Trauma and Recovery: The Aftermath of Violence — from Domestic Abuse to Political Terror, Judith Lewis Herman. New York: Basic Books, 1992. 276 pp. $27.00. ISBN 0-465-08765–5.Shattered Assumptions: Toward A New Psychology of Trauma, Ronnie Janoff-Bulman. New York: The Free Press, 1992, 256 pp. $24.95. ISBN 0-02-916015–4.

Trauma and Recovery: The Aftermath of Violence — from Domestic Abuse to Political Terror

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The growth of incarceration in the United States: exploring causes and consequences

https://www.thelancet.com/pdfs/journals/lanpsy/PIIS2215-0366(16)30142-0.pdf

Mental health of prisoners: prevalence, adverse outcomes, and interventions

Men and women experience different kinds of mental health problems. While women exceed men in internalizing disorders such as depression and anxiety, men exhibit more externalizing disorders such as substance abuse and antisocial behavior, which are problematic for others. These differences also vary by race and social class: for example, African Americans possess better mental health and, thus, a smaller gender gap in psychiatric problems. What explains these differences? We concentrate on conceptions of gender and gender practices. Research on gender and mental health suggests that conceptions of masculinity and femininity affect major risk factors for internalizing and externalizing problems, including the stressors men and women are exposed to, the coping strategies they use, the social relationships they engage in, and the personal resources and vulnerabilities they develop. This chapter investigates explanations in these areas for gender differences both in general and by race and class.

Gender and mental health.

The chapter addresses the stigma associated with mental illnesses. It begins by summarizing the development of thinking about labeling and stigma over the past half century within the field of the sociology of mental health. This background leads to our consideration of recent advances in the conceptualization of stigma as we ask: What is stigma? How do different stigmatizing circumstances (mental illness, obesity, facial disfigurement) resemble and differ from one another? We also ask: Why do people stigmatize? In keeping with the Handbook’s emphasis on social class and socioeconomic status (SES), we introduce the concept of “stigma power” and apply this new concept to the questions of “What do people gain by stigmatizing others?” and “How is stigma power exercised?” Finally, we consider the steps people take to avoid, mitigate, or overcome stigma, drawing in particular on Thoits’ (Soc Psychol Q 74:6–28, 2011) theoretical statements about this issue. The conceptual growth that has taken place over time opens enormous possibilities for advancing the sociological understanding of mental illness stigma and by doing so helps to illuminate ways in which the effects of stigma might be mitigated.

Labeling and Stigma

This study estimates prevalence rates of inmate-on-inmate and staff-on-inmate physical victimization. Inmate participants were drawn from 13 adult male prisons and 1 female prison operated by a single mid-Atlantic state. A total of 7,221 men and 564 women participated. Rates of physical victimization varied significantly by gender, perpetrator, question wording, and facility. Prevalence rates of inmate-on-inmate physical violence in the previous 6 months were equal for males and females. Men had significantly higher rates of physical violence perpetrated by staff than by other inmates. By facility, inmate-on-inmate prevalence rates ranged from 129 to 346 per 1,000, whereas the range for staff-on-inmate was 83 to 321 per 1,000 (but the difference was not statistically significant).

Physical Violence Inside Prisons: Rates of Victimization

Rates of childhood and adult trauma are high among incarcerated persons. In addition to criminality, childhood trauma is associated with the risk for emotional disorders (e.g., depression and anxiety) and co-morbid conditions such as alcohol and drug abuse and antisocial behaviors in adulthood. This paper develops rates of childhood and adult trauma and examines the impact of age-of-onset and type-specific trauma on emotional problems and behavior for a sample of incarcerated males (N~4,000). Prevalence estimates for types of trauma were constructed by age at time of trauma, race and types of behavioral health treatment received while incarcerated. HLM models were used to explore the association between childhood and adult trauma and depression, anxiety, substance use, interpersonal problems, and aggression problems (each model estimated separately and controlling for age, gender, race, time incarcerated, and index offense). Rates of physical, sexual, and emotional trauma were higher in childhood than adulthood and ranged from 44.7% (physical trauma in childhood) to 4.5% (sexual trauma in adulthood). Trauma exposure was found to be strongly associated with a wide range of behavioral problems and clinical symptoms. Given the sheer numbers of incarcerated men and the strength of these associations, targeted intervention is critical.

https://www.mdpi.com/1660-4601/9/5/1908/pdf?y=1

Childhood and adult trauma experiences of incarcerated persons and their relationship to adult behavioral health problems and treatment

People inside prison have above-average rates of childhood and adult victimization. Little is known, however, about the relationship between types of victimization inside prison and that experienced in childhood. This article estimates rates of victimization for male and female inmates by type of perpetrator and form of victimization (sexual, physical, either, or both) and their association with types of childhood victimization (sexual or physical). Data for these estimates are based on a random sample of approximately 7,500 inmates housed in 12 adult male prisons and one adult female prison in a single state. The significance of the findings for practice are discussed along with recommendations to improve the health and welfare of people inside prison.

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Patterns of victimization among male and female inmates: evidence of an enduring legacy

People in prison are exposed to and experience sexual violence inside prisons, further exposing them to communicable diseases and trauma. The consequences of sexual violence follow the individual into the community upon release. This paper estimates the prevalence of sexual victimization within a state prison system. A total of 6,964 men and 564 women participated in a survey administered using audio-CASI. Weighted estimates of prevalence were constructed by gender and facility size. Rates of sexual victimization varied significantly by gender, age, perpetrator, question wording, and facility. Rates of inmate-on-inmate sexual victimization in the previous 6 months were highest for female inmates (212 per 1,000), more than four times higher than male rates (43 per 1,000). Abusive sexual conduct was more likely between inmates and between staff and inmates than nonconsensual sexual acts. Sexual violence inside prison is an urgent public health issue needing targeted interventions to prevent and ameliorate its health and social consequences, which spatially concentrate in poor inner-city areas where these individuals ultimately return.

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Jing Shi

Papers

Physical Violence Inside Prisons: Rates of Victimization

Childhood and adult trauma experiences of incarcerated persons and their relationship to adult behavioral health problems and treatment

Patterns of victimization among male and female inmates: evidence of an enduring legacy

Sexual Violence Inside Prisons: Rates of Victimization

Effectiveness of cognitive–behavioral trauma treatment for incarcerated women with mental illnesses and substance abuse disorders