211294 Deviant Sexual Compulsive Behavior: An Epidemiological Criminology Framework for Clinical Psychologists

Tuesday, November 10, 2009: 2:45 PM

David Williams, PhD , Federal Correctional Complex Pollock, Federal Bureau of Prisons, Pollock, LA
Prison can be viewed as a social microcosm of people, who, in many situations are often: psycho-socially delayed, morally impaired, and run the risk of compromising their safety by confronting their mental illness. Due to the paramilitary structure of the prison setting, many inmates experience pressures to mask their mental illness for fear of peer rejection, and often learn to cope with their issues by engaging in a variety of unhealthy behaviors (i.e. substance abuse, unprotected sex, and violence). To compound this issue further, the symptoms of some mental illnesses can serve as protective mechanisms in a prison setting (e.g. hypervigilance, destructive attention seeking behavior, and impulsivity) whereby making it difficult to provide appropriate clinical intervention. In addition, many psychologists were not trained to address the unique nuances of a correctional setting. Such issues include: differential diagnosis between psychosis and malingering, substance-related crisis management, characterological maladjustment, and environmentally/medically-induced mental health issues. The enmeshment of mental health accommodations with secondary gains, sought by many criminals (i.e. psychoactive medication, provisions to living spaces, and increased attention from staff), invariability impede the delivery of mental health services in a prison setting. The need for a comprehensive paradigm that incorporates mental health and criminological theories to a controlled setting, such as prisons, is necessary if specially designed behavioral interventions are to continue evolving scientifically. This presentation will address such issues.

Learning Objectives:
Be able to distinguish between adaptive prison behaviors (in both men and women) and their mental health symptoms. Identify the places and conditions in prison where mental illness can go unnoticed and unreported. Identify the risks of providing clinical intervention with inmates that are diagnosed with Antisocial Personality Disorder. Be able to explain some gender differences accounting for same sex relationships in a prison setting.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: The presenter was part of the original panel that first introduced the concept of Epidemiological Criminology. He has extensive experience in presenting at national meetings/conferences.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.