Words Don't Come Easy: How Male Prisoners' Difficulties Identifying and Discussing Feelings Relate to Suicide and Violence.

Words Don't Come Easy: How Male Prisoners' Difficulties Identifying and Discussing Feelings Relate to Suicide and Violence.
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DOI:
10.3389/fpsyt.2020.581390
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发表时间:
2020
影响因子:
4.7
通讯作者:
Pratt D
Pratt D
中科院分区:
医学3区
文献类型:
--
作者:
Hemming L;Bhatti P;Shaw J;Haddock G;Pratt D

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在英国的男性监狱中,自杀和暴力现象十分普遍。有人认为述情障碍可能与自杀和暴力有关。述情障碍可以定义为无法识别或讨论情绪。本研究旨在定性探讨男性囚犯的述情障碍经历以及这些经历与自杀和暴力的关系。从英格兰西北部的两所监狱招募了 15 名男性囚犯。所有参与者在过去 3 个月内都经历过自杀和/或暴力想法和/或行为,并且所有参与者在既定的述情障碍测量中均呈阳性。参与者参加了定性访谈,期间他们还有机会描绘自己的情绪。使用主题分析来转录和分析数据,研究人员与有监狱生活经历的个人之间采取协作方法。结果表明,男性囚犯往往不与他人谈论自己的情绪,原因是居住在监狱的外部压力以及识别和表达情绪的内部困难。不与他人讨论情绪会导致情绪积聚,从而导致情绪超载或缺乏情绪。这两种经历都被认为与伤害自己或他人有关,然而,参与者还确定了一个“安全阀”,承认使用更具适应性的方法来释放情绪可以防止对自己和他人的伤害。这些发现表明了三个主要的临床意义; (1) 男性监狱需要进行文化转变,鼓励开放的情感交流 (2) 对于那些被认为难以识别和表达情感的人,需要提供个性化支持;(3) 监狱工作人员应鼓励采用其他方式释放情感,例如使用伤害最小化或分散注意力的技术。
Suicide and violence are prevalent within male prisons in the UK. It has been suggested that alexithymia may be associated with both suicide and violence. Alexithymia can be defined as an inability to identify or discuss emotions. The present study aimed to qualitatively explore male prisoners' experiences of alexithymia and how these experiences may relate to suicide and violence. Fifteen male prisoners were recruited from two prisons in the North West of England. All participants had experienced suicidal and/or violent thoughts and/or behaviors in the past 3 months, and all screened positive on an established measure of alexithymia. Participants took part in a qualitative interview during which they were also given the opportunity to provide drawings of their emotions. Data were transcribed and analyzed using thematic analysis, with a collaborative approach taken between researchers and an individual with lived experience of residing in prison. The results indicated that male prisoners tended not to talk about their emotions with others, due to external pressures of residing in prison in addition to internal difficulties with recognizing and articulating emotions. Not discussing emotions with others was associated with a build-up of emotions which could result in either an emotional overload or an absence of emotions. Both experiences were perceived to be associated with hurting self or others, however, participants also identified a “safety valve” where it was acknowledged that using more adaptive approaches to releasing emotions could prevent harm to self and others. These findings suggest three main clinical implications; (1) a cultural shift in male prisons is needed which encourages open communication of emotions (2) individualized support is needed for those identified as experiencing a difficulty in recognizing and articulating emotions and (3) prison staff should encourage alternative ways of releasing emotions such as by using harm minimization or distraction techniques.
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