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Sexual abuse, electric shocks, chemical restraints in Mental Health Care, report finds

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A disclosure by New Zealand’s Royal Commission has exposed a distressing past of mistreatment within its mental health and behavioral facilities impacting 200,000 children and vulnerable individuals.

For some people it meant years or even decades of frequent abuse and neglect. For some it was a lifetime; for others, an unmarked grave,” the report stated.

This thorough investigation spanning six years with a price tag of $101 million has revealed the abuse and neglect that transpired under the pretext of mental healthcare. The revelations have reverberated globally, sparking calls of patients’ rights groups for improvements in mental health services worldwide, particularly in Europe.

Reality of sexual abuse, electric shocks, chemical restraints

The Royal Commissions publication titled “Whanaketia – Through pain and trauma from darkness to light” sheds light on a reality of sexual abuse, electric shocks, chemical restraints, medical trials and other forms of maltreatment. Survivors who have awaited recognition were finally assured by Prime Minister Christopher Luxon that “Your voices are heard and your experiences acknowledged.” The governments acknowledgment of these atrocities as torture marks a step towards justice and recovery for those affected.

reality of sexual abuse, electric shocks, chemical restraints, medical trials and other forms of maltreatment”

The Citizens Commission on Human Rights (CCHR) in New Zealand has been instrumental in advocating for survivors and documenting abuses since 1977 including instances, like the therapy administered to children at the now shuttered Lake Alice Psychiatric Hospital.

Many survivors died while under guardianship, or by suicide after receiving guardianship. For others, the effects of the abuse persist and worsen, making their daily activities and choices difficult,” the report adds. The country’s prime minister, Christopher Luxon, called it a “dark and sad day in New Zealand’s history as a society,” stating that “we should have done better, and I am determined that we will“, reports the BBC.

Survivors may receive compensation amounting to NZ$1.2 billion ( NZ$2 billion) shedding light on the magnitude of the injustice.

According to Jan Eastgate, President of CCHR International the report’s global ramifications are significant as similar abuses have been documented in the United States and other nations. We could mention Germany, France, Spain, Switzerland and others too. The inquiry’s conclusions echo those of a U.S. Senate inquiry into misconduct in behavioral institutions underscoring the pressing need for international reforms.

The revelations from New Zealand serve as a reminder of the potential for mistreatment within psychiatric healthcare systems.

Some of the New Zealand report recommendations

  • Recommendation 33: The Ministry of Justice, Te Kura Kaiwhakawā Institute of Judicial Studies, NZ Police, the Crown Law Office, the New Zealand Law Society and other relevant legal professional bodies should ensure that investigators, prosecutors, lawyers, and judges receive education and training from relevant subject matter experts on:

a. the Inquiry’s findings, including on the nature and extent of abuse and neglect in care, the pathway from care to custody, and the particular impacts on survivors of abuse and neglect experienced in care

b. trauma-informed investigative and prosecution processes

c. all forms of discrimination

d. engaging with neurodivergent people …

e. human rights concepts, including the obligations under the Convention on the Rights of Persons with Disabilities, the Convention on the Rights of the Child, the Convention on the Elimination of All Forms of Discrimination against Women, the Convention on the Elimination of All Forms of Racial Discrimination, and the United Nations Declaration on the Rights of Indigenous Peoples. (page 123)

  • Recommendation 34: NZ Police should review the Police Manual and other relevant material to ensure instructions and guidelines reflect and refer to Aotearoa New Zealand’s international human rights obligations and other relevant international law obligations (including the Convention on the Rights of Persons with Disabilities, the Convention on the Rights of the Child, the Convention on the Elimination of All Forms of Discrimination against Women, the Convention on the Elimination of All Forms of Racial Discrimination, and the United Nations Declaration on the Rights of Indigenous Peoples) (page 124)
  • Recommendation 35: NZ Police should establish a specialist unit dedicated to investigating and prosecuting those responsible for historical or current abuse and neglect in care. (page 125)

Deaths and Unmarked Graves

  • The Inquiry has not only received evidence of people dying in care but also of people in care being buried in unmarked graves. (Point 93, page 45) In 2014, a local historian identified 172 unmarked graves at Waitati Cemetery, Otago. About 85% of these graves are from former institutions such as Cherry Farm (psychiatric hospital) and Seacliff. The historian noted that the last burial was in 1983. (Point 98, page 45)
  • The inquiry found Evidence of unmarked graves for patients who died at some psychiatric hospitals across Aotearoa New Zealand, particularly at Porirua, Tokanui and Sunnyside Hospitals. (Point 77c, page 54)

So, what do we do in Europe?

While Europe is a “contintent of fundamental rights”, we must not forget that many of the abuses (usually and wrongfully called treatments) that we read today in the inquiry started in the very Europe, specifically experimenting in Germany by psychiatrists in favour of Nazi politicians). It would then be logical to underscore the necessity for Europe to scrutinize its mental health practices and ensure that human rights remain paramount in care provision. This is where the World Health Organizations (WHO) QualityRights campaign comes into play.

The QualityRights initiative aims to enhance care quality and human rights standards, in health and social care facilities worldwide. It endeavors to revolutionize health services by advocating for practices that uphold human rights and enhance mental healthcare quality.

Europe with its healthcare systems and cultural contexts finds itself at a crucial juncture.
The lessons learned from the inquiry in New Zealand (and from the times of the Nazis) should inspire countries to embrace and put into action the WHO’s QualityRights guidelines. Here are some important steps that Europe can consider:

  • Upholding Human Rights: It is vital for European nations to ensure that mental health services uphold and defend the rights of individuals dealing with health issues. This involves preventing any form of treatment and ensuring that care is given with dignity and respect.
  • Empowerment and Advocacy: Empowering individuals with mental health challenges along with their families and communities is essential. By encouraging advocacy efforts and providing platforms for voices to be heard Europe can bring about changes in mental health care systems.
  • Policy and Legal Frameworks: European countries should establish and enforce policies and laws that adhere to international human rights standards. This includes setting up mechanisms for accountability and addressing cases of abuse.
  • Building Capacity: Offering training programs and resources to enhance the knowledge and skills of health professionals, service users and advocacy groups is crucial. This will ensure that care is provided in a way that respects human rights principles.
  • Enhancing Services: Priority should be given to improving the quality of health services while being responsive to the needs and preferences of users. This involves transitioning from institutionalized care, to community based services that help individuals integrate into society.
  • Community Centered Solutions: Embracing care models rooted in communities can help break down the settings that have long perpetuated abuse. By offering support in environments individuals can experience healthier and more rewarding lives.

Spanish Supreme Court Rules that exposing abuses is of general interest and much needed debate

In a verdict Spain’s Supreme Court upheld the value of educational initiatives led by the Citizens Commission on Human Rights (CCHR) acknowledging their crucial role in raising awareness about abuses in psychiatric practices. This decision highlights the importance of advocacy and education in bringing about change and safeguarding rights within mental health services.

The court’s ruling serves as a reminder of the impact that informed and empowered communities can make in challenging systemic mistreatment. By backing efforts that educate the public and prioritize transparency European countries can cultivate spaces where mental health treatment is not only ethical but also effective.

An alarm for urgent action

The recent inquiry in New Zealand has shed light on aspects of psychiatric care exposing harmful practices that should never be repeated. As Europe contemplates these revelations the WHO’s Quality Rights campaign provides a blueprint for improvement. By embracing these standards and drawing lessons from Spain‘s dedication to education and advocacy European nations can ensure that mental health services are not just efficient but uphold human rights principles and dignity.

By drawing insights, from New Zealand’s history and adopting the Quality Rights framework Europe has the potential to pave the path towards establishing a health care system that genuinely upholds and safeguards the rights of every individual, while eradicating at once all the existing abuses without hesitation.

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Female circumcision in Russia – exists and is not punished

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Every year, millions of women and girls in the world are subjected to the procedure “female circumcision.” In the process of this dangerous practice, women have part or all of their external genitalia removed. Among the victims are also residents of the North Caucasian republics of Russia, and the Russian authorities do not punish the execution of the violent procedure.

How this violent religious-ritual tradition exists in modern Russia, do the authorities and the clergy try to fight it – reveals the Russian publication of Verstka.

What is “female circumcision”

Female circumcision is a procedure that is accompanied by either trauma or partial or complete amputation of the external genitalia. As a result of the procedure, sensitivity is reduced and the woman may lose the ability to have an orgasm.

Not for medical reasons

The procedure is not performed for medical reasons, but for ritual or religious reasons to suppress female sexuality. That is why in the international medical community this term is not used, but is called “female genital mutilation operations”. International law considers them an attack on the health of women and girls, a form of violence and discrimination.

Victims

Victims of female circumcision are girls up to the age of 15. According to data from the World Health Organization (WHO), in 2024, more than 230 million women in the world suffered from such operations. They are mostly carried out in African, Asian, Latin American and Middle Eastern countries. But there are also victims of female circumcision in Russia among the residents of the North Caucasian republics – Dagestan, Ingushetia and Chechnya.

Injuries

The procedure has serious negative consequences for women’s health – from serious injuries to death due to blood loss. In addition to physical trauma and the shock of pain, female circumcision disrupts the natural functioning of the body. Women and girls may suffer from infections, their genitourinary system may be damaged, they may experience pain during sexual intercourse, menstrual disorders may occur, and the risk of complications during childbirth and death of the mother and the newborn increases by 50%.

Why do they do it?

The “necessity” of such operations is justified by honoring traditions or religious motives. In some cultures, it is part of the rite of female initiation or entry into adult life. Female circumcision is often associated with Islam, including in the Russian Federation.

Prevents lust

In the words of Dagestan journalist Zakir Magomedov, “in the local religious press, which is issued by the official clergy, articles are published in which it is written that female circumcision has a beneficial effect on a woman and protects her from lustful thoughts and desires, and is even beneficial for a woman.”

Female circumcision is performed by people without medical training, and old pocket knives or cattle shears are used as tools.

Control over female sexuality

In almost all cases, the purpose of the procedure is defined as control over female sexuality: “not to be hoika”, “not to freak out”. The official clergy of Dagestan include female circumcision in religious duties, although it is not mentioned in the Koran. Some Muslims, in addition to the Koran, are also guided by the Sunnah – traditions from the life of the Prophet Muhammad and statements of authoritative religious figures. Therefore, in some cases, female circumcision among Muslims can be interpreted as permissible, desirable and even mandatory.

Officially, the Russian authorities are against it

“All women should be circumcised so that there is no debauchery on Earth, to reduce sexuality”, this is how the head of the Coordination Council of Muslims of the North Caucasus, Ismail Berdiev, reacted to the revelations of the “Legal Initiative” organization in 2016, which confirmed the existence of practice. Later, Berdiev clarified that “he did not call for female circumcision”, but only spoke about the “problem of debauchery”, with which “something must be done”.

The Russian Ministry of Health condemns the procedure, and the prosecutor’s office of Dagestan conducts an investigation and finds no confirmation of the facts presented in the report of “Legal Initiative.”

The deputy of the State Duma from “United Russia” Maria Maksakova-Igenbergs proposes to introduce the concept of “women’s discrimination on religious grounds” into the Penal Code, and that the punishment for “female circumcision” be 10 years in prison. The Ministry of Justice of Russia does not support Maksakova’s initiative, clarifying that the procedure falls under the Criminal Code of the Russian Federation, and more precisely under the paragraphs on “deliberately causing severe, medium and light harm to health, as well as causing harm to carelessness.”

North Caucasus

According to the “Legal Initiative” organization, in the middle of the last decade in Dagestan, at least 1,240 girls were subjected to the procedure annually. The majority of the men surveyed were categorically against the ban on female circumcision, explaining their motive not only with Islam, but also with local traditions and the desire to control the morality of women. Part of the respondents expressed an opinion against the procedure, arguing that the lack of sensitivity in women lowers the quality of sex in men as well.

And in Moscow

In 2018 one of the Moscow medical clinics announces the service of “female circumcision” for ritual and religious reasons for girls from 5 to 12 years old. On the clinic’s website, it was noted that “the operation should be performed not at home, but in a medical clinic.” After a wide public response, the clinic removed the information from its website, but an investigation was carried out, which found the existence of the procedure and other violations. A warning has been issued and the clinic is still open!

First conviction without penalty

Despite the fact that in its second report the organization “Legal Initiative” notes the disappearance of the practice in Chechnya and Ingushetia, the inhabitants of these regions remain in danger. In the spring of 2020, the father of a 9-year-old girl invited him to Magas (the capital of Ingushetia) for a visit and took him to a vaccine clinic. There, female circumcision was forcibly performed on the child. The value of the “service” is 2000 rubles. The little girl, in her bloodstained dress, was then put on a bus back to Chechnya, where she was hospitalized for severe blood loss. The father explains his motive as follows: “So that he doesn’t get excited.”

A criminal case has been opened against the gynecologist who performed the circumcision for intentionally causing minor harm to health. The case has been going on for a year and a half. The judge called on the parties to reconcile, adding that “the girl cannot be helped anyway”. In the end, the doctor was found guilty and fined 30,000 rubles, but was released from serving the sentence due to the statute of limitations. No criminal proceedings have been initiated against the clinic.

In the same year, the mufti of Dagestan issued a fatwa and recognized the removal of the external genitalia as forbidden in Islam, but clarified that “female circumcision” meant only hudectomy — the removal of the foreskin of the clitoris. This is also a crippling procedure, human rights defenders insist.

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Four executed for producing illegal alcohol in Iran

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Iranian authorities have executed end of October four people convicted of selling illegal alcohol, which poisoned and killed 17 people last year. More than 190 people who consumed the dangerous drink were hospitalized.

The death sentence against the accused in the case was carried out in the Karaj Central Jail.

According to human rights organizations including Amnesty International, Iran carries out the highest number of executions per year after China.

After the Islamic Revolution in 1979, Tehran banned the production and consumption of alcoholic beverages. Since then, the sale of illegal alcohol on the black market has flourished, leading to mass poisonings. The latest case, reported by Iranian media, has killed around 40 people in northern Iran in recent months.

Only Iran’s recognized Christian minorities, such as the country’s Armenian community, are allowed to produce and consume alcohol, but discreetly and only at home.

Illustrative Photo by Amanda Brady: https://www.pexels.com/photo/elegant-champagne-coupes-in-sunlit-setting-29157921/

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What is food neophobia – the fear of trying new dishes

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Everyone has heard of anorexia and bulimia. But these eating disorders are far from the only ones.

There are people around the world who can only eat certain colored foods. Still others are addicted to water. About 5% of women between the ages of 15 and 35 are affected by some type of eating disorder. Among them are those with neophobia – the inability to try a new type of food. This problem sometimes also affects young children. For them, experts advise parents not to force them, but to explain to them the benefits of a given product. It is also an option to put them on the table in the company of other children who will set a good example.

Neophobia usually disappears around the age of 6. For some people, however, it remains a problem for much longer.

A possible explanation for this condition could be something happening in the person’s life – like choking on food, for example. As a result, a person may begin to avoid a certain type of food and thus give his phobia a “field of expression”.

The reasons for neophobia may lie not only in the psyche, but also in physical features. This disorder is genetically transmitted.

Illustrative Photo by Chan Walrus: https://www.pexels.com/photo/white-and-brown-cooked-dish-on-white-ceramic-bowls-958545/

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