This research paper addresses the issue of the burgeoning number of female inmates in the United State's prison population. It discusses why rates of female incarceration have increased since the 1970s nationally and internationally; various strategies designed to rehabilitate female prisoners; and the failure to address women's specific needs via current social programs for inmates.
Women in Prison
Major Legal Issues Concerning Female Inmates
Problems in corrections:
Dealing with the unique needs of women in the prison system
The number of female prison inmates in America and internationally is growing. Although men still outnumber women in the prison population, the rates of female incarceration, once considered relatively nominal, have skyrocketed. "In the U.S., where the prison and jail population reached two million in the year 2000, women's incarceration is also spiralling upwards at a greater pace than that of men. While the number of men in U.S. prisons and jails doubled between 1985 and 1995, women's imprisonment during the same period tripled" (Sudbury 2002). These escalating rates are surprising, given that women are far more likely to be the victims rather than the perpetrators of violent crimes. "While their relative proportions are small, the growing numbers of women being sent to prison is disproportionate to their involvement in serious crime. Women imprisoned in state and federal correctional institutions throughout the United States totaled 94,336 at mid-year 2001, representing 6.6% of the total prisoner population" (Zaitzow 2004).
The 'war on drugs' and laws such as 'three strikes and you are out' have increased incarceration rates for several categories of prisoners, such as substance abusers, and women often figure prominently in such cases. "Policies such as mandatory minimums, truth-in-sentencing and three strikes that cause more people to serve prison sentences, for longer terms, and leads to spiralling prison populations" (Sudbury 2004). This paper will argue that there has been an insufficiently swift paradigm swift within the corrections community to deal with the unique challenges of female prisoners, which include sexual victimization and economic dependence on male, criminal figures. A new, feminist paradigm is necessary that takes into consideration the social injustices perpetuated by patriarchal institutions is required for the justice system to adapt to the new reality, to fully address women's unique psychological and sociological needs, and to reduce incarceration rates and recidivism.
Statistics on women in prisons
According to the Bureau of Justice: "based on the self-reports of victims of violence, women account for about 14% of violent offenders…The rate of male violent offending translated into about 1 violent offender for every 9 males age 10 or older in the general population; the rate of female violent offending was equal to about 1 violent offender for every 56 females age 10 or older (Greenfield & Snell 2000:1-2). About 1 out of every 109 adult women in the U.S. population is involved in the prison system as an inmate. However, women are rarely the instigators of violent crimes alone. "About 8% of violent female offenders committed their offense together with at least one male offender; by contrast, about 1% of male violent offenders committed the offense in the company of a female offender" (Greenfield & Snell 2000:2). And although the rate of women who commit murder and other violent crimes has gone down since 1980, the rates of female incarceration have been increasing, particularly in the areas of drug-related crimes. "Violence and drug trafficking…account for 17% of women on probation, 24% of those sentenced to local jails, 46% of those incarcerated in State prisons, and 65% of those confined in Federal prisons" (Greenfield & Snell 2000:7). In addition to these demographic differences between women and men are other psychological differences that must be taken into account when prescribing a course of rehabilitative treatment for a female inmate. Treating populations 'the same' with profoundly different needs can be innately discriminatory.
Mental illness amongst women in prison
Mental illness is rife amongst both incarcerated men and women. Although the legal system has a specific definition of what it means to be legally 'insane,' merely because someone has been convicted of a crime does not mean that he or she is sane according to a DSM (Diagnostic and Statistical Manual) definition of sanity. For example, one recent study by Blitz (et al. 2005) of recently-released New Jersey special needs prison inmates found that 68% had more than one Axis I mental disorder, a personality disorder, an addiction problem or multiple illnesses. While this propensity was true both of women and men in the study population, men were more likely to exhibit antisocial behavior and addiction problems. In contrast, "women are more likely to have active disorders of somatization, depression, generalized anxiety, panic, and phobia" (Blitz et al. 2005). This suggests that programs specifically designed to help women reintegrate into society must offer psychological counseling with a different emphasis than programs designed for men. Social programs that take a less punitive attitude towards mental illness may be more beneficial for women given that individuals with mood-related complaints often complain of low self-esteem and turn their angry feelings against themselves and others.
That women tend to exhibit high rates of depression and a strong tendency to act violently against the self, not just society, than do men is supported by other research in this area, nationally and internationally. There is an extremely high rate of past suicide attempts among incarcerated females. In another study of 107 female inmates, 38.1% had attempted suicide in the past, reported symptoms of depression and other mood disorders or showed symptoms of borderline personality disorder (Chapman et al. 2005).
The connection between mental illness and women committing crimes also seems to be far stronger than in males: emotional distress rather than social reinforcement for aggression may be at the root of much of female criminal behavior. For example, women made up a much larger percentage of 'special needs' inmates. Of the New Jersey prisons study, 16% of males were classified as special needs compared with 37% of females (Blitz et al. 2005). The sources of these higher rates of mental illness may be both biological and sociological. A study of HIV-infected prisoners found that of women inmates "96% had neurological examination abnormalities involving either the central or peripheral nervous system, or both, with associated neurological histories predating their current crime conviction, regardless of current HIV serological status" (Brewer-Smyth et al. 2007). Blows to the head were one of the most commonly-attributed sources of this status, which could result from childhood abuse and victimization or domestic violence victimization later in life. Head traumas are associated with mental illness and violent and aggressive behaviors in both genders.
Perhaps most tellingly, women inmates are more likely to have been the victims of sexual assault. In California, 80% of incarcerated women were found to be the victims of sexual assault. As well as the threat of sexual violence from other prisoners, "women's experiences of sexual harassment and abuse, lack of privacy, and retaliation during incarceration may further increase women's risk for depression, anxiety, PTSD, and decreased overall well-being before release from prison" (Dirks 2004). There is an implied possible causal role between the aftereffects of being sexually assaulted and the sense of a lack of self-worth that leads to criminal behavior. Of course, it could be argued that this is correlation rather than causation: poor, nonwhite women are more likely to be convicted of crimes and the instability of their lives, housing situations, and precarious economic lives might lead them into situations where sexual assaults are more likely to take place. Still, it is a possible hypothesis that untreated sexual assault can cause the negative thinking and behavior patterns to persist which disempower women and discourage them from availing themselves of potential sources of rehabilitation while in prison.
Women have traditionally been seen as the 'less violent' gender and their relatively small numbers in the prison population has tended to generate social programs that emphasize aggression containment in men and reducing social factors that support such aggression such as anti-gang activities. But these programs are often less relevant to women's lives. For example, a survey of 4,204 respondents (3,986 males and 218 females) females found that a mental disorder was reported by 19.8% of male and 46.1% of female participants, "with 6.6% of males and 19.4% of females reporting a serious mental disorder." (Wolff et al. 2011:1485). While "the criminal thinking patterns of male and female inmates who reported mental disorders were consistent with those of inmates who reported no mental disorders…Inmates reporting mental disorders scored significantly higher on measures of aggression and hopelessness" (Wolff et al. 2011:1485). Untreated mental disorders may be more likely to leave the causes of female-instigated crime untreated as well because of the higher rates of women in need of such psychological counseling.
The treatment of women in prison often exacerbates this victim psychology and contributes to a sense that the woman's body and therefore the woman's life are worthless. Said one woman: "We were in orange jump suits, with no underwear. For some girls, it was that time of the month. One girl had to keep a pad on with a jump suit with no panties on. That's just the way it is. And they don't care" (Zaitzow 2004). PTSD, a common response of a sexual abuse survivor may be aggravated by the physical vulnerability enforced by prison conditions. Women are also in a total state of dependency upon their female guards for all of their needs, which can again exacerbate the feelings of victimhood.
A lack of program support
Although most prisons afford vocational training and psychological support for women to enter into the job market as productive citizens, few women prisoners take advantage of such opportunities. The reason, one study suggests, may be inadequate program design, given that most approaches to training focus on males and are the program paradigm is merely transferred to female prisons with the same approach. The employment rate of formerly incarcerated women is similar to the level of their pre-incarceration period, suggesting a failure of appropriate vocational training and social support for women inmates (Lalonde & Cho 2005). Also, as the population of incarcerated women has grown, it has become more and more difficult for prisons to address women's unique vocational needs because of budget cuts. Some criminologists have suggested that programs do not sufficiently prepare uneducated women for careers with bright promotional possibilities like those of men, given that traditional, well-paid manual labor has been viewed as a male sphere although women could benefit from learning about welding, electrical work, or even technical skills.
The difficulties women face in prison are often forgotten because women's prisons are often more attractive than all-male prisons in a superficial fashion. However, this should not be viewed as prejudice in favor of female prisoners. "Despite the less-threatening appearance of women's prisons, the conditions for women prisoners are usually worse than those for male prisoners. For example, women prisoners have more restricted access to legal libraries, medical and dental care, and vocational and educational opportunities. What few possessions they have are often confiscated or destroyed and they are subject to arbitrary body searches at any time" (Zaitzow 2004). Women do have an advantage in the sense that they tend to serve less time than their male counterparts for equivalent offenses. Of "the about 84,000 women who "were confined in prisons in 1998, in 1996 the average sentence and time served for women were shorter than for males with equivalent offenses" (Greenfield & Snell 2000:7). But this reduces pressure upon the system to create women-specific programs to enhance their job marketability after release and can lead to recidivism.
Substance abuse
Substance abuse is a significant problem in the lives of many women prisoners. There is a strong correlation between drug abuse and incarceration amongst female convicts. A study found that of 54 female inmates who identified themselves as ex-addicts, the "majority began using drugs prior to their involvement in crime and most were convicted of drug-related crimes" (Chen 2009). Drug use is higher than alcohol use overall in women than in male prisoners: "Women offenders in State prisons reported higher usage and 40% of women inmates compared to 32% of male inmates had been under the influence of drugs when the crime occurred. By contrast, every measure of alcohol use was higher for male inmates than for female inmates" (Greenfield & Snell 2000:8).
Psychology of criminality
In contrast to the retributive philosophy of justice which dominated the 19th century, the need for understanding the origins of criminality -- both psychological and sociological -- have come to the forefront of the discipline in the 20th century. Child-rearing is a common issue of debate amongst criminologists. A study of one hundred twenty-eight inmates and 337 non-inmates found that authoritarian (strict, discipline-oriented) and permissive (hands-off and noninvolved) parenting were far more characteristic of the upbringings of inmates and non-inmates, versus the loving, firm discipline of a fair but authoritative household.
However, this association could be attributed to correlation as well as causation. It could be that persons from socioeconomically advantaged groups tend to use authoritative methods, versus other methods of child-rearing or that the stressors or poverty (needing to work long hours, food scarcity, unstable living conditions) create such patterns of ineffective parenting, and that 'bad parenting' itself is not the cause, but financial scarcity and an unequal distribution of income in society. "Research also shows that women in prison have experienced unusually high rates of extremely abusive 'discipline' from parents, involvement in drugs, and prostitution, whether they were imprisoned for these crimes or not" (Zaitzow 2004). Personal and social disadvantages, exacerbated by drug abuse are often targeted as the primary motivators for women to engage in criminal activity, much more so than innate aggression or even monetary rewards.
Feminist criminologists have called the system of control in women's prisons a kind of 'pastel fascism' which replicates such systems of oppressive parental control in the name of punishment and reform. "Control-oriented rules and regulations, poor diet, neglectful health care, degradation, lack of vocational training and recreational facilities, exploitation, abuse, and unsanitary conditions typify the conditions in many prisons and jails that house women" (Zaitzow 2004). The very notion of the female prisoner confounds conventional notions of femininity. "Much of the treatment and control of women in prison is premised upon the individualization of the women's problems. The women are typically characterized as having in some way 'failed' in their adult responsibilities" (Zaitzow 2004).
Rehabilitation of female prisoners is often seen as synonymous with re-feminization, including finding a male breadwinner to take care of the woman and her children. Mothers are highly idealized within the culture yet "women under supervision by justice system agencies were mothers of an estimated 1.3 million minor children" (Greenfield & Snell 2000:1). Women may be threatened with having their children taken away or being unable to see their children if they are not compliant: women who give birth in prison tend to have their children removed from them after a year or so (depending on the country and the state) so the child is not punished along with the incarcerated mother (Sudbury 2004).
Women's imprisonment may be viewed as making them 'unfit' even though desperation to support their children may have driven them to illicit activity in the first place such as the case of women who turn to prostitution or Barbara Parsons who was "molested by her grandfather when she was 4, Parsons shot and killed her abusive husband when he revealed that he had molested her granddaughter" and "convicted of manslaughter due to emotional duress" (Lamb 2008). Parsons' psychological distress as a result of her victimization clearly played a role in her actions yet despite her questionable status as a threat to society, she was still given a harsh punishment.
It is often is vulnerability to male advances that is often at the core of female incarceration, given the degree to which women are often forced into crime through the pressures of men who they feel they 'need' to survive, rightly or wrongly. Once again, there is evidence that women are judged more harshly by the system than males: "They are written up for twice as many infractions as men, but usually the infractions are less serious than those committed in men's prisons" (Zaitzow 2004). Although women's prisons often have slightly more amenities than male prisons, women are held to a higher standard of behavior -- simply because they are women and should 'know better.'
Female psychology
It has often been observed that women, in contrast to men, tend to turn their anger against themselves rather than outward at society. This difference between the genders may be due to biology, socialization, or a mixture of different factors. Female prisoners conflate social stereotypes of femininity, given their demonstrated propensity to commit asocial acts in defiance of what it means to be a 'good girl.' Yet, consistent with the female gender as a whole, women prisoners also have notably higher rates of self-directed violence, including suicide, regardless of their crimes. "Existing studies have identified the presence of psychopathology and childhood abuse as important risk factors for suicidal behavior among female inmates. Female inmates demonstrate high rates of mood disorders and substance use disorders (Jordan, Schlenger, Fairbank, & Caddell, 1996), as well as antisocial and borderline personality disorders, all of which are associated with heightened suicide risk (Bostwick & Pankratz, 2000; Holley et al., 1995; Hufford, 2001). Additionally, female inmates report high rates of childhood abuse" (Chapman 2005). Even women who are victimizers, therefore, have often found themselves previously in the role of victim. Unemployment and low socio-economic status increase the likelihood of suicide and are also associated with higher rates of criminal behavior. (Ironically, women are even more likely to be the victims in crimes perpetuated by women: Three out of four victims of violent female offenders were women" (Greenfield & Snell 2000:1).
While correlation does not always imply causality, the linking of such factors calls for a holistic treatment of mental disorders of inmates. Poor coping skills and limited cognitive resources to deal with stress are linked both with violence and suicidal behavior. Programs which offer females alternative methods of dealing with their problems may be fruitful in helping women to pursue more positive life courses. Cognitive or Dialectical Behavioral Therapy has shown to be fruitful in altering existing cognitive strategies and minimizing hopelessness. For example, instead of being allowed to make broad, unsubstantiated statements 'I am worthless,' the patient is asked to define what she means by worthless, to find aspects of worth in her life, and to show her the irrationality of thought patterns she has taken for granted for many years. CBT and DBT has also been one of the most useful therapies to use in treating patients with substance abuse problems. Thoughts such as 'I need this drug to survive' or 'I am already addicted, so there is no point in quitting' are addressed by applying rational analysis to the woman's thoughts. These therapies are also extremely goal-directed which is useful for a prison setting, in which extended personalized therapy in the psychodynamic mode may not be feasible.
CBT and DBT have also been found to be extremely valuable in treating Borderline Personality Disorder (BPD), a personality disorder which women prisoners are far more likely to exhibit than even antisocial personality disorder (which is far more common in males). "DBT theory suggests that some people's arousal levels in certain situations can increase far more quickly than the average person's. This leads a person to attain a much higher level of emotional stimulation than normal, and it may take a significant amount of time to return to normal emotional arousal levels" (Grohol 2010). Borderline patients are at a high risk of engaging in self-harming practices as well as tend to have very unstable personal relationships in a manner that can make conventional therapy difficult: they may alternate between obsessing about and despising certain people and can be very emotionally demanding for both positive and negative attention.
DBT specifically often has a group therapy-based component, which can be useful to treat women who are incarcerated, helping them to get along better with one another. "In these group sessions, people learn skills from one of four different modules: interpersonal effectiveness, distress tolerance/reality acceptance skills, emotion regulation, and mindfulness skills. A group setting is an ideal place to learn and practice these skills, because it offers a safe and supportive environment" (Grohol 2010). For women who may have problems with their socialization skills yet who can benefit from positive social feedback, group settings can add a dimension to their therapy and recovery not present in other approaches.
However, the efficacy of CBT and DBT has been difficult to establish in an evidence-based fashion. In one study of a program for female inmates: "33% of the women who received [CBT] Seeking Safety treatment returned to prison 3 months post-release and that women in the treatment group were more likely than members of the control group to return to prison (50% versus 10%)" (Reentry programs for women inmates, 2005, Reentry programs for women inmates). Women with BPD and substance abuse problems are often more intractable to treat than female inmates with other complaints, thus using the general population as a control group may not be particularly effective. Given the multitude of other factors that can impact efficacy rates according to evidence-based standards of program evaluation, funding for these programs can be challenging to solicit.
Programs to address female inmates' unique needs
A lack of literacy can be an important factor in female inmates' issues, leading them to dependence upon illicit activities or abusive males. A number of prisons have variously- structured programs to improve rates of female literacy in prison. One program instituted in the Michigan prison system proved to be particularly helpful in addressing the needs of female inmates. "Project PROVE [Post Release Opportunities for Vocational Education], which focuses on the needs and special circumstances of female ex-inmates, how those circumstances may be barriers to successful reintegration and continued education, and reviews what is needed to promote employment as a critical factor for successful reintegration post release… Although there is a growing body of literature that shows a strong link between education and reduced recidivism, there is little evidence that these educational opportunities are increasing for women inmates" (Case et al. 2005).
Women often face greater social stigmatization than males after being released from prison, and in the most available careers open to them, their record may actually 'haunt' them more than a male: while males can frequently seek manual labor jobs in which their past record is not a factor, women may struggle to break into more conventional white collar jobs. While male prisoners are often socio-economically disadvantaged in comparison with non-incarcerated males of similar educational levels, the fact that women traditionally make less money than males combined with narrowed career opportunities often result in even deeper and more intractable disenfranchisement. "Therefore, successful reintegration of female prisoners would be accomplished by providing support for vocational training and education, by providing job support to assist these women in finding employment in the fields for which they were trained, by offering family and social support to assist these women with their emotional and psychological recovery, and by arranging financial support in addition to housing and transportation allowances" (Case et al. 2005).
Post-release programs have been identified as particularly important given that women often face special challenges on the outside that males do not. As noted before, the difficulty of finding immediate employment may be more frustrating for women because of a lack of manual labor skills. Because women are more likely to be single parents than former male inmates this can also hamper their ability to find a good job, if readily available, high-quality day care is not accessible during the day while the woman is at work. "67% of the 148,200 women incarcerated in jails, state prisons, or federal prisons were mothers of minor children" (Rose 2005). For women with socioeconomic difficulties who need or wish to better their skills "inadequate housing interfered with their ability to go to school or to obtain financial aid, and limited access to other forms of community and government assistance" (Case et al. 2005).
Finding affordable housing for women, especially women with small children can be an additional challenge to reintegration. The focus of prison programs tends to be on caring for the infant, if a woman is pregnant, not on the subsequent life for the woman and child once she is 'outside' again. For example, "the [Federal Bureau of Prisons] BOP offers a community residential program called Mothers and Infants Nurturing Together (MINT) for women who are pregnant at the time of commitment. The MINT program is a residential reentry center-based program that promotes bonding and parenting skills for low-risk female inmates who are pregnant" (Female offender programs, 2013, BOP). It should be noted that women are screened for pregnancy upon being admitted to prisons yet federal funds cannot be used to allow them to procure an abortion which may increase the rates of women in prison who have children and thus increase their needs related to motherhood.
Project PROVE (Post Release Opportunities for Vocational Education) was designed to support the educations of female ex-convicts and "picks up the tuition balance remains after the grant has paid its portion. Also, PROVE provides assistance for books. Of great importance for these women is the program's willingness to pay on defaulted loans" (Case et al. 2005). The women in the program had varied but highly specific vocational goals which the program was able to move forward. While women in the program did frequently express dissatisfaction with the fact that their status as a convicted felon was held against them in hiring, they were also hopeful that their commitment to gaining a degree could give them a foothold in mainstream society in areas of the economy such as healthcare and business.
However, programs like Project PROVE are the exception, not the rule. There are fewer rather than more programs available for female prisoners than twenty years ago, despite increasing numbers of female inmates. "The provision of educational programming to female inmates mirrors the provision of the health care services. While male prisoners run into their own problems concerning educational pursuits during their incarceration, female prisoners have fewer available programs from which to choose, and the programs that are available tend to be of a lesser quality when compared to those offered to male inmates" (Rose 2004). This is despite the fact that women prisoners are statistically more in need of assistance than their male counterparts. 20% are illiterate, have only minimum-wage jobs. 60% are on public assistance and are unemployed (Rose 2004).
Pre and post-release educational programs, as well as providing women with job skills, also convey to the women a sense of being involved in a wider social community and enhance their sense of personal investment in a society that cares about their fates. "If an inmate had been exposed to the importance of education, to the linguistic structures and patterns of authority used in educational settings, and to teacher expectations, she is likely to acquire cultural capital resources beneficial to the educational experience" (Rose 2004). Education can provide a springboard to developing a greater sense of social responsibility. Conversely, reinforcing women's social ties from outside the prison can enhance their commitment to change -- it has been demonstrated that women who had frequent family visits or who were a part of programs that stressed mother-child visitation rights were more apt to avail themselves of educational resources (Rose 2004).
Characteristics of effective programs include ones which are holistic in nature, touching on women's economic, personal, and psychological needs and provide them with practical coping mechanisms to deal with the job market and everyday life without resorting to criminal behavior or drugs. Ineffective programs do not fully address the specific needs of women in contrast to those of males and the non-incarcerated population of women. For example, one rehabilitation program in Montana was found to be severely lacking in terms of its assessment of participants' literacy: "Because the Handbook is identified as such an important component of participation in the MWP therapeutic community program, it begs the question of whether or not Handbook material is readily absorbed and understood by program participants. Recent United States Census estimates indicate approximately 16% of adults age 25 and older within the general population have not completed high school" (Dillon et al. 2007). A test of the literacy level required to comprehend the program was a grade level score of 11.2 (Dillon et al. 2007). Although women as a whole tend to score higher on tests of literacy and reading than males, the materials were at too high a level for the average literacy status of the female prisoner the program was designed to help.
Rethinking the paradigm of female incarceration
In addition to creating more effectively-structured programs, there has also been a need to fundamentally reconfigure the entire paradigm of how women's prisons are viewed, particularly in light of the high rates of sexual victimization within the prisons. "For women with previous histories of abuse, prison life is apt to simulate the abuse dynamics already established in these women's lives, thus perpetuating women's further re-victimization and re-traumatization while serving time. Women's experiences of re-victimization and re-traumatization need to be addressed by prison staff, policy, procedure, and programming. A feminist framework may offer a lens by which to view these experiences and offer insight for change" (Dirks 2004). Rather than rehabilitating women, quite often the prison environment merely simulates another environment of command and control that parallels the abuse the woman suffered. The fact that most women in prison were sexually victimized while still young only compounds the issue, as her status as a victim has become internalized into the woman's sense of well-being in a manner which can be very difficult to eradicate.
Prison itself according to many feminist scholars, is merely another form of patriarchal command and control. Given that various studies of women in prison have estimated that anywhere from 70-90% of women have been the victims of violent sexual assault as children or adolescents, to treat women prisoners as perpetrators alone does not take into consideration a very important component of why their psychology may have been damaged in the first place (Dirks 2004). Also the way that certain crimes are treated, such as prostitution and substance abuse, may result in women been punished more often and harshly.
For example, as well as substance abuse, the crime of prostitution is also very common amongst female prisoners -- over half the sampling size of one study of female prison inmates according to Dirks (2004). Prostitutes more often face prosecution than male patrons. Prostitution is a way that socio-economically disadvantaged women without an education may try to support themselves and their children or can also be the result of coercion from males (began when the woman is still underage). But women's behaviors are treated purely as criminal rather than as psychological manifestations of oppression and abuse and the demand side of prostitution is also not addressed, given that it is generated by males.
Discrimination and the justice system
Numerous studies have noted the discrepancy between the representation of certain historically-discriminated-against groups in the population and their representation in the justice system. "Black women are commonly victims of childhood sexual abuse, intimate partner violence, sexual assault, and sexual harassment and are overrepresented in 'severe" categories of childhood sexual abuse" (Dirks 2004). In particular, socio-economically disadvantaged African-American women are more likely to be assaulted, are less likely to report their victimization, and to be the victimization of repeated assaults than whites (Dirks 2004). Other women of color may similarly experience both discrimination as a member of a marginalized group and socio-economic deprivation, which, when combined with other forms of abuse can create a mentality that makes the individual vulnerable to acting out in a criminal fashion. "Early childhood boundary violations can often shape women's later experiences in life in creating a weak sense of self, feelings of guilt or shame, and deprivation, thus shaping women's further alienation and vulnerability" (Dirks 2004).
The war on drugs has had a particularly seismic impact upon increasing the population of African-American and Latino women in the prison system. Mandatory minimum sentences for minor drug crimes, even for individuals only peripherally involved through husbands and boyfriends are one of the reasons for the escalating numbers of women behind bars. "Since the only way a lesser sentence can be given is in cases where the defendant provides 'substantial assistance' in the prosecution of another person, women, who tend to be in subordinate positions within drug syndicates and thus have little access to information are usually unable to make such an agreement" (Sudbury 2002).
The power dynamic of women in the drug trade is almost invariably that of a subordinate to a more powerful male. Female lower-level involvement and influence and increases their likelihood of victimization but may also result in a greater likelihood of serving a mandatory sentence because of their lack of meaningful knowledge which they can barter with prosecutors: "Women's subordinate role in heterosexual relationships and their role as the primary and often sole carers of children combine to devalue their labour in the drug trade. The low value of women's labour in the drug trade is demonstrated by the women I interviewed who reported being 'set up' as decoys so that their arrest would distract customs officials from a larger shipment coming through" (Sudbury 2002).
Nonwhite women of low socioeconomic status are once again disadvantaged by the penalization of cheaper crack cocaine (more often used by nonwhites) more than expensive but pharmaceutically similar powder cocaine has similarly driven up incarceration rates: the mandatory minimum sentence for crack cocaine is one hundred times harsher for crack than for powder cocaine" both for users and dealers (Sudbury 2002).
The invasive intrusion upon privacy in the prison environment, including physical intrusion, can trigger many survivors' PTSD (post-traumatic stress disorder) or exacerbate it. Thus, rather than rehabilitating women, prison may merely aggravate pre-existing psychological conditions, ironically the same conditions which may have had a psychological role in the perpetuation of the crimes of the women prisoners in the first place. Violence, substance abuse, prostitution, battered woman syndrome, and other crimes may be linked to untreated sexual assault as can racial and sexual discrimination.
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