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    351

    DOES WATERBOARDING CONSTITUTETORTURE?

    GEORGINA DRUCE*

    Waterboarding was one of the most controversial interrogation techniques used by the

    U.S. Government during the war on terror. At the core of the controversy is whether its

    use amounts to torture. This article attempts to provide a purely legal analysis of an

    extremely ethical and emotive subject by focusing attention on investigating the legal

    definitional components of torture as incorporated under US law and interpreted under

    international case law to determine whether waterboarding rises to the level of torture.

    In particular, consideration focuses on the two most uncertain elements of the torture

    definition: the level of physical or mental pain required for an interrogation technique

    to amount to torture and the nature of the intention of the interrogator to cause the

    aforementioned pain and suffering.

    I. INTRODUCTION ...................................................................................... 351II. A LEGAL DEFINITION OF TORTURE....................................................... 354III. SEVERITY ............................................................................................ 356

    A. The Effects of Waterboarding .................................................. 358IV. SEVERE MENTAL PAIN OR SUFFERING ............................................... 360

    A. Prolonged Mental Harm ........................................................... 360B. Predicate Act............................................................................. 362

    V. INTENTION............................................................................................ 363VI. CONCLUSION....................................................................................... 366

    I. INTRODUCTION

    On November 18th, 2005, ABC reported that top intelligence officials

    had authorized six enhanced interrogation techniques that had allegedly

    led to questionable confessions from al-Qaeda leaders in secret prisons.1

    One of the techniques was waterboarding described by the report as:

    The prisoner is bound to an inclined board, feet raised and head

    slightly below the feet. Cellophane is wrapped over the prisoner's face and

    * Georgina Druce received a BA in Philosophy from Durham University, England and went on to

    study Law at BPP in London. After graduating from Georgetown University Law Center with an

    LL.M. in International Law and National Security Law, Georgina interned at the Brookings

    Institution, National Nuclear Security Administration and for Senator Biden before returning toLondon to work for Jones Day.1 Brian Ross and Richard Esposito, CIAs Harsh Interrogation Techniques Described, ABC

    News, Nov. 18, 2005, http://abcnews.go.com/WNT/Investigation/story?id=1322866 (last visited

    Dec. 10, 2007).

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    352 THE DARTMOUTH LAW JOURNAL Vol. VI:3

    water is poured over him. Unavoidably, the gag reflex kicks in and a

    terrifying fear of drowning leads to almost instant pleas to bring the

    treatment to a halt.23

    The report generated debate over whether the U.S. governmentsalleged use of waterboarding was constitutional in light of numerous global

    prohibitions on torture.4 The debate reached a climax during the Senate

    Confirmation Hearings of Judge Michael Mukasey, the new U.S. Attorney

    General. While Judge Mukasey acknowledged that torture ran contrary to

    law and the U.S. Constitution5, when asked whether waterboarding was

    constitutional he responded; if it amounts to torture, it is not

    constitutional.6 His blatantly ambiguous response led to public outrage

    best shown by Senator Sheldons response; I am very disappointed in that

    answer. I think it is purely semantic.7

    Whereas, the debate over whether waterboarding amounts to torture

    may be new, the practice is not. Reports describe its use in the Khmer

    Rouges Tuol Sleng torture chambers,8 by the Japanese officer YukioAsano in World War II in 1947,9 as well as Sadao Araki and other Japanese

    officers charged with war crimes before the International Military Tribunal

    for the Far East in November 194810. It was even the subject of two trials

    in Mississippi in 1922 and 1926, where the defendants murder convictions

    were overturned on the basis that their confessions had been extracted by

    2 Id.3 Walter Pincus, Waterboarding Historically Controversial, THE WASHINGTON POST, Oct.

    5, 2005, at A17, available athttp://www.washingtonpost.com/wp-

    dyn/content/article/2006/10/04/AR2006100402005.html (last viewed Dec. 10, 2007). For the

    purpose of this paper, consideration will be limited to the method described as touchless

    torture, since the author considers it more ambiguous for the purpose of whether waterboarding

    amounts to torture. The techniques involving application of physical pressure, such as forcingwater into the victims stomach are considered to more easily reach the level of physical pain or

    suffering since actual pain is likely experienced.4 Torture is expressly prohibited under the Universal Declaration of Human Rights (1948),

    art. 5; the International Covenant on Civil and Political Right (1992), art. 7 and the Geneva

    Convention (III) Relative to the Treatment of Prisoners of War (1949), art. 3(1)(a) to name but a

    few.5 Letter from Michael Mukasey, U.S. Attorney General, to Members of the Senate Judiciary

    Committee (Oct. 30, 2007) ), available at

    http://online.wsj.com/public/resources/documents/mukasey20071030.pdf (last visited December

    10, 2007).6 Senate Judiciary Committee Hearing for Nomination of Attorney General, Day Two Tr.

    (Oct. 18, 2007), available athttp://www.washingtonpost.com/wp-

    srv/politics/documents/transcript_mukasey_hearing_day_two_101807.html.7 Id.8

    Dana Milbank,Logic Tortured, THE WASHINGTON POST, Nov. 2, 2007, at A2, available athttp://www.washingtonpost.com/wp-dyn/content/article/2007/11/01/AR2007110102342.html

    (last viewed Dec. 10, 2007).9 See Pincus, supra note 310 Howard S. Levie, Documents on Prisoners of War, in 60 INTERNATIONAL LAW STUDIES

    (US Naval War College 1979

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    Fall 2008 DOES WATERBOARDING CONSTITUTE TORTURE? 353

    the cure.11 Despite the aforementioned cases appearing to support the

    proposition that waterboarding could amount to torture and any debate over

    this proposition rendered purely semantic, on closer inspection, the label of

    torture should not be applied so hastily.Some have criticized the purpose of this paper, arguing that Judge

    Mukaseys testimony and legal investigations - such as the Bybee

    memorandum12 - are irrelevant exercises and that this papers methodology

    continues in a similar vein. These critics claim no investigation should be

    made that waterboarding is clearly torture. And any such investigation

    is simply a legally semantic game, attempting to define-away torture. This

    criticism is hereby rejected. Those who approach the question of whether

    waterboarding amounts to torture with simple clarity tend to provide a

    moral reflex position as opposed to a deep legal analysis of the extremely

    emotive somewhat ethical quagmire of torture. A deep consideration of the

    legal framework of torture demonstrates that what amounts to torture is

    anything but clear, especially since there is no universal consensus on thedefinitional components of torture, let alone an actual definition.

    The ambiguous nature of the definition of torture is merely

    emphasized by the clear legal distinction made between torture and

    cruel, inhuman or degrading treatment or punishment.13 This distinction

    emphasizes the need to apply any interrogation technique to a legal

    framework to determine whether it amounts to torture or potentially the

    lower standard of cruel, inhuman or degrading treatment or punishment.14

    Hence, the rejection of the position that legal analysis of the definitional

    requirements of torture is irrelevant.

    Additionally, one function of the law is to generate a legal framework

    within which actions may be placed to determine their legal status.

    Inherent in such a framework is the process of defining the terms of the

    11 White v. State, 91 So. 903, 904 (Miss. 1922); Fisher v. State, 110 So. 361, 362 (Miss.

    1926).12 Memorandum from Jay S. Bybee, Assistant U.S. Attorney General, to Alberto R. Gonzales,

    Counsel to the U.S. President (Aug. 1, 2002), available at

    http://www.gwu.edu/~nsarchiv/NSAEBB/NSAEBB127/02.08.01.pdf (hereinafter referred to as

    the Bybee memo). The memorandum was a controversial attempt by John Yoo in the Office of

    Legal Counsel under President Bush to define torture. It was later superceded by a later OLC

    memorandum and is widely criticized.13 United Nations Convention Against Torture and Other Cruel, Inhuman or Degrading

    Treatment or Punishment, Jun. 26, 1987, S. Treaty Doc. No. 100-20, 1465 U.N.T.S. 112. The

    distinction can be seen in the UN Convention Against Torture and Other Cruel, Inhuman or

    Degrading Treatment or Punishment in the title and fact that torture and cruel, inhuman ordegrading treatment or punishment are considered in separate provisions of the Convention;

    articles 1-15 deal with torture only, and the latter considered separately in article 16.14 That cruel, inhuman or degrading treatment or punishment is a lower standard that torture

    is established inIreland v. United Kingdom, Series A, No. 25, 2 EHRR 25 (1979-1980), at para

    167.

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    354 THE DARTMOUTH LAW JOURNAL Vol. VI:3

    framework and the subsequent interpretation of those definitions.

    Proponents of the criticism (that this investigation of whether

    waterboarding amounts to torture is irrelevant and merely an attempt to

    define away torture), fail to appreciate the distinction between interpretingthe law as legalizing torture (a jus cogens prohibition)15 and interpreting the

    law to establish whether an action amounts to torture or cruel, inhuman or

    degrading treatment or punishment.

    The modern framework of torture has evolved drastically since the

    end of World War II. While efforts to reach a universally accepted

    definition of torture have yet to reach fruition, the UN Convention Against

    Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment

    (hereinafter CAT)16 has been widely ratified. Because of this, the common

    law conception of torture and domestic law prohibitions existing at the time

    of the aforementioned cases are different from the modern day conception

    that has been legislatively codified. Prior to the UN Declaration Against

    Torture (1948), there had been no international instrument that attempted todefine it.17 Thus, any historical precedent provides little guidance for

    interpreting what actions amount to torture by the modern day conception

    of the term.

    There is little doubt that waterboarding is morally wrong and may

    constitute cruel, and degrading treatment; Judge Mukasey himself referred

    to the technique as on a personal basis, repugnant.18 The purpose of this

    paper, however, is to establish whether waterboarding constitutes torture;

    not within modern conceptions of morality, but within the confines of the

    law.

    II. A LEGAL DEFINITION OF TORTURE

    Historically, there have been differing global conceptions on the

    precise definition of torture. Given my goal to analyze waterboarding in

    light of current standards, a presumption shall be made in favor of the CAT

    definition as it constitutes the most widely accepted definition.19

    15 Yoram Dinstein, TheRight to Life, Physical Integrity, and Liberty, in THE INTERNATIONAL

    BILL OF RIGHTS: THE COVENANT ON CIVIL AND POLITICAL RIGHTS 122 (Louis Henkin ed.,

    Columbia University Press 1981). (Yoram Dinstein describes the probation against torture as an

    integral part of customary international law, and it may have even acquired the lineament of a

    peremptory norm of general international law, i.e. jus cogens).16 Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or

    Punishment, Dec. 10, 1984, 1465 U.N.T.S. 85 [hereinafter CAT]; S. Treaty Doc. No. 100-20(1988).

    17 BERKELEY STUDIES IN INTERNATIONAL LAW AND ORGANIZATION,IMPLEMENTATION OF

    THE TORTURE CONVENTION INTOUNITED STATES LAW AND PRACTICE, 8 (1990).18 See Letter from Michael Mukasey, supra note 5.19 As of Oct. 2, 2007 there were 74 signatories and 145 parties to CAT.

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    Fall 2008 DOES WATERBOARDING CONSTITUTE TORTURE? 355

    According to the CAT:

    Torture means any act by which severe pain or suffering, whether

    physical or mental, is intentionally inflicted on a person for such purposes

    as obtaining from him or a third person information or a confession, orintimidating or coercing him or a third person, or for any reason based on

    discrimination of any kind, when such pain or suffering is inflicted by or at

    the instigation of or with the consent or acquiescence of a public official or

    other person acting in an official capacity. It does not include pain or

    suffering arising only from, inherent in or incidental to lawful sanctions.20

    The definition may be condensed into 4 elements; (a) severe physical

    or mental pain, (b) intentional administration for a purpose such as gaining

    information or intimidation, (c) under state authority, and (d) not in

    connection with lawful sanctions. For the purposes of this paper,

    consideration of (c) and (d) appears futile, since the context in which

    waterboarding arises in relation to the current debate is under official

    governmental authorization21 and as an interrogation technique (thus not asa lawful sanction). It will be assumed that waterboarding satisfies (c) and

    (d). Consideration will instead focus on the elements of severity and

    intention.

    Severity and intention are crucial components of most proposed

    torture definitions. The European Commission determined that torture has

    a purpose22 (inherent to purpose is an intention to attain that purpose)

    and is an aggravated form of inhuman treatment23 (implying severity).

    The International Criminal Tribunal of Yugoslavia Appeals Chamber

    described elements of torture in armed conflict being the infliction, by the

    intentional act or omission, of severe pain or suffering.24 Furthermore, the

    U.S. legislation implementing the CAT [8 C.F.R. 208.18(A)(5)] describes,

    an act specifically intended to inflict severe physical or mental pain or

    suffering.25

    One final distinction must be acknowledged. Due to the absence of a

    universally accepted definition of torture and ambiguity surrounding some

    of the terms of the CAT, conceptions of precisely what the CAT prohibits

    may deviate from state to state, depending on state interpretations. Since

    the greatest amount of controversy on the issue is in the United States, this

    paper will consider whether waterboarding constitutes torture under the

    20 See CAT, supra note 16, at art. 1(1); S. Treaty Doc. No. 100-20 (1988).21 See Brian Ross & Richard Esposito, supra note 1.22

    J.HERMAN BURGERS &HANS DANELIUS,THE UNITED NATIONS TORTURE CONVENTIONAGAINST TORTURE:AHANDBOOK ON THECONVENTION AGAINSTTORTURE AND OTHER CRUEL,

    INHUMAN, OR DEGRADING TREATMENT OR PUNISHMENT 115 (1988).23 Id.24 Prosecutor v.Anto Furundzija, Case No. IT-95-17/1-T, Judgement, (Dec. 10 1998).25 8 C.F.R. 208.18(a)(5) (2008).

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    United States interpretation.26

    The United States made its interpretation clear by including a

    declaration and understanding to the CAT during the advice and consent

    procedure in the Senate, both of which were ultimately interpreted by theU.N. as constituting reservations.27 The significance of the label

    reservation is that a reservation alters the effect of the treaty in so far as

    it may apply to the relations of the state with the other states. 28 Provided

    no state objects to the reservation, the interpretation as provided for in the

    reservation binds that state in its international affairs. Thus, as the

    understanding interpreted the definition of torture,29 and no state

    objected,30 said interpretation of torture is what binds the United States in

    their international affairs, and as such is the interpretation that will govern

    this discussion of waterboarding.

    III. SEVERITY

    As a concept, severity is nearly impossible to define and quantify in

    a categorical manner. A legal definition is elusive under both the CAT and

    8 C.F.R. 208.18, thus leading to interpretations of its ordinary or natural

    meaning.31 Such interpretations have generated certain elements deemed

    indicative of severity.

    The most common definition of severe is [g]rievous, extreme and

    hard to sustain or endure.32 The idea of an extreme action is compatible

    with the interpretation of the Senate Foreign Relations Committee in their

    report recommending ratification of the CAT. They described torture as an

    extreme practice which is universally condemned.33 The element of

    26 However, since the interpretation concerns an international treaty, case law and

    interpretations of the international community will be considered in order to provide a conclusive

    position of how the elements of the US interpretation of torture may be considered in the

    international arena.27 See CAT, supra note 16.28 Power Auth. of N.Y. v. Fed.. Power Commn., 247 F.2d 538, 541 (D.C. Cir. 1957).29 The elements of this interpretation will be considered when they arise in the following

    analysis.30 There was no direct objection to the reservation. Germany made an objection however this

    was not in relation to the definition of torture, but concerned other elements of the United States

    reservations. The Netherlands noted that the US definition appears to restrict the scope of the

    definition of torture under article I of the Convention. However, it followed that this had no

    impact on the obligations of the United States of America under the Convention. Therefore,

    presumably, this does not amount to an objection. See CAT, supra note 16.31

    FDIC v. Meyer, 510 U.S. 471, 476 (1994).32 Of pain, suffering, loss, or the like: Grievous, extreme and Of events or

    circumstanceshard to sustain or endure see Oxford English Dictionary Online (1989),

    http://dictionary.oed.com/cgi/entry/50221106?single=1&query_type=word&queryword=severe&

    first=1&max_to_show=10 (last visited Dec. 10, 2007).33 S.EXEC.REP. No. 101-30, at 13-14 (1990).

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    extremity manifests itself in further elements of torture. It implies that

    torture occurs in limited circumstances34 and acts as the gravest form of

    cruel, inhuman or degrading treatment or punishment.35 The latter is

    supported by the European Court of Human Rights which held that 5interrogation techniques did not occasion suffering of the particular

    intensity and cruelty implied by the word torture.36

    Analysis of international caselaw indicates that the clearest forms of

    extreme actions amounting to torture occur when various actions are

    amalgamated and administered over a prolonged period of time. The

    Human Rights Commission found torture when the victim experienced

    submarino,37 electric shocks, insertion of rifles into his anus and

    prolonged standing, and being hooded with a piece of wood thrust into his

    mouth.38 In Estrella v. Uruguay (1980)39 the victim suffered electric

    shocks, beatings with rubber truncheons, punches and kicks, hanging with

    arms tied behind his back, submersion into water until near asphyxiation

    and standing with legs apart and arms raised for more than 20 hours. InSendic v. Uruguay (1979),40 the victim suffered plantnes,41 food

    deprivation and beatings over three months. In both cases, torture was

    found to have occurred.

    The key elements in these cases are the prolonged length of time the

    individual was subjected to the actions and the administration of multiple

    techniques. This interpretation is consistent with the ruling in Price v.

    Socialist Peoples Libyan Arab Jamahiriya: absent descriptions by the

    victim of the duration, frequency, parts of body affected and weapons used

    in the beatings, the beatings would not constitute torture.42

    This is not to say, however, that a lone incident cannot constitute

    torture. The European Court of Human Rights (ECtHR) has held that an

    34 David P. Stewart, The Torture Convention and the Reception of International Criminal

    Law Within the United States, 15 NOVA L.REV. 449, 455 (1991).35 See CAT, supra note 16, at art. 16.; S. Treaty Doc. No. 100-20 (1988) (acts of cruel,

    inhuman or degrading treatment or punishment which do not amount to torture as defined in

    article 1).36 See Ireland v.. United Kingdom, supra note 14. These interrogation techniques constituted,

    hooding, wall-standing, subjection to white noise, deprivation of sleep and deprivation of food

    and water.37 Placing the detainees head in foul water.38 Grille Motta v. Uruguay (11/1977), Report of the Human Rights Committee, GAOR, 35 th

    Session, Supplement No. 40 (1980), Annex XI, para. 2.39 Estrella v. Uruguay (74/1980), Report of the Human Rights Committee, GAOR, 38th

    Session, Supplement No. 40 (1983), Annex XII, para. 1.6.40 Sendic v. Uruguay (63/1979), Report of the Human Rights Committee, GAOR, 37th

    Session, Supplement No. 40 (1982), Annex VIII, para. 2.4.41 The practice of plantones involves forcing prisoners to remain standing for long periods of

    time.42 Price v. Socialist People's Libyan Arab Jamahiriya, 294 F.3d 82, 93 (D.C. Cir. 2002).

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    especially cruel act of rape43 and exercise of Palestinian hanging44

    constitute specific forms of torture on their own. While courts are

    generally not inclined to classify individual acts, these cases seem to dictate

    that if the act involves the infliction of pain and suffering at a level thatputs it into the category of torture,45 it alone can constitute torture.

    Therefore, for waterboarding to reach the level of torture, it must

    either occur over a prolonged period of time and in amalgamation with

    other acts inflicting pain and suffering, or be of such a level of pain and

    suffering in itself that it alone qualifies it as torture.

    In determining the level of intensity required for waterboarding to

    amount to torture, the district court held in Price v. Socialist Peoples

    Libyan Arab Jamahiriya that [t]he critical issue is the degree of pain and

    suffering that the alleged torturer intended to, and actually did, inflict upon

    the victim. The more intense, lasting, or heinous the agony, the more likely

    it is to be torture.46

    When an action involves infliction of physical pain or suffering, thesuffering may be more easily quantified and ascertainable by reference to

    the injuries inflicted and any long-term damage caused. It has been

    suggested that if treatment results in death, there is clear evidence of

    torture.47 However, mental pain and suffering add another level of

    complexity and ambiguity. Often such injuries do not physically manifest

    themselves and as a result are more difficult to analyze.

    For this reason, consideration of waterboarding is limited to not

    physical, but rather mental damage. Mental pain is more ambiguous and

    will be experienced during both physical and touchless waterboarding.

    Thus, if it can be established that the mental pain alone is sufficiently

    extreme so as to render waterboarding torture, it will follow that physical

    forms of waterboarding clearly amount to torture.

    A. The Effects of Waterboarding

    The psychological effect of waterboarding had been described by Dr.

    Allen S. Keller during congressional testimony as mock drowning

    producing:

    [A] terrifying fear of drowning clearly can result in immediate and

    long-term health consequences. As the prisoner gags and chokes, the terror

    43 Aydin v. Turkey, App. No. 23178/94 75 ECHR, 86 (1997).44

    Aksoy v. Turkey, App. No. 21987/93 68 ECHR, 64 (1996). Palestinian Hanging involvestying a prisoners hands behind their back and then suspending the prisoner in the air.

    45 NIGEL S.RODLEY,THE TREATMENT OF PRISONERS UNDER INTERNATIONAL LAW 89 (2d

    ed. 2002).46 SeePrice, supra note 42, at 92-93.47 See RODLEY,supra note 45, at 87.

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    of imminent death is pervasive, with all of the physiologic and

    psychological responses expected, including an intense stress response,

    manifested by tachycardia, rapid heart beat and gasping for breath. There is

    a real risk of death from actually drowning or suffering a heart attack ordamage to the lungs from inhalation of water. Long term effects include

    panic attacks, depression and PTSD.48

    Dr. Keller also described how one patient years later still felt as if he

    was gasping for air whenever he showered or went out in the rain.49

    Major General Jack Rives described waterboarding as intended to cause

    severe mental suffering involving a threat of imminent death by

    asphyxiation. 50

    Additionally, a report compiled by Physicians for Human Rights and

    Human Rights First described waterboarding as significant psychological

    harmvirtually identical to the significance of the harm cause by physical

    abuse.51 It described the potential forms that mental harm could take:

    PTSD manifested in prolonged, recurring flashbacks and nightmares;significant impairment and instability in life functions; suicidal ideation;

    and, weakened physical health, depression manifested in self-destructive

    and suicidal thoughts and behavior, and psychosis in the form of

    delusions, bizarre ideations and behaviors, perceptual distortions, and

    paranoia.52

    In determining whether such consequences are of sufficient extremity,

    Estrella v. Uruguay should be considered. Mr. Estrella experienced a

    mock amputation with an electric saw53 of his hands from which he

    suffered a loss of sensitivity in both arms and hands for eleven months,

    [and] discomfort that still persists in the right thumb. 54 The Human

    Rights Committee held that this amounted to psychological torture. If

    temporary loss of sensitivity and discomfort constitutes the requisite

    48 U.S. Interrogation Policy and Executive Order 13440: Hearing Before the S. Select Com.

    on Intelligence, Statement of Allen S. Keller, Director, Bellevue/NYU Program for Survivors of

    Torture, 6 (Sept. 25, 2007) available at

    http://physiciansforhumanrights.org/library/documents/testimony/allen-keller-testimony-to.pdf

    (last viewed Dec. 10, 2007). PTSD refers to Posttraumatic Stress Disorder.49 Id.50 Letter from Physicians for Justice to Senate Judiciary Committee (Nov. 1, 2007), available

    at

    http://physiciansforhumanrights.org/library/documents/letters/mukaseyoppositionletterfinal1.pdf.51 Summary ofEnhanced Interrogation Techniques: The Risk of Criminality by Physicians

    for Human Rights and Human Rights First(forthcoming July 22, 2007), available at

    http://psychoanalystsopposewar.org/blog/2007/07/22/enhanced-interrogation-techniques-the-risk-of-criminality/.

    52 Id.53 Estrella v. Uruguay (74/1980), Report of the Human Rights Committee, GAOR, 38th

    Session, Supplement No. 40 (1983), Annex XII, para. 1.6.54 Id.

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    severity, then a fortiori so must long-term panic attacks, depression, and

    PTSD.

    IV. SEVERE MENTAL PAIN OR SUFFERING

    It may be that the mental harm produced by waterboarding is

    sufficiently extreme to satisfy the severe element of torture. However, 8

    C.F.R. 208.18 provides two further severity requirements. 8 C.F.R.

    208.18(a)(4) defines severe mental pain or suffering as:

    [T]he prolonged mental harm caused by or resulting from

    the intentional infliction or threatened infliction of severe physical pain

    or suffering;

    the administration or application, or threatened administration or

    application of mind-altering substances or other procedures calculated to

    disrupt profoundly the senses or the personality;

    the threat of imminent death;

    the threat that another person will imminently be subjected to death,

    severe physical pain or suffering, or the administration or application of

    mind-altering substances or other procedures calculated to disrupt

    profoundly the senses or personality.55

    The mental pain must therefore be prolonged and result from a predicate

    act.56

    A. Prolonged Mental Harm

    The difficulty in quantifying mental harm inflicted through

    waterboarding is that prolonged denotes lengthened, extended (in spaceor time).57 However, one waterboarding exercise lasts on average less than

    35-40 seconds with the longest reported experience lasting two and a half

    minutes.58 It seems therefore that mental harm must last beyond the

    55 8 C.F.R. 208.18(a)(4)(i)-(iv).56 There is debate over whether the prolonged mental harm is a separate element or presumed

    to arise when one of the predicate acts is established. In the view of the author, it is consistent

    with the Senates understanding of the CAT to consider it a separate requirement since the

    Senates understanding to the CAT specifically refers to prolonged mental harm not the

    prolonged mental harm. As the Levin memo considers, it is unlikely that the inclusion of the

    word the was meant to change the definition of mental pain, particularly since the purpose of 8

    C.F.R. 208.18 was to implement the obligations arising under CAT.57

    Oxford English Dictionary, available athttp://dictionary.oed.com/cgi/entry/50189826?single=1&query_type=word&queryword=prolonge

    d&first=1&max_to_show=10.58 Khalid Sheikh Mohammed, the alleged mastermind behind the September 11, 2001,

    terrorist attacks reportedly endured two and a half minutes of a waterboard exercise. See

    interview by Bill OReilly with Brian Ross, ABC news reporter, (Sept. 25, 1006) (transcript

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    duration of the waterboarding (although not necessarily be permanent)59 or

    that a series of waterboards must be administered over a length of time

    sufficient to establish that the pain that arises through the amalgamated

    waterboardings constitutes prolonged. Thus, if a fear of drowning whilstthe waterboarding persists is the only harm inflicted and there is no residual

    damage, can torture exist under this definition?

    A further question in the same vein is whether torture can be

    established solely on the basis of the effects it produces. In such a case, it

    is conceivable that an individual with an unusually strong resolve or high

    tolerance for pain may experience only mild discomfort whereas an elderly,

    fragile individual experiencing identical treatment would suffer permanent

    damage. Can one conclude that only the latter constituted torture as the

    former individual experienced neither prolonged nor severe pain? If this

    position is followed, issues arise concerning how one proves that the

    individual with a high pain threshold did not in fact suffer, when - as

    considered previously - the severity of mental pain is near impossible toquantify for it is subjective. This reasoning could lead to abuse should the

    government consistently administer torturous techniques and state that the

    victims do not suffer sufficiently as they are trained in techniques of how to

    withstand pain.

    These questions get at the crux of the debate over what torture is; an

    action that must be termed torture due to its objectively extreme nature or

    an action that subjectively causes pain of sufficient severity to amount to

    torture. Is an act torture by its nature, so that whenever and to whomever it

    is administered it constitutes torture, or is an act torture due to its subjective

    effect?

    It seems that an act constitutes torture because of the effects

    experienced by an individual, since torture is generally defined in terms of

    the extreme pain it causes. The central element of torture appears to be its

    effect. Pushing an athletic young man to the floor may have little effect

    while pushing an elderly woman to the floor may cause her to break a hip.

    Whereas the former example would clearly not constitute torture, the later

    case is more ambiguous.

    Consider now the original question posed as to whether a lone

    waterboarding experience with no long-lasting effects and only an intense

    fear of drowning during the waterboard can amount to torture. In light of

    the above analysis, the answer appears to be no, as it does not result in

    available athttp://corner.nationalreview.com/post/?q=NWYxY2RkOGE2YjExNzc0OTBhMjQ5MGQ5MTUz

    YmNlY2Q=).59 Memorandum from Daniel Levin, Acting Assistant Attorney General, Office of Legal

    Counsel, to Deputy Attorney General (Dec. 30, 2004),

    http://www.usdoj.gov/olc/18usc23402340a2.htm.

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    prolonged mental harm. The harm in this example is the fear of death that

    lasts less than two and a half minutes. A fear of imminent death may be

    sufficient to establish the severity element, but it is dubious that

    experiencing fear for two and a half minutes can ever constitute aprolonged time.60

    Of course the above scenario is only a hypothetical one. In most

    accounts of waterboarding, the individual suffers the long-term effects

    previously described. The existence of such long-term psychological

    damage likely constitutes prolonged harm. In the case ofMehinovic v.

    Vuckovic the individuals experienced fear of death during games of

    Russian roulette from which they continue to suffer long-term

    psychological harm61 ten years after the ordeal. The court described this

    case as prolonged mental harm sufficient enough to constitute torture.

    This raises the question of what length of time amounts to prolonged

    time. The parameters appear to be psychological damage lasting eleven

    months,62 and psychological pain only persisting during the ordeal withno effects afterwards. 63 The latter did not persist long enough to warrant

    the label of prolonged harm, even though the subjects were threatened with

    death.

    In conclusion, while waterboarding creates a fear of imminent death,

    this is not sufficient to warrant prolonged harm if not in conjunction with

    psychological damage persisting after the experience. Alternatively,

    should psychological damage then remain due to the severity of the earlier

    descriptions of likely psychological waterboarding effects, such effects will

    likely persist for at least a period of months which will satisfy the

    prolonged harm condition.

    B. Predicate Act

    The debate concerning whether predicate acts are exclusive is an

    unnecessary consideration here. Waterboarding appears to fall neatly

    within (C): As Brian Ross states, it creates a gag reflex, where you think

    60 Some may be appalled by an argument seeming to conclude that a waterboard could be

    permissible on the basis of its short duration in light of the severe damage it causes. However, it

    must be noted that the argument is notsuggesting that despite severe damage, waterboarding is

    permissible as its duration is short. Should the mental effect be so serious as to warrant such a

    reaction it is unlikely that the only effect would be fear and no long lasting damage experienced

    and if such long-term effects do occur then the prolonged time element is already satisfied sincethe damage is prolonged.

    61 Mehinovic v Vuckovic 198 F. Supp 2d 1322, 1346 (N.D. Ga. 2002).62 Estrella v Uruguay (74/1980) Report of the Human Rights Committee, GAOR, 38 th session,

    Supplement No. 40 (1983), Annex XII, para 1.6.63 Villeda Aldana v. Fresh Del Monte Produce, Inc., 305 F. Supp. 2d 1285 (S.D. Fla. 2003).

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    you are about to die, you think youre drowning.64 The fear of imminent

    death is also effectively analogous to the underlying experience during a

    mock execution, and a mock execution has been held to constitute a threat

    of imminent death for the purposes of 8 C.F.R. 208.18(a)(4)(iii).65

    V. INTENTION

    The intention element of torture attracts the most controversy. Such

    controversy results from the Senates understanding to the CAT and its

    domestic implementing legislation (8 C.F.R. 208.18) seemingly adding a

    requirement for specific intent to the definition of torture. The

    understanding states that in order to constitute torture, an act must be

    specifically intended to inflict severe physical and mental harm,66 and this

    wording is mirrored in 8 C.F.R. 208.18(a)(5). 67

    In the recent case ofPierre v. Gonzales,68 the Second Circuit Court of

    Appeals considered whether specifically intended in the CAT required ashowing of general or specific intent for the purposes of criminal law. The

    appellant argued that finding specific intent would impermissibly narrow

    CAT.69 Nevertheless, the court deferred to Re J-E70 where the Board of

    Immigration Appeals found specific intent as taken directly from the

    understanding contained in the Senates ratification resolution.71

    The court in Pierre also considered Zubeda v. Ashcroft,72 where the

    defendant had attempted to disregard the specific intent requirement by

    arguing that one can specifically intend without specific intent.73 The

    reasoning behind this seemingly contradictory conclusion flowed from the

    phrase specifically intended being followed by the statement, [a]n act

    that results in unanticipated or unintended severity of pain and suffering is

    64 Interview by Bill OReilly with Brian Ross, ABC news reporter, (Sept. 25, 1006)

    (transcript available at

    http://corner.nationalreview.com/post/?q=NWYxY2RkOGE2YjExNzc0OTBhMjQ5MGQ5MTUz

    YmNlY2Q=).65 Memorandum from Jay S. Bybee, Assistant Attorney General, to Alberto R. Gonzales,

    Counsel to the President 12 (Aug. 1, 2002), available at

    http://www.gwu.edu/~nsarchiv/NSAEBB/NSAEBB127/02.08.01.pdf.66 See Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or

    Punishment Reservations, Declarations and Understandings, available at

    http://www.unhchr.ch/html/menu2/6/cat/treaties/convention-reserv.htm (last viewed Dec. 10,

    2007).67 8 C.F.R. 208.18(a)(5).68

    Pierre v Gonzales, 502 F.3d 109 (2d Cir. 2007).69 Id. at 116.70 Re J-E 23 I. & N. Dec. 291 (2002).71 Id. at 298.72 Zubeda v. Ashcroft, 333 F.3d 463, (3d Cir. 2003).73 Pierre, 502 F.3d supra note 69, at 117.

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    not torture.74 The defendant claimed that by including this statement, the

    legislation intended to limit torturous acts to those acts where suffering is

    purposefully inflicted or the foreseeable consequence of deliberate

    conduct75

    as opposed to suffering that is the accidental result of anintended act76 and the former is not the same as requiring a specific intent

    to inflict suffering.77

    The court in Pierre rejected this conclusion. They read 8 C.F.R.

    208.18(a)(5) as distinguishing a severity of pain that is intended (torture)

    and an unanticipated severity (not torture), and were not concerned with

    intention in terms of foresight.78 The court in Pierre went on to conclude

    that an act which must be specifically intended to inflict severe physical or

    mental pain or suffering bespeaks specific intent.79

    Thus according to recent case law, for an act to constitute torture the

    element of specific intent must be satisfied. As Pierre concluded, [i]t is

    true that, given the United States understandings of the CAT, even

    suffering of the utmost severity cannot constitute torture unless it isspecifically intended.80

    Precisely what amounts to specific intent remains unclear. This can

    be seen from the Levin Memo that stated the termis ambiguous

    andthe courts do not use it consistently and concluded that [w]e do not

    believe it is useful to try to define the precise meaning.81 However, the

    conclusion of the memo is an unconvincing and weak admission of defeat

    in generating a conclusive interpretation of the legal standards of the torture

    statute, which was its stated purpose.

    LaFave and Scott illustrate the inconsistency surrounding specific

    intent:

    Sometimes general intent is used in the same way as criminal intent to

    mean the general notion ofmens rea, while specific intent is taken to mean

    the mental state required for a particular crime. Or, general intent may be

    used to encompass all forms of the mental state requirement, while specific

    intent is limited to the one mental state of intent. Another possibility is that

    general intent will be used to characterize an intent to do something on an

    undetermined occasion, and specific intent to denote an intent to do that

    74 8 C.F.R. 208.18(a)(5).75 Zubeda, 333 F.3d supra note 73, at 473.76 Id.77 Id.78

    Pierre, 502 F.3d supra note 69, at117.79 Id.80 Id. at 121.81 Memorandum from Daniel Levin, Acting Assistant Attorney General, Office of Legal

    Counsel, to Deputy Attorney General (Dec. 30, 2004), available at

    http://www.usdoj.gov/olc/18usc23402340a2.htm.

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    thing at a particular time and place.82

    US v. Bailey explains this confusion from the fact that intention,83

    due to its inherent ambiguity, has been largely replaced by a hierarchy of

    culpable states of mind.84

    These states of mind, in order of descendingculpability, are purpose, knowledge, recklessness and negligence.

    Confusion arises from courts mixing old concepts of intention with newer

    concepts of culpable mindsets, and attempts to define each in terms of the

    other.

    Rather the distinction should be made that [i]n a general sense,

    purpose corresponds loosely with the common-law concept of specific

    intent, while knowledge corresponds loosely with the concept of general

    intent.85 Explaining these concepts, the court suggested that acting with

    purpose arises if he consciously desires that result, whatever the likelihood

    of that result happening as opposed to acting knowingly if he is aware

    that that result is practically certain to follow from his conduct, whatever

    his desire may be as to the result. 86This is consistent with the definition put forward in Blacks Law

    Dictionary (the intent to accomplish the precise criminal act that one is

    later charged with)87 and the Bybee Memos conclusion that knowledge

    alone that a particular result is certain to occur does not constitute specific

    intent.88

    From the aforementioned cases, it seems that the key element

    differentiating specific from general intent is that the former involves an

    aim of achieving the precise end of the action, whereas the latter may occur

    simply from knowing that the effect of an action may occur.

    The interpretation of the Bailey court is by no means the only possible

    interpretation, though it seems the most stringent and narrow. For

    example, the Levin memo contrasted the case ofUS v. Neiswender (1979),

    in which specific intent consisted of the lower test of mere knowledge or

    notice that his act would have likely resulted in the proscribed

    outcome,89 which appears analogous to Baileys concept of general intent.

    82 WAYNE R. LAFAVE & AUSTIN W. SCOTT JR., HANDBOOK ON CRIMINAL LAW 201-202

    (1972).83 US v Bailey, 444 U.S. 394 (1980).84 Id. at 404.85 Id. at 405.86 Id. at 404.87 BLACKS LAW DICTIONARY 814 (7th ed. 1999).88

    Memorandum from Jay S. Bybee, Assistant Attorney General, to Alberto R. Gonzales,Counsel to the President 4 (Aug. 1, 2002), available at

    http://www.gwu.edu/~nsarchiv/NSAEBB/NSAEBB127/02.08.01.pdf.89 Memorandum from Daniel Levin, Acting Assistant Attorney General, Office of Legal

    Counsel, to Deputy Attorney General (Dec. 30, 2004), available at

    http://www.usdoj.gov/olc/18usc23402340a2.htm.

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    Therefore, should one establish waterboarding under Bailey, a fortiori it

    will constitute torture under broader interpretations of specific intent.

    According to this framework of specific intent in Bailey,

    waterboarding must be carried out with the conscious desire that severemental pain or suffering follow to constitute torture. Uncertainty arises

    though from differing interpretations of the mental state accompanying an

    interrogation technique such as waterboarding. To avoid the label of

    torture, the argument follows that, despite inflicting severe pain, the

    purpose was not so much to cause the pain as it was to extract information

    from the victim. Under this reasoning, waterboarding is merely the means

    to the end of gathering information.

    This argument is more successful in circumstances where a particular

    outcome is not an absolute certainty; when the actions effect and its

    intention are extremely separate. However, the intention of the

    waterboarding (information) is achieved precisely by causing a negative

    effect: the mental harm. The success of waterboarding, relies on producinga level of mental anguish that cannot be withstood so that subjects are

    broken and divulge information. The argument against the torture label

    conflates intention with the motive behind it and it is an established

    principle that motive and intention are two separate phenomena; motives

    do not supplant the criminal laws own resources for determining

    whether the fault element for a given crime is present.90

    Therefore, due to the inability to disconnect the severe harm

    waterboarding causes from the intention to cause said pain, the actor cannot

    deny that achieving that pain is his intention.

    VI. CONCLUSION

    To satisfy the severity requirement for torture, waterboarding must

    constitute (1) a severe act causing (2) severe mental pain or suffering

    arising from (3) a predicate act. First, this paper has shown that severe

    is analogous to an extreme practice which is indicated by prolonged

    infliction and repetition of waterboarding. Alternatively a single

    waterboard may be extreme if the level or pain or suffering rises to the

    level of torture. This level includes lasting heinous and intense pain or

    suffering. In light of Dr. Kellers description of the effects of

    waterboarding, this element is satisfied.

    Second, waterboarding has been shown to constitute severe mental

    pain and suffering if one waterboard causes prolonged mental damage ormultiple waterboards are administered over a prolonged time. While

    merely experiencing fear during one waterboard is unlikely to amount to

    90 WILLIAM WILSON,CENTRAL ISSUES IN CRIMINAL THEORY 129-130 (2002).

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    torture, due to the severity of the effects of waterboarding, that solely fear

    is experienced is very unlikely.

    Third, waterboarding causes a fear of imminent death, which satisfies

    the predicate act element of threat of imminent death.In addition to being severe, waterboarding must also be intentionally

    inflicted to constitute torture. While many object to an interpretation that

    specific intent, as opposed to general intent, is required, this conclusion

    was undeniably the intention of Congress and was not objected to by

    members of the U.N.: thus, it governs U.S. legal relations. To change this

    conclusion, pressure should be placed on Congress and not the Executive,

    to change the law.

    However, even with the requirement for specific intent, waterboarding

    may still satisfy the intent element since the inevitability of causing the

    prohibited level of pain or suffering is intrinsically linked to the intention

    of extracting information. This makes it practically impossible to deny that

    one consciously desired to inflict severe pain and suffering.This paper addressed techniques of waterboarding inflicting mental

    pain and suffering and has established that an argument for torture can be

    made. It therefore follows a fortiori that waterboarding techniques

    involving the infliction of physical pain or suffering will also constitute

    torture due to the presence of mental pain and suffering.

    This conclusion thus suggests that waterboarding is prohibited as a

    violation of the jus cogens prohibition of torture and is also prohibited by

    all four Geneva Conventions.91 Continuing to administer waterboarding

    will constitute a war crime under the Charter of the International Military

    Tribunal,92 a grave breach of the Geneva Conventions,93 and a violation of

    common article 3 of the Geneva Conventions.94

    In conclusion, governments that continue to use waterboarding as a

    method of interrogation may want to consider rounding up their legal

    teams.

    91 Geneva Convention (I) for the Amelioration of the Condition of the Wounded and Sick in

    Armed Forces in the Field, art. 12(2), Aug. 12, 1949, 6 U.S.T. 3114; 75 U.N.T.S. 31; Geneva

    Convention (II) for the Amelioration of the Condition of Wounded, Sick and Shipwrecked

    Members of Armed Forces at Sea, art. 12(2), Aug. 12, 1949, 6 U.S.T. 3217; 75 U.N.T.S. 85;

    Geneva Convention (III) Relative to the Treatment of Prisoners of War, art. 17(4), Aug. 12, 1949,

    6 U.S.T. 3316; 75 U.N.T.S. 135; Geneva Convention (IV) Relative to the protection of Civilian

    Persons in Time of War, art. 32 Aug. 12, 1949, 6 U.S.T. 3516; 75 U.N.T.S. 287.92

    Charter of the International Military Tribunal, art. 6(b), Aug. 8, 1945, 59 Stat. 1544, 82U.N.T.S. 279.

    93 Geneva Convention (III) Relative to the Treatment of Prisoners of War (1949), art. 130,

    Aug. 12, 1949, 6 U.S.T. 3316; 75 U.N.T.S. 135.94 Geneva Convention (III) Relative to the Treatment of Prisoners of War (1949), art. 3(1)(a),

    Aug. 12, 1949, 6 U.S.T. 3316; 75 U.N.T.S. 135.


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