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Neglect of Medical Evidence of Torture in Guantánamo Bay: A Case Series


Background:
In the wake of the September 11, 2001 attacks on the US, the government

authorized the use of “enhanced interrogation” techniques that

were previously recognized as torture. While the complicity of US health

professionals in the design and implementation of US torture practices has

been documented, little is known about the role of health providers,

assigned to the US Department of Defense (DoD) at the US Naval Station

Guantánamo Bay, Cuba (GTMO), who should have been in a position to

observe and document physical and psychological evidence of torture and ill

treatment.

Methods and Findings:

We reviewed GTMO medical records and relevant case files (client affidavits,

attorney–client notes and summaries, and legal affidavits of medical

experts) of nine individuals for evidence of torture and ill treatment and

documentation by medical personnel. In each of the nine cases, GTMO

detainees alleged abusive interrogation methods that are consistent with

torture as defined by the UN Convention Against Torture as well as the more

restrictive US definition of torture that was operational at the time. The

medical affidavits in each of the nine cases indicate that the specific

allegations of torture and ill treatment are highly consistent with physical

and psychological evidence documented in the medical records and evaluations

by non-governmental medical experts. However, the medical personnel who

treated the detainees at GTMO failed to inquire and/or document causes of

the physical injuries and psychological symptoms they observed.

Psychological symptoms were commonly attributed to “personality

disorders” and “routine stressors of confinement.”

Temporary psychotic symptoms and hallucinations did not prompt consideration

of abusive treatment. Psychological assessments conducted by

non-governmental medical experts revealed diagnostic criteria for current

major depression and/or PTSD in all nine cases.

Conclusion:

The findings in these nine cases from GTMO indicate that medical doctors and

mental health personnel assigned to the DoD neglected and/or concealed

medical evidence of intentional harm.

:

Please see later in the article for the Editors' Summary


Vyšlo v časopise: Neglect of Medical Evidence of Torture in Guantánamo Bay: A Case Series. PLoS Med 8(4): e32767. doi:10.1371/journal.pmed.1001027
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pmed.1001027

Souhrn

Background:
In the wake of the September 11, 2001 attacks on the US, the government

authorized the use of “enhanced interrogation” techniques that

were previously recognized as torture. While the complicity of US health

professionals in the design and implementation of US torture practices has

been documented, little is known about the role of health providers,

assigned to the US Department of Defense (DoD) at the US Naval Station

Guantánamo Bay, Cuba (GTMO), who should have been in a position to

observe and document physical and psychological evidence of torture and ill

treatment.

Methods and Findings:

We reviewed GTMO medical records and relevant case files (client affidavits,

attorney–client notes and summaries, and legal affidavits of medical

experts) of nine individuals for evidence of torture and ill treatment and

documentation by medical personnel. In each of the nine cases, GTMO

detainees alleged abusive interrogation methods that are consistent with

torture as defined by the UN Convention Against Torture as well as the more

restrictive US definition of torture that was operational at the time. The

medical affidavits in each of the nine cases indicate that the specific

allegations of torture and ill treatment are highly consistent with physical

and psychological evidence documented in the medical records and evaluations

by non-governmental medical experts. However, the medical personnel who

treated the detainees at GTMO failed to inquire and/or document causes of

the physical injuries and psychological symptoms they observed.

Psychological symptoms were commonly attributed to “personality

disorders” and “routine stressors of confinement.”

Temporary psychotic symptoms and hallucinations did not prompt consideration

of abusive treatment. Psychological assessments conducted by

non-governmental medical experts revealed diagnostic criteria for current

major depression and/or PTSD in all nine cases.

Conclusion:

The findings in these nine cases from GTMO indicate that medical doctors and

mental health personnel assigned to the DoD neglected and/or concealed

medical evidence of intentional harm.

:

Please see later in the article for the Editors' Summary


Zdroje

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1984

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Accessed 4 March 2011

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Accessed 4 March 2011

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4 March 2011

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Responsibility

2009

Investigation into the Office of Legal Counsel's Memoranda

on Issues Relating to the Central Intelligence Agency's Use of

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Available: http://judiciary.house.gov/hearings/pdf/OPRFinalReport090729.pdf.

Accessed 4 March 2011

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US.

Cambridge (MA)

Physicians for Human Rights

Available: http://brokenlives.info/?page_id=69. Accessed 4 March

2010

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Experimentation in the “Enhanced” Interrogation

Program.

Cambridge (MA)

Physicians for Human Rights

Available: http://phrtorturepapers.org. Accessed 4 March 2011

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34

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Accessed 4 March 2011

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Appendix F.

Available: http://www.gwu.edu/~nsarchiv/torture_archive/20040507.pdf.

Accessed 4 March 2011

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Accessed 4 March 2011

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Accessed 4 March 2011

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Accessed 4 March 2011

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against Mohamed al-Qahtani dismissed.

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Accessed 4 March 2011

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Accessed 4 March 2011

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Accessed 4 March 2011

Štítky
Interné lekárstvo

Článok vyšiel v časopise

PLOS Medicine


2011 Číslo 4
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