Therrien R
Sante Ment Que. 1990 May;15(1):100-19.
Deinstitutionalization is very demanding for families. Forced to fill in the gaps of the system, their role is one of creating a therapeutic environment while receiving little support from government service organizations. Cohabitation often leads to difficult relations between a patient and his or her family. In such a context, a large proportion of families experience problems in their attempt to fill their parental role. Women are more affected by this situation seeing they provide a large part of the emotional support to chronically ill mental patients and maintain the contact with service organizations. Also, they must confront professionals who often judge them as overprotective or responsible if the patient is their own child. The authors definitely agree that collective responsibility must complement family responsibility to ensure the respect of patients', families', and women's rights.
非机构化对家庭要求极高。家庭被迫填补系统的空白，其角色是营造一个治疗环境，却很少得到政府服务机构的支持。同居往往导致患者与其家人关系紧张。在这种情况下，很大一部分家庭在试图履行父母角色时遇到问题。女性受这种情况的影响更大，因为她们为慢性病心理患者提供了大部分情感支持，并与服务机构保持联系。此外，如果患者是她们自己的孩子，她们还必须面对那些常常认为她们过度保护或应负责任的专业人员。作者明确认为，集体责任必须补充家庭责任，以确保尊重患者、家庭和妇女的权利。
