Offenders as victims: post-traumatic stress disorder and substance use disorder among male prisoners

Background: Comorbid substance use disorder(s) and post-traumatic stress disorder (SUD-PTSD) is common among prisoners and linked to an increased risk of criminal recidivism; however, little is known about the characteristics of prisoners with this comorbidity. Aim: This study provides a preliminary examination of the clinical and criminal profile of male inmates with symptoms of SUD-PTSD, and examines whether this profile differs according to whether a person has experienced a trauma while in prison. Methods: Thirty male inmates from two correctional centres in Sydney, Australia, were recruited and assessed using a structured interview. Results: The sample reported extensive criminal, substance use and trauma histories. A history of substance dependence was almost universal (90%) and 56.7% met diagnostic criteria for PTSD with the remainder experiencing sub-threshold symptoms. Forty-three per cent reported a traumatic event while in prison. Those who had experienced trauma in prison, compared to those who had not, were more likely to nominate heroin as their main drug of concern and to be receiving drug treatment in prison. There was also a trend toward inmates who had experienced a trauma in prison being more likely than inmates who had no prison trauma to have experienced a physical assault. Conclusion: Male prisoners with SUD-PTSD are a high-needs group yet treatment responses are poor. Further research examining treatment options for this comorbidity may improve prisoner well-being and reduce recidivism.     

THE DEFEAT THAT CHANGED CHINA'S HISTORY

正This year marks the 120th anniversary of the outbreak of the First Sino-Japanese War of 1894-95,commonly known in China as the Jiawu War.Time has passed,but the trauma of the conflict is still felt by the Chinese people even today.The war,during which China’s then-ruling Qing Dynasty(1644-1911)was defeated,changed the fate of the country.It exposed the     

Blast Injury and the Human Skeleton: An Important Emerging Aspect of Conflict‐Related Trauma

Recent decades have seen an accelerating trend in warfare whereby a growing proportion of conflict‐related deaths have been caused by explosions. Analysis of blast injury features little in anthropological literature. We present a review of clinical literature that includes prevalence of injury to anatomical regions and potential indicators of blast injury which can be used by forensic anthropologists. This includes high prevalence of extremity (22.8–91.2%) and facial (19.6–40%) injury in combat contexts, lower limb fractures (19–74.3%) in suicide bombing, traumatic amputation (3–43%) and diffuse fracture patterns in terrorist bombings. Potential indicators of blast trauma include blowout fractures in sinus cavities from blast overpressure, transverse mandibular fractures, and visceral surface rib fractures. Ability to recognize blast trauma and distinguish it in the skeleton is of importance in investigations and judicial proceedings relating to war crimes, terrorism, and human rights violations and likely to become increasingly crucial to forensic anthropology knowledge.     

The Effect of Previous Traumatic Injury on Homicide Risk

Research has reported that a strong risk factor for traumatic injury is having a previous injury (i.e., recidivism). To date, the only study examining the relationship between recidivism and homicide reported strong associations, but was limited by possible selection bias. The current matched case–control study utilized coroner's data from 2004 to 2008. Subjects were linked to trauma registry data to determine whether the person had a previous traumatic injury. Conditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs) for the association between homicide and recidivism. Homicide risk was increased for those having a previous traumatic injury (OR 1.81, 95% CI 1.09–2.99) or a previous intentional injury (OR 2.53, 95% CI 1.24–5.17). These results suggest an association between homicide and injury recidivism, and that trauma centers may be an effective setting for screening individuals for secondary prevention efforts of homicide through violence prevention programs.     

When benefitting a patient increases the risk for harm for third persons — The case of treating pedophilic Parkinsonian patients with deep brain stimulation

This paper investigates the question whether it is ethically justified to treat Parkinsonian patients with known or suspected pedophilia with deep brain stimulation — given increasing evidence that this treatment might cause impulse control disorders, disinhibition, and hypersexuality. This specific question is not as exotic as it looks at a first glance. First, the same issue is raised for all other types of sexual orientation or behavior which imply a high risk for harming other persons, e.g. sexual sadism. Second, there are also several (psychotropic) drugs as well as legal and illegal leisure drugs which bear severe risks for other persons. We show that Beauchamp and Childress' biomedical ethics fails to derive a veto against medical interventions which produce risks for third persons by making the patients dangerous to others. Therefore, our case discussion reveals a blind spot of the ethics of principles. Although the first intuition might be to forbid the application of deep brain stimulation to pedophilic patients, we argue against such a simple way out, since in some patients the reduction of dopaminergic drugs allowed by deep brain stimulation of the nucleus subthalamicus improves impulsive control disorders, including hypersexuality. Therefore, we propose a strategy consisting of three steps: (1) risk assessment, (2) shared decision-making, and (3) risk management and safeguards.     

The Truths/Fictions/Traumas of Marikana: Exploring Violence and Trauma in Three Films,The Marikana Massacre: Through The Lens (2013), Miners Shot Down (2014), and Night is Coming: A Threnody for the Victims of Marikana (2014)

ABSTRACT

By exploring three films that centre on the Marikana strikes and killings of 2012, I seek to examine both the representations of violence as trauma, and the trauma of representing violence, within the context of visual, cinematic texts. I position Marikana, and the trauma of Marikana, as both a highly significant moment, and also as representative of deeper social and political traumas and injustices. I ask whether and how these films create a narrative context for this pivotal moment in South African history. I also question the effects of cinematic style and genre in the depictions of trauma and violence. The institutional context in which each film originated and developed is important, and I argue that the audience's expectations of the genre of documentary film also play a significant role in the way in which the films process trauma. I situate my paper in conversation with previous articles by Lucy Graham and Helene Strauss among others, that deal with cinematic portrayals of Marikana. By examining the selected films alongside each other, and through the lens of Decolonial Trauma Studies, I hope to elucidate the ways in which these South African films deal with and work through trauma.     

Painful Pleasure: The Politics and Aesthetics of Psychosocial Trauma in Impunity

Abstract

Continuous trauma syndrome (CTS) is the foundation for the characters in the film Impunity. The aesthetic choices in the narrative structure are an exploration of the discursive nature of violence and trauma in contemporary South African society. The theorising of continuous stress trauma provides the necessary challenge to the more conventional understanding of post-traumatic stress syndrome and informs the underlying analysis of the film. This analysis is offered in an interlocutory manner with psychology theorist Garth Stevens who provides a hermeneutic reading of Impunity that draws directly from his own research and others in the field of psychology. The paper is offered as an examination of an artistic research, film practice. The practice itself constitutes a theoretical expression which connects the aesthetic and structural choices of the film with the disciplinary observations made by Stevens. It suggests two theoretical approaches from different disciplines brought in conversation with each other to inform the reading of Impunity as artistic expression. The paper puts at its centre the discursive approach to the study of violence and trauma to suggest how the film’s structure and its aesthetics may be connected to research in the field of psychology.     

Zimbabwean Indigenisation and the Shadow Economy of Cinematic Production

ABSTRACT

In recent years, Zimbabwe has suffered a political and economic crisis, which has generated impulses that have traumatised the country's film industry, among many other sectors. Resultantly, Zimbabwe's cinematic context of production has been reimagined and reconfigured in recent years. The southern African country's ruling elite, during former president Robert Mugabe's tenure, championed controversial policies of indigenisation in economic sectors, partly as a way of countering external economic and political hostilities. This article explores how the Zimbabwean film economy has responded to postcolonial indigenisation impulses and how the production context has developed parallel to or in tandem with this reality. It teases out the challenges and prospects posed by impulses of indigenisation in Zimbabwe to the country's fledgling film production industry by analysing the video-film production value chain post-2000, when the indigenisation agenda emerged and was consolidated. Informed by the theorisation of the shadow economies of cinema, the study employed in-depth interviews to collect data from purposively selected Zimbabwean filmmakers and policymakers. Thematic analysis was used to analyse this data. The study shows that indigenisation has been a pragmatic response to the economic trauma facing the film industry, although it has, in turn, sent out its own traumatic impulses that continue to affect the industry's structure and aesthetic.     

Eye movement desensitisation and reprocessing for offence-related trauma in a mentally disordered sexual offender

Abstract

Research demonstrates a high incidence of offence-related trauma in mentally disordered offenders convicted of violent and sexual offences. The adaptive information processing (AIP) model offers a theoretical framework for understanding the hypothesised relationship between offence-related trauma and reoffending. Evidence suggests that for a sub-population of offenders presenting with offence-related trauma: (1) therapy may retraumatise them, and (2) unresolved trauma severely blocks the positive benefits of talking therapies. Thus, it is postulated that traumatised violent and sexual offenders may be released into the community when they are still at risk of reoffending. A single case study is presented, which describes the application of eye movement desensitisation and reprocessing (EMDR) for a sexual offender presenting with offence-related trauma, whose offences occurred in the context of serious mental disorder. The identification of offence-related trauma and subsequent resolution of trauma symptomatology are discussed in regard to effective offender rehabilitation. Furthermore, the idiosyncratic nature of offence-related trauma and the application of the standard EMDR protocol for a single traumatic event are considered.     

Ramchand Pakistani,Khamosh Pani and the traumatic evocation of Partition

This article will address the themes of partition, gender and trauma within two independent films from Pakistan, Sabiha Sumar's Khamosh Pani (2003) and Mehreen Jabbar's Ramchand Pakistani (2008). The article will consider how the events of 1947 – partition of India and creation of Pakistan – recur within the films as disruptive trauma. The article will consider what an engagement with the characteristics of trauma such as involuntary recall and disruption can bring to my readings of the films. Connections are established between women's experiences of ethnic tensions within the contemporary settings of the films and the gendered experiences of 1947. These are expressed in distinct ways, however; the prominence of the themes of trauma within both work to create a powerful presentation of women's subjectivity in Pakistan. Further to this, they draw attention to the possible inevitability of trauma being central to identities and locations forged out of a partition that entailed border creation, large-scale disruption, and violence. The article will conclude that close readings of both films highlight the role of the traumatic in the formation of gendered national identities.