Disciplinary infractions and restricted housing

Author(s):  
Mary Perrien ◽  
Maureen L. O’Keefe

Misbehavior occurs within jails and prisons. It is generally handled by a formal disciplinary process. Symptoms and impairments associated with mental illness may play a role in such misbehaviour. One of the many concerns in correctional settings is the use of restricted housing units. Segregation units function as the prison within a prison. Designed for the dangerous and violent offender who cannot be managed safely within the general prison environment, segregation is characterized by single-cell confinement, with minimum time out of cell for showers and exercise (e.g., 5 hours per week). Other features include highly restricted movement, limited contact with others, and few privileges and services. Segregation has been criticized as an inhumane practice due to the degree of social isolation. Specifically, the lack of treatment, programs, and activities to engage the mind; restricted personal contact; lack of control over light and sound; lack of windows; and little or no access to the outdoors are considered to be more extreme than is required for the safe operation of prisons. The most significant issue is whether prisoners are able to psychologically adapt to the austere conditions for long periods, particularly those with mental illness. Because mentally ill inmates may be more prone to rule infractions due to manifestation of their illness, they are more likely to be segregated unless specific rules prohibit their placement. This chapter reviews segregation practices, the data on the potential impact of segregated housing on mental illness, and the role of psychiatry in the disciplinary process.

Author(s):  
Mary Perrien ◽  
Maureen L. O’Keefe

Misbehavior occurs within jails and prisons. It is generally handled by a formal disciplinary process. Symptoms and impairments associated with mental illness may play a role in such misbehaviour. One of the many concerns in correctional settings is the use of restricted housing units. Segregation units function as the prison within a prison. Designed for the dangerous and violent offender who cannot be managed safely within the general prison environment, segregation is characterized by single-cell confinement, with minimum time out of cell for showers and exercise (e.g., 5 hours per week). Other features include highly restricted movement, limited contact with others, and few privileges and services. Segregation has been criticized as an inhumane practice due to the degree of social isolation. Specifically, the lack of treatment, programs, and activities to engage the mind; restricted personal contact; lack of control over light and sound; lack of windows; and little or no access to the outdoors are considered to be more extreme than is required for the safe operation of prisons. The most significant issue is whether prisoners are able to psychologically adapt to the austere conditions for long periods, particularly those with mental illness. Because mentally ill inmates may be more prone to rule infractions due to manifestation of their illness, they are more likely to be segregated unless specific rules prohibit their placement. This chapter reviews segregation practices, the data on the potential impact of segregated housing on mental illness, and the role of psychiatry in the disciplinary process.


Author(s):  
Larry Davidson ◽  
Michael Rowe ◽  
Janis Tondora ◽  
Maria J. O'Connell ◽  
Martha Staeheli Lawless

The second chapter begins with descriptions of some of the many ways in which people with serious mental illness are key agents in their own recovery. In these descriptions, we fi nd that the cornerstones of recovery are both the hope that a better life is possible and the desire the person has to pursue such a better life once this hope has taken root. For an individual, both hope and action appear to be required to make recovery a reality. As we begin to understand more fully the role of systems of care and of the practitioners within those systems in facilitating recovery, we suggest that achieving, in the words of the New Freedom Commission report, “profound change—not at the margins of a system, but at its very core” also will require both hopeful attitudes and concerted efforts. While the remaining chapters in this volume will deal more explicitly with the kinds of concerted efforts required to achieve transformation, this chapter focuses primarily on attitudes toward recovery and the kinds of concerns systems and practitioners have raised (to date) as they have gone about the process of understanding and implementing recovery principles in practice. It has been our experience, however, that the federal mandate to transform systems of care to promote recovery has left many policy makers, program managers, practitioners, and even the recovery community itself under increasing pressure to move to a recovery orientation without fi rst examining the concerns of stakeholders within those systems about this new notion of recovery and its implications. As a result, we are all at risk of overlaying recovery rhetoric on top of existing systems of care, failing to effect any real or substantial—not to mention revolutionary—changes due to our urgency to just “get it done.” In this chapter, we pause to consider some of the more common concerns we have encountered in attempting to introduce and implement care based on the vision of recovery that we have articulated thus far. Addressing these concerns, we believe, is a necessary fi rst step in changing the attitudes that underlie current practices in the process of replacing these attitudes with the more hopeful, empowering, and respectful attitudes demanded, and deserved, by people in recovery.


This chapter describes STEPPS in Iowa correctional systems and elsewhere, as well as the US federal prison system. The program was introduced to the Iowa correctional system in 2005; data show that it is effective in reducing symptoms specific to borderline personality disorder. In addition, STEPPS has been shown to boost mood, reduce disciplinary infractions, and reduce self-harm behaviors. The advantages over other BPD treatment programs in prison settings include the relatively short 20-week length of STEPPS, which is very important because offenders have varying sentence lengths and are transferred or released (or receive parole/probation status) without notice. The program is easily learned by therapists strapped for time, since corrections-based therapists have little time for extensive additional training and budgets are tight. The STEPPS manual can be used “as-is” in prisons and community corrections without extensive modifications. Last, the authors describe potential problems of implementing the program in prisons.


2019 ◽  
Vol 21 (2) ◽  
pp. 129-144
Author(s):  
Francesca Battaglia

This contribution analyses the role of music in A Slight Trick of the Mind (2005) by Mitch Cullin, highlighting the way in which the novel contradicts itself in its effort to reject Holmesian stereotypes. Indeed, although the common beliefs inspired by John Watson's authorship are disavowed in order to provide a more realistic portrait of the man behind the legend, the Victorian past keeps haunting Holmes through an old case concerning a glass armonica. Since a parallel can be drawn between the instrument and Holmes's iconic violin, it is argued that the sub-narrative ends up functioning as a neo-Victorian mise en abyme, where those gothic elements potentially related to Holmes's musicianship in the original texts appear to be projected onto the glass armonica and female characters, drawing attention to the gendered codes of music's discourse in neo-Victorian narratives. Indeed, while the violin may serve in the canon as a male signifier, albeit a controversial one, the glass armonica carries feminine connotations that shed new light on the many possible re-presentations of Sherlock Holmes's favourite instrument.


Author(s):  
Benjamin F. Trump ◽  
Irene K. Berezesky ◽  
Raymond T. Jones

The role of electron microscopy and associated techniques is assured in diagnostic pathology. At the present time, most of the progress has been made on tissues examined by transmission electron microscopy (TEM) and correlated with light microscopy (LM) and by cytochemistry using both plastic and paraffin-embedded materials. As mentioned elsewhere in this symposium, this has revolutionized many fields of pathology including diagnostic, anatomic and clinical pathology. It began with the kidney; however, it has now been extended to most other organ systems and to tumor diagnosis in general. The results of the past few years tend to indicate the future directions and needs of this expanding field. Now, in addition to routine EM, pathologists have access to the many newly developed methods and instruments mentioned below which should aid considerably not only in diagnostic pathology but in investigative pathology as well.


2019 ◽  
Vol 4 (1) ◽  
pp. 11-18
Author(s):  
Oliver Schauman ◽  
Andrew K. MacLeod ◽  
Graham Thornicroft ◽  
Sarah Clement
Keyword(s):  

2014 ◽  
Vol 11 (01) ◽  
pp. 35-42
Author(s):  
M. Hermans

SummaryThe author presents his personal opinion inviting to discussion on the possible future role of psychiatrists. His view is based upon the many contacts with psychiatrists all over Europe, academicians and everyday professionals, as well as the familiarity with the literature. The list of papers referred to is based upon (1) the general interest concerning the subject when representing ideas also worded elsewhere, (2) the accessibility to psychiatrists and mental health professionals in Germany, (3) being costless downloadable for non-subscribers and (4) for some geographic aspects (e.g. Belgium, Spain, Sweden) and the latest scientific issues, addressing some authors directly.


2015 ◽  
Vol 33 (1) ◽  
pp. 1-15
Author(s):  
Henrietta Bannerman

John Cranko's dramatic and theatrically powerful Antigone (1959) disappeared from the ballet repertory in 1966 and this essay calls for a reappraisal and restaging of the work for 21st century audiences. Created in a post-World War II environment, and in the wake of appearances in London by the Martha Graham Company and Jerome Robbins’ Ballets USA, I point to American influences in Cranko's choreography. However, the discussion of the Greek-themed Antigone involves detailed consideration of the relationship between the ballet and the ancient dramas which inspired it, especially as the programme notes accompanying performances emphasised its Sophoclean source but failed to recognise that Cranko mainly based his ballet on an early play by Jean Racine. As Antigone derives from tragic drama, the essay investigates catharsis, one of the many principles that Aristotle delineated in the Poetics. This well-known effect is produced by Greek tragedies but the critics of the era complained about its lack in Cranko's ballet – views which I challenge. There is also an investigation of the role of Antigone, both in the play and in the ballet, and since Cranko created the role for Svetlana Beriosova, I reflect on memories of Beriosova's interpretation supported by more recent viewings of Edmée Wood's 1959 film.


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