Showing posts with label Department of Defense. Show all posts
Showing posts with label Department of Defense. Show all posts

Friday, August 11, 2017

Guantanamo Detainee Was Disciplined by Putting Him in the Morgue

You'd think the crazy things done to prisoners of the United States in the "war on terror" couldn't get any more bizarre. The U.S. government has waterboarded prisoners, placed them in coffin-like confinement boxes, threatened them with drills, given them forced enemas of hummus and pasta, and sealed them up in all-white rooms and blasted music at them night and day.

ISN 00156, Adnan Farhan Latif
By JTF-GTMO (File:ISN 156's Guantanamo detainee assessment.pdf) [Public domain], via Wikimedia Commons

But a newly surfaced document, part of a FOIA release on the death of Guantanamo detainee Adnan Farhan Abd Al Latif in September 2012, seems to state that subsequent to an alleged rock throwing incident by Al Latif on July 25, 2012, he was taken to Guantanamo's morgue for some unspecified punishment.


Even more, a series of reports, beginning July 25, and ending August 2, indicated that Al Latif had been sent to or located in the "morgue." The reports were each labeled "DIMS Observation/Disciplinary Report Form" and classified "Secret." See end of this post for all the documents. DIMS stands for "Detainee Information Management System" and is the primary documentary record at Guantanamo for literally everything a detainee does or happens to him. For more on DIMS, see my Truthout article here.

I asked the JTF-Guantanamo Public Affairs Office for an official explanation. I queried, "Was Mr. Latif imprisoned for a time in the morgue at Guantanamo as some kind of discipline or punishment for perceived or actual infractions?"

Commander John Robinson at PAO replied tersely, "We don't discuss details of camp operations." (I've asked whether this means they don't deny Al Latif was placed in the morgue as discipline. I've not yet had a reply but will update this post when I do.)

[Update, August 15, 2017: Today received a further communication from JTF-GTMO's Public Affairs Office, responding to a second query of mine on August 11. I had asked if military authorities weren't really going to deny use of the morgue as a disciplinary action. Commander Robinson wrote back:
"JTF GTMO does not discuss the details of camp operations or specific locations of specific detainees. However, the morgue is only used for proper handling of detainee remains, not for detention. In response to apparent confusion regarding Detainee Information Management System data received via FOIA, please note that when an electronic query is conducted in DIMS, a detainee's 'Current Location' in block 7 will show the physical location (updated to date) of the detainee at the time the search was conducted. The 'Current Location' in block 7 is not associated with the "Date" of the report shown in block 2. Therefore, the location 'Morgue' in block 7 was the updated (most current) location of the detainee at the time the electronic file query in DIMS was conducted."
This would seem to negate the essence of the claims made in this article. But in the service of transparency, I'll leave open what I wrote as a cautionary tale about the use of government documents, and because the other points in the article are still relevant. I'd note, as you'll see in update below, this explanation for the surfacing of the location as the "morgue" as something generated by computer or software dynamism was first brought to my attention by Charlie Savage of The New York Times.]

The period July 25 to August 2, 2012 produced a flurry of disciplinary reports on Al Latif. Only three days earlier, the Supreme Court had refused to hear Al Latif's appeal of a lower court's overturn of his habeas appeal. For the young Yemeni detainee, the Supreme Court's decision was devastating, condemning him to an unending detention with no hope of knowing when it would end. Such indefinite detention has been found to be extremely emotionally and mentally stressful.

Indeed, Al Latif's behavior became more erratic and confrontative after he was in effect sentenced to indefinite detention, following the Supreme Court's decision. If we can believe camp accounts, Al Latif assaulted guards and a nurse with urine and feces, threw a rock at a guard in a watch tower, and possibly even grabbed for a guard's gun in the recreation yard. Only a little over a month later, he was found dead in his cell in Camp 5, ostensibly from a drug overdose of prescription antipsychotic medication. He was also suffering from pneumonia only a day after being medically cleared to be moved from the Behavioral Health Unit (BHU) at the Detainee Hospital to Alpha Block at Camp 5.

During the period in question in this article - July 25 to August 2, 2012 - Al Latif was ostensibly quartered in the BHU for ongoing suicidality and psychotic behavior. The registered nurse who worked closely with him told government investigators after Al Latif's death that during the period we're looking at Al Latif was “particularly agitated about events that had taken place the previous two days....”

The nurse described Latif as "jumping from the bed to the sink to the table to the toilet.” The jumping behavior would not stop. There was a lot of back and forth about giving Al Latif a forced injection of drugs to calm him. He refused the injection, and in the end, they opted to simply observe him, though there were other times when the prisoner was supposedly agitated when he was involuntarily injected with the drug Haldol to sedate him.

While the government isn't about to explain what really happened, reading between the lines, it looks like Al Latif became very upset when the Supreme Court denied his habeas appeal. His protests and psychological regression overwhelmed camp personnel, who responded ham-handedly by upping the discipline on him. While he was sprayed with pepper spray and involuntarily drugged, it looks like they also imprisoned him in the morgue for hours each day, returning him to the hospital later each day.

While it seems Al Latif was driven insane, or at least driven to desperate acts of defiance and protest by his despair at conditions at Guantanamo, things definitely seemed to get worse after July 25, the first day at the morgue. What happened to Al Latif there? Was he placed in a coffin-like box, as happened to Abu Zubaydah at a CIA "black site" prison? Was he threatened with death? Did he have contact with a corpse, or a fake corpse? Did Guantanamo authorities try to worsen his already fragile mental health?

We don't know the exact answer to the questions above, but given the macabre imagination of the torturers in the U.S. government, anything is possible.

[Update, 8/12/2017: Journalist Charlie Savage at the New York Times saw the documents online, and thought a simpler explanation for the "morgue" location could be that, since the documents contained "dynamic content" (as described at the top of each report), the "current location" was really simply the last location for Al Latif at Guantanamo. That would have been Guantanamo's morgue. In other words, the document automatically updated when it was processed for FOIA. Mr. Savage links to this webpage as an explanation. I think it's a possibility, at this point, and will look more into this explanation.]

The entire episode is an indication of how much we still don't know about the U.S. torture activities undertaken by both the CIA and the Pentagon. Meanwhile, apparently the U.S. is trying to suppress the publication of a "tell-all" book about Guantanamo from an insider, Mark Fallon, who worked with the Criminal Investigative Task Force at Guantanamo from 2002 to 2004.

There is also the fact the Senate Intelligence Committee has refused, under both Democratic and Republican leadership, to fully declassify and release their report on CIA torture.

Only a public outcry against torture and its effects, the human costs of which are staggering, will put an end to this censorship. Societal indifference to such inhumanity is highly damaging, the effects of which are to brutalize the society and render it less able to fend off authoritarian or even totalitarian impulses from above.

NOTE: The documents released from SOUTHCOM that are the basis for this story came from a FOIA I filed some years ago. The initial filing for the documents, however, was made by Jason Leopold, a journalist who now works at Buzzfeed, and with whom I worked on various stories about torture a few years back. Jason followed the Al Latif story for some time (see here and here). I've previously covered Al Latif's death as well, most recently in my book, Cover-up at Guantanamo.

AL LATIF "MORGUE" DOCUMENTS

If the embedded documents below don't work for you, you can download them here.



Wednesday, January 6, 2016

Letter to HHS on Proposed "Intelligence Surveillance" and Criminal Justice Exceptions to Human Subject Protections

The following was my response to a call for comments from the Department of Health and Human Services (HHS) regarding proposed changes in the federal rules regarding the protection of human experimental subjects. The deadline for comments was today, and the following reproduces what I sent HHS.

Outside academia and the departments that run Institutional Review Boards, the issues surrounding these changes may seem arcane. But as my letter documents, the issues on protection of human subjects in federal funded experiments touches on some of the most important issues of our time, not least the torture program ran by the CIA and Department of Defense in the past 15 years. Other comments can be read at the link provided above. My very modest contribution in no way touches many of the important issues raised by these proposed changes, and interested readers should peruse the comments of others to get a fuller picture of the stakes involved in these proposed changes.

Note: Rather than embed links, I have provided endnotes with links, which reproduces how I sent the letter to HHS. One interesting side benefit of drafting and posting this letter was that it allowed me to update old links that had gone missing or dead over the years. Sadly, the links to much of the relevant material (Project Shad, for instance), had changed or disappeared, as public interest in the subject waxes and, sadly, wanes.

----------------------------

Date: January 6, 2016

To: Jerry Menikoff, MD, JD
Office for Human Research Protections (OHRP)
Department of Health and Human Services (HHS)
1101 Wootton Parkway, Suite 200
Rockville MD 20852
and
The Department of Health and Human Services (HHS) and other relevant agencies

From: Jeffrey S. Kaye, Ph.D.
xxxxxxxxxxxx
xxxxxxxx, CA xxxxx

Re: Notice of Proposed Rule Making (NPRM), Docket ID HHS-OPHS-2015-0008
(CFR Citation: 45 CFR 46)

HHS has asked for public responses to changes proposed in law regarding Federal Policy for the Protection of Human Subjects, also known historically as the “Common Rule.”

In particular, my comment is related to proposed exceptions to protections under federal law for human subjects on matters related to “intelligence surveillance” and “criminal justice activities.” In addition, I address suggestions of weakening protections related to Subpart C of the Common Rule, which covers research on prisoners.

Currently, the Department of Justice, the Central Intelligence Agency, the Department of Homeland Security, the High-Value Detainee Interrogation Group (HIG), and the intelligence agencies that operate under the umbrella of the Department of Defense, are all regulated by 45 CFR 46, and protection of human subjects falls under the Common Rule. There is good reason historically for this, as government agencies, often under the auspices of “national security,” failed to protect human beings who were harmed significantly under experiments undertaken by such agencies.

These agencies act under a veil of secrecy, and safeguards on potential misuse of actions considered research, as defined, or even potentially close to research, should be strengthened, not weakened.

As Jay Katz said in a 1994 review of the history of human experimentation:
“In my review on the regulations on the conduct of research, I have tried to demonstrate that medical science's commitment to individual autonomy continues to remain ambiguous.

“The call for balancing the need to advance science for mankind's benefit and to protect the inviolability of subjects of research all too commonly tilts in favor of progress….

“As you know, I do not believe that the current federal regulations on the protection of subjects of research go far enough.”1
Lack of Research Protections in the DoD and CIA

Failures to protect are not instances of the distant past. According to a 2010 investigatory report by Jason Leopold and Jeffrey Kaye2:
“In January 2004, the Director of Defense Research and Engineering (DDR&E) initiated a DoD-wide review of human subjects protection policies. A Navy slide presentation at DoD Training Day (PDF)3 on Nov. 14, 2006, hinted strongly at the serious issues behind the entire review.

“The Navy presentation framed the problem in the light of the history of U.S. governmental ‘non-compliance’ with human subjects research protections, including ‘U.S. Government Mind Control Experiments – LSD, MKULTRA, MKDELTA (1950-1970s)’; a 90-day national ‘stand down’ in 2003 for all human subject research and development activities ‘ordered in response to the death of subjects," as well as use of "unqualified researchers.’

The Training Day presentation said the review found the Navy ‘not in full compliance with Federal policies on human subjects protection.’ Furthermore, DDR&E found the Navy had ‘no single point of accountability for human subject protections.’”
This review was ordered in late January 2004, only a few months after the Supreme court had agreed to hear the case later known as Rasul v Rumsfeld, which would decide that the Guantanamo detainees had a right to challenge their detention. The DoD-wide review came over two years after a DoD directive authored by Paul Wolfowitz had indicated such procedures should be in place. As a result, none of the required assurances by the different Defense Department components regarding their human subjects protection policies had been filed with DDR&E. In effect, there was little or no oversight over DoD research policies at exactly the time when both DoD and CIA were engaged in an experimental torture program, or using detainee prisoners as human guinea pigs for the study of the effects of torture and harsh detention (about which more below).

The DoD directive (3216.02), authored by Paul Wolfowitz, mentioned in the paragraph above, was titled “Protection of Human Subjects and Adherence to Ethical Standards in DoD-Supported Research,” and released in March 2002. The directive was updated in 2011. But in its 2002 version, and for many years, it represented a significant weakening of human subjects protections, making waivers of informed consent the responsibility of lower-level heads of DoD divisions, and weakening protections that had been in place for decades by limiting research safeguards to “prisoners of war.” There had never been such loose rules on informed consent ever explicitly allowed in the history of military research.4 While protections against use of research on detainees, such as those held at Guantanamo, supposedly now restrict research or experiments on that population,5 the history of attempts by DoD officials to push back against such restrictions should not allow for further weakening of any protections now in place.

There are a number of other instances of lack of protection of research subjects under the Department of Defense. One of the most egregious, which like so many of these abuses, took decades to come to light, concerned the military’s Project Shad.

Project Shad was a DoD experiment that exposed at least 4,000 Navy men to various chemical agents and decontaminant chemicals, "including Bacillus globigii (BG), Coxiella burnetii [which causes Q fever], Pasteurella tularensis [which causes tularemia or 'rabbit fever'], Zinc Cadmium Sulfide, Beta-propriolactone, Sarin, VX, Escherichia Coli (EC), Serratia Marcescens (SM), Sodium Hydroxide, Peracetic acid, Potassium hydroxide, Sodium hypochlorite, ‘tracer amounts’ of radioactivity and asbestos, [and] Methylacetoacetate."6 The existence of these experiments was denied by the U.S. government for 35 years, until Congressional hearings were finally held in 2002.7 While back in 2002, there were major news reports on the subject, today the story has dropped off the radar. Nevertheless, the government website, Health.mil, still has a webpage dedicated to information on the subject.8

The history of abuses surrounding Project Shad, and other similar instances of dangerous military research, e.g. projects Copper Head, Flower Drum, Shady Grove, Autumn Gold, among others undertaken from 1963-1970, argue strongly against any lessening of human subjects protections when it comes to military research.

Finally, on the subject of military research, it is worth noting the warnings aired in a National Research Council (NRC) 2008 report on a conference on “Emerging Cognitive Neuroscience and Related Technologies.”9 Participants concluded, “On the whole… the system of protections for human research subjects is not well designed to capture instances of intentional wrongdoing,” providing “rather… guidance for well-motivated investigators who wish to be in compliance with regulatory requirements and practice standards.”

While some find the current “formal procedures in place for the use of military personnel in medical experiments” are “stringent,” that doesn’t imply “that no abuses can occur, nor that convenient alternative frameworks (such as field testing) cannot be used to circumvent the research rules, but only that the official policies and procedures in the military are rigorous.” (bold emphasis added)

But even with such supposedly “rigorous” policies, the report’s authors see a problem. They ominously ask whether “classified research can ever be ethically sound inasmuch as it lacks transparency, such as in the form of public accountability. For example, if a member of an ethics review board disagrees with a majority decision involving a classified human experiment, that member would be unable to engage in a public protest of that decision.”

I think the questions raised in the NRC 2008 report are germane and vital to the issue of NPRM changes on matters related to “intelligence surveillance” and “criminal justice activities.” In particular, the kinds of artifice that can be engaged in relation to what exactly constitutes research is precisely what makes changes in these sensitive areas of high concern.

One such instance where the issue of using field testing or adjustment of technique and program assessment vs. formal research, i.e., to test areas of generalized knowledge, concerns charges of experimentation by the CIA and DoD in regards to the application of interrogation techniques on prisoners captured in the “war on terror,” prisoners which the U.S. government removed from coverage by the “prisoner of war” provisions of the Geneva Conventions.

Research done by the government in relation to interrogation or detainees was usually couched in terms that the research was only program evaluation, as in the case of the Behavioral Science Consultation Teams at Guantanamo, or involved only research related to improvement of conditions for individual detainees, or response to specific applications of an interrogation technique, as when the CIA monitored the oxygenation level of a waterboarding victim.

The point is that in the case of intelligence or national security agencies, especially those aspects covered by secrecy and classification, or that are “covert,” determinations of what is and what is not research, i.e., what can be covered or monitored by the Common Rule, what the “exceptions” are, is actually nonsensical. Either the coverage is complete and total, or it is not.

Charges of CIA Experiments in Torture

In the case of the CIA experimental torture or “enhanced interrogation” program, OHRP referred any research misdeeds back to the agency itself, in this case, back to the CIA. Such is their policy, which is in this case is shown as grossly inadequate.

The fact remains, as documented in the recent release of the Executive Summary of the Senate Select Committee Intelligence report on the CIA’s torture program, that the plans for the “enhanced interrogation” program were formed in the same division of the CIA that ran the MKULTRA program.10

Do we really want less, not more, safeguards on “intelligence surveillance” activities?

On January 15, 2015, two United Nation Special Rapporteurs wrote an official letter to the U.S. government expressing their concern over “the role of health professionals in the Central Intelligence Agency (CIA) interrogation program, between 2001 and 2009, and the subsequent lack of investigation into these allegations.”11

The letter was prompted by new information released when in December 2014 the Senate Select Committee on Intelligence released a redacted version of its Executive Summary of its report on the CIA “enhanced interrogation” program. One section of the letter contained charges and concerns about the research component aspect of the CIA program.

I reproduce that section of their letter in its entirety, as it helps explain my contention that the secrecy of the intelligence and covert operations world cannot allow any weakening of research or informed consent protections, as the agencies involved are without moral scruple, and have a long and even recent history of covering up misdeeds.

From the Special Rapporteurs’ letter:
3. Engaging in potential human subjects experimentation to provide legal cover for torture

From the SSCI summary it can be inferred that the OMS officers played an active role in determining, along with the DoJ lawyers, what techniques would be considered authorised for the CIA to employ. The 2004 OMS Draft Guidelines stated “in order to best inform future medical judgments and recommendations, it is important that every application of the waterboard be thoroughly documented”. The OMS personnel analysed data previously collected from the detainees during torture to make generalized conclusions about the techniques. In 2004 and 2005, this data and analysis was provided to the DoJ’s Office of Legal Counsel to determine what techniques and applications would be legitimate under their interpretation of U.S. laws.

On at least two occasions, CIA personnel expressed concerns that this process would amount to human experimentation. Similarly, on 11 April 2005, OMS personnel expressed such concern when stating that the “OMS did not review or vet these techniques prior to their introduction, but rather came into this program with the understanding… that they were already determined as legal, permitted and safe. We see this current iteration as a reversal of that sequence”.

However, despite these concerns, the 2005 Office of Legal Counsel memos (known as the Bradbury memos) reveal that the final determinations on the legality and safety of the techniques relied heavily on OMS data and analysis.12
There was no known response to this letter.

A Mysterious Use of Research Regarding the Department of Justice and the HIG

The NPRM states that the suspension of the common rule for “intelligence surveillance” includes “interviews, surveillance activities and related analyses... where these activities are conducted by a defense, national security, or homeland security authority solely for authorized intelligence, homeland security, defense, or other national security purposes.”13

The proposed Criminal Justice exclusion from the Common Rule involves “data collection and analysis that enables the uniform delivery of criminal justice. The scope of this exclusion is collection and analysis of data, biospecimens, or records by or for a criminal justice agency for activities authorized by law or court order solely for criminal justice or criminal investigative purposes. The activities excluded are necessary for the operation and implementation of the criminal justice system.”14

How does this look in light of the reality of research undertaken within the arcane workings of the criminal justice system? One example occurred during the interrogation of accused would-be assassin Manssor Arbabsiar. Under interrogation after arrest in 2012, a “research psychologist,” Susan Brandon, unknown to Arbabsiar was making observations and notes on defendant Arbabsiar. The research appears to have been for the FBI-led High-Value Detainee Interrogation Group, or HIG, for whom Dr. Brandon worked as “Chief of Research.”

According to another psychologist contracted to the government, Gregory H. Saathoff, Brandon was present during all of Arbabsiar’s post-arrest questioning, viewing him via closed-circuit camera, where she “closely monitored and documented Mr. Arbabsiar’s behaviors.”15

She produced a 21-page document, which has been withheld from public view, the subject of a court protective order.16 Brandon’s document, and hence her research, became part of the prosecution’s case against Arbabsiar, and was apparently part of the process of reaching a plea bargain with him and his attorneys. How did a secretive research protocol become part of a prosecutor’s evidence against a defendant?

As I wrote at the time: “So what was the administration’s top interrogation researcher doing at Arbabsiar’s interrogation? And if she was doing research, was Arbabsiar so informed? And whether he was or not, what in her role as researcher later led Brandon to file a report with the court? These are all important questions....” (see endnote vi)

In the context of the new proposed changes in the Common Rule, the questions involved are vital to the workings of both science and of a democratic society.

Research on Prisoners

Related to the Criminal Justice and Intelligence Agency exclusions are calls for weakening the protections regarding use of prisoners in research, which currently fall under Subpart C of the Common Rule. The very way this is brought up in the call for discussion is insulting: “The subpart was written in the wake of harsh criticism regarding research abuses involving prisoners that occurred or became public in the 1960s and 1970s.”

This was not simply “harsh criticism,” but well documented instances of horrific abuse of prisoners. The classic work in this field was Allen Hornblum’s book, Acres of Skin: Human Experiments at Holmesburg Prison, published by Routledge in 1998. There is no reason to lighten the restrictions against such research, which was the result of decades of abuses. Whatever positive results regarding such lightening of restrictions on consent in this case are outweighed by the dangers of unchecked power over a vulnerable population, the examples of which ruined untold number of lives.

As Mr. Hornblum concluded at the end of his book:
"It couldn't happen in America" we reassured ourselves about medical practices in Nazi Germany. But intolerable medical practices were practiced on vulnerable populations in America, without the support of the political culture or the despotic leadership that captivated Germany under the Third Reich, without any protest from the AMA, which prides itself on its ability to regulate itself.

History suggests that we are as susceptible to abusing our socially and economically disenfranchised citizens as any other nation. If, as many believe, a democracy is only as strong as the respect accorded its weakest members, we must work to assure that neither these abuses nor the "conspiracy of silence" that makes them possible ever happen again. We must do this not only for the benefit of the powerless, but also for the benefit of society as a whole.17
In conclusion, I ask that the NPRM changes proposed for weakening of protections on issues related to “intelligence surveillance” and “criminal justice activities,” as well as weakening protections related to Subpart C of the Common Rule relating to research protections for prisoners, be soundly rejected.

Sincerely,

Jeffrey S. Kaye, Ph.D.

Endnotes:

1Advisory Committee on Human Radiation Experiments, Public Meeting, Tuesday, July 5, 1994, Presentation by Jay Katz. URL: http://nsarchive.gwu.edu/radiation/dir/mstreet/commeet/meet4/trnsct04.txt

2Jason Leopold and Jeffrey Kaye, “Wolfowitz Directive Gave Legal Cover to Detainee Experimentation Program,” Truthout, Oct. 14, 2010. URL: http://www.truth-out.org/news/item/257:wolfowitz-directive-gave-legal-cover-to-detainee-experimentation-program

3“DON Human Research Protection Program: What’s New -14 November 2006.” URL: http://www.dtic.mil/biosys/docs/hu-navy_cs-2006.pdf

4See Jason Leopold and Jeffrey Kaye at i. above.

5See “New DoD Directive on Detainees Allows Sleep and Sensory Deprivation, Biometric IDs,” Invictus, September 17, 2014. URL: http://valtinsblog.blogspot.com/2014/09/new-dod-directive-on-detainees-allows.html?m=1

6“American Servicemen Used As Guinea Pigs - Tests Revealed DOD Releases Project SHAD Fact Sheets”, (no date, but first webpage circa 2002). URL: http://web.archive.org/web/20070221064138/http://www.testsubjects.net/shad.htm

7Hearing Before the Subcommittee on Health of the Committee on Veterans’ Affairs, House of Representatives, One Hundred Seventh Congress, Second Session, October 9, 2002, “Military Operations Aspects of SHAD and Project 112.” URL: http://web.archive.org/web/20090805150741/http://fhp.osd.mil/CBexposures/pdfs/oct9h02.pdf

8See “Project 112/SHAD,” (no date), URL: http://www.health.mil/Military-Health-Topics/Health-Readiness/Environmental-Exposures/Project-112-SHAD

9See Jeffrey Kaye, NRC on Research on “War on Terror” Detainees: “A Contemporary Problem,” February 12, 2011. URL: https://shadowproof.com/2011/02/12/nrc-on-research-on-war-on-terror-detainees-a-contemporary-problem/

Also National Research Council (NRC) 2008 , “Emerging Cognitive Neuroscience and Related Technologies”. URL: http://www.nap.edu/read/12177/chapter/6#118

10Jeffrey Kaye, “SSCI Report Reveals CIA Torture Program Originated in Same Department as MKULTRA,” The Dissenter (later changed name to Shadowproof), December 11, 2014,. URL: https://shadowproof.com/2014/12/11/ssci-report-reveals-cia-torture-program-originated-in-same-department-as-mkultra

11Dainius Puras and Juan E. Méndez, Letter to the U.S. Government, January 15, 2015, “Mandates of the Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health and the Special Rapporteur on torture and other cruel, inhuman or degrading treatment or punishment.”
URL: https://spdb.ohchr.org/hrdb/29th/public_-_OL_USA_15.01.15_%281.2015%29.pdf

12Ibid., pp. 3-4.

13Federal Register, Vol. 80, No. 173, Tuesday, September 8, 2015, Proposed Rules., p. 20. URL: https://www.gpo.gov/fdsys/pkg/FR-2015-09-08/pdf/2015-21756.pdf

14Federal Register, Vol. 80, No. 173, Tuesday, September 8, 2015, Proposed Rules., p. 18. URL: https://www.gpo.gov/fdsys/pkg/FR-2015-09-08/pdf/2015-21756.pdf

15Jeffrey Kaye, “Government’s Psychological Evaluation of Manssor Arbabsiar Fails to Impress,” The Public Record, October 10, 2012. URL: http://pubrecord.org/law/10586/governments-psychological-evaluation/

16U.S. District Court, Southern District of New York, Protective Order, 11 Cr. 897 (JFK), USA vs. Manssor Arbabsiar, August 15, 2012. URL: https://www.documentcloud.org/documents/459526-8-15-12-protective-order-manssor-case.html

17Hornblum, Allen M. (2013-05-13). Acres of Skin: Human Experiments at Holmesburg Prison (Kindle Locations 4625-4631). Taylor and Francis. Kindle Edition.

Tuesday, August 25, 2015

APA Torture & Ethics Scandal Highlights Fact No Medical Professionals Have Been Held to Account for Torture

In her very interesting analysis of the American Psychological Association's new policy calling for withdrawal of psychologists from national security interrogations and sites identified with torture and abuse, such as Guantanamo, Deborah Popowski ("The APA’s Watershed Move to Ban Psychologists’ Complicity in Torture," August 11) writes:
I predict that ultimately, this resolution [Motion 23B passed by APA's Council of Representatives] will be more powerful than its AMA and American Psychiatric Association counterparts precisely because it took years of dogged advocacy to achieve. The APA’s bad behavior was a mobilizing force for psychologists of conscience. The organization now faces a savvy group of reformers that understand its playbook and will keep pressing for enforcement. I look forward to seeing how they ride this wave of momentum.
I think this is a good point, but it, like most of the analysis on the APA's new interrogations policy has a certain unreal character, as its analysis exists outside of the realities of the Department of Defense justifies its use of health professionals, including psychologists and psychiatrists, in interrogations.

DoD and the American Psychiatric Association "Ban" on Psychiatrists in Interrogations

Popowski mentions AMA and the American Psychiatric Association (APsyA) because both of these practitioner groups previously issued policies forbidding their members to participate in interrogations. Such participation is unethical, they said, although the psychiatrist's group did allow their members to "provide training to military or civilian investigative or law enforcement personnel... on the possible medical and psychological effects of particular techniques and conditions of interrogation..."

But what these powerful organizations condemn and how they enforce these policies are two different things. In addition, how the Pentagon chooses to interpret the policies of these organizations is yet another thing.

In a September 2008 letter to then-Secretary of Defense Robert Gates, the APsyA president, Dr. Nada Stotland, quoted an article by George Annas, who noted, "The DOD's new position that its physicians not follow nationally and internationally accepted medical ethics represents a major policy change." Stotland was complaining about how the Pentagon continued to train psychiatrists for interrogation despite the APsyA's opposition to the their participation. It is not known if or how Gates replied, but DoD's policy in the matter itself never changed.

But the psychiatrist association itself never put any teeth in their policy. It never moved to sanction any member for participation in interrogations, which is done under the auspices of the Pentagon's Behavioral Science Consultation (BSC) program. Later, then-APA president Gerald Koocher would use APsyA's stated preference not to bring any such charges as an example of the rightness of APA's own policy. (See "President's Column," APA Monitor, July/August 2006)

Indeed, no doctor, psychiatrist, psychologist, nurse, medical technician, or any medical professional involved in interrogations has ever been brought up on charges by any medical or professional association. Attempts to bring charges by state licensing agencies were undertaken by private individuals -- attempts with which Ms. Popowski has assisted -- and such attempts universally failed (thus far), though not for trying.

But as important as the attempts to get at the torturers via licensing board complaints are, is a strategy aimed at prosecution via state licensing agencies really going to be effective? As one state licensing agency official told me, "How do you expect us to prosecute these cases when the U.S. government will not do so?" It would indeed take a great deal of courage to buck the federal government. There is also the issue that legal actions against health professionals would be subject to "graymail" defenses, in that defendants will argue that (supposedly, or potentially) exonerating evidence is classified and highly unlikely to be made available from the government. What happens then?

Applicable DoD policy on BSCs goes back to the 2006 DoD Instruction 2310.08E, "Medical Program Support for Detainee Operations." This policy allows DoD to use psychiatrists or physicians with the approval of the Assistant Secretary of Defense for Health Affairs, despite the policy by the American Psychiatric and American Medical associations.
E2.2 As a matter of professional personnel management, physicians are not ordinarily assigned duties as BSCs, but may be so assigned, with the approval of ASD(HA), in circumstances when qualified psychologists are unable or unavailable to meet critical mission needs.
In case some might think this old Bush-era instruction is not in force, it is. The most current policy, DoD Directive 3115.09, "DoD Intelligence Interrogations, Detainee Debriefings, and Tactical Questioning" (in its most up-to-date version of 11/15/13) references the 2006 DoD 2310.08E instruction as "reference (r)", i.e., for policy on BSCs.

Manipulation of Phobias

It's worth noting, 3115.09 has also made allowance for the ongoing use of SERE techniques, as they are used in the Army Field Manual, which I pointed out some time back. The only recent change in 3115.09 has to do with BSC manipulation of detainee phobias, a change that has not been publicly noted before: "Behavioral science consultants may not be used to determine detainee phobias for the purpose of exploitation during the interrogation process." That appears to be the one concession made by the Obama administration to criticisms of its interrogation policy. The reference was to phobias as addressed in Army Field Manual 2-22.3 in its description of the "Fear Up" approach. Before this change was made in 2012, BSCs were allowed to manipulate or create phobias in prisoners in a style of coercive interrogation that an earlier version of the Field Manual noted some nations -- though not the United States -- would find illegal.

The fact is, the opponents of existing policy at APA, not to mention officers at AMA, APsyA, and a number of human rights watchdog groups are aware of current Pentagon policy on using physicians in interrogations in lieu of psychologists, and despite the opposition on paper of physicians organizations, but nothing is ever said about it. One has to ask why this is. Psychologists, who still have a fight on their hands in making the new APA policy enforceable within APA, have not mentioned DoD's policy on such use, about which nothing has changed since the days of the Bush administration.

The Enforcement Question

Except for an Aug. 8 article in Al Jazeera America, no news accounts have noted that when APA opponents of the old interrogation policy were putting forth their motion to ban members from participation in interrogations or at sites where human rights abuses take place, the first draft of that motion had a strong enforcement proviso, which stated, "Be it resolved that the APA will direct staff to contact the licensing boards of all states and territories informing them that it is the sense of the Council of Representatives that any complaint against a psychologist who refuses to comply with the call to leave Guantanamo be reviewed ‘with prejudice’."

The final version of the motion that passed, and is hailed as a victory, omitted that provision. Such a step back from enforcement does not bode well for the future effectiveness of the APA action.

Other arguments regarding the efficacy of enforcing the APA's new policy were raised by psychologist John Grohol at his blog PsychCentral last week. Grohol quoted an August 18, 2015 email from APA’s Associate General Counsel Jesse Raben to psychologist and ethics exert Ken Pope, who resigned from APA in 2008 over APA's slippery ethics policies.
With regards to 23B (and therefore with the 2008 [member-initiated] resolution [banning psychologists from interrogation at human rights violating sites]) while this new Council resolution invokes Ethical Principle A to “take care to do no harm,” it does not amend the Ethics Code and is not enforceable as a result [emphasis added]. However, Council’s implementation plan for the new policy requests that the Ethics Committee consider a course of action to render the prohibition against national security interrogations enforceable under the Ethics Code.
Grohol's article must have made some impact, because Nadine Kaslow and Susan McDaniel, both members of the Special Committee for the Independent Review by David Hoffman that excoriated APA's connivance with the Department of Defense on interrogation issues, responded to Grohol's charges in an email to APA's Division 48, The Society for the Study of Peace, Conflict, and Violence. (Kaslow is also an APA past president, while McDaniel is the organization's president-elect.)

APA Officials Respond

Kaslow and McDaniel's full reply is not online, but what follows is an edited version of the high points. The two APA officials sympathized with Grohol's skepticism, but felt "that this reaction is misplaced at this time in the history of APA."
The authority and processes regarding policy development and modifications to the APA Ethics Code are stipulated in APA’s Bylaws and Association Rules. The first very important step is for a policy, such as the national security interrogation prohibition, to be passed by Council. For those policies with ethical aspects such as this one, the next step is for it to be considered by the Ethics Committee. The independence of the Ethics Committee is important, as described in the Hoffman Report. According to our Bylaws and Association Rules, the Ethics Committee has authority for formulating the Ethics Code, overseeing the process for changing the Ethics Code (which involves governance review and public comment), and for enforcing it. The movers of New Business Item #23B -- Scott Churchill, Jean Maria Arrigo, and Frank Farley, supported by Steven Reisner and Dan Aalbers -- were well aware of the necessary process. They successfully achieved the policy change, the all-important first step to achieving their ultimate goal of an enforceable prohibition, in keeping with the American Medical Association. (The American Psychiatric Association's policy is not part of their Ethics Code.)

.... The movers also included a provision in the implementation section of the resolution for Council to request that the Ethics Committee "consider pursuing an appropriate course of action in as expeditious a manner as possible to incorporate into the Ethics Code the prohibitions surrounding psychologist participation in national security interrogations, as set forth in this policy." The next step is for the Ethics Committee to carry out this recommendation. An amendment to the Ethics Code will provide the necessary “teeth” for the policy to be enforced. In the interim, I would like to point out that the Ethics Committee considers APA policies, guidelines, and other documents when interpreting the Standards of the Ethics Code.

.... As noted above, although the 2013 policy is not enforceable under the Ethics Code, it provides valuable guidance to the Ethics Committee in this regard....

Changing policy, aspects of the Ethics Code, and creating a culture that is transparent and trustworthy in all parts of the organization will take time and considerable effort. But it is a commitment we feel deeply in support of our public, our discipline, and our members....
Reading Kaslow and McDaniel's email, I think Ms. Popowski may have a point about the sanguinary effect of the new APA policy. From my own standpoint, I believe it was a huge step forward for the new APA policy to bring the recondite and legal struggle against the U.S. Reservations to the UN Convention Against Torture treaty out into the open, and put the imprimatur of a huge medical and professional organization behind the goal of removing those reservations, which in action eviscerated enforcement of that treaty in the U.S., and which were used by John Yoo, Jay Bybee and Steven Bradbury to alibi torture in their infamous OLC memos on interrogation.

Loopholes on Unethical Research to Remain

But there are also giant holes in APA's new policy, particularly as it pertains to psychologist research for the military and intelligence agencies. Since that is really where the bulk of federal money to psychologists and psychology programs go, that means the haze of unreality around these issues is a veritable fog of obfuscation. APA ethics code 8.05 allows psychologists to suspend informed consent -- which is the bedrock of ethical research on human subjects -- "where otherwise permitted by law or federal or institutional regulations." In addition, ethics code 8.07 allows psychologists to use deception in research on "prospective participants," unless such deception would be "reasonably expected to cause physical pain or severe emotional distress." The emphasis on "severe" emotional distress is a weakening of earlier language, and allows great discretion for research using deception that would allow, say, "moderate" levels of emotional distress. Indeed, a section of the Hoffman report contains a section on the research issue, and I will examine it more fully in the near future.

Nevertheless, when it comes to interrogations or psychologists presence at national security detention sites, the APA policy is much more stringent that that passed by APsyA or AMA, and demands that psychologists not even involved in interrogations at sites such as Guantanamo be transferred out. But will DoD listen to that? And if psychologists continue to work in such secret circumstances, how will APA or anyone else know? And what if anything will happen about that? I don't imagine anyone in DoD is losing much sleep over this... yet.

There is also the force of moral suasion, which if not terribly powerful, does play some role in historical circumstances. The leaders of the fight against APA's previous torture policy, and against an APA leadership that worked with government forces to allow torture and abuse of prisoners during interrogation and detention, are to be congratulated. I know from private conversations they are aware that more battles lie ahead. I suggest those battles lie directly with the Obama administration itself, and the leadership of other medical professional and human rights organizations to hold the administration's metaphoric feet to the fire, and end the use of all medical professionals in interrogations and under cruel conditions of confinement at so-called national security detention sites that are known to abuse prisoners, like Guantanamo.

Saturday, July 11, 2015

Soldz & Reisner's "Comments" to APA on Hoffman Report, with My Initial Thoughts on the Report

As can be seen from the introductory material below, the following material has been granted wide release by its authors. I am reproducing it here with general formatting from the original. A few typos have been quietly corrected.

The "Comments" by Stephen Soldz and Steven Reisner concern the July 10 release of the APA-initiated Hoffman report, "Independent Review Relating to APA Ethics Guidelines, National Security Interrogations, and Torture," conducted by David H. Hoffman of the law firm Sidley Austin LLP. A PDF of the lengthy report can be found here. APA's own press release and their own recommended actions related to the report's release is linked here. An index to the exhibits in the report and five binders of supplementary materials used in the report are posted at APA's website.

Previously, I cited what I believed to be serious questions regarding conflict of interest issues regarding Hoffman and CIA and the RAND Corporation (see here and here). I still believe those were relevant questions to ask, and until I absorb the full report, I cannot say for certain what effect any relationship in particular between Hoffman and the CIA or RAND had in the final version of the report.

In this report, Hoffman stated that he could not get the full story on how the APA interacted with CIA, primarily due to classification issues. Regarding the issue, for instance, of participation of past APA presidents with the CIA, Hoffman had this to say in a key paragraph:
As to the actions and knowledge of the former APA officials listed above (Fox, Gravitz, Matarazzo, and Seligman), some of them were clearly brought closer to the circle of knowledge through important interactions with Hubbard and Mitchell, as described further below. But we did not find evidence that there was a significant link between APA and their interactions or communications with the CIA. It is a fair question whether important interactions between these very prominent former APA officials also entailed, led to, or were connected to important interactions between APA and CIA. Except for very limited instances, we did not see any evidence of this in our examination of APA emails and other documents, and in our interviews, despite having found a very substantial amount of email and documentary evidence establishing important interactions between APA and government officials in other contexts, as set out above and below. On the one hand, this makes sense, since prominent psychologists who are former APA Presidents and Board members would not necessarily think that their interactions with the CIA about these issues would call for them to contact the APA, unless the CIA had specifically requested something from APA. On the other hand, we keenly recognize that in investigating activities involving the CIA, an agency that trains people to keep things secret for a living, we are especially limited in our ability to determine definitively what occurred, and therefore we are aware that our conclusions can only be based on the evidence available to us. This is especially true when the interactions are between CIA officials and individuals who were not APA officials or employees at the time, since their emails would not necessarily have been within APA’s system. [pg. 46 of report]
Furthermore, there are various points were evaluations of the evidence seems unwarranted, or based on interviews and evaluations of credibility that cannot be independently assessed, as in the assertion that "APA did not have the same close and longstanding relationship with the CIA as it did with DoD..." I also believe that Hoffman's dismissal of the import of the 2003 APA-CIA-RAND meeting, and the roles of Kirk Hubbard, Charles "Andy" Morgan, Kirk Kennedy, Susan Brandon, Philip Zimbardo, Martin Seligman, and others, may not be accurate. But I hesitate to say more until I have more fully examined the evidence, particular what has been posted in the over 600 MB of binder material at APA's Hoffman-related webpage.

There is also the significant problem that the entire issue of the controversy over the use of Behavioral Science Consultants in interrogations is posed as something in the past. In fact, as I've made clear recently, the passing of the Feinstein-McCain amendment to the National Authorization Act, which made use of the Army Field Manual a lawful requirement by government interrogators, including the CIA, means that use of BSCs have now the force of law. Much worse, and related, is the fact that the Army Field Manual on interrogations itself contains many abusive and torture-like "techniques" like isolation, sleep and sensory deprivation, use of fear and inducing "hopelessness and helplessness" in detainees, such that it has been condemned by the UN and various human rights organizations. The Hoffman report never references anything in relation to this.

Despite these concerns, and any others I may yet find, the report has provided a wealth of material that is useful to those who oppose unethical use of medical professionals in interrogations, as well as those who oppose torture in general and are trying to unwind the entire story of U.S. involvement in torture. For that I am grateful. The report helps fill in many gaps in our knowledge of how APA interacted with the Department of Defense, both in sidestepping and sabotaging critics, and in managing how APA ethics practice could be made congruent with DoD (and CIA) needs. I agree, however, with Hoffman, that evidence shows that changes to the APA ethics code itself, made in 2002, were not in response to the need to alibi torture, at least not in their inception.

Additionally, it has not passed my notice that the report has important new details on certain stories I covered earlier, including the interrogation and abuse meted out by NCIS to Daniel King, and Stephen Behnke's work helping train the BSCTs.

Also, Hoffman examined changes made to the "Common Rule" governing government-linked human subjects research changes made by Paul Wolfowitz to DoD's own directive on such research, and stated, "it seems likely that the exceptions in the Common Rule and the definitional changes in the Wolfowitz Directive broadened opportunities for DoD to conduct research on detainees subjected to interrogations."  He added, "However, there is no evidence that APA acted to facilitate psychologists’ participation in such research, if it occurred."

Hoffman evidently drew in part upon a lengthy examination of the Wolfowitz Directive and other ethics changes which Jason Leopold and I wrote in October 2010, as he footnoted that article in a section that commented on the weakening of informed consent protections by DoD (pg. 281 of the report).

As regards the rehabilitation of the APA, I am dubious. In my Jan. 2008 public resignation from the APA, I wrote, "I view APA's shifting position on interrogations to spring from a decades-long commitment to serve uncritically the national security apparatus of the United States. Recent publications and both public and closed professional events sponsored by APA have made it clear that this organization is dedicated to serving the national security interests of the American government and military, to the extent of ignoring basic human rights practice and law. The influence of the Pentagon and the CIA in APA activities is overt and pervasive, if often hidden."

Ongoing revelations, including the material in the Hoffman report, strengthens this conclusion from seven years ago. I do not believe that, recent events otherwise, this is going to change.

Now, the U.S. is gearing up for new Cold War with Russia and China, and the use of psychologists and other medical professionals by the military and intelligence services is likely to continue. It would be utopian to believe that APA or any significant organization involved in government contracts and activities would be able to separate itself from such actions. Instead, we might see that a rejuvenated APA, supposedly made clean by a purging of elements, like Behnke, APA's former Ethics chief who was recently fired based on the Hoffman revelations, still working on many elements of strengthening imperialist armed forces aimed at war and conquest, much as medical professionals and their organizations have in the wars in Iraq, Afghanistan, and elsewhere.

It has not passed my attention, for instance, that the American Psychiatric Association and American Medical Association, both of which have stated policies against the use of their members in interrogations, have never once censored or made charges against any CIA or DoD medical professional for their actions in relation to renditions and torture. As APA proposes to make a similar ban, it is worth considering the worthlessness of how such bans have been implemented, or rather not implemented, at those organizations.

The following are the thoughts and recommendations of key opponents of APA policy on interrogations. I have not evaluated these in any depth, and present them here for public examination and as a key part of the evolving discussion around the APA torture scandal, noting that the authors note their comments are preliminary, and that they, too, have not had time to absorb the full content or import of the Hoffman report.

I thank Stephen Soldz and Steven Reisner for their willingness and dedication to transparency to make these "Opening Comments" to APA a part of the public record. (Update: Dr. Soldz has now added a link to his own posting of the "Comments.")
Folks,

As you know, Steven Reisner and I met with the APA board on July 2. We agreed to confidentiality until the report was public, which happened today. We, therefore, are distributing the Opening Comments that Steven and I made at that meetings. We believe that they provide a guide with which to judge APA’s actions in the coming weeks. Feel free to distribute. [Apologies for cross-posting.] {Ed. note: square brackets in original}

Opening Comments of Stephen Soldz and Steven Reisner to the American Psychological Association Board, July 2, 2015

Last October, James Risen published allegations of American Psychological Association (APA) complicity in the Bush era torture program in his book Pay Any Price: Greed, Power, and Endless War. In the wake of these allegations, the APA Board in November 2014 commissioned an independent investigation of these allegations. This allegation was conducted by Chicago attorney David Hoffman of Sidley Austin LLC and his colleagues.

In late June, 2015, as they prepared to receive the Hoffman Report, the APA Board asked to meet with us (Steven Reisner and Stephen Soldz). We presume we were asked because over the last nine years we have been leaders of the movement to remove psychologists from abusive and sometimes torturous national security interrogations. Further, we have researched and published extensively on these issues and extensively shared the results of our research with Hoffman and his team. Most recently, we were the psychologist coauthors of the report All the President’s Psychologists: The American Psychological Association’s Secret Complicity with the White House and US Intelligence Community in Support of the CIA’s ”Enhanced” Interrogation Program, which was featured in a May 1, 2015 New York Times article.

The Board requested and we agreed to keep the substance of our discussions confidential until the report became public. However, with the public release of the report, we are now free to speak. Below are our opening comments to the Board.

Stephen Soldz Comments:

Thank you for having us here. I wish it was under less disturbing circumstances. We have come to discuss with you what we believe needs to be done by the American Psychological Association (APA) in the wake of the imminent release of the Hoffman Report. The conditions of confidentiality requested by the Board and agreed to by us have precluded our being able to discuss our ideas with our colleagues who have joined us for the last decade in our attempts to unveil the web of collusion beneath APA’s policies and actions regarding psychologist participation in sometimes abusive national security interrogations. However, our ideas have benefited from hundreds of hours of discussion with colleagues regarding the steps necessary to put APA on an ethical course. We believe that these ideas reflect those of many others besides ourselves, though we also consider it vital that the voices of those many others be actively heard as we proceed.

I would like to make some opening comments, following which Steven Reisner will describe our ideas for the initial steps needed for APA to right itself and weather the storm that is just over the horizon. We would like to emphasize that these comments and ideas were put down less than 48 hours after we obtained access to the 500+ page Report. Neither of us has even read the entire report, much less absorbed it. Thus, these ideas are preliminary and may well be supplemented by others as we fully absorb the report and discuss with colleagues what should be done.

I would like to begin with a very brief summary of what we take to be the gist of this report. The report documents in exhaustive detail the existence of a years long conspiracy to engage in collusion between senior leadership in the APA and the intelligence community, including the CIA and, most notably, the Department of Defense (DOD). This collusion involves a two-pronged strategy by the APA: First, there was a concerted attempt to generate so-called “ethical” policies on psychologist involvement in interrogations that would provide no constraints whatsoever on psychologists in the military working for DOD and other agencies. The second prong consisted of an elaborate deceptive and dishonest public relations strategy to falsely portray APA policy as concerned with the protection of detainee welfare and human rights.

This collusion included the development of apparently fine-sounding policy statements that were, as the report documents, virtually always vetted directly by DOD officials; manipulation of critics of APA policy to ensure that attempts to change that policy were toothless and did not in fact challenge DOD policies or practices; a strategic decision to turn heads away from increasing evidence on torture and other detainee abuse, including homicides, and on psychologist involvement in that abuse; and the dismissal and/or failure to investigate in any serious way ethical complaints against psychologists alleged to have participated in abusive interrogations, accompanied by repeated assurances from APA officials that all complaints would be comprehensively investigated. This collusion was accompanied by systematic manipulation of APA governance procedures, the active solicitation of opposition to critics by APA staff, and even the recording, in at least two known instances, of falsely claimed “unanimous” votes.

This years-long collusion was accompanied by false statements from every Board and every elected President over the last decade denying the existence of the collusion described in such detail by Mr. Hoffman. The collusion was also accompanied by squelching of critics and, sometimes, by personal attacks upon them in the face of overwhelming evidence in the public record, including media reports and the results of multiple government investigations by Congress and other agencies. Most notable, are the vicious personal attacks upon PENS task force member and national hero Jean Maria Arrigo, who first revealed the collusion, attacks that in one case was distributed widely by the president of the Association; responses to those attacks went unanswered by that President or any other Association official. Other critics have been banned from state psychological association listservs; been attacked by an APA president in the official Monitor on Psychology as “opportunistic commentators masquerading as scholars;” been threatened with possible libel suits and ethics complaints; been disinvited from speaking to and writing for state psychological associations; been surreptitiously recorded by APA staff when having a private conversation with reporters; had venues where they were speaking criticized and even implicitly threatened with loss of accreditation; and called “clowns” in a national psychological newspaper by an individual given numerous awards by APA and its divisions and who is often in APA governance. This, sadly, is only a partial list of the attacks on critics. In none of these instances did people in APA leadership positions stand up to defend the right of critics to speak. These actions were all undertaken against those who sought to uncover the collusion that was denied by Association leadership, including this Board and the current CEO only a few months ago.

That is the background to our meeting today to discuss how the APA should respond to the crisis facing the Association, the profession, and the country. I suspect that some of you have not yet fully grasped the magnitude of this crisis. As the result of its collusion, the APA is likely to become the public face of torture. The press storm will be fierce. Editorials will condemn the Association’s actions. Congress members will weigh in. Human rights groups, frustrated with the lack of accountability for torture, will be lining up to raise money off of suing the APA. There may be a decade of lawsuits, draining the budget and staff and elected officials’ time. Members will flee and young psychologists will be even more reluctant to join. And the Association’s 501©(3) nonprofit status may be threatened.

More importantly, if not handled correctly, torture collusion will become the public face of the profession we love. There is little doubt that the APA’s actions will go down in history books next to the chapter on the Tuskegee and Guatemalan syphilis experiments. The actions we take in the coming weeks, months, and years will determine how that chapter ends.

I would like to end by outlining what I believe are the fundamental principles that should guide the APA’s actions forward. These are: contrition, accountability, transparency, inclusiveness, and genuine change. Notice that I did not list “healing” or “reconciliation.” Healing and reconciliation are needed, certainly, but this is not the time to talk of them. Before healing can start, we need painful surgery to remove the tumor that our work and the Hoffman Report demonstrate have been at the heart of the APA for the last decade.

Now Steven will describe the preliminary steps necessary to start removing this tumor.

Steven Reisner Comments:

Following on Stephen's comments I want to reiterate: There is a cancer on the APA. You here will have to decide whether to do the necessary surgery or whether you will preside over the death of the association:

There are four issues here:

1. The APA sacrificed its reputation and independence – perhaps its 501c3 tax exempt status – to align its policies with those of the CIA and the DOD. This was an active campaign, with constant behind the scenes consultation, in order to do the bidding of these agencies, first the CIA, then the DOD.

2. There was an active campaign to undermine the will of the membership and of the council when they attempted to institute ethical restrictions on such activity. Simultaneously efforts were made to prop up and expand opposing efforts in support of such activity. Sometimes efforts were made to create opposing efforts to such activity. Thus APA ceased being a member-driven or democratic organization. The letter and spirit of the organizations by-laws were thwarted in favor of this secret agenda pushed by a staff that is supposed to be neutral and facilitative of the will of membership and governance. Instead staff manipulated the council and the membership.

3. There was a public relations campaign directed to deceive the public and to manipulate governance. To the public the PR campaign made the false claims that APA was acting independently for human rights at the behest of its membership, while in fact it was doing the opposite. Within the organization there was a campaign to influence and manipulate those who opposed the policy or were uninformed and to bully those who would not be manipulated.

4. All of this was done to advance a program of torture and abuse. It continued long after that program and the psychologists’ role in that program were public knowledge. If this level of manipulation and deception were done solely to secretly promote a government agenda, it would be a scandal; the fact that it was done to support torture and abusive monitoring of and research on detainees, is more than a scandal – it reaches the level of support for war crimes and crimes against humanity.

The numbers of APA staff and members of governance involved actively in this disgrace is staggering. It began with a few and rapidly incorporated increasing numbers from top to bottom.

Before I lay out what we believe APA must do, I want to make clear what you are dealing with. If the report is released on July 20th, there will be front-page articles in every major newspaper in this country and around the world on July 21st.

The headlines will read: Report Finds APA Leadership Colluded With Bush Administration in Support of Torture.

What will the subheading read?
“Many named remain in leadership positions”
or
“APA removes tainted leadership in response to investigation”

This is not a PR problem. This is a survival of the association problem. And there is no good way to get through this. You will face numerous lawsuits and secondary investigations. You will face a hemorrhage of membership and the loss of public trust. And APA is going to lose its central leadership of the past decade and a half.
--------------
I will now follow on Stephen’s list of five essential categories of steps that must be taken if the association has a chance of surviving:

Contrition,
Accountability,
Transparency,
Inclusiveness
Genuine Change

Contrition

· Let’s be clear that contrition is not a PR maneuver. Contrition requires thoroughgoing acknowledgement, remorse and change. APA must publicly acknowledge the depth and scope of this failure.

· Apology to all affected – to the people harmed (detainees), it includes the public and the congress (for not upholding public trust and deceiving them), to the profession, members, former member and non-members for undermining our ethical foundations, opening us up to ridicule and scorn, and damaging our reputation. And to Jean Maria Arrigo.

· I would like to see an op-ed written by APA leadership in the Times expressing this contrition.

Accountability and Housecleaning

· Staff involved must be fired
· Members involved must be banned from governance
· Bring ethics charges where appropriate.
· More importantly, APA must publicly recommend state ethics charges where appropriate.
· Make sure there is no hint of conflicts of interest in any part of governance or staff
· Those found to be part of the collusion should be stripped of association awards, standing and honors.
· And then you can give a special award to Jean Maria for being willing to stand up to an onslaught of power and manipulation that no one in this room was willing to stand up to.

I will start with staff. I see that some of the people who need to go are in this room. That in itself tells me that you don’t really yet understand the seriousness of your situation. I want to say that this list is possibly incomplete, because I haven’t yet read every page of the report.

Staff to be fired
Anderson, Honaker, Gilfoyle, Farberman, Garrison, Kelly, Mumford, Behnke.

Governance prohibition effective immediately
Levant, Koocher, Banks, Dunivin, Moorehead-Slaughter, James, Deleon, Gelles, Newman, Gravitz, Shumate, Breckler, Strassberger, Sternberg, Matarrazo, and Anton

Recusal for conflict of interest and investigation of role required
Strickland

APA needs to recommend to Division and State Association that they do the same.

But housecleaning is a small piece of what is necessary for full accountability.
How do we hold leadership and governance itself accountable?
How do we answer the question, how did this happen and what must we do to insure it doesn’t happen again?

We must have a thoroughgoing and independent institutional review. We need to appoint a blue ribbon panel to evaluate the organizational processes, structures, procedures and culture that allowed this to happen.

The panel must recommend changes in processes, structures and procedures geared to preventing this kind of power manipulation from happening again. It must review APA’s overly close ties to military, intelligence agencies and government; it must in particular look at the potential for corruption in the directorates, in particular the ethics office, the ethics committee and the science directorate. It must investigate the APA voting processes and investigate the opaque entity that counts our votes: Intelliscan

It must further address:

· The power of staff and how it oversteps its institutional bounds
· The progressive minimization of the oversight role and authority of Council and restore its authority and responsibility
· Investigate how staff managed to impede the will of Council and prevent it from happening again (e.g., 1.02, statue of limitations).

We need a committee of ethicists to redesign APA ethics policy and procedures. It may be true that 1.02 was not changed with torture in mind – the fact that it and other standards were weakened under the influence of APAIT is a second scandal unto itself that must be investigated. We also need to reopen ethics cases closed as part of this conspiracy. And if those to be investigated are no longer members, we must recommend state board investigation.

There must be a financial accounting, including DOD, CIA and government money, awards, fellowships and quid pro quos.

We must refer this report and its findings to the FBI and we must cooperate fully in any ensuing investigation.

We must also refer the report to the appropriate Congressional committees, as per Senator Feinstein’s request. These committees include Senate Select CI, SASC, Senate Judiciary, and Senate Committee Health and human services and their counterparts in the House of Representatives. (Like the PENS report)

Policy change

All policies regarding APA and national security must be annulled, including the approval of operational psychology as a subspecialty.

Review of the ethics of national security and operational psychology:

Blue ribbon panel #2 to do a thoroughgoing independent ethical review of the role of psychologists in national security operations. JMA should be a part of such a panel, along with internationally recognized medical ethicists and human rights advocates.

Moratorium on participation in national security interrogation and detention operations during the review process.

No statute of limitation on TCID ethics charges, automatic ethics committee investigation for TCID charges when these arise in the context of national security operations, detention or interrogation activities.

We need to develop guidelines for undertaking such investigations.

For Non-members, APA has to recommend full investigation from the state boards in national security sites and offer them guidelines.

Transparency

Let this be the last time that APA discussions of such import are held in secret. We need to make all such discussions transparent and easily accessible. We also need to report in plain language:
· The salaries and perks of staff
· The lobbying APA does
· Who gets to represent APA to congress and government and how such people are chosen.
· Anything else members of council, the membership, or the public wants to know or should be informed of.

We need to make all our deliberations and actions transparent, including these discussions.

We should have APA books publish the Hoffman report; The American Psychologist and the Monitor should publish the Executive Summary.

We should deposit the entire record of the Hoffman investigation deposited into the APA PENS Debate Collection at the archive of the University of Colorado at Boulder.

And we should call for a Congressional investigation into the role of health professionals and health professional organizations roles in support of the torture program and invite the other health professional organizations to do the same.

Inclusiveness

All stakeholders must be represented in these discussions. These include the broader psychological community, including those who opposed now-tainted APA actions when they occurred and the hundreds or thousands who quit the APA because they recognized this complicity while the elected leadership and staff denied it. In addition, equally important stakeholders are the medical ethics community, human rights advocates, Congress (as seen by the expressed desire of Sen. Feinstein to review the report), and the broader public, as attested to by the extensive press interest in our April report. All of these have a stake in the decisions and initiatives you and we undertake today and in the coming weeks.

Ultimately, and importantly, we must set aside a time in August for a lengthy Town Hall Meeting at the convention where we give the membership a chance to discuss these revelations

Genuine Change - ???

Stephen Soldz
Boston Graduate School of Psychoanalysis
ssoldz@bgsp.edu

Saturday, June 13, 2015

Déjà vu on Interrogation "Reform": McCain/Feinstein Amendment Won't Stop Torture


"There's truth that lives and truth that dies..." - Leonard Cohen

In a bizarre mixture of the sincere and the insincere, an amendment proposed by a bipartisan group of senators to the upcoming National Defense Authorization Act (NDAA) is being touted as all but ending torture by the U.S. -- if it passes.

According to an article in The Intercept, "Human rights and transparency organizations are applauding the effort." But is there really anything here to celebrate?

If you read The Intercept article all the way to the end, there's mention that a group of medical experts found the Army Field Manual "permits techniques that are 'recognized under international law as forms of torture or cruel, inhuman, or degrading treatment.'” So why is there applause?

Mark Fallon, the former deputy commander of the Criminal Investigation Task Force at Guantanamo, and currently Chair of the Research Committee of President Obama's inter-departmental High-value Detainee Interrogation Group (HIG), told Jason Leopold at Vice News the amendment "mandates and advocates the use of science and evidence-based research so we can be more effective during interrogations." Furthermore, there would be "a review of the Army Field Manual [AFM] to ensure we are only using best and lawful techniques" during interrogation.

Constitutional scholar David Cole writes at the Just Security website that he supports the amendment, which is jointly sponsored by Senators John McCain, Dianne Feinstein, Jack Reed and Susan Collins. Cole adds that others support it, too, including "David Keene, former President of the National Rifle Association and editorial page editor of the Washington Times..."

Newsweek posted an article by Rupert Stone this week, titled "Beyond Torture: The New Science of Interrogating Terrorists," which includes a long discussion of the importance of putting interrogation on a science-centered base.

Stone's article goes into more detail than others about problems concerning "the current version of the Army Field Manual [which] still offers a back door to some of the brutal tactics authorized after 9/11." Stone is of course talking about Appendix M of the Army Field Manual, which allows theoretically indefinitely extended amounts of solitary confinement, sleep deprivation, and sensory deprivation on so-called "unlawful enemy combatants." The interrogation methods of Appendix M are so severe, they require at times physician and/or psychologist in attendance to implement (shades of the CIA's "enhanced interrogation" program!).

But problems with the Army Field Manual do not start or end with Appendix M. The main section of the manual includes coercive methods of interrogation, including psychological techniques to induce fear, to tear down the ego and self-esteem of prisoners, to tear down their resistance to interrogation by inducing "hopelessness and helplessness," and allowing use of drugs on prisoners, so long as the drugs don't cause "lasting or permanent mental alteration or damage."

But Fallon and others, like veteran interrogator and Col. (ret.) Steven Kleinman, believe that the review mandated by the amendment will take care of the problems sometime in the future. Meanwhile, they urge passage of the amendment now. Kleinman told Newsweek, "Passing strongly worded legislation that would stand as a bulwark against torture... is the single most important step we must take.” (Both Fallon and Kleinman have impeccable anti-torture credentials.)

According to The Hill, this view is echoed by Elisa Massimino, President and CEO of Human Rights First, who said of the senators' amendment, “This is how a strong democracy deals with its mistakes — we examine what we did, and take the necessary steps to make it right.”

Meanwhile, in my email box, I have a plea from the National Religious Campaign Against Torture. The mailing promises the "introduced legislation... could permanently end CIA torture." It asks I call my senators now, even as a group of seven human rights and civil liberties organizations, have released a statement, including ACLU and Physicians for Human Rights, supporting the amendment.

The entire campaign around the whole Feinstein-McCain amendment has an unreal quality. It arose all of a sudden. There's no real period of public discussion about it. The interpretation of the amendment itself is via sanitized sources we are supposed to trust. It's presented as a slam dunk issue for those who oppose torture. You'd have to be an ingrate to oppose such a good thing.

"Pick up my guitar and play, just like yesterday"

Where have I heard this all before? When the current Army Field Manual was released in September 2006, there was the same near-universal acclaim, the same pious intonations by human rights groups, the same spate of articles in the mainstream press. But nine years later -- though many news outlets still downplay or simply eliminate reference to it -- we know the 2006 version of the Army Field Manual contained forms of ill-treatment that the UN, reviewing torture policies by the United States, recently condemned.

I analyzed the PR campaign to sell the current version of the Army Field Manual in an article at Alternet in 2009. I pointed out how when the Army Field Manual was released in 2006, we had the same gushing praise and platitudes from the press.

The Washington Post bragged that the then-new Army Field Manual "repudiated the harsh interrogation tactics adopted since the Sept. 11, 2001, terrorist attacks."

Human rights groups chimed in. As reported by the Post, Tom Malinowski, then Washington advocacy director for Human Rights Watch (but previously a Senior Director of the Clinton White House National Security Council), stated, "This is the Pentagon coming full circle... This is very strong guidance."

Recently, Malinowski was tapped by the Obama administration to answer the United Nations in their questions about ill-treatment in Appendix M. In 2007, in testimony before the Senate Foreign Relations Committee he praised the AFM for using using "professional, humane interrogation methods."

Over and over I read how the Army Field Manual had "safeguards," "oversight," was a big "step-forward." Amnesty International's advocacy director called the AFM "an important return to the rule of law.... It is an important public statement."

But it was no such thing.

Similar misrepresentations take place today. In Cole's piece at Just Security, for instance, he claims that the Office of Legal Counsel memos authorizing torture memos, "written between 2002 and 2007, have all been rescinded and rejected."

But that's not true. One of them was not, and tellingly, it was the one dealing with the Army Field Manual and Appendix M.

"You know something is happening, but you don't know what it is"

Let's examine the text of the Feinstein-McCain amendment (download PDF) and see if the promises of its supporters holds any water.

"An individual... shall not be subjected to any interrogation technique or approach, or any treatment related to interrogation, that is not authorized by and listed in the Army Field Manual 2-22.3"

Okay. We see that the existing Army Field Manual, including use of techniques and "approaches" such as "Fear Up," "Futility," "Ego Down", "False Flag" and "Separation" will continue to be the law of the land. The "Separation" or Appendix M approach is really an omnibus set of abusive techniques that includes use of solitary confinement, sleep and sensory deprivation, and environmental or dietary manipulation.

I asked via FOIA for DoD to produce examples of requests to use Appendix M, as is described by the Army Field Manual. DoD said it could not find any documents pertaining to that. So much for transparency and safeguards.

For 14 months I have had an outstanding FOIA requesting materials related to review of Appendix M by the Office of Secretary of Defense. I asked because the Army Field Manual itself states, "The Office of the Secretary of Defense will review these activities periodically in accordance with DOD Directive 3115.09." That FOIA is still pending. But if the partisans of the Feinstein-McCain amendment believe that DoD or the government will do any better in producing oversight material upon request to the public or press, I have a fine bridge in Brooklyn to sell them.

The Feinstein-McCain amendment states that "a thorough review" of the AFM is to be conducted at least one year after the enactment of the Authorization Act, and then every subsequent three years "to ensure that Army Field Manual 2-22.3 complies with the legal obligations of the United States and reflects current, evidence-based, best practices for interrogation that are designed to elicit reliable and voluntary statements and do not involve the use of threat of force."

The "thorough review" is to be conducted by "the Secretary of Defense, in coordination with the Attorney General, the Director of the Federal Bureau of Investigation, and the Director of National Intelligence." In other words, the Executive Branch is to have total control over assessments of compliance of Army Field Manual practice with so-called "evidence-based, best practices for interrogation." What that really means is that there will be no "checks and balances" oversight here.

The model for such review would be DoD's 2009 Review of Department Compliance with President's Executive Order on Detainee Conditions of Confinement (PDF), which produced a wildly unrealistic picture of Guantanamo as consistent with Geneva norms of humane treatment. At the time there were continuing hunger strikes, as prisoners were savagely beaten by teams of guards. By June 2009, yet another detainee was found dead in a cell in the GTMO Behavioral Health Unit, where prisoners were observed every three minutes, supposedly dead by his own hand, having been driven insane by what the autopsy report called "conditions of confinement."

The highly-regarded researcher of the Guantanamo camp, Andy Worthington, called the 2009 review "a bitter joke." There's no reason not to expect the same from the Feinstein-McCain Amendment's proposed AFM reviews.

Interestingly, however, it's worth noting that the the Central Intelligence Agency appears to be frozen out of the proposed review process.

"People writing songs that voices never share"

"Not less than 120 days after the date of the enactment of this Act, the interagency body established... shall submit to the Secretary of Defense, the Director of National Intelligence, the Attorney General, and other appropriate officials [could this be the CIA?] a report on current, evidence-based, best practices for interrogation that are designed to elicit reliable and voluntary statements and do not involve the use of force.... The report required... may include recommendations for revisions to Army Field Manual 2-22.3 based on the body of research commissioned by the High-Value Detainee Interrogation Group."

While HIG experts like Fallon and Kleinman may take umbrage in such verbiage -- indeed, it's flattering to see your own research touted as something of governmental importance -- there is nothing mandated in this language, at least as regards any updating or change in techniques or approaches in the Army Field Manual.

"The report... may include recommendations," and nothing is said about any recommendations being enforced. Indeed, we already have public members of the HIG on record as being against some of the abuse in the Army Field Manual, and still nothing changes.

One of those associated, Col. Kleinman, was on record as recently as 2011 as stating in an article, "The Obama Administration has made a good-faith attempt to bring standards to American interrogation practices by issuing an Executive Order that extended the relevant U.S. Army Field Manual’s directives to all government-wide interrogation efforts." That "good-faith attempt" included making via Executive Order Appendix M the law of the land.

Kleinman is on-record as criticizing the current AFM as being unscientific. He wrote a paper that supposedly elaborates on that with another current HIG official, psychologist Susan Brandon, and two other researchers. But according to Stone's Newsweek article, the 2010 review of AFM techniques was not publicly released for fear it "could have jeopardized the HIG’s relationship with the military." If releasing a critical article is too dicey for critics of DoD's Army Field Manual, what can one expect from any future reviews led by the Secretary of Defense?

Meanwhile, Brandon is under a cloud of controversy recently for her participation in activities with the American Psychological Association in regards to allegedly facilitating torture.

Brandon helped organize a workshop with the APA, CIA and Rand Corporation back in 2003 that looked at, among other things, "what pharmacological agents are known to affect apparent truth-telling behavior," and "sensory overloads on the maintenance of deceptive behaviors." One of her workshop discussion questions asked, "How might we overload the system or overwhelm the senses and see how it affects deceptive behaviors?"

In 2005, Brandon was an "observer" at an APA meeting that met to consider ongoing use of psychologists in national security investigations. She reportedly helped write the part of the report from the meeting that spoke to issues bearing on national security research, just the sort of research, it seems, that the HIG is either doing or proposing when it comes to interrogations. One of those research projects on "false confessions," as recently reported at Bloomberg, left some participants "angry," and one woman who "dissolves into tears."

Hence, there are ethical questions about the kinds of research being done, what can be accomplished in such research, and the fact that even if some kind of "evidence-based" interrogation protocols that don't involve "force" are suggested by research and then DoD-led review, there's no mandate or promise in the new legislation that it will ever be implemented.

Indeed, there is nothing in the new legislation that calls for the removal of Appendix M.

"Into the night, shadows fall"

A most interesting section of the amendment, unique in its hypocrisy and unstated cover for torture, concerns the FBI and other Federal law enforcement agencies:

"Nothing in this subsection shall preclude an officer, employee, or other agent of the Federal Bureau of Investigation or other Federal law enforcement agency from continuing to use authorized, non-coercive techniques of interrogation that are designed to elicit voluntary statements and do not involve the use of force, threats, or promises."

Anyone familiar with the work of the FBI, or other Federal agencies will find this presentation of "non-coercive" agents never threatening suspects something of a fairy tale.

A few years ago, I reported the case of Petty Officer Daniel King, who the Naval Criminal Investigative Service coerced into a false confession of treason, and with the assistance of a Navy psychologist, drove to such a degree of desperation he tried to kill himself. (See here and here.)

But the FBI probably has a lot more charges of abuse than most other Federal law enforcement agencies. None of these charges have been bigger than those surrounding the massive FBI investigation into the July 2010 World Cup bombings in Kampala, Uganda.

The FBI interrogated a number of prisoners from Kenya and other East African countries who were renditioned to Uganda. It was the largest foreign FBI investigation since the USS Cole attack in 2000. A 2011 report by Ian Cobain at The Guardian detailed accusations of abuse by FBI agents involved in the investigation.

A more recent case of FBI malfeasance and complicity in torture is the case of Yonas Fikre, a 36-year-old Eritrean-born American who charges the FBI had pressured him to collaborate with them, and when placing him on a no-fly list failed, had him "arrested, interrogated and tortured for 106 days in the United Arab Emirates," according to a report in The Guardian.

The issue of FBI torture deserves a lot more public examination, and in a subsequent article I plan to go into much more detail on the World Cup bombing case.

"Always something happening and nothing going on"

The issue of torture by proxy or liaison-country cover is also important, and was a major factor in the scandal surrounding extraordinary rendition, where CIA and DoD prisoners were turned over to U.S.-friendly intelligence agencies in Egypt, Jordan, Morocco, and other nations, where they were terribly tortured.

More recently, there are similar charges surrounding the World Cup bombing case, but better reported in the U.S. was Jeremy Scahill's 2011 report at The Nation concerning CIA-run black sites in Somalia. Ostensibly under the control of Somalia's National Security Agency, the sites were used to train Somali intelligence agents, while CIA interrogators are given direct access to prisoners held in the Somali secret detention sites.

In fact, as a recent FOIA release of a 1963 CIA interrogation manual shows, use of "liaison" or "host' countries as cover for torture is very old practice, honed during the Cold War.

It is a fact that the CIA chief of interrogations in the early years of its post-9/11 rendition and torture program was previously known (and supposedly chastised) for using a 1983 torture instruction manual -- "Human Resource Exploitation" -- the U.S. had distributed to Latin American police and intelligence forces for the purposes of instruction in torture. Nothing could better illustrate how the use of proxy or "host" countries for torture is on a continuum with the worst of the CIA's torture program.

But it is not the CIA or FBI alone who act this way. During the U.S.-instigated Iraq War, the Department of Defense notoriously issued a "Fragmentary Order" (FRAGO 242) that had U.S. armed forces turn prisoners over to Iraq security forces, even though they knew they would be tortured. In many cases, the Iraq security forces themselves had been trained by the U.S.

Nothing in the Feinstein-McCain amendment speaks to this long-practiced method of torture by proxy used by U.S. intelligence, military, and law enforcement agencies.

"Everybody knows the deal is rotten"

It is highly unlikely that most Americans will hear anything negative about the Feinstein-McCain Amendment, except perhaps from right-wing types who lust for the good old days of CIA's "enhanced" torture brutality. But for the record, this amendment does nothing to stop torture.

Despite all the caveats and evidence I've gathered here, the truth is almost none of it will reach the ears or eyes of American citizens. But then, only the simulacrum of a reasonable debate on this policy is expected. The Establishment of respectable citizens, who make up human rights organizations and government-academic merry-go-round that employs them, has already spoken. The consensus has already been drawn.

But that doesn't mean the amendment is worth a damn. While no one is held accountable for disgusting and barbaric forms of torture, from driving people insane with music and bright lights, to holding them in solitary for years, to waterboarding or water immersion, to injecting blood thinner drugs into them so they can be forced to maintain body positions for hours on end, and much more worse ("rectal feedings"? no, anal rape)... while no one is held accountable for this, an anemic and mostly window-dressing reform is dressed up as something significant and sold by hucksters. Backing them are those sincerely anti-torture individuals and groups who still trust the usual authorities to do the right thing.

But none of that can hide what this amendment is: fraud, trickery, deception, the most meretricious sort of sham. The fact that some of those supporting the amendment are sincere and good individuals doesn't change a thing.

Crossposted at Firedoglake.com

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