Methods of torture of State terrorism in Uruguay and medical legal assessment of its abililty to cause severe o very severe lesions

  • Hugo Rodríguez Almada Universidad de la República, Facultad de Medicina, Departamento de Medicina Legal y Ciencias Forenses http://orcid.org/0000-0002-7330-6508
  • Frances Borches Duhalde Universidad de la República, Facultad de Medicina, Departamento de Medicina Legal y Ciencias Forenses
  • Natalia Bazán Universidad de la República, Facultad de Medicina, Departamento de Medicina Legal y Ciencias Forenses
  • Sylvia Gamero Universidad de la República, Facultad de Medicina, Departamento de Medicina Legal y Ciencias Forenses
  • Fernanda Lozano Universidad de la República, Facultad de Medicina, Departamento de Medicina Legal y Ciencias Forenses
  • Rafael Roó Universidad de la República, Facultad de Medicina, Departamento de Medicina Legal y Ciencias Forenses
Keywords: TORTURE, HUMAN RIGHTS ABUSES, FORENSIC MEDICINE, URUGUAY

Abstract

Among other missions, Legal Medicine aims to diagnose torture, as a means of contributing to judicial investigations and repair victims. In Uruguay, several administrative and criminal procedures are developed in connection to the times of state terrorism (between June 27, 1973 and February 28, 1985). Despite torture being an indescribable crime against humanity, it was typified in Act 18,026 of September 26, 2006. National jurisprudence has dismissed its classification in the cases that occurred during the times of state terrorism, based on the non-retroactivity principle of criminal law. Simultaneously, the Prosecutor’s Office Specialized in Crimes Against Humanity has requested several reports in connection with the possibility that torture methods applied by State terrorism in Uruguay may have caused severe or very severe lesions.

General objective:

To contribute to learning about state terrorist crimes in Uruguay, thus contributing to the creation of international standards for truth, justice, memory and repair.

Specific objectives:

1. To describe the torture methods applied. 2. To determine their ability to cause severe or very severe lesions.

Method:

The study was based on national history investigations, as well as jurisprudence in the field, review of international bibliography, pathophysiology of similar situtaions and current national consensus on fact assumptions included in the criminal classification of severe and very severe lesions.

Results:

The times of state terrorism in Uruguay have been characterized by the application of large scale torture in a systematic way. The most frequently used methods were hooding, restriction of water, food and rest, exposure to the cold, beating up, including “the phone”, sitting in, hanging, vaults, wet and dry submarine, electric shock baton and sexual assaults. The different methods of physical torture include psychological suffering. By means of specific mechanisms, they are all useful to cause harm that lie within several assumptions of severe and very severe harm crimes. I pregnant women, all of these methods of torture are effective to interrupt pregnancy or anticipate delivery.

Conclusions:

There is a pattern in the systematic methods of torture used by state terrorism, which included methods involving omissions, positions, trauma, and electrical shocks and, suffocating. All of them may result in one or more of the assumptions included in the severe or very severe lesions crimes. Risk of life and psychological consequences inherent to torture. In pregnant women, all the methods of torture described are effective to interrupt the pregnancy or anticipate delivery.

References

(1) Stan CA. Forensic standardizations in torture and death in custody investigations. Interv Med App Sci 2012; 4(4):210-6.

(2) Thomsen JL, Helweg-Larsen K, Rasmussen OV. Amnesty International and the forensic sciences. Am J Forensic Med Pathol 1984; 5(4):305-11.

(3) Thomsen JL, Voigt J. Forensic medicine and human rights. Forensic Sci Int 1988; 36(1-2):147-51.

(4) Thomsen JL. The role of the pathologist in human rights abuses. J Clin Pathol 2000;

(8):569-72.

(5) Saukko P, Knight B. Abuse of Human Rights: deaths in custody. En: Saukko P, Knight B, eds. Knight´s Forensic Pathology. 4th ed. Florida: CRC, 2016:299-310.

(6) ONU. Oficina del Alto Comisionado de Derechos Humanos. Manual para la investigación y documentación eficaces de la tortura y otros tratos o penas crueles, inhumanos o degradantes (Protocolo de Estambul). Ginebra: ONU, 2004.

(7) Rodríguez Almada H. Legal Medicine and Forensic Science in Uruguay. En: Ubelaker DH, ed. The Global Practice of Forensic Science. Oxford: Wiley, 2015:335-49.

(8) Naciones Unidas. Derechos Humanos. Oficina del Alto Comisionado. Convención contra la tortura y otros tratos o penas crueles, inhumanos o degradantes. Ginebra, 1984. Disponible en: www.ohchr.org/SP/ProfessionalInterest/Pages/CAT.aspx [Consulta: 14 set. 2018].

(9) Rodríguez Almada H, Olivera Negrín J, Alves A, Mederos D. Delitos contra la personalidad física: traumatismo, lesiones y violencia doméstica. En: Rodríguez Almada H, coord. Medicina Legal. Derecho Médico. Montevideo: Oficina del Libro-FEFMUR, 2017:209-24.

(10) Mederos D. Enchalecamiento: un método de suplicio y ajusticiamiento de la época colonial. Reseña histórica y consideraciones médico-legales. Rev Méd Urug 2007;

:203-6.

(11) Rico A, coord. Investigación histórica sobre dictadura y terrorismo de estado en Uruguay (1973-1985). Montevideo: UdelaR, 2008.

(12) Yarzábal L. La tortura como enfermedad endémica en América Latina: sus características en Uruguay. Nueva antropol 1985; 7 (28):75-92.

(13) Uruguay. Presidencia de la República. Informe final de la Comisión para la Paz. Uruguay, 2003. Disponible en:

www.archivo.presidencia.gub.uy/noticias/archivo/2003/abril/Informe_final.doc [Consulta: 14 set. 2018].

(14) Rico A, coord., Barrán JC, Caetano G. Investigación histórica sobre detenidos desaparecidos. Montevideo: IMPO, 2007.

(15) Observatorio Luz Ibarburu. Base de Jurisprudencia. Juzgado Letrado en lo Penal de 10º turno. Sentencia nº 34/2013. Montevideo, 29 de abril de 2013. Disponible en: https://www.observatorioluzibarburu.org/media/uploads/sent_29-04-13_homicidio_dalmao_jueza_sanchez.pdf [Consulta: 17 set. 2018].

(16) Observatorio Luz Ibarburu. Base de Jurisprudencia. Sentencia nº 36. Montevideo, 26 de marzo de 2009. Juzgado Letrado en lo Penal de 19º turno. Disponible en: https://www.observatorioluzibarburu.org/media/uploads/98_247_2006.pdf. [Consulta: 17 set. 2018].

(17) Chile. Informe de la Comisión Nacional sobre prisión política y tortura. Chile, 2004. Disponible en: http://www.derechoshumanos.net/paises/America/derechos-humanos-Chile/informes-comisiones/Informe-Comision-Valech.pdf. [Consulta: 17 set. 2018].

(18) Observatorio Luz Ibarburu. Base de Jurisprudencia. Montevideo, 6 de Febrero de 2013. Juzgado Letrado en lo Penal de 7º turno. Disponible en: http://www.observatorioluzibarburu.org/media/uploads/88972010.pdf. [Consulta: 17 set. 2018].

(19) Uruguay. Poder Judicial. Base de Jurisprudencia Nacional Pública. Tribunal de Apelaciones 2º turno. Sentencia nº 204/2010. Montevideo, 26 de junio de 2010. Disponible en:

http://bjn.poderjudicial.gub.uy/BJNPUBLICA/hojaInsumo2.seam?cid=8354 [Consulta: 17 set. 2018].

(20) Observatorio Luz Ibarburu. Base de Jurisprudencia. Juzgado Letrado en lo Penal de 7º turno. Auto de procesamiento. Montevideo, 2 de setiembre de 2015. Disponible en:

https://www.observatorioluzibarburu.org/media/uploads/Perrini_auto_procesamiento_2setiembre2015.pdf. [Consulta: 17 set. 2018].

(21) Pollanen MS. The pathology of torture. Forensic Sci Int 2018; 284:85-96.

(22) Uruguay. Poder Judicial. Base de Jurisprudencia Nacional Pública. Tribunal de Apelaciones 4º turno. Sentencia nº 405/2012, Montevideo, 15 de noviembre de 2012. Disponible en: http://bjn.poderjudicial.gub.uy/BJNPUBLICA/hojaInsumo2.seam?cid=7757 [Consulta: 17 set. 2018].

(23) Observatorio Luz Ibarburu. Base de Jurisprudencia. Juzgado Letrado en lo Penal de 4º turno. Sentencia nº 1825/2011. Montevideo, 31 de octubre de 2011. Disponible en: https://www.observatorioluzibarburu.org/causas/39. [Consulta: 17 set. 2018].

(24) Saenz M, Liñán Fuentes L, Camargo Y. Tortura. En: Téllez Rodríguez N, coord. Patología forense: un enfoque centrado en derechos humanos. t. 2 Bogotá: Universidad de Colombia, 2014.

(25) Observatorio Luz Ibarburu. Base de Jurisprudencia. Sentencia nº 157/2009. Montevideo, 21 de Octubre de 2009. Juzgado Letrado en lo Penal de 19º turno. Disponible en: http://www.observatorioluzibarburu.org/media/uploads/3.%20Alvarez_y_Larcebeau%20sent%20157%20%2021.10.2009.pdf. [Consulta: 17 set. 2018].

(26) Uruguay. Poder Judicial. Base de Jurisprudencia Nacional Pública. Tribunal de Apelaciones 3er turno. Sentencia nº 346/2011. Montevideo, 15 de noviembre de 2011. Disponible en: http://bjn.poderjudicial.gub.uy/BJNPUBLICA/hojaInsumo2.seam?cid=8306 [Consulta: 17 set. 2018].

(27) Moisander PA. Edston E. Torture and its sequel -a comparison between victims from six countries. Forensic Sci Int 2003; 137(2-3):133-40.

(28) Williams AC, Peña CR, Rice AS. Persistent pain in survivors of torture: a cohort study. J Pain Symptom Manage 2010; 40(5):715-22.

(29) Perera P. Physical methods of torture and their sequelae: a Sri Lankan perspective. J Forensic and Leg Med 2007; 14(3):146-50.

(30) Madariaga C. Trauma psicosocial, trastorno de estrés postraumático y tortura. Santiago de Chile: Cintras, 2002.

(31) Nickerson A, Garber B, Ahmed O, Asnaani A, Cheung J, Hofmann S, et al. Emotional suppression in torture survivors: relationship to posttraumatic stress symptoms and trauma-related negative affect. Psychiatry Res 2016; 242:233-9.

(32) Weisleder P, Rublee C. The neuropsychological consequences of armed conflicts and torture. Curr Neurol Neurosci Rep 2018; 18(3): 9.

(33) Miller L. PTSD and forensic psychology. Applications to civil and criminal law. Florida: Springer, 2015.

(34) DiMaio VJ, DiMaio DJ. Forensic pathology. 2th ed. Boca Raton, FL: CRC, 2001.

(35) Tejerizo-García A, Teijelo AI, Nava E, Sánchez-Sánchez MM, García-Robles RM, Leiva A, et al. Traumatismo no penetrante en la gestante. Un caso de encefalopatía hipoxicoisquémica fetal después de accidente automovilístico materno. Clin Invest Ginecol Obstet 2002; 29:13-30.

(36) Piccenna L, Shears G, O’Brien TJ. Management of post ] traumatic epilepsy: an evidence review over the last 5 years and future directions. Epilepsia Open 2017; 2(2):123-44.

(37) Vargas Sanabria M. Valoración médico legal de la hipoacusia. Med leg Costa Rica 2012; 29(1):61-78.

(38) Sánchez Ramos A, Godino Duran JA, Antonio Oliviero A. Disfunción eréctil de origen neurológico. Arch Esp Urol 2010; 63(8): 603-9.

(39) Iranzo A. Estudio del concepto y valoración médico-legal de la impotencia genital. Anales Universidad de Valencia 1969; XXXIII. (Curso 1959-60-Cuaderno II).

(40) Castelló A, Francés F, Rodríguez Almada H, Verdú P. Estudio médico legal de las asfixias mecánicas. Comares, Granada: 2011.

Published
2019-04-07
How to Cite
1.
Rodríguez Almada H, Borches Duhalde F, Bazán N, Gamero S, Lozano F, Roó R. Methods of torture of State terrorism in Uruguay and medical legal assessment of its abililty to cause severe o very severe lesions. Rev. Méd. Urug. [Internet]. 2019Apr.7 [cited 2024Dec.18];35(1):42-3. Available from: https://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/11