Tuesday, May 1, 2012

International Perspectives on Mental Health - British Journal of Psychiatry - General Psychiatry News

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International Perspectives on Mental Health BJP May 2012 200:434;
 


International Perspectives on Mental Health
British Journal of Psychiatry
Ghodse's volume comprises articles commissioned for the journal International Psychiatry, and falls somewhere between a formal atlas and more informal internet sources. Articles are often written by senior figures in the field (and in some cases by the ...

Severe mental illness in 33 588 prisoners worldwide: systematic review and meta-regression analysis

Severe mental illness in 33 588 prisoners worldwide: systematic review and meta-regression analysis

  • Review article

  • Severe mental illness in 33 588 prisoners worldwide: systematic review and meta-regression analysis

    1. Katharina Seewald, Bsc
    + Author Affiliations
    1. Department of Psychiatry, University of Oxford, Warneford Hospital, UK
    2. Department of Psychiatry, University of Oxford, Warneford Hospital, UK and Department of Psychology, University of Konstanz, Germany
    1. Correspondence: Seena Fazel, University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, UK. Email: seena.fazel@psych.ox.ac.uk
    • Declaration of interest
      None.

    Abstract

    Background
    High levels of psychiatric morbidity in prisoners have been documented in many countries, but it is not known whether rates of mental illness have been increasing over time or whether the prevalence differs between low–middle-income countries compared with high-income ones.
    Aims
    To systematically review prevalence studies for psychotic illness and major depression in prisoners, provide summary estimates and investigate sources of heterogeneity between studies using meta-regression.
    Method
    Studies from 1966 to 2010 were identified using ten bibliographic indexes and reference lists. Inclusion criteria were unselected prison samples and that clinical examination or semi-structured instruments were used to make DSM or ICD diagnoses of the relevant disorders.
    Results
    We identified 109 samples including 33 588 prisoners in 24 countries. Data were meta-analysed using random-effects models, and we found a pooled prevalence of psychosis of 3.6% (95% CI 3.1–4.2) in male prisoners and 3.9% (95% CI 2.7–5.0) in female prisoners. There were high levels of heterogeneity, some of which was explained by studies in low–middle-income countries reporting higher prevalences of psychosis (5.5%, 95% CI 4.2–6.8; P = 0.035 on meta-regression). The pooled prevalence of major depression was 10.2% (95% CI 8.8–11.7) in male prisoners and 14.1% (95% CI 10.2–18.1) in female prisoners. The prevalence of these disorders did not appear to be increasing over time, apart from depression in the USA (P = 0.008).
    Conclusions
    High levels of psychiatric morbidity are consistently reported in prisoners from many countries over four decades. Further research is needed to confirm whether higher rates of mental illness are found in low- and middle-income nations, and examine trends over time within nations with large prison populations.

    Severe mental illness in 33 588 prisoners worldwide: systematic review and ...
    British Journal of Psychiatry
    Correspondence: Seena Fazel, University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, UK. Email: seena.fazel{at}psych.ox.ac.uk High levels of psychiatric morbidity in prisoners have been documented in many countries, but it is not known ...

    Prison Psychiatry Review - 5.1.12 - Mike Nova's starred items

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    Prison Psychiatry Review - 5.1.12

    Tuesday, May 1, 2012

    British Journal of Psychiatry

    Severe mental illness in 33 588 prisoners worldwide: systematic review and meta-regression analysis

    Severe mental illness in 33 588 prisoners worldwide: systematic review and meta-regression analysis

  • Review article

    Severe mental illness in 33 588 prisoners worldwide: systematic review and meta-regression analysis

    1. Katharina Seewald, Bsc
    + Author Affiliations
    1. Department of Psychiatry, University of Oxford, Warneford Hospital, UK
    2. Department of Psychiatry, University of Oxford, Warneford Hospital, UK and Department of Psychology, University of Konstanz, Germany
    1. Correspondence: Seena Fazel, University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, UK. Email: seena.fazel@psych.ox.ac.uk
    • Declaration of interest
      None.

    Abstract

    Background
    High levels of psychiatric morbidity in prisoners have been documented in many countries, but it is not known whether rates of mental illness have been increasing over time or whether the prevalence differs between low–middle-income countries compared with high-income ones.
    Aims
    To systematically review prevalence studies for psychotic illness and major depression in prisoners, provide summary estimates and investigate sources of heterogeneity between studies using meta-regression.
    Method
    Studies from 1966 to 2010 were identified using ten bibliographic indexes and reference lists. Inclusion criteria were unselected prison samples and that clinical examination or semi-structured instruments were used to make DSM or ICD diagnoses of the relevant disorders.
    Results
    We identified 109 samples including 33 588 prisoners in 24 countries. Data were meta-analysed using random-effects models, and we found a pooled prevalence of psychosis of 3.6% (95% CI 3.1–4.2) in male prisoners and 3.9% (95% CI 2.7–5.0) in female prisoners. There were high levels of heterogeneity, some of which was explained by studies in low–middle-income countries reporting higher prevalences of psychosis (5.5%, 95% CI 4.2–6.8; P = 0.035 on meta-regression). The pooled prevalence of major depression was 10.2% (95% CI 8.8–11.7) in male prisoners and 14.1% (95% CI 10.2–18.1) in female prisoners. The prevalence of these disorders did not appear to be increasing over time, apart from depression in the USA (P = 0.008).
    Conclusions
    High levels of psychiatric morbidity are consistently reported in prisoners from many countries over four decades. Further research is needed to confirm whether higher rates of mental illness are found in low- and middle-income nations, and examine trends over time within nations with large prison populations.

    Severe mental illness in 33 588 prisoners worldwide: systematic review and ...
    British Journal of Psychiatry
    Correspondence: Seena Fazel, University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, UK. Email: seena.fazel{at}psych.ox.ac.uk High levels of psychiatric morbidity in prisoners have been documented in many countries, but it is not known ...
  • via prisons - Google News on 4/27/12

    Gothamist


    Prison officials want new sex crime for inmates
    The Journal News | LoHud.com
    (WTW) — Connecticut prison officials are asking for a new law that would label inmates who commit lewd acts in their cells as sex offenders. Department officials say it's an ongoing problem at prisons such as the high security Northern Correctional ...
    Prison Officials Go After Masturbating PrisonersNBC Connecticut

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    via Behavior and Law by Mike Nova on 4/27/12
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    via prisons - Google News on 4/27/12

    Irish Times


    With Prison Ministry, Colson Linked Religion and Reform
    New York Times
    “Since the 1960s, prison reform has been seen as a leftist cause,” Robert Perkinson, a historian and the author of “Texas Tough: The Rise of America's Prison Empire,” said this week. “But it used to be a Christian cause, and Colson played a big role in ...
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    Chuck Colson: A Redemption StoryHuffington Post
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    all 101 news articles »

    via Behavior and Law by Mike Nova on 4/30/12
    With Prison Ministry, Colson Linked Religion and Reform — Beliefs - NYTimes.com

    April 27, 2012

    Fred R. Conrad/The New York Times
    Charles W. Colson, the Watergate figure, founded Prison Fellowship, the world’s largest Christian outreach to prisoners.

    With Prison Ministry, Colson Linked Religion and Reform


    By MARK OPPENHEIMER

    “Since the 1960s, prison reform has been seen as a leftist cause,” Robert Perkinson, a historian and the author of “Texas Tough: The Rise of America’s Prison Empire,” said this week. “But it used to be a Christian cause, and Colson played a big role in bringing prison reform back to Christian conservatism.”
    Dr. Perkinson was referring, of course, to Charles W. Colson, the convicted Watergate felon who died last Saturday. In his first act, Mr. Colson was “Nixon’s hatchet man” and “the ugliest of the Watergate thugs, the most shamelessly vicious,” as one historian wrote this week in The New Republic.
    But Mr. Colson, who found Jesus shortly before entering prison, remade himself as a free man, in 1976 founding what became Prison Fellowship, the world’s largest Christian outreach to prisoners. In the process, he played an important role in the ever-changing relationship between prisons and religion. Historians of penology — there are many — remembered Mr. Colson as someone who, in a small way, pointed American prisons back toward their roots.
    Scholars speak of two rival impulses in American incarceration: one an older, Christian reform impulse and the other a disciplinary and retributive impulse, focused on punitive labor and harsh conditions, which gained strength in the slaveholding South.
    “Since the 1790s, religious reformers in some Eastern states successfully lobbied not only for the creation of prisons, but also for reformers’ influence in these institutions’ management,” Jennifer Graber, author of “The Furnace of Affliction: Prisons & Religion in Antebellum America,” wrote in an e-mail. “New York’s first prison, for example, had an operating board composed primarily of Quaker reformers.”
    Philadelphia’s earliest prisons were also influenced by Friends, or Quakers. They believed bad environments led people to crime. The theory, according to Joshua Dubler, of the University of Rochester, was that “you separate people out, and because every human being has a divine light inside of them, the divine light will thrive anew.”
    In these prisons, those who committed crimes could be penitents — hence the term “penitentiary” — then re-enter society as changed people. Jailers often relied on solitary confinement, which could drive prisoners mad, but the impulse, at least, was toward rehabilitation.
    But almost from the beginning that model was opposed by another model, in which the prison was mainly a place of punishment: think of chain gangs and labor farms. Over the centuries, each model has come in and out of vogue.
    In the 1960s, “we were at a progressive extreme” in prison theory, according to Dr. Dubler. Prison administrators pursued prisoners’ rehabilitation, while many inmates — including those, like Malcolm X, who joined the Nation of Islam — practiced “revolutionary, politically engaged religion.” Since the 1980s, however, with the trend toward more punitive prisons, prison religion, often supported by volunteers like those from Mr. Colson’s outreach group, has often been more about “adjusting to the system, not about changing the system itself,” Dr. Dubler said.
    Yet Mr. Colson advocated more humane, less crowded prisons; more prisoner contact with the outside world; more rehabilitative services; and better services for re-entry to society. Against the conservative and evangelical tides, Mr. Colson was, in a sense, returning to the spirit of the 1960s, or even the 1790s.
    A spokesman for Prison Fellowship pointed to studies — by New York Theological Seminary and the University of Pennsylvania, among others — that conclude that prison ministry turns inmates away from crime.
    But not all scholars are convinced.
    “Criminologists have convincingly shown that inmates involved in religious programming have fewer infractions while inside,” said Dr. Graber. “The data outside is much more difficult to interpret.”
    “Nobody knows if this stuff works,” said Winnifred F. Sullivan, a professor at the University at Buffalo and the author of “Prison Religion.” Because prisoners have to request to be part of Mr. Colson’s programs, they may be a more motivated population, Dr. Sullivan said, making it hard to determine the source of any eventual success.
    Dr. Sullivan praised Mr. Colson’s ministries for going where other angels fear to tread. “Few people want to do this work,” she said. But she agreed that while Mr. Colson allied with many liberals on prison reform, his brand of evangelical Christianity easily accommodated a conservative vision of society.
    The basic goal of Prison Fellowship Ministries “is to train people to be good productive workers in a capitalist society,” Dr. Sullivan said. The ministers want to teach people “to get up every morning and go to work and take care of their families. They say they just happen to use religion.”
    Dr. Perkinson, who teaches at the University of Hawaii at Manoa, said that Mr. Colson’s conservative faith may help inmates understand their own failings, but that it does little to help them understand society’s.
    “The thing that’s sad is you could have a prison tied to the social gospel or liberation theology, which could connect people to the sins and failings of the larger society,” Dr. Perkinson said. “But that’s not what they have access to.”
    Dr. Perkinson once visited the Carol S. Vance Unit, a Texas prison that subcontracts with Prison Fellowship for programming. Inmates can opt into the program, but cannot be forced to participate. He was both discomfited and amazed by what he saw.
    “On the one hand, it was flagrantly unconstitutional,” Dr. Perkinson said. “If you didn’t believe God created the earth in seven days, and not just that same-sex relations were a sin but so was masturbation, you couldn’t graduate from this program. It was almost Taliban-style. But it was the only prison of all that I visited in Texas that was permeated with love.”
    mark.e.oppenheimer@gmail .com; twitter.com/markopp1

    via Behavior and Law by Mike Nova on 4/27/12
    Kurdish Kids and Turkey's Shameful Prisons | Human Rights Now - Amnesty International USA Blog

    Kurdish Kids and Turkey’s Shameful Prisons

    Children's Rights, Europe, Prisoners and People at Risk | Posted by: , April 27, 2012 at 9:08 AM
    turkish police arrest kurdish boy
    Turkish police arrest a Kurdish boy during a demonsration in main Kurdish city Diyarbakir on December 31, 2011 as they protest aginst a Turkish air raid.
    In 2010 the Turkish Parliament, reacting to criticism by Amnesty International and other human rights organizations, modified their Anti-Terrorism Laws to end the prosecution of children in adult courts solely for taking part in demonstrations. Despite this change, children, and particularly Kurdish children, continued to be arrested, prosecuted, jailed and abused under other provisions in the Turkish Anti-Terrorism laws.
    What has taken place at Pozanti prison outside of Adana, Turkey, reveals just how badly children are being abused and mistreated under these laws. According to a report by members of the European Parliament, children in the prison were deprived of food and medical treatment, beaten while naked with iron bars by prison staff, and sexually abused by adult prisoners. As H.D. a 15-year-old, reported:

    “Some of our friends were molested many times. They beat us and forced us to undress. What we have been through cannot be put into words.”
    The abuses were reported to the Ministry of Justice, but only seven months later, after the abuses were publicized by a Kurdish news agency and on twitter, did the Justice Minister take action. His solution: move the children from Pozanti to another overcrowded children’s prison 500 kilometers away from their families and put them in single, camera-monitored cells. As for the three Kurdish reporters who published the story about the abuses, they were arrested a few days ago and charged with being members of a terrorist organization.
    April 23 was Children’s Day in Turkey. The Turkish NGO Followers of Justice for Children (ÇİAT) organized a forum in honor of the occasion. At it, a child victim of Turkey’s Anti-Terrorism Laws “who doesn’t prefer to tell his name speaks: ‘We didn’t kill anybody, we didn’t damage to property of anyone. Why are we kept in prison while people selling drugs are walking outside? Nothing happens to the drug-dealers. However, we are put in prison. We are beaten. We do not want to be put in prison any more.’”
    When the reporter asked why “he didn’t prefer to tell his name, he reminded [the reporter of] the child who was subjected to 40 years of penalty as he talked to press after he was released from Pozantı Prison.”
    If you are interested in the issue of Human Rights in Turkey, consider joining us on our Turkey Regional Action Network on Facebook.
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    via Behavior and Law by Mike Nova on 4/27/12
    Google Reader - Forensic Psychiatry News

    European lawmakers dismayed at CIA prison probes
    Boston.com
    VILNIUS, Lithuania—European lawmakers on Friday criticized two probes by Lithuanian authorities into alleged CIA prisons, describing them as contradictory and incomplete. The European Parliament members said that they would attempt to rekindle ...
    Lawmakers visit alleged CIA prison in LithuaniaFox News
    European lawmakers dismayed at Lithuania's contradictory probes into alleged ...Washington Post

    all 78 news articles »

    via Behavior and Law by Mike Nova on 4/28/12
    The Myth of Deterrence - NYTimes.com

    Editorial

    The Myth of Deterrence

    Published: April 27, 2012
    One of the most frequently made claims about the death penalty is that it deters potential murderers. That was the claim when the Supreme Court reinstated capital punishment in 1976. It is the claim today after a revival of research about the topic in the last decade.
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    But a distinguished committee of scholars working for the National Research Council has now reached the striking and convincing conclusion that all of the research about deterrence and the death penalty done in the past generation, including by some first-rank scholars at the most prestigious universities, should be ignored.
    The committee found that the research “is not informative about whether capital punishment increases, decreases, or has no effect on homicide rates.” No study looks at what really matters, by comparing the deterrent effects of capital punishment with other penalties, like life without parole. A lot of the research assumes that “potential murderers respond to the objective risk of execution,” but only one in six of the people sentenced to death in the last 35 years have been executed and no study properly took that diminished risk into account.
    “Nothing is known about how potential murderers actually perceive their risk of punishment,” said the criminologist Daniel Nagin, chairman of the committee.
    The committee was careful to say what it did not examine, including the proven risk that an innocent person could be sentenced to death and the fact that the administration of capital punishment could well be discriminatory.
    On Wednesday when Connecticut’s governor, Dannel Malloy, signed the state’s new law abolishing the death penalty, these problems were on his mind. As a former supporter of capital punishment, he said that he “came to believe that doing away with the death penalty was the only way to ensure it would not be unfairly imposed.”
    The 33 states that retain the death penalty should follow that lead.
    A version of this editorial appeared in print on April 28, 2012, on page A18 of the New York edition with the headline: The Myth of Deterrence.

    via Behavior and Law by Mike Nova on 4/29/12
    Obama Budget: Grow Prisons and Keep Gitmo | Mother Jones



    Obama Budget: Grow Prisons and Keep Gitmo

    As broke states try to shed nonviolent inmates, the federal detention machine looks to expand.

    | Wed Feb. 22, 2012 4:00 AM PST
    Prison Thomas Hawk/Flickr
    President Obama's budget request for fiscal year 2013 includes cuts to everything from Medicare and Medicaid to defense and even homeland security. But federal prisons are among its "biggest winners," according to an analysis by the Federal Times. The Bureau of Prisons (BOP) is seeking a 4.2 percent increase, one of the largest of any federal agency, which would bring its total budget to more than $6.9 billion.
    So what kind of criminals are we spending all this money to incarcerate? If you're thinking terrorists and kidnappers, think again. According to the Sentencing Project, only 1 in 10 federal prisoners is locked up for a violent offense of any kind. More than half are drug offenders—hardly surprising, since federal prosecutions for drug offenses more than doubled between 1984 and 2005. The 1980s also produced mandatory minimum sentences, which meant we were not only sending more people to prison, we were keeping them there far longer—a perfect formula for an exploding prison population.
    "Increasing funding for more prison beds has been shown to be a self-fulfilling prophecy," notes the Justice Policy Institute. "If you build it, they will come."
    Indeed, the federal prison population ballooned from fewer than 25,000 inmates in 1980 to 210,000 in 2010—an eightfold increase—while the federal prison budget grew by a whopping 1,700 percent. Nowadays, as state prison populations have begun to fall for the first time in decades—the product of a steady decline in violent-crime rates, lawsuits over prison conditions, and deficits that have forced state officials to rethink their incarceration policies—the number of federal inmates continues to grow by about 3 percent a year. The projected 2013 federal prison population is 229,268 inmates—6,500 or more than in 2012. "Increasing funding for more prison beds has been shown to be a self-fulfilling prophecy," notes the Justice Policy Institute. "If you build it, they will come."
    According to Obama's new budget, new federal prisons opening in Mississippi and West Virginia will house some 2,500 of those additional prisoners. Another 1,000 will be placed in private prisons—which now hold 18 percent of federal prisoners, far more than most state systems. The remainder of the new inmates will presumably be jammed into the existing federal prison facilities, which are already operating at 142 percent of capacity.
    Factored into the budget request is $44 million in savings from an expansion of programs that let prisoners shave time off their sentences by behaving well and participating in educational and vocational programs, plus a compassionate release program for seriously ill inmates who have served most of their time—a smart move for the BOP, since it would shift its costliest medical cases onto Medicaid. But there's no guarantee that these "program offsets" will pass, especially given that Congress nixed similar proposals last year.
    Conspicuously absent from the Obama budget is an item the administration requested for 2011 and 2012: money to purchase and retrofit a disused Illinois prison to serve as Gitmo North, a home for detainees now held at Guantanamo Bay. Since late 2009, Obama has floated plans to buy Thomson state prison and convert it into a second supermax for Gitmo residents who were tried and convicted on American soil. But Congress has yet to come through with the cash, and it seems, at least in this budget, that the White House has thrown in the towel.
    If the federal government acquires Thomson, it will not be for the purpose of replacing Guantanamo, but "to meet critical federal prison capacity needs," a Department of Justice spokesperson told TPM. In other words, we could end up with Gitmo on top of a new federal supermax like the one in Florence, Colorado—the closest thing to a torture chamber that exists in America today.The Sentencing ProjectChart courtesy of the Sentencing Project

    James Ridgeway

    Senior Correspondent
    James Ridgeway is a senior correspondent at Mother Jones. For more of his stories, click here. RSS | Twitter

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    via Behavior and Law by Mike Nova on 4/29/12
    Licking County Jail seeks solution to suicide jumps | The Newark Advocate | NewarkAdvocate.com

    NEWARK -- In nine months, at least three inmates required hospitalization for jumping from jail modules, leaving sheriff's office supervisors questioning how they can make the space safe.
    "It's something that's happening in jails across the country," Licking County Sheriff Randy Thorp said.
    But at least three area jails aren't facing the same problems, administrators said.
    One concern is how the jail was designed. The Licking County jail has several modules with tiers and open spaces so deputies can monitor inmates, Thorp said.
    On March 28, a male inmate in module C jumped about eight feet onto a pingpong table he had slid into position earlier, Licking County Sheriff's Office Capt. Tom Brown said.
    The inmate was taken to Licking Memorial Hospital for treatment and was released shortly afterward. He was not on suicide watch, Brown said.
    On Nov. 19, a female inmate was flown to Grant Medical Center in Columbus after falling about 15 feet toward tables in the center of the women's module. She was treated and returned to jail.
    On July 12, an inmate died of injuries he sustained after jumping from a railing in module B.
    Many jails were built with open spaces, but some sheriffs are questioning whether that's the safest configuration, Thorp said.
    The Muskingum, Fairfield and Delaware county jails were not built with open designs, making jumps difficult if not impossible, administrators said. The three facilities have not had inmate suicides in recent years.
    "The physical plan is different," said Lt. Randy Wilson, Muskingum County jail administrator.
    Thorp said his office is looking at alternatives, such as putting up a net, but that could restrict visibility or introduce flammable materials into the space, Thorp said.
    "We are looking at a netting or screening," said Brown, adding that jail personnel need to be sure the new material is appropriate for the facility.
    Some changes were made in 2011 after two inmates died after hanging themselves and another died from injuries sustained in a jump. Jail officials assigned deputies to specific modules so they would better understand the behavior of inmates in those areas, Brown said.
    Deputies also advised visitors to let deputies know if their incarcerated relatives expresses suicidal thoughts or seem off, Brown said.
    Another concern is the growing number of incarcerated people with mental health issues, Thorp said.
    Licking County Jail's year-end reports indicate more people with mental health and substance abuse problems are housed there, Brown said.
    It's the more mild conditions that have increased; serious mental health problems have not changed in the past 10 years, said Bob Hammond, chief of the mental health bureau for the Ohio Department of Rehabilitation and Correction.
    Ohio's prison system prioritizes those inmates who require more management and psychotropic medications, such as schizophrenia or head injuries, Hammond said. About 10,000 prisoners fall into that really severe category, he said.
    The prison system has options for housing potentially suicidal individuals ranging from four residential treatment centers or intensive outpatient programs to including them in the general population, Hammond said.
    Jails do not have as many options, he said.
    In Licking County, a mental health staff of three assesses people entering the jail; the facility is accredited by the National Commission on Correctional Health Care and American Correctional Association, Thorp said.
    That differs from the Muskingum, Fairfield and Delaware county jails that contracted with outside agencies for mental health treatment.
    But many people in jail should probably be elsewhere receiving help, Thorp said.
    "We aren't really suited to be a mental health facility," Thorp said.
    The space isn't therapeutic, said Brown, adding that deputies have to lift a person in a wheelchair in and out of bed.
    "We're not equipped for that," Brown said.
    Jessie Balmert can be reached at (740) 328-8548 or jbalmert@ newarkadvocate.com.

    via Behavior and Law by Mike Nova on 4/29/12
    Sexual abuse in prisons - The Washington Post

    Sexual abuse in prisons

    Sexual abuse in prisons
    Editorial Board APR 29
    The Justice Department has put off a crackdown for too long.

    Sexual abuse in prisons


    By Editorial Board, Published: April 29


    TENS OF THOUSANDS of men, women and children have been sexually abused behind bars over the past three years while the Obama administration dithered.

    The Justice Department was charged with implementing regulations for correctional institutions and detention facilities that would reduce the scourge of sexual violence behind bars. The administration had, by law, until June 2010 to complete the task. That was nearly two years ago.

    Congress unanimously approved the Prison Rape Elimination Act (PREA) in 2003 with rare and spectacular bipartisanship. Ideological opposites — Reps. Frank Wolf (R-Va.) and Bobby Scott (D-Va.) and Sens. Jeff Sessions (R-Ala.) and the late Edward M. Kennedy (D-Mass.) — were lead sponsors. The act created a commission that spent six years studying sexual abuse in correctional facilities and crafting thoughtful proposals to decrease such violence.

    The commission was led by Judge Reggie B. Walton of the U.S. District Court for the District of Columbia, a judge known for his tough law-and-order approach. It included representatives from academia and the private corrections industry and prisoner advocates. The panel issued recommendations in the summer of 2009; the Obama administration had a year to craft regulations.

    Instead, the Justice Department needlessly duplicated the commission’s work, re-interviewing dozens of individuals and groups whose views the panel had considered. It waited while a private consulting firm analyzed the costs of implementing changes, and it blamed the bureaucratic process for delays. It did not, in other words, move with all deliberate speed to protect those in government custody from a form of brutality that leaves psychological scars that can hamper a person’s reintegration into society. Swift and sure action would have been the appropriate response if the administration had been serious about refuting the vile assumption that sexual abuse is an acceptable byproduct of incarceration.

    The administration deserves credit for endorsing some provisions that did not sit well with the corrections industry at large, including a prohibition on cross-gender pat-downs and strip searches of juveniles and the conclusion that PREA covers not just rape but a broader category of sexual abuse. It should apply these policies to federal immigration detention centers. Everyone in custody — regardless of the type of institution — should be able to know that the government is doing everything in its power to ensure humane and safe conditions. And juveniles should enjoy the strongest protections.

    Some with direct knowledge of the status of the regulations say they are in the last stages of review by the Office of Management and Budget and could be out within weeks. We certainly hope so.

    Mike Nova's starred items

    via Behavior and Law by Mike Nova on 4/30/12
    Prisons often withhold death reports | | The Bulletin

    Prisons often withhold death reports

    By The Associated Press
    Published: February 14. 2012 4:00AM PST
    The Oregon State Penitentiary is seen in Salem in November 2011. Seventy-nine inmates died in Oregon prisons in the past two years, and the Department of Corrections said nothing to the public about all but one of them. The Statesman Journal compiled the information from internal prison reports obtained through public records law, court filings and other documents. - Danielle Peterson / Salem Statesman Journal
    Danielle Peterson / Salem Statesman Journal
    The Oregon State Penitentiary is seen in Salem in November 2011. Seventy-nine inmates died in Oregon prisons in the past two years, and the Department of Corrections said nothing to the public about all but one of them. The Statesman Journal compiled the information from internal prison reports obtained through public records law, court filings and other documents.
    SALEM — Seventy-nine inmates in Oregon prisons died over a two-year span, but the state Department of Corrections made only one of those deaths public.
    The prisons agency has no plan to change its policy of making public only those deaths of “certain high-profile or notorious inmates,” the Salem Statesman Journal reported Monday.
    The newspaper was able to compile information about the other deaths from internal prison reports obtained through public records law, court filings and other documents.
    Most inmates were dead of natural causes, but among the unreported deaths in 2010-11 was a prisoner who died of a suspected drug overdose and a convict who cut his wrist.
    The DOC also did not report deaths due to natural causes in the system that holds 14,000 inmates.
    Another death involved Richard Gifford, 22, who was developmentally disabled and died in a segregation cell at the state penitentiary in May 2010. An autopsy determined that he died of an “intravenous injection of undetermined drug or toxin.”
    Gifford’s mother has filed a federal civil rights suit against the state, alleging that prison mental health workers failed to properly treat him and ignored his warnings that he was suicidal. It also alleges that staff members in the Disciplinary Segregation Unit frequently failed to make required checks on the inmate.
    The department withheld reports on his death, citing the litigation.
    The department did issue a news release when Shelly Resnick died in her cell in May at the Coffee Creek Correctional Facility in Wilsonville, where she was serving time from Multnomah County for stealing checks from her work as a courier company employee.
    She hanged herself, the medical examiner’s office reported.
    “We posted the passing of Shelly Resnick because her crime and conviction was covered by the media, and we thought it would be of particular interest,” said Jennifer Black, spokeswoman for the Corrections Department.
    She said the department gives state legislative leaders quarterly reports on inmate deaths and submits inmate-death data periodically to the U.S. Department of Justice’s statistics bureau.
    The prison system has 14,000 inmates in 14 prisons throughout the state.
    The Oregon State Penitentiary in Salem had the largest number of inmate deaths during 2010-11, with 31, followed by 23 at the Snake River Correctional Institution near Ontario, 11 at the Two Rivers Correctional Institution in Umatilla, five at the Eastern Oregon Correctional Institution in Pendleton, four at the Oregon State Correctional Institution in Salem and two at Coffee Creek.
    Three prisons each had a single death during the same time period: Columbia River Correctional Institution in Portland, South Fork Forest Camp in the Coast Range and Deer Ridge Correctional Institution near Madras.

    Monday, April 30, 2012

    Prisons often withhold death reports | | The Bulletin

    Prisons often withhold death reports | | The Bulletin

    Prisons often withhold death reports

    By The Associated Press
    Published: February 14. 2012 4:00AM PST
    The Oregon State Penitentiary is seen in Salem in November 2011. Seventy-nine inmates died in Oregon prisons in the past two years, and the Department of Corrections said nothing to the public about all but one of them. The Statesman Journal compiled the information from internal prison reports obtained through public records law, court filings and other documents. - Danielle Peterson / Salem Statesman Journal
    Danielle Peterson / Salem Statesman Journal
    The Oregon State Penitentiary is seen in Salem in November 2011. Seventy-nine inmates died in Oregon prisons in the past two years, and the Department of Corrections said nothing to the public about all but one of them. The Statesman Journal compiled the information from internal prison reports obtained through public records law, court filings and other documents.
    SALEM — Seventy-nine inmates in Oregon prisons died over a two-year span, but the state Department of Corrections made only one of those deaths public.
    The prisons agency has no plan to change its policy of making public only those deaths of “certain high-profile or notorious inmates,” the Salem Statesman Journal reported Monday.
    The newspaper was able to compile information about the other deaths from internal prison reports obtained through public records law, court filings and other documents.
    Most inmates were dead of natural causes, but among the unreported deaths in 2010-11 was a prisoner who died of a suspected drug overdose and a convict who cut his wrist.
    The DOC also did not report deaths due to natural causes in the system that holds 14,000 inmates.
    Another death involved Richard Gifford, 22, who was developmentally disabled and died in a segregation cell at the state penitentiary in May 2010. An autopsy determined that he died of an “intravenous injection of undetermined drug or toxin.”
    Gifford’s mother has filed a federal civil rights suit against the state, alleging that prison mental health workers failed to properly treat him and ignored his warnings that he was suicidal. It also alleges that staff members in the Disciplinary Segregation Unit frequently failed to make required checks on the inmate.
    The department withheld reports on his death, citing the litigation.
    The department did issue a news release when Shelly Resnick died in her cell in May at the Coffee Creek Correctional Facility in Wilsonville, where she was serving time from Multnomah County for stealing checks from her work as a courier company employee.
    She hanged herself, the medical examiner’s office reported.
    “We posted the passing of Shelly Resnick because her crime and conviction was covered by the media, and we thought it would be of particular interest,” said Jennifer Black, spokeswoman for the Corrections Department.
    She said the department gives state legislative leaders quarterly reports on inmate deaths and submits inmate-death data periodically to the U.S. Department of Justice’s statistics bureau.
    The prison system has 14,000 inmates in 14 prisons throughout the state.
    The Oregon State Penitentiary in Salem had the largest number of inmate deaths during 2010-11, with 31, followed by 23 at the Snake River Correctional Institution near Ontario, 11 at the Two Rivers Correctional Institution in Umatilla, five at the Eastern Oregon Correctional Institution in Pendleton, four at the Oregon State Correctional Institution in Salem and two at Coffee Creek.
    Three prisons each had a single death during the same time period: Columbia River Correctional Institution in Portland, South Fork Forest Camp in the Coast Range and Deer Ridge Correctional Institution near Madras.

    Pioneer of global peace studies hints at link between Norway massacre and Mossad - Haaretz Daily Newspaper | Israel News

    Pioneer of global peace studies hints at link between Norway massacre and Mossad - Haaretz Daily Newspaper | Israel News


    • Published 20:18 30.04.12
    • Latest update 20:18 30.04.12

    Pioneer of global peace studies hints at link between Norway massacre and Mossad

    In several anti-Semitic remarks, Norwegian sociologist Johan Galtung also defends 'The Protocols of the Elders of Zion' and says Jewish influence was one of the factors leading to Auschwitz.

    By Ofer AderetTags: anti-SemitismEurope anti-SemitismHolocaust
     
    Johan Galtung - April 30, 2012
    Johan Galtung
    Johan Galtung, Norwegian sociologist nicknamed the “father of peace studies,” made anti-Semitic and anti-Israeli remarks while lecturing at the University of Oslo, in an article published afterward in the Norwegian press and in an interview with Haaretz that followed.
    Among other statements, Galtung claimed that a possible connection exists between the terrorist responsible for the massacre of children in Norway last summer, and the Mossad. “The Jews control U.S. media, and divert for the sake of Israel,” wrote Galtung in an article published in Norway.
    He pointed out that one of the factors behind the anti-Semitic sentiment that led to Auschwitz was the fact that Jews held influential positions in German society.
    Galtung also recommended reading “The Protocols of the Elders of Zion,” – one of the most popular anti-Semitic texts in the world.
    Professor Galtung, 82-years-old, is one of the founders of the discipline called “Peace Studies and Conflict Resolution,” as well as a founder of the international Peace Research Institute in Oslo. He is considered well-respected sociological researcher, has been awarded many prizes, and is the author of over a thousand articles and over a hundred books. Some of his work has also been translated into Hebrew.
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    Galtung’s repeated anti-Semitic remarks were exposed by the website of the Norwegian periodical, “Humanist.” (http://humanist.no) Some of the comments were made during a lecture at the University of Oslo last summer, and others were written by Galtung in response to an article critical of him that was published in the periodical.
    Among other claims, Galtung stated that there is a possible link between Anders Behring Breivik, responsible for massacring dozens of children in Norway last summer, and Jewish and Israeli factions. The connection is supposedly based on the fact that the murderer has ties to the “Freemasons” organization, “which has Jewish origins,” according to Galtung. The supposed connection to Israel is through the Mossad – which Galtung believes might have given Breivik his orders.
    In the same breath, Galtung mentioned a conspiracy theory, linking last summer’s massacre in Norway with the attack on the King David Hotel, carried out by the Etzel in 1946 – both attacks took place on July 22. He finished with this astonishing claim: “It will be interesting to read the [Norwegian] police report on Israel, during the trial."
    In an email exchange with Haaretz on Sunday, Galtung requested to clear up his claims. “When we know nothing about who is behind Breivik, including whether there is anybody at all, any hypothesis is legitimate; that is in the nature of research,” wrote Galtung.
    “I consider the Mossad highly unlikely, but it is illegitimate to eliminate it as a hypothesis with no evidence,” continued Galtung.
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    When asked what he meant concerning the police report on Israel, Galtung replied: “Exactly what I said. I’m assuming that they are open to any possibility, and not only investigating acts carried out by Breivik, but rather other conjectures as well.”
    In the correspondence with Haaretz, Galtung mentioned what he calls the “ambiguity of everything human.” To explain, he raised examples from the Middle Ages and the modern period. According to Galtung, “The terrible programs,” carried out upon the Jews, had another “problematic” side as well. “The Jews played a role in demanding payment from indebted peasants,” wrote Galtung.
    According to Galtung, “terrible Auschwitz,” had two sides as well. “[It was] not unproblematic that Jews had key niches in a society humiliated by defeat at Versailles,” wrote Galtung, referencing Germany following World War I. Galtung continued, “In no way, absolutely no way, does this justify the atrocities. But it created anti-Semitism that could have been predicted.”
    Another claim, made by Galtung in a Norwegian periodical, is that Jews control the American media. “Six Jewish companies control 96% of the media,” wrote Galtung. He included the names of journalists, publishers, TV networks, and movie studios, that he claims are controlled by Jews. Media mogul Rupert Murdoch was also included on the list. “He’s not Jewish, but many of the people under him are,” wrote Galtung, in reference to Murdoch. “Many of them are fanatically pro-Israel,” he pointed out. Immediately following these claims, Galtung wrote that “seventy percent of the professors at the 20 most important American universities are Jewish.”
    Galtung bases his doctrine on an article written by William Luther Pierce, founder of the “National Alliance,” a white supremacist organization. The same article inspired Timothy McVeigh to carry out the Oklahoma City bombings that killed 168 people in 1995.
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    When asked by Haaretz to describe the effects of the “Jewish control” of the media, he answered that it could be a good thing, in terms of intellectual quality, but that it could also “limit the discourse about anything where Israel is involved."
    As an example, he raised American media coverage of Iran. According to Galtung, “U.S. mainstream media only discusses Iran in terms of nuclear arms,” and does not discuss American involvement in internal Iranian affairs. Galtung wrote of “The trauma of 1953 – the CIA-MI6 strike against a legally elected prime minister.” Another example, according to Galtung, is “The Arab Spring, discussed only in terms of dictatorship-democracy, not also in terms of the role of U.S.-Israel behind those dictatorships."
    Galtung also held an open forum discussion concerning the contents of the book “The Protocols of the Elders of Zion,” one of the most quoted anti-Semitic works around the world. “I wonder how many people with such strong opinions on the book have even read it,” he wrote. “It is impossible to do so today without thinking of Goldman Sachs,” he added. Goldman Sachs is an international investment Bank founded and run by Jews, attacked in the media from time to time as a “capitalist pig."
    “The Protocols,” are a forgery, created by the Russian secret police during the days of the Czar, which supposedly illustrates the Jewish plot created at a secret conference called the “Elders of Zion” to take over the world. Galtung, however, has another opinion. “It is hard to believe that the Russian secret police was able to be so specific,” wrote Galtung. While corresponding with Haaretz, he was less decisive, writing “I don’t know exactly who wrote the protocols."
    Gad Yair, a sociology professor at Hebrew University, was the first to expose Galtung’s anti-Semitic remarks in Israel. Yair wrote about Galtung in his blog. (http://coolcite.com).
    “Professor Galtung was a valued and deserving member of any public or academic discussion, until now. If a trustworthy peace-broker was ever needed anywhere in the world, that was Norwegian professor Johan Galtung. This background gives meaning to the astonishment of Norwegian academia in the face of his comments. It is the same as the astonishment created by the murderer Breivikin." Norwegian academia is wondering, added Yair, how "this merchant of peace was basing his ideas on neo-Nazi publications, and including them in interviews, lectures and articles? Does he also, like Breivik, cry peace with a Nazi salute?"


    Haaretz

    'Father of peace studies' makes public anti-Semitic remarks
    Jewish Telegraphic Agency
    Galtung claimed that there is a possible connection between Anders Behring Breivik, the anti-Muslim Norwegian terrorist who massacred 77 people, mostly children, last summer and Israel's Mossad; he said he believes the Mossad might have given Breivik ...
    Pioneer of global peace studies hints at link between Norway massacre and MossadHaaretz

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    Anders Breivik – What is the Diagnosis? – rajpersaud

    Anders Breivik – What is the Diagnosis? – rajpersaud

    Anders Breivik – What is the Diagnosis?

    ARE THERE ANY CLUES FROM THE BEGINNING AS TO HOW ITS GOING TO END? HAS THE TRIAL OF ANDERs BREIVIK PRODUCED ENOUGH EVIDENCE TO NOW MAKE A DIAGNOSIS? DR RAJ PERSAUD AND RAMON SPAAIJ INVESTIGATE
    Citation
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    ARE THERE ANY CLUES FROM THE BEGINNING AS TO HOW ITS GOING TO END? HAS THE TRIAL OF ANDERS BREIVIK PRODUCED ENOUGH EVIDENCE TO NOW MAKE A DIAGNOSIS? Dr Raj Persaud and Ramon Spaaij Investigate.
    Anders Breivik has been relating a harrowing account of the events surrounding the massacre of 77 innocent victims in Norway, but the testimony to date has, perhaps surprisingly given its raw detail, not really yet resolved any of the questions as to his motivation or mental state. This is according to the journalists sitting in the court room and reporting the case to the world. As bewilderment mounts, public opinion appears to be congregating around two main conclusions – that he is insane or evil – or both. The problem is the legal and psychiatric processes often fail to recognise either conclusion. So after weeks of tormenting testimony, the Norwegian public could be left upset or enraged that they have been cheated of justice.
    It may come as a surprise that two of the most obvious phenomena we see around us – madness and wickedness, are not recognised by experts. But this is because specialists claim they dig deeper -and therefore end up with a different conclusion. Legal and medical professionals are supposed to engage in argument and decisions over these kinds of cases, in an un-emotional manner. Yet it feels impossible to respond to Breivik in any way other than a heightened emotional one. Indeed it seems almost sick to not do so.
    But flick through psychiatric textbooks and diagnostic manuals, and you won’t find ‘Evil’ formally listed anywhere. Yet you will encounter a term which appears to be the closest scientific equivalence to evil – this expression is – psychopath. The modern clinical term for evil might be psychopath, or sociopath, or anti-social personality disorder (ASPD) or dissocial personality disorder. The ever multiplying number of different expressions reflects an attempt by academics to find a dispassionate, scientific, or non-emotionally laden way of talking about, and researching the phenomenon. This is a personality disorder, which (see our previous article on this here) has been one of the most common clusters of diagnoses metered out to so-called ‘lone wolf’ killers, which is the kind of murderer Breivik appears to resemble the most.
    A personality disorder refers to an enduring set of attitudes and behaviours which go on all your life – so crucially it’s not like an illness which arrives and changes you – instead you were always that way. The puzzle is the court has so far not been hearing evidence of long-standing deep personality flaws which would anticipate such gross violence. Most suffering from such deep psychopathy would have been in serious trouble with the police before, or had a history of conflict, fights, or anger management, and so on. Perhaps we will be hearing evidence along these lines later. If not, Breivik appears able to control himself for extended periods, much more than others with these diagnoses can usually. Personality disorders reveal pasts littered with social isolation or short term unsatisfactory relationships, with difficulty holding down jobs or staying within any kind of organisation such as a political one. Breivik doesn’t appear to have been able to cooperate for any extended period with even the small groups of ultra-right wing extremists that he seems to have made contact with. Those he might find himself most aligned to, have also since dissociated themselves with him.
    In 2006, he moved in with his mother ‘to save money’ and then devoted 16 hours a day to playing on line computer games. At face level this is classic of a certain kind of inadequate personality type. We already covered how data from his playing of such games might be analysed to assist in the diagnosis in a previous article here. Of course neither compulsive gaming, nor living with your mother, are either in themselves signs of a disturbed mind. They are part of a pattern which emerges in a case where clues are difficult to discern. The data provided by the way he played computer games may provide additional information as to his personality, particularly when he himself is an unreliable witness to himself. The context is that Breivik appears to display a degree of social ineffectiveness and social isolation; he spent a lot of time by himself and seems to have struggled to establish and maintain intimate human relationships. But Breivik now apparently claims this was all part of a strategy which would culminate in the devastating attack five years later. Meticulous long term, relentless, single-minded planning is not usually consistent with the impulsivity linked to anti-social personality disorder, or the chaotic mind set associated with psychosis,. In court, Breivik claimed to have been ordained into a militant-nationalist group called the Knights Templar in London in 2002, but then he has to date refused to answer, apparently according to some reports, over 100 questions on the topic. This is very interesting from a psychiatric standpoint. He could just be lying, or covering up for collaborators. Someone who has a delusion, arising out of a psychotic illness, is not aware that what they are saying is not true. They firmly believe something which is palpably nonsensical to anyone else. Yet a psychopath, is more likely to know they are lying, and so endeavours to dissemble. Some clinicians would say this response ticks a box for a personality disorder such as anti-social.
    Similar confusion surrounded previous lone wolf killers such as Franz Fuchs and Theodore Kaczynski. Austrian Franz Fuchs, killed and injured using improvised explosive devices and mail bombs in the early 1990′s, claimed to be acting for a fictitious group, the Bavarian Liberation Army. Theodore Kaczynski, AKA the ‘Unabomber’ waged a letter bomb campaign in the US over almost two decades, stated that he was the leader of the Freedom Club (FC), fuelling the perception that a larger movement existed that thought as they did. The difficulty of deciding between personality disorder and psychosis with these other lone wolf killers, who appear very similar to Breivik, has been discussed in our previous articles. So far, Breivik hasn’t been reported thus far in court to suffer overt classic psychotic symptoms such as delusions or auditory hallucinations (hearing voices). A psychotic illness strikes you down and deviates you from your previous life path, and so is distinctly different from a personality disorder which dates back to childhood. Someone suffering from a psychosis, like schizophrenia, has therefore often experienced a dramatic personality transformation, and most with this diagnosis are not at all violent.
    In this context it’s intriguing that it has been reported that about ten years ago Breivik started to change profoundly, around the age indeed that, statistically, paranoid psychotic disorders are most likely to start. As a schoolboy, it’s reported he was fond of hip-hop music and had a Muslim best friend. But then he began to view immigrants as enemies, and those accommodating them as traitors who must be killed. Did this reported shift arise out of some psychotic mental illness which started then? But not all extremists, or even the majority, are frankly psychotic. Some espouse extremist causes because politics can provide an external focal point for everything going wrong in your life. Blaming enemies can be a convenient explanation for your own lack of success. Yet demanding to be released and treated as a hero, as he apparently has done in the past, appears delusional. As does his statement to the court last week that they only have two options – to release him, or execute him, when neither is a likely outcome.
    In one of the most pivotal moments in the last few days of testimony, before shooting his first victims, Breivik claimed he heard “100 voices” in his head telling him not to do it. Does this mean he was literally hearing voices? It’s quite a strange expression. If he wasn’t formally experiencing auditory hallucinations, is this a hint that he may have in the past? What is key about this evidence is that it sounds like Breivik has come the closest he has ever done in describing a strange kind of conscience. If he had doubts and was torn, then this provides a clue that he’s not falling into the category of psychopath quite so neatly. This is why investigating exactly what was going through his mind at that precise moment is so important. These so-called ’100 voices’ telling him not go ahead appears contradictory to his other plans to detonate more bombs, decapitate the Prime Minister, and kill more than he managed to. It is also at variance with apparently the only display of emotion by him in the court last week, being when he was shown one of his own propaganda films. This is in marked contrast to the apparent lack of remorse demonstrated day after day of monotone testimony. The crucial bit of the evidence is missing – how come he just moved on and started shooting people? How did he rebut these voices in his head – if they really were there? Did he say to himself that these people deserve it? The ends justify the means? Did he remind himself of his grand mission to save Norway? Did he know, delusionally, already what the outcome would be?
    Unfortunately we don’t know the answer to these questions, and that could be because Breivik so far doesn’t appear to have been yet subject to the right kind of cross-examination which would clarify the darkening mystery surrounding him. We can only hope these questions are yet to come. But as it’s reported his personal evidence is going to finish on Monday, we might be running out of time. It might seem almost offensive to try and understand the motivation and psychology of mass killers, but given there is some tentative evidence this kind of tragic event might be increasing in recent times, it becomes imperative to spot patterns so that preventive action can be taken. But another reason we might be against the clock, is it’s not unknown for this kind of mind set to be contemplating suicide. This might be the only way now left of eluding the ultimate indignity, and impotence, of incarceration. Suicide also assists in avoiding confronting many truths a murderer may have psychologically side-stepped so far, which living a long time might be the only treatment for. While suicide prevention strategies may well be in place, one truth that has emerged this week, is this is a person who appears capable of delivering death, against all odds.
    Dr Raj Persaud is a Consultant Psychiatrist based in London, and Emeritus Visiting Gresham Professor for Public Understanding of Psychiatry. Dr Ramón Spaaij is a specialist in the area of lone wolf terrorism and author of Understanding Lone Wolf Terrorism: Global Patterns, Motivations and Prevention published by Springer. He is based at La Trobe University in Melbourne, Australia.