Transgender Healthcare Italy: Links and Information
Overview of General Healthcare Italy1
Behind France, Italy is regarded by the World Health Organisation (WHO) as having the second best healthcare system in the world. Funded by taxes, the Servizio Sanitario Nazionale (SSN) provides universal healthcare coverage; it receives around 9% of GDP ($3,200 per capita) in funding.
After the end of the World War II, Italy introduced a sickness fund that was administered by social health insurance. However, by the 1970s coverage was varied and 7% of the population remained without any health coverage. Financial mismanagement led to the system becoming practically bankrupt by the middle of the decade.
In 1978, the Italian government introduced the SSN which was organised by the Ministry of Health on a regional basis and is a mixed public/private system, 77% being under the public sector which offers patients complete control of choice (depending upon availability) of their family doctor who are paid directly from the SSN budget.
Overview of Transgender Rights2, 3, 4
Italy still has some way to go to catch up to some other European countries with respect to the rights of transgender individuals who have legally changed their gender markers after 1982. Not until 2015, though, was the requirement of sterilization removed for an individual to transition. Moreover, there is no protection under anti-discrimination law for gender identity.
Prior to 1982 there was no legal support for transgender people. At that time there was no recognition of their transition or their very existence. For those Italians who first began to come out in the 1960s, the state considered being transgender as incongruent behavior; as a result, transgender individuals were deemed “socially dangerous”, thus denied voting rights and the right to such things as a drivers’ license. They were also at great risk of being sent to “confinement” – either by incarceration or confined to a mental facility.
Even now, the law is very restrictive. Judges have excessive power in decision-making. The presence of a public prosecutor is mandatory during any application. Psychiatric examination is required as the first step toward gaining access to medical assistance for transition. There is no guaranteed right of self-determination.
Transgender Healthcare Overview
As outlined above, the first step for a transgender patient must be an examination by a qualified psychologist. This exam leads to the exploration of an agreement with an endocrinologist, and the possibility for authorisation for treatment that is most realistic for the patient.
Many regions in Italy lack access to healthcare needs specific to transgender patients. For the first step of treatment, northern Italy and Rome are the only regions where psychologists offering expertise in gender identity are most abundantly available.
Transgender Healthcare Providers
The primary contacts will have their own list of practitioners that will continue treatment for the transitioning patient.
- https://www.cmsantagostino.it/diana-nardacchione: Diana Nardacchione practices in Milan. Full contact details are available on the website. She is a physician specialising in psychology at a medical level and a surgeon with specialties in anesthesiology and resuscitation. She operates as part of a group of practitioners under the Centro Medico Santagostino that offers a range of services both medical and psychological.
The following list is from the website www.dottori.it. The practitioners specifically noted as having principal treatment areas in the field of gender identity are as follows:
Prof. Antonio Prunas
CREST Piazzale Baracca 1 20123 Milano (MI) Tel: 340 333 6915 / 02 860436
Professor Prunas has significant experience in gender variance. He offers psychological support, counselling and psychotherapy for all LGBTQIA persons.
He earned his Psychology Bachelors’ degree from San Raffaele Vita-Salute University in 2001 and a PhD in Clinical Psychology from the University of Milan-Bicocca in 2005.
In 2017, he began a two-year post-graduate diploma program in Gender, Sexuality and Relationship Diversity Therapy at London’s Pink Therapy.
Dr. Mely Maria Arbia
Via Beato Angelico, 20 20133 Milano (MI) Tel: 335 841 2724Via Peschiera, 30/A 16122 Genova (GE)
Dr. Arbia is a psychologist and psychotherapist who graduated from La Sapienza University of Rome after earning a degree in Philosophy from the University of Genoa.
Dr. Andrea Assennato
Via Nino Martoglio, 6 95124 Catania (CT)
Graduating in 2007 from the University of Catania with a degree in Psychology, Dr. Assennato practices as a psychologist and psychotherapist.
Dr. Francesco Bisagni
Via Marcona, 25 20129 Milano (MI) Tel: 335 612 3310
Dr. Bisagni is a psychoanalyst, psychiatrist and psychotherapist offering treatment related to gender identity issues. He earned a Medicine and Surgery degree at the University of Milan in 1980. In 1984, he completed a specialisation in Psychiatry, also from U of M.
He is the “Training and Supervising Analyst” at the Society of Analytical Psychology in London. He is also registered with the British Psychoanalyical Council, and a member of the National Association for the Advancement of Psychoanalysis in the United States.
Dr. Laura Bongiorno
Centro PNEI Via Grotte Bianche, 150 95100 Catania (CT) Tel: 349 475 7170 web: siamofenici.com
Piazza Mincio, 1 00198 Roma (RM)
Among her principal treatment offerings, Dr. Bongiorno provides therapy for gender identity issues.
She graduated in Clinical Psychology at La Sapienza University of Rome in 2002, specialising in Psychotherapy thereafter at the Gestalt Institute.
Dr. Buongiorno’s website gives very thorough details about the background of gender identity issues, the treatments offered, the processes a patient might expect, events hosted by her practice, and more.
Dr. Federica Casale
Via Principe Tommaso, 42 10100 Torino (TO) Tel: 333 652 5032
Dr. Casale, a psychologist, has a degree in Psychological Sciences and Techniques from the University of Turin; afterwards, she earned a specialisation in Clinical and Community Psychology.
Prof. Davide Dettore
Centro Ellisse Via Casaregis, 26/15 16129 Genova (GE) Tel: 335 815 0492
Professor Dettore graduated in Philosophy from the University of Genoa in 1977, and in Psychology from the University of Rome in 1981. Presently, he practices in psychology, psychotherapy and sexology.
Dr. Simona di Corato
Viale Romagna, 47 20133 Milano (MI) Tel: 338 320 7530
Dr. di Corato has some experience in LGBT issues, particularly in what is referred to as Gender Identity “Disorder”. She also offers psychotherapy for “transsexuals”.
After graduating in Psychology from the University of Milan-Bicocca in 2005, she specialised in Transcultural Psychotherapy at the Cecchini-Pace Foundation. She is a freelance therapist and has a private practice. You can seek an appointment with her at the Camminando Psychological Centre in Sesto San Giovanni.
Dr. Eliana Giavi
Via Cesare Balbo, 43 00184 Roma (RM) Tel: 347 547 5809
Another practitioner who treats for Gender Identity “Disorder” and other mental health issues, Dr. Giavi graduated with a Bachelors’ Degree in Clinical and Community Psychology from La Sapienza University of Rome in 2000. She obtained her Masters in Creative Expression and Arts Therapies at SIPEA in Rome. She has been in freelance practice since 2008 in Rome’s Monti district.
Dr. Beatrice Marcato
Piazza CA Dalla Chiesa, 9 37012 Pastrengo (VR) Tel: 347 880 6077
Dr. Marcato offers some expertise in therapy for gender identity issues. In her private practice, she claims to be an expert in gender issues and implementation of practices to combat violence against women and minors and matters relating to gender identity and sexual orientation. She offers help with social transition, difficulties with the family and with the workplace. She graduated in 1997 from the University of Padua with a degree in Psychology.
Dr. Monica Marinelli
Via Dandolo, 2/4 16159 Genova (GE) Tel: 340 293 8672 / 010 806 5767
Practicing in psychology and psychotherapy, she graduated in Psychology in 2011 from the University of Genoa.
Dr. Carmen Marrone
Viale degli Ammiragli, 119 00136 Roma (RM) Tel: 349 811 2495
Dr. Marrone offers treatment for gender identity issues at her private practice and at Studio Professionale di Psicoterapia e Psicodiagnostica on Via Gualtiero Searfino in Rome.
She holds a Bachelors’ Degree in Psychology from La Spaienza University of Rome (2000), then earned her Master’s in Juridical Psychology, Psychopathology and Forensic Psychodiagnostics at AIPG Italian Association of Legal Psychology.
Dr. Magda Morrone
Studio di Psicologia Pratica Via Mesopotamia, 22 00179 Roma (RM) Tel: 345 162 0580
Dr. Morrone graduated in Psychology in 2005 from La Sapienza University of Rome.
Dr. Mary Nicotra
Via Amedeo Peyron, 40 10143 Torino (TO) Tel: 334 700 5982Via Ubaghetta s/n 18020 Borghetto d'Arroscia (IM)
Dr. Nicotra is a psychoanalyst, psychologist and psychotherapist and a graduate of the Clinical Psychology program at the University of Turin.
3http://www.monicaromano.it/legge-16482/ (after: http://www.arcigay.it ; 4http://www.crisalide-aditzonetrans.it ; http://www.mit-italia.it ; NARDACCHIONE D., Transessualismo e Transgender. Superando gli stereotipi, Il Dito e la Luna, Milano, 2000 ; PEZZOLI F., Legge 14 aprile 1982 n. 164. Transessualismo. Teoria e prassi., Crisalide AzioneTrans onlus, Livorno, 2006.)
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