Second, please note that many of us are not happy with the APA's position. The APA Council of Representatives will be meeting soon to take up this issue, so I can assure you this issue is not over. APA Division 48 (Society for the Study of Peace, Conflict, and Violence), a subgroup of APA members, has been openly opposed to the resolution. Psychologists for Social Responsibility (http://www.psysr.org) has released an open letter from Steven Reisner (of the NYU Trauma Studies program) to the president of APA, Gerald Koocher. Here is the text of the letter:
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Dear Dr. Koocher,
It has been more than a month since last we spoke, and during that time almost 1500 people (most of them members of the APA) have signed a petition "against psychologist's participation in the interrogation of enemy combatants." Division 48, in consultation with the Divisions of Social Justice, has put forward a resolution to change the ethics code to bring it in line with internationally recognized principles of human rights, and Physicians for Human Rights has suggested that the APA bring "their ethical policies regarding interrogation in step with the American Medical Association and the American Psychiatric Association, and explicitly prohibit psychologists from participating in interrogations."
You are already familiar, from our debate on Democracy Now, with my position on these matters, but let me reiterate my two part stance: a) that the American Psychological Association ethics code must be written in a way that makes it clear that it is unethical for psychologists to participate, advise, guide, or train others to participate in interrogations at interrogation centers such as Guantánamo and Abu Ghraib, which operate outside of national or international law and which have been condemned as sites of torture by international human rights monitoring government and non-governmental agencies, and b) that since the current United States Administration and the military services have reinterpreted the definition of torture, cruel and inhumane practices in a way that permits many internationally condemned practices of physical and psychological abuse, psychologists need a clearly articulated ethical principle, like other health professionals, which simply prohibits them from "weakening the physical or mental condition of a human being, without therapeutic justification." (World Medical Association)
Since we spoke, too, it has also been widely reported that the 60% of the appointees to the PENS task force (hand-picked, I understand, by the President of the APA) had direct ties to the military, whereas membership in the APA's Division of Military Psychology stands at 396 out of a total APA membership of 77,500 or about 1/2 of 1%. One of these appointees, Morgan Banks, is "command Psychologist and Chief of the Psychological Applications Directorate of the U.S. Army Special Operations Command (USASOC)." According to his biographical statement, he "provides the only Army training for psychologists in...interrogation support, and behavioral profiling." You selected him for a committee to determine the application of Ethics to current military interrogations, even though he is not a member of the APA and even though he is, apparently, directly involved in the practices that spurred the creation of the PENS task force review.
I know that the Council of Representatives will be meeting next week to discuss the issues raised by psychologists' participation in interrogations at Guantánamo and elsewhere, and to decide on what, if any, changes should be implemented in the ethics code as a result of alleged psychologist participation in abusive interrogation practices. You have announced that there will be a single guest speaker addressing the Council: Army Surgeon General Kevin C. Kiley. And further, that General Kiley will only respond to questions vetted in advance.
I am sure that you are aware that on April 13, 2005, General Kiley issued a report on medical operations at Guantánamo and Abu Ghraib, with particular emphasis on the role and functioning of what have come to be called BSCTs. He recommended at that time that wherever possible, senior psychologists should be used exclusively for those teams and he described their role as follows: "[Psychologists are to] check the medical history of detainees with a focus on depression, delusional behaviors, manifestations of stress, and "what are their buttons." [Psychologists] will greatly assist [interrogators] with: obtaining more accurate intelligence information, knowing how to gain better rapport with the detainees, and also knowing when to push or not to push harder in pursuit of intelligence information." *
According to the PENS task force report, this recommendation is in direct violation of the ethics code (the use of medical records for purposes other than treatment). And, for those of us who believe that the PENS task force did not go far enough, this report demonstrates precisely why we need to strengthen and clarify the ethics code. The Surgeon General's report and the PENS report both recommend putting psychologists in the position of assessors of the level of coercion and stress applied to a detainee. This is not a role for a medical or mental health professional, dedicated as we are to the humane treatment of individuals and bound as we are by the ethical injunction to "do no harm." And especially now, when the centers of such interrogations are the subject of condemnation, not only by the United Nations, the European Union, and International Human Rights organizations, but by the Supreme Court of the United States
Thus, your extending the sole invitation to address the Council to the author of the problematic military code strikes me as continuing a practice of stacking the deck in favor of a military interpretation of the role of psychologists, even when this conflicts with the history of ethical principles which have governed the behavior of health professionals for millennia.
Which brings me to the point of this letter. The Council will be meeting to make vital decisions concerning psychologists' behavior in very difficult times and circumstances. This important process, to decide appropriate emendations to our ethics code, is not well-served by presenting Council members with a one-sided picture. Therefore, I am requesting that, in the interest of a true examination of the issues, you consider inviting a speaker with an opposing point of view to speak alongside or in addition to General Kiley. I am requesting, too, that you encourage a lively discussion of the issues, by opening the floor to questions from the Council members.
If you are open to this suggestion, I could think of a number of wise, reasonable representatives of the alternative position who could contribute usefully to the Council discussion. I know that Leonard Rubenstein, Executive Director of Physicians for Human Rights, has offered to speak alongside the General. Mr. Rubenstein and General Kiley have debated these issues in public before and from all reports the conversation was polite, informative and lively. Apparently, you have rejected Mr. Rubenstein's offer. I would ask you to reconsider.
Another excellent choice would be Philip Zimbardo, Professor Emeritus at Stanford, and former president of the APA. I don't know if Dr. Zimbardo is planning to attend the convention, or if he would be willing to speak on a panel with General Kiley, but his commentary on the PENS task force report, invited by Stephen Behnke, is a clear, well-reasoned and persuasive alternative perspective.
I hope you give consideration to this proposal. It would show that the Administration of the APA is interested in a full and fair debate of these important issues; in contrast to all appearances that the the APA Administration is simply looking to rubber stamp the position of the current United States administration and it's military services.
Sincerely,
Steven Reisner, Ph.D.
SReisner@psychoanalysis.net