Think you know how bad Gitmo really was? A teenage detainee’s story, part IV

Detainee with escort at Guantanamo Bay
President Bush has finally broken his silence on his administration’s torture policies. “The first thing you do,” he explained to members of the Economic Club of Southwestern Michigan, “is ask, What’s legal? What do the lawyers say is possible? I made the decision, within the law, to get information so I [could] say to myself, I’ve done what it takes to do my duty to protect the American people.”
What was possible? Office of Legal Counsel lawyer John Yoo informed the president in a memo that physical abuse was not torture unless it generated the intensity of pain associated with “organ failure, impairment of bodily function, or even death.” Impossibly, Yoo got this medical description from a completely unrelated federal statute that regulated Medicare benefits—and then pretended that this was how the irrelevant statute defined “severe pain.” (U.S. law partly defines torture as inflicting “severe pain.” See Gary Kamiya’s excellent evisceration of Yoo’s memo.)
Psychological methods, Yoo went on, were illegal only if they inflicted harm that endured for “months, or even years.” That was the official position of the Bush Administration until shortly before he left office, and it offered spurious legal cover for Omar Khadr’s torturers, who were very good at inflicting psychological harm that would last for years.
Part IV.
One of the chief mental defenses against harsh imprisonment is durable perspective; sanity requires a steady identity. But identity in adolescence is precarious by nature: Teenagers change their identities and beliefs all the time, and they cannot develop a secure perspective in the isolation of captivity. To figure out the world, teenagers have to be in it. For adolescents like Omar Khadr, who have already experienced radical trauma, the characteristic symptoms of months or years of barbarous confinement—paranoid delusions, suicidal tendencies, hallucinatory psychoses—can become irreversible.
Soon after Omar arrived at Guantanamo, he began exhibiting the kinds of disassociative symptoms most adolescent psychiatrists would have expected. He was startled to the point of disorientation by small changes in his surroundings. He had fainting spells. He cried frequently. When he heard gunshots at Camp Delta, he had a vision of helicopter gunships descending on him, as had happened during the gun battle in Afghanistan. These kinds of enclosing flashbacks came repeatedly. He had recurrent nightmares, often concerning the death of his father or his capture during the firefight, in which he felt, with phenomenal versimilitude, bullets piercing his chest.
His appetite diminished; he took on the appearance of the permanently malnourished. He entered what clinicians call a state of hypervigilance: He started thinking he might be attacked at any time—without reason, his heart rate would jump, and he would sweat and hyperventilate. He began hearing sounds—screams, bombs, things he could not identify—when the cellblock was silent. Every week or so, a self-generated rage possessed him. He screamed, he paced, he punched and threw things—an experience wholly foreign to his character. For long periods he felt no emotion at all. He started blaming himself for the things that had happened to him; he became deeply ashamed of what he had suffered in interrogation rooms. He developed a pronounced twich on the left side of his face, of which he remained unaware.
There were no conditions for release at Guantanamo—the Bush administration had suspended all the customary rules of judicial review and due process. Detainees had no way of knowing if anyone would ever get out. The human mind has tools for dealing with extreme physical and emotional stress, but it is not equipped to manage pugatorial limbo. In every POW camp in history there has been an easily imagined end-point: the end of the war. At Guantanamo, what detainee after detainee has said—and what study after study has shown—is that insanity and suicidal impulses inevitably accompany the kind of futurelessness Gitmo imposed on its inmates. The quantity of successful self-destruction among Guantanamo detainees, in circumstances so carefully designed to prevent it, indicated a suffusing despair unimaginable outside the gates of the base. Even if the detainees had all been released and received immediate psychological treatment, a great majority would have been—will be—psychologically impaired for the rest of their lives.
When Omar Khadr arrived at Guantanamo, his future became a vacancy, and his imagination quickly lost the ability to fill it. He thought earnestly about killing himself. In January of 2003, only four months after he arrived, his guards were sufficiently worried about his suicidal disposition to confiscate his possessions. Madness was all around him. During the fall of 2004, Omar watched an Arab orthopedist named Ayman go insane. Over a period of months, Dr. Ayman became entirely mute, except for an occasional scream and a single question, asked of no one in particular: “Who is a woman here?”
The authorities at Guantanamo repeatedly refused to allow an independent medical evaluation of Khadr, so his lawyers [the Supreme Court had granted due process rights to detainees in early 2004] administered two exams to determine his mental status, and submitted the results to several experts. All concurred in their interpretations. Dr. Eric Trupin, one of the world’s foremost experts on the effects of incarceration on adolescents, concluded that Omar had been traumatized and tortured to a degree that was, in Trupin’s considerable experience, remarkable.
“The impact of these harsh interrogation techniques on an adolescent such as O.K., who also has been isolated for almost three years, is potentially catastrophic to his future development,” Trupin concluded. “Long-term consequences of harsh interrogation techniques are both more pronounced for adolescents and more difficult to remediate or treat even after such interrogations are discontinued, particularly if the victim is uncertain as to whether they will resume. It is my opinion, to a reasonable scientific certainty, that O.K.’s continued subjection to the threat of physical and mental abuse place him at significant risk for future psychiatric deterioration, which may include irreversible psychiatric symptoms and disorders, such as a psychosis with treatment-resistant hallucinations, paranoid delusions and persistent self-harming attempts.”
[Next: The last installment. If he is released, will Omar Khadr be able to recover?]




























