Mental disorder among prisoners : toward an epidemiologic inventory

著者

書誌事項

Mental disorder among prisoners : toward an epidemiologic inventory

Nathaniel J. Pallone

Transaction Publishers, c1991

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注記

Includes bibliographical references (p. [151]-178) and index

内容説明・目次

内容説明

What do we know about the mental health of inmates? What are the implications of what we know? Nathaniel J. Pallone characterizes opinion on these questions as falling into two broad camps: the "tender-hearted," those who see an overlap between mental illness and criminal behavior, and are treatment-oriented; and the "tough-minded," those who have little confidence in psychiatric categories, do not really accept arguments about diminished responsibility, and who feel the emphasis should be on punishment. Which is closer to the truth? When this book was first published, the incidence of mental disorder among prisoners was nearly four times greater than among comparable groups in the general population in part because prisoners are disproportionately drawn from demographic groups with a high incidence of mental disorder-nonwhite and from lower socioeconomic strata. But other data is equally dismaying: mental retardation is 50 percent higher; alcohol and drug abuse is between five and eight times greater; and neurogenic disorders may be 1,700 times greater. In all categories of mental illness, the incidence among prisoners is far higher than among the general population. Pallone asserts that evidence suggests that the design and implementation of mental health care needs serious reevaluation, particularly in view of Supreme Court decisions mandating mental health care despite obstacles with implementation. Palone saw mental health care as the primary issue for those who manage prisons. Sadly, this remains as true as when this book was first published.

目次

Contents Preface 1 Without Comprehensive Data, Bias Flowers Easily Cherished Beliefs at Diametric Poles Toward Sophisticated Guesswork The Burden of Inconvenient Knowledge 2 Epidemiological Studies of Mental Health and Illness Methods of Assessing Mental Disorder Studies of Mental Illness in the General Population Demographic Characteristics of Correctional Populations Relative Incidence of Mental Disorder by Race Relative Incidence of Mental Disorder by Gender The Issue of Socioeconomic Class Psychometric Studies among Prisoners Mental Retardation among Prisoners The Limits of Generalizability Conclusion 3 Alcohol and Substance Abuse Disorders Substance Abuse as Criminal and as Criminogenic Incidence of Alcohol and Substance Abuse Base Rates in the General Population Conclusion 4 Neurogenic Mental Disorders Organic Disorders and Violent Behavior Cause, Effect, or Concomitant? The Question of Culpability Revisited Correctional Management of Neurogenic Violence Conclusion 5 Reprise: Estimates of Mental Health Staffing Needs Probable Incidence of Mental Disorder among Prisoners The Right to "Treatment" and to "Care" Judicially-Imposed Mental Health Staffing Standards 6 After-Words: Parables of Convenient Ignorance and Casual Indifference A Demurrer about Causality Mental Health Care vs. Correctional Rehabilitation A Parable about Elephants and Giraffes 7 General Summary References Index

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