This volume on Violence and Mental Disorders is the first in a series entitled
Comprehensive Approach to Psychiatry edited by the Italian Psychiatric Association
(Società Italiana di Psichiatria, SIP) in collaboration with Springer. One of the main
goals of our Association is to promote scientific knowledge at an international level
based on the contribution provided by Italian Psychiatry. The identification of violence
as an opening issue for the series is not a fortuitous choice. Indeed, although
mental disorders contribute to overall societal violence to a limited extent, this
involvement unfortunately continues to be associated with a disproportionate degree
of social alarm. Violent behaviors are frequently associated with mental disorder,
eliciting fear among both the general population and healthcare professionals. In all
honesty we should acknowledge how mental disorder and violence are still today
perceived as being closely connected, leading to an unbearably heavy stigma for
both patients and psychiatrists. A major step forward introduced in 1978 with the
Italian Psychiatric Reform related to removal of the wording “danger to oneself or
to others …” from the criteria for coercive psychiatric treatment, and the abolition
of Psychiatric Hospitals, a process of deinstitutionalization which recently concluded
with the dismantling of the Judicial Psychiatric Hospitals. Indeed, the highly
debated Law 81/2014 saw Italy resolutely opt to go beyond the administration of
large forensic institutes, replacing them with a network of small residential facilities
known as “REMS” (Residences for the execution of safety measures),