The personal impact of delivering a one-to-one treatment programme with high-risk sexual offenders: Therapists' experiences

Abstract

Previous research suggests that delivering treatment for sexual offenders can have both positive and negative effects on therapists. We know less about the specific impact of conducting such work in different ways; for example, individually rather than in groups. This study aimed to explore the experiences of sexual offender therapists delivering a one-to-one programme with clients. Eleven therapists delivering an individual intervention with high-risk sexual offenders in English prisons took part in interviews and focus groups about the impact this work has had upon them. One participant also completed a diary charting their experiences while delivering the intervention. Content analysis identified that participants felt they experienced changes in how they viewed themselves, others and the therapeutic relationship, in both positive and negative ways. They also described experiencing intrusive thinking and feeling overly responsible for the outcome of treatment. However, positive effects were also identified. Findings suggest that the provision of structured supervisory support was particularly key in mitigating the impact of treatment delivery.     

From Learning to Labour to Learning to Self-Control: The Paradigmatic Change in Swedish Prison Policy

This article has been written from the position that we fail to understand the character of the changes in prison policy in the last decades if we concentrate too much on the new emphasis on control and security. By making use of Thomas Kuhn's paradigm model, the article argues that it is fertile to see the changes in Swedish prison policy during the last decades as a paradigm shift. Although the new emphasis on control and security is important, it is only one feature in a larger transformation which concerns changing perceptions of the criminal subject, new theoretical understandings, new treatment methods, as well as a new role for the prison in penal policy in general. The article conceptualizes the policy that has developed inside the Swedish Prison and Probation Service during the last decades as the developing of a new paradigm in contrast to the old prison policy paradigm of the welfare state. The article especially discusses the significance of the development of so-called evidence-based knowledge as well as the creation of a Scientific Council inside the Swedish Prison and Probation Service which have led to a re-pathologization of the criminal subject. Other features that make up the new paradigm are the numerous programmes built on cognitive therapy and the emphasis on individual risk assessments. On a general level, the new paradigm has developed during, and is congruent with, the dominance of a neo-liberal regime.     

Effects of Drug Treatment Units in Swedish Prisons

This article presents the findings from an evaluation of the care provided at treatment units for drug abusers in Swedish prisons. A total of 741 inmates who were placed in prison treatment units in 2006 are compared with individuals with whom they were matched on the basis of their statistical risk for reoffending, and who served prison terms during the years 2001–2002. Half of the inmates in the treatment group were placed in units working with a 12-step programme, while the remainder were placed in treatment units employing cognitive programmes. The study shows positive results with respect to reoffending. The greatest differences were found in the following subgroups: males, inmates who were at least 30 years of age, those who completed their stay in a treatment unit, and those who had spent at least 4.5 months in a treatment unit.     

Living Conditions,Social Exclusion and Recidivism Among Prison Inmates

Swedish drug policy has according to official declarations been successful. The picture has recently been challenged through rising drug use and rising drug related mortality. This development has taken place in spite of the restrictive Swedish policy with further penalization of drug consumption, increasing number of police officers working with drug crime and rising number of persons sentenced to prison for drug offences. The question to be explored here is then what strategies the Swedish Government has chosen in the light of the development and how these strategies should be explained. The analysis is based on central Government documents as well as statements from Government ministers, public authorities and voluntary organizations. The picture that emerges is a denial of the failure of the old Swedish model but at the same time an alarmist stand with demands for increases of resources for information, treatment and control. The strategies chosen can be derived from two central themes in Swedish drug debate: ‘a drug‐free society’ and ‘total rehabilitation’. The two in turn seem to be aspects of an underlying vision—the vision of the good and integrative welfare society.     

Mexican‐American homicide in phoenix, 1980–1991: A comparative and descriptive analysis

Race and ethnicity has emerged as one of the most important variables in explaining differences in homicide perpetration and victimization patterns in the U.S. Most research on minorities and homicide has tended to focus exclusively on African‐Americans, while excluding other minority groups such as Native Americans, and Latinos. In this study we examine patterns of homicide among Mexican Americans in Phoenix from 1980 through June 1991. These patterns are compared to those displayed by non‐Latino African Americans, and non‐Latino whites in Phoenix for the same time period.     

Gray Matters: Gender Differences in the Physical and Mental Health of Older Inmates

Although there has been a substantial increase in the number of older female inmates incarcerated in the United States, there has been little scholarly attention paid to this population. The purpose of this study is to extend the current understanding of older inmates by examining gender differences in their physical and mental health. Bivariate analyses of one of the largest known samples of older female inmates (n = 142) revealed significant gender differences. Older female inmates reported a greater number of physical health conditions and mental health disorders in all three time periods: in their lifetimes, since admission to prison, and in the previous year. This research informs the need for gender-specific health programming for older female inmates.     

Female Inmates' Perspectives on Sexual Abuse by Correctional Personnel

Abstract

Research into the sexual abuse of female inmates by correctional workers is scarce, despite documentation of its occurrence in prisons across the United States. This exploratory study examined dimensions of staff-inmate sexual contact in a correctional facility in Hawaii through two focus group interviews with imprisoned women. The women described three types of sexual abuse in prison: “trading,” “love,” and “in the line of duty.” Findings include the women's account of these forms of abuse and their perceptions of responsibility for staff-inmate sexual contact in correctional institutions. The women's beliefs about factors contributing to sexual abuse of female inmates, including job expectations of and power issues among adult correctional officers (ACO's), and the consequences of reporting abuse are also discussed. Given the vulnerability of female inmates and the power dynamics that typify the prison context, further research on this problem is warranted.     

‘Coping with the job’: prison staff responding to self-harm in three English female prisons: a qualitative study

This study considers how those who work in prisons are affected by and respond to repetitive self-harm of imprisoned women in English prisons. This paper considers the perspectives of custodial staff working in this area on a day-to-day basis. Semi-structured face-to-face interviews were conducted with 14 prison staff and explored using techniques of thematic analysis. The interviews examined: the emotional impact of working with and witnessing self-harm incidents, coping strategies used, training and the support available to prison staff. Findings indicate the strategies used by staff to cope emotionally with such incidents and these include presenting a ‘façade of coping’, rejecting support and becoming desensitised. It is concluded that staff felt they must portray themselves as coping well with self-harm in prison even when they were troubled and emotionally affected by it. However, some did describe accepting help when outside of the prison and this has implications for how support can be offered in the future. It is recommended that more should be done to support and train staff in this area.