The ‘Misery of Solitary Confinement’

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Mary Buser

New York City will no longer send youths 21 and under to solitary confinement. A former prison health care provider says it's time to apply such an approach nationwide--and for professional associations of social workers and psychologists to put their clout behind efforts to toss this "inhumane" practice into the dustbins of history.
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11 thoughts on “The ‘Misery of Solitary Confinement’

  1. Prisons are a microcosm of society. In our society we have jails and prisons to separate those who prey on peaceful citizens. What if those predators are already in prison or jail? What then?

    Inmates will privately say they’re grateful that there’s a place for other inmates who are disruptive to the good order of the institution, that rob and assault others, and who disregard the rules that make for a safer environment.

    • Actually, there are a great many problems with your argument, Ed. First, solitary confinement is used for a variety of purposes, not just to house inmates who are disruptive. This is a mistake a lot of people make. Second, there is no evidence past anecdotal evidence that suggests solitary confinement makes institutions safer. The fact is, it does not. Take a look at Colorado. 85% reduction in the use of solitary confinement and they saw an ENORMOUS reduction in disruptive and violent behaviors across the state. Third, even when solitary confinement is used, there should be limits to that confinement and a clear path out for inmates. Inmates will get worse, not better without these elements present. Fourth, this article was actually about calling on professional organizations designed to support mental health providers on these units. It is excruciating to witness suffering day after day with limited avenues to affect positive change. Professionals who work in this environment need support to address the problems they see on these units and protection from having to serve as part of the problem. I would suggest that you read Dr. Buser’s book, “Lockdown on Rikers” to get a full understanding of the issues she as well as many others like her have faced as mental health providers on these units. It is eye-opening!

      • Sorry for the late reply. I just noticed your reply.

        “Take a look at Colorado. 85% reduction in the use of solitary confinement and they saw an ENORMOUS reduction in disruptive and violent behaviors across the state. ”

        That’s the same argument made to justify less incarceration. The problem is that it puts the cart before the horse. Incarceration and “solitary confinement” are reduced because and after crime or violence is reduced.

        Prisons became less violent before Colorado or anyplace else reduced the solitary confinement population. Bureau of Justice records show that between 1980 and 2002 the state prison homicide rate dropped from 54.0 per 100,000 inmates to an astounding 5.7 per 100,000. Better architectural design of facilities has also made Attica type uprisings virtually a thing of the past.

        Between 1983 and 2002 jail suicide rates dropped 64 percent. State prison suicide rates, historically much lower than the rate in jails, dropped from 34 per 100,000 inmates to 14 per 100,000 during the same period.
        Deaths from all causes including homicide, suicide, illness, intoxication, and accidental injury declined from 3,414 in 2009 to 3,232 in 2010, for a total decrease of 5%, which is the largest decline in the number of prison deaths since the DCRP began collecting prisoner mortality data in 2001

        Prisons have become much more peaceful in the past 20+ years despite tremendous increases in population. This should come as great news for reformers but they ignore the facts in order to promote the false narrative.

  2. Incredible article– thank you for your detail and including a national call to action! It is far past time for NASW and APA to participate in this issue in a meaningful way. Thank you for your work, Dr. Buser.

    • Author note: Ed, thank you for weighing in — I think Ali, the second commenter, did a good of laying out the issue more broadly. I agree with you that jails & prisons must be kept safe, but I disagree that the only way to achieve this is by locking someone up for 23 hours a day — sometimes for years! When you see the extreme suffering that solitary causes, it becomes clear that SC is barbaric and inhumane. There are other ways!!

  3. As a chief clinical psychologist who worked for many years in a major role both supervising other psychologists and social workers and providing direct services in both male and female prisons, I feel I have some credibility in giving an opinion about this issue. This matter is not a case of all good or all bad; of wiping out all current procedures or of keeping everything in place as is. First, Barajas is correct. Depending on the conditions in particular states, there are any numbers of inmates begging for a single cell and a number who will do all kinds of things to obtain one. The reason? Prison overcrowding, being housed with an aggressive roommate or a paranoid roommate not quite meeting criteria for MI. This experience can be terrifying. Some solitary blocks are gruesome as described. This writer has worked in only one state and in only one system, as have I. But there is a wide range of prison milieus. Some states have multiple rules and regulations about having meaningful interactions with inmates and providing stimulating reading materials as well as providing out of cell time as needed. Solitary confinement however, is only one issue that needs to be addressed in reform.

    I, for one, do not think that solitary confinement always constitutes torture and I certainly wouldn’t condemn NASW or the APA for not claiming it is. There are situations which I cannot think can ever be called anything but torture. In the system in which I worked, women in labor had their ankles shackled together before being taken to the hospital to have their babies. Why? Because a regulation said all inmates leaving the facility should have their ankles while being transferred to prevent escape! The US (except perhaps for NY) removes babies from inmate mothers at birth and sometimes they lose their parental rights then. No other country in the world does this except one third world country. Other countries allow inmate and baby to stay together in special units and in one country a special helpful psychoanalytic psychotherapy is administered to mother with babe in arms to help her mother and attach to baby. Keep writing about these matters! But please do not run away nor write so as to discourage other mental health pros from working in these environments. The only way for us to speak truth to power (as I have done many times) is as a trusted insider.

  4. Please excuse the errors in my last post. I think it important to add that prison reform, in my opinion, does not just involve opening the doors and pardoning drug offenders. There are many aspects of incarceration that need to be addressed. Taken together, it is a multi-billion dollar project. One thing for sure in my view; our treatment of inmates, children, the mentally ill . . . all tend to signify who we are as a nation. Those of us who care will continue to fight for the cause of a caring, containing environment within which to help others find their way.

  5. Take a look at Pelican Bay in California. Since the hunger strike and the agreed ‘end of hostilities’ the SHU has pretty much been emptied and prisoners of all creeds and colours keep violence at bay in order to avoid the use of the SHU.

    Pelican Bay was built specifically with a SHU; a series of pods with no windows and no natural light. Why would you deliberately do that to another human being?

    What makes somebody the worst of the worst? My husband served seven years in those conditions simply for being named by another prisoner as a gang member.

    The USA has more prisoners than any other nation; 25% of the prison population worldwide. Maybe now is the time to accept that something is wrong.

    • Thank you for sharing that story. All too often people think that solitary is only for “the worst of the worst”, which isn’t true. But even if it were, those kinds of conditions don’t make people better, they make people worse. So, you stick the worst of the worst in solitary and they get WORSE! And then they move in next door to us when released! The logic of this escapes me! Again, thank you for your courage in telling your story. The more we talk about this, the more aware others are. Take care.

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