Challenges to providing a support group for HIV-positive prisoners in South Africa

In prison populations around the world, the prevalence of HIV is often higher than that of the general population. The prison population is at high risk for HIV infection, particularly through the sharing of contaminated needles and high-risk sexual activity. Counselling is regarded as a key element in the prevention and treatment of HIV infection. Support groups provide essential supportive counselling for HIV-positive individuals struggling to cope. This paper looks at the challenges to providing a support group for HIV-positive prisoners. The author's experience of attempting to provide a support group highlights two key challenges: organisational issues which lead to disruptions for the group; and challenges to ensuring confidentiality, a core ethical principle in HIV counselling.     

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.     

Social self‐esteem and self‐reported bullying behaviour among adult prisoners

This paper addresses how social self‐esteem relates to self‐reported bullying behaviour among adult prisoners. It explores both level of self‐esteem and participants’ certainty of their self‐esteem. A total of 502 adult prisoners (285 men and 217 women) completed a self‐report behavioural checklist (Direct and Indirect Prisoner Behaviour Checklist) [Ireland JL. 1999. Aggres Behav 25:162–178] that addressed the level of bullying behaviour at their present institution. Prisoners also completed a questionnaire that measured social self‐esteem (Texas Social Behaviour Inventory) [Helmreich R, Stapp J. 1974. Bull Psychonomic Soc 4:473–475]. Four categories of prisoners were compared: bullies, victims, those who reported both bullying others and being victimised themselves (bully/victims), and those who were not involved in bullying behaviour. There were no significant differences among bully categories in total self‐esteem scores. Men reported significantly higher levels of self‐esteem than did women. There were no significant sex or bully category differences in certainty of self‐esteem. Self‐esteem was found to include a number of individual components that differed between the sexes. The findings are discussed, and directions for future research are suggested. Aggr. Behav. 28:184–197, 2002. © 2002 Wiley‐Liss, Inc.     

Minnesota Multiphasic Personality Inventory (MMPI)-derived psychopathology subtypes among former prisoners of war (POWs): Replication and extension

Psychopathology and symptom patterns identified among former prisoners of war (POWs) by Sutker, Winstead, Goist, Malow, and Allain (1986) were replicated in an independent sample of 51 former POWs with similar personal backgrounds and military experiences. Data collection instruments included the Minnesota Multiphasic Personality Inventory (MMPI), self-report measures of anxiety and depression, and a structured clinical interview including a POW Trauma Index. Two prototypic MMPI profile patterns were identified using modal profile analysis (Skinner & Lei, 1980). Both were highly similar in shape and elevation to those reported in the previous investigation. Multiprofile-multisample analysis produced prototypic profile patterns which were accurate representations of profiles identified in separate analyses of the derivation and replication samples (r's .96). Representing unique constellations of clinical features, profile subtypes were associated differentially with confinement stress severity, postservice adjustment, and nature and extent of stress-induced symptomatology.     

The Limitations of “Vulnerability” as a Protection for Human Research Participants

Vulnerability is one of the least examined concepts in research ethics. Vulnerability was linked in the Belmont Report to questions of justice in the selection of subjects. Regulations and policy documents regarding the ethical conduct of research have focused on vulnerability in terms of limitations of the capacity to provide informed consent. Other interpretations of vulnerability have emphasized unequal power relationships between politically and economically disadvantaged groups and investigators or sponsors. So many groups are now considered to be vulnerable in the context of research, particularly international research, that the concept has lost force. In addition, classifying groups as vulnerable not only stereotypes them, but also may not reliably protect many individuals from harm. Certain individuals require ongoing protections of the kind already established in law and regulation, but attention must also be focused on characteristics of the research protocol and environment that present ethical challenges.     

A comparison of the risk‐taking behaviors of prisoners and non‐prisoners

Do prisoners and non‐prisoners differ in their risk‐taking behavior and the domains where they take risks? Surprisingly little psychological research has addressed these questions, despite the well‐established paradigms and extensive literature on risk taking among non‐prison populations. To fill this gap, we used the Domain‐Specific Risk‐Taking Scale to compare 75 male prisoners' and 75 male non‐prisoners' risk‐taking behavior, risk perception, and risk benefit in five domains (ethical, financial, health, recreational, and social). Our results show that prisoners and non‐prisoners did not differ in their risk‐taking behavior in the ethical, financial, recreational, or social domains. In the health domain, however, prisoners exhibited significantly higher risk‐taking tendencies. With regard to risk perception, prisoners perceived activities as significantly more risky than non‐prisoners, aside from the financial domain where non‐prisoners reported significantly higher risk perception. In all five domains, prisoners perceived risk‐taking activities as offering fewer benefits compared to the non‐prisoner sample. Our results also indicate that risk‐taking activities are better predicted by the expected benefits than by risk perception for both prisoners and non‐prisoners in the recreational, financial, and ethical domains. However, for prisoners, risk taking in the social domain increased with level of perceived benefit. In the health domain, prisoners' risk taking decreased with increasing level of perceived risk, whereas for non‐prisoners, perceived benefits, but not risk perception, predicted risk taking. Copyright © 2010 John Wiley & Sons, Ltd.     

The Public Vocation of Lutheran Churches and the Rehabilitation of Zimbabwean Female Ex‐Prisoners

Abstract : This paper investigates the public role of the Lutheran churches in general. It also explores the role played by the Lutheran Church in Zimbabwe in its quest to rehabilitate female ex‐prisoners. The outcome of the study reveals that the Lutheran Church in Zimbabwe has been conspicuous in its absence regarding the rehabilitation of female ex‐prisoners. This negates the legacy of Martin Luther on the Church's public role; hence I recommend that the Zimbabwean Lutheran Church must take its rightful place in public discourse.     

Algorithm Versus Cut-Point Derived PTSD in Ex-Prisoners of War

This study compared symptom-based algorithm to cut-point scoring of the PTSD Checklist (PCL) in a sample of 504 World War II ex-prisoners of war not seeking treatment. There was relatively high correspondence ( = .80) between the scoring methods; the algorithm identified more participants as having PTSD than the standard cut-point of 50. Receiver Operator Curve analyses revealed that a cut-point of 42 distinguished optimally between the algorithm-defined PTSD and non-PTSD groups. An optimal scoring method might use both cut-point and algorithm, ensuring individuals have the symptoms necessary for a diagnosis and of sufficient severity.     

Psychological therapy in prisons: Professionals’ perceptions

This study explored professionals’ perceptions of providing psychological therapy in prisons. Eight professionals, affiliated with counselling as well as counselling, clinical and forensic psychology, were interviewed. A social constructionist paradigm was used to understand how social and discursive practices shaped professionals’ accounts, allowing for critical engagement with taken-for-granted practices. Participants’ accounts were analysed using a social constructionist informed thematic analysis. Four themes were constructed: (a) performing therapy, (b) humanising the client, (c) frames inside frames and (d) a challenging but rewarding experience. The findings of this investigation indicated that therapy provision was interwoven with the socio-political ideals governing prison, which created a conflict between therapeutic values and penal values. This conflict has important implications for establishing and maintaining ethical and deontological practices in prison, particularly surrounding the dynamics power. The study indicated it is important for professionals to monitor and manage potential stigma and discrimination within therapy or service delivery. The results also found that working in prisons is a complex experience, which requires careful consideration for enhancing professional development for the prison therapist.