Eight hundred psychologists working in U.S. prison systems were surveyed to provide a comprehensive profile of correctional psychology. The number of prison-based psychologists has doubled in the past 20 years. They are predominantly Caucasian males who work with offenders representing a wide spectrum of security levels and psychological problems. Administrative duties have grown and now occupy about one third of professional time. The authors also report preferred therapy modalities, mental health issues addressed in treatment, use of assessment instruments, and professional issues such as training and predictions of future correctional work. The authors discuss these results highlighting issues of professional identity, concerns about treatment for the severely mentally ill, calls for group-based treatments, and uses of task-specific assessment instruments. The authors also suggest attention be devoted to outcome assessment and to the issues of training and recruiting well-prepared psychologists for the challenging and critical role of correctional psychologist.
This study examined the relationship between catastrophizing and patient-perceived partner responses to pain behaviors. The Catastrophizing subscale of the Cognitive Coping Strategy Inventory and the West Haven-Yale Multidimensional Pain Inventory were completed by 62 adult chronic pain patients. Consistent with past research, catastrophizing and patient-perceived solicitous partner behaviors were positively correlated with negative pain outcomes. The communal coping theory of catastrophizing suggests that catastrophizing might be undertaken to solicit support and empathy from others. However, catastrophizing was not related to perceived solicitous partner behavior in this study. Rather, catastrophizing was associated with perceived punishing partner responses. Implications are that catastrophizing and perceived solicitous partner behaviors are independently associated with pain and that catastrophizing may not be reinforced by empathy from significant others.
Cognitions and beliefs appear important in predicting adjustment to chronic pain. The current study examines how cognitions and beliefs are related to psychosocial functioning. One hundred and sixty-three chronic pain out-patients were assessed. Regression analyses were performed using scores on the Pain Beliefs and Perceptions Inventory and the Inventory of Negative Thoughts in Response to Pain as predictor variables and responses to the West Haven Yale Multidimensional Pain Inventory as criterion variables. Pain cognitions and pain beliefs were correlated. After controlling for demographics, employment status and pain severity, pain beliefs and cognitions accounted for a significant amount of the variance in general activity, pain interference, and affective distress. Negative cognitions, particularly negative self-statements, were more predictive of outcome than pain beliefs. Although these data are correlational, they provide additional support for a biopsychosocial model of adjustment to chronic pain.
As part of the admission process to the North Carolina state prison system, 1,494 prisoners completed the Beck Depression Inventory (BDI). The mean BDI score for this population was 12.57 ( SD=8.51), which corresponds to the “mild depression” range on the instrument. While overall BDI scores for prisoners were elevated relative to general population norms for the test, female inmates, younger prisoners, close custody inmates, and those serving their first period of incarceration produced even higher BDI scores. Thus, reports of generalized feelings of depression are common among prisoners. Results suggest that a score of 20 might serve as an appropriate cutting score to determine the need for further assessment and mental health intervention in this population. Factor analysis of the inmates' responses yielded four distinct, interpretable factors labeled (a) cognitive symptoms, (b) vegetative symptoms, (c) emotional symptoms, and (d) feelings of punishment. These factors may suggest different components of the response to incarceration.
The results suggest that sex differences in catastrophizing and pain responsivity are partially accounted for by the dispositional tendency to describe oneself as emotionally vulnerable. The findings also suggest that pain catastrophizing may be situational as well as dispositional.
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