Severe lesions caused by illegitimate acts and state terrorism in Uruguay

10-year report of the medico-legal psychiatric assessment of victims

Authors

  • Victoria Iglesias Universidad de la República, Facultad de Medicina, Departamento de Medicina Legal y Ciencias Forenses, Asistente. Defensoría del Pueblo. Institución Nacional de Derechos Humanos, Mecanismo Nacional de Prevención de la Tortura, Médica
  • Valeria da Trindade Comisión Especial creada por la Ley Nº 18.596, Asesora Letrada. Doctora en Derecho
  • Hugo Rodríguez Almada Universidad de la República, Facultad de Medicina, Departamento de Medicina Legal y Ciencias Forenses, Profesor Director

DOI:

https://doi.org/10.29193/RMU.36.3.5

Keywords:

TERRORISM, WOUNDS AND INJURIES, TORTURE, HUMAN RIGHTS ABUSES, FORENSIC MEDICINE, URUGUAY

Abstract

The role of Legal Medicine in human rights, forensic science and humanitarian action is increasingly visible. Act 18,596 compensates those who prove to have experienced severe lesions by state agents.
Objective: to contribute to public awareness of the illegitimate actions and state terrorism in Uruguay (June 13, 1968 to February 28, 1985) and the input of Legal Medicine in terms of truth, justice, memory, reparation and guarantees of non-repetition.
Method: the compensation requests for severe lesions received during the first 10 years the law was in
force were studied.
Results and discussion: 115 out of 166 requests were admitted. In 95% of cases, a medico-legal and or
psychological report was requested. Despite it being hard to prove the causal link, a link with a reasonable degree of certainty was found in 55 cases. Average age of victims at the time the lesions were caused was 26 years old. Average age at the time of compensation was 66 years old. Lesions proved match those referred to in the national and international bibliography. The study points out the finding of a considerable number of psychotic disorders.
Conclusions: 115 victims were compensated for severe lesions caused, in the wide majority of cases, by
long imprisonment and torture.Ahigh prevalence of osteoarticular diseases was observed, chronic post-traumatic stress disorders and depression, although a high number of chronic psychoses, too. Medico-legal reports were relevant to demonstrate severe lesions and the causal link with the action of state agents.

References

(1) Cordner S, Tidball-Bonz M. Humanitarian forensic action-Its origins and future. Forensic Sci Int 2017; 279:65-71.
(2) Stan, CA. Forensic standardizations in torture and death in custody investigations. Interv Med App Sci 2012; 4(2):210-6.
(3) Thomsen JL, Helweg-Larsen K, Rasmussen OV. Amnesty International and the forensic sciences. Am J Forensic Med Pathol 1984; 5(4):305-11.
(4) Thomsen JL, Voigt J. Forensic medicine and human rights. Forensic Sci Int 1988; 36(1-2):147-51.
(5) Thomsen JL. The role of the pathologist in human rights abuses. J Clin Pathol 2000; 53(8):569-72.
(6) Saukko P, Knigth B. Abuse of human rights: deaths in custody. In: Saukko P, Knight B. Knigth´s forensic pathology. 4th ed. Florida: CRC Press, 2016: 299-310.
(7) Rodríguez H. HFA-Uruguay. Disponible en: https://medicinalegal.edu.uy/hfa-uruguay/ [Consulta: 10 setiembre 2017].
(8) Comisión para la Paz. Informe Final. Uruguay, 2003. Disponible en: www.archivo.presidencia.gub.uy/noticias/archivo/2003/abril/Informe_final.doc [Consulta: 10 setiembre 2017].
(9) Rodríguez H, Verdú F. La autopsia histórica: presentación del método y su aplicación al estudio de un hecho violento ocurrido en Uruguay en el año 1972. Rev Méd Urug 2003; 19(2):126-39.
(10) Rodríguez H. Legal medicine and forensic science in Uruguay. In: Ubelaker D. ed. The global practice of forensic science. Wiley: Oxford, 2015:335-49.
(11) Rodríguez H, Borches F, Bazán N, Gamero S, Lozano F, Roó F. Métodos de tortura del terrorismo de estado en Uruguay y valoración médico-legal de su idoneidad para causar lesiones graves o gravísimas. Rev Meìd Urug 2019; 35(1):42-53.
(12) Rodríguez H, Olivera J, Alves A, Mederos D. Delitos contra la personalidad física: traumatismo, lesiones y violencia doméstica. En: Rodríguez H, coord. Medicina Legal. Derecho Médico. Montevideo: Oficina del Libro-FEFMUR, 2017:209-24.
(13) Rico A, coord. Investigación histórica sobre dictadura y terrorismo de estado en Uruguay (1973-1985). Montevideo: UdelaR, 2008.
(14) Yarzábal L. La tortura como enfermedad endémica en América Latina: sus características en Uruguay. Nueva Antropol 1985; 7 (28):75-92.
(15) Organización de las Naciones Unidas. 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.
(16) Madariaga C. Trauma psicosocial, trastorno de estrés postraumático y tortura. Santiago de Chile: Cintras, 2002.
(17) Huminuik K. Special competencies for psychological assessment of torture survivors. Transcult Psychiatr 2017;54(2):239-59.
(18) Guía de principios éticos de la Red Iberoamericana de instituciones de Medicina Legal y Ciencias Forenses. Rev Méd Urug 2018; 34(2):102-12.
(19) Thomsen JL. Ethical considerations for forensic scientists participating in humanitarian action: a personal reflection. Forensic Sci Int 2017:379-80.

Published

2020-07-31

How to Cite

1.
Iglesias V, da Trindade V, Rodríguez Almada H. Severe lesions caused by illegitimate acts and state terrorism in Uruguay: 10-year report of the medico-legal psychiatric assessment of victims. Rev. Méd. Urug. [Internet]. 2020 Jul. 31 [cited 2024 Nov. 23];36(3):285-92. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/558