SPIRITUALITY/RELIGION AND PSYCHOPATHOLOGY BOUNDARIES IN A PSYCHIATRIC RESIDENTIAL FACILITY IN ITALY: A CASE SERIES
Jacopo Santambrogio1,2, Antonino Giancontieri2, Ettore Caloni2, Cesare Soletto2, Alessandro Pirola2, Massimo Clerici1,3, Pietro R. Cavalleri2
1Department of Medicine and Surgery, University of Milan Bicocca, Monza, Italy, 2As.fra. Onlus Foundation, Vedano Al Lambro, Monza, Italy, 3Mental Health and Addiction Department, Asst Monza, Monza, Italy
Background: S/R and mental health are distinct areas of a person life, that can interface one each other. A good mental health status could positively interact with S/R dimension. For example, when patients are unwell and under neurotic or psychotic crises, S/R attitudes are negatively influenced, determining compulsive praying, rituals, mystic delusions, hallucinations. AS.FRA. (Casa San Paolo) was founded in1970 by Adele Bonolis, a fervid catholic from Milan, with the aim of taking care of psychiatric patients going out from the asylums, in the respect of catholic principles of charity. Nowadays, AS.FRA. Has a catholic chapel and every week a chaplain says the Mass where some patients regularly attend.
Aims: to describe a case series where psychopathology and S/R overlap, identifying possible boundaries between S/R and mental health.
Matherials and method: a case series of 8 patients with diagnoses of paranoid schizophrenia, schizophrenia with hypochondriacal features, bipolar disorder, intellectual disability with comorbid psychotic disorders and S/R issues will be described in their mental exam and psychopatholgy underlying how S/R issues could interact with health condition.
Conclusions: In all the clinical cases here described, S/R interface with psychopathology. If psychic condition is under balance, S/R can contribute to pathology stability itself and a residential facility offering the possibility to participate to religious services could improve health outcomes.