Today's Stories

May 16, 2008

Stephen Soldz
Involuntary Drugging of Detainees

Jonathan Cook
Police Attack Al-Nakba March

Paul Craig Roberts
Lies of Aggression

Christopher Brauchli
A Funny Thing Happened on the Way to the Pharmacy

James L. Secor
Olympic Torch China: the View from Shaoxing

Franklin Lamb
Did Hezbollah Thwart a Bush/Olmert Attack on Beirut?

Linn Washington, Jr.
The Price of Protecting Racist Cops

Dave Lindorff
What West Virginia Means

May 15, 2008

Stan Cox
Big Brother Close Up

Jeff Halper
Rethinking Israel After 60 Years

Greg Moses
Living for the Children of Palestine

John Ross
Why Mexican Justice is a Euphemism

Ron Jacobs
Go to Work, Go to Jail

Binoy Kampmark
Indian Jailbirds: the Case of Binayak Sen

Eve Spangler
We Should Not Celebrate Dispossession

Martha Rosenberg
Meat Wars with South Korea

Website of the Day
Idaho Wolf Killers

May 14, 2008

Ismael Hossein-Zadeh
Oil Wars

Reza Fiyouzat
Torture, a Bully's Creed

Felice Pace
California Water Politics: Of Dams and Water Buffaloes

Hamdan A. Yousuf / Dania S. Ahmed
A Generation Defined by War

Robert Weitzel
Hillary's "Final Solution" to the Persian Problem

Ralph Nader
You're Either with the American People or the Big Auto Bosses

Dave Lindorff
Hillary, McCain and the Stupid Vote

Missy Comley Beattie
White Heaven: Hillary's W. Virginia Idyll

Neve Gordon
Israel as a Site of Struggle

Dr. Susan Block
A Washington Witch Hanging

Website of the Day
Hillary's Downfall

May 13, 2008

David Rosen
Sexual Terrorism: the Sadistic Side of Bush's War on Terror

Alan Farago
Nuclear Florida: Beachfront Reactors in an Age of Rising Sea Levels?

Saul Landau
The Crisis at Home

Saree Makdisi
Forget the Two-State Solution

Paul Craig Roberts
How Empires Fall

Andy Worthington
Gitmo's Suicide Bomber

Brother Bede Vincent
The Problem with Rev. Wright--There are Too Few Like Him

Linda Mamoun
Marketing Ethnic Cleansing

David Macaray
The Myth That Won't Die

Website of the Day
Burning the Future: Coal in America

May 12, 2008

St. Clair / Frank
The Pentagon's Toxic Legacy

Ziga Vodovnik
Rebels Against Tyranny: an Interview with Howard Zinn on Anarchism

Gary Leupp
Why All of Our Efforts Won't Stop an Attack on Iran

Frankln Lamb
Choufeit's Bloody Pentacost

Suzanne Baroud
The Ambition of Hillary Clinton

Martha Rosenberg
Farmer Ernie's Chamber of Horrors

Dave Zirin
The Boss's Boycott

Carl Finamore
I Ain't Gonna Work No More

Peter Morici
Recession Watch

Richard Rhames
The Third Way to Nowhere

Website of the Day
The Untold Story of Black New Orleans

May 10 / 11, 2008

Alexander Cockburn
Real Clear Numbers: 101,000 Casualties a Year

Franklin Lamb
Hezbollah Eases Up and Beirut Opens Its Shutters

Ciara Gilmartin
A Surge in Iraqi Detainees

Diane Farsetta
Inside a Nuclear Industry Soirée

Kent Paterson
Mother's Day in Ciudad Juarez

Alan Farago
The Social Engineers

Rannie Amiri
Beirut on the Brink

Patrick Irelan
Bolivia, Morales and the Red Ponchos

Robert Fantina
The Lexicon Legacy of George W. Bush

Nikolas Kozloff
El Salvador 2009: Another Feather in the Cap of Chavez?

George Ciccariello-Maher
The Yumare Massacre, 22 Years On

David Yearsley
Bacharach at 80

Ron Jacobs
Rosa Luxemburg's Shock Doctrine

John Holt
Can Yellowstone Survive?

David Michael Green
It's So Over

Ben Terrall
Dealing Sleep

Kim Nicolini
The Best Film of the Bush Era?

Jeffrey St. Clair
Booked Up

Poets' Basement
Gibbons, Orloski, Frisella, Gladstone-Gelman

May 9, 2008

Franklin Lamb
A Wild Day in Beirut

Andy Worthington
The Afghans of Gitmo

Benjamin Dangl
Polarizing Bolivia

Mark A. Huddle
Remembering Mildred Loving, an Unsung Hero of the Civil Rights Movement

David Macaray
Hollywood Gives SAG the Brush Off

Dave Lindorff
Team Clinton: Going Down Ugly

C.G. Estabrook
The Way We Live Now

Matt Kosko
McCain, Clinton, Obama and the Wages of Lesser-Evilism

Robert Weissman
Big Business is not the Solution to Global Poverty

Michael Dickinson
Jailing the Joint

Website of the Day
The Role of Third Parties in the U.S.A.

May 8, 2008

Sharon Smith
Rockefeller Family Fables

Saul Landau
The NATO Axiom

Laura Carlsen
A Primer on Plan Mexico

Binoy Kampmark
Food Riots are Coming to the U.S.

Kenneth Couesbouc
China's Paper Feet

Liaquat Ali Khan
Pakistan's Constitutional Shenanigans

Franklin Lamb
Blindsided, Hezbollah Mulls Its Response

Sen. Russ Feingold
Government in Secret

George Wuerthner
The Problems with Conservation Easements

Richard W. Behan
A Brief Exposé of a Fraudulent War

Adam Federman
Marching for Sean Bell

Website of the Day
State of the Air

May 7, 2008

Winslow T. Wheeler
Drowning in Dollars

Joanne Mariner
Torture After Dark

Col. Dan Smith
It's Lying and It's Murder: How KBR Electrocuted US Troops

Brian M. Downing
Reports From Foreign Provinces

Andy Worthington
Who are the Prisoners Released with Sami al-Haj?

John Stauber
Pentagon Propaganda Documents Go Online, But Will the Media Ever Report on Them?

Christopher Brauchli
Outsourcing Tax Collection

Nelson P. Valdés
Cinco de Mayo and Cinco de Agosto: Mexican History and Manufactured Identities

Rep. Keith Ellison
High Court Deals Blow to Voting Rights

Dan Bacher
Undam the Klamath, Mr. Buffett!

Website of the Day
Green Porno

May 6, 2008

Pam Martens
The Obama Bubble Agenda

Nikolas Kozloff
U.S. is Promoting Secession in Bolivia

Marjorie Cohn
Under U.S. Law Torture is Always Illegal

Ralph Nader
America's Pay-or-Die Health Care System

Yigal Bronner
Archaeologists for Hire

Brian Cloughley
No Laws for Bush America

Jacob Hornberger
Killing Enemies Without Trial

Walter Brasch
People Who Don't Need People

Paul Krassner
An Open Letter to Michael Moore

Manuel Garcia, Jr.
Running Mates from the Imaginary Plane

Website of the Day
Some People

May 5, 2008

Pam Martens
Obama's Money Cartel

Conn Hallinan
The Syrian Affair

Corey D. B. Walker
The End of Politics

Uri Avnery
Crusader Anxiety: Israel at 60

Dave Zirin
Refocusing Olympic Protest

Corporate Crime Reporter
Wiist's Crusade Against Corporations

Robert Jensen
The Selling and Shaping of Our Souls

Daniel White
What People Want to Hear About in Austin, Texas

Benjamin Dangl
May Day Raid on General Dynamics

Website of the Day
McCain's Pastor of Hate: "Starve. I Don't Care. Starve."

May 3 / 4, 2008

Alexander Cockburn
Has Rev. Wright Cost Obama the Presidency?

Nikolas Kozloff
The Shameful Failure of the Black Congressional Caucus

Diane Farsetta
What the Pentagon Pundits Were Selling on the Side

Tariq Ali
New Labour is Dead

Harry Browne
The USA's Other Island: Irish Leaders and the War on Terror

Wajahat Ali
Pakistan's New Daughter of Destiny? An Exclusive Interview with Fatima Bhutto

David Yearsley
A Challenge to Jeffrey Eugenides

Greg Moses
Salamat, Riad Hamad

William Blum
Rev. Wright, the CIA and the AIDS Thing

Robert Fantina
The Rhetoric of John McCain

Fred Gardner
The Greatest Story Never Told

Dave Lindorff
Blame It On Paraguay: The Bush Family's Bad Real Estate Deal

Seth Sandronsky
Standardizing Learning

Binoy Kampmark
Brown, Boris and the British Council Elections

Howard Lisnoff
The Lost First Amendment

Daniel Cassidy
Slanguage: Paddy Works on the Erie

Bill Moyers
Shrink-Wrapping the Theology of Rev. Wright

Jeffrey St. Clair
Booked Up

Poets' Basement
John Holt / Akbar Khan

Website of the Weekend
Ed Abbey, Patron Saint of the Walker's Rights Movement

May 2, 2008

Andrew Cockburn
Secret Bush "Finding" Widens Covert War on Iran

David Isenberg
The Return of Limited Nuclear War?

Vijay Prashad
Driven to Terror: the Case of the Lackawana Six

William Blum
Spies Without Borders

David Macaray
Shutting Down the West Coast Ports: the ILWU's May Day Strike

Rannie Amiri
Is Sadr City Becoming the Next Gaza?

William James Martin
The Carter Coup

Stephanie Westbrook
As Italy Lurches Rightward, a Ray of Hope from Vicenza

Linn Washington, Jr.
A Battle Over Murals in Parisian Ghettos

Anthony Papa
How the Byrne Fund Corrupts Cops and Destroys Lives

Website of the Day
The Serota Petition

May 1, 2008

Michael Hudson
The Fed Sinks the Dollar

Behzad Yaghmaian
Blaming the Yuan for the Deficit with China

Wajahat Ali
The Dark Knight: the Real Rise of Obama

Dedrick Muhammad
Senator Obama, Please Come to Your Senses

Cynthia McKinney
Police in America Can Kill Some People With Impunity

Corporate Crime Reporter
Farm Broadcaster Fired After Ripping Monsanto's Goon Squads

Manuel Garcia, Jr.
The Speech That Might Have Been

Reza Fiyouzat
Stop Obliterating Yourself!

Leigh Saavedra
Suspending the Federal Gas Tax

Tom Semioli
Hollywood Hypocrite: an Open Letter to Michael Moore

Website of the Day
Why Won't McCain Release His Medical Records?

Subscribe Online

A Pattern of Mistreatment by Health Professionals

Involuntary Drugging of Detainees

By STEPHEN SOLDZ

In Soviet Russia, psychiatrists sometimes collaborated with the repressive regime by locking up dissidents in mental hospitals and injecting them with powerful psychotropic drugs, "antipsychotics" designed to treat schizophrenia. The Soviet psychiatrists were rightly condemned for their misuse of medicine for the un-therapeutic  purpose of social control.

American health personnel are not immune from cooperating with efforts to misuse psychiatric drugs for social control purposes having no connection with those drugs' intended uses. The U.S. Immigration and Customs Enforcement agency (ICE) has been systematically administering psychotropic drugs to immigrants in the process of being deported as the Washington Post reported this week. Deportees who in the past had resisted deportation were injected with drugs, often a three drug "cocktail," in order to keep them pliant during deportation. These drugs included the powerful antipsychotic drug Haldol, as well as the antianxiety drug Ativan, and Cogentin, a drug used to treat the often severe Parkinsons illness like side effects of Haldol.

These drugs were prescribed by psychiatrists and administered by specially selected nurse "medical escorts." The drugs were administered in extremely high doses, sometimes rendering the deportees unable to speak.  It sometimes took deportees days or even weeks to get the drugs out of their system. Thus Michael Shango was injected with 32.5 milligrams (mg) of Haldol, as well as 8.5 mg of Ativan and some Cogentin over 11 hours. His initial Haldol dose was 10 mg. Compare this with a usual Haldol dose of  2 to 5 mg repeated in 4 to 6 hours for "control of the acutely agitated schizophrenic patient with moderately severe to very severe symptoms" and 2 to 6 mg of Ativan daily for patients whose bodies have already adapted to the medication; lower doses of these drugs are recommended for new patients as people need time to adjust to them. 

These drugs, especially Haldol are extremely powerful and are almost never utilized in individuals not diagnosed as actively psychotic. They can be extremely uncomfortable, especially if first administered in high doses and can disorient an individual for days. When Shango was imprisoned upon his return to the Congo, he was so disoriented that he didn't know where he was fortunately, friends helped him escape. It was weeks before he fully recovered from the drugs.

This use of powerful medications to control detainees is likely illegal. In fact, the Clinton administration had concluded:

"Regarding detainees who are not mentally ill, involuntary medication of such persons for the sole purpose of subduing them during deportation, without a court  order, is not supported by any legal authority and raises ethical issues as well."

Regardless of whether this use of drugs is legal, it violates the professional ethics of most health professions and constitutes a profound threat to the role of healer. Doctors, nurses, and other health professionals rely upon trust between healing professional and patient, trust that the interests of the patient are forefront in the doctors mind. We incorporate recognition of the importance of trust in the crucial importance given to patients' informed consent in medical decision-making. Except in the most extreme of circumstances, drugs and other medical interventions should be administered only with the consent of, and in the interests of, the person receiving the intervention.

The ethics of most medical professions do allow for involuntary intervention in extreme circumstances to protect the patient or public from imminent harm. Further, in order for a medical treatment to be used involuntarily, the treatment must be, as the Supreme Court stated in considering involuntary drugging of prisoners,  "in the inmate’s medical interest."  Thus, the American Psychiatric Nurses Association, in a position statement on Mandatory Outpatient Treatment (MOT), endorses mandatory treatment, but insists that it is a last resort:

All patients have the right to make their own decisions and MOT should be used as a last resort. …  If MOT needs to be implemented, measures must be taken to ensure that each patient is treated with respect and dignity, and that full consideration is given to the patient's rights, civil liberties, and confidentiality issues.

The criterion of "use as a last resort" and treatment "with respect and dignity… and that full consideration is given to the patient's rights [and] civil liberties" is clearly not met in the ICE use of these powerful drugs.  The psychiatrists and nurse escorts are serving only the interests of the ICE and are oblivious to the interests or the wishes of those receiving drugs, who, because they manifest no medical need, are not in any meaningful sense "patients." These drugs are being used to control the deportees as they attempt to assert their rights. These drugs thus are in fact often a way of destroying the deportees' ability to resist disturbing and often questionable deportations. What could be more disrespectful of a person's dignity than to chemically destroy his or her ability to resist?

The ICE has recently amended thepolicy that allowed involuntary drugging of deportees.  Unfortunately, as Physicians for Human Rights pointed out in a January 28th 2008 letter to the ICE, the new rules are still inadequate and open to abuse:

The new policy, in fact, largely ratifies ICE’s past practice, allowing court-ordered forced sedation “to effectuate removal” when a detainee’s resistance is deemed “dangerous.” The Amended Policy also requires evidence from a medical doctor that the drug or drugs to be forcibly administered are “medically appropriate.”

While we welcome this recognition of medical concerns, the Amended Policy offers no criteria for the vague standard of “appropriateness,” providing far too little guidance and presenting far too great a risk that ICE’s sole interest in removal will subvert the physician’s obligation to the patient’s health.

The use of drugs by ICE is, unfortunately, part of a pattern by the Bush administration of the misuse of the health professions for non-therapeutic purposes. I and others have written extensively about the role of psychologists in aiding national security interrogations, interrogations that often cross the line into torture. Recently the Washington Post and CQ reported on likely involuntary drugging of detainees (see my commentary: Involuntary Drugging of US Detainees: A Crisis for the Health Professions). It is beginning to look as if there is a pattern of inappropriate use of psychopharmacological agents for overcoming resistances of various types.

So far Congress and the health professions have failed to systematically confront the abuses of these professions by the current administration. The failures, until recently, of Congress to stop or actively expose administration abuses are well known.  While at times making strong statements against certain abuses, none of the health professions has taken active steps to investigate abuses or to expose or discipline members participating in abuses. All too often, good sounding words have been a substitute for action. Bioethicist Steven Miles, author of Oath Betrayed: Torture, Medical Complicity, and the War on Terror, said in response to these latest revelations:

Governments do not inject people with antipsychotics, medical personnel do. 

In 35 years of practice, I have never had to give such high doses of antipsychotics to any person with any mental illness as is described in this story.

Again, we have an utter breakdown of the accountability of health professionals.  As with the behavior of nurses and doctors in the war on terror prisons and the use of drugs for the CIA-State Department's rendition flights, we have a failure of understanding of professional ethics and complete passivity of the AMA and the American Nurses Association.

It is time for both Congress and the health professions themselves to investigate. Recently Senators Levin, Biden and Hagel wrote the Defense Department Inspector General requesting an investigation of the reports of involuntary detainee drugging. This new report of involuntary drugging may be investigated as well.

We need a mechanism, however, for a detailed examination of the perversions of the health professions by the current administration. I have previously called for a Truth and Reconciliation process to deal with the shameful cowardice of the health professions in actively and/or passively aiding the administrations' detention and interrogation abuses. Perhaps this process needs to be expanded to confront the broad range of health profession failures to actively oppose their professions' perversion by the forces of the state.

Stephen Soldz is a psychoanalyst, psychologist, public health researcher, and faculty member at the Boston Graduate School of Psychoanalysis. He maintains the Psychoanalysts for Peace and Justice web site and the Psyche, Science, and Society blog. He is a founder of the Coalition for an Ethical Psychology, one of the organizations leading the struggle to change American Psychological Association policy on participation in abusive interrogations. He can be reached at: mailto:ssoldz@bgsp.edu

 

 

 

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