Contemporary transgender health experience and health situation in prisons: A scoping review of extant published literature (2000–2019)

Abstract

Background: Many jurisdictions globally have no specific prison policy to guide prison management and prison staff in relation to the special needs of lesbian, gay, bisexual and transgender (LGBT) prisoners despite the United Nations for the Treatment of Prisoners Standard Minimum Rules and the updated 2017 Yogyakarta Principles on the Application of International Human Rights Law in relation to Sexual Orientation and Gender Identity. Within LGBT prison groups, transgender people represent a key special population with distinct needs and rights, with incarceration rates greater than that of the general population, and who experience unique vulnerabilities in prisons.

Aims/Method: A scoping review was conducted of extant information on the transgender prison situation, their unique health needs and outcomes in contemporary prison settings. Fifty-nine publications were charted and thematically analyzed.

Results: Five key themes emerged: Transgender definition and terminology used in prison publications; Prison housing and classification systems; Conduct of correctional staff toward incarcerated transgender people; Gender affirmation, health experiences and situational health risks of incarcerated transgender people; and Transgender access to gender-related healthcare in prison.

Conclusions: The review highlights the need for practical prison based measures in the form of increased advocacy, awareness raising, desensitization of high level prison management, prison staff and prison healthcare providers, and clinical and cultural competence institutional training on transgender patient care. The review underscores the need to uphold the existing international mandates to take measures to protect incarcerated transgender people from violence and stigmatization without restricting rights, and provide adequate gender sensitive and gender affirming healthcare, including hormone therapy and gender reassignment.     

情绪主题绘本阅读对自闭症谱系障碍儿童情绪理解障碍的干预效果

本研究选取一名15岁的重度自闭症谱系障碍儿童为研究对象，采用眼动追踪技术考察其情绪主题绘本阅读的眼动特征，并制定情绪主题绘本阅读方案，对该儿童的情绪理解障碍进行干预。结果显示：（1）在干预前，这名儿童阅读情绪主题绘本时更加关注背景区域，而较少注意主角形象区域，在整体画面中最后关注甚至忽视主角表情这一重要信息。（2）通过情绪主题绘本阅读干预，这名儿童对主角表情的首次注视前时间减少，注意分配时间和注视次数显著增加；情绪理解能力也显著提高。     

The role of fathers in children's emotion regulation development: A systematic review

This systematic review summarizes the results of 43 studies that explored the potential role of fathers in emotion regulation (ER) development in children. Following a tripartite model, this review investigates the paternal modelling of ER strategies, emotion-related paternal parenting practices, father–child emotional climate, and fathers' characteristics, by identifying 16 specific themes of paternal factors that could play a role in the child's ER development. Results show that while a large number of studies investigated father–child emotional climate and fathers' characteristics and their association with children's ER, the effects of paternal modelling and the father's emotion-related parenting practices on children's ER are still understudied. This review reveals that several factors—fathers' modelling of ER strategies; positive reactions and support in responding to their child's expression of emotions; better quality of the father–child relationship; higher father–child attachment security; and positive parenting in terms of sensitivity, engagement, and expressiveness—had significant associations with children's higher ER skills. Conversely, fathers' psychopathology and harsh parenting were associated with poorer ER skills in children.

Highlights

• This study summarized existing literature that explored the association between paternal factors and ER in children.
• The review showed some evidence supporting the paternal role in children's ER development.
• Fathers' role in the development of child's ER is most prominent in infancy and toddlerhood.
• Most paternal factors significantly associated with a child's ER reflected previous findings examining maternal factors.