This article addresses difficult and unique problems in psychotherapy within the framework of a correctional setting. An apparent lack of success in such endeavors is reviewed in some detail. Barriers to therapeutic efforts within the prison setting are enumerated and reference is made to obstacles in the therapeutic alliance between psychotherapist and prison inmate. Current research suggests the value of a treatment model based on differential diagnosis and the matching of therapist and prison inmate. The need for further research on overcoming identified barriers, developing and adapting therapeutic approaches, and effectively matching inmates to them is emphasized.
Following the reports by Price and Deabler (19SS) and Garrett, Price, and Deabler (19S7) of studies in which perception of the negative spiral aftereffect (SAE) was found to discriminate with great accuracy between brain damaged patients and two nonorganic control groups, the clinical implications of this perceptual phenomenon have been studied by many different investigators. Some, such as Gilberstadt, Schein, and Rosen (1958) and Philbrick (1959), have carefully followed the methods of Price and Deabler (1955). Others, such as Gallese ( 1956), Davids, Goldenberg, andLaufer (1957), Spivak andLevine (1957), and Page, Rakita, Kaplan, and Smith (1957), have used somewhat different procedures and/ or scoring systems. While the variations employed in these later studies make it difficult to compare their results precisely, at least one generalization appears to be warranted. While brain damaged subjects (5s) as a group do tend to report the negative SAE less frequently than do either normal Ss or nonorganic psychiatric patients, the differences between groups are far less clear-cut than originally reported by Price and Deabler.In trying to explain this discrepancy, several investigators have suggested that the composition of the subject samples employed 1 Based on a dissertation submitted in partial fulfillment for the doctor of philosophy degree in the
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