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惩教人员与被监禁的精神病患者:监狱中对精神疾病的应对措施

Correctional officers and the incarcerated mentally ill: responses to psychiatric illness in prison.

作者信息

Galanek Joseph D

机构信息

Begun Center for Violence Prevention, Research, Education Jack Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University.

出版信息

Med Anthropol Q. 2015 Mar;29(1):116-36. doi: 10.1111/maq.12137. Epub 2014 Sep 15.

DOI:10.1111/maq.12137
PMID:25219680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4351153/
Abstract

Based on ethnographic fieldwork in a U.S. men's prison, I investigate how this social and cultural context structures relations between correctional officers and inmates with severe mental illness. Utilizing interpretivist perspectives, I explore how these relations are structured by trust, respect, and meanings associated with mental illness. Officers' discretionary responses to mentally ill inmates included observations to ensure psychiatric stability and flexibility in rule enforcement and were embedded within their role to ensure staff and inmate safety. Officers identified housing, employment, and social support as important for inmates' psychiatric stability as medications. Inmates identified officers' observation and responsiveness to help seeking as assisting in institutional functioning. These findings demonstrate that this prison's structures and values enable officers' discretion with mentally ill inmates, rather than solely fostering custodial responses to these inmates' behaviors. These officers' responses to inmates with mental illness concurrently support custodial control and the prison's order.

摘要

基于在美国一所男子监狱进行的人种志田野调查,我研究了这种社会和文化背景如何构建惩教官员与患有严重精神疾病的囚犯之间的关系。运用解释主义视角,我探讨了这些关系是如何由信任、尊重以及与精神疾病相关的意义所构建的。官员对患有精神疾病囚犯的自由裁量反应包括进行观察以确保其精神状态稳定,并在执行规则时保持灵活性,这些都嵌入在他们确保工作人员和囚犯安全的职责之中。官员们认为住房、就业和社会支持对于囚犯的精神稳定如同药物一样重要。囚犯们认为官员们的观察以及对求助行为的回应有助于机构的正常运转。这些发现表明,这座监狱的结构和价值观使官员能够对患有精神疾病的囚犯行使自由裁量权,而不是仅仅对这些囚犯的行为采取监管性反应。这些官员对患有精神疾病囚犯的反应同时支持了监管控制和监狱秩序。

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The cultural construction of mental illness in prison: a perfect storm of pathology.监狱中精神疾病的文化构建:病理学的完美风暴。
Cult Med Psychiatry. 2013 Mar;37(1):195-225. doi: 10.1007/s11013-012-9295-6.
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