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.     

Australian psychologists' attitudes towards suicide and self‐harm

An exploratory study of 81 Australian psychologists' attitudes towards suicide and self‐harm was undertaken. Two attitudinal measures, one knowledge measure and demographic information, were used to assess the relationships between attitudes, knowledge, gender, age, years of professional experience, and previous experience with suicidal and self‐harming clients. Among this sample, attitudes towards suicide and self‐harm were generally positive and participants displayed high levels of knowledge of self‐harm. Age and years of experience were related to participants' attitudes, with younger psychologists reporting greater confidence in working with these clients and believing in the right of an individual to decide when to die. Future research is needed to determine the impact of psychologists' attitudes on their behaviour towards suicidal and self‐harming clients.     

Perceptions about fleeing religious persecution and entrance to the US

Using four vignettes to study attitudes toward religious persecution, a woman or man aged 22 or 68 came to the US with no supporting documentation. A General Linear Model analysed the 12 items for each vignette. Three items were significant among the vignettes: “All immigration policies and laws should be observed even if it means that M may not be granted permission to stay”; “M’s gender might be an indicator that M wishes to do harm to the US and its citizens” and “M should be deported because s/he entered the country illegally.” Gender and age impact these perceptions.     

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.     

Definitions of Suicide and Self‐Harm Behavior in an Australian Aboriginal Community

In this small qualitative grounded theory study (21 interviews and focus groups with a total of 26 participants) investigating the understandings of and attitudes toward suicide and self‐harm of Aboriginal peoples in a coastal region of New South Wales, Australia, we found that cultural factors particular to these communities influence the way such behavior is defined in an Aboriginal context. A continuation of certain “traditional” cultural forms of self‐harm behavior was evident in participant definitions, notably the practice of female hair cutting, also described as a mourning ritual, which appears to serve as a marker both to the individual and others.     

How prisoners and their partners experience the maintenance of their relationship during a prison sentence

Research shows that intimate relationships, and their maintenance via prison visits, have a positive impact on factors associated with prisoner well‐being and reduced likelihood of recidivism. It is therefore in the interest of corrections, government, and wider society to enable prisoners to maintain healthy relationships with their family and intimate partners throughout their prison sentence. Despite this evidence, little is known about how prisoners experience the maintenance of a significant intimate relationship in prison. This study aims to explore heterosexual couples' experiences in maintaining their well‐established intimate relationships, while the male partner is incarcerated. Four main themes were identified: how they experienced “having a special connection” that they were motivated to maintain; “coping with challenges and threats” to that connection; “developing reciprocal behaviours” to meet those challenges; and “maintaining a belief in the future.” Implications for how the relational context of rehabilitation can best be supported is considered.     

Criminal attitudes to violence: Development and preliminary validation of a scale for male prisoners

Two studies report on the development and preliminary psychometric properties of a new scale measuring criminal attitudes to violence. In Study 1, the responses of a mixed sample of male prisoners were used to select 20 scale items from a larger pool. The final scale (the Criminal Attitudes to Violence Scale; CAVS) was designed so that it had a single‐factor structure and was uncorrelated with a measure of social desirability bias. It demonstrated high internal reliability, and a strong relationship to a self‐report measure of physical aggression. Significant differences were found in CAVS mean scores for various offence history comparisons, such as whether or not the offender was currently on sentence for a violent conviction. In the second study, most results from the first study were replicated with an independent sample of male prisoners. Further, compared to another scale measuring attitudes to aggression [the EXPAGG Instrumental subscale; Archer and Haigh, 1997b], the CAVS was a better predictor of general attitudes to crime. Mean CAVS scores were again significantly higher for current violent offenders than those on sentence for other types of offences. Lastly, the CAVS was moderately predictive of estimated risk of reconviction and re‐imprisonment. Overall these results suggest that this scale measures the construct of attitudes to criminal violence, which partially overlaps two other constructs: attitudes to aggression and attitudes to crime. Aggr. Behav. 30:484–503, 2004. © 2004 Wiley‐Liss, Inc.     

Transparency and the KK Principle

An important question in epistemology is whether the KK principle is true, i.e., whether an agent who knows that p is also thereby in a position to know that she knows that p. We explain how a “transparency” account of self‐knowledge, which maintains that we learn about our attitudes towards a proposition by reflecting not on ourselves but rather on that very proposition, supports an affirmative answer. In particular, we show that such an account allows us to reconcile a version of the KK principle with an “externalist” or “reliabilist” conception of knowledge commonly thought to make that principle particularly problematic.     

A Critical Test of Self‐Enhancement,Exposure, and Self‐Categorization Explanations for First‐ and Third‐Person Perceptions

The third‐person perception is the tendency for people to believe that others are more influenced by media content than themselves (W. P. Davison, 1983 ). The current study provides a critical test of self‐enhancement, exposure, and self‐categorization explanations for first‐ (i.e., self more influenced than others) and third‐person perceptions. Male and female participants (N = 323) judged the extent to which pornography elicited“aroused and excited” (i.e., male normative) versus“repulsed and offended” (i.e., female normative) reactions in themselves relative to average men and women. Men perceived an average woman to be more repulsed and offended by pornography than themselves, and women perceived an average man to be more aroused and excited than themselves (i.e., large third‐person perceptions). Further, men perceived themselves to be more aroused and excited by pornography than an average woman (independent of the degree to which pornography was judged as antisocial), and women perceived themselves to be more repulsed and offended than an average man (i.e., large first‐person perceptions). There were relatively small effects for same sex comparisons independent of norm. The pattern and magnitude of first‐ and third‐person perceptions are consistent with self‐categorization theory, irreconcilable with the exposure hypothesis, and difficult to reconcile with the self‐enhancement explanation.     

Sex differences in social representations of aggression: Men justify,women excuse?

Women tend to hold an expressive social representation of aggression (as a loss of self‐control) while men tend to hold an instrumental representation (as a means of imposing control over others). Because expressive beliefs correspond to excuses and instrumental beliefs to justifications, it may be a sex difference in moral acceptability of aggression that informs social representation. Participants completed the Expagg questionnaire with reference to an episode of same‐sex or cross‐sex physical aggression and rated the moral acceptability of their behaviour. Women scored higher on Expagg (specifically lower than men on the instrumental scale) but there was no effect of target sex or participant‐by‐target interaction. Contrary to expectation, women rated their own aggression as more acceptable than did men and hence this could not explain their lower levels of instrumentality relative to men. Aggr. Behav. 29:128–133, 2003. © 2003 Wiley‐Liss, Inc.     

Experience and the Absolute other

In Experience and the Absolute (2004) and other works, Jean‐Yves Lacoste develops a phenomenology of a way of life he calls “liturgy,” in which one refuses one's being‐in‐the‐world in favor of a more basic form of existence he calls “being‐before‐God.” In this essay I argue that if there is indeed such a thing as being‐before‐God, Lacoste has not sufficiently considered the possibility that it is characterized in part by a disturbance of one's being‐in‐the‐world similar to, or perhaps even identical with, the disruptive encounter with the human other that constitutes the self as responsible according to Levinas's unique notion of ethics. Lacoste's dismissal of Levinas, evidently based on a misunderstanding of what Levinas means by the word “ethics,” leads him to overlook the potential relevance of Levinas's ideas to his phenomenological project at a number of significant points in his work.     

Zero‐sum thinking as mediator of the relationship of national attitudes with (un)willingness to host refugees in own country

This study examines factors related to willingness to host refugees. We examined the role of national attitudes (patriotism, nationalism), out‐group attitudes (classic and modern prejudice), and zero‐sum thinking: Belief in a Zero‐Sum Game and psychological entitlement in attitudes towards hosting refugees. We proposed including zero‐sum thinking as possible mediator between national attitudes and attitudes towards refugees based on assumption that nationalism is a competitive attitude towards out‐groups, while patriotism does not. Structural equation modelling based on a Polish national sample (N = 1092) revealed that patriotism is positively associated with willingness to host refugees, through its negative association with prejudice via decreasing zero‐sum thinking. Nationalism was negatively associated with willingness to host refugees, through prejudice via increasing zero‐sum thinking. Findings are discussed in the context of current refugee policies.     

Self‐Harm Focus Leads to Greater Collective Guilt: The Case of the U.S.‐Iraq Conflict

Collective guilt from harm one's group has caused an out‐group is often undermined because people minimize or legitimize the harm done (i.e., they generate exonerating cognitions). When a group action has harmed both the in‐group and an out‐group, focusing people on “self‐harm”—ways in which the in‐group has harmed itself—may elicit more collective guilt because self‐harm is less likely to be exonerated. In Study 1, American participants who focused on how the invasion of Iraq had harmed the United States expressed greater collective guilt over harm inflicted on the people of Iraq than those who focused on Iraqi suffering. Study 2 showed that this effect is due to reductions in exonerating cognitions among people focused on self‐harm. We consider the implications of these findings for intergroup reconciliation, particularly in situations where two groups have been involved in open conflict.     

Under what conditions do U.S. and Taiwanese late adolescents feel victimized by their peers?

This study investigates whether cultural differences exist between the ways U.S. and Taiwanese college students perceive peer victimization using both an experimental vignette method and an open‐ended question format. A total of 1,125 college students (53% female) from the United States (n = 535) and Taiwan (n = 590) read and responded to vignettes which depicted peer interactions in the college context. The peer interactions varied along three factors expected to be associated with differentiating victimization from affiliative teasing: hostility, playfulness, and relationship closeness. Controlling for individual factors of sex, prior victimization, prior teasing, and emphasis on interpersonal harmony, students perceived more victimization when both hostility and a lack of playfulness were present. Culture interacted with the situational factors such that both hostility and lack of playfulness were stronger predictors of perceived victimization for Taiwanese than for U.S. college students. In open‐ended responses about sensitive topics, “Ability and academic performance” and “Self/thoughts/characters/habits” were more indicative of victimization for Taiwanese college students. “Health and disability” was more salient as indicative of victimization for U.S. college students. Findings from this study are among the first to evaluate signals of peer victimization with a cultural comparison; they can be used to inform victimization intervention programs or socioemotional curriculums in late adolescence to be culturally relevant.     

Works of Love in a World of Violence: Kierkegaard,Feminism, and the Limits of Self‐Sacrifice

Feminist scholars adopt wide‐ranging views of self‐sacrifice: their critiques claim that women are inordinately affected by Christianity's valorization of self‐sacrifice and that this traditional Christian value is inherently misogynistic and necrophilic. Although Søren Kierkegaard's Works of Love deems Christian love essentially sacrificial, love, in his view, sets significant limits on the role of self‐sacrifice in human life. Through his proposed response to one who requests forgiveness, “Do you now truly love me?” Kierkegaard offers a model of forgiveness that subverts traditional ideals of the self‐sacrificing and submissive woman while keeping love central. The question asserts self‐love, involves redoubling and double danger, and expresses a refusal to imitate Christ's suffering. I propose a reading in keeping with Grace Jantzen's vision for a feminist philosophy of religion, which reads against the grain and “seeks to break through to new ways of thinking that may open up divine horizons.” My reading is further supported by Kierkegaard's contention that everything essentially Christian bears a double meaning. In light of the subversive potential found in the discrepancy between apparent love and actual love, as well as the duty to name the sin of one who has behaved in an unloving manner, I argue that Kierkegaard's philosophy of love resists simplistic understandings of self‐sacrificing love.     

MARTYRDOM: SELF‐DENIAL OR SELF‐EXALTATION? MOTIVES FOR SELF‐SACRIFICE FROM HOMER TO POLYCARP A THEOLOGICAL REFLECTION1

This article explores the theological understandings of martyrdom in the second century and how they might serve as a response to Nietzsche's critique that Christian martyrdom is not self‐abnegation but a self‐deluded assertion of the will to power. In reply to this objection, the article focuses on the early church's self‐conscious concern for the proper and improper forms of martyrdom as depicted in the Martyrdom of Polycarp. By contrasting the depiction of Polycarp's martyrdom “according to the gospel” with classical views of self‐sacrifice in Homer's Iliad and Aristotle's Nicomachean Ethics, it will show how martyrdom, contra Nietzsche, can be an act of true self‐denial.     

Agape and Karuna: Some comparisons

Agape in Western Christianity and Karuna in Mahayana Buddhism are central concepts which serve as a basis for comparing the views of the “self”; and its altruistic concern for the “other”; in the two traditions. The Bodhisattva Vow is compared with the emphasis on disinterested love in some teachings of Christianity, and attitudes towards enemies are examined. The foundations in religious practice and world views are examined by comparing such terms as grace and prajna.     

Systematic Review and Quality Appraisal of Practice Guidelines for Self‐Harm in Children and Adolescents

This study aimed to systematically identify and appraise clinical practice guidelines (CPGs) relating to the assessment and management of suicide risk and self‐harm in children and adolescents. Our research question is as follows: For young people (under 18 years old) presenting to clinical care with suicide ideation or a history of self‐harm, what is the quality of up‐to‐date CPGs? Using the PRISMA format, we systematically identified CPGs meeting our inclusion and exclusion criteria. Subsequently, two independent raters conducted appraisals of the eligible CPGs using the Appraisal of Guidelines for Research and Evaluation II instrument. CPGs were then classified as “poor quality,” “minimum quality,” and “high quality” using operationally defined criteria developed a priori. We identified 10 eligible CPGs published or renewed between 2005 and May 2017. Only the long‐term management of self‐harm CPGs produced by the National Institute for Health and Care Excellence met “high‐quality” criteria. Despite multiple options of CPGs published to choose from, only one was identified as “high quality,” where bias is adequately minimized. Clinicians are advised to direct resources to implementing the “high‐quality” CPG.     

Veteran Participation in Intensive Suicide Research Protocols: No Evidence of Iatrogenic Effects

Suicide research remains fraught with ethical and methodological issues, including researchers’ reservations about conducting intensive suicide research protocols due to potential iatrogenic effects and liability concerns. Such issues significantly impede scientific inquiry related to suicide. To date, no research has explored potential iatrogenic effects of intensive, nontreatment suicide research among Veterans. This study aimed to fill this gap. It was hypothesized that participation in suicide‐specific protocols would not significantly increase risk among Veterans. Veterans completed self‐reports, structured interviews, and rigorous suicide‐specific tasks (Study A, N = 34; Study B, N = 18; Study C, N = 119). Findings indicated there were no significant differences in pre‐ and postassessment suicide risk variables (all ps > .05). Estimated mean change for “urge to harm self” was ?0.24 (95% confidence interval [CI]: ?0.60, 0.13), ?0.28 (CI: ?0.56, 0.01), and ?0.01 (CI: ?0.09, 0.07) and “intent to harm self” was ?0.18 (95% CI: ?0.45, 0.10), 0 (CI: ?0.17, 0.17), and 0.01 (CI: ?0.04, 0.06) for Studies A, B, and C, respectively. Results indicated the respective protocols did not produce iatrogenic effects. The current findings are discussed with attention to safety‐monitoring techniques that may reduce iatrogenic effects and considerations for future researchers.     

Attitudes towards psychological treatment among older Australians

Reasons behind older adults' under‐utilisation of mental health services are complex. Barriers to access to mental health services for this group include service access and availability, attitudes of medical and mental health professionals, and attitudes of older people themselves. This questionnaire‐based study sought to investigate variables that may influence attitudes towards psychological help seeking among a late mid‐age–young‐old Australian sample of 159 community‐dwelling adults. The results suggest that attitudes towards seeking psychological help in this population were relatively positive. In addition, >50% of participants in the sample indicated that they had sought treatment for emotional or psychological difficulties in the past, with the greatest proportion of those who sought help noting that it was for “family problems” (56%). The findings suggest that negative attitudes to help seeking in this age group may not be as pervasive as previously assumed, and that help‐seeking behaviours may be high among those with positive attitudes towards help seeking.