Experiences of transgender prisoners and their knowledge,attitudes, and practices regarding sexual behaviors and HIV/STIs: A systematic review

Background: Despite transgender people being more visible in prison systems, research suggests they are at higher risk of experiencing sexual violence compared to other prisoners. Research also suggests that transgender prisoners experience harassment, and physical and sexual assault by fellow prisoners, and prison officers who lack transgender-specific health knowledge. There exist no systematic reviews on the experiences of transgender people in prisons. This review aims to fill this research gap. The following question developed in consultation with transgender, sexual health/HIV and corrective services stakeholders has guided the systematic review: What are transgender and gender-diverse prisoners’ experiences in various prison settings and what are their knowledge, attitudes and practices regarding sexual behaviors and HIV/STIs?

Methods: The review followed the PRISMA guidelines and searches were conducted in four databases for the period of January 2007 to August 2017. Studies were assessed against predetermined inclusion and exclusion criteria. Included studies were peer-reviewed, written in English with online full-text availability and reported data on transgender and gender-diverse prisoner experiences relevant to the research question.

Results: Eleven studies (nine qualitative, one quantitative, one mixed-methods; nine in USA, two in Australia) met the criteria for review. Four studies were of high quality, six were of good/acceptable quality, and one study was of modest quality. Transgender and gender-diverse prisoners reported a range of challenges which included sexual assault, discrimination, stigma, harassment, and mistreatment. Information on their sexual health and HIV/STIs knowledge, attitudes, practices is in short supply. Also, their lack of access to gender-affirming, sexual health/STIs and mental health services is commonplace.

Conclusions: The experiences of transgender prisoners as reported in this review are almost uniformly more difficult than other prisoners. Their “otherness” is used as a weapon against them by fellow prisoners through intimidation and violence (including sexual) and by prison officers through neglect and ignorance.     

“Can I take out my penis?” Navigating Sex and Intimacy in the Workplace: An Empirical Test of Black’s Theory of Conflict

ABSTRACT

This paper explores the nature and prevalence of women and men prisoners who reported whether they used their assigned job while incarcerated to pilfer or steal items for profit, as opposed to low-level pilfering for personal consumption. Previous literature has been anecdotal in nature and focused solely within men's prisons. Findings indicated that prisoners did not significantly differ by gender in their prevalence of deviance on the job, but men and women prisoners used their jobs in different ways to profit in the sub-rosa economy.     

Individual and institutional defences against primitive anxieties: Counselling in prison

Abstract

This paper describes a counsellor's attempts to understand the unconscious dynamics affecting the process of counselling women in prison. The social system of the prison serves to defend both prisoners and officers against powerful anxieties about the potential for sadistic attack originating from primitive states of mind, that is persecution, helplessness and destructiveness. The implications of the rigid means of defence are considered, and die role of unconscious guilt motivating the need for external punishment is briefly explored. Emphasis is placed on the role of splitting and projection in the management of potentially overwhelming feelings of guilt, and fear of punishment. The author develops the premise that there is in effect an institutional requirement that prisoners remain in the paranoid-schizoid position because of the feared consequences were they to experience depressive anxieties.     

The role of ultrarunning in drug and alcohol addiction recovery: An autobiographic study of athlete journeys

PurposeThere is contentious understanding of the role of sport in adult recreational drug and alcohol addiction recovery. This study explored athlete autobiographies as cultural sites of analysis in relation to the role that one sport (i.e., ultrarunning) plays in addiction recovery capital pathways.DesignWorking at the intersection of an autobiographical approach grounded in relativist narrative inquiry, a social constructionist narrative thematic analysis was conducted of two autobiographies--Catra Corbett and Carlie Engle—about addiction recovery through ultrarunning (i.e., distances of 43 km or more). The narratives used to construct life transformation and recovery capital in relation to ultrarunning were centralized in the analysis using Frank’s (2013) work on illness narratives and the body.ResultsTwo narrative themes threaded athletes’ addiction recovery journeys: chaos narrative and quest narrative. Two sub-themes related to fluid identity transformation intertwined with ultrarunning were identified within these narratives: 1. ‘addict-runner’ (chaos) and 2. ‘addict runner to ultra-runner’ (quest). Nuanced meanings of suffering were connected to identity transformation and running and two forms of addiction recovery capital: human (e.g., psychological adjustment, life perspective) and social (e.g., family connection, community).ConclusionsThe research findings provide insight into the role of sport in psychosocial aspects of addiction recovery using an autobiographical approach grounded in narrative theory. This study also extends work in sport psychology focusing on autobiographies as research and pedagogical resources to learn more about athlete mental health.     

The Multidimensional Trauma Recovery and Resiliency Instrument

Abstract

This paper describes two studies leading to the construction of and psychometric support for the MTRR-99, a shortened version of the Multidimensional Trauma Recovery and Resiliency Scale (MTRR-135, formerly MTRR). In the first study, the original body of MTRR-135 data was reevaluated to remove psychometrically weak or theoretically unnecessary items. The remaining 99 items were then assessed for reliability, validity, and internal consistency. In the second study, the new MTRR-99 was applied to assess the recovery status of 164 incarcerated women prisoners with extensive abuse histories. Together, these two studies further document the utility of a multidimensional approach to assessing trauma impact, recovery, and resiliency; in addition, they provide preliminary evidence for the MTRR-99 as a viable measure for use with clinical and non-clinical populations.     

The association between attention control,anxiety, and depression: the indirect effects of repetitive negative thinking and mood recovery

Background and objectives: Attention control deficits and repetitive negative thinking (RNT; i.e., rumination) may be key factors in the development and persistence of depression and anxiety, although their role in symptom development remains poorly understood. This represents a gap in the literature, as interventions targeting attention control and associated RNT may enhance interventions and prevent costly relapse. The current study was designed to examine the serial indirect effects of transdiagnostic RNT and negative affect recovery following a lab-induced stressor on the association between attention control deficits and trait anxiety and depression.

Methods: Participants were N?=?583 university students who completed validated measures of RNT, anxiety, depression, and mood ratings pre- and post-stressor. Stress was induced using a modified version of the Trier Social Stress Test.

Results: Results of cross-sectional indirect effects models indicated that RNT and mood recovery explained the association between attention control deficits and trait anxiety and depression. Results from reversed models indicated that only the indirect effect of RNT was significant.

Conclusions: Findings suggest that RNT and mood recovery processes play an important role in explaining anxiety and depression symptoms. Additional work is needed to examine their role in symptom development and maintenance over time.     

Counting blessings and sharing gratitude in a Chinese prisoner sample: Effects of gratitude-based interventions on subjective well-being and aggression

Abstract

Gratitude-based interventions are effective for increasing individuals’ subjective well-being (SWB); however, they have not been validated among prisoners, especially for negative states (i.e. aggression). Furthermore, as a social emotion, gratitude might be nurtured via practice within a social group. Therefore, we developed a weekly group-based sharing gratitude exercise, and examined its effect along with that of daily blessing-counting among prisoners in China. Ninety-six male violent prisoners were assigned randomly to three conditions (gratitude-sharing, blessing-counting, and control). Interventions took place over five weeks. Both interventions improved SWB and decreased aggression compared to controls. Additionally, the improvement in gratitude mediated the relationship between the two forms of intervention and SWB. These findings indicate that gratitude-based interventions can be implemented among male prisoners to help further the psychological corrective function of prisons in China.     

HIV/AIDS in scottish prisons: Attitudes of staff and prisoners

Abstract

Prison is commonly regarded as a high risk environment for the transmission of HIV/AIDS. Five hundred and fifty-nine prisoners and 591 prison staff sampled from 8 Scottish prisons completed questionnaires concerning attitudes towards various issues of HIVIAIDS. A majority of prisoners and prison staff expressed liberal attitudes with respect to HIV/AIDS. For both staff and prisoners, the most liberal responses were to items dealing with personal and social contact with people with HIVIAIDS. A majority of prisoners and prison staff expressed conservative attitudes in relation to screening of individuals for HIV. With regard to differences between prisoners and prison staff, prisoners were more supportive than prison staff of the provision of free condoms to homosexuals and free condoms and syringes to intravenous drug users, and the provision of free medical care to both groups in the case of AIDS. Among the prisoner sample, intravenous drug users, in comparison to non-users, were found to be more positive in their attitudes toward HIVIAIDS on a wide range of issues. The implications of the study for health psychology are discussed with regard to prisoner and prison staff educational needs and prisoner management.     

2. Seminars with Executives on Human Relations in the United States Government

Abstract

The feeling of shame is very difficult to recognize, to reveal, to face, and to work through. Starting with some expressions of human aggression, the authors underline the difference in treating feelings of guilt and feelings of shame. The authors detail the elaboration of shame in group psychotherapy with released prisoners of war and with war veterans and review important analytic theoretical concepts of shame, projective identification, empathy, and countertransference. They examine the importance of unlocking and identifying the silent shame, as well as the mourning process essential to working through the burden of catastrophic shame. Special counter transference problems with PTSD patients are analyzed.     

The role of working hours,work environment and physical leisure activity on the need for recovery following a day's work among UK white-water raft guides: A within-subjects multilevel approach

BackgroundWhite-water raft guides are a growing workforce of the outdoor sector but little is known about how the working environment, workload and physical leisure activity impacts on the need for occupational recovery (the desire to replenish internal resources and recuperate in the time immediately following work) of those working in this physically demanding occupation.MethodsLongitudinal data were collected across an eight month working season at three month intervals. Multilevel analyses tested the within-subject associations between work environment, hours worked and physical leisure activity had on the need for recovery.ResultsWorking longer across the working season and participating in more physical leisure activity were directly associated with a lower need for occupational recovery. Furthermore, working on natural rivers significantly reduced the need for recovery experienced compared to work on man-made courses. This was regardless of the number of hours of worked in these environments.DiscussionPhysical leisure activity may provide a distraction from work, allowing employees to replenish their physical and psychological energy, thus protecting themselves against work-related fatigue. The findings also expand upon the previous literature identifying that working in a natural environment reduces the risk of experiencing work-related fatigue.     

Countering Correctional Discourse

SUMMARY

This article discusses the development of a feminist support group for women prisoners enrolled in a six-month substance abuse treatment program in an adult correctional facility in Guam. After the completion of five Group cycles, a follow-up study was conducted in the community using qualitative, feminist, and participatory methods. Results indicate that the Group was successful in helping women prisoners to address trauma, addiction, and the stresses associated with incarceration. Nevertheless, participants reported having significant difficulty transitioning into the community upon release and 23% were sent back to prison for parole violations. Recommendations are outlined for gender-responsive programming, both within women's prisons and in the community, to support women offenders after release.     

Évaluation des dimensions psychopathiques sur le mode d’adaptation carcérale

IntroductionThe disorders associated with the coping styles of detainees in prisons, including the interaction between individual and the environment, can be approached in two ways. Either as the result of a normal reaction of prisoners with regard to specific components in a pathogenic environment, or resulting from psychopathological determinants inherent to inmates prior to incarceration.ObjectivesThis study aims to measure the impact of components related to personality traits deemed stable and observed among inmates in regards to their modes of adaptations to the prison environment. More specifically, observing the types of adaptation of prisoners, according to their scores on the Hare psychopathy checklist (PCL-R).MethodsThe study is based on a series of interviews conducted on a sample of 26 inmates in three different detention centers located in France.ResultsThe results show a strong relationship between some psychopathic dimensions and characteristics of conduct disorder or disciplinary offenses in prison. High scores in both factor 1 (interpersonal and emotional relationship) and factor 2 (social deviance) strongly correlates with disciplinary problems such as heteroaggressive violence towards staff or other inmates. While a high score of factor 2 only increases the risk of disciplinary problems, such as group violence or involvement in trafficking.ConclusionsThe presence or absence of certain personality traits that characterize psychopathy could determine how an inmate would adapt to the prison environment.     

Locked Up,Then Locked Out

SUMMARY

Women prisoners face tremendous psychological, emotional, and physical hardships inside prison. These include isolation, separation from their families and children, lack of medical care and general abuse of their basic human rights. When they are released from prison, women confront institutional as well as psychological barriers to a successful return to their communities     

The underlying dimensions of DSM-5 posttraumatic stress disorder (PTSD) and their relationships with mental and somatoform dissociation,depression and anxiety among jail inmates

ABSTRACT

In this study we examined the DSM-5 factor structure of scores on the Turkish version of the posttraumatic stress disorder (PTSD) Checklist for DSM–5 (PCL-5) and predictors of PTSD caseness in a sample of male prisoners. The 7-factor hybrid model was the optimal model relative to the alternatives. Consistent with the PTSD literature in prisoners, the majority of respondents had past traumatic experiences (96.7%), a probable PTSD diagnosis (68.4%), pathological dissociation (46.8%) and somatoform dissociation (52.3%). Probable PTSD caseness was significantly associated with dissociation and depression, as well as higher levels of education and being married. Re-experiencing was strongly associated with mental and somatic dissociation; whereas dysphoric arousal was related to depression and anxiety.     

Secondary traumatization among former prisoners of wars' adult children: the mediating role of parental bonding

Background and Objectives: The aversive impact of combat and parents' combat-induced posttraumatic stress disorder (PTSD) on young children has been examined in a few studies. However, the long-term toll of war captivity on secondary traumatization (ST) and the parental bonding of adult children remain unknown. This study examined ST symptoms and parental bonding among adult children of former prisoners of war (ex-POWs' children) that were compared to adult children of comparable veterans (controls' children). Furthermore, we examined the mediating role of parental bonding and exposure to stress in the association between group and ST symptoms. Design: A correlative, cross-sectional study. Methods: Participants were Israeli ex-POWs' children (N = 98) and controls' children (N = 90), whose fathers fought in the 1973 Yom Kippur War. All participants completed a battery of self-reported questionnaires. Results: Ex-POWs' children reported a higher number of ST symptoms and lower levels of fathers' care, as compared to controls' children. Importantly, exposure to stress stemming from fathers' behaviors and fathers' care was found to mediate the association between research group and ST. Conclusions: Forty years after the war ended, the experience of living with ex-POWs is associated with ex-POWs' children psychological outcome.     

The Need for Recovery scale: Adaptation to the Italian context

IntroductionNeed for Recovery scale is one of the main scales used to assess work-induced fatigue and quality of workers’ recovery time. In fact, need for recovery is considered relevant as a precursor of prolonged fatigue or psychological distress, an indicator of work stress, and a mediating or moderating characteristic in the etiology of work-related health problems, sick leave and work disability.ObjectiveThe purpose of the present study is to translate the Need for Recovery scale into Italian, and to adapt it to Italian culture; until now there has been no comparable valid instrument made for the Italian language that measures the need for recovery of employees. The stability and internal consistency of the scale will be assessed among Italian workers.MethodFor cross-cultural adaptation, a translation/back-translation method integrated with expert committee review and pre-testing was applied. Three hundred and seventy-eight Italian workers filled out the scale.ResultsThe psychometric properties proved to be good, both in terms of scale homogeneity and internal consistency, for the total sample and for subgroups of Italian employees in terms of gender, age and educational level. Exploratory factor analysis suggested a single factor solution with 44% of the variance explained.ConclusionsResults are encouraging for the possibility of using the Need for Recovery scale as a quick and adequate scale to measure early symptoms of work-induced fatigue and quality of Italian workers’ recovery time.     

The contribution of role satisfaction,meaning in life and work–home conflict to explaining well-being among working grandparents

Background and objectives: The study aimed to examine the relationship of satisfaction with occupied roles as well as the sense of meaning in life and experience of work–home conflict to well-being among working grandparents in Israel.

Design and methods: The research sample consisted of 316 employed grandparents aged 50–80 (153 grandfathers and 163 grandmothers), who were employed in various types of organizations. Data were collected using structured questionnaires. Structural equation modeling was used for data analysis.

Results: The research findings indicate that the sense of meaning in life mediated the relationship between role satisfaction and the two types of work–home conflict. A significant relationship was found between “work interferes with family” conflict and negative affect. Higher personal resources were associated with higher meaning in life. Gender was not related to the experience of work–home conflict or to any of the outcome variables.

Conclusions: The centrality of meaning in life in the model that explains the experience of work–home conflict and its outcomes among working grandparents, derives from its mediating role in the relationship between the experience of role satisfaction and both types of role conflict, as well as from its direct impact on positive and negative affect.     

Belief contraction without recovery

The postulate of recovery is commonly regarded to be the intuitively least compelling of the six basic Gärdenfors postulates for belief contraction. We replace recovery by the seemingly much weaker postulate of core-retainment, which ensures that if x is excluded from K when p is contracted, then x plays some role for the fact that K implies p. Surprisingly enough, core-retainment together with four of the other Gärdenfors postulates implies recovery for logically closed belief sets. Reasonable contraction operators without recovery do not seem to be possible for such sets. Instead, however, they can be obtained for non-closed belief bases. Some results on partial meet contractions on belief bases are given, including an axiomatic characterization and a non-vacuous extension of the AGM closure condition.     

Profiles of meaning and search for meaning among prisoners

Meaning in life and searching for meaning are central in how people organize their lives and deal with various challenges during them. Studies on meaning and the search for meaning among prisoners are virtually nonexistent. Based on the presence of meaning in their lives and on their search for meaning, we discovered four different profiles in a sample of 365 prisoners: High Presence High Search, High Presence Low Search, Low Presence High Search, and Low Presence Low Search. Compared to prisoners with low meaning profiles, those whose profiles were marked by higher levels of meaning displayed less distress, more positive world assumptions, and higher levels of self-worth. They also show more empathy for others. Older prisoners and prisoners who were sexually abused during childhood were more represented in the profile that was marked by extremely low levels of meaning and low levels of search for meaning.     

The issue of drugs and crime among a sample of incarcerated women

Based on a sample of incarcerated women in Quebec prisons in 1989, this study focuses on drug use and abuse and its relation to crime with a special concern for age of onset, nature of conviction, previous involvement in criminal activities, motivation, and other related variables. The emerging profile of these subjects is one of drug‐related problems rather than a deep involvement in criminality. Within this population of women prisoners a strong link between drugs and crime is still difficult to establish. In conclusion, it is suggested that future research rely more on qualitative analyses to gather a better understanding of the operating processes.