TY  -  JOUR
AU  -  Muti, Dario
AU  -  Carpita, Barbara
AU  -  Diadema, Elisa
AU  -  Massimetti, Gabriele
AU  -  Conti, Luciano
AU  -  Carmassi, Claudia
AU  -  Dell'Osso, Liliana
T1  -  Management of psychiatric patients before deinstitutionalization: 
an inquiry into the years 1907-1913 in Pisa
PY  -  2018
Y1  -  2018-03-01
DO  -  10.1708/2891.29156
JO  -  Rivista di Psichiatria
JA  -  Riv Psichiatr
VL  -  53
IS  -  2
SP  -  80
EP  -  87
PB  -  Il Pensiero Scientifico Editore
SN  -  2038-2502
Y2  -  2026/05/09
UR  -  http://dx.doi.org/10.1708/2891.29156
N2  -  SUMMARY. Aim. Asylums comprises the main focus of historical research on early 20th century psychiatry. To assess the characteristic of asylum transfers in a clinical population, we analyzed newly found clinical records from University of Pisa Clinic for Mental and Nervous Illness. We focused on the early years of this structure’s activities considering all admissions from 24th April 1907 to 31st January 1913. Method. We collected demographic and clinical data from 1,068 patients performing Chi-Square Tests to study correlation between asylum transfer and diagnosis and gender difference; independent sample Student’s t-tests were also performed to compare mean Age, mean number of Days of Hospitalization and mean number of Subsequent Admissions to the Clinic observed in patients transferred to an asylum versus those who had been discharged. Multiple logistic regression model was employed to identify the best predictors of asylum transfers. Results. Most patient were discharged, and only a third of the hospitalization led to asylum confinement. Our data outlines a peculiar discharge rationale, suggesting that the Clinic acted like a “sieve-institution” to prevent asylum overcrowding from treatable, non-chronic conditions. Discussions. These data suggest that our historical view of psychiatric care is probably not complete, and that a different approach to source materials could provide new research paradigms.
ER  -