I definitely agree with you that institutionalization is not the answer for everything deemed a mental illness, but this woman needed professional help, at the very least, counseling and probably some type of medication as well. Marital difficulty and perceived spousal neglect does not cause a condition like that.
Sure, it could cause depression, substance abuse, an eating disorder, but it's not going to be enough to cause a psychotic delusion. I'd certainly say her marital difficulties was the trigger, but not the root cause. If she was really believing she had a child that didn't exist, her problems were deeper than simply being depressed and desperate to fix things between her and her husband. You just can't let a psychosis "play out", it doesn't work that way.
When a person is mentally ill, they're going to stay that way until they get the legitimate help they need.
She may have been able to "let go of Maggie" once she was able to feel the family's love and stability was again secure, but that doesn't mean everything's going to be kosher from now on. What's going to happen the next time she feels things getting bad between her and her husband or some other such difficulty happens in her life?
She's going to relapse into the same problem again and her family will be the ones to suffer. I think, even in spite of the ending, the husband should have seen he and his wife needed marital counseling, possibly counseling for the whole family, and she needed to see a behavioral specialist.
I understand why he didn't like the idea of his wife being in a mental hospital, but when you have a loved one who's mentally ill, you get them the help they need, because that's what's best for them and those around them, even if the prospects don't seem desirable.
He wasn't doing his wife or his kids any favors by playing this game and pretending it wasn't a real problem. Living in that type of environment was not emotionally healthy for those children. Maybe institutionalization wasn't the answer, but this woman needed psychiatric attention if anything was really going to change for her or her family.
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