Italy isn't so bad, they'll only treat you like an idiot if you are timid. The honk means "####ing go, man!" not "#### you". They use it liberally. Train stations often have rental locations, find one near an expressway for a quick escape and easier return than having to drive through city traffic.
The best thing about the Autostrade are the Autogrills where you can down an espresso before your spouse is done in the restroom, and be back on the road in minutes.
Watch out for embarrassment in Siena, it's really easy to end up in the no driving area. I briefly did it myself, and saw many other shame faced tourists trying to get back out.
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