Women, the embodiment of health and carceral space

Criminalization and capture strategies in the HIV/AIDS assemblage

PURPOSE

This study aims to ask how HIV/AIDS is arranged as a public threat in and through Canadian law, particularly in relation to transmission, and how strategies of capture extend the affective force of criminalization leading to poor health outcomes for persons living with HIV/AIDS.

DESIGN/METHODOLOGY/APPROACH

This is a conceptual paper with a focus on applying affect theorist Jasbir Puar's work on assemblage and debility. The authors use Puar's work to frame the conditions that persons with HIV/AIDS experience in the Canadian criminal justice context as debilitating.

FINDINGS

The authors found that while HIV transmission is not itself a criminal act in the Canadian criminal justice context, activities where transmission is prevalent or possible have been criminalized, particularly in relation to nondisclosure of health status, sex work and substance use. Further, the authors found that when the activities associated with HIV transmission are criminalized, strategies of capture extend the affective force of criminalization first in the inadequate provision of health-care and pharma-care services, second in state resistance to implement harm reduction measure and third in punitive population management strategies.

ORIGINALITY/VALUE

Persons living with HIV/AIDS have historically experienced stigmatization, especially intersecting with neoliberal, white supremacist and heteropatriarchal axes of power. This paper uses assemblage theory to shore up how these relations operate in ways that close off possibilities, by constituting the HIV/AIDS assemblage as a criminal - rather than a health phenomenon. This paper, thus, holds Canada to account for debilitating a historically disadvantaged and multiplying marginalized population.

Self-Reports of Health before and during Imprisonment in Female Inmates

The health of female inmates has been described as more vulnerable than that of detained male and the overall female population. The purpose of this study is to describe health behaviors, history of diseases, health complaints, and health status of 232 incarcerated women. The women reported risk behaviors and unexpected health surveillance before their imprisonment. In prison, their tobacco use increased, drug consumption decreased and high rates of diseases, use of medicines, health complaints, and poor health status were found. The women’s perceptions of their current health, compared with the time period before prison, revealed different types of impact, with one-third reporting health improvements. These data suggest that women prisoners’ health and the prison’s impact on their health must be better studied in order to enhance the health intervention programs during imprisonment.

Health Conditions Prior to Imprisonment and the Impact of Prison on Health: Views of Detained Women

Detained women have certain health conditions prior to incarceration and these conditions can improve, worsen, or remain the same in prison, depending on the prisoner's background, the characteristics of the prison, and the arrest experience. This study investigated the health of detained women and the influence of incarceration from their perspective. Three focus groups were conducted among 15 inmates, and data were analyzed according to thematic analysis procedures. Detainer's health backgrounds varied with regard to their level of health concerns, contact with health services, and health behaviors. A positive influence of incarceration was described by patients with chronic illness, patients with drug addiction, and victims of interpersonal violence. Among women with mental illnesses or those without previous health problems, reports do not reveal benefits of imprisonment for mental health. These data emphasize the importance of specialized health care and the need to invest in mental health care in corrective institutions.

Examining the preventable but predictable death of Ashley Smith

PURPOSE

The purpose of this paper is to examine the fusion of psy-correctional discourse with the dominant risk logic to consider the implication this nexus can have on how self-injurious behaviour committed by women in prison is interpreted and responded to by the Correctional Service Canada (CSC).

DESIGN/METHODOLOGY/APPROACH

The central focus of the study is an in-depth case analysis of the carceral death of Ashley Smith, a 19-year-old woman who committed suicide in her segregation cell in 2007 after enduring four years of excessively punitive treatment aimed at controlling her self-injurious behaviour.

FINDINGS

Findings illustrate how the fusion of these logics creates a kind of "therapeutic-risk cloak" that reframes the behaviour as "abnormal" and "risky", which masks the punitivity of strip search and segregation interventions in the name of safety, security and treatment.

ORIGINALITY/VALUE

Given that correctional officials knowingly failed to intervene when Smith tied the fatal ligature around her neck, a federal inquiry judged her death to be a homicide. By attempting to unveil the "therapeutic-risk cloak" the authors hope to challenge the underlying logic of CSC's governance and management framework, which not only denies the oppressive gendered carceral reality that is linked to self-injurious behaviour amongst women prisoners, but is also used to justify intervention responses that exacerbate the very behaviour this framework aims to control. Until systemic transformation is achieved that eradicates CSC's contradictory governance framework, there is no doubt that the authors will continue to see similar preventable deaths take place in prison.