Life after death

This week we are reflecting on the need to care for relatives of murder victims…

Described by his court judge as 'wicked beyond belief', the late Ian Brady and his accomplice the late Myra Hindley are regarded as two of Britain's most depraved criminals. Back in the 1960s they abducted, tortured and murdered five children. They buried their first four victims on Saddleworth Moor in West Yorkshire, but then were caught before they could bury the final child. Two of the buried children were discovered soon afterwards before The Moors Murderers, as Brady and Hindley became known, were jailed on whole life sentences.

Bodies

I first became aware of these horrors, which took place a full decade before I was born, during a 1980s school trip. It was a biology field trip requiring us to drive through the West Yorkshire Moors, but our bus was not allowed to go the way the driver had planned. In the distance we noticed lots of police officers. What was going on? That night's TV news provided the explanation: one of the notorious Moors Murderers had been taken back to Saddleworth Moor to assist police in locating the two missing bodies. Indeed, that search was partially successful because later that year a fourth body, that of Pauline Reade, was discovered.

And now, 35 years later and acting on information regarding the recent discovery of possible human remains, police officers have returned once more to Saddleworth. Will the final body, that of Keith Bennett, now be discovered? We won't know for some time. And while we wait to hear the police's conclusions, I have been reflecting on the long-term consequences for the relatives left behind...

Living

This particular atrocity - the killing of Pauline Reade, John Kilbride, Keith Bennett, Lesley Ann Downey and Edward Evans - happened in 1963-1965. From then on the perpetrators were tucked away in prisons and a psychiatric hospital, until they died in 2002 and 2017 respectively.

The five children's families though remained in the real world, having to get on with the business of living…

Not having a body to grieve over may be tremendously hard: Keith's mother spent the rest of her life searching for his remains until her own death in 2012 when her mission passed onto her surviving son, Keith’s brother; and Pauline's mother ended up in a psychiatric hospital.

Although finding a body may help the grieving process, it does not necessarily stop the pain and stress. John's parents divorced. And Lesley Ann's mother had persistent nightmares requiring medication for years, though she still campaigned tirelessly to ensure that Hindley remained in prison; when she died in 1999, it is said that she vowed to haunt Hindley who survived her by three years.

Sequelae

Several of these relatives tried to communicate with their children’s killers. They wanted information. What might or might not have been communicated each way is outside the scope of this article. Yet, even if Hindley and Brady had seen fit to cooperate fully in what these days is often termed restorative justice initiatives, it may not have been enough to end the relatives’ distress.

Living in the knowledge that a loved one has been killed in a brutal fashion can have dreadful long-term sequelae for one's mental, physical and social functioning. So we healthcare professionals need to keep a special lookout for the health and wellbeing of patients known to be living in the shadow of such trauma.

Be merciful to me, Lord, for I am in distress; my eyes grow weak with sorrow, my soul and body with grief. My life is consumed by anguish and my years by groaning; my strength fails because of my affliction, and my bones grow weak.

Psalm 31:9-10

Dr Rachael Pickering is our voluntary Chief Medical Officer.
Her personal opinions are not necessarily the same as those of Integritas Healthcare.
This article was originally posted elsewhere on this site on 30th September 2022

Will nitrogen enter the death arena?

So once again, death penalty demonstrators are gathering outside a USA prison. This time though, things are a bit different: the execution agent is gaseous, and the condemned man is a repeat attender…

Who and why?

Kenneth Smith is one of two assassins-for-hire who in 1988 killed Elizabeth Sennett, the wife of a pastor who hoped her life insurance could ease his financial troubles. Shortly after the killing though, the pastor killed himself - rather than face earthly justice.

A long 22 years later, in 2010, Kenneth’s partner-in-crime received the stiffest penalty meted out by the US Justice System - execution. And Kenneth himself is sentenced to the same punishment, yet he’s still on death row - at least until later today, 25th January 2024, when he is scheduled to become the first person in the USA to be executed through nitrogen asphyxiation.

Why gas and why now?

But why are the authorities using nitrogen gas rather than lethal injection, and why have they waited until now - almost 36 years after the murder - to execute him? Well the answers to these two questions are linked…

The USA’s capital punishment appeal system is notoriously slow and convoluted. It’s common for condemned people to spend around 20 years on death row. Some argue that this long wait for almost certain death is itself a form of psychological torture. And it’s not uncommon for death row prisoners to die of illness rather than by the executioner’s hand.

In Kenneth’s case, it was 33 years between conviction and the authorities first taking him to the death chamber in November 2022. But things didn’t go to plan…

As is common to many botched executions, his would-be executioners lacked sufficient skill in venous access to get the necessary needles into him. After several hours of trying, his death warrant expired and so they had to abandon the execution and return him to death row, his home for the previous three decades.

And in the aftermath of that debacle the authorities promised not to try to use lethal injection on him in the future.

So that is why Kenneth has been rescheduled to die - at another time and in another way.

Why worry?

Right now, more than the usual amount of last minute legal appeals are going on. And this is due to at least two key factors…

Firstly, no-one can reasonably deny that surviving a botched execution is a traumatising experience. And Kenneth’s legal team is arguing that it’s cruel to do this to him all over again.

And crucially, the UN High Commissioner for Human Rights is alarmed at the prospect. Quoting an extract of their full statement:-

We have serious concerns that Smith’s execution in these circumstances could breach the prohibition on torture or other cruel, inhuman, or degrading treatment or punishment, as well as his right to effective remedies. These are rights set out in two International Human Rights treaties where the United States is bound by – the Covenant on Civil and Political Rights and the Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment [CAT].

So, will the execution go ahead and - if so - will it go as ‘smoothly’ as the authorities hope? All eyes - and many hearts and prayers - are fixed on that death chamber right now. We’ll be updating you soon.

Dr Rachael Pickering is our Chief Medical Officer
Her views do not necessarily represent those of Integritas Healthcare
This article was originally published elsewhere on this site on 25th January 2024.

Bangkok rules

Girl Power

On 8th March 2023, International Women’s Day, we decided to calculate just how much Girl Power we possess…

Founders: 50% female

Governors: Philippines 43% female, UK 40% female

Managers: 100% female

Staff: 67% female

Long-term volunteers: 75% female

Current short-term volunteers: 100% female

Previous short-term volunteers: 95% female

If you’d like to read what our ladies have got up to lately, we’re pleased and proud to introduce you to Healthy Bonds, our 2023 impact report.

Girl Dis-empower

And it’s a good job we are such a female-dominated organization, because the number of female prisoners across the world is increasing fast - up 20% since 2000!

How many women are behind bars right now, do you think…?

100,000?

250,000?

500,000??

No, it’s well in excess of 750,000! That’s an awful lot of female disempowerment.

Girl Re-empower

But there is one tool that is helping to shine a pink-ish tinged light into this feminine doom and gloom…

The so-called Bangkok Rules are United Nations rules on the treatment of female detainees and non-detaineed offenders. If you haven’t read them, please do! And if you know someone who works with female detainees, shove a copy under their nose!

No, they don’t make the problem of female detention go away. But, where they are properly implemented, they make a significant difference to the re-empowerment of female detainees.

Dr Rachael Pickering is our co-founder and Chief Medical Officer.
Her views do not necessarily represent those of Integritas Healthcare
This article was first published elsewhere on this site on 8th March 2023

Alexei Navalny

One day

My 16th February 2024 started out as a pretty standard Friday, doing my job as a doctor within the UK’s prison system. Sadly, it ended in tragedy with the unexpected death of one of my detained patients. After leaving the prison, I sat in my car for a while, thinking and praying for my late patient’s family. And as I drove out of the prison car park, I noticed two parked up police vehicles…

Investigation

Of course, the police were there because - whether expected or unexpected, self-inflicted, accidental or murderous - all UK deaths in custody are subject to extensive investigation by multiple agencies:-

In addition to all these measures, the Council of Europe’s Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment (CPT), which is responsible for monitoring member states’ compliance with Article 3 of the European Convention on Human Rights, also takes a keen interest in deaths behind bars.

Two deaths

In the busyness of managing the immediate aftermath of my own detained patient’s death, I missed the breaking news about another custodial tragedy - that same day but thousands of miles away, in the frozen Artic Circle…

Prisoner Alexei Navalny, the fiercest and most enduring critic of President Putin, is dead.

Investigation?

  • He died just one day after being well enough to laugh and joke with his judge.

  • There is the usual confusion about the cause of his death and the location of his body,

  • The Investigative Committee of the Russian Federation, whose agency executive is (according to Wikipedia) a certain President Putin, is on the case.

  • And so it remains to be seen whether the United Nations has engaged in a spot of wishful thinking, in calling for his death to be rigorously investigated.

One judge

UK detainees are relatively blessed compared with those held in many other parts of the world. UK conditions of detention are regulated, monitored and - when found to fall short - investigated. Yes, I know full well that there are many problems behind my nation’s bars - and the CPT highlights these failings on a frequent basis. But compared with many places in the world, UK places of detention sit within a veritable Garden of Eden where the Rule of Law presides.

Yet viewed through the long lens of eternity, whether a free President in the Russian Federation or a detained person in the UK, one day every one of us will die and face judgement by the same Judge.

Court hearing

From His courtroom, He examines all the goings on in our world, with notable concern for detainees:-

The Lord looked down from His sanctuary on high, from heaven He viewed the earth, to hear the groans of the prisoners and release those condemned to death.
Psalm 102:19-20

Final judgment

And to those who ignore the visible suffering of others, yet alone those who cause it, He will say…

 Depart from me, you who are cursed, into the eternal fire… For I was hungry and you gave me nothing to eat… I was sick and in prison and you did not look after me…

Truly I tell you, whatever you did not do for one of the least of these, you did not do for me.
Matthew 25:41-45

The author is one of our spokespeople
Their views do not necessarily represent those of Integritas Healthcare
This article was first published elsewhere on this site on 17th February 2024

Respect the Rules

Advocacy within honour/shame systems

Nelson Mandela Rules

All of our detainee advocacy programs are pegged around the Nelson Mandela Rules (NMR), which is the popular name for the United Nations Standard Minimum Rules for the Treatment of Prisoners. These 122 rules are the universally acknowledged blueprint for prison management in the 21st century.

The Standard Minimum Rules for the Treatment of Prisoners is named in honour of Nelson Mandela who spent 27 years in South African prisons before becoming its first Black President.

Rules or reality?

But just as blueprints are not actual buildings, so these rules are no yet universal practice. Together with the UN, monitoring agencies and NGOs across the globe, we are committed to turning these rules into actual practice - for the benefit of detainees, custodial staff, and our society at large.

Response to rules?

Cultures fall broadly into guilt/innocence or honour/shame systems.

Honour/shame cultures are not exact opposites of guilt/innocence ones. They are just entirely different ways of thinking and behaving.

Our response to the stark difference between theory and reality is to be constructive rather than critical. This is because open criticism is ill received in many countries, including those steeped in an honour/shame culture. This makes it counter-productive.

Respect the rules

So we build each of our detainee advocacy programs around one of these rules, then turn it into a respectful message. This is more constructive than accusing someone of breaking a particular rule. ‘Rules’ are guilt/innocence language. ‘Respect’ is honour/shame language. ‘Respect the rules’ is a hybrid approach.