A/65/273
party shall ensure in its legal system that victims of torture obtain redress and have
an enforceable right to fair and adequate compensation including the means for as
full rehabilitation as possible. That obligation includes the establishment and
support of torture rehabilitation centres. That duty was further emphasized by the
Commission on Human Rights in its resolution 2004/41, in which it stressed that
“national legal systems should ensure that victims of torture or other cruel, inhuman
or degrading treatment or punishment obtain redress and are awarded fair and
adequate compensation and receive appropriate socio-medical rehabilitation”. In
that regard the Commission encouraged “the development of rehabilitation centres
for victims of torture”.
62. Most existing torture rehabilitation centres are private, founded by physicians,
psychologists, family members of victims and other concerned individuals or groups
in response to the failure of Governments to ensure that victims of torture receive
the necessary treatment. Torture rehabilitation centres fill a gap and provide highly
specialized medical and psychosocial care to those in need. Member organizations
of the International Rehabilitation Council for Torture Victims, the umbrella
organization of 146 rehabilitation centres worldwide, provided treatment to more
than 100,000 survivors of torture and trauma in 2009 alone. In the same year, the
United Nations Voluntary Fund for Victims of Torture provided grants to 195
projects in 65 countries, for a total amount of 10 million United States dollars to
support victims of torture.
Healing bodies, minds and social ties
63. In order to fully appreciate the importance of the work of torture rehabilitation
centres, one has to recall the devastating impact of torture on human beings. For
most victims, the experience of their ordeal will remain present for the rest of their
lives, if not physically then at least mentally. Often, the psychological impact of
torture amounts to what has been described as a “disintegration of the personality”.
The harm inflicted may be so profound that it shatters the very identity of a person,
the ability to feel any joy or hope, to engage with his or her environment, or to find
any meaning in life. Depression, anxiety disorders including flash-backs, loss of
self-respect, cognitive impairment and suicidal tendencies are only some of the
consequences of torture. The impact of the abuse is rarely limited to the person
directly targeted but also victimizes their families and even their communities. The
victims’ inability to resume their work further adds to their social seclusion and
financial strain. In general, experiences of torture cannot be entirely “left behind”,
let alone forgotten.
64. Centres for the rehabilitation of victims of torture support survivors in their
efforts to learn to live with their experiences and assist them in regaining the
strength to lead self-determined lives. Reflecting the far-reaching consequences of
torture, rehabilitation centres provide a holistic treatment for survivors, aimed at
healing their “bodies, minds and social ties”. Rehabilitation centres possess
specialized medical know-how and experience in dealing with torture injuries, and
provide primary care and sometimes longer in-patient stays focusing on pain relief
and the avoidance of any long-term physical impairment. Their specialization in
torture traumata facilitates the provision of high-quality care, and provides expertise
from which other members of the health community, for example local hospitals,
can learn. In terms of psychological treatment, rehabilitation centres constitute first
and foremost a safe haven where survivors have their suffering acknowledged and
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