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The psychiatric fix.

Jeremy Levenson1

  • 1Department of Psychiatry, Yale University, New Haven, Connecticut, USA.

Medical Anthropology Quarterly
|November 30, 2025
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Summary
This summary is machine-generated.

Psychiatry in Los Angeles jails offers a "spatial fix" for rising numbers of people deemed incompetent to stand trial. This approach deepens jail mental health crises rather than resolving them.

Keywords:
carceralitypsychiatryviolence

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Area of Science:

  • Criminology
  • Sociology
  • Psychiatry

Background:

  • Rising numbers of individuals found incompetent to stand trial in jails.
  • Recurrent challenges in managing mental illness within correctional facilities.

Purpose of the Study:

  • To examine the role of psychiatry as a "spatial fix" within the Los Angeles carceral system.
  • To analyze how psychiatric interventions manage, rather than resolve, jail mental health crises.

Main Methods:

  • Four years of ethnographic fieldwork in a Los Angeles jail mental health facility.
  • Analysis of the mobilization of psychiatric personnel, discourses, and technologies.

Main Results:

  • Psychiatry acts as a provisional solution, displacing but not resolving systemic issues in jails.
  • The "psychiatric fix" deepens crises and secures the carceral social order.
  • This approach has implications for understanding psychiatric power within the US carceral state.

Conclusions:

  • The mobilization of psychiatry within jails creates new problems while reinforcing the existing carceral system.
  • Psychiatric power plays a crucial role in the evolving US carceral state.