Chapter 6
Chapter 6
The length of the first phase varies, but eventually the rape victim moves into the second phase.
Whereas the first phase is an intense reaction to the trauma of being raped, the reorganization phase involves the long
process of recovery from rape.
Rape victims often respond by blaming themselves for not having been able to prevent or stop the rape.
They might castigate themselves for walking through a bad area of town, for leaving a window open or a door unlocked.
They might blame themselves for not having been able to fight off or run away from the attacker (Rowland, 1985).
One survivor wrote that: People tell me I shouldn’t feel like that, it wasn’t my fault, but still I feel like it was. Perhaps I
should just have fought harder and not been afraid. Perhaps I shouldn’t have let him do this to me. (Rape Survivors,
2001)
Impact of Sexual Abuse
The nature of sexual abuse depends upon inter and intrapersonal as well as
socioeconomic factors.
The nature of abuse including the stage or form of abuse, whether it was a
single episode or multiple exposures of short or long duration furnish the
impact on the victim as well as the perpetrator.
The perpetrator–victim relationship is elementary, whether it was a stranger
or an acquaintance.
The impact is more detrimental if the perpetrator is an immediate family
member which even threatens the sense of a safe place and future risk of
abuse in a foster or residential home.
A known person may involve confrontations or encounters that trigger the
suffering and makes the escape or avoidance more challenging.
The authors have attempted to comprehensively reason that makes the impact of sexual
abuse stronger and deeper than other forms of abuse or neglect.
• It’s silent; children, adolescents, or even adults are either persuaded not to talk or feel
ashamed to talk about it. The silence is not only imposed by the perpetrator, rather a
victim may choose to stay silent fearing familial or occupational, or social consequences of
it. The fear is mostly rooted in either confusion or dilemma or cost-beneft analysis. And
this kind of cognitive processing comes from various beliefs, stereotypes, norms, and
perceptions that are translated into actions in a routine living being carried forward from
one to another generation.
• Sexual abuse mostly encompasses other forms of abuse and affects multiple domains of
one’s life. It may be accompanied by verbal or physical abuse. The victims usually react in
expressed or controlled manner or shocked state of emotion.
• Other forms of abuse like physical or emotional may come to an end and the protective
factors may create resilience to sail through it. Also, the victim may get sympathy against
other forms of abuse as it’s talked about without any stigma attached to it.
• A person may continue to experience either stereotypes or sexist attitudes even if sexual
abuse may not advance to the verbal and nonverbal manifestation of sexism, acts of
sexual harassment, forced sexual behaviors, sexual violence.
Physical and Physiological
The physical impact on the victim may involve neglect of physical needs.
In severe stages of abuse, it may involve mild physical injuries to an extreme form of
physical disabilities or even death in extreme cases.
The perpetrator may also have a physical injury as a result of inflicting suffering on
the victim. It may result in a physical attack by the victim or others or even a mass
attack in certain social situations.
The physiological impact includes changes in neuro-biochemical pathways in the
body; exposure to abuse affects the endocrinology including metabolism (Neigh &
Nemeroff, 2009), circadian rhythm, heart rate, blood pressure, and body
temperature.
The changes in the biological pathways may put an individual at risk for various
short as well as long-term medical conditions or illnesses (Keeshin & Strawn, 2012).
Men are identified as perpetrators more than women due to increased
testosterone that may moderate attraction to cruel and violent cues in men
(Weierstall & Elbert, 2014).
Neural and Cognitive
The studies support the differences in stereotypes on sex-role are rooted in the limbic brain structures as well as
generation of social biases, prejudices, and stereotypes related to the amygdala, along with the importance of
dorsolateral, ventrolateral, frontal, and inferior parietal and the anterior cingulate cortices, perhaps in regulatory
and social roles (Takeuchi & Kawashima, 2015).
The brains have been studied and structural differences are found to be based on sex, gender roles, temperament
and trait, and offensive versus criminal acts.
Higher activations in the left lateral and medial superior frontal gyrus in abused are seen.
The batterers had an over-activation in the hippocampus, the fusiform gyrus, the PCC, the thalamus, and the
occipital cortex; while specific higher activation was observed in the precuneus on exposure to female aggression
pictures versus neutral pictures (Noll-Hussong & Guendel, 2010).
In addition, the children who have history of abuse show significant cognitive impairments driving them to
develop aberrant behaviors and are vulnerable to become perpetrators due to difficult experiences of
helplessness and fear in early years (Salter & Skuse, 2003; Burgess & McCormack, 1987).
When these adults gain power and authority, they can extend their aggression to unsuspecting innocent victims
(Konopka, 2015).
The benevolent sexism increases mental intrusions and suppresses working memory to hold the necessary data
and ignore task-irrelevant information that induces a state of self-doubt, anxiety, preoccupation, or threatened
sense of competence (Benoit & Thierry, 2007).
Psychological and Emotional
The perpetrators usually have low self-esteem and poor self-concept grounded in their early life experiences.
They tend to be low on emotion regulation and hounded by aggressive bents.
Also, since stereotypes and sexism are part of any society, so perpetrator’s beliefs and perceptions to either view
oneself as superior or others’ as inferior based on sex, age, authority, etc. may appear natural to him. Any threat
to this sense of superiority usually leads to victimizing the one viewed as inferior such as abusing children or
adolescents at home, a student at school, females in families by spouse or others, an employee at the workplace,
individuals in deserted locations as well as in crowds, etc.
The perpetrators are often criticized or rejected by a certain segment of the society after the onset of
perpetration; this further puts the perpetrator in a negative emotional state challenging his identity as a member
of the society.
These perceptions and beliefs conclude the interpretation of the emotional cues of others.
As a result, poor emotional intelligence may coach the sequel acts of sexual abuse.
On the other hand, the victim usually suffers a form of trauma in response to sexual abuse. The impact of abuse
may vary across the various stages of sexual abuse.
Even after achieving the aspired heights abuse may either continue or rather advance to other stages of sexual
abuse or one may indulge in perpetuating others.
This sense of either inferiority or superiority colors the self-esteem and self-concept.
The victims or perpetrators experience more negative emotions than non-abused individuals.
The differences may also be observed among those who suffered sexual abuse or other forms of abuse.
Physical and Mental Health
The victims and perpetrators both are known to suffer medical as well as mental health illnesses.
It’s not the mere act of sexual abuse which brings health issues but it’s the cumulative response to stress-causing
health issues.
The stress may grow insidiously drifting through various life stages and triggered by a certain event that can
catalyze the diagnosis of any medical or mental illness.
Some of the covert health issues that may go unnoticed include obesity, eating disorders, and body-image
disorders.
While in other cases disease or disorder may not be evident but personal, occupational, or social functioning may
be impaired due to unresolved trauma resulting from sexual abuse.
The victims of sexual abuse often suffer from psychosis, mood disorders, anxiety disorders, substance use, and
personality disorders with an overall higher prevalence for females (13.5%) than males (2.5%) (Molnar & Kessler,
2001).
Also, the victims often report problems in respiratory, gastrointestinal, musculoskeletal, neurological, and
gynecological functions, cardio-pulmonary symptoms, and obesity (Lechner & Steibel, 1993; Irish & Delahanty,
2010).
It may be firmly understood that sexual abuse disintegrates the individual.
The disintegration may induce either disruption or dysfunction in varied individuals depending upon the extent of
impact and more significantly the internal and external resources of support. The maximization of these resources
can result in minimizing the impact and direct the person on to the path of healing and recovery.
Recovery from Rape and Characteristics of
RTS (Coping)
Women who have been the victims of sexual assault are at greater risk of becoming
unemployed and divorced.
In their original research, Burgess and Holmstrom (1979a) found that, although 74% of rape
victims reported that they had returned to normal functioning about 5 years after the rape,
the other 26% reported that they had not yet recovered.
Although there is recovery, it is important to emphasize that recovery is not a process of
“getting over” the rape.
Instead, it involves finding ways to integrate the experience of rape into one’s life to
minimize negative after effects.
One rape survivor described the impact of rape on her life 12 years later:
It becomes part of your person as anything, any type of huge change in your life . . . I am a different
person than I was 12 years ago. And it will never go away. You learn to live around it . . . You try to take
it and use it to go in a positive direction but it never goes away. (Thompson, 1999)
Among the symptoms most strongly associated with rape are fear, anxiety, depression,
self-blame, disturbed social relationships, and sexual dysfunction.
These reactions tend to be especially intense during the 3 or 4 months following the rape
(Frazier, 2005).
Although these same reactions may be associated with other types of trauma, the symptoms are likely to take a
particular form in rape victims.
For example, in rape victims, fear and anxiety are likely to be most strongly felt in situations or settings similar to
the one in which the rape occurred.
Rape survivors are especially likely to experience a loss of sexual desire and decreased enjoyment of sex with their
partners (Becker, Skinner, Abel, Axelrod, & Treacy, 1984; Campbell & Wasco, 2005).
Like other victims of trauma, rape victims face the long-term challenge of regaining a sense of safety and a sense
of control over their environment.
Of course, not every rape survivor experiences the same symptoms with the same intensity.
Mary Koss and her colleagues (Koss & Harvey, 1991; Koss & White, 2008) describe four broad classes of variables
that modulate the responses of rape survivors:
(1) characteristics of the person (e.g., age, maturity, coping capabilities, ability to make use of social support);
(2) characteristics of the event itself (e.g., the violence of the rape, the duration of the rape);
(3) the victim’s environment (e.g., support of friends and family, attitudes of surrounding community, physical
and emotional safety); and
(4) the therapeutic intervention (if any) used (e.g., timing of the intervention, how effectively the intervention
empowers the survivor).
These resources—both personal and environmental—strongly influence how effectively victims cope with the
psychological effects of rape.
Recognizing the Suffering: PTSD
The consequences of serious crimes such as rape, child abuse, and violence
may be traumatic to the victim as well as witnesses, family members and
friends.
There are numerous negative psychological outcomes which can result from
being victimized by crime, such as anxiety, depressive symptoms, eating
disorders, hostility, poorer general well-being and somatization.
However, the most extensively researched outcome of victimization is
posttraumatic stress disorder or PTSD.
Post-traumatic stress disorder is not the immediate consequence of trauma
but can follow at some stage after the trauma.
The clinician should be alert to the possibility of PTSD following from
traumatic victimization even if it does not immediately manifest itself.
The following is a brief sketch of some of the common features of PTSD:
• Profound depression and possible thoughts of suicide.
• Sleep disturbances of all sorts. Some may have difficulty sleeping; some may sleep for abnormally
long periods.
• Oversensitivity to noise. Noise can cause a startle response since the fight/flight reflex is
heightened.
• Paranoia or fear of others: the victim may feel afraid of the reoccurrence of the traumatic event,
which causes them to be uncomfortable with people who may be their future victimisers
• Repeatedly reliving the trauma in the form of intrusive flashbacks of the traumatic events during
waking hours. Because of the intensity of some flashbacks, victims can believe that they are
experiencing the events once again.
• At night, the events may be incorporated into nightmares.
Victims often go out of their way to avoid anything which remind them of the traumatic events.
The anniversary of the occurrence of the traumatic events may lead to renewed upset.
The psychiatric diagnostic category of post-traumatic stress disorder was first
introduced into the Diagnostic and Statistical Manual of Mental Disorders
with the release of DSM-III in 1980.
The fifth version of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-V) was released by the American Psychiatric Association in 2013.
PTSD was previously categorised as an anxiety disorder in DSM-IV, it is
categorised as a trauma- and stress-related disorder in DSM-V.
The following are the main criteria which need to be met in order for there
to be a diagnosis of PTSD according to DSM-V (see Figure 4.1):
• PTSD involves a traumatic event involving actual or threat of death, serious
injury or sexual violation.
The individual may have directly experienced the traumatic event or witnessed it
happening to another person.
DSM-V has extended this to include close family members or close friends who learn
about traumatic events which happened to a close family member or to a friend.
• If a person experiences at first hand repeated or extreme examples of
the disturbing details of traumatic events experienced by others, then
PTSD may result. Note that, in this instance, the individual does not
witness the traumatic events directly at all.
DSM-V specifically excludes the media as the source of the disturbing detail
unless if the individual was exposed to this as part of their job.
This suggests that professionals such as therapists or social workers dealing
with distressing child abuse or rape cases might suffer PTSD as a consequence
of repeatedly hearing disturbing details.
Vicarious traumatisation shares many of the features of PTSD.
• There is clinically significant distress or significant impairment in
important areas of the individual’s functioning – socially, at work or
other aspects of life.
DSM-V gives four symptom clusters (re-experiencing, avoidance, arousal and negative
cognitions and mood) of PTSD.
The symptom groups are:
• Re-experiencing: This includes persistent images, thoughts, illusions, hallucinations, and so
forth as well as flashback episodes or psychological distress to things which remind the
individual of the traumatic event.
• Avoidance: The individual will avoid and show a numbed response to things which are in
some way associated with the trauma. So the individual will avoid talking and thinking about
the traumatic event or they may avoid places and people that could remind them of the
traumatic event.
• Arousal (known as hyperarousal in DSM-IV): This may involve irritability, self-destructive
behavior, concentration problems, sleep disturbance, and the like.
• Negative cognitions and mood: This may involve an ongoing lack of ability to experience
positive emotions or a persistent negative emotional state.
• The symptoms should be present for at least a month.
• The condition cannot be explained as a consequence of drugs or a medical condition.
What happens psychologically at the time of the trauma partly determines whether PTSD
follows.
If the victim experiences what is described as peritraumatic dissociation following a highly
traumatic rape or violent crime then there may be an increased risk of PTSD.
In peritraumatic dissociation the victim becomes detached from themselves psychologically
and may experience the assault as being perpetrated on another person and not themselves
– perhaps as if they were watching the assault at the cinema or on television.
So dissociation is when the sense of possessing a single identity that links our life stages
together is temporarily disrupted.
It is a way of coping with the traumatic experience in that extreme emotions such as
feelings of helplessness and horror are bypassed.
This is only of short-term benefit as the peritraumatic dissociation is believed to lead to
PTSD (e.g. Marshall and Schell, 2002) and the adverse consequences involved in that.
Peritraumatic dissociation is not necessary for PTSD to develop.
Actually, the cognitive factors involved can be somewhat wider than peritraumatic
dissociation (Halligan, Michael, Clark, and Ehlers, 2003). For example, data-driven
processing and lack of self-referent processing are also part of the process leading to PTSD.
Psychiatrists describe another condition known as acute stress disorder (ASD) which can
last for up to a month following the traumatic event.
It describes the intense and acute response that victims may show following the trauma.
It can last from two days to four weeks following the traumatic event.
After a month, these symptoms are likely to be diagnosed as PTSD which requires the
symptoms to be present for at least one month.
Acute stress disorder (ASD) involves substantial levels of impairment or distress.
Victims of ASD show intense emotional reactions to the traumatic stressor together with
many symptoms from various groupings of symptoms namely dissociation, arousal,
avoidance and re-experiencing according to the Diagnostic and Statistical Manual of Mental
Disorder (DSM-V) (American Psychiatric Association, 2013).
The same traumatic event may have both positive and negative consequences.
The concept of post-traumatic growth can involve various changes including one’s
philosophy of life, perception of self and interpersonal relationships.
What leads to a greater likelihood of PTSD?
One obvious factor in PTSD is that of gender.
It is clear from reviews of the research literature on this (Tolin and Foa, 2006) that females are more
likely than males to meet the diagnostic criteria for PTSD.
This is the case despite the fact that women are generally less likely to have experienced potentially
traumatic events.
Men were less likely to have experienced sexual trauma in childhood or adulthood, but they are more
likely to suffer accidents, violent assaults, combat, and witness death or injury.
Could the gender difference in PTSD simply be due to differential exposure to potentially traumatic
stressors? The answer is no, because if one compares men and women on a like-for-like basis by
comparing them in terms of particular types of stressors, women were still more likely to exhibit
PTSD.
However, for sexual trauma, women did not differ from men in terms of showing PTSD.
The nature of the trauma can make a difference to whether PTSD follows although subjective beliefs
about the level of threat to life due to the traumatic event may have more influence on the
development of PTSD than the objective size of the actual threat (Brewin and Holmes, 2003).
Norwood and Murphy (2012) showed that different forms of intimate partner abuse are differentially
associated with PTSD symptoms:
• Sexual violence (e.g. ‘My partner used force . . . to make me have sex’).
• Sexual coercion (e.g. ‘Had sexual intercourse with your partner even though you didn’t really want
to because he threatened to end your relationship’)
• Physical abuse which was measured using the physical assault subscale of the Conflict Tactics Scale.
This includes slapping, shoving, and using a gun or knife.
• Psychological abuse was measured using the Multidimensional Measure of Emotional Abuse
(Murphy and Hoover, 1999). This measures four different forms of psychological abuse – dominance/
intimidation (such as putting his face into the woman’s face to make a point), restrictive engulfment
(such as checking with friends where the woman was), denigration and hostile withdrawal (such as
refusal to discuss problems).
Appreciation of the nature of the cognitive processes involved is important to understanding PTSD
(Brewin and Holmes, 2003).
One important explanation is that the trauma actually destroys core attitudes, beliefs and
assumptions about the nature of their world and the victim’s ability to cope with it. For example, the
belief that other people are benevolent and well-intentioned may be shattered by the traumatic
event.
Someone who is subject to a malicious attack may find this difficult to reconcile with a sense of
community conducive to positive social relationships.
PTSD and re-victimisation
There are a number of features of PTSD which are obvious contenders to explain
revictimisation.
For example, the arousal (hyperarousal) cluster of PTSD symptoms encourage the victim to
be over-vigilant about possible attack. As a consequence, sufferers may have difficulty in
differentiating between true danger and false alarms – simply because the victim has so
many false alarms.
Numbing and dissociative symptoms may make it hard for the victim to take the initiative of
using resistance behaviours which otherwise may have dealt with using criminal
approaches.
Perhaps the most obvious of all, the association between PTSD and alcohol consumption
may mean that alcohol consumption leads to the greater risk of being re-victimised.
Being drunk may make a woman seem a better target to offenders, or women who drink
may be more likely to go to bars and nightclubs where they may be seen as a target.
When revictimised, PTSD may have a role to play in whether the victim reports the
crime to the police.
The relationship between PTSD and reporting varied according to which of the
symptoms of PTSD the victim manifested.
Those who had higher avoidance symptoms of PTSD were less likely to report the
crime to the police.
Of course, to report the crime is to confront it rather than avoid it.
So by not reporting the crime the victim need not think about it in the intense way
they would have to had they reported to the police.
Those who had higher re-experiencing and hyperarousal symptoms were more
likely to report the crime to the police.
These victims do not avoid thinking about their trauma so reporting the crime to
the police would not change the status quo.
Coping with Criminal Victimization
Victims of crime exhibit a wide range of responses to their personal crime victimisation.
In DeValve’s (2005) study, victims of crime mentioned the following consequences for themselves:
• angry at offender
• anxiety or panic attacks or some other psychological consequence
• fear of retaliation by the offender
• fear of the repetition of a similar event
• felt isolated and alone
• felt unsafe at home
• relationship with partner affected
• self-blame for the crime
• time off from work
• wanted revenge
• work affected
They had various feelings about the offender, including:
• wanting the offender committed to prison
• wanting an apology from the offender
• wanting the offender to receive help
Furthermore, they wanted to tell the offender about how the crime had adversely
affected them and wanted to understand why the offence happened.
Responses to crime can be varied and not everyone responds to victimisation in the
same way.
There can be serious, long-term consequences to victimisation which may
profoundly affect the individual’s day-to-day functioning.
The psychological damage that victims suffer may have long term implications, such
as making them more vulnerable to being re-victimised in the future.
Of course, people will naturally try to cope with PTSD themselves. However, research
suggests that simply attempting to avoid the disturbing thoughts is counterproductive since
it may delay recovery.
Social support is important in recovery, though the presence of negativity in the support
network is worse than having little or no social support (Brewin and Holmes, 2003).
Partners, friends and family are part of the social environment and the degree to which they
are supportive or negative towards the victim also have a role to play.
PTSD is affected by the social reactions experienced by sexual assault victims disclosing their
assault to other people.
Negative reactions include victim blaming, telling the victim that she could have done more
to prevent the assault from happening, and forcing the victim to go to the police, for
example.
Positive reactions include listening support, holding, telling the victim that she or he is loved
and helping to find resources that might be helpful to the victim.
Multivariate analysis suggested that the commonly observed correlation between victim
self-blame and PTSD symptoms may, in part be due to the influence of negative social
reactions from other people on the victim.
The mechanism through which this seems to work is that a victim who experiences
negative social reactions to the sexual crime will probably self-blame and adopt an
avoidance coping mechanism.
Typical maladaptive coping strategies include denial, substance use, and isolating
oneself socially.
Some victims have coping mechanisms which reduce the risk of PTSD.
Others adopt a forgiving attitude towards the perpetrators of the crime against
them
Forgiveness involves mental, emotional and behavioural actions which can change
negative responses into neutral or even positive ones.
The tendency to forgive is regarded as a personality trait which can be divided into
• self (e.g. agreeing that learning from bad things one has personally done helps get
over them);
• others (e.g agreeing that one can get past being disappointed by someone); and
• situations (e.g. agreeing with the view that with time the individual can come to
be understanding of negative life situations).
Coping strategies are mental and behavioural attempts to deal with the stress of the
terrorist incident.
Coping strategies may be:
problem-focused (concentrating on practical solutions, active coping, and planning);
emotion-focused (concentrating on things like finding emotional social support and venting
emotions); and
avoidance (concentrating on ignoring problems, mental disengagement from problems, and
behavioural disengagement from problems).
There was very clear evidence that the tendency to forgive was related strongly to
experiencing lower levels of PTSD symptoms.
However, to some extent there was a pathway suggesting those who have a higher
tendency to forgive also tend to adopt problem-focused coping strategy and that this also
led to with lower levels of PTSD symptoms.
Emotion-focused coping, on the other hand, was associated with higher levels of PTSD.
Imprisonment (Types of Imprisonment)
The criminal justice system can hold people in jails or prisons.
Jails are distinguished from prisons by their function.
Jails are short-term holding cells operated by cities or counties and administered by
local authorities (usually county sheriffs or city police).
Sometimes people convicted of misdemeanors (relatively minor crimes usually
punishable by less than a year in prison) serve out short sentences in the local jail.
Jails are also places where potentially dangerous defendants charged with serious
violent crimes can be held before and during trial.
Nonviolent criminals (e.g., embezzlers or thieves) might be held in jail before and
during trial to prevent them from fleeing to escape justice.
Later, if a defendant is convicted, he or she is held in jail between conviction and
sentencing, and between sentencing and transport to a prison.
Jails (like prisons) are overcrowded. Several detainees might be held in a large cell
and many scandals have involved assaults on non-serious offenders by violent
offenders held in the same cell (Quinn, 2007).
Prisons hold convicted criminals for long periods of time—sometimes years, sometimes decades.
Most prisoners will eventually be released into free society, but a small minority will live out the remainder of their natural lives
behind prison walls.
A tiny minority of prisoners (a fraction of 1%) will be held until they are killed in an execution chamber.
Every state has its own prison system where it houses people convicted of felonies.
There are also federal prisons for people who break federal law.
Federal laws attempt to target crimes that reach beyond the borders of individual states or crimes that involve multistate
conspiracies.
At present, drug offenders are the single largest group of inmates in federal prisons.
State and federal prisons range from minimum security to maximum security.
At one end of the continuum are the open security federal prisons for offenders convicted of nonviolent drug offenses or
white-collar crimes such as insider trading, fraud, or embezzlement.
These “Club Feds” as they are sometimes facetiously called, often have no fences or guards or cellblocks.
Prisoners are held in cottages or dormitories; they interact with few restrictions and spend much of their time doing light prison
labor.
These institutions usually have exercise equipment and sometimes they even have tennis courts and softball leagues.
Some medium security “campus style” prisons feature small, scattered buildings enclosed by a tall fence (Clear, Cole, & Reisig,
2010).
At the other end of the continuum are supermax prisons (super maximum-security prisons)
reserved for people deemed to be especially serious or violent criminals.
Inmates are held in small cells, interaction is tightly controlled, and educational and
recreational opportunities are scarce or entirely absent.
Inmates in Pelican Bay’s Secure Housing Unit (known as the “SHU”) spend nearly 23 hours a
day alone in their cells without counseling, vocational training, or prison jobs.
During the remaining hour, prisoners are permitted to exercise (often in shackles) in the
prison “yard.”
According to the federal judge who heard a class action suit alleging inhumane conditions at
Pelican Bay, these conditions of extreme isolation and sensory deprivation, “press the outer
bounds of what most humans can psychologically tolerate” (Madrid v. Gomez, 1995, p.
1267).
Indeed, over time, many of the inmates exposed to such conditions develop serious mental
illness, including profound depression and psychosis (Mears, 2008).
The Goals of Imprisonment
“Penal institution” implies a place of punishment.
The term “penitentiary” is religious in origin and refers to a place where one can
repent and atone for one’s sins.
The term “correctional institution” suggests a place where the behavior of the
criminal can be improved or corrected.
Leslie is a first-time offender who is incarcerated. She has a 9-year-old son who was
living with her prior to her incarceration. Her son now lives with his father from whom
Leslie is separated. The father does not want their son to go to the jail but agreed to
allow visitation. The son wants to visit his mother, yet he is afraid of the jail. Leslie is
worried that her son will no longer respect her and that she may be causing
psychological damage to him. Although she wants to see her son, she does not want
him to see her in jail because she fears this will create more damage than has already
been done (Hairston, 1991b).
The number of women incarcerated in the United States is increasing with
every new law that requires stiffer sentences for minor offenses.
Although the vast majority of women prisoners are incarcerated as a result of
drug-related crimes, few programs exist inside the prisons to provide the
treatment that such women need in order to recover from their addictions.
Research has repeatedly shown that incarceration alone does not alter the
subsequent criminal behavior of drug-abusing offenders (Moon, Thompson, &
Bennett, 1993; National Institute of Corrections, 1991).
Policy reforms are drastically needed, given that most women prisoners are
substance abusers, most prisons do not offer substance abuse treatment, and
incarceration without a treatment component does not curb recidivism for
offenders who abuse drugs or alcohol.
Programs or psychotherapy groups designed to address their histories of abuse
are also scarce or nonexistent.
Although efforts have been made to improve programs for children and their incarcerated mothers, there are still many issues
that remain unresolved.
For instance, as Falk (1995) pointed out, because of their restrictions, many of these projects exclude one or more children of the
same family from visiting their mother. This could create a new set of problems for the family.
It may be unreasonable for all of a woman’s children to live with her in the prison, but programs should be developed where all
the children in one family can visit their mother for extended periods of time.
Because incarcerated women have suggested that being separated from their children is the most difficult aspect of their
confinement, support services designed specifically to assist them in adjusting to this separation should be developed further
(Hairston, 1991b; Luke, 2002).
Annie would have benefited greatly from assistance on how to cope with being separated from her child.
Correctional/forensic psychologists can also be instrumental in developing programs that support contact between imprisoned
mothers and their children.
Given that such programs did exist for a short period of time, it can be assumed that the legislature once saw promise in such
initiatives, but subsequently found that they were not beneficial or cost-effective.
With the expertise and insight of both criminology and psychology, programmatic solutions need to be explored.
Psychologists can also work with correctional staff and facilities on how best to implement and run programs where children
would live within the prison or come for overnight visitation.
Not all staff will be knowledgeable about how to provide a positive environment for children, so child development specialists
should be involved in the programming.
Also, the correctional facilities need to develop visitation areas which promote family bonding and help children overcome their
fears of going to the prison for visitation.
As Leslie’s case shows, children are afraid of jails and prisons and may not want to see their mothers for this reason.
Psychologists could also facilitate psychotherapy groups for women in need of support, as a result of their separation from their
children.
Once programs and services have been developed within the correctional institution, then policies should be developed to assist
these same women when released from prison.
Currently, there is no set standard for continuing services outside of the prison (Adalist-Estrin, 1994).
These mothers may be struggling with someone seeking to terminate their parental rights. Mothers released from prison need
assistance with this process.
Correctional facilities could have social workers on staff to help these women transition back into their families.
One area that has been neglected is the development of more comprehensive programs for fathers who become incarcerated.
In some situations, the father is the sole caretaker. As such, his children likely experience the same sense of grief over the loss of
the male parent.
Even if the children have a mother at home, they still have a connection with their father and they should be able to visit him in
order to maintain that connection.
Male correctional facilities could assist with this by improving their visitation areas and by allowing for extended child visits.
If the father is the sole caretaker of a young child, then policies for developing live-in programs at male prisons also should be
developed.