The aim of the present article is to study the complexity of affective, familial and institutional issues relating to parenthood for persons with intellectual disabilities. The stigmatisation they suffer from often leads to disqualification of their capacity to be parents. Despite laws providing for integration in the social sphere, it remains difficult to take the psychic aspects of the disabled person into consideration and the question of desiring to assume parenthood remains in the balance. Based on what disabled people within Support and Work Assistance Establishments (esat) had to say and studies conducted on the topic, the article shows that despite a change in how these people are accompanied, the often debilitating social regard these disabled persons internalise considerably influences the parent-child relation. As a result, it is now absolutely essential to build a form of ethical accompaniment for such parents so as to preserve their dignity.