CASE STUDIES 1. A prisoner refuses to obey the legitimate orders of staff. The doctor assesses him and concludes that he is not mentally disordered or unstable. The man continues to assault staff and to act in an impossible manner. The director of the prison asks the doctor to give the prisoner an injection for his own safety and that of the staff who are dealing with him. Bearing in mind the international instruments, what should the doctor do? 2. In the course of a medical examination, the medical officer finds marks on a prisoner's body which are consistent with beating. The prisoner alleges that he has been beaten by staff but says that he does not wish to make any complaint for fear of reprisal. What should the doctor do? 3. A prisoner claims that she has been wrongfully convicted. She says that she will not eat or drink until her case is reopened. Her health quickly deteriorates. The director of the prison asks the doctor to intervene to save her life. How should the doctor respond? 75

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