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Clinical features associated with forms of torture - Psychological effects of torture

It would facilitate the recognition of physical consequences of torture if health profes- sionals were familiar with the physical consequences of other non-accidental injuries in children. The shaken infant syndrome has been described as occurring only in very young children, seldom older than two years of age. However, symptoms similar to the shaken infant syndrome have been diagnosed in an adult who had been subjected to shaking during interrogation.

Psychological issues arising after torture

  • Anxiety and panic attacks

  • Depression and loss of interest, loss of libido

  • Substance abuse

  • Feelings of guilt, rage, anger, helplessness

  • Bouts of crying

  • Self harm

  • Suicidal thoughts or attempts

  • Loss of appetite

  • Sleep disturbances

  • Nightmares

  • Fear of meeting people or going out

  • Extreme fear for safety of family members

  • Preoccupation with death

  • Preoccupation with revenge

  • Psychosomatic – pain in parts of the body which don’t have a medical diagnosis. It is important to distinguish between chronic pain arising out of the torture itself.

  • Hallucinations

  • Bed-wetting

  • Dissociation or detachment

  • Extreme religiousity

  • Rejection of religion

  • Adjustment issues

  • Inability to concentrate

  • Sweating

  • Palpitations

  • Compulsive behaviour

  • Emotional blunting

  • Unresponsive to activities around

  • Hyperarousal

  • Violence

  • Flashbacks

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