What <strong>if</strong> this had already happened to you before, perhaps in your own family? What <strong>if</strong> this had driven you over the edge in the first place, and you'd landed in the nearest state institution to regain some peace of mind, presumably safe from such lawlessness? What <strong>if</strong> the same thing happened—and kept happening— to you in this so-called place of refuge? Ah, friends, there is little "asylum" in America. Women who have been repeatedly raped in childhood—often by authority figures in their own families—are traumatized human beings; as such, they are often diagnosed as borderline personalities, or as disbelieve and punish the female (or male) <strong>sexual</strong> victim in their midst. Staff, both male and female staffers may themselves have a vested interest in punishing those <strong>women</strong> who "tell." Thus, when <strong>women</strong> or men are raped in American institutions—whether they be psychiatric wards, jails, prisons, or facilities for the mentally retarded and multiply disabled—the absent physicians and the overworked and poorly trained employees usually deny that anything criminal or traumatic has occurred. Institutional staff tend to look the other way ("give them some privacy"), deny that a staff member has raped an inmate, or Some of us have had enou are epidemic, inflict l<strong>if</strong>elong harm, return to rape again. And again. suffering from substance <strong>abuse</strong> or post-traumatic stress disorder. If they are <strong>institutionalized</strong>, they are rarely treated as the torture victims they truly are. Instead of being trained to understand this, most institutional staff—psychiatrists, psychologists, nurses, and attendants alike—do not believe the rape victims, nor do they think of rape as a "big deal." For more than 20 years, courtesy of feminist activism and feminist academic and clinical studies, data has been available in psychiatric, psychological, nursing, and social work journals that describes rape trauma syndrome, confirms how serious it is, and outlines treatment protocols. There is no excuse for psychiatric staff who fail to diagnose and compassionately treat such victims of violence. The coarsening, deadening effects of institutional structures are too hard for individual staff to overcome, especially <strong>if</strong> they're overworked and forced to conform to authority. Most staff—from psychiatrists to orderlies—tend to reflect society's prevailing prejudices. In addition, they have the power to brutally enforce traditional misogynist views. Thus, such staff will usually winter 1998 - 16 maintain that sex between inmates is simply "consensual." Compassionate staff say that "mental patients are also entitled to love." <strong>But</strong> in my view, rape is not love. Perhaps people still confuse the two. Both criminal and non-criminal inmates are entitled to conjugal visits and on-ward sex—when, and only when it is truly consensual. Society has an obligation to keep criminals in jail, not to release them into the "therapeutic" culture. What we need are longer sentences upfront, not institutionalization afterward— especially since the mandatory treatment of sex offenders rarely works. Legislators have long fancied themselves gynecologists in the matter of abortion; now, judges have deemed themselves psychiatrists. Sex offenders are no longer merely criminals. By judicial diagnosis, they are "mentally abnormal," have "personality disorders," and/or are likely to engage in future acts of a <strong>sexual</strong>ly predatory nature. On June 23, 1997, in Kansas v. Leroy Hendricks, the Supreme Court upheld the 1994 Kansas Sexually Violent
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