IX. X. Photographs Diagnostic test results (see annex II for indications and limitations) XI. XII. 1. Consultations Interpretation of findings Physical evidence A. Correlate the degree of consistency between the history of acute and chronic physical symptoms and disabilities with allegations of abuse. B. Correlate the degree of consistency between physical examination findings and allegations of abuse. (Note: The absence of physical findings does not exclude the possibility that torture or ill-treatment was inflicted.) C. Correlate the degree of consistency between examination findings of the individual with knowledge of torture methods and their common after-effects used in a particular region. 2. Psychological evidence A. Correlate the degree of consistency between the psychological findings and the report of alleged torture. B. Provide an assessment of whether the psychological findings are expected or typical reactions to extreme stress within the cultural and social context of the individual. C. Indicate the status of the individual in the fluctuating course of trauma-related mental disorders over time, i.e. what is the time frame in relation to the torture events and where in the course of recovery is the individual? D. Identify any coexisting stressors impinging on the individual (e.g. ongoing persecution, forced migration, exile, loss of family and social role, etc.) and the impact these may have on the individual. E. Mention physical conditions that may contribute to the clinical picture, especially with regard to possible evidence of head injury sustained during torture or detention. XIII. Conclusions and recommendations 1. Statement of opinion on the consistency between all sources of evidence cited above (physical and psychological findings, historical information, photographic findings, diagnostic test results, knowledge of regional practices of torture, consultation reports, etc.) and allegations of torture and ill-treatment. 2. Reiterate the symptoms and disabilities from which the individual continues to suffer as a result of the alleged abuse. 3. Provide any recommendations for further evaluation and care for the individual. XIV. Statement of truthfulness (for judicial testimony) For example: “I declare under penalty of perjury, pursuant to the laws of ........ (country), that the foregoing is true and correct and that this affidavit was executed on ................. (date) at ............. (city), ............ (State or province).” XV. Statement of restrictions on the medical evaluation/investigation (for subjects in custody) For example: “The undersigned clinicians personally certify that they were allowed to work freely and independently and permitted to speak with and examine (the subject) in private, without any restriction or reservation, and without any form of coercion being used by the detaining authorities”; or “The undersigned clinician(s) had to carry out his/her/ their evaluation with the following restrictions: ...........” XVI. Clinician’s signature, date, place XVII. Relevant annexes A copy of the clinician’s curriculum vitae, anatomical drawings for identification of torture and ill-treatment, photographs, consultations and diagnostic test results, among others. 75