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Medicine, Conflict and Survival
Vol. 24, No. 2, April–June 2008, 135–144
REVIEW ESSAY
5
Just war, psychology and terrorism
Neil Arya*
Physicians for Global Survival, Ottawa, K1R 6P1
(Accepted 21 December 2007)
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15
Just war, psychology and terrorism, edited by R. Roberts, Ross-on-Wye,
UK, PCCS Books, 2007, 272 pp., £18.00 (paperback), ISBN 9781898059929
Our enemies make nerve gas. So will we. They squander their wealth on
armaments. So will we. They spy on their own citizens. So will we. They prevent
their people from knowing what they do. So will we. We will not let our enemies
impose their evil ways on us. We’ll do it for them1.
Just war, Psychology and Terrorism provides an interesting view of the ‘War
on Terror’. The book declares its biases right from the beginning with
‘unacknowledgments’ to George Bush, Dick Cheney, Donald Rumsfeld and
Tony Blair ‘who have, in their own ways, done so much to make this book
possible’.
Just war, Psychology and Terrorism (for the purposes of this essay
JWP&T) examines effects of the War on Terror in such countries as Iraq,
Afghanistan and Lebanon, where already hundreds of thousands have been
killed and millions displaced. It looks at the direct victims of this US-led war
in Abu Ghraib, Guantanamo and Bagram, but also beyond, to the 60
countries which Amnesty International has identified as changing laws to
increase tolerance of torture post-11 September 2001, and to a global
climate where anything is permissible in defence of ‘freedom’. This includes
shootings of an agitated bipolar patient who was feeling claustrophobic in
an airplane, a Brazilian chased in the London Underground, and Sikh gas
station attendants targeted in the United States for wearing turbans – all
collateral damage in the state of heightened anxiety due to the War on
Terror.
*Email:
[email protected]
ISSN 1362-3699 print/ISSN 1743-9396 online
Ó 2008 Taylor & Francis
DOI: 10.1080/13623690801950435
http://www.informaworld.com
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The chapters are a collection of essays, by primarily British academic
psychologists, but also clinicians and international relations specialists, on
topics that progress from organizational psychology’s complicity in torture,
to human rights frameworks addressing the War, to analysing Bush and
Blair’s language, to the history of antiwar activism and lessons for the
future.
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N. Arya
1
Psychology and torture
The story begins in the Cold War era with the ‘de-patterning’ treatments of
Dr Ewen Cameron, a member of the Nuremberg Tribunal, President of the
US and Canadian Psychiatric Associations and first Chair of the World
Psychiatric Association. With funding from the Central Intelligence
Agency’s front group, the Society for Investigative Human Ecology, using
methods which can only be described as torture, such as soundproofing,
isolation, low constant noise, recordings of ‘My mother hates me’, druginduced coma and electro-convulsive-therapy (ECT), these experimental
treatments were performed on people with relatively minor mental illnesses
with no informed consent. Though these activities took place at the Allan
Memorial part of McGill University, where I did my Family Medicine
residency, the University archives contain no mention of this part of
Dr Cameron’s professional life.
The CIA took Cameron’s ‘de-patterning’ work to the field with a
California doctor, Lloyd Cotter, at Bien Hoa mental hospital north of
Saigon. Cotter coerced patients to volunteer to work in the fields in Viet
Cong territory, threatening food withdrawal or ECT for lack of cooperation, publishing his findings in the American Journal of Psychiatry2. As
Stanley Milgram found in 1974 in an attempt to understand Nazi behaviour,
there is no shortage of people willing to be complicit in torture, with
responsibility removed when they are just ‘following orders’3.
The book then moves on to Guantanamo and Abu Ghraib (Saddam’s
crimes are also not neglected). The chief psychologist, Col. Morgan Banks,
of the US military’s Survival, Evasion, Resistance, and Escape (SERE)
programme which trained military personnel in the art of surviving
captivity, became a leader of the Behavioral Science Consultation Teams
(BSCTs or ‘Biscuit’) at Guantanamo and Bagram and later on, of the
American Psychological Association’s Task Force on Psychological Ethics
and National Security (PENS). The Task Force report concluded that ‘it is
consistent with the APA Ethics Code for psychologists to serve in
consultative roles to interrogation and information-gathering processes for
national security-related purposes.’ Its leader, Gerald Koocher, asserted that
‘psychologists are in a unique position to assist in ensuring that these
processes are safe and ethical for all participants’. But this claim that the
Medicine, Conflict and Survival
137
presence of psychologists mitigates torture is highly questionable and one
that the APA and the American Medical Association do not share, both
concluding that it is unethical to participate in such interrogations. Human
Rights First claimed that the SERE training interrogation led to the death of
Iraqi Major General Abed Hamed Mowhoush.
The direct participation of mental health services in the War on Terror
has included the abrogation of confidentiality, client therapist records being
used to assist in interrogation, and coaching in torture techniques.
Historically it appears that the complicity of the psychological profession
is much more than of the psychiatric. The authors speculate that
psychologists hide behind a myth of scientific neutrality and have no
equivalent to the Hippocratic Oath. Both the British Psychological Society
and the APA appear to have reacted late to allegations of complicity in
abuse, advising members to use their own judgment, rather than strictly
prohibiting elements of torture (p. 213). The APA also does not ask its
members to adhere to international law and only briefly touches on the issue
of dual loyalty of members of the military.
Ian Robbins, head of the Traumatic Stress Service at St. George’s
Hospital, London, who met United Kingdom citizens detained at
Guantanamo, provides a clinician’s perspective of the health consequences
of detention for both prisoners and families, who displayed symptoms of
depression, Post Traumatic Stress Disorder (PTSD) and even psychosis.
Authorities at Guantanamo demonstrated a grotesquely distorted perception of mental health, viewing attempted suicides merely as ‘manipulative
self injurious behaviour’. The patients are seen as ‘mad’ so their complaints
can therefore be systematically ignored, but instead they are forced to take
antidepressant medication. Michel Foucault predicted such abuses by the
state, and the Soviet gulags practised this with abandon4.
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The Ticking Time Bomb
But are such methods necessary or even helpful, in the age of terror after
9/11? Brutal methods are justified by the ‘ticking time bomb scenario’, often
romanticized in film. For this to be helpful is premised on several rarely
present criteria (p. 30) including:
120
that the person captured has key information, that those arresting know when
the bomb is going to go off, that the person is captured just before, that the
interrogators know a lot about the plot but are missing a few crucial details,
that the interrogators know this person has the information, that the
interrogators will be able to verify the information.
125
Whether prisoners will possess such high-level information years after
being caught seems highly doubtful, and no evidence pointing to this has
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N. Arya
been released. Other utilitarian problems are raised (p. 30); a utilitarian argument for torture is premised on several psychological assumptions that:
. the animal instinct for self preservation will encourage people to tell
the truth to stop the pain;
. there is cognitive failure, and the stress of torture interferes with the
ability to lie or deceive;
. data processing allows loads of information to be gathered from lots of
prisoners and is usefully filtered;
. rogue interrogation, that brutal interrogation services such as those of
the French in Algeria and Saddam Hussein in Iraq leads to more
security through fear.
In a review of intelligence information (p. 32), while the CIA claimed to
have gained good information through torture, the Federal Bureau of
Investigation questioned the validity of this assertion, finding only one
possible instance where this might be true; for the information found was
either not useful or had been previously obtained, without torture. JWP&T
suggests that torture decreases the legitimacy of the torturer in the eyes of
those tortured, leading to an increased will to resist, and in the friends,
colleagues, relatives and compatriots of those tortured, who may then be
driven to oppose the torturer; and it even undermines the spirit of the
torturer’s society, with many perceiving their own system as being less just
and legitimate for the use of torture.
Governments and reality, truth and consequences
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175
There are known knowns. These are things we know that we know. There are
known unknowns. That is to say, there are things that we know we don’t know.
But there are also unknown unknowns. There are things we don’t know we don’t
know5.
The US Administration, full of people who avoided fighting in Vietnam,
suddenly transformed into ‘deciders’ after 11 September 2001. Though
policies and explicit instructions emanating from the White House created a
climate of impunity for torture, once evidence of abuse was revealed,
members of the Administration hid behind a diffusion of responsibility,
attributing blame to a few lower level bad apples, and no resignations
ensued. As with the famous New York City case of Kitty Genovese6, where
dozens of witnesses to a brutal murder failed to call the police, a culture
emerged in the US Administration that allowed a lack of individual
accountability.
Psychology has been used not just to facilitate torture but to sell a war.
Hill and Knowlton, the public relations firm, whose propaganda for Big
Medicine, Conflict and Survival
139
Tobacco might have been responsible for addicting and killing thousands,
also coached the 15-year-old daughter of the Kuwaiti ambassador to lie
before Congress about seeing Iraqi troops throwing babies out of
incubators7, in order to sell the first Gulf War. Rather than being
prosecuted for abetting such falsehoods the firm only saw business value
increase.
But governments have since learned to do their own PR work or contract
it out. The Rendon Group, a public relations firm that had previously
contracted with the Department of Defence and the CIA in overseas
propaganda efforts, manufactured war heroes: Jessica Lynch in ‘Saving
Private Lynch’ and ‘Pat Tillman: Football star turned war hero’. Contrary
to accepting such accolades, and thereby burying the crimes of others,
Private Lynch and the Tillman family became real heroes, showing honour
in helping to set the record straight8.
In December 2001 five per cent of Americans held Saddam responsible
for 9/11 but a year later in December 2002, over half felt he must be
responsible. In Britain ‘dodgy dossiers’ about Iraqi possession of Weapons
of Mass Destruction (WMD) appear to have precipitated the suicide of one
honest scientist, David Kelly, uncomfortable with official spin. Selective
evidence, lies and half truths from Cueball, Chalabi and the Iraqi National
Council (INC) were used to foster an impression of WMDs, which, in
September 2006, the US Senate declared was patently untrue. Not only did
no-one accept personal responsibility nor was anyone held accountable, in
fact the Administration chose to pursue those who told the truth to the
extent of directly compromising national security by ‘outing’ the CIA spouse
of one whistleblower. Such lies challenge the legitimacy in government
risking a backlash that may threaten democracy. Conspiracy theories
abound, so that 36 per cent of Americans believe that it was very likely
or somewhat likely that there was inside government complicity allowing the
9/11 attacks to take place.
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205
Sleepwalking to totalitarianism
They hate our freedoms, our freedom of religion, our freedom of speech, our
freedom to vote and assemble and disagree with each other9.
Fear is what allows governments to exert control. ‘Instead of delivering
dreams, politicians now promise to protect us from nightmares’ (p. 196).
The war speeches of Tony Blair and George Bush are examined using
‘relational psychology’, concepts that may only be accessible to the
specialist. The simple messages in the speeches for lay people are the ‘us
vs them’, ‘good vs evil’, ‘win or lose’, ‘only one option’, ‘the last resort, as
our enemy has exhausted our infinite patience’.
Sometimes, as in pre World War II Italy, Spain and Germany, the march
into totalitarianism may be in wilful ignorance, an intentional desire not to
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N. Arya
know. The Patriot Act has widened the use of wire-tapping on phone calls
and emails, allowed the FBI to pull records from libraries and bookstores
and defined terrorism to include direct non-violent action by protesters. In
Britain surveillance has skyrocketed, with ubiquitous CCTV collecting
massive amounts of video data to be mined, filtered and acted upon.
The media does not need to be gagged or embedded; it remains
compliant. It is now concentrated in the hands of six big media companies in
the US (AOL Time Warner, the Walt Disney Company, Bertelsmann AG,
Viacom, News Corporation and Vivendi Universal), who control 75 to
80 per cent of the media Americans are exposed to.
Meanwhile in an effort to lower political costs, the US government
externalized services, outsourcing to private contractors for security and
building infrastructure. Blackwater USA, Kellogg Brown Root, Halliburton,
DynCorps, Bechtel, Triple Canopy, Erinys and ArmorGroup, form a shadow
army in Iraq of 200,000, larger than the militaries of most nations, costing
billions and without accountability to legislative control. These companies can
sign up bargain basement mercenaries from other countries. Chile, which
opposed the invasion and refuses to participate in present efforts, discovers
more of its citizens as private contractors in Iraq than the number of soldiers
provided by almost all countries sent with the Coalition of the Willing.
Xenophobia is on the rise, with suspicion of all foreigners paving the way
for the mass internment without charge of several thousand foreign
nationals. The Observer estimated in 2004 that 3,000 people may have
been held in secret CIA and allied torture chambers in the Middle East
(p. 26). Through the witness of the German Khaled al-Masri, the Canadian
Maher Arar, the British Tipton three – all incidentally released without
charge after months or years of imprisonment and torture – we can see the
Kafkaesque scenario with no charges, no court, no voice, no existence; most
detainees appear to have little information and may have been in the wrong
place at the wrong time.
The Geneva Conventions and the Convention on the Rights of the Child
mean nothing to those removing legal protections such as the accused rights
to habeus corpus – to know charges and evidence, to be allowed visits by the
International Committee of the Red Cross, to have lawyers, to have lawyer–
client privilege protected, and open trials without secret or hearsay
evidence – are all considered quaint antiquated notions.
It is only through the acquiescence and complicity of scholars,
professors, universities and legislators that such abuses can take place. In
this undeclared war with no goal posts or finishing line, universities consider
free speech of little value. Whether some people merely support detention
without trial or the use of material obtained under torture, extraordinary
rendition of citizens of US allies to secret camps or the use of private
contractors to evade Geneva Conventions, we all lessen ourselves in this
Medicine, Conflict and Survival
141
battle. Eventually as with Winston Smith in Orwell’s 1984, we will be cowed
into ‘learned helplessness’, and finally will learn to love Big Brother.
Self-deception
We in the West have a basic belief in our goodness. Many in the UK and
US seem blissfully unaware of the impact of their foreign policy decisions
in the recent past: the nurturing of extremist movements such as the
Mujahadin in Afghanistan, the friendship of the Bush family with the Saudi
leadership including the Bin Ladens, the support for Saddam while he was
gassing Kurds, or current unquestioning support of Israel and dictatorships
from Pakistan and Uzbekistan to Jordan and Egypt. The large blind spot
extends to overlooking, explaining, excusing and justifying the attempted
overthrowing of democratically elected leadership in many countries, most
recently in Venezuela, Haiti and Palestine. The US is the only country to
have been convicted by the World Court of state terrorism, for the mining
of Nicaragua’s harbours. September 11th for Chileans represents the USassisted coup in 1973 that ultimately killed ten times those killed in 9/11.
Invasions become pre-emptive defensive manoeuvres. The US, with no
recent history of war on its soil, sanctimoniously tells the French and those
who failed to participate in the Coalition that they are ‘cheese-eating
surrender monkeys.’ The term, originally from The Simpsons TV cartoon,
was popularized by National Review columnist Jonah Goldberg and then
widely cited by the Freedom Fries consuming the US right wing10.
Implications for the peace movement
The nuclear protests of the 1980s saw a cultural cohesion of membership
organizations, with personal connections, sense of common purpose or
threat, and geographic symbols; however new challenges exist today. New
Labour marginalized many of those who were opposed to wars and nuclear
weapons and who supported human rights; they co-opted or silenced others,
continuing many Conservative policies with a facial makeover.
The peace movement has had difficulty making its messages simple and
clear. Serbians who were part of the anti-Kosovo war coalition have often
sat out current protests against wars in Iraq and Afghanistan. John Sloboda
and Brian Doherty in JWP&T speculate that Muslim opponents of current
wars may similarly not see common purpose with future anti-war efforts.
They also warn of problems with moral equivalency, which may deny a
reality that sometimes, as in Bosnia, there is a primary victim and an
aggressor whose tactics and goals are illegitimate. Approaching the Warsaw
ghetto uprising as a clash between two ethnic groups fighting each other,
and encouraging peace-building measures to reduce mutual prejudice
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N. Arya
between ethnic Germans and Jews, would have been highly inappropriate to
say the least.
We in the peace movement must propose realistic alternative approaches
to the war on terror. Whether academics believe that aggression may
have been an adaptive part of natural selection in the past, in the era of
weapons of mass destruction, it is certainly maladaptive. We should not
accept a different playing field where perfection is expected only from us,
where we are blamed for each terrorist death. Soft, peaceful, law-based,
international collaborative approaches must be measured against the
hundreds of thousands of innocents who are dying in the War on Terror,
the billions of dollars wasted and the loss of individual liberty and physical
security, and the increase in terror. One study suggests that the Iraq war has
generated a global seven-fold increase in the yearly rate of fatal jihadist
attacks, comparing the period 9/11 up to the invasion with three years after
the invasion and excluding the Arab-Israel conflict11.
Terror
Which brings us back to how we define terrorism. We can:
. take a legal approach such as ‘non-state actor employing violence for
political ends’;
. look at what terror seeks to instil in a population (the original
definition as in the Jacobin Reign of Terror): the atomic bomb on
Hiroshima similarly had less a military goal than one meant to
convince the Japanese to give up;
. or examine tactics, whoever the actor, but these often gain acceptance
over time if successful: Henry V’s use of the longbow at Agincourt,
gunpowder, and Germany’s V-1 and V-2 missiles, were all initially
regarded as ‘terror weapons’. The Oxford English Dictionary says
that a terrorist is someone who ‘attempts to further his views by a
system of coercive intimidation’. Roberts et al. feel that the term
‘terrorism’ has a political rhetorical effect but might best be replaced
by ‘politically motivated violence’ (p. 205), state or non-state. This
would force us to confront legitimacy of political objectives along with
tactics such as the use of napalm in Vietnam or white phosphorus in
Iraq, the mining of Nicaraguan harbours, or threatening the use of
nuclear weapons.
330
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340
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350
5
We should not allow ourselves to be silenced by US right-wing
commentators who appropriate the memory of 9/11. Searching for roots
of terrorism or suicide bombing in language or culture is not, in itself, racist.
For jihadists, 80 years of humiliation on the occupation of the land of
Islam, Kashmir, Chechnya, Iraq, Palestine is part of the same attack on the
Medicine, Conflict and Survival
143
ummah. But as the 9/11 victims’ families of Peaceful Tomorrows insisted,
considering our own role in changing the risk of events is also not
illegitimate, and does not play into the hands of terrorists. Historical
experience of violation, deficits in education or in meeting basic needs, and
loss of hope for the future all play a role in increasing the risk of terrorism.
Understanding that suicide bombing became a social phenomenon only in
the last decade and that Islam during the period of the Crusades and for
many years after was a much more peaceful and tolerant religion than
Christianity leads us to move beyond facile explanations of religion or
cultural clash as the reason for terrorism.
The book may be criticized for a British orientation, being somewhat
dogmatic with occasional over-the-top rhetoric. A better understanding of
Peace Studies definitions could have enhanced the volume. Overall, though,
I found JWP&T an interesting collection, coherent, well organized, with
redundancy kept to a minimum.
355
360
365
Notes on contributor
Neil Arya is a family physician, an Associate Clinical Professor of Family Medicine
at McMaster University, and an Adjunct Professor of Environment and Resource
Studies at the University of Waterloo. He has previously served as President of
Physicians for Global Survival and Vice President of IPPNW and taught courses in
Peace through Health at the University of Waterloo and McMaster University. He
has been involved in research and project work in Palestine, Guatemala and El
Salvador, and written extensively about peace and environmental issues.
370
375
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