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There are substantive gaps in the literature in relation to older women in prison This chapter will utilise the risk, need and responsivity framework to develop a more comprehensive understanding of the characteristics attributable to this small but significant group. To date most research into the experiences of older women in prison consist of relatively small-scale qualitative research. Wahidin (2004) argues that this group may have been overlooked and broadly neglected because of a latent form of ageism which has served to permit organisational oversight (p. 10). While others reflect on the difficulties posed by such small numbers and subsequent lack of statistical power resulting in a dearth of research (Omolade, 2014).

Britton and Jensen (2003, p. 2) emphasised a well-documented dichotomy when they stated that a ‘women’s violence stands in stark contradiction to prevailing norms around (white) femininity’. For older women, a crude lack of intersectionality and denial of reality is combined with the systemic male bias of the criminal justice system (Kerr & Shackel, 2018), limited acknowledgement of variability (Chrisler & Palatino, 2016) and how these factors are considered in terms of risk, need and responsivity (Wilson-Smith & Carr, 2017).

This chapter will utilise these considerations as a foundation together with theoretical underpinnings of development, socialisation and incarceration, in order to further develop knowledge while emphasising the hidden challenges of older women in prison and identifying areas requiring urgent development.

Child psychiatrist Leo Kanner (pronounced “Konner;” Feinstein, 2010, p. 19) published a ground-breaking paper in 1943 that introduced the world to the present-day concept of autism (Fombonne, 2003; Goldstein & Ozonoff, 2009; Roth, 2010). Prior to Kanner, however, several physicians described the condition of autism without identifying it as such. A textbook published in 1809, titled Observations on Madness and Melancholy, contained a description of a boy whose symptoms fit the modern definition of autism (Feinstein, 2010; Vaillant, 1962). The book's author, Dr. John Haslam, wrote about a 5-year-old male who was admitted to the Bethlem Asylum in 1799 with a medical history that included a case of measles when he was 1 year old. The boy's mother claimed that at age 2 years, her son became harder to control. She also indicated that he did not begin to walk until he was 2½ years of age and did not talk until he was 4 years old. Once hospitalized, the boy cried only briefly upon separation from his mother and was “constantly in action” (Vaillant, 1962, p. 376), suggesting that he was hyperactive. Hyperactivity is a characteristic commonly found in children with ASDs (APA, 2000; Wicks-Nelson & Israel, 2009). Although this child watched other boys at play in the hospital, he never joined them and played intently with toy soldiers by himself. The boy could not learn to read and always referred to himself in the third person (Vaillant, 1962). Grammatical errors in speech can be observed among individuals with ASDs (Roth, 2010; Wicks-Nelson & Israel, 2009).

To examine aging Puerto Ricans’ experiences with and perceptions of depression treatment.

In-depth analysis of eight exemplary cases from ethnographic interviews with a subsample of 16 aging Puerto Ricans in the Boston area who are part of the Boston Puerto Rican Health Study.

The results show that respondents were resistant to accepting pharmacological treatment for their depression, and they often characterized antidepressants as “dope.” Moreover, they claimed that in addition to their health problems, social stressors such as financial strain, lack of jobs, housing problems, and social isolation are triggering or contributing to their depression. Because of this, they express reluctance in accepting clinical treatment only, and suggest that broader social issues and other health needs ought to be addressed as part of an effective treatment. For many, pharmacological treatment is acceptable only in the more severe forms of depression.

These results have important implications for improving the quality of depression treatment and reducing health disparities for mainland Puerto Ricans.

Even though recent studies continue to show a high frequency of depression among Puerto Ricans, issues of treatment quality are still understudied and ethnographic accounts are especially lacking. Our study offers an exploratory investigation of this unresolved research issue.