Defending Human Rights: A Resource Book for Human
Defending Human Rights: A Resource Book for Human
Defending Human Rights: A Resource Book for Human
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Part I<br />
Torture, Organized Violence and Health<br />
Experiences of the Canadian Centre <strong>for</strong> Victims<br />
of Torture (CCVT)<br />
Since its inception in 1977 CCVT has identified<br />
the effects of torture and war on the health of<br />
individuals, including adults and children. There are<br />
many short and long term effects of torture and<br />
organized violence:<br />
Physical<br />
• pain, transitory and chronic<br />
• broken bones and joint pain<br />
• haematomas (bruising)<br />
• damaged teeth and gums<br />
• cardiopulmonary disorders<br />
• infertility and sterility<br />
• impotence<br />
• gastro-intestinal disorders<br />
• hearing impairment<br />
• damage to internal organs<br />
• gynaecological abnormalities<br />
• damaged motor apparatus<br />
• spinal damage and injury to vertebrae<br />
• scar tissue<br />
• hypertension<br />
• bladder infection and urinary tract disorder<br />
• amputated body parts<br />
• paralysis and/or numbness<br />
• sexual disorder<br />
• headaches<br />
Psychological<br />
• depression<br />
• guilt, including survivor guilt<br />
• paranoia and suspiciousness<br />
• phobias<br />
• sleep disturbances, including insomnia and<br />
nightmares<br />
• impaired memory, loss of memory<br />
• hypersensitivity<br />
• concentration difficulties<br />
• fear of authority<br />
• irritability<br />
• panic attacks<br />
• suicidal feelings, suicide attempts<br />
• nervousness<br />
• flashbacks and intrusive thoughts<br />
• expectation of a <strong>for</strong>eshortened future<br />
• diminished ability to experience intense ranges<br />
of emotion<br />
• diminished expectations of life and its<br />
possibilities<br />
• excessive concern <strong>for</strong> children, relatives and<br />
friends<br />
• decreased self-esteem<br />
• introversion<br />
• lethargy<br />
• generalised fear<br />
• sorrow and grief<br />
While physical damage may eventually heal<br />
(although sometimes it does not), the psychological<br />
and spiritual damage, can be much more challenging<br />
to deal with. Shame, humiliation, fear and isolation<br />
are significant elements of this kind of trauma,<br />
and it can be very difficult <strong>for</strong> a person to reach<br />
out <strong>for</strong> help. However, in coping with torture, war<br />
and human rights abuses, it is not enough to focus<br />
on the individual alone. People exist within family,<br />
community, social, political and economic structures<br />
and each has an affect on the other. Quality of<br />
life is measured by many things and health is an<br />
important factor. Health itself is a complex idea<br />
– are we talking about physical, mental or spiritual<br />
health How do they relate to each other Is one<br />
more important than the other A person who has<br />
experienced trauma will probably need some kind<br />
of medical and psychological help. But is it enough<br />
to just go to a doctor and get bandaged up What<br />
happens when you return home How do you speak<br />
to your neighbours and friends who may be fearful<br />
and intimidated themselves What happens if you<br />
have to return to a community scarred by continuing<br />
violence and abuse that has strict taboos on talking<br />
about certain things Can you become healthy in an<br />
unhealthy environment<br />
Social determinants of health are the economic<br />
and social conditions under which people live,<br />
that determine their health. There have been<br />
recent discussions among authorities in the<br />
field to <strong>for</strong>mally incorporate violence as a social<br />
determinant of health which currently includes:<br />
• income inequality<br />
• social inclusion and exclusion<br />
<strong>Defending</strong> <strong>Human</strong> <strong>Rights</strong>: A <strong>Resource</strong> <strong>Book</strong> <strong>for</strong> <strong>Human</strong> <strong>Rights</strong> Defenders | 2nd Edition 19