方面所发挥的作用。都灵的案例——其故事将通过对一个名为 Associazione per la Lotta contro le Malattie Mentali 的草根协会的档案材料的分析来讲述——将有助于扩大围绕意大利课程的共同叙述，并引起器乐共鸣当时患者和民间社会都发挥了作用。通过研究导致都灵大都市区传统精神病机构逐渐拆除的关键事件，本文为心理健康研究的空间转变做出了贡献，呼吁研究人员将过去的成就视为我们仍然需要的东西。学习和保障。