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The problems posed by Leonardo’s pathographies written by Freud are examined. The historical path of the problem of the relationship between genius and psychopathology is reconstructed, showing that psychoanalysis fits into a very active vein at the end of the 19th century, expressing different theoretical approaches with which Freud relates. The interest for the problem then continued, with alternate answers, until the current days. The distortions made by Freud in Leonardo’s pathographical description are examined; these distortions are extensively examined by several authors, which, however, is not distant from what Freud implements in his other works, nor from what other pathographists of the time did. It is a common behavior in the history of science and well known in modern epistemology that identifies in the development of theories also the importance of rhetorical tools with which scientists support them. It is emphasized that one cannot read particular psychological aspects in these Freudian behaviors, making in fact a pathography of the author of pathographies, but only lead his work to the coherence of the historical contexts in which he operates. [ABSTRACT FROM AUTHOR]

Starting from therapeutic rhetoric in the ancient world, the evolution of the various models of persuasion is examined. After the initial opposition between emotional suggestion and persuasion understood as a rational argument, suggestion is absorbed in a broader concept of persuasion where rational and irrational factors on an emotional basis are highlighted. With the two-way models of Petty & Cacioppo and of Chaiken, the irrational component assumes full autonomy by centering its operation on cognitive bias. With “compliance gaining”, a persuasion based on general cognitive mechanisms, such as the need for coherence, is fully exploited, focusing more on the present context than on the person and his history, and criticizing the usual dynamic that requests the need for a change of attitude in order to change behavior, proposing an inverse path. A vision of persuasion emerges as pervasive in human communication, substantially out of awareness and as a base for usual changes in everyday life. This raises the question of the role of persuasion in psychotherapy, of what the actual nature of therapeutic change is, and of the possibility of therapeutic neutrality. [ABSTRACT FROM AUTHOR]

The introduction to the debate on the current crisis of psychiatric care in Italy is an opportunity to summarize how this crisis, its causes and perspectives are described by those who indicate only delays and incompleteness in the implementation of the reform of Law no. 180 of 1978 and those, instead, who identify structural deficits in the reform itself. The various criticalities are reviewed: from the risk of new asylums to the fragile integration of psychiatric wards in general hospitals; from the limits of involuntary hospital commitment to a renewed idea of dangerousness connected to it; from the rigidity of the Community Mental Health Centers to the unchanged aspect of stigma; from the ambiguity of the concept of evidence-based medicine (EBM) to the changes derived by legislative changes. All this occurs while the lack of resources and innovative proposals are intertwined. It is proposed a change that gives back to mental health its specificity far from the trivializations of popular psychiatry, defines the framework of reference for mental health, draws a new project and a clear model strongly anchored to scientific models, clarifying the necessary resources and limiting local administrative autonomies. [ABSTRACT FROM AUTHOR]

Scientific research in psychiatry is creating a gap in the notions of psychiatry that ordinary people actually possess, similar to the progressive distance between scientific psychology and folk and commonsense psychology. The notions that scientific and folk psychiatry share, and those in which they often differ with counterintuitive aspects, are investigated. After outlining the essential features of the concept of common sense and popular psychology and their most representative theories, the central role that popular concepts play not only in psychiatric theory, in particular in diagnosis, but also in daily practice is underlined. These concepts also involve the image of oneself, of the world and interpersonal relationships, showing the impossibility of a psychiatry that aims to do without the common sense, and the need for a careful mediation with popular psychiatry. This aspect is even more important in practical psychiatry which in many ways is similar to popular psychiatry. [ABSTRACT FROM AUTHOR]