Research on institutional care and its long‐term effect on life trajectories provides crucial and sometimes unexpected insights. In a qualitative study in Switzerland, we have conducted 37 narrative interviews with people who experienced residential care between 1950 and 1990. The analysis was based on a reconstructive life course perspective and grounded theory. The findings show a complex interplay of residential care context (here: narratives from expert discourses) and intersubjective experiences during and after care. Most interviewees learned from their experiences to be sceptical of social relationships and of all kinds of state interventions—even decades after having left. A few were able to take charge of their lives and steer them in an individually successful direction. In these cases too, results point to fragile concepts of success. Thus, critical questions about residential care in these decades remain. We suggest that rather than abolish residential care facilities, we need to gather more evidence about the factors that contribute to high‐quality out‐of‐home‐placements. As professional settings, they can enable young people individually. They need to avoid responding to children as ‘objects of care’, by neglecting all subjective dimensions and reproducing a pattern of powerlessness with a strong focus on formal, measurable goals.

中文翻译：

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瑞士关于离开医疗的叙述：20世纪的传记和话语

对机构护理及其对生活轨迹的长期影响的研究提供了至关重要的，有时甚至是意想不到的见解。在瑞士进行的一项定性研究中，我们对1950年至1990年期间接受过居住护理的人们进行了37次叙述性访谈。该分析基于重建性生活历程的观点和扎根的理论。研究结果表明，在护理期间和护理后，院所照护环境（这里是专家话语的叙述）与主观体验之间存在复杂的相互作用。大多数受访者从他们的经历中学到对社会关系和各种国家干预都持怀疑态度，即使离开后几十年也是如此。一些人能够掌控自己的生活，并引导他们朝着成功的方向发展。在这些情况下，结果也指向成功的脆弱概念。因此，在过去的几十年中，仍然存在关于寄宿护理的关键问题。我们建议，与其废除住宅护理设施，我们还需要收集更多有关导致高质量家庭外安置的因素的证据。作为专业设置，它们可以使年轻人个性化。他们需要通过忽略所有主观因素，并重现无力的模式，而将注意力集中在正式的，可衡量的目标上，从而避免将儿童作为“照料对象”。