Less-lethal weapons: ocular trauma in Chile as psychosocial trauma. Challenges from a human rights and comprehensive perspective

Authors

  • Jose Tejada CINTRAS
  • Alejandra Arriaza Centro de Salud Mental y Derechos Humanos (CINTRAS)
  • Danae Sinclaire Centro de Salud Mental y Derechos Humanos (CINTRAS)
  • Alejandra Vargas Centro de Salud Mental y Derechos Humanos (CINTRAS)

DOI:

https://doi.org/10.7146/torture.v34i1.143793

Keywords:

State violence, ocular trauma, psychosocial trauma, comprehensive reparation, human rights

Abstract

Introduction: In October 2019 in Chile, massive protests broke out in the so-called social uprising. The repressive response of the armed forces of order and security resulted in serious and massive violations of human rights, with between 400 and 500 victims of ocular trauma caused mainly by shots from anti-riot shotguns, constituting the largest number of cases in the world. It is proposed to evaluate the different dimensions of the impact of ocular trauma due to state violence, using the concept of      psychosocial trauma and a support model that integrates the medical-psychological and social dimensions. Methods: Human rights violations of the period are described, focusing on cases of ocular trauma, and state and civil society responses. The requests of a survivors’ organisation in truth, justice and reparation is presented. A clinical case of ocular trauma treated in our centre is analyzed. Results: Survivors of ocular trauma manifest post-traumatic reactions regardless of the severity of their ocular injuries. The impact on the mental health of survivors of ocular trauma due to state violence is a phenomenon where the psychic and psychosocial impact of trauma due to socio-political violence intersects with the short- and long-term mental health effects of ocular trauma. Discussion: The impact of sociopolitical trauma must be understood considering the reality of the individual and social subject, considering their cultural, socioeconomic and political reality. Recovery from traumatic psychological injury must be addressed in its medical, sensory rehabilitation, psychological and psychosocial dimensions, including processes of social recognition, search for justice and comprehensive reparation of damage. In contexts of impunity, a model is proposed that integrates rehabilitation with psycho-legal support, promotion of agency and organisation, within the framework of commitment to the movement and principles of human rights.

References

Alexander, D., Kemp, R., Klein, S., & Forrester, J. (2001). Psychiatric sequelae and

psychosocial adjustment following ocular trauma: a retrospective pilot study. British Journal of Ophthalmology, 85, 560-562. doi: 10.1136/bjo.85.

560

Amnesty International (2020, October). Eyes on Chile: Violence and command

responsibility during the social unrest. https://www.amnesty.org/en/

documents/amr22/31332020/en/

Amnesty International (2023, October 17). Chile: Four years after the social

outbreak, impunity and the lack of comprehensive reparation for the victims persist. https://www.amnesty.org/es/latest/news/2023/10/chile-four-years-

social- unrest-impunity/

Brinkmann, B. (2006). Trauma psicosocial. La justicia es salud. Reflexión, 32,

-28. https://www.cintras.org/textos/reflexion/r32/traumapsicosocial.

doc.pdf (Psychosocial trauma. Justice is health)

Cámara de Diputados de Chile. (2021, September). Informe de la comisión especial

investigadora de los actos del gobierno, en particular del Ministerio del Interior y Seguridad Pública, de Carabineros de Chile y de la Policía de Investigaciones de Chile, en el marco del control del orden público, que hayan implicado afectación o violación de los derechos humanos de civiles, en el período comprendido entre el día 29 de octubre de 2019 y la fecha en que esta comisión concluya su investigación. (Report of the special commission investigating the acts of the government, in particular of the Ministry of the Interior and Public Security, the Carabineros de Chile and the Policía de Investigaciones de Chile, in the framework of the control of public order, which have implied affectation or violation of the human rights of civilians, in the period between 29 October 2019 and the date on which this commission concludes its investigation). https://www.camara.cl

/verDoc.aspx?prmID=63387&prmTipo=INFORME_COMISION

Colegio Médico, Regional Santiago. (2020, January 7). Departamento de DD.HH.

del Colegio Médico: labor inagotable. https://www.regionalsantiago.cl/

departamento-de-dd-hh-del-colegio-medico-labor-inagotable/ (Department of HH.RR. of the College of physicians: inexhaustible labor)

Coordinadora de Víctimas de Trauma Ocular. (2023, October). Ojos: Memoria del

estallido. Relatos de sobrevivientes con trauma ocular. (Eyes: Memory of the uprising. Stories of eye trauma survivors). https://victimastraumaocular.

cl/OjosMemoriadeunEstallido.pdf

de Jong, J., Komproe, I., & Van Ommeren, M. (2003). Common mental disorders

in postconflict settings. Lancet, 361(9375), 2128-2130. doi: 10.1016/S0140

-6736(03)13692-6

Goenjian, A., Steinberg, A., Najarian, L., Fairbanks, L., Tashjian, M., & Pynoos, R.

(2000). Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. Am J Psychiatry, 157(6), 911-916. doi: 10.1176/appi.ajp.157.6.911

Human Rights Watch (2019, November 26,). Chile: Police reforms needed in the

wake of protest. https://www.hrw.org/news/2019/11/26/chile-police-reforms

-needed-wake-protests

Instituto Nacional de Derechos Humanos. (n.d.). Mapa de violaciones a Derechos

Humanos. https://mapaviolacionesddhh.indh.cl (Human rights violations map)

Instituto Nacional de Derechos Humanos. (2019). Informe Anual sobre la situación

de los Derechos Humanos en Chile en el contexto de la crisis social. https://

www.indh.cl/informe-de-ddhh-en-el-contexto-de-la-crisis-social/ (Annual Report on the situation of Human Rights in Chile in the context of the social crisis)

Instituto Nacional de Derechos Humanos. (2020, February). Reporte de datos 18 de

febrero de 2020. https://www.indh.cl/bb/wp-content/uploads/2020/02/

Reporte-de-datos-18-febrero-de-2020.pdf (Data report 2020, February 18)

Instituto Nacional de Derechos Humanos. (2021, July). Balance mensual de

querellas. https://www.indh.cl/bb/wp-content/uploads/2021/09/Balance

INDH_JULIO.pdf (Monthly balance of complaints)

International Council for Torture Victims. (2020, October). Global Standards on

Rehabilitation of Torture Victims. https://irct.org/wp-content/uploads/2022/

/IRCT_Global_Standards_on_Rehabilitation_of_torture_victims_2020.

pdf

Jorquera, P., & Palma, R. (2019). Estudio de perdigón, Informe final (UTO).

Department of Mechanical Engineering, University of Chile. https://

ingenieria.uchile.cl/dam/jcr:a3e7b0a4-e549-42aa-a1e9-a0d794ac7dd3/estudio-de-perdigones-fcfm-u-de-chile-pdf-completo.pdf (Pellets study, Final report

Krug, E., Dahlberg, L., Mercy, J., Zwi, A., & Lozano, R. (2002). World report on

violence and health. Geneva: World Health Organization.

Lester, E., Armstrong, G., & Vranceanu, A. (2022). Emotional recovery after ocular

trauma: is there more than meets the eye?. Eye 36, 244-245. doi:10.1038/

s41433-020-01389-7

Madariaga, C. (2002). Trauma psicosocial, trastorno de estrés postraumático y

tortura. Serie Monográfica, 11. Centro de Salud Mental y Derechos Humanos. https://www.cintras.org/textos/monografias/monog_trauma_

psicosocial_espanol.pdf (Psychosocial trauma, post-traumatic stress disorder and torture)

Madariaga, C. (2018). El trauma social como problema de salud pública en Chile .

¿Es “reparable” la reparación?. Revista Chilena De Salud Pública, 22(1), 75–86. doi:10.5354/0719-5281.2018.51045 (Social trauma as a public health problem in Chile. Is reparation “repairable”?)

Madariaga A., C. (2020). El “Estallido social” y la salud mental de la ciudadanía:

Una apreciación desde la experiencia PRAIS. Revista Chilena De Salud Pública, 23(2), 146–156. doi:10.5354/0719-5281.2019.56475 (The "social uprising" and the mental health of citizens. An appreciation from the PRAIS experience)

Markez, I., Fernández, A., & Pérez-Sales P. (eds). (2009). Violencia y Salud

Mental. Salud mental, violencia institucional, estructural, social y colectiva. Madrid, Spain: Asociación Española de Neuropsiquiatría (Violence and Mental Health. Mental health, institutional, structural, social and collective violence)

Mellado, B. (2023, October 18). Fiscal Nacional dice que el 80% de las causa

relativas al 18-O están cerradas y detalla acciones del Ministerio Público. Emol.com. https://www.emol.com/noticias/Nacional/2023/10/18/1110361/

fiscal-nacional-18-octubre.html (National Prosecutor says that 80% of the cases related to 18-O are closed and details actions of the Public Prosecutor's Office)

Ministerio de Justicia y Derechos Humanos de Chile. (2023, March). Informe:

Propuestas y recomendaciones para una Reparación Integral de las víctimas de violaciones a los derechos humanos y de violencia institucional durante el estallido social. https://programaviddhh.minjusticia.gob.cl/ informe-de-recomendaciones-de-mri/ (Report: Proposals and recommendations for comprehensive reparation for victims of human rights violations and institutional violence during the social unrest)

Ministerio de Salud de Chile. (2022). Orientación Técnica. Programa Integral de

Reparación Ocular - PIRO. https://s3.amazonaws.com/gobcl-prod/public_

files/Campa%C3%B1as/Pacto/programa_vto.pdf (Technical Guidance. Comprehensive Eye Repair Programme - PIRO)

Ministerio de Salud de Chile. (2023a). Lineamientos técnico operativos para la

medición de plomo en el contexto de programa PACTO. https://www.gob.cl/pacto/ (Technical-operational guidelines for lead measurement in the context of the PACTO programme)

Ministerio de Salud de Chile. (2023b). Orientación Técnica. Plan de

acompañamiento y cuidado a personas víctimas de trauma ocular, lesiones graves y lesionados por perdigones. PACTO. https://www.gob.cl/pacto/ (Technical Guidance. Support and care plan for people who are victims of ocular trauma, serious injuries and those injured by pellets)

Movimiento Salud en Resistencia. (2019). Informe: Movimiento Salud en

Resistencia presenta cifras de violaciones a Derechos Humanos a manifestantes, las que fueron expuestas ante Comisión de Acusación Constitucional contra Sebastián Piñera. Available in https://saludpublica.uchile.cl/dam/jcr:ddec66a8-2f74-41a1-8314-a19ed45b96d6/informe-msr-2019-para-esp.pdf. (Health Movement in Resistance presents numbers of Human Rights violations against protesters, which were presented before the Constitutional Accusation Commission against Sebastián Piñera)

Movimiento Salud en Resistencia. (2023). “Atención y seguimiento de pacientes

afectados por violencia de estado en contexto del estallido social de octubre de 2019 en Santiago de Chile”. Retrieved from Cancino, K. (2023, October 17) Estallido: Carabineros disparó casi 2 millones de perdigones y dejó 821 heridos en 3 meses. El desconcierto. https://eldesconcierto.cl (Patient care and monitoring affected by state violence in the context of the social uprising of October 2019 in Santiago, Chile)

Pérez-Sales, P. (2023). Survivor-organisation in the search for justice and

reparation: a vision from grassroots organising. Torture 33(2),4-16. doi: 10.7146/torture.v33i2.139558

Reynhout, S. (2020). Propiedades balísticas de perdigones antidisturbios “menos

letales” y su relación con trauma ocular severo en Chile. ARS MEDICA J Revista de Ciencias Médicas, 45(2), 46-54. doi:https://doi.org/10.11565/

arsmed.v45i2.1657 (Ballistic properties of “less-lethal” shotgun pellets and severe ocular trauma in Chile)

Rodríguez, A., Peña, S., Cavieres, I., Vergara, M., Pérez, M., Campos, M., Peredo,

D., Jorquera, P., Palma, R., Cortés, D., López, M., & Morales, S. (2021). Ocular trauma by kinetic impact projectiles during civil unrest in Chile. Eye, 35, 1666-1672. doi:10.1038/s41433-020-01146-w

Spyer, T., & Alvarado, V. (2021) El Estallido Social en Chile: ¿rumbo a un Nuevo

Constitucionalismo? Revista Katálysis, 24(1), 43-52. doi: https://doi.org/

1590/1982-0259.2021.e73555 (The Chilean Social Outbreak: towards a New Constitutionalism?)

United Nations General Assembly. (2005). Basic Principles and Guidelines on the

Right to a Remedy and Reparation for Victims of Gross Violations of International Human Rights Law and Serious Violations of International Humanitarian Law. UN Doc A/60/509/Add.1

United Nations Office of the High Commissioner for Human Rights. (2019,

November). Report of the Mission to Chile from 30 October to 22 November 2019. https://www.ohchr.org/sites/default/files/Documents/

Countries/CL/Report_Chile_2019_EN.pdf

Weibel, M., & Jara, M. (2020, August 18). Carabineros revela que disparó 104 mil

tiros de escopeta en las primeras dos semanas del estallido social. CIPER. https://www.ciperchile.cl/2020/08/18/carabineros-revela-que-disparo-104-mil-tiros-de-escopeta-en-las-primeras-dos-semanas-del-estallido-social/#:~:text=En%20respuesta%20a%20una%20solicitud,126%20v%C3%ADctimas%20de%20lesiones%20oculares (Carabineros reveal that they fired 104,000 shotgun shots in the first two weeks of the social outbreak)

Weibel, M (2021, March 12). Fiscalía ya cerró sin formalizados el 46% de las

causas por violaciones de DD.HH. ocurridas en el estallido social: 3.050 casos. CIPER. https://www.ciperchile.cl/2021/03/12/fiscalia-ya-cerro-sin-

formalizados-el-46-de-las-causas-por-violaciones-de-dd-hh-ocurridas-en-el-estallido-social-3-050-casos/ (The prosecutor's office has already closed 46% of the cases for human rights violations that occurred in the social outbreak without formalizing them: 3,050 cases)

Wyatt, S. (2023). What is 'agency' in torture and trauma recovery? An inquiry into

the properties and explanations of the concept of agency and it's impacts. Torture 33(2),17-44. doi:10.7146/torture.v33i2.137064

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Published

2024-05-28 — Updated on 2024-05-29

How to Cite

Tejada, J., Arriaza, A., Sinclaire, D., & Vargas, A. (2024). Less-lethal weapons: ocular trauma in Chile as psychosocial trauma. Challenges from a human rights and comprehensive perspective: . Torture Journal, 34(1), 71–82. https://doi.org/10.7146/torture.v34i1.143793