Freedom to think – the value of multiple clinical narratives in women’s prisons†

Abstract

The merits of being multi-lingual are widely recognised. This paper considers the application of this metaphor to the conceptualisation of clinical work in a women’s prison. We suggest that sharing ‘languages’ from different theoretical orientations in open fora enables teams to build deep and nuanced understandings of clinical and systemic complexity, of particular value in secure settings. This discussion reflects the service model developed and used within HMP/YOI Holloway, a large women’s prison in London, which has recently been closed. We utilise a case example, with formulations and recommendations from several perspectives, to illustrate the value of maintaining a rich, inclusive discourse. We describe the benefits of such an approach to staff teams, to institutions and to those we serve, and consider the implications for organisation of services to maximise potential for change and recovery.     

US: immigration court allows Zambian woman's asylum claim based on HIV infection

On 9 February 2004, the federal Immigration Court ruled that a Zambian woman can stay in the US because her HIV-positive status gives her a well-founded fear of persecution in Zambia. The court found that she would face severe and lethal discrimination in the public health clinics and in the employment sector and that the Zambian government is unwilling or unable to control this persecution.     

UK: Court of Appeal orders retrial in UK's first HIV criminal transmission case

On 5 May 2004, the UK Court of Appeal, Criminal Division, granted Mohammed Dica's appeal against his October 2003 conviction on two counts of causing grievous bodily harm for reckless transmission of HIV. The court ordered a retrial after determining that the trial judge was wrong to not allow the defendant to present information that the victims had known about his condition and had consented to the risk.     

The identification of Isopar H in vinyl flooring

Vinyl flooring manufacturers use plasticizers to decrease the viscosity and increase the pliability of vinyl. Several ignitable liquid plasticizers used in the manufacture of vinyl flooring were identified and investigated in this study. Twenty-nine collections from five major vinyl manufacturers, a total of 72 samples, were analyzed using passive headspace concentration in accordance with the American Society for Testing and Materials (ASTM E 1412-00) and gas chromatographic-mass spectrometric (GC-MS) analysis as described in ASTM E 1618-01 (1,2). Norpar products and TXIB (2,2,4-trimethyl-1,3-pentanediol diisobutyrate) are ignitable liquids common to the manufacture of vinyl flooring and were identified in all recently obtained samples. Isopar H is an ignitable liquid found in various products such as charcoal starters, copier toners, and some solvents (2). Of the 29 collections analyzed, Isopar H was only identified in Armstrong's Interflex-Traditions pattern.     

Part II: Sex differences in persons found not guilty by reason of insanity: analysis of data from the Connecticut NGRI Registry

Thirty-one female insanity acquittess from Connecticut were matched to a group of 31 male NGRIs. The samples were compared with regard to demographic, criminal, and clinical characteristics. Logistic regression analyses were used to determine predictors of criminal recidivism for the sample. Results indicated that women NGRIs were older, more likely to be married, less likely to be substance abusers, had less extensive criminal records, and were released from hospitals sooner than the men. A significant racial difference was noted: white women had less extensive criminal records and were hospitalized for shorter periods than minority women. Results of the logistic regression analyses showed that the strongest independent predictors of criminal recidivism were race and having a diagnosis other than psychosis (schizophrenia, affective or organic disorders). Findings support recent APA policy guidelines on the insanity defense.     

Evaluation of a photodiode array/HPLC-based system for the detection and quantitation of basic drugs in postmortem blood.

A systematic analytical approach has been developed for liquid chromatography determination of a number of basic drugs in postmortem blood. Using selective extraction, that is, back extraction into 0.2N sulfuric acid and 6N hydrochloric acid after the initial extraction with toluene under basic conditions (from 2 mL of blood), basic and weakly basic drugs, such as propranolol and diazepam, can be simultaneously quantitated and identified with a high degree of confidence. A microcomputer-based photodiode array detector was used to evaluate peak purity and facilitate peak identification. An automatic library search was performed at the end of each analysis using the system software. The method was validated for within-day and between-day precision for ten basic drugs at two concentrations. The coefficient of variation for the between-day precision was less than 8.7%. Accuracy of the assay was tested at four concentrations using linear regression analysis. The coefficients of determination (r2) for all ten drugs were greater than 0.99, and their slopes were close to unity. The chromatographic conditions developed are suitable for the screening of several basic, acidic, amphoteric, and neutral drugs. Retention data and ultraviolet spectral data for 119 drugs on two reversed-phase columns, using acidic mobile phases, are also presented.     

The Politics and Reality of Environmental Justice: A History and Considerations for Public Administrators and Policy Makers

This article provides a short history of the environmental justice movement in the United States and discusses four dominant problems in environmental justice discourse. It also will discuss three other aspects of the environmental discourse: weak empirical research; the failure to recognize the distinction between hazard and risk; and the possibility that environmental justice is more about fear, blame, procedural inclusion, and power politics than it is about public health in minority and low–income communities. More rational mechanisms for managing the issue would better serve the ideal of democracy, giving society a better chance of solving public health problems in minority and low–income communities.