Take Action to End Torture and Hold Health Professionals Accountable

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A recent interview by a former Guantanamo guard vividly exposes the brutal conditions and treatment suffered by men held at Guantánamo in early 2002, yet inhumane conditions persist to the present day. Please join us in urging President Obama and Congress to fully investigate torture and abuse, and to hold accountable those responsible.


Spc Brandon Neeley, a former guard at Guantánamo, recently offered a lengthy interview regarding his experiences to a testimonials project at the University of California - Davis. (Click here to read excerpts,or the full interview) His interview vividly exposes the brutal conditions and treatment suffered by men held at Guantánamo in early 2002, yet inhumane conditions persist to the present day. Please join us in urging President Obama and Congress to fully investigate torture and abuse, and to hold accountable those responsible.

Neeley's testimony included horrifying accounts of abuse by U.S. health professionals - a well-documented yet often unreported facet of the torture and mistreatment of the men held at Guantánamo and other US prisons.

Despite the health profession's widely recognized duty to do no harm, more physicians around the world participate in torture than treat the millions who survive it. Sadly, the torture and abuse inflicted on prisoners in Guantánamo, Afghanistan, Iraq and elsewhere in the U.S.' so-called "war on terror" is no exception.

Current and former prisoners held in U.S. custody report being subjected to forced or unwarranted medical procedures for interrogation and punishment purposes, such as enemas, drugging, IVs, and surgery – even amputation. Under President Obama’s watch, health personnel and prison guards continue to strap men painfully to 6-point restraint chairs for hours at a time, forcefully insert thick tubes down their noses, and pump their stomachs full of unwanted liquid, often until they bleed and vomit.

Notoriously, psychologists have participated in devising and recommending torture and abusive interrogation for detainees. Some psychologists reversed tactics that were used to train U.S. soldiers to resist torture by foreign states into ones that could be used to torture prisoners in our own custody. As members of Behavioral Science Consultation Teams (or "BSCTs"), some mental health professionals have sat in on abusive interrogations, observed prisoners undergoing abusive interrogation, and advised interrogators on how to exploit vulnerabilities, often using medical records to do so. They may still be doing this today.

Neeley describes numerous incidents of medical abuse from 2002: he tells of a medic force feeding and then punching a detainee, shortly after that same man had been beaten by a military riot squad for refusing to take nutrition; a medic who was charged with providing physical therapy to a prisoner but instead purposefully caused the prisoner severe pain, and then mocked him as he cried out; a naval physician who used his authority to conduct “cavity searches,” purportedly for security purposes, to forcefully penetrate his patients’ rectums, seemingly with intent to hurt and degrade them; and others who permitted obviously mentally ill men to go without treatment and injure themselves for days at a time.

The change in administration notwithstanding, brutal force feeding and psychological abuse continues at Guantánamo today, and some of our health personnel remain complicit. But President Obama's executive order of January 22, 2009 requires "humane treatment" for the men held at Guantánamo, including compliance with the Geneva Conventions and all applicable law, and this includes freedom from medical abuse and torture.

Furthermore, as illustrated by Spc. Neeley's comments, we have a responsibility not only to put an end to medical abuse and torture, but also to hold accountable those responsible and to help restore those harmed. Please write today to your members of Congress and to President Obama and call upon them to:

  • Immediately end force feeding, forced drugging, and other forms of medical abuse at Guantánamo
  • Allow detainees at Guantánamo access to independent doctors and other health professionals
  • Disband the use of BSCT teams and prohibit health professionals from participating in interrogations
  • Conduct an independent investigation into the involvement of health professionals in torture and abuse, prosecute those who have committed crimes, and refer to state licensing boards those who have violated their professional codes of conduct
  • Provide financial compensation to those we have harmed to ensure that they receive the treatment they need




Any incidents of abuse soon after the arrival of detainees?

There are a couple things that I remember seeing first-hand that come to my mind and that I believe were totally unjust and just plain abuse. I am not sure of the dates or times when they occurred, but it wasn't too long into the beginning of Camp X-Ray.
One night I was assigned to Charlie Block as a block guard. The medic was handing medication out on the block. He made his way over to one detainee on the block and instructed him to drink a can of Ensure (a lot of detainees were given this since they were underweight and malnourished). The detainee refused to take the Ensure. The medic told him multiple times to take it and the detainee still refused. The medic then went and told the block NCOIC of the situation. The block NCOIC then went to the detainee and gave him the same instructions to take the can of Ensure. Once again the detainee refused to follow these orders. Next the on duty OIC (or Officer in Charge) was notified of the situation. The OIC then made his way to the block where a discussion went on about the situation and the conclusion was that the detainee could not refuse any medications at all. The camp OIC then went over to the detainee and gave him the same instruction to drink the Ensure or, if he refused, he would be forced to take it. Once again he refused to drink it.

The call was made on the radio for the IRF team. The IRF team entered the block where they were met by the OIC and the medic. They were told of the situation and advised once they entered the cell they were to restraint the detainee so the medic could give him the can of Ensure. The IRF team then started to approach the cage the detainee was in. Since I was on the block I walked on the other side of the cage so I could watch what was going on. Once the IRF team was lined up and got in position to enter the cell the OIC unlocked the lock and pulled it off and opened the cage door. The detainee just stood there, facing the IRF team. BOOM! the Number One Man hit the detainee with shield causing him to fall to the cement floor of the cage. Quickly the whole team was on top of the detainee. I could not see exactly what they were doing. They stood him up and hand-cuffed him to fence in the cage. The person who had the shield held the detainee's head so he could not move. The medic then entered the cage with the can of Ensure. Once he entered the cage he looked up and saw me. He then motioned for me to move over to my left (his right). So I moved over. I did not think anything about it. He then opened the Ensure can, grabbed the detainee by the neck, and started to pour it down his throat. The detainee was attempting to move his head, and he wouldn't swallow any of it. The Ensure just ran down his face all over him.

The medic looked up one quick time and punched the detainee twice on the left side of his face with his right fist. The medic then just turned around and walked out of the cage like nothing happened. The detainee was then un-handcuffed from the cage and laid down on the cement in the cage. He was then hog-tied. He laid in this position for a couple hours.

When the whole incident was over I turned around and noticed the guard tower where the Marines were stationed watching over and realized that the medic had placed me in front of the view of the tower and I had not even realized it.

I later learned through other detainees on the block the reason the man refused the Ensure was that he thought he was being poisoned.


What about medical abuse?

I know that detainees could not refuse medication or it would be forced upon them as I stated in previous incidents. The detainees knew they would be IRFed if they refused, so many of them just took the medications so they would not be IRFed. And I know this since I was told tis many times from some of the detainees there.

I talked about the detainee who came to Camp X-Ray wounded from a .50 caliber. His bicep had attached to his forearm due to the fact his arm was in the sling for so long. I escorted this detainee to medical a couple times for physical therapy as he could not bend his arm down at all. On one occasion, when I escorted him there the medic began to massage the area that was attached and he keep rubbing harder and harder to the point the detainee started to cry and squirm all over the bed. The medic stopped massaging and started to stretch the detainee's arm down a little at a time. You could tell this was very painful and uncomfortable for him. The medic said "You really want to watch him scream." Then he stretched the arm all the way down until it was straight out on the bed. The detainee started screaming loud and crying. The medic finally put his arm back up and did it again. And then he said he was finished with the physical therapy. The whole time the medic just laughed at what he was doing. We then escorted the detainee back to his cage.

I witnessed the "physical therapy" sessions a couple of times, and never had it went the way I described it above. Usually they would just massage the area for a bit, then stretch the arm a little bit just to the point it got uncomfortable to him. But the medic that did this therapy was not the same one that I saw before.

Did you witness forced feedings?

I did not witness any forced feedings other than the one I described [see the Ensure incident]. But it was done especially during a hunger strike. After so many days they would be escorted to medical and fed through a tube or put on a IV. I know this from talking to people who would talk about it. And during a hunger strike the medics would always say if they don't [eat] after--30 days I believe it was--they would just force-feed them. I am not totally sure of the time frame for forced feedings, but I remember hearing 30 days somewhere in there.


You have described now four incidents of abuse by medical personnel (two "rectal exams," one session of "physical therapy," and one incident of punching a detainee after a failed attempt at forced feeding). Was the same individual involved in all four?

The physical therapy exam and the punching were done by completely different male medics. The two "rectal exams" were done by the same Navy doctor (all the rectal exams were done by Navy doctors stationed there). So there were three different individuals involved; two medics and one doctor.

I am surprised there were hunger strikes that early.

Yes, there were hunger strikes in the early days. Some detainees started out on hunger strike. I believe it was early February when, on Charlie Block, a Koran was thrown to the floor during a cell search. This caused the whole camp to go in a massive uproar, screaming and yelling to the point all MPs came out of the blocks.

Due to this incident most of the detainees went on hunger strike. I remember some of the detainees being so weak they could not move and every hour or so if I was on assigned to a block I would try and get a response out of them as some of them were so weak that they looked as if they were dead.

Was this the first hunger strike at Guantánamo?

This was the first hunger strike that happened at Camp X-Ray. There were maybe one or two detainees who would not eat, but that wouldn't last very long. When the incident with the Koran happened, the whole camp pretty much went on a hunger strike that lasted a week or so. What ended the hungry strike was the Marine General who was over the camp at a time brought all the detainee block leaders to meet with him. I am not sure what was said either way as I was not present for this discussion. All I know is later that day the detainees began to eat once again.

The detainees were fed 3 times a day. For the first week or so detainees were given MREs (or meals ready to eat). We would strip the MREs of everything other then the main meal. Stuff we would take out was like matches, coffee, gum and anything else that was considered extra. After a week or so of MREs 3 times a day, hot chow started to come twice a day from the Navy chow hall. Also pork MREs were not to be given out for obvious reasons, but I do know that some guards handed them out and laughed if a detainee was to eat it.

When a detainee or detainees were on hunger strike, nothing really changed. We would still make an attempt to feed the detainees. If they refused, we just left them alone and noted it in the block log. Each block and the command post had a green notebook that was used to document all activities on the block and camp. This was to hold information like who was working the block and when and who relieved you on duty, when the detainees were fed or showered, who left the block and to where, and when the buckets of human waste were emptied.


Did you witness sexual abuse?

The in-processing changed a bit, especially once Delta block was finished. The detainees were still taken off the bus and placed in the holding pin, but instead of walking way to the back of the camp, directly across the holding area was an open spot of the camp where a big tent was put up. And this became the new in-processing area. Now, when they were taken out of the holding area, the escort team would take them to this tent where they would go through the same in-processing, except now there was a doctor who would check their rectum area (we were told the rectal exam was to check for any kind of weapons that could be hidden there; we were told that, in Afghanistan, a grenade had been found in the rectum of a detainee).

So an escorting MP would pull the detainee's pants down and the doctor would instruct the detainee to lean over the table. Then, with a surgical glove on his hand, the doctor shoved his finger in the rectum of the detainee. Both times I witnessed this I never once saw any kind of lubrication used; they did not use the lube that was on the table to perform this. This exam was not done in any gentle manner whatsoever. It seemed to me that the doctor just reached back and shoved his finger as hard as he could in the rectum of the detainee. I witnessed this twice with my own eyes (at this time I was working blocks more). But I heard it talked about many times from other soldiers.

Even when I was not witness to these exams, but was still within earshot of the tent they were performed in, I could hear the detainees scream and cry out during the exam. I even remember one detainee coming out of the tent after this looking like he was in tears. I know through talking with other people who witnessed this that the doctor would make little smart comments before he did the exam like "this won't hurt; it will only take a minute," in a very sarcastic manner. And that sometimes the doctor would even be laughing.

Also, each detainee was searched when he left his cage and when he returned to his cage. In the process of searching or patting-down the detainee we were taught a technique which we called the "credit card swipe". You would take your hand put all your fingers straight together and go straight up the backside of a person. If this was done the correct way just a quick swipe it really was no big deal, but some people took it to the extreme, and would do it so hard--in effect just hitting the detainee in the private area to cause pain.


Any other form of abuse?

There is one other thing I would like to mention. There was a mentally ill detainee who arrived to Guantanamo somewhat earlier on in the process. I did not recall his name or detainee number. He arrived during the day, and during this period I had been assigned to nights for a week or so. I was working Charlie Block; just walking around, talking to the other guard on the block. Most of the detainees were laying down or reading their Koran. As we were walking around we noticed this one detainee who was squatted down talking to his self. We walked around and came back again and noticed he was drinking his shampoo out of the bottle. We tried to talk to him, but all he did was jibber-jabber. We notified the block NCOIC and he notified medical, which said it was "just shampoo", and that "it's nothing to worry about." He stayed up all night just walking around talking to himself.

Over time this detainee was to be nicknamed "Number 1," because he used to always scream "I am Number 1!" He never slept but maybe an hour or two a day. It seemed he was loud, always talking to himself. No one understood him--including the detainees. On many occasions we would ask other detainees "What's he saying?" and they would say "I have no clue; something's wrong with him". It was very obvious this man was mentally ill. Other times guards would find him drinking is own urine.

Later on, on Charlie Block, this detainee stripped down naked (which he did on many occasions). When we went to try and tell him to get his clothes on we noticed he had tied a string around his penis very tight; to the point where his penis was turning colors. We tried to tell him to take it off, but he just laughed yelling "Number 1!" Finally, about 20 to 30 minutes later, he took it off, got dressed, and went to sleep. Eventually he would have to be placed in a cage with no one on any sides of him due to the fact he would just stand up and urinate on the person next to him. And it seemed like he didn't even realize he was doing this. When he was taken to showers, he was like a little kid. The water would turn on and he would jump into the middle of the water and start yelling "I am number 1!" It really seemed like he had the mind of a child. It seemed like he was always on an emotional roller-coaster, one minute he's laughing, next he's asleep, 5 minutes later he would be awake, curled up in a ball, in the corner of his cage, crying like a little child.

During the time I spent there, many of the other detainees tried to help him out by telling him when it was time to pray and reading the Koran to him.

Many guards questioned why he was there if he was so mentally ill that it was obvious. We were just told that he was putting on an act, that he wasn't really mentally ill. If he was acting, he sure did fool me and a lot of other people. Including most of the detainees.