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Acción Psicológica

versión On-line ISSN 2255-1271versión impresa ISSN 1578-908X

Acción psicol. vol.14 no.2 Madrid jul./dic. 2017  Epub 11-Sep-2023

https://dx.doi.org/10.5944/ap.14.2.20784 

Artículos del monográfico

Adaptation to prison and psychological adjustment in a sample of prison inmates

Mercedes Novo (orcid: 0000-0002-0942-1501)1  , Ana Pereira (orcid: 0000-0002-3195-3504)2  , María José Vázquez3  , Bárbara G Amado (orcid: 0000-0001-9262-1469)2 

1Facultade de Psicoloxía, Universidade de Santiago de Compostela, España

2Unidade de Psicoloxía Forense, Universidade de Santiago de Compostela, España

3Departame nto AIPSE, Universidade de Vigo, España

EXTENDED SUMMARY

Introduction

Though research has focused on prison institutionalization, the impact of prison environments on the mental health of prison inmates remains unclear. This underscores the need to analyse the adaptation to the prison context and its relationship with psychological adjustment and cognitive skills.

Method

Participants

A total of 112 inmates serving sentences in the Central de Paços de Ferreira Penitentiary (Portugal) participated in the study. All subjects were men, aged from 23 to 74 years (M = 40.40, DT = 1.04), 77 with previous criminal records and mostly Caucasian (94 %). As for marital status, 28.6 % (32) lived as couples (married, common-law union, or consensual unions), and 71.4 % (80) were (bachelors, separated, widowed).

The mean number of crimes committed in this sample was 8.57 (DT = 0.90), ranging from 1 to 44 crimes. As for the types of crime, the Portuguese criminal code describes crimes against society and property (34.85 %), people (16 %), society (11.6 %), society and people (9.8 %), property (8 %), property and people (6.3 %), with 13.4 % of inmates serving sentences for two or more crimes. The sample was consisted of 61.60 % reoffenders versus 38.46 % first-time offenders. In short, most inmates had a criminal record and were serving sentences for crimes against people, society, and property.

Procedure and design

All subjects voluntarily participated in the study. The study design was approved by the penitentiaries and informed written consent was obtained from the inmates’. The design sensitivity analysis showed the probability of detecting (1-β) significant differences (α < .05) for a mean effect size ranged from 8 4 % to 99 % according to data analysis. Consequently, the study design was highly sensitive to detecting significant differences.

Measurement Instruments

The inmates' sociodemographic and legal-penal data was gleaned from their prison records. As for the psychopathological measurement instrument, inmates were administered the SCL-90-R (Derogatis, 1994), that evaluates nine clinical dimensions and three global severity indicators. This instrument was back translated from Spanish to Portuguese.

For the participants in this study, the analysis of internal consistency of the SCL-90 showed high internal consistency for the clinical scales (i.e., for participants in the study, α = .801 for somatization scale; α = .680 for obsessive-compulsive; α = .731 for interpersonal sensitivity; α = .716 for depression; α =.771 for anxiety; α =.674 for hostility; α =.579 for phobic anxiety; α = .524 for paranoid ideation, and α =.677 for psychoticism).

To evaluate coping ability, the CRI-A (Coping Responses Inventory Adult Form) de Moos (1993) that consists of two parts, was completed. In both parts, inmates were instructed to respond to the test with their entry into prison as the situation-problem. The CRI-A evaluates eight types coping strategies that were shown to be reliable with the participants in this study: Logical analysis (LA) (α = .771); Positive Reappraisal (PR) (α = .638); Seeking Guidance and Support (SG) (α = .676); Problem Solving (PS) (α = .710); Cognitive Avoidance (CA) (α = .790); Acceptance or Resignation (AR) (α = .602); Seeking Alternative Rewards (SR) (α = .793), and Emotional Discharge (ED) (α = .810).

To examine perceived social status, the MacArthur Scale of Subjective Social Status (Adler and Stewart, 2007) was applied where inmates use a 10-point scale to rank the position of the inmate in relation to other prison inmates to indicate perceived social status. The inmates' external social status was evaluated by requesting prison personnel to score each inmate on a 10-point scale of an adapted version based on social status criteria defined by Caldwell (1956). To assess the adaptation to prison, the Prison Adjustment Index (PAI) of Wolfgang (1961) was used to evaluate the degree of each inmate's adaptation from a perspective and with administrative criteria, provided by the prison personnel.

Results

Adaptation to prison and criminological variables

Inmates with a history of early behavioural problems showed significant differences in the level of adaptation, t(110) = 2.18, p < .05, d = 0.48, with less adaptation for these inmates (M = 0.43), as compared to inmates with no such history (M = 0.66). Moreover, inmates with problems of illegal substance abuse showed statistically significant differences in prison adaptation, t(107.05) = 3.07, p < .01, d = 0.62. Thus, inmates with a history of abuse is indicative of worse adaptation to prison (M = 0.45), as compared to inmates with no history of abuse (M = 0.73).

Furthermore, differences were observed in the adaptation of prison inmates according to family history of psycho-emotional problems, t(90.19) = 1.92, p < .05, d = 0.40. The inmates worst adapted to the prison context had a history of these family problems (M = 0.48), as compared to inmates without psycho-emotional problems (M = 0.67). Moreover, inmates with no partner (M = 0.50) adapted worse to prison than inmates with partners (M = 0.84), t(77.47) = 3.99, p < .001, d = 0.77. Thus, a history of risk behaviour, and early behavioural and psycho-emotional problems in the context of the family are associated to worse adjustment to the prison system, whereas having a relationship with a partner or married couples appears to be a protective factor against nonadaptation to prison.

The results also revealed a significant relationship between prison adaptation and external social status, χ²(1, N = 112) = 3.57, p < .05, phi = .18. In other words, 68 % of well adapted inmates had high external status as assigned by the prison personnel, in comparison to 32 % of non-adapted inmates. Whereas 51% of low status inmates were classified as adapted, 49% were not adapted. Nevertheless, the discrepancy between the external evaluation of prison personnel and the inmates self-reported social status t(112) = 4.39, p < .001, d = 0.42, indicated inmates hold a positively biased self-perception of social status in prison (M =1.01, IC95%[0.56, 1.46]), though variability was very high (DT = 2.43, VC = 240.59). This result would suggest that self-perceived social status is based on the compliance of the prison code and values, whereas external social status is based on the adaptation and adjustment to prison.

Psychological adjustment

In the population of prison inmates and the normalized population highlights that inmates, in comparison to the non-pathological population (contrast sample of delinquents, not mental patients), exhibited significant symptomology characteristic of somatization, obsessive-compulsive, interpersonal sensitivity, depressive, anxiety, hostility, phobic anxiety, paranoid ideation, and psychosis. In short, the prison population differed from the general population in all of the clinical variables of the SCL, and the three severity indices i.e., the former displayed more clinical symptomology and of greater intensity.

Regarding the condition of reoffending, it was not associated to clinical symptomology, save on the obsessive-compulsive scale, which was higher in prison inmates. Reoffenders suffered from more thoughts, impulses, and actions that are experienced as impossible to avoid and undesired. Moreover, the degree of prison adaptation had no influence on the clinical symptomology of inmates i.e., neither symptomology nor symptom severity were greater in relation to the degree of adaptation to prison.

Cognitive skills for problems-solving

Coping involves four problem approximation strategies (Logical analysis, Positive revaluation, Search for guidance and support, Problem-solving), and four de avoidance strategies (Cognitive Avoidance, Acceptance or Resignation, Seeking Alternative Rewards, Emotional Discharge). Significant differences were observed in all of the coping avoidance scales, indicating inmates used more avoidance strategies. Approximation strategies refer to differences exclusively in logical analysis, a strategy that inmates used less than the general population.

Discussion

This study is subject to several limitations which should be borne in mind in interpreting the results. First, the sample was homogeneous, and the effect of the maturation of the inmates through time was not controlled, and the impact of prison treatment on inmates benefiting from prison intervention programs. Moreover, this type of population tends to manipulate responses both towards feigning to avoid sanctions or to obtain their prison classification, and defensiveness, either aimed at concealing negative characteristics or to exhibit positive characteristics to obtain prison benefits. Taking into account these limitations that mediate the generalization of the results, the following conclusions may be drawn.

As for status and the different approaches to evaluating it, que, from the personnel' perspective, inmates obtaining high social status were better adapted. Notwithstanding, a discrepancy was observed between self-reported social status and external evaluation, whereby inmates have a positively biased perception of their status social. In relation to the prison adaptation of inmates, the prison context was found to lead to greater maladjustment in vulnerable subjects, for instance inmates who are illegal substance abusers, and those with psychoemotional problems in the family context or early behavioural problems, whereas having a partner improved adaptation. Thus, the results substantiate the importing model that contends the prison culture imports habits, values, and customs that have been previously acquired by inmates prior to entering prison and influence the level of prisonization.

Regarding psychological adjustment, the results indicate the prison population is different to the general population in all of the clinical variables under evaluation, and the three severity indices i.e., inmates display more clinical symptomology and of a greater severity, even though it may not be related to the degree of prison adaptation. This result corroborated the findings of previous studies that found a greater prevalence of psychopathological disorders in the prison population and the greater risk of depression. These changes and adaptations seem to respond to the process of prisonization. Thus, several authors have reported deterioration in the mental health of inmates when they enter prison, but improvement in mental health is observed through the period of incarceration, particularly after the first year and in small prisons. The prison system should be responsible for caring for the mental health of inmates and should seek to take advantage of a prisoner's admittance to prison as an opportunity for intervention and for improving the health of inmates in accordance with the principles of Therapeutic Jurisprudence. Moreover, further research is required to examine the relationship between mental health and the prison system as a key objective.

Furthermore, the results of this study have revealed that inmates used more avoidance strategies i.e., cognitive avoidance, acceptance or resignation, search for alternative rewards, and emotional unloading. This avoidance coping style centred on emotions is characterized by the tendency to illusions, thought avoidance and to conceiving these situations as unreal, and to foster negative emotions such as rage. As for approximation strategies, inmates resort less to logical analysis than the general population. Hence, the personal risk that is characteristic of the prison context inhibits any sign of vulnerability and fosters the use of approximation coping strategy leading to maladjustment inmates.

In short, this study has contributed to the assessment of the adaptation and adjustment of prison inmates and is relevant to the design of prison intervention programs and prisoner release programs that have proven to be efficacious in improving social and cognitive competence, and in reducing the effects of prisonization (Dettbarn, 2012).

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Received: July 17, 2017; Accepted: September 19, 2017

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