Archive for June 24th, 2009

Can the American Psychological Association Break With Torture Collusion?

[The ACLU's Blog of Rights published two contributions on the American Psychological Association's interrogations policies today. The first is by Trudy Bond. Here is my contribution:]

As details have poured out this spring about the U.S. torture program, attention was focused on the roles of psychologists and other health professionals in designing, conducting, and legitimizing that program. In both the CIA and the Defense Department, psychologists from the military’s SERE (Survival, Evasion, Resistance, and Escape) program were tapped to design the “enhanced interrogation” techniques and to train and consult on their implementation. Additionally, the Office of Legal Counsel memos released in April provided further evidence that psychologists and other health professionals were central to the Bush administration strategy of providing legal cover for clearly illegal torture. These health professionals would monitor the torture and give their professional opinion that the prisoner was really not suffering serious harm. In the perverted logic of the memos, such a professional opinion, however invalid, provided protection for interrogators from liability for engaging in torture.

Notwithstanding recent attention in the press, the involvement of psychologists and other health professionals on so-called Behavioral Science Consultation Teams (BSCTs) in the U.S. torture program was first reported in 2004 (see also here and here) while the basis of these techniques in the SERE program was originally detailed by Jane Mayer in 2005. The general nature of the U.S. treatment of detainees was described in the Washington Post as far back as December 2002. Thus, the leaders of the American Psychological Association (APA), the world’s largest organization of psychologists, should have been well aware of these claims at least four years ago. In 2005, in fact, they convened a task force to “put out the fires” resulting from these reports of health professionals aiding abuse.

One might expect that claims that psychologists were central actors in the administration’s well known program of torture and detainee abuse would have mobilized APA leaders to assess the veracity of the claims, to take measures to stop this involvement in torture, and to punish perpetrators from among the profession. Unfortunately, the APA leadership took a different path. They decided to use the opportunity to curry favor with the military/intelligence establishment and the Bush administration. Thus, they moved to encourage, indeed to assert, the necessity of having psychologists aiding these investigations.

In a recent book chapter, “Closing Eyes to Atrocities” (in Ryan Goodman & Mindy Jane Roseman’s book Interrogations, Forced Feedings, and the Role of Health Professionals: New Perspectives on International Human Rights, Humanitarian Law, and Ethics) I outlined several modes of response to the issue of psychologist involvement in abusive interrogations by APA leadership. In brief, these modes of response, described in the approximate chronological order in which they were rolled out, were:

Identification with the Aggressor in which APA leaders moved quickly after 9/11 to seek funding (for the psychology profession, not the organization) from and influence with the administration and the military/intelligence establishment. They staged joint conferences with the CIA and other security agencies on interrogations and related topics and by extensive lobbying of intelligence officials.

Rigging the Process in which an ethics task force (Psychological Ethics and National Security or PENS) was created which was secretly dominated by a majority of psychologists from the military/intelligence community, four (out of 10) of whom had served in chains of command accused of abuses, to endorse an apparently already adopted “policy of engagement” in military and CIA interrogations.

Denial, in which APA leaders cast doubt upon reports that psychologists were aiding abusive interrogations, or minimized this involvement as the actions of a few “bad apples,” rather than as part of a systematic government program. As former APA President Gerald Koocher stated in a 2006 “President’s Column” piece in the APA Monitor:

A number of opportunistic commentators masquerading as scholars have continued to report on alleged abuses by mental health professionals.

Naming Names, in which the issue was turned into one of possible individual perpetrators and critics were challenged to name individual psychologists involved in torture and to provide definitive evidence of their involvement in specific abuses; failure to provide this evidence was used to discredit critics of APA policies. As President Koocher continued in his 2006 column:

However, when solicited in person to provide APA with names and circumstances in support of such claims, no data have been forthcoming from these same critics and no APA members have been linked to unprofessional behaviors. The traditional journalistic dictum of reporting who, what, where and when seems notably absent.

We are Here to Help: “Safe and Ethical,” in which APA leaders repeated, as if a mantra, “psychologists have a critical role to play in keeping interrogations safe, legal, ethical, and effective;” ignoring increasing evidence that they kept interrogations “safe, legal, and ethical” by monitoring abuse and providing legal cover for torture.

We are No Different Than Others, in which the positions of the American Medical and Psychiatric Associations were distorted to make them virtually indistinguishable from the APA position, despite clear differences.

Parsing Pain, in which the APA passed anti-torture resolutions with loopholes that could be interpreted to allow continued participation by psychologists in many forms of psychological torture.

Repressive Tolerance and Endless “Dialog,” in which the APA encouraged endless discussion in order to promote their position that participating in a program of abusive interrogations was a “complex issue,” one on which “reasonable people” can differ; these differences were then used as excuses for inaction.

Since I composed this list, recent revelations — including release of the Office of Legal Counsel memos, the declassification of the Senate Armed Services Committee report on interrogations, and statements to NPR by a member of the PENS “ethics” task force defending SERE-based interrogations — have led the APA to adopt a new response, the “We are Shocked!” response in which they act as if they just discovered that, perhaps, a few psychologists did indeed aid the torture regime and they suddenly realize that some members might (unjustly) blame them for years of collusion and inaction. After years of revelations, the best the APA Board could say on June 18, 2009, was:

Information has emerged in the public record confirming that, as committed as some psychologists were to ensuring that interrogations were conducted in a safe and ethical manner, other psychologists were not. Although there are countless psychologists in the military and intelligence community who acted ethically and responsibly during the post-9/11 era, it is now clear that some psychologists did not abide by their ethical obligations to never engage in torture or other forms of cruel, inhuman, or degrading treatment. The involvement of psychologists, no matter how small the number, in the torture of detainees is reprehensible and casts a shadow over our entire profession. APA expresses its profound regret that any psychologist has been involved in the abuse of detainees.

Very understandingly, the Board also now recognizes that not all their members feel satisfied with its (lack of) response to this crisis in the profession and in our society:

We recognize that the issue of psychologist involvement in national security-related investigations has been an extremely difficult and divisive one for our association. We also understand that some of our members continue to be disappointed and others angered by the association’s actions in this regard. Although APA has had a longstanding policy against psychologist involvement in torture, many members wanted the association to take a strong stand against any involvement of psychologists in national security interrogations during the Bush administration.

Many association members, and human rights advocates in general, are no more impressed with this latest response than they have been with previous ones. After five years, these members want immediate action, not more words.

There are five steps that the APA should take in order to begin the process of accountability for past abuses while helping transform the association, and the profession, from one that abets participation in torture to one that places a priority on human rights: These steps are:

  1. Fully implement the 2008 member-passed referendum banning psychologists from participating in sites — such as Guantánamo, Bagram, or the CIA “black sites” — where international law or the Constitution are violated.
  2. Rescind the 2005 PENS report endorsing psychologist participation in national security interrogations that was generated by an illegitimate process dominated by military psychologists and APA staff with major conflicts of interest.
  3. Revise its ethics procedures to facilitate the investigation of charges of APA members’ complicity in torture. Despite ethics charges that were filed in 2006 against one psychologist who participated in the interrogation of Mohammed al Qahtani — an interrogation described as meeting the legal definition of “torture” by a Bush-appointed Pentagon official — the APa has failed to act. In another instance, it refused to even open a case against another psychologist who, perhaps not coincidentally, has served in a number of positions (Council member, division president) in APA governance. Additionally, the APA must remove its statue of limitations for all offenses involving torture and cruel, inhuman, or degrading treatment.
  4. Repeal the section of the APA ethics code adopted in 2002 which wrote in the “Nuremberg defense” of following law or orders for violating professional ethics. Also needing revision are problematic parts of the code, also adopted in 2002, dealing with research ethics allowing ignoring informed consent for research participants based merely upon “law or federal or institutional regulations,” and another section which sets an unacceptable high threshold of “severe emotional distress” (the criterion for mental torture in the Convention Against Torture) for not using deception in the ethics of research design.
  5. Initiate and cooperate with an independent investigation of possible collusion between APA leadership and the military/intelligence community. This investigation should also examine the structural features of APA governance that allowed the flawed policies and possible collusion to continue for years.

With these actions, the APA would finally be making a clear statement that the old ways are gone, and that the organization is embarking on a new path. Organizational and moral change never comes easy. Those at the top seldom see its necessity. But, as we see today in Iran, serious change usually starts at the bottom, among the rank and file. In the APA, members have been pushing for change in its policies on participation in interrogations since 2005. These efforts accelerated in 2008, when 59 percent of the members passed the member-initiated referendum against participation in torture at illegal detention sites. It is now up to the APA membership to decide whether to continue struggling to reform the APA. More than the future of a professional organization will depend on their decision.

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Stephen Soldz is a psychoanalyst, psychologist, public health researcher, and faculty member at the Boston Graduate School of Psychoanalysis. He edits the Psyche, Science, and Society blog. He is a founder of the Coalition for an Ethical Psychology, one of the organizations working to change American Psychological Association policy on participation in abusive interrogations. He is also a Steering Committee member of Psychologists for Social Responsibility [PsySR].

1 comment June 24th, 2009

The ACLU’s Blog of Rights published two contributions on the American Psychological Association’s interrogations policies today. The first is by Trudy Bond:

Controlled Insanity

By Dr. Trudy Bond

In the notes to his novel 1984, George Orwell described “doublethink” as controlled insanity. Doublethink, a form of trained, willful intellectual blindness to contradictions in a belief system, is synonymous with the American Psychological Association (APA) and its role in the illegal detentions, torture and abuse that began shortly after September 11, 2001.

As a psychologist determined to hold state licensing boards and the national professional organization accountable for ethics violations of their members and licensees, I am only too familiar with doublethink.

When the public was becoming more aware of the abuse and torture in detention centers such as Guantánamo and Abu Ghraib, the American Psychological Association (APA) established the Presidential Task Force on Psychological Ethics and National Security (PENS) (PDF), ostensibly to “examine the ethical dimensions of psychology’s involvement and the use of psychology in national security-related investigations.”

The final PENS report was released in June of 2005, stating that the APA Ethics Code as previously written was adequate in providing ethical guidelines to military psychologists in national security-related investigations.

Much has been written about this report since its release, often critical, as the report allowed psychologists to continue working in the illegal detention centers and stated that psychologists could choose law over ethics in the event of a conflict.Most readers will not need a reminder of the Bush administration’s “laws” regarding detainees at that time (think John Yoo, Jay Bybee, Donald Rumsfeld).APA’s task force essentially endorsed a Code of Ethics that allowed violators of criminal law to avoid the Nuremberg Principles. Recently, Sheri Fink has described the process that led the PENS task force to these conclusions.

The PENS report became a critical turning point for many psychologists, many of whom only then began to realize the degree to which the APA was aligned with the Pentagon in its “War on Terror.” This was partially due to the number of military psychologists appointed to the task force by the APA president, as well as the presence of many participants with serious conflicts of interest.

The same month as the release of the PENS report, Time magazine published a partial log detailing the torture of Mohammed al-Qahtani, a prisoner at Guantánamo.With the release of these documents in 2005, it became clear that Major John Leso, the first BSCT psychologist at Guantánamo Bay Naval Base, colluded in torture. Dr. Steven Miles and Philippe Sands have both offered documentation of Leso’s actions, as well as many other sources.

I initially filed an ethics complaint against Leso, complete with documentation,with the APA on April 15, 2007.It wasn’t until February of 2008 that my complaint was finally, officially acknowledged.The U.S. government admitted al-Qahtani was tortured when Susan J. Crawford, convening authority of military commissions at Guantánamo, stated unequivocally,”We tortured [Mohammed] Qahtani. His treatment met the legal definition of torture. And that’s why I did not refer the case for prosecution.”Leso was instrumental in devising the interrogation plan of Mohammed al-Qahtani, collaborating, colluding and watching as Mohammed al-Qahtani was tortured. APA has been silent since that time, though the complaint against Leso still remains open.

As recently as last week, the APA Board of Directors stated in an open letter, “APA will continue to monitor material in official reports related to psychologist mistreatment of national security detainees, will investigate reports of unethical conduct by APA members, and will adjudicate cases in keeping with our Code of Ethics.”More doublethink. The last four presidents of APA, as well as the APA Ethics Director Stephen Behnke, have repeatedly made the same politically correct statement for four years, with absolutely no actions to support their statements. It’s become clear that the APA peddles intellectual contradiction as policy when it comes to torture, with no intent of enforcement.

Indeed, at every turn, the leadership of APA has been defending the role of psychologists in the illegal detention centers. Dr. Boulanger’s recent post describes the response of the APA to torturous interrogations:

Steven Behnke, the Director of Ethics for the American Psychological Association, emphasized the “unique competencies” that psychologists bring to their role in interrogations, and claimed that psychologists who help military interrogators made a valuable contribution. Furthermore, he argued, psychologists play a vital role in safeguarding the welfare of detainees.

When met with the increased public reporting of the collusion of psychologists in the torture of prisoners at Guantánamo and other detention sites, juxtaposed against the ethic “do no harm,” APA’s mantra became one of justifying the psychologists’ presence with the above senseless words in an attempt to reduce the dissonance, or more simply, to ratchet up the doublethink.If safeguarding the welfare of the detainees was truly the role of psychologists, many of those psychologists have gravely — and prosecutably — failed. There is story upon story of detainees released after many years of illegal imprisonment with no charges ever being brought against them, prisoners who were abused and tortured. Where were the psychologists who were conscientiously protecting the detainees, keeping the interrogations safe as Dr. Behnke suggests? The answer is: they weren’t.I filed another complaint against Leso on April 5, 2007, with the NY State Education Department’s Office of Professional Discipline. The Director of Investigations rejected the complaint via telephone, claiming that the office lacked jurisdiction over the matter. Thus the state of New York continues to license Leso to collaborate in torture. The degree of seriousness and accountability the New York regulatory agency attached to alleged violations of federal criminal law and international law is evidenced in the handling of this complaint by a phone call.

Recently, Dr. Bryant Welch, who for most of the 20-year period from 1983 to 2003 either worked inside the APA central office as the first Executive Director of the APA Practice Directorate, or served in various governance positions such as the Chair of the APA Board of Professional Affairs, described the following:

A seventeen-year-old boy is locked in an interrogation cell in Guantánamo. He breaks down crying and says he wants his family. The interrogator senses the boy is psychologically vulnerable and consults with a psychologist. The psychologist has evaluated the boy prior to the questioning and says, ‘Tell him his family has forgotten him.’ The psychologist also prescribes ‘linguistic isolation’ (not letting him have contact with anyone who speaks his language.)

The boy attempts suicide a few weeks later. On the eve of the boy’s trial, the psychologist apparently fearing her testimony will only further implicate her, indicates she will plead the Fifth Amendment if she is called to the stand.

The trial is postponed, leaving the boy in further limbo. (emphasis added)

This psychologist not only did not protect the detainee, but clearly harmed him. This psychologist’s presence in the life of this child prisoner only escalated his abuse.After significant research, I filed an ethics complaint with the state licensing board in Alabama in November of 2008, soon after this episode of torture supervised by Dr. Diane Zierhoffer described above, was publicly disclosed.

Though the complaint was twelve pages with over 150 pages of documentation, the Alabama Board of Psychology returned all my original documents within one month, like a hot potato, stating, “After careful consideration and extensive research into the feasibility of the Board’s investigation of the issues raised in your complaint of November 25, 2008, it has been determined that your request for the Alabama Board of Examiners in Psychology to accept jurisdiction over your complaint must be denied.”

I shipped my complaint and documentation back to the Alabama Board of Psychology, with a letter from my attorney reminding the Board of its legal obligations under Alabama law. To date, no response has been received, the Board has demonstrated no accountability, and legal action is the only recourse.

APA has stonewalled all complaints against military psychologists, and state licensing boards refuse to call to account the psychologists they license. After filing another complaint in Louisiana against Dr. Larry James, chief psychologist at Guantánamo during the time that the APA stated that psychologists would protect detainees, I was informed by the Louisiana Board of Psychologists that my complaint was not within the statute of limitations.

Since filing a complaint in court alleging the Board’s ruling was not valid, the Board now contends that I had no standing to file a complaint. The results of a hearing on the case to decide this preliminary issue are pending. If a psychologist cannot make an ethics complaint against another psychologist who has potentially violated federal and international law, there is no system of accountability.

PENS Rises from the Ashes

Of significant concern is the continued, insistent doublethink of previous PENS task force members. In current journal articles, task force members continue to celebrate the outcome of the PENS task force, seeming to have remained ignorant to the complex errors in the process of creating the PENS report, as well the final report itself.

Writing in the APA’s Consulting Psychology Journal: Practice and Research in 2009, Morgan Banks, PENS member, maintains, “Just because the job of psychological support to interrogation is difficult and requires interpretation of some vaguely defined concepts, this does not mean that we should not be doing it.”

In the same article Banks describes the PENS report as follows:

Several senior military psychologists were asked to participate on this Task Force, and they brought with them the products of this ongoing collegial consultation. In short, long before the APA examined the issue, involved operational psychologists had developed a process for mutual consultation, and an ethically based set of practice guidelines was emerging. The agreed-upon guiding concepts were those of safety, legality, ethical defensibility, and effectiveness. All of these concepts are antithetical to torture. The PENS Task Force continued that development and helped formalize the ethical standards for psychologists in this developing area. This PENS report was carefully integrated into the Army Surgeon General’s policy guidance.

The Army Surgeon General to which Banks is referring is Kevin Kiley, M.D., who resigned in disgrace when it was found that the physical and psychological care of our own troops at Walter Reed, the troops for whom Kevin Kiley oversaw the care, were suffering abuse and worse.And the PENS report to which Banks refers with such self-congratulatory remarks? The correspondence among PENS members was clearly not concerned with the well-being of the prisoners. The “client” was no longer a flesh-and-blood person but had morphed into a concept, that of “military intelligence.” The vulnerable parties became the troops and the U.S. citizens, not the isolated, shackled and abused prisoners. The PENS report was not about the prisoners and abuse, but how the “operational psychologists” and the APA could avoid accountability.

Dr. Gerald Koocher, president of APA at the time of the PENS Report, stated in the PENS task force deliberations, “I have zero interest in entangling APA with the nebulous, toothless, contradictory, and obfuscatory treaties that comprise ‘international law.’” In his most recent journal article in the APA’s Psychological Services, Koocher advocates for the role of the “invisible” psychologist or psychological consultant:

The parens patriae doctrine also leads to the logical conclusion that the state may use its protective obligation in ways that may harm individuals in other ways. Indeed, violations of individual rights in quest of protecting the vulnerable have formed the foundation of many governmental actions taken in recent years as steps toward national security, relying on utilitarian ethics and permissible harms. Psychologists may find themselves called on to assist the state in its protective efforts in invisible ways.

Koocher continues in the same article to elucidate the theme of the APA’s PENS report: “. . . at times the most vulnerable party may be the public at large. In such situations, psychologists must weigh their moral obligations against legally permissible options . . . Sometimes withholding our services may yield a greater public good than providing them.”Finally, in the draft of a chapter to be released this month, APA PENS Task Force member Mike Gelles, Dr. Steve Kleinman and Dr. Randy Borum have also referred back to the PENS report:

The President of the American Psychological Association (then, Ron Levant, Ph.D.) appointed a Task Force on Psychological Ethics and National Security (PENS). The Association adopted the PENS Task Force Report as its official position, declaring, in part, that ‘Psychologists may serve in various national security-related roles, such as a consultant to an interrogation, in a manner that is consistent with the Ethics Code’…Despite some continued dissension within the professions, psychologists and psychiatrists continue to consult to interrogations.

Gelles, Kleinman and Borum state in the same chapter: “No large-scale, sweeping changes are yet apparent in the USG’s ethos or national strategy for intelligence interrogation.”All of the above suggests that in spite of strong activism against the role of psychologists in detention centers and interrogations, in spite of resolutions opposing psychologists’ presence, in spite of the ever-widening knowledge of the role of psychologists in torture, “no large-scale, sweeping changes are yet apparent.”

Doublethink is not the same as hypocrisy. The “doublethinking” person deliberately must forget the contradiction between the two opposing beliefs. In Orwell’s novel, doublethink means being able to falsify public records, and then believe in the new history that the propaganda ministry, itself, has just written. Sound familiar?

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Dr. Trudy Bond is a licensed psychologist in Toledo, Ohio.

June 24th, 2009

Repression in Tehran, Monday, June 24, 2009

CNN received a phone call describing major repression in Tehran today:

June 24th, 2009


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