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Updated: May 4, 2026

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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
Published on: April 14, 2016
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How do you know when it is torture?
1Harvard Medical School, USA. broth@bidmc.harvard.edu
Medicine and Law
|December 18, 2013
Summary
Forensic psychiatric evaluations for asylum seekers with Post Traumatic Stress Disorder (PTSD) require updated models. This study presents a novel heuristic model acknowledging torture
Area of Science:
- Forensic Psychiatry
- Psychotraumatology
- Legal Medicine
Background:
- Forensic psychiatric evaluations are crucial for asylum seekers with Post Traumatic Stress Disorder (PTSD).
- Existing protocols for assessing torture survivors have limitations.
- There is a need to acknowledge both the trauma and the resilience of survivors.
Purpose of the Study:
- To illustrate an innovative model for assessing torture survivors.
- To integrate the negative impacts of torture with the positive strengths of survivors.
- To update mainstream medical-scientific practice in forensic psychiatry.
Main Methods:
- Development of a reproducible heuristic model.
- Analysis of clinical variables, individual psychological factors, and the cultural/political context.
- Review of country reports, survivor affidavits, interviews, and court testimonies over two decades.
Main Results:
- A consistent pattern emerged highlighting survivors' strengths.
- The model effectively incorporates and supersedes previous paradigms of torture response.
- Torture's intent to shatter human connections was contrasted with survivors' resilience through human ties.
Conclusions:
- The proposed model offers a more comprehensive assessment of torture survivors.
- Valid forensic reporting can be achieved through necessary and legitimate methods.
- Objective means in forensic evaluations can foster justice and social progress.
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