- Psychiatric Times Vol 26 No 11
- Volume 26
- Issue 11
The Ethical Policies and Involvement in Enhanced Interrogations of US Psychologists After 9/11
The article “Mental Health Professionals in the ‘Enhanced’ Interrogation Room” on the cover of this issue provides an invaluable service. It documents psychologists’ and physicians’ involvement in enhanced interrogation programs.
The article
The impact of professional involvement goes beyond the harm suffered by the person who is waterboarded, slammed into a wall, forced to hold a stress position, or deprived of sleep for over 72 hours. Freyd1 wrote that professional participation perpetrates 3 betrayals. It betrays the trust and human rights of the person subjected to those methods; it betrays professional ethics; and it betrays society’s trust.
US psychologists embraced ethical policies that set them apart from other professionals.2 Steven H. Miles,3 author of
After 9/11, the American Psychological Association revised its ethics code to reject the Nuremberg ethic.5 The May 16, 2009, issue of the
In that issue, the journal editor, Fiona Godlee,6 wrote:
"Just obeying the rules has long been insufficient for doctors. The judges at Nuremberg made clear that obeying commands from superiors didn’t remove personal accountability. Doctors couldn’t deviate from their ethical obligations even if a country’s laws allowed or demanded otherwise. . . . So deeply ingrained is this ethic in health care that it’s surprising, even shocking, to find that the same code isn’t shared by psychologists, at least in the United States."
The
We cannot ethically turn away from what happened in settings like Abu Ghraib and Guantanamo. As members of the psychiatry and psychology professions, we have both individual and shared responsibilities for what we do and fail to do. We must work toward understanding what happened, how it happened, and where we need to go from here.
New works continue to document how the American Psychological Association’s policies evolved and their disastrous consequences.2,7-9 As a psychologist, I have a special responsibility to address these issues in light of psychology’s support for and key roles in the interrogations. There is much work to be done.
An open letter to the American Psychological Association from Amnesty International, Physicians for Human Rights, and 11 other organizations describes some necessary steps to address “the terrible stain on . . . American psychology.”10 Here is an excerpt:
"Any meaningful approach to this issue must start by acknowledging the fact that psychologists were absolutely integral. . . . When the Bush administration decided to engage in torture, they turned to psychologists. . . . [American Psychological Association] leadership has much work ahead to begin to repair the harm they have caused to the profession, the country, former and current detainees and their families."
References:
References
1.
Freyd JJ. Rules of conscience: Betray ethics, betray trust.
BMJ.
2009;338:b2191.
http://www.bmj.com/ cgi/content/full/bmj.b2191?ijkey=gLzS4bmfnLfb0xp&keytype=ref
. Accessed October 12, 2009.
2.
Pope KS, Gutheil TG. Contrasting ethical policies of physicians and psychologists concerning interrogation of detainees.
BMJ.
2009;338:b1653.
http://www.bmj.com/cgi/section_pdf/338/apr30_2/b1653.pdf
. Accessed October 12, 2009.
3.
Miles SH.
Oath Betrayed: America’s Torture Doctors. 2nd ed.
Berkeley, CA: University of California Press; 2009.
4.
Miles SH. Psychologists and torture.
BMJ.
http://bmj.com/cgi/eletters/338/apr30_2/b1653#213065
. May 1, 2009. Accessed October 12, 2009.
5.
Pope KS, Gutheil TG. Psychologists abandon the Nuremberg ethic: concerns for detainee interrogations.
Int J Law Psychiatry.
2009;32:161-166.
6.
Godlee F. Rules of conscience.
BMJ.
2009;338:b1972.
http://www.bmj.com/cgi/content/full/338/may14_1/b1972
. Accessed October 12, 2009.
7.
Tolin DF, Lohr JM. Psychologists, the American Psychological Association, and torture.
Clinical Science Newsletter
. 2009 (Fall):4-10.
http://bit.ly/47AtK0>
. Accessed October 15, 2009.
8.
Soldz S. Closing eyes to atrocities: US psychologists, detainee interrogations, and the response of the American Psychological Association. In: Goodman R, Roseman MJ, eds.
Interrogations, Forced Feedings, and the Role of Health Professionals: New Perspectives on International Human Rights Humanitarian Law and Ethics
(Harvard Law School Human Rights Program series). Cambridge, MA: Harvard University Press; 2009:103-142.
9.
Eidelson R. No place to hide: torture, psychologists, and the APA. June 18, 2009.
http://psysr.wordpress.com/2009/06/18/no-place-to-hide/
. Accessed October 12, 2009.
10.
Open letter in response to the American Psychological Association Board. June 29, 2009.
http://bit.ly/Y2bFj
. Accessed October 12, 2009.
Articles in this issue
almost 16 years ago
November 2009 Table of Contentsalmost 16 years ago
Depression During Pregnancyalmost 16 years ago
Living the Questions: Cases in Psychiatric Ethicsalmost 16 years ago
What “Meaningful Use” of Electronic Health Records May Mean to Psychiatristsalmost 16 years ago
Medical Educationalmost 16 years ago
Current Clinical Practice in Asperger Disorderalmost 16 years ago
The Cellular and Molecular Substrates of Anorexia Nervosa, Part 1almost 16 years ago
Tarasoff Reduxalmost 16 years ago
The Case of Factitious Disorder Versus Malingeringalmost 16 years ago
Firearms and Mental IllnessNewsletter
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