Dr. Cooke is Associate Professor, University of Florida College of Medicine, Gainesville, FL. Dr. Hall is Assistant Professor of Psychiatry, University of Central Florida College of Medicine; Affiliate Assistant Professor, University of South Florida, Tampa, FL; and Adjunct Professor, Barry University School of Law, Orlando, FL. Dr. Friedman is Associate Professor of Psychological Medicine, University of Auckland; Staff Psychiatrist, Mason Clinic, Auckland Regional Forensic Psychiatry Services, Auckland, New Zealand; and the Philip Resnick Professor of Forensic Psychiatry, Case Western Reserve University, Cleveland, OH. Dr. Jain is a Forensic Psychiatry Research Fellow, Columbia University and New York State Psychiatric Institute, New York, NY. Dr. Wagoner is Assistant Professor, University of South Florida College of Medicine, Tampa, FL. Portions of this article were presented at the 2017 American Psychiatric Association Annual Meeting, May 20-24, 2017, in San Diego, CA.
J Am Acad Psychiatry Law. 2019 Mar;47(1):91-98. doi: 10.29158/JAAPL.003825-19. Epub 2019 Feb 7.
Boundary violations occurring in corrections settings require special attention. There is a unique relationship between officers and inmates, governed by policies and procedures as well as ethics in general (e.g., the lack of ability for a person in a controlled environment to consent to a relationship due to power imbalance). Recent high-profile cases between corrections officers and inmates demonstrate the complexities inherent in these relationships. We examine several recent cases and offer analysis of the factors leading to these dangerous encounters. We discuss how a special relationship develops between a corrections employee and an inmate and how that can lead to blackmail, the introduction of contraband to the prison, or other illegal activity. It is easy to state that one should not engage in sexual encounters, but it is harder to discuss and identify feelings that develop in correctional settings, such as transference and counter-transference feelings in a therapeutic relationship. Lessons of professionalism from the doctor-patient relationship parallel the relationships between officers and inmates.
在惩教环境中发生的越界行为需要特别关注。官员和囚犯之间存在着一种特殊的关系，这种关系受政策和程序以及一般道德规范的约束（例如，由于权力失衡，处于受控环境中的人无法同意建立关系）。最近发生的几起涉及惩教官员和囚犯的备受瞩目的案件，说明了这些关系中固有的复杂性。我们研究了几起最近的案例，并对导致这些危险遭遇的因素进行了分析。我们讨论了惩教员工和囚犯之间如何发展特殊关系，以及这如何导致敲诈、向监狱引入违禁品或其他非法活动。人们很容易说不应该发生性关系，但更难讨论和识别在惩教环境中产生的感觉，例如治疗关系中的移情和反移情感觉。从医患关系中吸取的专业精神教训与官员和囚犯之间的关系相似。
