Mercier C
Can Ment Health. 1986 Sep;34(3):13-7.
This article, written following a survey of staff in a psychiatric hospital, analyzes how the trend toward deinstitutionalization has influenced institutional practice. Interviews reveal that intervenors support the objective of social reintegration, even if they find it a source of contradictions. In their daily activities, the staff are concerned mainly with improving their patients' quality of life, but this concern is also accompanied by the apprehension of encouraging dependency on the institution. Thus intervenors experience difficulty in focusing their practice on a system of representation capable of reconciling the ideal of rehabilitation with the characteristics of their clientele. Recognizing the paradoxes associated with work in the institutional setting does, however, make it possible to start a process of clarification that is likely to support intervenors and improve the quality of their relationship with chronic psychiatric patients.
本文是在对一家精神病医院的工作人员进行调查后撰写的，分析了去机构化趋势如何影响机构实践。访谈显示，干预者支持社会重新融入的目标，即使他们发现这是矛盾的根源。在日常活动中，工作人员主要关心的是提高患者的生活质量，但这种关心也伴随着对鼓励患者依赖机构的担忧。因此，干预者难以将他们的实践集中在一个能够调和康复理想与服务对象特点的代表系统上。然而，认识到与机构环境中的工作相关的矛盾，确实有可能启动一个澄清过程，这可能会支持干预者并改善他们与慢性精神病患者的关系质量。
