Introduction
document and report symptoms of
physical and psychological torture.
The ‘Model Curriculum on the Effective
Medical Documentation of Torture and Ill
Treatment’ is a comprehensive Istanbul
Protocol training resource that was
developed to enable health professionals
to effectively investigate and document
torture and ill-treatment (see http://
istanbulprotocolmodelcurriculum.org).
and some basic recommendations for the
medical examination. Some sections may
also be useful for examinations into extralegal, arbitrary and summary executions.
However, the perspective and purpose
of an examination in these instances
is different and require that primarily
the Minnesota Protocol6 is taken into
consideration.
The present manual is designed to
provide practical information for agencies
and individuals involved in planning
and carrying out medical examination
missions. It is based on lessons learned
from past medical examination missions
and on the challenges met during those
missions. The manual is meant as a
tool to be used in conjunction with the
Istanbul Protocol. It does not replace
the Istanbul Protocol, nor does it seek to
replace the many other existing manuals
and guidelines available on the medical
examination and documentation of
torture3, on the reporting on torture4, on
human rights monitoring and on visiting
places of detention5. It does not provide
detailed information on how to carry out
an examination or how to prepare a report.
a. Terminology
It is an operational tool to facilitate the
preparation and operational aspects
of a mission for the examination and
documentation of alleged torture,
particularly relating to the survivors
of torture. It includes suggestions on
the team composition and obligations
of team members and the contracting
organization, ethical codes, practical
information related to the preparation for
the mission, security and safety measures,
10
In recent years the term ‘torture victim’ is
increasingly being replaced by the term
‘torture survivor’. The word ‘survivor’, is
especially important when the focus is on
resilience and psychosocial well-being.
However, as one of the purposes of this
manual is to facilitate the investigation
and documentation of alleged cases
of torture for legal purposes, the word
‘victim’ will be used, as this is the
standard legal term. It will be used
interchangeably with the term ‘examinee’
when referring to the actual examination.
The word ‘patient’ is used when related
to medical matters such as informed
consent.
b. Purpose of the manual
The purpose of this manual is to provide
easily accessible and practical guidance
for performing a medical examination
mission to any country.
c. Who is this manual for
This manual is intended mainly for the
health professionals participating in a
medical examination mission. However,
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