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.