Doctors of Interrogation

Abstract

are busy with a little here. But our friend is taking some strain. He says he can't breathe properly. Could you just take a look at him?... [I]s he faking it?... In your opinion, as a doctor, how much more can he take? --DAMON GALGUT, THE GOOD DOCTOR These questions were addressed to a young South African army doctor as he stood before a bruised . man who was lying on the floor and breathing heavily. doctor had been conscripted, given the rank of lieutenant, and assigned to a small field hospital near the Angolan border. Until that moment, his responsibilities had been limited to care: treating the sick or wounded. But now he had been summoned by the camp commandant to perform a different task, one that would haunt him for years to come. doctor considered the questions insane,... the measuring points of an world in which doctors are called upon, not to heal and repair, but to assist in the calculated demolition of nerves and flesh. But the glare of the commandant's dead eyes reminded the doctor what was being asked of him. He told himself. The man on the floor is an enemy, who will in any case not last the night. is myself I must look after. doctor provided the assurance requested (He won't die yet), was amiably thanked for his advice, and permitted to depart. In the days that followed, his guilt was subdued by rationalization: It would have made no difference. You didn't have a choice. You only answered the question. This is a fictitious account of the so-called dark art of in the darkest days of Apartheid. But factual counterparts abound. There are numerous reports of real doctors in grim inverted worlds where they are no longer called upon to heal. (1) Most recently, there has been mounting evidence of complicity in abusive at Abu Ghraib and Guantanamo Bay. (2) These revelations give Galgut's story greater resonance. Voices that address the legal, ethical, and practical ramifications of involvement in are vital to any discussion of this topic. However, the voices of American physicians complicit in aggressive interrogations have--perhaps not surprisingly--been absent from the debate. Literature--which is neither muted by the fear of speaking out nor silenced by orders from superiors--may remind us what is at stake when we bring physicians into interrogation. Contours of Physician Participation Although we do not yet have a complete picture of the involvement of physicians in at Abu Ghraib and Guantanamo Bay, its contours have been clearly sketched. We know that in late 2002, a behavioral science consultation team--an entity staffed by a psychiatrist and a psychologist and known colloquially as a Biscuit--was established in Guantanamo Bay to assist with the of detainees. We also know that in late 2003, another Biscuit was established at Abu Ghraib on the recommendation of Major General Geoffrey Miller--then camp commander at Guantanamo--who considered the team essential in developing integrated strategies and assessing intelligence production. (3) At both facilities, one-way mirrors were installed that would have enabled personnel to monitor interrogations without being in the room. (4) And army records show that psychologists sometimes sat in on interrogations. (5) According to Colonel Thomas Pappas, head of military intelligence (MI) at Abu Ghraib, a worked alongside the psychiatrist. In his testimony to the Taguba inquiry, Pappas explained that military intelligence teams--also known as tiger teams--prepare individual interrogation plans for detainees, including a sleep plan and medical standards, and that a physician and psychiatrist ... are on hand to monitor what we are doing. (6) He told the inquiry that [t]he doctor and the psychiatrist . …