A. Fanali - Vol. 5, Settembre 1999 - n. 3
Testo Bibliografia Summary Riassunto Indice
Descrizione densa e complessità dell’osservazione
nell’intervento psichiatrico
Dense description and observation complexity
in psychiatric intervention
Referring to the concept of "dense description", with which we go beyond a "phenomenalistic" and merely descriptive view of reality, the psychopathological phenomenon appears as a knot which on one hand inhibits the person’s existential continuity until a complete disruption, while on the other hand constituting a "sense clot", an interlace that symbolically (sumballein) recomposes and synthesises the communicative sense of the context within which it appears. A methodologically scanty description, by emphasising only one of the aspects of reality, may detect significance only in its signals, thus resulting to be reductive and oversimplified, inasmuch it is partial and de-contextualised. In this view, medication is evaluated according to an additive method, according to which the action of the drug is independent from the individual patient and environmental conditions, whereas other interplaying variables are neglected or underestimated; the focus is exclusively on pharmacological intervention. However, in a more complex perspective, the latter variables are considered to be most essential for therapeutic success, both pharmacological and integrated, in their mutual interweaving and interplay. In such interweaving, not only clinical descriptions come together, but also competence, values, interests, myths, organisational forms, expectancies, and many others.