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Psychological impact of prison
Personality disorder in prisons essay
Personality disorders in prison
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“DSM IV defines personality disorder as an "Enduring pattern of inner experience and behavior that deviates markedly from expectations of the individual's culture". (Rotter 2002). The literature compared impatient and outpatient rates between different disorders documented in prisons, and the rates of personality disorders in the state mental health system. The inmates were grouped into four different Personality Disorder categories based on the DSM-IV criteria. Thirty-six percent of the inpatient population studied had a primary or secondary personality disorder diagnosis. 5% of the other category in the outpatient group, the most frequent personality disorders were paranoid and schizotypal. 17% of the inpatients also had a mood disorder,
particular group of people whose symptoms are indicative of personality disorders, and are between neuroses and psychoses (Manning, 2011, p. 12). Personality disorders are extremely pervasive because they effect a person’s “mood, actions, and relationships” (Manning,
Attorney General's Report to Congress on the Growth of Violent Street Gangs in Suburban Areas
Saradjian J., Murphy, N. & McVey, D. (2013). Delivering effective therapeutic interventions for men with severe personality disorder within a high secure prison, Psychology, Crime & Law, 19(5-6), 433-447, DOI: 10.1080/1068316X.2013.758972
Personality disorders have always been viewed as a possible category for a psychological disorder. However, in the new edition of the DSM, it will be getting its own diagnostic category. In viewing personality disorder, one can only agree that it should have its own diagnostic category. The reason that these changes are being supported is because of the causation, diagnosis, and treatment of personality disorders.
The United States has the highest incarceration rate in the world and of that over sixty percent of jail inmates reported having a mental health issue and 316,000 of them are severely mentally ill (Raphael & Stoll, 2013). Correctional facilities in the United States have become the primary mental health institutions today (Adams & Ferrandino, 2008). This imprisonment of the mentally ill in the United States has increased the incarceration rate and has left those individuals medically untreated and emotionally unstable while in jail and after being released. Better housing facilities, medical treatment and psychiatric counseling can be helpful in alleviating their illness as well as upon their release. This paper will explore the increasing incarceration rate of the mentally ill in the jails and prisons of the United States, the lack of medical services available to the mentally ill, the roles of the police, the correctional officers and the community and the revolving door phenomenon (Soderstrom, 2007). It will also review some of the existing and present policies that have been ineffective and present new policies that can be effective with the proper resources and training. The main objective of this paper is to illustrate that the criminalization of the mentally ill has become a public health problem and that our policy should focus more on rehabilitation rather than punishment.
Personality disorders and mental illnesses are viewed by the general public as similar attributes that are equally harmful. However, when one delves into the diagnostics and patterns of the individual disorders and illnesses, it can be seen that there are major differences between each one. There are many levels of severity of the effects each disorder or illness has on society as a whole. They range from affecting only the individual on a solely personal basis to affecting a large amount of people on a highly violent level. Generally, it is found that mental illnesses have an influence on an individual level while personality disorders have an influence on a widespread level. As in every medical topic, there are outliers, or cases that are far outside the expected outcome, but for the most part, illnesses have less far reaching effects than disorders. On the spectrum of the societal effects of personality disorders and mental illnesses, the obsessive-compulsive disorder, which is actually a mental illness, is on the lowest level in terms of widespread consequences; just above this illness is schizophrenia which has the ability to affect more than the individual unless treated; the narcissistic disorder has farther reaching effects in society, such as in bureaucratic situations, than the two previously mentioned illnesses, placing it higher on the spectrum, and last, but not least, the schizoid personality disorder has proven to have the most wide spread consequences in the form of both emotional trauma and violence allocating it the highest level.
Thousands of people statewide are in prisons, all for different reasons. However, the amount of mental illness within prisons seems to go unaddressed and ignored throughout the country. This is a serious problem, and the therapy/rehabilitation that prison systems have do not always help those who are mentally ill. Prison involvement itself can contribute to increased suicide (Hills, Holly). One ‘therapy’ that has increased throughout the years has been the use of solitary confinement, which has many negative effects on the inmates. When an inmate has a current mental illness, prior to entering into the prison, and it goes undiagnosed and untreated, the illness can just be worsened and aggravated.
Personality disorder. Encyclopedia Britannica Online Academic Edition. Encyclopedia Britannica Inc. 2014. Web. 08 Feb 2014
From a methodological perspective, this model presents a serious threat to the reliability and validity of personality assessments. The potential influence of psychopathology on personality assessments would preclude the consistency (i.e., reliability) of those measures. A clinical implication is that assessments completed at hospitalization intake are likely impacted by psychopathology; results must then be interpreted with caution. However, if assessments should be administered at the end of treatment to get a more accurate depiction of personality after the disorder has (hopefully) remitted, clinicians are left with less initial information about the patient. This will create problems for treatment planning, particularly with regard to whether a personality disorder or Axis I disorder should be
Prior to taking this course, I generally believed that people were rightly in prison due to their actions. Now, I have become aware of the discrepancies and flaws within the Criminal Justice system. One of the biggest discrepancies aside from the imprisonment rate between black and white men, is mental illness. Something I wished we covered more in class. The conversation about mental illness is one that we are just recently beginning to have. For quite a while, mental illness was not something people talked about publicly. This conversation has a shorter history in American prisons. Throughout the semester I have read articles regarding the Criminal Justice system and mental illness in the United States. Below I will attempt to describe how the Criminal Justice system fails when they are encountered by people with mental illnesses.
Personality disorders entails a class of mental disorders that are characterized by permanent maladaptive rhythm of behavior, cognition, and inner experience. The latter have been defined in many circumstances and are markedly deviated from social culture. These behaviors occurs at early age, they are rigid and also associated to distress or disability. However, the definition may alter in accordance to other factors. There are several criteria for overcoming personality disorders from American Psychiatric Association and World Health Organization. When the fifth edition, the DSM-5, was compiled, it was determined that there was no scientific basis for dividing the disorders, so the multi-axial system was done away with. Instead, the new non-axial diagnosis combines the former Axes 1, II and III and include separate notations for the type of information which would have previously fallen into Axes IV and V.
Anti-Social Personality Disorder is a classified personality disorder in which a person, sometimes referred to as a “psychopath”, has a lack of empathy, an increased chance of acting violently towards others, and a complete disregard for authority and punishment. Prevalent features and symptoms include: shallow emotions, irresponsibility, mistrust of others, reckless thrill-seeking, disrespect for the law, prone to lash out with physical violence, harmful impulsiveness, arrogance, manipulative, greedy, lack of kindness or compassion, disrespect for others, and dishonesty (Psychology Today, n.d.). A main factor of this disorder is the inability to process, interpret, and display emotion, even fear. An example is that most criminals with this disorder respond drastically different to their sentencing than normal. They seem relaxed and unable to process it on an emotional level. They are also fully aware of what they are doing, and have no sense of distorted reality, or remorse which classifies them as sane people. They also have neurotransmitter deficiencies in the brain, such as reduced serotonin and dopamine (Freedman & Verdun-Jones, 2010). The overall population of people having this disorder is a small amount, about 3% and higher in prisons and abuse clinics which is around 70%. Also, because of their constant involvement in violence, most people diagnosed with this disorder die by violent means such as suicide and homicide (Internet Mental Health, n.d.).
The criminal justice system plays a major part within our community. Every aspect of the criminal justice system affects the community and the population. Within our jails and prison 20% of the U.S population is currently being held in a prison or jail. Within that 20% percent a lot of these people are diagnosed with a mental illness. The increase of people in the system and the increase of reported mentally ill person is very alarming and important to discuss and find solutions for. With increase of mentally ill individuals increasing the level of training for officers is not at the same right. Most prisons or jail don’t have a specific way to handle nor treat individuals with a mental illness. This paper will discuss recent research regarding mental illness is, the impacts of mental illness, the impact of the criminal justice system, and how the system handles these individuals.
Powell, Thomas A., John C. Holt and Karen M. Fondacaro. 1997. “The Prevalence of Mental Illness among Inmates in a Rural State.” Law and Human Behavior 21(4):427-438.
The World Health Organization’s International Classification of Diseases (ICD 10) includes 10 common forms of personality disorder there is a common connection between the personality traits of all. Every single person has their own ways of thinking, feeling, reacting, and relating to certain things. In the instance when one of those elements does not work correctly and is essentially dysfunctional warrant the diagnosis of personality disorder. There is a fine line between the diagnosis of personality disorder and a mental disorder, which makes it hard to diagnose at times.