The psychiatric implications of visible tattoos in an adult male prison population

Differences in personality characteristics between body‐modified and non‐modified individuals: associations with individual personality traits and their possible evolutionary implications

After a long history of negative stigmatisation, the practices of tattooing and body piercing have become fashionable in the last decade. Today, 10% of the population in modern western societies have some form of body modification. The aim of this study was to quantify the demographic and personality traits of tattooed and pierced individuals and to compare them with a control group of individuals without body modifications. These comparisons are based on questionnaires completed by 359 individuals that investigate the details of body modification, and which incorporate five personality scales. We describe several sex differences in ornament style and location. We found no relevant differences between modified and non‐modified individuals in relation to demographic variables. This indicates that some of the traditional attitudes towards tattoos and piercings appear to be outdated. However, we found striking differences in personality traits which suggest that body‐modified individuals are greater sensation seekers and follow a more unrestricted mating strategy than their non‐modified contemporaries. We discuss these differences in light of a potential signalling function of tattoos and piercings in the mating context. Copyright © 2007 John Wiley & Sons, Ltd.

Tattoos: what is their significance?

The prevalence of tattoos is higher among people with mental disorders and those likely to come in contact with mental health services. The motivations for acquiring a tattoo are varied and tattoos can give clues to the presence of particular psychiatric conditions and to the inner world of patients. Psychiatrists need to be aware of the health and safety issues surrounding the tattooing procedure and be able to give appropriate advice to their patients if they wish to acquire a tattoo. The issue of capacity must be considered. This may be particularly relevant for clinicians working with adolescents, the most common age group for acquiring tattoos. Owing to the high proportion of adults who subsequently regret their tattoos and the associated psychological and social distress, clinicians should be aware of methods of tattoo removal.

Identity and schizophrenia: Who do I want to be?

Many individuals with schizophrenia have occasional difficulty defining both to themselves and to others who they truly are. Perhaps for this reason they make attempts to change core aspects of themselves. These attempts may be delusional, but are too often unjustly dismissed as delusional before the potential value of the change is considered. Instead of facilitation, obstacles are placed in the way of hoped-for body modifications or changes of name or of religious faith. This paper discusses the various changes of identity sometimes undertaken by individuals with schizophrenia who may or may not be deluded. Ethical and clinical ramifications are discussed. The recommendation is made that, when clinicians respond to requests for help with identity change, safety needs to be the main consideration.

Prison tattoos as a reflection of the criminal lifestyle

The purpose of this study was to examine the relationship between prison tattoos and the criminal lifestyle and recidivism. Participants consisted of 81 male inmates with prison tattoos (i.e., prison-themed or prison-made tattoos), 75 inmates with nonprison tattoos (e.g., animal tattoos, tattoos of ethnic origin), 52 male inmates with no tattoos, and 66 college students with tattoos. Results indicated that inmates with prison tattoos differed from inmates with nonprison tattoos, inmates without tattoos, and college students with tattoos with regard to criminal thinking styles, were at increased risk of recidivism, and presented more institutional behavioral problems, resulting in more disciplinary infractions. There were no significant differences between inmate groups with regard to number of convictions; however, additional group comparisons indicated that inmates with visible tattoos and antisocial-themed tattoos were at greater risk for recidivism and received more disciplinary infractions than inmates without visible or antisocial-themed tattoos. Implications of these findings are discussed.

The urge to change appearance in different psychopathological categories

BACKGROUND

In professional literature, mainly anecdotic descriptions can be found of striking, sometimes even bizarre manipulations of the appearance by psychiatric patients.

OBJECTIVE

In this study, it was examined whether the inclination to (drastically) change the appearance is related to (pre)psychotic symptoms.

METHODS

By means of a questionnaire, the frequency and nature of changing the appearance was studied among a sample of healthy volunteers (n = 38) and psychiatric patients (n = 61). The psychiatric group consisted of 1) patients with schizophrenia (n = 22), 2) patients with a borderline personality disorder (n = 20) and 3) patients with a depressive disorder (n = 19).

RESULTS

In accordance with previous findings, self-reports of drastic changes of appearance were associated with scores on various schizotypy scales. Psychiatric patients reported more changes of appearance, compared with healthy volunteers. Patients with schizophrenia reported most changes, followed by the group of patients with borderline personality disordered.

CONCLUSIONS

Perhaps, drastic changes of the appearance are a visible expression of the loss of ego boundaries and/or of the sense of reality.

Body modification and suicidal behavior

In a large sample of individuals who belong to a website for body modification, having body modifications (e.g., piercings, tattoos, scarification and surgical procedures) was associated with a higher incidence of prior suicidality (i.e., suicidal ideation and attempted suicide). However, controls for self-reported depression weakened the strength of these associations.

Tattoos and ratings of personal characteristics

High school and university students viewed a photograph of one woman either with or without a visible tattoo on her upper arm. They rated the woman on 13 personal characteristics (fashionable, athletic, attractive, caring, creative, determined, motivated, honest, generous, mysterious, religious, intelligent, artistic). Analyses showed ratings of the model with the tattoo were statistically significantly lower (more negative) on 9 of the 13 personal characteristics. Ratings were not associated with whether the participants had or did not have tattoos themselves. Implications for research are discussed, including the need to explore the conditions under which negative attitudes may be translated into negative behaviors.

Tattooing and body piercing among adolescent detainees: relationship to alcohol and other drug use

PURPOSE

The purpose of this preliminary study was to document self-reported tattooing and body piercing behavior among a sample of 860 adolescent detainees. Additionally, the study examined the relationship of alcohol and drug use to tattooing and body piercing--an often overlooked HIV risk behavior.

METHODS

Adolescents (N = 860) participating in a substance use and HIV risk reduction intervention were surveyed upon entrance to a Youth Development Campus (YDC).

RESULTS

Twenty-nine percent of the sample (N = 245) had at least one tattoo, and more than half (69%) had at least one body piercing. Fifteen percent had two or more tattoos, while 28% had three or more piercings. Although a small percentage of the youth reported knowingly sharing needles for tattoos or piercings (2% and 1.5%, respectively), 21% had tattoos that had been administered unprofessionally and 20% had unprofessionally administered piercings. Marijuana and alcohol were the highest reported substances used in this sample, 62% and 54%, respectively. Alcohol, marijuana, antidepressants, and sedatives were significant correlates of having tattoos. Alcohol was found to be a marginally significant (P = .052) correlate of body piercing.

CONCLUSION

The popularity of tattooing and piercing and the risk involved with these activities make them an HIV risk behavior worthy of address. Risk reduction messages to youth should consistently address these behaviors and focus on them as they relate to substance use.