Detainees' perception of the doctors and the medical institution in Spanish police stations: An impediment in the fight against torture and ill-treatment
DOI:
https://doi.org/10.7146/torture.v27i2.97217Keywords:
Spain, torture, ill-treatment, medical examinations, Istanbul Protocol, detainees' perception, quality, forensic doctorsAbstract
Background: As part of a program by the Basque Government (Spain) and the University of the Basque Country, persons who have alleged exposure to torture and ill-treatment have been examined by psychologists and psychiatrists according to the Istanbul Protocol (IP). Medical examinations of detainees with the aim, inter alia, to document abuses is fundamental for torture prevention. The IP prescribes how this should be done to ensure data collection and prevent reprisals for having reported ill-treatment to the doctor. Objectives: The objectives were to assess detainees' perception of the medical examinations which they underwent at different types of Spanish police institution and to compare practice between institutions; and, to compare information from the period 1969-1991 with that from 1992-2014. Methods: All information about medical examinations of incommunicado detainees from 202 extensive IP reports was analysed according to a 19-item tool developed for the purpose dealing with the doctors' professional performance, the confidence of the detainees in the doctors, reprisals and procedural safeguards (Annex 1). All information was classified as acceptable, unacceptable /insufficient or totally unacceptable. Findings: Very often the detainees perceived the doctors' professional performance as insufficient or totally unacceptable and the doctors did not instil their confidence. Threats of police reprisals and failure to observe procedural safeguards were often reported. There were no differences in the comparison between institutions. When comparing the two study periods an improvement was found over time. However, 64% of the scores came out as totally unacceptable or insufficient for the most recent period indicating that the medical institution in police stations where the detentions had taken place failed to constitute a preventive means against torture and ill-treatment. Limitations: Only 57% of the 202 reports assessed contained relevant information; data was retrieved retrospectively; the interviews were done years after detention without a particular focus on medical examinations.
References
Amnesty International. (1980). Report of an Amnesty International mission to Spain 3-28 October 1979. London: Amnesty International Publications.
Amnesty International. (2009). Spain: Out of the shadows - time to end the incommunicado detention. London: Amnesty International Publications. Argituz, AEN, Ekimen Elkartea, GAC, Jaiki-Hadi, OME, OSALDE, Departamento de Psicología Social (UPV/EHU). (2014).
Incommunicado detention and torture. Assessments using the Istanbul protocol. Bilbao: Ekimen Ed. and Irredentos Libro. Basque Government, Presidency. (2013) Informe-base de vulneraciones de derechos humanos en el caso vasco 1960 -2013. Vitoria-Gasteis 2013; June 2013. [Database on human rights violation in the Basque Country]Retrieved from http:estaticos. elmundo.es/documentos/2013/06/14informe_ base_es.pdf
Basque Institute of Criminology of the University of the Basque Country. (2016). Instituto Vasco de Criminología. Proyecto de investigación de la tortura en Euskadi entre 1960-2010: Informe preliminar sobre diseño y primeros pasos del estudio sobre la tortura. [Project to investigate torture in the Basque Country 1960 -2010. Preliminary report on design and first steps of the study on torture] Donosti. Retrieved from http://www.eitb.eus/multimedia/ documentos/2016/06/27/1987310/Memoria%20 Proyecto%20tortura%202016.pdf
Carver R, Handley L (2016). Does torture prevention work? Liverpool: Liverpool University Press 2016.
European Committee for the Prevention of Torture (CPT). Reports from visits to Spain: 1-12 April 1991; 10-22 April 1994; 10-14 June 1994; 22 November - 4 December 1998; 22-26 July 2001; 22 July - 1 August 2003; 12-19 December 2005; 19 September – 1 October 2007; 31 May - 13 June 2011. Retrieved from http://www.cpt.coe.int/
Istanbul Protocol Project in the Basque Country Working Group. (2016). Incommunicado detention and torture in Spain, Part I: The Istanbul Protocol Project in the Basque Country. Torture 26(3): 3-7.
Morentin B. (2014). In Incommunicado detention and torture. Assessments using the Istanbul protocol. Bilbao: Ekimen Ed. and Irredentos Libros 2014. Morentin B, Callado LF, Idoyaga I. (2008). A followup study of allegations of ill-treatment /torture from incommunicado detainees in Spain. Torture 18(2): 87-98.
Morentin B, Petersen HD, Callado LF, Idoyaga I, Meana JJ (2008). A follow-up investigation on the quality of medical documents from examinations of Basque incommunicado detainees. The role of the medical doctors and the national and international authorities in the prevention of illtreatment and torture. Forensic Science International 182:57-65.
Muižnieks N (2013). Report of the Commissioner for Human Rights of the Council of Europe following his visit to Spain from 3 to 7 June 2013, para. 134. CommDH(2013)18. Strasbourg.
Navarro-Lashayas MA, Pérez-Sales P, Lopes-Neyra G, Martínez MA, Morentin B. Incommunicado detention and torture in Spain, Part IV: Psychological and psychiatric consequences of ill-treatment and torture: trauma and human worldviews. Torture 2016; 26: 34-45.
Péres-Sales P, Morentin B, Barrenetxea O, NavarroLashayas MA. (2016a). Incommunicado detention and torture in Spain, Part II: Enhanced credibility assessment based on the Istanbul Protocol. Torture 2016(3); 26: 8-20.
Pérez-Sales P, Navarro-Lashayas MA, Plaza A, Morentin B, Salinas OB. (2016b). Incommunicado detention and torture in Spain, Part III: "Five days is enough": the concept of torturing environment. Torture 26(3): 21-33.
Petersen HD, Morentin B, Callado LF, Meana JJ, Idoyaga I (2002). Assessment of the quality of medical documents issued in central police stations in Madrid, Spain: The doctor's role in the prevention of ill-treatment. J Forensic Sci 47(2):293-298.
The Basque Ombudsman /Ararteko. Estudio sobre el sistema de garantías en el ambito de la detención incomunicada y propuestas de mejora. VitoriaGasteiz 2011. http://www.ararteko.net/RecursosWeb/DOCUMENTOS/1/5_2093_3.pdf United Nations report of the Special Rapporteur on the question of torture: Visit to Spain. 6. February 2004. E/CN.4/2004/56/Add.2.
United Nations. (1988) Body of Principles for the Protection of All Persons under Any Form of Detention and Imprisonment. A/RES/43/173. Retrieved from http://www.un.org/documents/ga/ res/43/a43r173.htm
United Nations. (2004). Manual on the effective investigation and documentation of torture and other cruel, inhuman or degrading treatment or punishment. United Nations; New York and Geneva. http://www.ohchr.org/Documents/Publications/training8Rev1en.pdf
United Nations. (2015). Standard Minimum Rules for the Treatment of Prisoners (the Nelson Mandela Rules). 70/175. Retrieved from https://www. unodc.org/documents/justice-and-prison-reform/ GA-RESOLUTION/E_ebook.pdf
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