Thirty-three adolescent and 11 child psychiatric inpatients were administered a downward revision of Yalom's (1970) With epidemiological studies of childhood psychopathology indicating prevalence rates from a minimum of 6% to a maximum of 20%, the need for effective treatments for disorders of childhood and adolescence is clear (Graham, 1979;Miller et al., 1974;Rutter et al., 1970).
A brief history of paradoxical interventions and a rationale for applying paradoxical techniques to the cases of inpatients at a prison psychiatric facility are outlined. Common inmate personality characteristics and type of paradoxical techniques indicated are discussed. Four case studies are presented, as well as indications and contraindications for the utility of such interventions.An inpatient psychiatric hospital located within a prison setting often conjures up images of "mass murderers'" and "criminally insane'" individuals. While such cases do exist, they represent a small percentage of the clients seen at the South Carolina Department of Corrections Mental Health Unit (MHU). The majority of inmates fall into three categories: those with severe thought or affective disorders, individuals who are attempting to manipulate their environmental circumstances for secondary gain, and inmates who have been management problems at other institutions within the Department of Corrections.As a result of fiscal realities, staff of such an inpatient facility are limited. Interventions need to be short-term, problem-focused, and typically incorporate a crisis intervention model. It is interesting to note that at any given time about twothirds of the inmates being treated have been patients in state mental hospitals and have thus been exposed to previous attempts at psychotherapeutic Requests for reprints should be sent to Jeffrey Chase, P.O.
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