Brief of Amicus Curiae Center for Law, Brain & Behavior in Support of Plaintiff-Appellee
Center for Law, Brain and Behavior
SimpleOriginal

Summary

Prolonged solitary confinement causes lasting neurological and psychological injury, worsens substance use disorders through stress and sleep deprivation, and constitutes cruel treatment requiring relief for the plaintiff.

2023 | Federal Juristiction

Brief of Amicus Curiae Center for Law, Brain & Behavior in Support of Plaintiff-Appellee

Keywords solitary confinement; psychological effects; physical effects; mental illness; brain changes; self-harm; substance use; anxiety; depression; torture

SUMMARY OF THE ARGUMENT

For over a century, scientists have studied the destructive psychological and physical effects of solitary confinement. The consensus is clear: Extreme conditions of isolation – like those experienced by Mr. Cintron - result in a distinctive set of emotional, social, cognitive and physical pathologies. The list of adverse psychological effects is long, including impaired cognition, anxiety, panic, depression, perceptual distortions, paranoia, hallucinations, self-harm and suicide. Scientists have identified the neural correlates of these known severe and persistent illnesses. Solitary confinement not only leads to enduring mental injuries, but also debilitating and persistent structural and functional brain changes. It is no surprise that solitary confinement has been universally condemned by the scientific and medical community.

The tragic impact of these pathologies is illustrated by the plaintiff’s assertions in this case. According to the amended complaint, before his solitary confinement, the petitioner had adjusted to his medium security facility, which allowed him extensive time out of his cell, contact with family, educational programming, and recreational and religious opportunities. In contrast, shortly after being placed in extreme isolation, with attendant sleep deprivation and stress, he developed severe anxiety, depression, perceptual disturbances and intrusive thoughts. These worsened over time, progressing to serious self-inflicted harm and extreme weight loss. Worse, Mr. Cintron’s preexisting substance use disorder –known to prison authorities - was exacerbated by his segregation, as is typical for those with documented mental illness prior to solitary confinement.

Mr. Cintron repeatedly informed prison personnel of his deteriorating mental and physical state; according to his complaint, even if he had not complained, his deterioration was obvious. The facility refused medication assisted substance use treatment or placement in a less restrictive environment.

The infliction of lasting damage to brain, mind, and body which Mr. Cintron’s extended solitary confinement engendered was cruel – nearly two years of confinement, a profound substance abuse disorder, deepening mental and physical illness. Indeed, in Mr. Cintron’s case, it was quite literally torture.

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Summary

Research spanning over 100 years has shown the harmful psychological and physical impacts of solitary confinement. There is agreement among experts that extreme isolation, such as that experienced by Mr. Cintron, causes a specific group of emotional, social, mental, and physical health problems. The negative psychological effects are extensive, including difficulties with thinking, anxiety, panic, depression, altered perceptions, paranoia, hallucinations, self-harm, and suicide. Scientists have identified the brain changes linked to these severe and lasting illnesses. Solitary confinement not only results in lasting mental harm but also causes significant and enduring changes to brain structure and function. Therefore, the scientific and medical communities widely criticize solitary confinement.

The unfortunate outcomes of these health problems are demonstrated by the plaintiff's claims in this case. As stated in the amended complaint, before his solitary confinement, the petitioner had adapted to his medium-security prison, which offered considerable time outside his cell, family visits, educational programs, and recreational and religious activities. In contrast, soon after being placed in extreme isolation, combined with sleep deprivation and stress, he experienced severe anxiety, depression, perceptual disturbances, and intrusive thoughts. These conditions worsened over time, leading to serious self-harm and significant weight loss. Furthermore, Mr. Cintron's existing substance use disorder, which prison officials knew about, became worse due to his segregation, a common occurrence for individuals with a documented mental illness prior to solitary confinement.

Mr. Cintron repeatedly informed prison staff about his declining mental and physical health. According to his complaint, even without his complaints, his worsening condition was evident. The facility did not provide medication-assisted treatment for his substance use disorder or transfer him to a less restrictive setting.

The long-term harm to Mr. Cintron’s brain, mind, and body caused by his extended solitary confinement was cruel. This included nearly two years of confinement, a severe substance use disorder, and worsening mental and physical illness. For Mr. Cintron, this experience was, in fact, a form of torture.

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Summary

Scientists have studied the harmful psychological and physical effects of solitary confinement for more than 100 years. The findings consistently show that extreme isolation, such as that experienced by Mr. Cintron, leads to specific emotional, social, cognitive, and physical problems. The negative psychological effects are extensive, including difficulties with thinking, anxiety, panic, depression, distorted perceptions, paranoia, hallucinations, self-harm, and suicide. Researchers have identified the brain changes linked to these severe and lasting illnesses. Solitary confinement not only causes long-term mental injuries but also damaging and permanent changes to the brain's structure and function. For these reasons, the scientific and medical communities widely criticize solitary confinement.

The unfortunate effects of these problems are clear from the plaintiff’s claims in this case. According to the updated complaint, before being placed in solitary confinement, the petitioner had adjusted well to a medium-security facility. This allowed significant time outside a cell, contact with family, educational programs, and recreational and religious activities. However, soon after being moved to extreme isolation, which involved sleep deprivation and stress, Mr. Cintron developed severe anxiety, depression, perceptual disturbances, and intrusive thoughts. These conditions worsened over time, leading to serious self-inflicted harm and extreme weight loss. Furthermore, Mr. Cintron’s existing substance use disorder, which prison authorities knew about, became worse due to his segregation. This is a common outcome for individuals with documented mental illness before solitary confinement.

Mr. Cintron repeatedly told prison staff about his declining mental and physical health. His complaint states that even if he had not complained, his deterioration was evident. The facility did not provide medication-assisted treatment for his substance use or transfer him to a less restrictive environment.

The severe and lasting harm to Mr. Cintron’s brain, mind, and body caused by his extended solitary confinement was cruel. This included nearly two years of confinement, a severe substance use disorder, and worsening mental and physical illness. In Mr. Cintron’s situation, these conditions amounted to torture.

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Summary

Scientists have studied the harmful psychological and physical effects of solitary confinement for more than 100 years. The general agreement is that extreme isolation, such as that experienced by Mr. Cintron, causes specific emotional, social, mental, and physical health problems. The many negative psychological effects include difficulty thinking clearly, anxiety, panic, depression, distorted perceptions, paranoia, seeing or hearing things that are not there, self-harm, and suicide. Researchers have identified the brain changes linked to these known serious and ongoing illnesses. Solitary confinement not only leads to lasting mental harm but also to severe and persistent changes in brain structure and function. It is widely understood why the scientific and medical communities have condemned solitary confinement.

The unfortunate impact of these health problems is shown by the claims made by the plaintiff in this case. According to the updated complaint, before his solitary confinement, the petitioner had adapted to his medium-security prison. This allowed him significant time outside his cell, contact with family, educational programs, and chances for recreation and religious activities. In contrast, soon after being placed in extreme isolation, along with a lack of sleep and high stress, he developed severe anxiety, depression, distorted perceptions, and unwanted thoughts. These problems worsened over time, leading to serious self-inflicted harm and extreme weight loss. Furthermore, Mr. Cintron’s existing substance use disorder, which prison authorities knew about, became worse due to his isolation. This is typical for individuals with documented mental illness before solitary confinement.

Mr. Cintron repeatedly told prison staff about his worsening mental and physical condition. According to his complaint, even if he had not complained, his decline was obvious. The facility denied him medication-assisted treatment for substance use or transfer to a less restrictive setting.

The lasting damage to Mr. Cintron’s brain, mind, and body caused by his extended solitary confinement was cruel. He endured nearly two years of confinement, a severe substance use disorder, and deepening mental and physical illness. For Mr. Cintron, it was, in fact, literally torture.

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Summary

For more than 100 years, scientists have looked at how being alone for a long time hurts people's minds and bodies. They all agree: being alone in extreme ways, like Mr. Cintron was, causes many problems. These problems affect how people feel, how they get along with others, how they think, and their physical health.

The bad feelings and thoughts are many. They include trouble thinking clearly, feeling worried or scared, being very sad, seeing things that are not there, feeling like others are against them, hurting oneself, and even trying to end one's life. Scientists have found what happens in the brain when people have these serious and lasting problems. Being alone not only causes long-lasting mental harm but also changes the brain's shape and how it works in bad ways. This is why doctors and scientists everywhere say that keeping people alone in this way is wrong.

What happened to Mr. Cintron shows how bad these problems can be. Before he was kept alone, he was doing well in a prison that let him out of his cell often. He could see his family, go to school, and do fun or religious things. But soon after he was put in a very lonely place, with not enough sleep and a lot of worry, he started to feel very anxious and sad. He also started to see and hear things that were not real and had upsetting thoughts. Over time, these problems got worse. He hurt himself badly and lost a lot of weight. Also, Mr. Cintron had a drug problem before, which the prison knew about. Being kept alone made this problem much worse, which often happens to people with mental illness who are put in solitary confinement.

Mr. Cintron told the prison staff many times that he was getting sicker in his mind and body. His lawsuit says that even if he had not complained, it was easy to see he was getting worse. The prison would not give him medicine to help with his drug problem or move him to a place where he was not so alone.

Keeping Mr. Cintron alone for a long time caused lasting harm to his brain, mind, and body. This was cruel. He was kept alone for almost two years, which made his drug problem much worse and deepened his mental and physical sickness. For Mr. Cintron, it was truly a form of torture.

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Footnotes and Citation

Cite

Brief of Amicus Curiae Center for Law, Brain & Behavior in Support of Plaintiff-Appellee, Cintron v. Bibeault, No. 22-1716 (1st Cir. May 11, 2023)

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