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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

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