Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy
Showing posts with label Military Psychology. Show all posts
Showing posts with label Military Psychology. Show all posts

Thursday, May 5, 2022

USS George Washington sailors detail difficult working conditions after string of suicides

Melissa Chan
NBCNews.com
Originally posted 28 APR 22

Here are two excerpts:

Crisostomo and several other George Washington sailors said their struggles were directly related to a culture where seeking help is not met with the necessary resources, as well as nearly uninhabitable living conditions aboard the ship, including constant construction noise that made sleeping impossible and a lack of hot water and electricity. 

Since Crisostomo’s attempt, at least five of her shipmates on the George Washington have died by suicide, including three within a span of a week this April, military officials said. The latest cluster of suicides is under investigation by the Navy and has drawn concern from the Pentagon and Rep. Elaine Luria, D-Va., who served in the Navy for two decades.

On April 15, Master-at-Arms Seaman Recruit Xavier Hunter Sandor died by suicide onboard the George Washington, according to the Navy and the state chief medical examiner’s office. He had been working on the warship for about three months, his family said.

His death came five days after Natasha Huffman, an interior communications electrician, died by suicide off-base in Hampton, officials said.

The day before, Retail Services Specialist 3rd Class Mika’il Rayshawn Sharp also died by suicide off-base in Portsmouth, said his mother, Natalie Jefferson. 

“Three people don’t just decide to kill themselves in a span of days for nothing,” said Crisostomo, who left the Navy in October 2021, on an honorable discharge with a medical condition following her suicide attempt.

(cut)

When asked about mental-health resources, Smith told sailors that the Navy would put more chaplains on smaller ships for the first time, but that it’s not easy to hire more psychologists, psychiatrists, and other mental health care workers, because they’re not “out there in abundance.”

“You can’t just snap your fingers and grow a psychiatrist,” he said, adding that the sailors should be “each other’s counselors.”

Myers said a larger Navy team is being built to assess quality-of-life conditions on aircraft carriers undergoing overhauls. 

“Their recommendations will inform potential future action, identify areas for improvements, and propose mitigation strategies to optimize [quality of life],” he said.

In 2020, the most recent year for which full data is available, 580 military members died by suicide, a 16 percent increase from 2019, when 498 died by suicide, according to the Defense Department. Nineteen out of every 100,000 sailors died by suicide in 2020, compared to members of the Army, which had the highest rate, at about 36 per 100,000, Pentagon statistics show.

Friday, April 29, 2022

Navy Deputizes Psychologists to Enforce Drug Rules Even for Those Seeking Mental Health Help

Konstantin Toropin
MilitaryTimes.com
Originally posted 18 APR 22

In the wake of reports that a Navy psychologist played an active role in convicting for drug use a sailor who had reached out for mental health assistance, the service is standing by its policy, which does not provide patients with confidentiality and could mean that seeking help has consequences for service members.

The case highlights a set of military regulations that, in vaguely defined circumstances, requires doctors to inform commanding officers of certain medical details, including drug tests, even if those tests are conducted for legitimate medical reasons necessary for adequate care. Allowing punishment when service members are looking for help could act as a deterrent in a community where mental health is still a taboo topic among many, despite recent leadership attempts to more openly discuss getting assistance.

On April 11, Military.com reported the story of a sailor and his wife who alleged that the sailor's command, the destroyer USS Farragut, was retaliating against him for seeking mental health help.

Jatzael Alvarado Perez went to a military hospital to get help for his mental health struggles. As part of his treatment, he was given a drug test that came back positive for cannabinoids -- the family of drugs associated with marijuana. Perez denies having used any substances, but the test resulted in a referral to the ship's chief corpsman.

Perez's wife, Carli Alvarado, shared documents with Military.com that were evidence in the sailor's subsequent nonjudicial punishment, showing that the Farragut found out about the results because the psychologist emailed the ship's medical staff directly, according to a copy of the email.

"I'm not sure if you've been tracking, but OS2 Alvarado Perez popped positive for cannabis while inpatient," read the email, written to the ship's medical chief. Navy policy prohibits punishment for a positive drug test when administered as part of regular medical care.

The email goes on to describe efforts by the psychologist to assist in obtaining a second test -- one that could be used to punish Perez.

"We are working to get him a command directed urinalysis through [our command] today," it added.

Wednesday, December 4, 2019

Veterans Must Also Heal From Moral Injury After War

Camillo Mac Bica
truthout.org
Originally published Nov 11, 2019

Here are two excerpts:

Humankind has identified and internalized a set of values and norms through which we define ourselves as persons, structure our world and render our relationship to it — and to other human beings — comprehensible. These values and norms provide the parameters of our being: our moral identity. Consequently, we now have the need and the means to weigh concrete situations to determine acceptable (right) and unacceptable (wrong) behavior.

Whether an individual chooses to act rightly or wrongly, according to or in violation of her moral identity, will affect whether she perceives herself as true to her personal convictions and to others in the moral community who share her values and ideals. As the moral gravity of one’s actions and experiences on the battlefield becomes apparent, a warrior may suffer profound moral confusion and distress at having transgressed her moral foundations, her moral identity.

Guilt is, simply speaking, the awareness of having transgressed one’s moral convictions and the anxiety precipitated by a perceived breakdown of one’s ethical cohesion — one’s integrity — and an alienation from the moral community. Shame is the loss of self-esteem consequent to a failure to live up to personal and communal expectations.

(cut)

Having completed the necessary philosophical and psychological groundwork, veterans can now begin the very difficult task of confronting the experience. That is, of remembering, reassessing and morally reevaluating their responsibility and culpability for their perceived transgressions on the battlefield.

Reassessing their behavior in combat within the parameters of their increased philosophical and psychological awareness, veterans realize that the programming to which they were subjected and the experience of war as a survival situation are causally connected to those specific battlefield incidents and behaviors, theirs and/or others’, that weigh heavily on their consciences — their moral injury. As a consequence, they understand these influences as extenuating circumstances.

Finally, as they morally reevaluate their actions in war, they see these incidents and behaviors in combat not as justifiable, but as understandable, perhaps even excusable, and their culpability mitigated by the fact that those who determined policy, sent them to war, issued the orders, and allowed the war to occur and/or to continue unchallenged must share responsibility for the crimes and horror that inevitably characterize war.

The info is here.

Wednesday, November 27, 2019

The Moral Injury of Pardoning War Crimes

The Editorial Board
The New York Times
Originally posted 22 Nov 19

Here is an excerpt:

That Mr. Trump would pardon men accused or convicted of war crimes should come as little surprise, given that he campaigned on promises to torture the nation’s enemies and kill their families. Mr. Trump in May became the first modern president to pardon a person convicted of war crimes, when he pardoned Michael Behenna, a former Army lieutenant, who had been convicted of killing a prisoner in Iraq.

The president may think he’s supporting men and women in uniform. “When our soldiers have to fight for our country, I want to give them the confidence to fight,” he said in a statement issued by the White House. “We train our boys to be killing machines, then prosecute them when they kill!” he said on Twitter last month.

Whatever the reason, absolving people who commit war crimes does great harm to society in general, and the men and women who served honorably — as far more than “killing machines” — in the wars since the Sept. 11 terrorist attacks in particular.

A nation has to know that military action being taken in its name follows morally defensible rules — that soldiers do not, for instance, kill unarmed civilians or prisoners.

To excuse men who have so flagrantly violated those rules — to treat them as heroes, even — is to cast the idea of just war to the winds. It puts the nation and veterans at risk of moral injury, the shattering of a moral compass.

One of the loudest groups pushing for Mr. Trump’s pardons was United American Patriots, a nonprofit organization that supports numerous soldiers accused of crimes, including Mr. Lorance, Mr. Behenna and Major Golsteyn. Last month, Chief Gallagher sued two of his former lawyers and United American Patriots, alleging that his lawyers tried to delay the case to increase fund-raising for the organization.

Supporters of the pardoned men say the military justice system comes down too hard and too often on honorable soldiers fighting through the fog of war. That wouldn’t explain why United American Patriots has made a cause célèbre of Robert Bales, who pleaded guilty to slaughtering 16 Afghan civilians in their homes during a one-man nighttime rampage in 2012.

The info is here.

Friday, March 15, 2019

Ethical considerations on the complicity of psychologists and scientists in torture

Evans NG, Sisti DA, Moreno JD
Journal of the Royal Army Medical Corps 
Published Online First: 20 February 2019.
doi: 10.1136/jramc-2018-001008

Abstract

Introduction 
The long-standing debate on medical complicity in torture has overlooked the complicity of cognitive scientists—psychologists, psychiatrists and neuroscientists—in the practice of torture as a distinct phenomenon. In this paper, we identify the risk of the re-emergence of torture as a practice in the USA, and the complicity of cognitive scientists in these practices.

Methods 
We review arguments for physician complicity in torture. We argue that these defences fail to defend the complicity of cognitive scientists. We address objections to our account, and then provide recommendations for professional associations in resisting complicity in torture.

Results 
Arguments for cognitive scientist complicity in torture fail when those actions stem from the same reasons as physician complicity. Cognitive scientist involvement in the torture programme has, from the outset, been focused on the outcomes of interrogation rather than supportive care. Any possibility of a therapeutic relationship between cognitive therapists and detainees is fatally undermined by therapists’ complicity with torture.

Conclusion 
Professional associations ought to strengthen their commitment to refraining from engaging in any aspect of torture. They should also move to protect whistle-blowers against torture programmes who are members of their association. If the political institutions that are supposed to prevent the practice of torture are not strengthened, cognitive scientists should take collective action to compel intelligence agencies to refrain from torture.

Wednesday, October 10, 2018

Psychologists Are Standing Up Against Torture at Gitmo

Rebecca Gordon
theNation.com
Originally posted September 11, 2018

Sometimes the good guys do win. That’s what happened on August 8 in San Francisco when the Council of Representatives of the American Psychological Association (APA) decided to extend a policy keeping its members out of the US detention center at Guantánamo Bay, Cuba.

The APA’s decision is important—and not just symbolically. Today we have a president who has promised to bring back torture and “load up” Guantánamo “with some bad dudes.” When healing professionals refuse to work there, they are standing up for human rights and against torture.

It wasn’t always so. In the early days of Guantánamo, military psychologists contributed to detainee interrogations there. It was for Guantánamo that Defense Secretary Donald Rumsfeld approved multiple torture methods, including among others excruciating stress positions, prolonged isolation, sensory deprivation, and enforced nudity. Military psychologists advised on which techniques would take advantage of the weaknesses of individual detainees. And it was two psychologists, one an APA member, who designed the CIA’s whole “enhanced interrogation program.”

The info is here.

Friday, August 10, 2018

SAS officers given lessons in ‘morality’

Paul Maley
PM Malcolm Turnbull with Defence Minister Marise Payne and current Chief of the Defence Force Air Chief Marshal Mark Binskin. Picture: Kym SmithThe Australian
Originally posted July 9, 2018

SAS officers are being given ­additional training in ethics, ­morality and courage in leadership as the army braces itself for a potentially damning report ­expected to find that a small number of troops may have committed war crimes during the decade-long fight in Afghanistan.

With the Inspector-General of the Australian Defence Force due within months to hand down his report into ­alleged battlefield atrocities committed by Diggers, The Australian can reveal that the SAS Regiment has been quietly instituting a series of reforms ahead of the findings.

The changes to special forces training reflect a widely held view within the army that any alleged misconduct committed by Australian troops was in part the ­result of a failure of leadership, as well as the transgression of individual soldiers.

Many of the reforms are ­focused on strengthening operational leadership and regimental culture, while others are designed to help special operations officers make ethical ­decisions even under the most challenging conditions.

Saturday, November 4, 2017

Prince Harry: mental health should be at heart of armed forces training

Caroline Davies
The Guardian
Originally posted October 9, 2017

Prince Harry has said mental health strategies for armed forces personnel are crucial to create a “more confident, focused and, ultimately, more combat-ready military”.

In a speech at the Ministry of Defence, the 33-year-old prince, who spent 10 years in the army, said that as the number of active-duty personnel had been reduced there was a premium on “every individual being fighting fit and deployable”.

Announcing a joint initiative between the MoD and the Royal Foundation, created by the prince and the Duke and Duchess of Cambridge to tackle mental health issues, Harry said mental health strategies needed to be at the forefront of armed forces personnel training.

“Quite simply, these men and women are prized assets which need to be continually invested in. We surely have to think of them as high-performance athletes, carrying all their kit, equipment and a rifle,” he said. “Crucially, fighting fitness is not just about physical fitness. It is just as much about mental fitness too.”

The MoD said the move would build upon a recently launched government strategy aimed at improving mental health among military workers, civilian staff, their families and veterans.

The article is here.

Friday, October 20, 2017

The American Psychological Association and torture: How could it happen?

Bryan Welch
International Journal of Applied Psychoanalytic Studies
Volume 14 (2)

Here is an excerpt:

This same grandiosity was ubiquitous in the governance's rhetoric at the heart of the association's discussions on torture. Banning psychologists' participation in reputed torture mills was clearly unnecessary, proponents of the APA policy argued. To do so would be an “insult” to military psychologists everywhere. No psychologist would ever engage in torture. Insisting on a change in APA policy reflected a mean-spirited attitude toward the military psychologists. The supporters of the APA policy managed to transform the military into the victims in the interrogation issue.

In the end, however, it was psychologists' self-assumed importance that carried the day on the torture issue. Psychologists' participation in these detention centers, it was asserted, was an antidote to torture, since psychologists' very presence could protect the potential torture victims (presumably from Rumsfeld and Cheney, no less!). The debates on the APA Council floor, year after year, concluded with the general consensus that, indeed, psychology was very, very important to our nation's security. In fact the APA Ethics Director repeatedly advised members of the APA governance that psychologists' presence was necessary to make sure the interrogations were “safe, legal, ethical, and effective.”

We psychologists were both too good and too important to join our professional colleagues in other professions who were taking an absolutist moral position against one of the most shameful eras in our country's history. While the matter was clearly orchestrated by others, it was this self-reinforcing grandiosity that led the traditionally liberal APA governance down the slippery slope to the Bush administration's torture program.

During this period I had numerous personal communications with members of the APA governance structure in an attempt to dissuade them from ignoring the rank-and-file psychologists who abhorred the APA's position. I have been involved in many policy disagreements over the course of my career, but the smugness and illogic that characterized the response to these efforts were astonishing and went far beyond normal, even heated, give and take. Most dramatically, the intelligence that I have always found to characterize the profession of psychology was sorely lacking.

Friday, July 21, 2017

Enabling torture: APA, clinical psychology training and the failure to disobey.

Alice LoCicero, Robert P. Marlin, David Jull-Patterson, Nancy M. Sweeney, Brandon Lee Gray, & J. Wesley Boyd
Peace and Conflict: Journal of Peace Psychology, Vol 22(4), Nov 2016, 345-355.

Abstract

The American Psychological Association (APA) has historically had close ties with the U.S. Department of Defense (DOD). Recent revelations describe problematic outcomes of those ties, as some in the APA colluded with the DOD to allow psychologists to participate, with expectation of impunity, in harsh interrogations that amounted to torture of Guantanamo detainees, during the Bush era. We now know that leaders in the APA purposely misled psychologists about the establishment of policies on psychologists’ roles in interrogations. Still, the authors wondered why, when the resulting policies reflected a clear contradiction of the fundamental duty to do no harm, few psychologists, in or out of the military, protested the policies articulated in 2005 by the committee on Psychological Ethics and National Security (PENS). Previous research suggested that U.S. graduate students in clinical psychology receive little or no training in the duties of psychologists in military settings or in the ethical guidance offered by international treaties. Thus psychologists might not have been well prepared to critique the PENS policies or to refuse to participate in interrogations. To further explore this issue, the authors surveyed Directors of Clinical Training of doctoral programs in clinical psychology, asking how extensively their programs address dilemmas psychologists may face in military settings. The results indicate that most graduate programs offer little attention to dilemmas of unethical orders, violations of international conventions, or excessively harsh interrogations. These findings, combined with earlier studies, suggest that military psychologists may have been unprepared to address ethical dilemmas, whereas psychologists outside the military may have been unprepared to critique the APA’s collusion with the DOD. The authors suggest ways to address this apparent gap in ethics education for psychology graduate students, interns, and fellows.

The article is here.

Tuesday, July 4, 2017

Psychologists Open a Window on Brutal C.I.A. Interrogations A Lawsuit Filed on Behalf of Former Prisoners Reveals New Details

Sheri Fink & James Risen
The New York Times
Originally posted June 21, 2017

Fifteen years after he helped devise the brutal interrogation techniques used on terrorism suspects in secret C.I.A. prisons, John Bruce Jessen, a former military psychologist, expressed ambivalence about the program.

He described himself and a fellow military psychologist, James Mitchell, as reluctant participants in using the techniques, some of which are widely viewed as torture, but also justified the practices as effective in getting resistant detainees to cooperate.

“I think any normal, conscionable man would have to consider carefully doing something like this,” Dr. Jessen said in a newly disclosed deposition. “I deliberated with great, soulful torment about this, and obviously I concluded that it could be done safely or I wouldn’t have done it.”

The two psychologists — whom C.I.A. officials have called architects of the interrogation program, a designation they dispute — are defendants in the only lawsuit that may hold participants accountable for causing harm.

The program has been well documented, but under deposition, with a camera focused on their faces, Drs. Jessen and Mitchell provided new details about the interrogation effort, their roles in it and their rationales. Their accounts were sometimes at odds with their own correspondence at the time, as well as previous portrayals of them by officials and other interrogators as eager participants in the program.

The article is here.

Saturday, August 6, 2016

Do No Harm: The American Psychological Association wavers on its detainee policy

Susan Greene
The Colorado Independent
Originally published August 04, 2016

The American Psychological Association is wavering on a year-old policy designed to prevent psychologists from working with military or national security detainees.

Meeting in Denver for its annual convention, the nation’s largest professional association of psychologists this week considered and then postponed a decision on whether to allow members of the profession back to work at Guantanamo Bay, other military detention centers and CIA sites.
After a vote planned for Wednesday and then today, the group’s 173-member governing council tabled the discussion until February.

The debate stems from psychologists’ controversial role assisting the U.S. military and intelligence agencies in so-called “enhanced interrogation” efforts during George W. Bush’s administration. The post-9/11 program tried to squeeze information out of terror suspects detained at Abu Ghraib prison in Iraq, Guantánamo in Cuba and other sites by waterboarding, isolation and sleep deprivation – methods that international law deems to be torture. Bush’s justice officials were able to legally justify the interrogations on grounds that doctors’ mere presence assured that the tactics were safe.

The updated article is here.

Monday, August 1, 2016

A Review of Research on Moral Injury in Combat Veterans

Sheila Frankfurt and Patricia Frazier
Military Psychology
http://dx.doi.org/10.1037/mil0000132

Abstract


The moral injury construct has been proposed to describe the suffering some veterans experience when they engage in acts during combat that violate their beliefs about their own goodness or the goodness of the world. These experiences are labeled transgressive acts to identify them as potentially traumatic experiences distinct from the fear-based traumas associated with posttraumatic stress disorder. The goal of this article was to review empirical and clinical data relevant to transgressive acts and moral injury, to identify gaps in the literature, and to encourage future research and interventions. We reviewed literature on 3 broad arms of the moral injury model proposed by Litz and colleagues (2009): (a) the definition, prevalence, and potential correlates of transgressive acts (e.g., military training and leadership, combat exposure, and personality), (b) the relations between transgressive acts and the moral injury syndrome (e.g., self-handicapping, self-injury, demoralization), and (c) some of the proposed mechanisms of moral injury genesis (e.g., shame, guilt, social withdrawal, and self-condemnation). We conclude with recommendations for future research for veterans suffering with moral injury.


Combat can require individuals to violate their consciences repeatedly. For several decades, clinicians have noted the psychological impact on veterans of engaging in killing, committing atrocities, and violating the rules of engagement (Haley, 1974). Despite this clinical attention, most psychological research on veterans' war wounds has focused on post traumatic stress disorder (PTSD; American Psychiatric Association, 2013), a fear-based disorder that results from exposure to life-threatening events, rather than on the consequences of active participation in warfare.

The moral injury syndrome was proposed to describe the constellation of shame and guilt based disturbances that some combat veterans experience after engaging in wartime acts of commission (e.g., killing) or omission (e.g., failing to prevent atrocities; Litz et al., 2009). The moral injury syndrome was proposed to be constituted of the PTSD symptoms of intrusive memories, emotional numbing, and avoidance, along with collateral effects such as self-injury, demoralization, and self-handicapping (Litz et al., 2009).

The article is here.

Friday, July 22, 2016

Medical involvement in torture today?

Kenneth Boyd
J Med Ethics 2016;42:411-412 doi:10.1136/medethics-2016-103737

In the ethics classroom, medical involvement in torture is often discussed in terms of what happens or has happened elsewhere, in some imagined country far away, under a military dictatorship for example, or historically in Nazi Germany or Stalin's Russia. In these contexts, at a distance in space or time, the healthcare professional's moral dilemma can be clearly demonstrated. On the one hand, any involvement whatever in the practice of torture, countenancing or condoning as well as participating, is forbidden, formally by the World Medical Association 1957 Declaration of Tokyo, but more generally by the professional duty to do no harm. On the other hand, the professional duty of care, and more generally human decency and compassion, forbids standing idly by when no other professional with comparable skills is available to relieve the suffering of victims of torture. In such circumstances, the health professional's impulse to exercise their duty of care, albeit thereby implicitly countenancing or condoning torture, may be strengthened by the knowledge that to refuse may put their own life or that of a member of their family in danger. But then again, they may also be all too aware that in exercising their duty of care they may simply be ‘patching up’ the victims in order for them to be tortured again.

The article is here.

Friday, July 15, 2016

CIA Psychologists Admit Role In ‘Enhanced Interrogation’ Program In Court Filing

Jessica Schulberg
The Huffington Post
Originally posted June 22, 2016

Two psychologists who helped the CIA develop and execute its now-defunct “enhanced interrogation” program partially admitted for the first time to roles in what is broadly acknowledged to have been torture.

In a 30-page court filing posted Tuesday evening, psychologists James Mitchell and Bruce Jessen responded to nearly 200 allegations and legal justifications put forth by the American Civil Liberties Union in a complaint filed in October. The psychologists broadly denied allegations that “they committed torture, cruel, inhuman and degrading treatment, non-consensual human experimentation and/or war crimes” — but admitted to a series of actions that can only be described as such.

“Defendants admit that over a period of time, they administered to [Abu] Zubaydah walling, facial and abdominal slaps, facial holds, sleep deprivation, and waterboarding, and placed Zubaydah in cramped confinement,” the filing says.

The article is here.

Thursday, July 14, 2016

Psychologists admit harsh treatment of CIA prisoners but deny torture

By Nicholas K. Geranios
The Associated Press
Originally published June 22, 2016

Two former Air Force psychologists who helped design the CIA’s enhanced interrogation techniques for terrorism suspects acknowledge using waterboarding and other harsh tactics but deny allegations of torture and war crimes leveled by a civil-liberties group, according to new court records.

The American Civil Liberties Union (ACLU) sued consultants James E. Mitchell and John “Bruce” Jessen of Washington state last October on behalf of three former CIA prisoners, including one who died, creating a closely watched case that will likely include classified information.

In response, the pair’s attorneys filed documents this week in which Mitchell and Jessen acknowledge using waterboarding, loud music, confinement, slapping and other harsh methods but refute that they were torture.

“Defendants deny that they committed torture, cruel, inhuman and degrading treatment, nonconsensual human experimentation and/or war crimes,” their lawyers wrote, asking a federal judge in Spokane to throw out the lawsuit and award them court costs.

The article is here.

Monday, July 4, 2016

Experts worry high military suicide rates are 'new normal'

by Gregg Zoroya
USA Today
Originally published June 12, 2016

Seven years after the rate of suicides by soldiers more than doubled, the Army has failed to reduce the tragic pace of self-destruction, and experts worry the problem is a "new normal."

"It's very clear that nothing that the Army has done has resulted in the suicide rates coming down," said Carl Castro, a psychologist who retired from the Army in 2013, when he was a colonel overseeing behavioral health research programs.

The sharp rise in the Army's suicide rate from 2004 through 2009 coincided with unusually heavy demands on the nation's all-volunteer military, as hundreds of thousands of troops, most of them in the Army, deployed to Iraq and Afghanistan. The vast majority have since come home, but suicide rates remain stubbornly high.

The Army's suicide rate for active-duty soldiers averaged nearly 11-per-100-000 from Sept. 11, 2001, until shortly after the Iraq invasion in 2004. It more than doubled over the next five years, and, with the exception of a spike in 2012, has remained largely constant at 24-to-25-per-100,000, roughly 20% to 25% higher than a civilian population of the same age and gender makeup as the military.

The article is here.

Newly released CIA files expose grim details of agency interrogation program

by Greg Miller, Karen Deyoung And Julie Tate
The Washington Post
Originally posted June 14, 2016

The CIA released dozens of previously classified documents Tuesday that expose disturbing new details of the agency’s treatment of terrorism suspects after the Sept. 11, 2001, attacks, including one who died in Afghanistan in 2002 after being doused with water and chained to a concrete floor as temperatures plunged below freezing.

The files include granular descriptions of the inner workings of the CIA’s “black site” prisons, messages sent to CIA headquarters from field officers who expressed deep misgivings with how detainees were being treated and secret memos raising objections to the roles played by doctors and psychologists in the administration of treatment later condemned as torture.

But the collection also includes documents that were drafted by senior CIA officials to defend the interrogation program as it came under growing scrutiny, including a lengthy memo asserting that the use of often brutal methods had saved thousands of civilian lives.

The 50 documents included in the release were all drawn from records turned over to the Senate Intelligence Committee as part of its multi-year probe of the interrogation program.

The article is here.

Saturday, February 13, 2016

Pentagon Wants Psychologists to End Ban on Interrogation Role

By James Risen
The New York Times
Originally posted on January 24, 2016

The Pentagon has asked the American Psychological Association to reconsider its ban on the involvement of psychologists in national security interrogations at the Guantánamo Bay prison and other facilities.

The Defense Department reduced its use of psychologists at Guantánamo in late 2015 in response to the policy approved by the association last summer.

But in a letter and accompanying memo to association officials this month, Brad Carson, the acting principal deputy secretary of defense for personnel and readiness, asked that the group, the nation’s largest professional organization for psychologists, revisit its “blanket prohibition.”

Although “the Department of Defense understands the desire of the American psychology profession to make a strong statement regarding reports about the role of former military psychologists more than a dozen years ago, the issue now is to apply the lessons learned to guide future conduct,” Mr. Carson wrote.

The article is here.

Friday, January 22, 2016

Advancing Medical Professionalism in US Military Detainee Treatment

Leonard S. Rubenstein, Scott A. Allen, Phyllis A. Guze
PLOS One
Published: January 5, 2016
DOI: 10.1371/journal.pmed.1001930

Summary Points
  • The United States Department of Defense and Central Intelligence Agency (CIA) promulgated policies and requirements that required health professionals to participate in the mistreatment of counter-terrorism detainees through participation in such practices as abusive interrogation and force-feeding of detainees, in violation of ethical standards established by associations representing the health professions.
  • A report of the Defense Health Board to the Secretary of Defense on military medical ethics released in 2015 found that the Department of Defense “does not have an enterprise-wide, formal, integrated infrastructure to systematically build, support, sustain, and promote an evolving ethical culture within the military health care environment.”
  • The Board also found that ethical codes promulgated by the health professions, including the duty to avoid harm, provide a sound basis for military medical practice, even taking into account the unique challenges often faced by military health professionals in reconciling the military mission with patient needs.
  • The health professional community should urge the Secretary of Defense to adopt and implement the recommendations of the Defense Health Board, rescind directives authorizing participation of health professionals in interrogation and force-feeding because they are inconsistent with professional ethics, and provide ongoing advice and support for the reform process.