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A robust body of research has shown that solitary confinement has profound negative psychological, physical, and neurological effects on those who experience it, often lasting well beyond one’s time in solitary. Solitary confinement is also commonly used as punishment for those who have violated prison rules or committed other disciplinary infractions. That is attributed to the fact that isolation and physical restraint are used as the first response to punish them for simple rule infractions. This latter form of isolation is known as protective custody, and can be either voluntary or involuntary. Solitary confinement is a form of imprisonment in which an incarcerated person lives in a single cell with little or no contact with other people. In the United States penal system today, more than 20 percent of individuals in state and federal prisons and 18 percent of individuals in local jails are placed in solitary confinement or another form of restrictive housing at some point during their incarceration. He still thought that prisons needed the option of isolation. This period also saw the construction of supermax prisons, which typically house individuals in indefinite solitary confinement consisting of upwards of 22 hours a day of isolation. Solitary confinement first arose in the United States in the late 1700s among religious groups like the Quakers, who thought isolation would promote repentance and rehabilitation.

It is also used on individuals who are at high risk of being harmed by others, for example because they are transgender, have served as a witness to a crime, or have been convicted of crimes such as child molestation or abuse. The amount of pressure applied depended on the severity of the crime, the willingness of the victim to confess, and the sadistic tendencies of the torturer. Many correctional facilities were locked down for up to 23 hours a day, confining people in their cells with no programming, phone access, or human contact. There have been further reports of people being placed in solitary based on their race, religion, or sexual orientation. The headquarters for the Bolivarian Intelligence Service (SEBIN) in Plaza Venezuela, Caracas, have an underground detention facility that has been dubbed La Tumba (The Tomb). Solitary confinement is often used to induce a confession from a prisoner in pre-trial detention.

The use of solitary confinement on juveniles and children, as elsewhere, has been a subject of contention. In 2020, New Jersey passed the Isolated Confinement Restriction Act, which bans the use of solitary beyond 20 consecutive days. Though proponents of solitary have often expressed the belief that solitary confinement promotes safety in correctional facilities, there is substantial evidence that points to the contrary. However, it can also be used as protective custody for incarcerated individuals whose safety is threatened by other prisoners. In the United States alone, more than 300,000 incarcerated people were held in virus-related lockdowns during the early months of the pandemic. Solitary confinement is used on incarcerated individuals when they are considered a danger to themselves or others. The use of solitary confinement increased greatly during the COVID-19 pandemic in response to the rising prevalence of the virus inside prisons and jails. Solitary confinement is similarly used as retaliation in prisons and jails, including against whistleblowers who raise awareness of inhumane conditions and jailhouse lawyers who assist others in litigating their rights. Individuals who go on hunger strike to protest poor conditions in immigration facilities are also frequently placed in solitary.