-53 • Delayed response (after asking a question, it takes several seconds for the detainee to answer) • Insecure response (detainees appear not to know if what they say is true or right) • Difficulty finding the words they need to express themselves • Emotional imbalance • Limited body movement (e,g, mostly looking down) • Obsessive preoccupation for minor details (this is something that is recorded in terminally ill people) • The person seems “broken” and unable to function. A doctor from the Danish association DIGNITY also pointed out that if the interview takes place in the cell, it might be helpful to also notice whether: • The cell is in order • The curtains are closed even if it is the middle of the day • The detainee looks depressed • S/he just got out of bed or was still sleeping • Is dressed or still in pyjamas • Looks like someone who had a shower or his/per person shows signs of lack of personal hygiene. 4.3.5. The effectiveness of procedural safeguards One aspect to be monitored concerns the actual possibility for the person in solitary confinement to participate in the decision-making process on the isolation measure. In the case of a disciplinary measure, the presence of the defence lawyer should be guaranteed as required by international standards. The NPM can verify how often lawyers are actually present and to what extent the practical arrangements for the disciplinary proceedings facilitate their presence. To monitor whether the right of access to a lawyer in disciplinary proceedings is respected, in practice some NPMs observe and monitor all disciplinary commissions - as well as to the commissions that decide on isolation for non-disciplinary reasons held during their visit. During interviews, NPMs should ask detainees if they are aware of the possibility of appealing against the decision to isolate them, as well as check the accessibility of the procedures.A problematic aspect that has emerged in some countries during the seminar, concerns the time needed Monitoring Solitary Confinement in Prison