scholarly journals Window dressing: possibilities and limitations of incremental changes in solitary confinement

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Dallas Augustine ◽  
Melissa Barragan ◽  
Kelsie Chesnut ◽  
Natalie A. Pifer ◽  
Keramet Reiter ◽  
...  

Abstract Background In light of mounting evidence of the physical and psychological harms associated with solitary confinement, many correctional systems, state legislators, courts, and even international human rights bodies are increasingly recommending and implementing reforms to mitigate the harms of solitary confinement, if not abolish the practice entirely. In this piece, we examine three specific infrastructural changes to solitary confinement conditions and practices implemented in Washington state prisons with such harm minimization goals in mind: (1) building so-called “nature imagery rooms” to play videos of outdoor spaces, (2) eliminating punishments for self-harm, and (3) conducting daily cell-front wellness checks. Results Drawing on 183 in-depth qualitative interviews with both staff working in and people imprisoned in solitary confinement units conducted in Washington state restrictive housing units in 2017, we find that these three reforms not only resulted in limited successes but also generated new conflicts. Institutional logics such as deprivation, risk-management, and responsibilization ultimately impeded even the most modest attempts to mitigate the inherently harsh practice of solitary confinement. The limits of these reforms are due in part to individual choices made by people imprisoned in solitary confinement and staff working in these units, as well as the larger cultural norms that shape life in restrictive housing units. Conclusions Incrementalist reforms aimed at softening the environment of solitary confinement may actually serve to increase the strain and stress experienced by people confined to and working within them. Even the most well-intentioned reforms, like those attempted by the Washington DOC, should be scrutinized in order to determine if they are producing the desired outcomes, or instead, reproducing a different, but nonetheless damaging set of harms to people imprisoned in solitary confinement. Further, even well-intentioned reforms are often stymied by the underlying institutional logics of restrictive housing spaces.

2016 ◽  
Vol 10 (6) ◽  
pp. 466-473 ◽  
Author(s):  
Pamela Valera ◽  
Cheryl L. Kates-Benman

This small, mixed-methods study sought to understand the use of special housing units among formerly incarcerated men. In the present study, 110 participants were placed in solitary confinement, ranging from ≤30 days to 20 years, with a mean of 2 years ( SD = 2.55). These men ranged in age from 35 to 67 years, with a mean age of 46 years. Years of incarceration ranged from less than 30 days to 34 years; the mean number of years incarcerated was 4 ( SD = 6.39). Of the 110 participants, qualitative interviews were conducted with 30 men to explore their experiences during time spent in solitary. The qualitative themes that emerged from the study were getting special housing units might be used for punishment, getting used to solitary, and getting solitary might mean peace of mind. Personalized reentry plans for men placed in special housing units facilities are urgently needed.


Incarceration ◽  
2021 ◽  
Vol 3 (1) ◽  
pp. 263266632110656
Author(s):  
Bruce Western ◽  
Jessica T. Simes ◽  
Kendra Bradner

In a given year, one in five people incarcerated in the U.S. prisons is locked in solitary confinement. We study solitary confinement along three dimensions of penal harm: (1) material deprivation, (2) social isolation, and (3) psychological distress. Data from a longitudinal survey of incarcerated men who are interviewed at baseline in solitary confinement are used to contrast the most extreme form of penal custody with general prison conditions observed at a follow-up interview. Solitary confinement is associated with extreme material deprivation and social isolation that accompanies psychological distress. Distress is greatest for those with histories of mental illness. Inactivity and feelings of dehumanization revealed in qualitative interviews help explain the distress of extreme isolation, lending empirical support to legal arguments that solitary confinement threatens human dignity.


2019 ◽  
Vol 17 (3) ◽  
pp. 439-452
Author(s):  
Екатерина Александровна Бороздина ◽  
Анастасия Андреевна Новкунская

The interplay between different institutional logics is a vital topic in contemporary institutional analyses of healthcare. In this paper, we consider relations between professional, bureaucratic, market, and informal logics in the volatile and ever-transforming context of post-Soviet maternity care. We approach this issue from an unconventional angle and study how various logics are interpreted, enacted and manipulated by women-patients. Neo-institutional scholars commonly enlist patients as institutional actors that are involved both in maintaining and changing the institutional order. However, current research neglects the patients’ perspective instead focusing on the practices of healthcare providers. In order to fill this gap, we investigate how expectant mothers make sense of and navigate the complex institutional environment of Russian maternity care. In our analysis we rely on empirical data from fifty-nine qualitative interviews with recent mothers conducted in St. Petersburg in 2015–2017. This data allows us to conclude that the institutional dynamics of maternity care are powered mostly by the rivalry of two logics – one bureaucratic, the other market-driven. The professional logic, meanwhile, remains underrepresented and dominated by the other two. Unlike healthcare practitioners, women perceive the bureaucratic logic as chaotic and unpredictable, while wealthy clients employ a repertoire of actions offered by the market logic to exercise more control of their hospital routine. Different institutional logics compete for dominance, leaving areas of uncertainty in regard to institutional rules. In some cases, patients use informality to manage such ambivalence and challenge the formal order of healthcare facilities. The common character of this strategy prompts us to suggest that informality forms a distinctive fourth logic that frames some actions and interactions within Russian maternity care.


2018 ◽  
Vol 62 (1) ◽  
pp. 81-95 ◽  
Author(s):  
Tanja H Nordberg

An examination of managers’ perspectives on employees’ parental leave rights is presented, drawing on qualitative interviews with 34 managers in the Norwegian police and in the legal profession. The aim of the article is to explore how managers approach employees’ parental leave within different institutional logics and how their approach relates to gendered norms of good parenthood. According to these norms, parental leave is used fully, but mothers take the main share of the leave. The findings show that the managers do not necessarily perceive parental leave as a problem. However, the practical solutions the managers propose to possible challenges give important clues about what parental leave entails within the frame of different institutional logics. The managers’ concerns reveal that parental leave rights may clash with central values, goals and strategies in an organisation. Within the logics of the police and private law firms, work is more individualised and thus perceived as more challenging than in the public sector law offices. When the solution suggested by the managers is for individual employees to adapt their leave, gendered norms come forward. However, the analysis also shows that gendered parenthood norms play out differently with the different institutional logics. With these insights, the analysis shows how policy regulations and local workplace contexts interact in shaping the consequences of family policies for gender equality in wages and career progression


2012 ◽  
Vol 2 (4) ◽  
pp. 245-254
Author(s):  
Maureen Miles ◽  
Ysanne Chapman ◽  
Karen Francis

AIM:This article describes the experiences of midwives who choose to work with pregnant women who use illicit drugs.BACKGROUND:Pregnant women who use illicit drugs present complex challenges for those who choose to work with them. Society’s views on illicit drug use fluctuate from acceptance and harm minimization to reprimand and retribution.METHOD:Qualitative interviews were conducted between June and August 2009 with 12 Australian midwives. A thematic analysis method informed by hermeneutic phenomenology was applied to interpret this data to explicate lived experiences and gain deeper understanding and meanings of this phenomenon.FINDINGS:Three major themes encapsulated the experience: making a difference, making partnerships, and learning to let go. The focus of this article, “making a difference,” included two subthemes of “working on the margins” and “transition and transformation.” The midwives were both rewarded and challenged by the needs of women who use illicit drugs and by the systems in which they worked.CONCLUSIONS:The midwives acknowledged that their aspirations “to make a difference” was not always sufficient when working with women who use illicit drugs. They also require the establishment of maternity services that are compassionate and accessible, including woman–care provider partnerships and continuity of the care environments.


2021 ◽  
pp. 1-22
Author(s):  
ELLEN STEWART ◽  
KATHY DODWORTH

Abstract The boundaries between state and charitable activities within the NHS are set out in regulations but are also enacted, blurred, and contested through local practices. This article reports research on NHS Charities– charitable funds set up within NHS organizations to enhance statutory provision – in Scotland. We analysed financial accounts and conducted qualitative interviews with staff in 12 of the 14 NHS Charities in Scotland, where they are generally known as endowments. Our findings suggest that Scotland’s endowments are relatively wealthy in charitable terms, but that this wealth is unevenly distributed when population size and socio-economic deprivation are considered. We also identify two diverging organisational approaches to decisions, including those about appropriate and inappropriate fundraising. We argue that these approaches cohere with contrasting ‘state’ and ‘charitable’ institutional logics, which in turn imply different attitudes to potential inequalities, and to relationships with local publics.


2010 ◽  
Vol 161 (3) ◽  
pp. 75-80 ◽  
Author(s):  
Barbara Degenhardt ◽  
Felix Kienast ◽  
Matthias Buchecker

A growing number of people live in agglomerations, and the need for nearby outdoor spaces that provide the population with opportunities for recovery and to sustain health is increasing. However, urban sprawl dissects and consumes near-natural outdoor spaces in periurban regions. In order to manage and design the remaining nearby outdoor recreation areas to support public health, it is necessary to understand which factors influence nearby outdoor recreation in periurban forest and open country. This article reports on this question by investigating personal, social, and spatial influence factors in qualitative interviews (N = 15) and in a representative survey (N = 656) of the inhabitants of Frauenfeld, Switzerland. Multilinear regression techniques were used to link declared presence/absence to landscape properties and to generate preference maps for the area. We found that short distance, accessibility on foot, workloads, and a person's area knowledge significantly influence workday use frequency of nearby outdoor recreation areas, and that recreation infrastructure is little used on workdays. The most frequently visited sites have a dense small-road and trail network, allow accessibility to rivers or creeks, and enable the users to have an overview of a larger part of the landscape. Recommendations for the design of nearby outdoor recreation areas are given.


2011 ◽  
Vol 19 ◽  
pp. 5
Author(s):  
Paul E Pitre

This study examines Washington State’s attempt to move toward an integrated, P-20 system of education that enhances student transitions from high school to college. In analyzing Washington as a single case study, a profile of the state is developed on key access related characteristics. Data for this study were gathered utilizing fundamental case study methods. In depth qualitative interviews were conducted with Washington State Legislators, legislative staff, key state education agency officials, and college and university representatives. Document analyses of agency records, public hearings, testimonies, position papers, reports, and public meeting records were also conducted. This study found that Washington has many key programs in place to enhance student transitions between the K-12 system and the higher education, but the state’s current approach lacks coherence and cohesion. This study also found that the state has developed a new and innovative model with the potential to solve many transition related issues, but it will require assessment to determine its actual effectiveness.


2021 ◽  
Vol 8 ◽  
Author(s):  
Hannah Pitt ◽  
Samantha L. Thomas ◽  
Joanne Watson ◽  
Russell Shuttleworth ◽  
Kevin Murfitt ◽  
...  

Objective: This study aimed to understand the factors that may influence how and why people with intellectual disability may engage in gambling.Method: Nineteen people with intellectual disability were recruited from a disability advocacy organization and participated in face to face, semi-structured qualitative interviews. Open ended questions were used to explore participants' gambling participation, recall of, and attitudes toward, different gambling products, understanding of gambling harm, and awareness of responsible gambling messages.Results: All participants could remember gambling in their lifetime and some participants had recently engaged in gambling. Many participants were aware of different gambling products, and a few participants could describe in detail the technical aspects of electronic gambling machines. Most participants did not specifically recall seeing gambling harm minimization messages, however some described engaging in individual responsibility measures, such as limits and control, as they perceived this reduced the risks of experiencing harm.Conclusions: People with intellectual disability are engaging with gambling products in a similar way to the general community. Therefore, it is important to understand the different pathways that may lead people with intellectual disability to initiate and continue gambling and to ensure that they are aware of and protected from the potential risk.Implications for Public Health: Policy makers and practitioners should seek to understand and implement a range of strategies to reduce and prevent the harms associated with particular gambling products and environments for this population sub-group.


2021 ◽  
Vol 8 (1) ◽  
pp. 205395172199673
Author(s):  
Sarah Lenz

Against the background of the increasing importance of digitization in health care, the paper examines how medical practitioners who are involved in the development of digital health technologies legitimate and criticize the implementation and use of digital health technologies. Adopting an institutional logics perspective, the study is based on qualitative interviews with persons working at the interface of medicine and digital technologies development in Switzerland. The findings indicate that the developers believe that digital health technologies could harmonize current conflicts between an increasing economization of the health care system and professional–ethical demands. At the same time, however, they show that digital technologies can undermine the demand for medical autonomy, a central element of the medical ethos.


Sign in / Sign up

Export Citation Format

Share Document