More on How Physicians Became Torture Doctors for CIA
A good amount of documentation on the involvement of psychologists in the torture and abuse of detainees or “terror suspects.” And, a new study provides even more revelations on the involvement of physicians making it increasingly clear that medical professionals put limits on ethical standards they were expected to follow in order to help the CIA interrogate detainees.
The study, titled “Roles of CIA Physicians in Enhanced Interrogation and Torture of Detainees,” authored by Leonard S. Rubinstein, the president of Physicians for Human Rights, and Brigadier General (ret.) Stephen N. Xenakis, a former Army psychiatrists (who is now with the Center for Public Health and Human Rights), utilizes a previously secret document from 2004 and lays out the “guidelines for detainee interrogation” that physicians, psychologists, and other health care professionals developed and followed so they could serve the CIA.
Guidelines indicate the doctors, who were working for the CIA’s Office of Medical Services, conducted medical evaluations [experimentations] on detainees “before and during interrogations” and waterboarding “required the presence of a physician.”
Physicians documented the effects of “enhanced interrogation techniques” [torture] like waterboarding and decided waterboarding “created risks of drowning, hypothermia, aspiration pneumonia, or laryngospasm.” They ignored “clinical experience/research” and assured lawyers “there was no ‘medical reason’ to believe that waterboarding [would] lead to physical pain.”
It was established that “cramped confinement could result in deep vein thrombosis” and death could result from “lengthy exposure to cold water.” And, the physicians, psychologists, and other health care professionals working for the CIA developed “limitations” so that techniques like waterboarding, cramped confinement, sensory deprivation, stress positions, etc could be used on detainees.
Limitations included: “exposure to specified temperature either up to time of hypothermia would develop or on evidence of hypothermia,” dietary restrictions up to “body weight loss of 10% or evidence of significant malnutrition,” “exposure to noise just under decibel levels associated with hearing loss,” up to 48 hours of exposure to stress positions “provided hands were no higher than the head” of a detainee, and no more than eight consecutive hours or eighteen hours per day of “confinement in a box.”
Much of this took place after 2003, after a CIA Inspector General investigation of “enhanced interrogation techniques” [torture], OMS physicians were asked to provide “opinions to the agency and lawyers on whether techniques used would be expected to cause severe pain or suffering and thus constitute torture.” Slowly, OMS physicians’ work for the CIA transformed into work, which violated “ethical standards,” prohibiting physicians from using “medical skills to facilitate torture or be present when torture is taking place.”
The physicians consulted directly with Department of Justice lawyers and were asked to provide legal cover by supporting “legal decisions” that “interrogators who applied enhanced interrogation techniques neither inflicted sever mental or physical pain or anguish and thus did not commit torture.” For techniques like sleep deprivation, they claimed the use thereof “could not lead to profound disruption in the detainees’ senses or personality (the legal definition of psychological torture).”
As suggested in the opening paragraph, it has been evident that physicians and psychologists have been involved in torture for some time, especially since Wikileaks leaked the Guantanamo Standard Operating Procedures Manual in November 2007.
The manual indicated that, “incoming prisoners were to be held in near-isolation for the first [four] weeks to foster dependence on interrogators and `enhance and exploit the disorientation and disorganization felt by a newly arrived detainee in the interrogation process.’” It outlines how isolation was to be used on detainees, a technique Physicians for Human Rights said can lead to symptoms of “`bewilderment, anxiety, frustration, dejection, boredom, obsessive thoughts or ruminations, depression, and, in some cases, hallucination’” and, if prolonged, could result in “increased stress, abnormal neuroendocrine function, changes in blood pressure and inflammatory stress responses.”
Then, it was known those involved understood how they could be prosecuted for violating international law. As an April 16, 2003, memo from Defense Secretary Donald Rumsfeld explained
"Caution: the use of isolation as an interrogation technique requires detailed implementation instructions, including specific guidelines regarding the length of isolation, medical and psychological review, and approvals for extension of the length of by the appropriate level in the chain of command. This technique is not know to have been generally used for interrogation purposes for longer than 30 days. Those nations that believe that detainees are subject to POW protections may view use of this technique as inconsistent with the requirements of Geneva III, Article 13 which provides that POWs must be protected against acts of intimidation; Article 14 which provides that POWs are entitled to respect for their person; Article 34 which prohibits coercion and Article 126 which ensures access and basic standards of treatment. Although the provisions of Geneva are not applicable to the interrogation of unlawful combatants, consideration should be given to these views prior to application of this technique."
The report is yet another indication of the need for more investigation, accountability, and reform from the Obama Administration. Yet, as demonstrated by a comprehensive report ("Establishing the New Normal") from the ACLU, the Obama Administration has avoided its obligation to accountability for torture and chosen to follow the dangerous mantra of “looking forward, not back,” a false choice because, as the ACLU states in the report:
“a strong democracy rests not on the goodwill of its leaders but on the impartial enforcement of laws. Sanctioning impunity for government officials who authorized torture sends a problematic message to the world, invites abuses by future administrations, and further undermines the rule of law that is the basis of any democracy.”