监狱中的自我伤害：迈向情境理解
Self-harm in prison: moving towards contextual understanding.
摘要(中文译文)
英格兰和威尔士监狱中的自伤率历来居高不下。尽管大量证据表明，羁押环境中的自伤与逆境暴露、精神疾病患病率、神经发育状况、获得性脑损伤、物质滥用以及监狱中的治疗（包括使用单独监禁和遭受victimisation的经历）有关，但一线狱警仍常常将自伤定性为“操纵性”行为。将自伤框定为脱离情境的操纵行为，会导致更具敌意、更缺乏治疗性的应对方式，并可能助长惩罚性的机构实践。在本视角文章中，我们认为，监狱中的自伤最好被理解为在权力极度不对称的环境中，对累积性脆弱性的一种多因素决定的反应。被视为工具性行为的表现，可能代表着在剥夺权能、有时甚至具有创伤性的条件下，试图重新获得安全感、传达紧迫性，或施加有限的控制。认识到自伤的多种驱动因素，包括创伤、精神疾病、神经多样性、获得性脑损伤和结构性剥夺，对于富有同情心且有效的干预至关重要。我们认为，要改善羁押环境中的安全并减少对囚犯和工作人员双方的伤害，就必须以结合情境、具有临床依据的解读来取代简单化的解读和“操纵”的话语，同时推进结构性改革并加强对工作人员的支持。
Abstract
Rates of self-harm in prisons in England and Wales are historically high. Despite extensive evidence linking self-harm in custody to adversity exposure, psychiatric morbidity, neurodevelopmental conditions, acquired brain injury (ABI), substance misuse, and treatment in prison (including use of solitary confinement and experiences of victimisation), frontline officers frequently characterise self-harm as "manipulative". Framing self-harm as uncontextualized manipulation is associated with more hostile, and less therapeutic responses and may contribute to punitive institutional practices. In this perspective, we argue that self-harm in prison is best understood as a multidetermined response to cumulative vulnerability within environments defined by profound power asymmetry. Behaviour perceived as instrumental may represent an attempt to regain safety, communicate urgency, or exert limited control in disempowering and, at times, traumatising conditions. Recognising the multiple drivers of self-harm, including trauma, mental illness, neurodivergence, ABI, and structural deprivation, is essential for compassionate and effective intervention. We contend that replacing simplistic interpretations, and the language of manipulation with contextual, clinically informed interpretations, alongside structural reform and staff support, is necessary to improve safety in custody and reduce harm to both prisoners and staff.
如何引用
AMA
Bella Magner-Parsons, Hope Kent, Louise Robinson, Czarina Kirk, Huw Williams. Self-harm in prison: moving towards contextual understanding.. Frontiers in psychiatry. 2026; doi:10.3389/fpsyt.2026.1830793.
APA
Bella Magner-Parsons, Hope Kent, Louise Robinson, Czarina Kirk, Huw Williams (2026). Self-harm in prison: moving towards contextual understanding.. Frontiers in psychiatry. https://doi.org/10.3389/fpsyt.2026.1830793
GB/T 7714
Bella Magner-Parsons, Hope Kent, Louise Robinson, Czarina Kirk, Huw Williams. Self-harm in prison: moving towards contextual understanding.[J]. Frontiers in psychiatry, 2026 doi:10.3389/fpsyt.2026.1830793.
在 PubMed增强版 阅读全文
翻译全文 · AI 文献问答 · PDF 原文下载 · 引用导出