Psychosocial meaning making in carceral spaces: a case study of prison and mental health care practice

Abstract

Prisons represent sites of psychological distress and suffering. In this article, the implications of this, and the need for the maintenance of a psychosocial perspective, are explored. A psychogeographic overview of the prison environment is provided to consider the way it is constituted at different levels: the macro-social, meso-social and micro-social levels. Two vignettes are presented, which illustrate the process of loss and emergent self-destruction accompanying an enforced identity change followed by the radical means of stabilisation that may be adopted in opposition to this process. The essential nature of personal narrative construction – this process of sense making – is considered alongside the forcing impact of the social environment, as well as wider social pressures, and their impact on the dynamic process. In closing, a limitation of the employed methodology – focusing on individual experience – is remarked on: if these psychological processes take place through an act of modulation in response to a social field, how does the social field in turn respond to these modulations? In closing, I argue that through maintaining a psychosocial focus, researchers and clinicians discharge an ethical duty to maintain the attention of society on the suffering of some of its most vulnerable members.