prison psych

“I can think of one thing that is worse than being sick and in the prison ward here at the hospital. Being well and at Riker’s.” – CPE supervisor

“The midnight shift here on the prison ward is way better than working during the day at the 23-hour lock-up on the island.” – NYC corrections officer

“I would rather try to kill myself than have to go back to Riker’s.” – prison ward psych patient

Working at the prison psych ward this summer has confirmed for me just how bad Riker’s Island is. And the prison psych ward at Bellevue Hospital, where I am interning this summer as a chaplain, is pretty damn bad.

Almost every day I go through airport-like security to reach the floor. Armed corrections officers abound. Often there are folks in the hideous orange jumpsuits, and in leg chains and handcuffs, and the lucky ones shuffle towards an elevator that will get them to their transportation to court, to Riker’s, upstate to Sing-Sing. The less fortunate are pushed in hospital beds. I wait for one mechanized gate, with its once-white, peeling paint, to slowly slide open. I enter a holding area and wait for it to close. At the end of the hallway, another officer unlocks a door. I enter and wait for her to lock it again. She walks to another white metal gate, with yet another officer sitting on the other side, and opens it. I am finally on one of two prison psych wards.

bellevue hospital gate; photo by salem pearce

bellevue hospital gate; photo by salem pearce

I walk past men — they are all men, and the vast majority men of color — in faded blue scrub tops and gray sweatpants. Milling around the hall. Walking deliberately around the hall, because some days that’s all the exercise they can get. Shouting in the hall. About using the telephone. About getting a clean shirt. About talking to a doctor. About . . . something unintelligible. Sleeping in their rooms. Using the bathrooms that abut the halls with huge picture windows.

There are tons of corrections officers here, too, as many as there are patients. During my first visit to the floor, the chief psychiatrist warns me, “They are not here for your protection.” They sit in chairs, as do staff who are assigned to the patients under “constant watch.” There is a lot of sitting. There is nowhere to go.

I check in at the nurse’s station: Is there any patient I need to avoid today? I walk around the hall — only the main hall; the second hall, ironically with absolutely no corrections officers, is too dangerous — and ask if anyone wants to talk to the chaplain. Sometimes I knock on doors, where there are two to three patients per room. I usually don’t have to walk long to get a taker.

We walk to an interview room. The patient enters first and sits on the opposite side of the table; I am closest to the door. If he is under constant watch, the staff member sits outside. And then the patient and I talk.

Some of them have committed the kinds of crimes that you read about in the Post: Man tries to kill girlfriend and then himself. Man takes [unusual weapon] to co-workers. Man assaults officers on the subway during rush hour. But some of them are simply folks with mental illness whose behavior has been criminalized. Man shouts in an unruly manner on street. Man violates probation. Man pandhandles. And yet others are the result of decompensation in isolation, or not, on Riker’s.

What I have been struck by most is the detail of care afforded patients by the system — and its simultaneous profound inhumaneness.

Several mornings a week I attend a meeting of the unit’s principle staff: psychiatrists, psychiatry interns, social workers, social work interns, nurses, and clerks. The meeting starts with a report from the head night watch clerk. He goes through what happened with each patient the night before in minute detail. Who got what medications, who refused medication, who slept when, who was awake when, who ate what, who was in what mood.

Then they go over new admissions. They discuss discharges (which always means back into some part of the criminal justice system). And then one of the doctors presents presents her patients in detail. She talks about medications, psychological state, progress. The social worker adds information about the criminal case, family, records at Riker’s or other institutions, contact with lawyer. (A different doctor will go the next day.) Then the daily lists are created collaboratively: Who is at what “level” (and therefore has more or fewer privileges); who can get a haircut; who is going to court; who can attend groups. The information is mostly in these professionals’ heads: They are very familiar with their charges. And everyone refers to each as “Mr. So-and-so.”

There are groups: art therapy, music therapy, spirituality, community meetings. I run what’s called a “Healing Circle” once a week. Almost every day there is recreation on the roof. General freedom of movement on the unit. Three meals a day, plus snacks. Several televisions.

And yet.

There are no personal possessions, which is helpful since the patients are (inexplicably, to me) moved almost every day. The lists created include who needs to be forced to shower. The walls echo with clinical phrases like, “irritable upon approach”; “responds to redirection”; “sexually preoccupied”; “displays suicidal ideation”; “exhibits disorganized thinking.” The view of the East River is almost completely obscured behind feet of thick wire screens. There is an almost uniform schedule for their movement through the criminal justice system (“Arraignment on Wednesday means a court date on Monday”). Most of the men can’t tell you why they were arrested, much less how they ended up on a prison psych ward. Very few of them will ever experience life outside of an institution.

Adding to the feeling that these men are utterly lost to us is the fact that they almost all have the most common American names. Johnson, Smith, Brown, Williams. John, Michael, Jeffrey, Kevin. Pick a combination, and they’re probably there.

And then the most crushingly heartbreaking of all: Occasionally there is a patient called simply “Unknown Male.”

We know so much and yet virtually nothing about them.

I don’t doubt the motivations of the staff of the unit. I’ve never heard anyone speak about the men under their care with anything but respect and sympathy (okay, sometimes tinged with frustration, but I think that’s reasonable). But the truth is that this care can only go so far. It inevitably runs up against the fundamental philosophy of a system of mass incarceration: that it is acceptable, even preferable, to put certain human beings in cages. The cages in prison psych encompass the entire unit, instead of individual cells, but that doesn’t make them any less inhumane. And all the pastoral care in the world isn’t going to change that.

solitary confinement is not worthy of us

This is a cross-post from Torah by T’ruah, in which rabbis (and in some cases, rabbinical students!) connect the weekly parashah to human rights issue of our day. I wrote about last week’s Torah portion, Nitzavim-Vayelech.

Parshat Nitzavim, the first of this week’s double parshah, speaks powerfully to our fundamental human need for connection to each other and to Gd —and therefore to the isolation that is an anathema to it.

The covenant of Torah that began with the distant and dramatic display of Gd’s power at Mount Sinai is sealed here as Israel stands before (nitzavim lifnei) Gd. This immediacy of acceptance of Torah is in sharp contrast with the fear and trembling of receiving of Torah.

Indeed, part of that covenant, Moses says, is the ingathering of those who are dispersed, on earth and in heaven —underscoring the importance of physical proximity for this final step. For their part, the Israelites are to love Gd bchol lvavecha uvchol nafshecha, “with all your heart and with all your soul”—a spiritual proximity.

Most vividly of all, the parshah ends with a poetic description of the location of Torah: It is not in heaven, and it is not across the sea. Lo rekhokah hi . . . ki carov eilecha . . . meod: “It is not far off . . . but very close to you.”Torah is inside us, in our mouths and in our hearts.

Significantly, the Israelites stand together “to cleave”to Gd (uldavka bo). A list is actually enumerated: chiefs, elders, men, women, children, strangers. The breadth is staggering, as Gd promises this covenant with those present and with those absent (veit asher einenu bo). This is no individual teshuva: This is a community, everyone and everywhere, reaching out and hanging on to Gd.

And this is the capstone of Gd’s relationship with Gd’s people, whom Gd has been preparing since Abraham heard the call generations earlier. Covenant means relationship, and relationship means intimacy.

At a protest in front of the Bronx DA's office, demanding accountability for the death of a man -- ruled a homicide -- held in solitary at Rikers Island.

At a protest in front of the Bronx DA’s office, demanding accountability for the death of a man — ruled a homicide — held in solitary at Rikers Island.

This summer, as part of my participation in T’ruah’s Rabbinical and Cantorial Fellowship in Human Rights, I interned at the Urban Justice Center’s Mental Health Project, working on its coalition for prison and jail reform in New York.

Currently, one of the main issues for advocates is the use of solitary confinement behind bars. The situation is bleak in New York, where isolation is regularly used as a punitive measure, and at rates above the national average —but the state is not unique in this practice.

Nationwide, there are estimated to be more than 100,000 people in segregation in prisons, jails, detention centers, juvenile facilities, and military installations. Terms can be days, weeks, months, years, or decades.

The U.N.’s Special Rapporteur on Torture has decried solitary confinement in the U.S. as such, and for good reason. People in solitary confinement are usually held in cells the size of a parking space —with no windows and doors with only food slots, through which communication with guards, therapists, and doctors is conducted —for 22 to 24 hours a day. Visits are severely curtailed, and TVs, radios, and books might not be allowed. As a punishment, solitary may be meted out for the most minor of infractions, and there is little oversight or accountability in the process.

Every study of the subject tells us that solitary confinement is an affront to humanity. In isolation, human beings suffer “irreparable emotional damage and extreme mental anguish,”in the words of one expert. After 12 years in solitary, one prisoner noted: “I lost the will to live. I lost hope . . . Day after day all I saw was gray walls, and over time my world became the gray box.”

What we learn in our parshah is that intimacy is required for relationship with Gd and community. What we learn in our prison system is that intimacy with either is impossible in solitary confinement.

Isolation of human beings for extended periods of time is an abomination, with heartbreaking emotional, psychological, and spiritual effects. The Torah calls us, in its final, poignant moments, to move close to Gd and to others. As a community, we must ensure that all of us are able to do so.

Solitary confinement is not worthy of us as a people in relationship with Gd.

Access resources to become involved in the response to solitary confinement through T’ruah or the National Religious Campaign Against Torture.

sex and murder

helter skelterThis spring I ended up reading two books on eerily similar topics. Well, the fact that the subject matter — accounts of spectacular criminal trials — overlapped is not that much of a surprise, since I love true crime. Both proceedings, 40 years apart, garnered excessive media attention because of the suggestion of sex-fueled ritual murder.

Recommended by a friend of a friend, Helter Skelter is the story of what has come to be known as the Manson Family murders. The title refers to the Beatles song from which cult leader Charles Manson derived the harrowing philosophy of racial warfare that led him to order the killing of at least 11 people in the Los Angeles area in the summer of 1969.

The book was penned by prosecutor Vincent Bugliosi, who managed to get Manson convicted of all of the murders committed by Manson’s cult — even though he wasn’t present at any of them. Bugliosi indicted Manson on charges of conspiracy, a legal technicality that allows for co-defendants to be convicted of crimes that any of the group did; he just had to convince a jury that Manson had control of his disciples.

That turned out to be easier than you might think, because Manson wasn’t reticent about the power he cultivated and wielded. He never admitted outright the command to kill, but he told Bugliosi plenty about his “Family,” the term Manson used for the followers that he assembled, lived with, and directed in orgies at a ranch in the hills west of Los Angeles. And the Family members were equally frank about their slavish loyalty to the man they considered “G-d,” or “Jesus Christ.”

Bugliosi didn’t take any chances, though, and he tells with fastidious, fascinating detail how he shaped the case that put Charles Manson behind bars, where he remains to this day. The thoroughly compelling account is only slightly marred by the fact that Bugliosi writes himself as the only competent character on both sides of the legal team; the LAPD detectives in particular come across as buffoons, while Bugliosi saves the day (by doing their work as well as his).

Overall, though the book is great, one of the best non-fiction accounts I’ve read in a long time. I highly recommend it — though perhaps not, as I read a good deal of it, alone, late at night, in a house that backs up to a wooded expanse. The Manson Family, as it turns out, selected their victims pretty much at random, and I was irrationally sure I was next.

waiting to be heardThe other book I tackled was not of the same quality. But that wasn’t really the point: As soon as I heard the release date for Amanda Knox’s book (April 30, timed to coincide with her first post-prison interview), I went to the Brookline Public Library’s online catalog and requested a copy. I got it on May 7, and I had read it by May 9. Like many, I followed the infamous case — the four-year journey of a murder conviction that was ultimately overturned — partly because it was portrayed as so lurid, and partly because I just love the genre.

Waiting to Be Heard is not great literature, but it is a good read. In November 2007, 20-year-old Amanda Knox had been in Perugia, Italy, for just five weeks when her British roommate was found brutally killed in the villa that the two shared with two other Italian women. Knox and her boyfriend of one week were later arrested, tried, and convicted of the murder — which conviction was overturned in 2011, leading to their release. The book is the story, told with help from a ghostwriter in a voice that I can only imagine actually approximates Amanda’s own, of those years.

The narrative is marked from the beginning by her defensiveness about almost every action that led to her arrest, somewhat understandably since they were all, to a one, used against her in the trial. And they were the actions of an immature young woman, just barely not a teenager anymore. Knox is as staggeringly naive as Manson was creepily controlling. I can understand a college student with no conception of police tactics or criminal investigations, leading to wince-inducing efforts to cooperate with an increasingly hostile prosecutor. However, Knox also expresses shock — shock! — that the family of her murdered roommate seems angry at her when she first encounters them in a courtroom after her arrest. The police, the media, fine — but the victim’s family thinks I’m guilty, too? And it’s not entirely clear that her years in prison did much to disabuse her of that naiveté. But maybe that’s a blessing. I was genuinely disturbed, when, before the verdict her retrial, she wrote a list of things to do if she received a life sentence: stop writing letters homeask family and friends to forget mesuicide? But the end of book makes clear that Amanda Knox will find her way again.

Since I always do in my true crime stories, I’ll weigh in here, too. Manson: guilty; Knox: not guilty. Manson in all likelihood was precisely the monster he was made out to be, while Knox simply couldn’t have been the sex-and-drug-addicted femme fatale as she was portrayed.

dayeinu

At seder on Monday and Tuesday nights, we sang “Dayeinu,” the Passover song that thanks G-d for the many, many things that G-d has done for us. It’s a review of everything that happened to get us out of slavery in Egypt and into Israel where the temple was built. (Good for G-d, the song ends before those pesky temple destructions.) Dayeinu means, approximately, “it would have sufficed!” The verses take the form of, “If G-d had just done X and not Y, dayeinu!”

So we sing, “If G-d had split the sea for us and not led us through on dry land, dayeinu!” “If G-d had led us to Mount Sinai and not given us the Torah, dayeinu!”

But these are absurd things to say. It would have been enough for G-d to create an escape route from the Egyptians but not actually vouchsafed it to us? It would have been enough for G-d point the way to a random mountain in the desert . . . for no reason at all? Many have offered feasible explanations for each of these statements. On Tuesday, for instance, my seder host shared what she had heard from a rabbi: The arrival of the Israelites at Mount Sinai marks the first time “Israel” is referred to the singular, as a collective. So Sinai represents the beginning of peoplehood, even without the Torah. But I’m not so sure we’re supposed to take the song so literally. It seems to me that we might be simply expressing awe for each of the things G-d did for us, in a series of things that ultimately led to our freedom. But each one is actually not enough.

On Tuesday the U.S. Supreme Court heard arguments in the Prop. 8 case, the referendum that Californians passed in 2008 that outlawed marriage for same-sex couples. On Wednesday, the Court heard arguments in the challenge to DOMA, the federal Defense of Marriage Act, which restricts federal marriage benefits from same-sex couples (insurance benefits for government employees, Social Security survivors’ benefits, immigration, the filing of joint tax returns, etc.), and requires interstate marriage recognition only for opposite-sex marriages.

marriage equalityOn Tuesday my Facebook feed turned red. Most of my friends changed their profile pictures to the Human Rights Campaign’s logo, colors changed for this historic occasion. Then the variations started: Yoda, Bert and Ernie, and an angry cat were added. The equal signs became penises, mustaches, animals, band-aids, matzah. I was over it even before the inevitable appearance of bacon. (The internet abhors a meme without bacon.)

I support marriage equality. And I didn’t change my profile pic. I put little stock in so-called clicktivism. One of my friends did post about how much it would mean to her if all her friends, especially straight ones, changed their profile pics as a sign of allyship: That partially melted my cold heart. And I did see a few people asking about its significance in comments on Facebook’s notification of changed profile pics. Which I imagine might be construed as “raising awareness,” quite possibly my least favorite phrase in the English language.

But my concern about this issue is deeper than my fear that people are substituting social media for real action. Many, many of my D.C. friends actually did actually go to the Supreme Court rallies to show support for marriage equality.

I worry that these cases, in the words of a good friend of mine, are “a gamble and a huge risk.” Marriage is a civil right — if perhaps not a strategy to achieve structural change — and there’s a chance it won’t be affirmed by the Court.

I came out in, and lived through, the post-Bowers v. Hardwick world, and it was an ugly time. The people who brought that case thought their odds were good too, but the result of their good intentions was a long period of time [Bowers was overturned in 2003 with the ruling in Lawrence v. Texas] when employers, governments, and courts (among others) could consider gay people de facto criminals in many states with the blessing of the Supreme Court. If we lose, and the high court decides that there is no fundamental right for gay people to marry our partners, I fear it could set back the fight for marriage equality in a huge way.

I worry that the online activism around these cases give rise to arguments that are not good for anybody’s liberation. I’m thinking in particular about the Louis CK quote [NSFW, natch] on marriage equality, which begins with “It doesn’t have any effect on your life.” Is this really how we want to garner support for this cause? So you are free to oppose issues if they inconvenience you? I’m also thinking of the argument that gay people are just like straight people. Just gay. Again, is this really how we want to garner support for this cause? So minorities should have rights as long as they are just aspiring to imitate the majority? Equal protection goes to the non-threatening? I am also thinking of the implication that marriage is a panacea for ensuring rights. Shouldn’t everyone, regardless of marital status, be entitled to the benefits denied because of DOMA? So you’re just out of luck if for some reason marriage isn’t in your plans?

I worry that, as I’ve written about before, marriage equality is the priority of only a small, privileged group of queer folks, mostly well-off white people (just look at the plaintiffs in both cases, or the sea of white that was the supporting faction in the rallies). On a current events program on my local NPR affiliate this week, the host marveled at how quickly marriage equality has gained support (contrasting it with, say, the relative torpidity of the civil rights movement). As far as I can see, the difference is that the former has had a lot of money and power behind it.

I worry that money and power thus directed limits the same towards issues that feel a lot more pressing and a lot more damaging, particularly for poor people of color. (I recognize that it is easy for me — a straight, white, married woman — to say this with the privilege of marriage already in hand.) On Thursday I visited the inmate that I am mentoring — a queer woman of color — as she finishes her college degree as part of Boston University’s College Behind Bars program. I use the word “mentoring” because that is the formal term for our relationship, as defined by the program we participate in, but she hardly needs help with her studies. I’m basically a cheerleader, a listener, and a contact from the outside world.

She’s taking a class on race and incarceration, so we’re reading a lot of the same books. As we talked about the drug war and hyperincarceration and the dehumanizing prison system, I couldn’t help but wish for the day when all of my white friends would support drug policy and prison reforms and would proudly make those known and would go to rallies in support of court cases before the Supreme Court. As useless as I find social media “activism,” a sea of profile pics demanding an end to the racist institution of the death penalty, or protesting the “virtual ‘drug exception’ [that] now exists to the Bill of Rights” (Michelle Alexander, The New Jim Crow), or decrying the dehumanizing for-profit prison industry would at least mean that the issues had gained mainstream currency.

This was a hard post to write. Tuesday’s Facebook activity ultimately left me very sad and unable to organize my thoughts. (It didn’t help that I was getting sick and mourning the death of a friend.) And changing one’s profile pic is not a wrong thing to do. And one of my best friends works for a prominent gay rights organization in this fight. And many of my gay friends consider marriage equality very important.

Our collective liberation today depends on many, many steps — as did our march to freedom through the desert. And even when we think we’ve gotten there and the song ends, the temple can be destroyed. Twice.

Marriage equality is something to regard with awe. And it is in no way enough.

a world apart

This week I was assigned Cristina Rathbone’s A World Apart: Women, Prison, and Life Behind Bars as part of my Foundations of Prison Ministry class. I was only required to read parts, but I ended up tearing through the whole thing. It helped that I had a snow day on Tuesday.

The book hits close to home (it looks like I’m calling Boston home now!) because the author lives in Jamaica Plain, a neighborhood just a few miles away from mine. Plus, the subjects of the book are women incarcerated at nearby MCI-Framingham, a women’s prison, where I mentor an inmate who is in Boston University’s College Behind Bars program. I visit her as part of an interfaith initiative between Hebrew College and Andover Newton Theological Seminary, the CIRCLE Prison Justice and Ministry Program.

Rathbone’s relationships with the five women whose stories constitute the majority of the book developed over five years — and were only the result of years of initial litigation for access to the prison. As she notes at the outset, she has just about only been in MCI-Framingham’s visiting room. But despite the considerable efforts of the powerful Massachusetts Department of Corrections to keep her out, Rathbone presents a comprehensive picture of life on the inside (in so far as any outsider can tell, I suppose).

The importance of the book lies in the fact that, Rathbone notes, “women behind bars are startlingly unlike their more violent male counterparts. Predominantly incarcerated for nonviolent, drug-related offenses, they are frequently mere accessories to their crimes: girlfriends, wives, or lovers of drug dealers, even leaseholders of apartments in which drugs are stashed. Almost all have serious drug problems themselves, and about half are victims of domestic abuse.” It stands to reason that life inside a women’s prison would be different, too.

If the stereotypical male experience in prison is working out, illegal procurement of weapons and drugs, physical violence, and trying to escape, the stereotypical female experience is eating junk food, illegal procurement of underwear and personal hygiene products, gossiping, and trying to see children. But sex is the great unifier: It turns out that almost everyone, in both environments, sleeps with a fellow inmate or a guard.

The book alternates between the stories of a handful of women and the history of women’s incarceration in the U.S. I found the latter only of passing interest, in part because how little effect the past has had on the trajectory of how women now fare in the criminal justice system. The first women’s prison, Mount Pleasant, opened in 1838 on the grounds of the infamous Sing Sing prison, and it was closed in 1850. MCI-Framingham, which opened in 1877, is the oldest running women’s prison in the U.S., so its history could be instructive. But it falls into a depressingly rhythmic pattern: A reform-minded woman takes over and institutes changes aimed at true rehabilitation, and then a (usually male) higher-up decides that the programs and practices are self-indulgent and replaces the reformer with a traditionalist. And then a reform-minded woman takes over again . . . The regularity of the ups and downs made me wonder whether a permanent revolution will ever be possible.

rug hooking class at MCI-Framingham, 1948; photo via Framingham Public Library

rug hooking class at MCI-Framingham, 1948; photo via Framingham Public Library

In Rathbone’s account, MCI-Framingham, probably like many prisons in the era of government budget shortfalls, has very little in the way of programming. She writes: “Its website indicates a long list of programs available to the women of Framingham . . . but when you take into account the diversity and breadth of its population, it remains a fact that each women at MCI-Framingham has access to fewer programs, and therefore to fewer privileges and less prison-earned ‘good time,’ than most male prisoners in the state.” Indeed, Rathbone’s analysis is that the sexism of our society is reflected in the prison system: Men get disproportionate resources. But women in prison have disproportionate need, in part because of past abuse, drug addiction, mental illness, and their responsibility for children.

Sidebar: For what it’s worth, I should note a criticism of this analysis: Our class discussion on the book was led (in the absence of my professor) by Rev. Joyce Penfield, executive director of The Blessing Way, a Rhode Island institution that provides “spiritual guidance for reentry & recovery.” She argued that per capita, women get vastly more resources than men: There are more programs in men’s prisons, but they constitute 94% of the country’s prison population. I’m not sure that this changes the experience of scant resources that the women in Framingham report, but I feel compelled to mention this disagreement. And Penfield even went further, suggesting that her experience in the Rhode Island penal system is one of plenty where women are concerned.

Most compelling, as is so often the case, are the stories Rathbone tells. These are women you want to root for: None of them ever had much to begin with, were given pretty short shrift in life, and are now facing just about the steepest uphill climbs you can imagine. Most heartbreaking were the struggles with child-rearing. As women are most often the primary caregivers in our society, so too are they in prison. And they seemed to spend most of their energy behind bars monitoring the often insecure living situations of their kids. Unlike the majority of incarcerated men, each woman could not rely on her children’s other parent to do the care-taking in her absence.

Somewhat mystifying was Rathbone’s treatment of sexual relationships at the prison. She devotes a number of pages to the prevalence of these illicit affairs (physical touch between inmates and just about anyone is forbidden), both between prisoners and between prisoners and guards. Such contact is commonplace, even rampant, for all the same reasons that it is on the outside: One of the women in the book, who resists such affairs for most of her time in prison, even witheringly notes that her fellow inmates just replicate on the inside the same problematic relationships they had on the outside. Her cellmate hooks up with almost every officer that is interested, while another woman is involved in an abusive relationship with a fellow prisoner. And these relationships, like everything else in jail, are commodities. What’s lacking, to my mind, is a discussion of the question of whether carceral relationships can ever be truly consensual, particularly between inmates and guards. Rathbone only talks very briefly about allegations of rape in that institutional context — but devotes an entire chapter to a now-defunct web site that seeks to connect men to incarcerated women (ultimately called “Jail Babes” but originally and unfortunately dubbed “Jail Bait”). Maybe that says something important: As Rathbone begins her book, “Life in a women’s prison was full of surprises.”