Aviram U
Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, N.J. 08903.
Psychiatr Q. 1990 Summer;61(2):77-86. doi: 10.1007/BF01064908.
Analysis of the crisis in community care for the severely mentally ill (SMI) reveals that it stems not only from organizational and financial problems, but also from the social structure and ideological perspectives embedded in American society. The desire of society for social control and the maintenance of orderly social life is illuminated as a central factor in public policies regarding the SMI. Policy planning, aimed at improving services for the SMI, must take social structural consideration into account and accept the social control component, perhaps as a necessary evil, nevertheless a necessity, in policies regarding the severely mentally ill.
对严重精神疾病患者社区护理危机的分析表明，其根源不仅在于组织和财政问题，还在于美国社会所固有的社会结构和意识形态观念。社会对社会控制和维持有序社会生活的渴望被视为有关严重精神疾病患者公共政策的一个核心因素。旨在改善严重精神疾病患者服务的政策规划必须考虑社会结构因素，并接受社会控制这一组成部分，这或许是一种必要的弊端，但在有关严重精神疾病患者的政策中却是必要的。
