Wednesday, January 7, 2015

A psychiatrist at an asylum

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 A Psychiatrist At An Asylum
  Alen J Salerian MD
   January 7, 2015


   I am a psychiatrist who cried reading the Associated Press report in Washington Post January 7, 2015 :  Mentally ill inmates won't be isolated. 
   Pennsylvania prison inmates with serious mental illness who misbehave will be diverted to special treatment units instead of being put in isolated cells according to a settlement released Tuesday.
  The advocates said the agreement will end” a Dickensian  nightmare” in which mentally ill inmates written up for misconduct were confined in small restricted cells for 23 hours a day for months or even years , trapped in” an endless cycle of  isolation and punishment “that often exacerbated their symptoms and caused them to harm themselves.
    My tears were triggered by my own experience as a patient at FMC Butner in North Carolina.  Isolation in  a dark  cell  for 23 hours a day for weeks or months was a standard  punitive behavioral modification at FMC Butner. I was fortunate my longest punishment was five days.
 Barbaric treatment of my fellow men with mental illness - people awaiting trial and therefore innocent-and myself did not end with solitary isolation. Humiliating strip searches with sadistic and sexual inspection of genitals and slave labor ($.75 per day) were also routine. The isolation often began with psychological terror:  threats of forced feeding of human body products and verbal assaults .

  I commend the state of Pennsylvania to abolish solitary punishment. But may I ask?   How about abolishing sadistic strip searches, slave labor and terror tactics in the  USA  for all including mentally ill.

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