Justice

Primal Fear

Last week’s review of Apag seems to have been a hit with you, dear web readers. And when you’re onto a winner…

What to watch this weekend

I’ve been sick in bed a lot of this week, not up to much other than watching Netflix. And it predicted my interests with scary accuracy. It seems to know that I enjoy caring for detainees with mental health problems! Cue a review of Primal Fear

Who killed the Bishop?

Released back in the mid-90s, this great film starring Richard Gere and a young Edward Norton is now almost 30 years old. Yet the issues at its heart are still red hot relevant to the criminal justice system.

Long story short: a vulnerable young man is found covered in a much-loved bishop’s blood, and the prosecution is gunning for the death penalty. But the hot shot defence lawyer doesn’t think he did it. He enlists the help of a non-forensic psychologist who decides that he’s got split personality disorder and that likely he killed the (it turns out paedophilic) bishop whilst in a dissociative state. Cue lots of courtroom drama and everyone coming to be convinced that the poor lad is ‘mad’ rather than ‘bad’. But is there even more to it than that?

I won’t spoil the ending of this film for you. It’s thought provoking, well acted and not too incredible from a medical point of view. So do watch it! But I would like to just leave you with this reflection…

Forensic psychiatry

It’s really vital that healthcare professionals interacting with the criminal justice system stick within their fields of expertise. I’m a prison GP who happens to know a lot of general psychiatry. But that doesn’t make me a consultant psychiatrist, yet alone a forensic psychiatrist. Similarly, psychiatrists and psychologists may know a lot about their niche fields within mental health, but that doesn’t make them experts in - as is needed in this film - personality disorders and their interplay with serious crime. No, such cases require forensic psychiatrists - doctors who deal with the interaction between mental illness and the law.

In so many lands, we lack appreciation of the very fact of mental illness. Health systems lack sufficient numbers of even basically trained psychiatrists, yet alone highly trained forensic ones. Prison doctors, if they exist at all, are insufficiently versed in general psychiatry. And so many nations’ legal systems fail to make any allowance for the indisputable fact that severe mental illness - including psychological trauma such as child sexual abuse - is a major factor in many crimes. As a result, countless people languish untreated in prison rather than receiving the help they so desperately need… and yes, a very few guilty folk are able to manipulate well-meaning non-experts.

So folks, let’s take every opportunity to fly the flag for forensic psychiatry.

Until next week.

Dr Rachael Pickering is our Chief Medical Officer

PS If you’ve found this article helpful or enjoyable, please consider praying for and/or donating towards our work.

Apag

Greetings from the Philippines where I'm working at our base in the City of Olongapo. And last week, our housekeeper's granddaughter and I popped out for an absolutely ginormous box of popcorn over a film. When we got to the cinema, we had a choice between the blockbusting John Wick 4 and a far less well-known Filipino film. So Apag it was...

What’s the Plot?

‘Apag’ is an abbreviation of ‘Hapag Kainan’, the Kapambangan (one of the major Filipino languages) term for dining table. Communal dining is a massive part of many Filipino occasions, and the film opens with two unrelated families - one rich and the other poor - going to the same market at the same time to buy food for their respective family feasts.

After scrabbling around the market looking for food they can afford, the poorer father and daughter set off for home in their family's trike - a motorbike with covered sidecar. Then tragedy strikes: the richer son crashes into them in his family's huge pick-up truck.

What happens next? Well, I'm not going to say because I really want you to go and see this amazing film and I don't want to spoil the plot for you! And don't worry if, like me, you are not exactly fluent in Kapambangan: as well as having English sub-titles, the cinematography is as clear as it is beautiful. Shot in the gorgeous region of Pampanga, I was thrilled to see that the jail part of the story appears to have been filmed in the real Pampanga Provincial Jail - a secure environment I've worked in many times before the pandemic.

Raising a case

No, rather than spilling the beans, I'll just explain what happens in general when there's a nasty accident or deliberate wrongdoing in the Philippines. Perhaps surprisingly, decisions about whether or not to prosecute someone are not so much in the hands of the police. No, in the Philippines and many other non-Western countries, a complainant or his/her family must 'raise a case'. Otherwise neither criminal nor civil court proceedings may get underway.

As a European prison doctor who's given evidence many times in my homeland’s criminal courts and less often in its separate civil courts, the Philippines’ mixed criminal and civil system came as a bit of a surprise when I first started working here in 2015. Now though, a few years down the line, I’ve just about got the hang of it - at least, enough to give evidence in a local court case last year. And true enough, when the verdict was announced, the criminal penalty of imprisonment was meted out alongside the civil penalty of the accused being directed to pay compensation to the family of the alleged victim.

And often it really does come down to a question of money. In countries that do not have easy-access benefits systems for those who find themselves in dire straits, the family of a badly injured or deceased breadwinner is often left with no choice other than to 'raise a case' - if they are to get the compensation necessary for their financial survival.

Out for revenge

So, does our film's poorer family get compensation? Are their lives transformed for the better as a result? Does the rich family's son get punished? And how do the various members of the poor family deal with the tragedy? I'll leave you to find out for yourself! (That said, if you do want to read more about the plot, here’s a more detailed review from a regional newspaper.)

But drawing to a close now, there's a saying in British English (as opposed to Taglish - the mixture of Tagalog and English spoken in the Philippines): 'Revenge is a dish best served cold'. And that's certainly the case in Apag.

All the compensation in the world does not soothe a grieving heart. In my career, I've seen so very many men imprisoned for the most atrocious acts of revenge. Yet they aren't made any happier for having taken their pound of flesh. Bitterness takes root on both sides. A vicious cycle of tit-for-tat violence is created. It goes round and round and round and round.

Father forgive them

So what does God think about revenge? He's not a fan. He knows that lack of forgiveness often causes more grief than the original wrong. That's just one of the reasons why Jesus commanded us to forgive:-

Then Peter came to Jesus and asked, “Lord, how many times shall I forgive my brother or sister who sins against me? Up to seven times?” Jesus answered, “I tell you, not seven times, but seventy-seven times.”
(Matthew 18:21-22)

And let's not forget that small but golden nugget of the Easter story, when Jesus put his teaching into practice for himself:-

When they came to the place called the Skull, they crucified him there, along with the criminals - one on his right, the other on his left. Jesus said, “Father, forgive them, for they do not know what they are doing.”
(Luke 23:33-35)

If Jesus could forgive his torturous executioners, then we can at least try to forgive our transgressors. It isn't a passive, easy choice. No, it is a painful, hard act of the will. But let’s not forget that our Lord Jesus knows just how hard forgiveness can be. And so whenever we're tempted to lash out, we can take our hurt and pain to him - one who can empathise with our weaknesses (Hebrews 4:15) - in prayer:-

 One day Jesus was praying in a certain place. When he finished, one of his disciples said to him, “Lord, teach us to pray, just as John taught his disciples.” He said to them, “When you pray, say: “‘Father, hallowed be your name, your kingdom come. Give us each day our daily bread. Forgive us our sins, for we also forgive everyone who sins against us. And lead us not into temptation.’”
(Luke 11:1-4)

Dr Rachael Pickering is our Chief Medical Officer

PS If you’ve found this article helpful or enjoyable, please consider praying for and/or donating towards our work.

A Time of Love?

I am sure we all have somebody we wish we were better at loving. We find it easy to love when we receive love and kindness in return, but as soon as somebody wrongs us or does not thank us, we feel they no longer deserve our love.

It is even harder to love a stranger. In particular, a stranger who may have committed a terrible crime. I doubt that many of us have the 11 million prisoners of this world on our list of people we want to show love to this Christmas. And why would we?

There is darkness in the world and justice must be sought. But these prisoners could so easily be you or I, a mother or a father, a brother or a sister. We must not deny them their humanity and their right to be treated with compassion.

Martin Luther King famously said:

 “Darkness cannot drive out darkness: only light can do that. Hate cannot drive out hate: only love can do that” 

We aim to show love to some of the world’s detainees through medical care, pastoral care, feeding programmes and advocacy work. We urgently require your support to enable us to continue this work. Donations of any amount will be so gratefully received and will have a lasting impact on the work we are able to do.

Wherever you are, we hope you have a very happy Christmas, filled with hope, peace, joy and love.

Click here to donate.

A Time of Plenty?

What do you think about at this time of year? Perhaps the long lists of gifts you need to buy, organising the family get together or just hunkering down and avoiding the madness.

For Christians, Christmas is when we celebrate the person of Jesus Christ coming into our world. He came and was willing to get stuck in with the painful mess of humanity. Jesus loved the unlovable. Regardless of somebody’s past He said I can help.

At Integritas, we are motivated by Jesus’ love and His example to treat our neighbour as ourselves.  We have a particular concern for the 11 million of our fellow human beings currently behind bars across the world. Many of these people are kept in terrible conditions, without adequate food or healthcare and do not know when they will next see their loved ones. Regardless of their past actions, we believe they deserve to be treated with dignity and respect.

Like many other charities, the pandemic has taken its toll on Integritas. We have lost many of our main sources of funding and this has directly impacted the work we are able to carry out. This festive season we are asking you to help us help those most in need across our world. Any donation will go a long way to provide healthcare to vulnerable men and women behind bars.

So perhaps this year, as it is for me, will be the first year you think about the world’s detainees, those forgotten and abandoned in unthinkable conditions. There is a great need and we can work together to show radical love to one another.

If you would like more details on partnering with Integritas please do get in touch. Any donation would be gratefully received and would make a huge impact on the work we are able to do.

Click here to donate.

Crucifixion: the ultimate form of torture

Today, Good Friday, is recognised by Christians around the world as the anniversary of Jesus being crucified. And so, to honour this, we are taking a short break from our series pegged around the alleged ill-treatment of Ghislaine Maxwell. Instead, we are examining crucifixion.

What is crucifixion?

Crucifixion is a torturous form of execution, more associated with history than the modern day. Its name is derived from the Latin words crucifixio and crucifixus, meaning to fix to a cross. Crucifixion crosses were made of wood and came in a variety of shapes and sizes though they generally had both vertical and horizontal beams that slotted together. That said, it is also possible to crucify someone without an actual cross, by attaching their spread arms and their feet to any suitable surface such as a tree trunk.

What are its origins?

Though it originated in other societies, the Roman Empire perfected crucifixion as a form of torture. Roman crucifixion was a long, slow journey to death with the maximum amount of fear, pain and other suffering along the way. It was the ultimate threat to those who might be tempted to step out of line.

Who got crucified?

In general, Roman crucifixion was the fate of the lowliest in society. It was inflicted upon slaves, peasants and criminals, but rarely to Roman citizens. It was famously deployed on slaves in 71 BC when 6000 followers of the rebel slave leader Spartacus were crucified along the Via Appia - the road extending south from Rome, the very heart of the Roman Empire. And zipping forward a couple of generations to history’s most famous crucifixion, on the original Good Friday in 30 or 33 AD, Jesus was crucified between two thieves:-

When they [the Romans] came to the place called the Skull, they crucified him there, along with the criminals - one on his right, the other on his left. Jesus said, “Father, forgive them, for they do not know what they are doing.”
(Luke 23:32-34)

Over the next few years, it is thought that many of Jesus’ original followers were crucified - as punishment for spreading the message of Christianity. And during the subsequent two millennia in certain parts of the world, Christians - that is, followers of Jesus Christ - have sometimes suffered the same fate as their Lord.

Even today, crucifixion occasionally pops up in the news as having been used as a method of killing someone or as a means of inflicting extreme non-fatal violence.

Flogging and mocking

There is no doubt that crucifixion is a torturous form of execution. But even before Jesus picked up His cross and walked to His execution site, He was tortured in other ways.

It was not uncommon for the Romans to beat and maim their victims prior to crucifying them. A whip of three leather tails studded with metal balls and pieces of bone was used to inflict deep wounds across the condemned person’s shoulders and back. These wounds exposed muscle and could even damage internal organs. Many victims did not survive this ordeal - and so at least were spared the actual cross.

And along with the physical torture He endured, Jesus was also tortured psychologically:-

He [Pontius Pilate, the Roman Governor in Jerusalem] had Jesus flogged, and handed him over to be crucified…They [the Roman soldiers] put a purple robe [a symbol of royalty] on him, then twisted together a crown of thorns and set it on him.  And they began to call out to him, “Hail, king of the Jews!”. Again and again they struck him on the head with a staff and spit on him. Falling on their knees, they paid homage to him. And when they had mocked him, they took off the purple robe and put his own clothes on him. Then they led him out to crucify him.
(Mark 27:15-20)

Crucifixion as SLOW torture

If a condemned person managed to survive his pre-crucifixion flogging, he would then have the ignominious task of carrying his own cross - or at least its horizontal crossbeam - to his site of execution. Jesus was so weak after His flogging that He had to have assistance carrying His cross. But then He finally arrived at Jerusalem’s execution site, which was named Golgotha - the local word for skull - because it sat on top of a rockface that looked remarkably like the front of a skull and can still be seen today. And there He was nailed to His cross:-

This man [Jesus] was handed over to you by God’s deliberate plan and foreknowledge; and you, with the help of wicked men, put him to death by nailing him to the cross.
(Acts 2:23)

His cross was then set upright in a hole in the ground, and He was left to hang - suspended by His nailed limbs - until He died. And today, various forms of suspension remain popular methods of torture.

A Roman crucifixion victim’s death could be a long time coming, taking up to several days. And so, as happened in the Easter Story, an executioner would sometimes inflict further injury to hasten death:-

Now it was the day of Preparation [for the Jewish feast of the Passover], and the next day was to be a special Sabbath [rest day]. Because the Jewish leaders did not want the bodies left on the crosses during the Sabbath, they asked Pilate to have the legs broken and the bodies taken down. The soldiers therefore came and broke the legs of the first man who had been crucified with Jesus, and then those of the other. But when they came to Jesus and found that he was already dead, they did not break his legs. Instead, one of the soldiers pierced Jesus’ side with a spear, bringing a sudden flow of blood and water.
(John 19:31-34)

Many medical papers have tried to understand the pathology underlying death from crucifixion, noting it was likely multifactorial and included the after-effects of flogging, haemorrhage and dehydration causing hypovolaemic shock, and asphyxia caused by impairment of respiratory movement. Regardless of the exact mechanism of death though, it is surely an excruciating way to die.

Why was jesus crucified?

As a Christian faith-inspired organisation, we recognise the ultimate sacrifice that Jesus made for us at Easter, giving His life for us. The pain He endured physically, spiritually and mentally are more than any human being should have to bear. But for our sake He, God on earth, entered our broken world in human form to die so that we wouldn’t have to:-

Who, being in very nature God, did not consider equality with God something to be used to his own advantage; rather, he made himself nothing by taking the very nature of a servant, being made in human likeness. And being found in appearance as a man, he humbled himself by becoming obedient to death - even death on a cross!
(Philippians 2:6-8)

If you’d like to know more about why Jesus came to Earth and died on the cross, you might like to look at this simple cross-shaped leaflet, which we created especially for detainees wanting to understand the Easter Story:-

Click image to download PDF

Click image to download PDF

faith tract english for web2.png

But What about now?

On this Good Friday, as every Good Friday, we remember one sobering episode of barbaric violence from the First Century. Still, although it does still occasionally occur, these days crucifixion is seen as old fashioned. In its place, other - supposedly more ‘modern’ - forms of torture and execution now wreak havoc around the globe.

Why oh why do we human beings continue to inflict torture and cruel, inhuman & degrading treatment on each other? It seems that nothing will stop it. Indeed, it is tempting to think that opposing torture & ill-treatment is a completely futile endeavour!

But it’s not.

Just as Good Friday was not the end of Jesus’ story, we should not give up hoping that torture & ill-treatment will end some day. In defeating death, Jesus paved a way for our reconciliation with God and everlasting life with Him. Through that we have genuine cause for hope in a better world and a better life to come. We can look forward to that day:-

He will wipe every tear from their eyes. There will be no more death or mourning or crying or pain, for the old order of things has passed away.
(Revelation 21:4)

Still for now, whilst still having one eye on the future, we and all other Christians must live in day-to-day obedience with God’s mandate to fight on behalf of the vulnerable:- 

Learn to do right; seek justice. Defend the oppressed…
(Isaiah 1:17)

And this includes victims of torture & ill-treatment.

Happy Easter.

Dr Esme MacKrill with Dr Rachael Pickering

PS If you’d like to support our anti-torture & ill-treatment work, we welcome donations towards the Gerry Serrano Centre.