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Judging by rates of criminal recidivism, the very trauma that leads to American incarceration only amplifies inside facilities whose purported mission is to rehabilitate. Using psychiatric, literary, and sociological studies alongside three twentieth-century prison memoirs written by American men of color – Jarvis Jay Masters’s That Bird Has My Wings (2009), Shaka Senghor’s Writing My Wrongs: Life, Death, and Redemption in an American Prison (2013), and Ravi Shankar’s Correctional (2022) – this essay examines the use of bibliotherapy as a means of processing traumatic memory, reconnecting with community, redressing harm, and reclaiming control over one’s story to help stimulate and accelerate the process of healing and recovery. Life writing, and memoir specifically, allows for the transfiguration of generational, localized, and institutional trauma while bearing witness to the inner workings of carceral spaces, which are disproportionately populated by men of color and intentionally kept concealed from public view.
The USA as a prison where Black people are confined inside a barbed wire of stereotypes – an idea memorably articulated by Malcolm X in 1963 – is influentially explored in works by Amiri Baraka, Etheridge Knight, and Reginald Dwayne Betts, a three-man mini-tradition within prison writing. Circumstances leading to Baraka’s experience of solitary confinement (memorably chronicled in his 1979 poem “AM/TRACK”) are the subject of the first third of the chapter. Etheridge Knight, who in prison forged his own poetic path out of tools provided partly by Malcolm and Baraka, is the subject of the next third. The Knight-inspired Reginald Dwayne Betts, a lawyer-poet who was incarcerated as a teenager, is the focus of the rest of the chapter (except for a brief examination of Baraka’s son, Ras, a significant political leader). All four men articulate secrets of survival in the coils of carceral culture and model alternative ways of imagining justice.
Despite widespread integration of genetic research by most disciplines, genetics has largely been excised by the field of criminology, a field that continues to be guided almost exclusively by a sociological paradigm. Part of the reason for why genetic research has not been synthesized into the criminological scholarship is due to concerns about the policy implications that might flow directly from it. Specifically, critics of genetic and biosocial research routinely argue that studying the genetic basis to criminality likely would lead to oppressive crime-control policies and perhaps even a new eugenics movement. If criminologists had an accurate understanding of how genetic influences relate to criminal involvement, then these concerns would largely be assuaged. Against this backdrop, the current chapter uses Belsky’s differential susceptibility model as the centerpiece to show that genetic research is not only useful in understanding the etiology of criminal involvement but also that it holds great promise in guiding the development of crime prevention and rehabilitation programs.
This paper provides an overview of key concepts in evolutionary psychiatry, summarising major evolutionary explanations for mental illness and highlighting the potential of these perspectives to enhance assessment, diagnosis, explanation to the patient, treatment and prevention strategies. Expanding beyond conventional evolutionary approaches, we explore environmental influences on mental health and illness, emphasising the significant areas of convergence between evolutionary and environmental viewpoints. We then propose an integrated framework that combines insights from both perspectives, offering general principles for improving mental health outcomes at both individual and population levels. The discussion includes implications for general practice, public health and broader societal considerations, with particular reference to concepts such as biophilia and the emerging role of ‘green care’ in psychiatric practice.
The benefits of pulmonary rehabilitation (PR) on exercise capacity, health-related quality of life (HRQoL), and prevention of readmission post exacerbation in chronic respiratory diseases (CRD) are well established. However, accessibility to PR programmes is limited by PR programmes mostly being available through hospital clinics only. Utilizing existing workforce and infrastructure in private physiotherapy and exercise physiology practices may be a solution to increase access.
Methods:
A mixed-methods assessor-blinded randomized controlled feasibility trial will be conducted in two parts. First, the efficacy of a training programme for private practice (PP) physiotherapists and accredited exercise physiologists who have not previously provided PR will be evaluated. Participant knowledge, skills, and confidence to provide PR will be measured before and after the training and at three months follow-up. Secondly, patient participants with CRD will be randomly allocated to receive twice weekly PP PR for 8 weeks or usual care from their general practitioner (GP). Exercise capacity, HRQoL, and health status will be measured before and after PR. A purposive sample of clinician and patient participants will partake in semi-structured interviews at the study conclusion. Interviews will continue until data saturation is achieved.
Discussion:
This study will provide data on the feasibility of providing PR by physiotherapists and exercise physiologists in the PP setting. Provision of PR in the PP setting has the potential to increase access to this highly evidence-based intervention to improve outcomes for people with CRD.
We present a flexible, multilayer fabric strain sensor composed of a carbon fabric layer sandwiched between elastic bands. The sensor achieved a gauge factor of 3.4 and maintained its durability up to 635% strain. Its uniform graphite layer enabled reliable fabrication and easy integration into wearable formats. Performing well on commercial gloves and bands, the sensor effectively captured strain variations during body movement and enabled wireless transmission for real-time monitoring. Distinct resistance patterns were recorded for various body motions such as walking, jogging, jumping, and knee bending with a clear separation between high- and low-intensity activities. The overall design supports scalable fabrication and practical integration into wearable systems.
In November 2021, Thailand revised its legal framework on illegal drugs by promulgating a new Narcotics Code to replace twenty-four previous legislation. The new Code was enacted to consolidate and modernise Thailand’s approach to illegal drugs as well as to provide for an efficient licensing regime for drugs that are essential for the advancement of medical, scientific, and industrial innovations. The new Code seeks to impose appropriate punishments for drug offences and adopt alternatives to incarceration for drug users. However, the Code still retains the death penalty for some offences which contradicts the requirement in international law that the death penalty must not be imposed on drug offences. This chapter reviews the new Code and discusses the challenges which lie ahead.
This article critically examines the relationship between self-esteem and criminal social identity in violent offenders, offering a novel rehabilitative framework within the Indian penal system. Despite global recognition of identity reformation as integral to offender rehabilitation, India has yet to integrate these psychological dimensions into correctional strategies. This research, conducted at Sabarmati Central Prison, Ahmedabad, applies structured therapeutic interventions to assess shifts in self-esteem and criminal social identity among 70 violent offenders, measured pre- and post-intervention. Criminal social identity reflects the internalization of criminality as a defining role, while self-esteem denotes an individual’s perceived legitimacy within social norms. The findings underscore the formative influence of environmental, familial and sociocultural factors, revealing a significant interplay between self-concept and criminal behaviour. Statistically significant improvements post-intervention demonstrate the potential for identity reconstruction as a rehabilitative tool. This analysis challenges punitive correctional models, advocating for evidence-based, human-centred interventions that prioritize psychological rehabilitation. By offering a culturally contextualized approach, this article contributes to contemporary debates on criminal justice reform, providing a blueprint for integrating psychological insights into correctional policy in India and beyond.
Disasters can have catastrophic effects on people’s physical, mental, and psychosocial status, as well as public health. Many people undoubtedly suffer from short- and long-term disabilities as a result of the disaster once the first shock wears off [1]. Two devastating earthquakes caused extensive damage in southern and central Türkiye and northern and western Syria in February 2023, resulting in thousands of deaths and injuries. It is estimated that approximately 15 million people were affected. Since there is a possibility that people affected by the earthquake will continue their lives with disabilities, it is important to make an early assessment and make preliminary preparations in this respect. With this preparation and rehabilitation carried out in the early period, it is aimed at helping individuals adapt more quickly to both personal and social life and to increase their independence in daily life.
Stroke is a prevalent neurological event that often induces significant motor impairments in the upper extremities, such as hemiplegia, which impacts bimanual coordination and fine motor skills. Robotic-assisted therapy has gained prominence as a contemporary rehabilitation modality, providing augmented motor repetitions and proprioceptive feedback, thereby potentiating neuroplasticity and functional recovery. This pilot study aimed to examine the therapeutic efficacy of a robotic intervention for wrist rehabilitation in two post-stroke adults aged 50–70 years. The intervention protocol, implemented biweekly over four weeks, encompassed 45-minute sessions consisting of passive muscle elongation (5 min) and robotic-facilitated exercises targeting pronation-supination (10 min), flexion-extension (10 min), and radial-ulnar deviation (10 min). Outcome measures included pre- and post-intervention assessments utilizing the motor activity log, Fugl-Meyer Scale, and robotic metrics for muscular strength. Results indicated enhancements in joint range of motion, motor precision, and neuromuscular control, with patient “B” demonstrating superior improvements, particularly in complex motor patterns. In contrast, patient “A” exhibited attenuated progress, attributable to pronounced baseline deficits and fatigue. Specific gains were observed in flexion-extension for patient “A” and pronation-supination for patient “B,” with minimal advancements in radial-ulnar deviation across both subjects. These findings provide preliminary evidence supporting the efficacy of robotic-assisted therapy in motor rehabilitation post-stroke with the novel proposed wrist rehabilitation device.
For both developed and developing countries in the world, the twenty-first century will be marked by great challenges for healthcare systems. The overwhelming reason will be aging societies that will face an increase in multimorbid, chronic diseases which will include neurological diseases. The probability of surviving acute illness and the medical opportunities to prolong life in chronic-progressive disease will improve in future. As a result the numbers of neurological patients with respiratory impairment caused by prolonged, chronic or chronic-progressive life-threatening disease will increase. Minimizing dependency on life-supporting technologies and care, stabilizing vital functions, optimizing quality of life and participation and alleviating suffering are paramount goals for these patients. The therapeutic approach therefore must integrate intensive care, neurorespiratory care, rehabilitation and palliative care. Furthermore, patient-centered and family-oriented care, which covers the whole lifespan and bridges the gap between inpatient and outpatient care, is needed.
At a fairly early age Lucy was admitted to a psychiatric hospital and then spent years in low-security psychiatric units. After an episode of neuroleptic malignant syndrome, she became physically unwell and stopped eating. When her life appeared to be danger, ECT was suggested. Lucy refused to have it and the first sessions were given under restraint. After eight sessions ECT hadn’t worked, and the team stopped it. A second course was started later, this time with Lucy’s agreement, and it worked. She gradually improved, had psychological treatment, engaged in rehabilitation and eventually was discharged home. She continued with maintenance ECT as an outpatient. She got married and started work as an Expert by Experience for the local hospital.
This chapter explores the impact of strokes and the role of music therapy in post-stroke rehabilitation. It highlights the urgency of seeking immediate medical attention for stroke symptoms, emphasizing that prompt treatment can minimize brain damage. The chapter also discusses the potential for music to aid in cognitive recovery, as evidenced by studies showing improvements in verbal memory and concentration in stroke patients who listened to music regularly. Furthermore, the chapter looks at the application of music therapy for addressing specific post-stroke conditions such as aphasia and hemiparesis. It describes melodic intonation therapy (MIT) as a promising intervention for speech recovery in aphasia patients, showcasing its ability to stimulate new neural connections in the brain. Additionally, it explores the effectiveness of rhythmic auditory stimulation (RAS) in improving gait and coordination in patients with hemiparesis. The chapter underscores the importance of tailoring music therapy to individual needs and preferences, emphasizing the potential for music to enhance emotional well-being and motivate patients during their rehabilitation journey. It concludes by advocating for the integration of music therapy into standard stroke rehabilitation practices, recognizing its potential to improve patient outcomes and quality of life.
To document the evolution of subjective cognitive functioning over four years in adults hospitalized after traumatic brain injury (TBI), comparing mild and moderate-severe TBI, and accounting for sociodemographic and clinical factors.
Method:
This secondary analysis of a longitudinal observational cohort study includes 222 adult participants hospitalized following a TBI (mean age = 41 ± 15 years; 29% women; 65% mild, 35% moderate-severe TBI). Data were collected via in-person/telephone interview and self-report questionnaires administered 4, 8, 12, 24, 36, and 48 months post-TBI. The primary outcome measure for subjective cognitive functioning was the Medical Outcomes Study Cognitive Functioning Scale (MOS-COG).
Results:
Mixed model analyses revealed a significant Time effect, with post hoc tests showing a better perceived cognitive functioning on the MOS-COG at 4 months than at 24 and 36 months after TBI. The TBI severity effect and TBI severity*Time interaction were not significant. Secondary effects revealed that poorer subjective cognitive functioning was associated with higher levels of symptoms of depression, anxiety, insomnia, and fatigue, and lower quality of life. Overall, the MOS-Cog score was about one standard deviation below the normative mean, suggesting greater cognitive complaints than in the general population, regardless of injury severity.
Conclusions:
The results suggest that subjective cognitive functioning is poorer than normative values and fairly stable over four years after TBI, with a slight decrease between 4 and 24–36 months, and is similar between mild and moderate-severe TBI.
The right to rehabilitation for prisoners is a fundamental human right recognized under international standards, imposing a positive obligation on states to ensure its fulfilment. This Article undertakes an in-depth examination of prisoners’ rehabilitation through both micro and macro lenses, examining individual experiences alongside broader societal impacts. Drawing on insights from scholars like Edgardo Rotman and Amanda Ploch, contrasting rehabilitation models are explored, highlighting tensions between institutional discipline and individual empowerment. At the macro level, rehabilitation addresses socio-economic inequalities and collective benefits, yet may overlook individual dignity from a human rights perspective. In contrast, Rotman’s humanistic model emphasizes personal insight, dialogue, and prisoners’ intrinsic rights at the micro level, fostering empowerment and a sense of responsibility. A dual perspective—from macro policy indicators to micro-level prisoner experiences—is crucial for a nuanced evaluation of rehabilitation efficacy. This exploration underscores the need for effective execution and resource allocation to uphold principles of human dignity and ensure the right to rehabilitation becomes a tangible reality for every individual within the criminal justice system.
This title explores the principles and mechanisms for the reparation of human rights violations under international human rights law. It discusses the obligation of states to provide full reparation for harm suffered as a result of human rights violations, including restitution, compensation, rehabilitation, satisfaction, and guarantees of nonrepetition. The section examines the legal standards for determining and quantifying reparation, the procedural aspects of reparation processes, and the role of international and national bodies in monitoring and enforcing reparation awards. It also highlights the challenges in ensuring effective and timely reparation, the importance of victim participation in reparation processes, and the impact of reparation on the rehabilitation and empowerment of victims. By analyzing the principles and practices of reparation, this title aims to provide a comprehensive understanding of the mechanisms for addressing the consequences of human rights violations and the importance of reparation in achieving justice and reconciliation.
This part explores the principles and mechanisms for the reparation of human rights violations and the enforcement of decisions rendered by international human rights bodies. It discusses the obligation of states to provide full reparation for harm suffered as a result of human rights violations, including restitution, compensation, rehabilitation, satisfaction, and guarantees of nonrepetition. The sections examine the legal standards for determining and quantifying reparation, the procedural aspects of reparation processes, and the role of international and national bodies in monitoring and enforcing reparation awards. Additionally, this part focuses on the enforcement mechanisms and challenges in implementing international human rights decisions. It discusses various models of enforcement, including judicial review, hybrid monitoring, and political and diplomatic control. The part highlights the importance of effective enforcement in ensuring the realization of human rights and the accountability of states for human rights violations. By providing insights into the reparation and enforcement processes, this part emphasizes the critical role of comprehensive and effective mechanisms in achieving justice and reconciliation for victims of human rights violations.
This chapter explores the principle of full reparation for human rights violations under international human rights law. It discusses the obligation of states to provide reparation, the forms of reparation, and the challenges in implementing this principle. The chapter examines the legal standards for full reparation, including restitution, compensation, rehabilitation, satisfaction, and guarantees of nonrepetition. It also highlights the role of international bodies in monitoring and enforcing reparation obligations, the importance of victim participation in reparation processes, and the challenges in providing adequate and effective reparation for human rights violations.
The perpetration of torture in peacetime almost inevitably involves the responsibility of a State. Indeed, State responsibility is at the heart of the international human rights law prohibition of torture, which also applies in a situation of armed conflict. In the case of torture as a war crime, a crime against humanity, or genocide, however, an entity other than a State may be directly responsible for acts of torture. Nevertheless, as a matter of general international law, given the seriousness of the violation of a jus cogens norm, in all situations the victims and survivors of torture are entitled to a remedy to help compensate for the harm they have suffered. The same principle should pertain to other forms of ill-treatment even though their prohibition is not also a peremptory rule of international law. The consequences of being tortured for the individual and his or her family can be both devastating and lifelong. Rehabilitation may help to turn a victim into a survivor, but it will never fully dispel the harm that has been inflicted. Some of the techniques developed by dedicated experts and non-governmental organizations to promote physical and psycho-social rehabilitation are referred to in this chapter.