-Caveat Lector-

WHEN DOCTORS GET INVOLVED IN TORTURE
http://content.nejm.org/cgi/content/full/351/5/415

ROBERT JAY LIFTON, NEW ENGLAND JOURNAL OF MEDICINE -

There is increasing evidence that U.S. doctors, nurses, and medics have been
complicit in torture and other illegal procedures in Iraq, Afghanistan, and
Guantanamo Bay. . .

We know that medical personnel have failed to report to higher
authorities wounds that were clearly caused by torture and that they
have neglected to take steps to interrupt this torture. In addition,
they have turned over prisoners' medical records to interrogators who
could use them to exploit the prisoners' weaknesses or vulnerabilities.
We have not yet learned the extent of medical involvement in delaying
and possibly falsifying the death certificates of prisoners who have
been killed by torturers. . .

The doctors brought a medical component to what I call an
"atrocity-producing situation" one so structured, psychologically and
militarily, that ordinary people can readily engage in atrocities. Even
without directly participating in the abuse, doctors may have become
socialized to an environment of torture and by virtue of their medical
authority helped sustain it. In studying various forms of medical abuse,
I have found that the participation of doctors can confer an aura of
legitimacy and can even create an illusion of therapy and healing.

The Nazis provided the most extreme example of doctors' becoming
socialized to atrocity. In addition to cruel medical experiments, many
Nazi doctors, as part of military units, were directly involved in
killing. To reach that point, they underwent a sequence of
socialization: first to the medical profession, always a self-protective
guild; then to the military, where they adapted to the requirements of
command; and finally to camps such as Auschwitz, where adaptation
included assuming leadership roles in the existing death factory. The
great majority of these doctors were ordinary people who had killed no
one before joining murderous Nazi institutions. They were corruptible
and certainly responsible for what they did, but they became murderers
mainly in atrocity-producing settings

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