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Psychiatric Quarterly [psaq] ph129-psaq-375283 September 18, 2002 16:28 Style ﬁle version June 4th, 2002
Psychiatric Quarterly, Vol. 73, No. 4, Winter 2002 (
PERSONALITY DISORDERS IN PRISON:
AREN’T THEY ALL ANTISOCIAL?
Merrill Rotter, M.D., Bruce Way, Ph.D.,
Michael Steinbacher, M.A., Donald Sawyer, Ph.D.,
and Hal Smith
The provision of mental health services in the correctional system is challenging
at best for various clinical, administrative, and structural reasons. Among the
complicating factors is the assessment and management of character pathology
which either confounds the treatment of more “serious” mental illnesses, e.g.
Axis I disorders, and/or presents itself as the primary focus for intervention. In
this paper we review the prevalence of personality disorders on the prison men-
tal health services caseload in New York State. We compare inpatient and out-
patient rates among the various disorders documented in the prison system, as
well as look at these rates within the context of the rates of personality disorder
in the state mental health system generally. Assessment of personality disor-
der will be addressed with particular attention to the confounding inﬂuence of
the prison environment. Finally, treatment options will be discussed, including
Merrill Rotter, M.D., is Associate Clinical Professor of Psychiatry, Department of Psy-
chiatry, Albert Einstein College of Medicine, 1500 Waters Place, Bronx, NY.
Bruce Way, Ph.D., is afﬁliated with Central New York Psychiatric Center, New York.
Michael Steinbacher, M.A., is afﬁliated with Sing Sing Correctional Facility.
Donald Sawyer, Ph.D. and Hal Smith are afﬁliated with Central New York Psychiatric
Center, New York.
Address correspondence to Merrill Rotter, M.D., Associate Clinical Professor of Psychi-
atry, Department of Psychiatry, Albert Einstein College of Medicine, 1500 Waters Place,
Bronx, NY 10461; e-mail: email@example.com.
2002 Human Sciences Press, Inc.