This week I had the privilege of attending an international conference in Washington DC of forensic experts on the documentation and prosecution of torture cases. The days were intense and I am sure I will ruminate on the issues, debates and experiences for a long time to come. While it is fresh, and before the relentless pace of my regular life resumes again, I want to offer some reflections.
First – it was genuinely moving for me to enter a room like this, for the first time in my career, filled with people who have worked on this issue for the past two decades. Many were names I know from the literature that has been an important part of my formation as a therapist and human rights advocate. I recognized that I am part of a lineage of health professionals and activists who have developed an influential and interdisciplinary perspective around torture. Some of the outcomes of these decades of passionate commitment has been to clearly articulate the profound medical and psychological effects of torture, to develop systematic methods of evaluation for these effects, to develop methodologies of treatment and support for survivors and their families, and to build many creative organizations that – even in their enormous global diversity – share a common vision and a common resolve.
The second striking thing that was commented on by several speakers is the obvious fact that torture continues to happen. In reality, while we were sitting together over the past two days, thousands of people were being tortured around the world. The overwhelming majority will never receive attention from our community of experts, and those few whose cases are taken up for prosecution might receive a decision in the next decade, of those only a handful will be compensated or feel that justice was done. Obviously our movement – though remarkable – is not enough. Perpetrators at all levels continue to commit their crimes with total impunity.
Therapists and physicians know the immense, life altering impact torture has on individuals. We don’t fool ourselves that we have the power to erase the violence that was inflicted against our clients. Lawyers know the time and resources needed for the meticulous task of compiling evidence against perpetrators. They understand how unfair it is to have to ask victims to defend their credibility. But, it continues to be critical for us to work together to integrate our differing disciplinary perspectives. Together we are like the fabled hummingbird dropping endless tiny beaks-full of water on a raging forest fire, persistently doing what we can.
But that said, many colleagues expressed the urgency to do more to influence the social and political discourse around torture in our own societies. They understand that a public attitude that justifies torture as the lesser of evils – an unfortunate imperative of security in a dangerous world – is what ultimately supports a climate of impunity.
I think in order to address this question of public discourse we must think deeply about the meaning and strategic intent of torture. In my experience, the best people to consult for a contextual analysis of torture are survivors themselves. As a fiercely articulate survivor reminded me today, “you have not been in the torture chamber, but I have.” And he went on to explain that whether they were/are political activists or “simply” poor, marginal and criminalized, survivors have a vision of their political context which is generally free of illusions about the repressive nature of power. As he and many other colleagues asserted today, maintaining genuinely collaborative relationships with survivors can help prevent us from taking missteps in our struggle against torture – steps which might lead us to waste our time and resources, mistake our own needs for the needs of survivors, or unintentionally collude with the power structures that are working for opposite ends. Furthermore, in listening to survivors, we may hear about dreams of justice that have little to do with judicial processes and more with the defense of identity, reconstitution of community and desire for freedom. As we listen and collaborate more deeply, we may become even more creative in our common pursuit of this dream, and in the process learn to contribute our skills and passion in new ways that may help us all feel more whole and alive.






























