Prisons represent sites of psychological distress and suffering. In this article, the implications of this, and the need for the maintenance of a psychosocial perspective, are explored. A psychogeographic overview of the prison environment is provided to consider the way it is constituted at different levels: the macro-social, meso-social and micro-social levels. Two vignettes are presented, which illustrate the process of loss and emergent self-destruction accompanying an enforced identity change followed by the radical means of stabilisation that may be adopted in opposition to this process. The essential nature of personal narrative construction – this process of sense making – is considered alongside the forcing impact of the social environment, as well as wider social pressures, and their impact on the dynamic process. In closing, a limitation of the employed methodology – focusing on individual experience – is remarked on: if these psychological processes take place through an act of modulation in response to a social field, how does the social field in turn respond to these modulations? In closing, I argue that through maintaining a psychosocial focus, researchers and clinicians discharge an ethical duty to maintain the attention of society on the suffering of some of its most vulnerable members.