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Medical torture describes the involvement of, or sometimes instigation by, medical personnel in acts of torture, either to judge what victims can endure, to apply treatments which will enhance torture, or as torturers in their own right. Medical torture overlaps with medical interrogation if it involves the use of professional medical expertise to facilitate interrogation or corporal punishment, in the conduct of torturous human experimentation or in providing professional medical sanction and approval for the torture of prisoners. Medical torture also covers torturous scientific (or pseudoscientific) experimentation upon unwilling human subjects.
Medical torture fundamentally violates medical ethics, which all medical practitioners are expected to adhere to.
There remain gaps in regulation relating to medical torture in many countries. A higher standard of behaviour is expected of health professionals yet the UN Principles of Medical Ethics are not enforceable when governments are complicit in violations. This higher standard is reflected in the principles of beneficence, non-maleficence (above all do no harm), autonomy, justice, dignity and informed consent and these are not covered comprehensively by the UN Convention Against Torture.
According to the Center for Constitutional Rights' When Healers Harm campaign, health professionals were complicit in the torture and abuse of detainees during U.S. President George W. Bush's "war on terror". Health professionals, including medical doctors, psychiatrists, medical examiners, psychologists, and nurses, have been implicated in the torture and abuse of prisoners in CIA secret prisons and military detention centers, such as those in Guantánamo, Afghanistan, and Iraq.
Health professionals are accused of:
To date, no state licensing boards or professional associations have investigated – or recognized, in some cases – abusive conduct by individual members of their professions. In 2009, after years of denial, the American Psychological Association finally recognized that psychologists had engaged in torture. However, the American Psychological Association has not recognized that psychologists were involved in the Bush Administration’s torture policy. Some criticize the APA for failing to respond to allegations of “collusion between APA officials and the national security apparatus in providing ethical cover for psychologists’ participation in detainee abuse." [7]
Although the American Medical Association has made clear that physicians should not be involved in interrogations of any kind, it continues to insist that it has “no specific knowledge of doctors being involved in abuse or torture,” despite evidence to the contrary, including government documents and Office of Legal Counsel memos, a report by the International Committee of the Red Cross and multiple accounts by survivors. [8] [9]
British doctors and medical journals have repeatedly accused and documented Israeli medical personnel of participating in torture. The first accusations surfaced in 1993 where doctors in military employ as well as in hospitals were implicated. [10] Gulland's accusation that Israeli doctors were "involved in torture, either directly or indirectly" [11] were echoed in 2013 by Forrest [12] and Devi. [13]
In 2024, the director of Gaza City’s al-Shifa Hospital, the paediatrician Mohammed Abu Salmiya reported that Israeli doctors and nurses participated in beatings and torture of prisoners at the notorious Sde Teiman camp. [14]
The documentary Gaza: Doctors Under Attack featured an Israeli medical professional who witnessed Israeli medical personnel performing a painful procedure without anesthesia as a form of vengeance, and "recognized it as international torture". [15]
Some other accounts of medical or professional complicity in torture include:
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