Monitoring, reporting and addressing child rights and protection violations in 'non-listed' countries.

Children have been affected by the Israeli-Palestinian conflict for several generations. Recent reports state that they are subject to a number of grave violations, ranging from killing and maiming to detention and ill-treatment. The monitoring and reporting mechanism (MRM) for United Nations Security Council Resolution 1612 (2005), although not formally mandated in Israel and the occupied Palestinian territories (oPt), has been successfully adapted and used by humanitarian and human rights agencies to support monitoring, reporting, and responding to violations against children. However, agencies in Israel and the oPt face a number of challenges in doing so, which are common in other countries where the MRM is employed. These include limited recognition and understanding of the issues, insufficient resources, and a difficult operational environment. Despite these challenges, local adaptation of the mechanism to reflect the specific situation of children and close collaboration have enabled these agencies to monitor and respond to violations against children in a more effective manner.

On killing. II: The psychological cost of learning to kill.

Military and law enforcement studies reveal that interpersonal combat is a universal human phobia. Physiological responses include forebrain shutdown and sympathetic arousal. A resistance to killing exists in the midbrain of most healthy members of most species, becoming ascendant when the forebrain shuts down, and can prevent soldiers from performing in combat. The U.S. military has increased participation in killing activities from 20% in World War II to 95% in Vietnam by operantly conditioning responses. Conditioning is achieved through training that closely resembles battle situations and inadvertently occurs when children see violence as entertainment. The price of this conditioning is an increase in post-traumatic stress disorder which can be defrayed through debriefing, social acceptance, and prevention of atrocities. Similar techniques may be used to prevent PTSD in civilian populations involved in tragedies like school shootings.

Truth and reconciliation commissions: problems in transitional justice and the reconstruction of identity.

This article considers some of the main features of so-called truth and reconciliation commissions, their history and structure and their characteristic concerns with respect to their central dilemmas, including: how they grapple with notions of truth, justice, liability, reconciliation, apology and forgiveness, and how they address the need to support the "reconstruction" of selves and identities in the wake of massive trauma and collective violence. A particular concern is with how such commissions or related tribunals engender what can be called a "one-to-many" dynamic, in which they try to effect social reconciliation while focusing attention, via testimony and story-telling, on the traumas and suffering of individual victims.

Rape in war: the humanitarian response.

Women and children are vulnerable to sexual violence in times of conflict, and the risk persists even after they have escaped the conflict area. The impact of rape goes far beyond the immediate effects of the physical attack and has long-lasting consequences. We describe the humanitarian community's response to sexual violence and rape in times of war and civil unrest by drawing on the experiences of Médecins Sans Frontières/Doctors Without Borders and other humanitarian agencies. Health care workers must have a keen awareness of the problem and be prepared to respond appropriately. This requires a comprehensive intervention protocol, including antibiotic prophylaxis, emergency contraception, referral for psychological support, and proper documentation and reporting procedures. Preventing widespread sexual violence requires increasing the security in refugee camps. It also requires speaking out and holding states accountable when violations of international law occur. The challenge is to remain alert to these often hidden, but extremely destructive, crimes in the midst of a chaotic emergency relief setting.

Tracking gender-based human rights violations in postwar Kosovo.

Four years have passed since the institution of the cease-fire in Yugoslavia, and questions remain as to how Kosovar women are faring in the country's postwar reconstruction. Reports, albeit fragmented, suggest that violence against women began to increase in 1998 and 1999. This trend continued through 2001, even while rates of other major crimes decreased. Despite considerable local efforts to address the conditions of women, there remains a lack of systematic data documenting the scope and frequency of violent acts committed against women. A centralized surveillance system focused on tracking human rights abuses needs to be established to address this critical need for empirically based reports and to ultimately guide reform efforts.

Prevention of torture and care of survivors. An integrated approach.

An analysis of the 1992 Amnesty International report demonstrates the nature and global distribution of reports of human rights violations. Systematic torture was reported in 93 of 204 countries. Reports of torture were more common from regions affected by political unrest, including mass demonstrations, riots, outbreaks of violence, killings, coup attempts, civil war, armed tribal conflict, rebellions, and conflicts with various opposition groups demanding social and political reform. These observations suggest that effective measures against torture require a multilevel analysis of underlying social, political, cultural, and psychological factors. Effective care of survivors of organized violence and torture is an indispensable component of the human rights struggle and needs more scientific attention. An integrated approach involving both preventive efforts and care of survivors can promote the human rights cause.

The role of physicians in conflicts and humanitarian crises. Case studies from the field missions of Physicians for Human Rights, 1988 to 1993.

Violations of human rights in wars, civil conflicts, and brutal repression mounted by governments against their own citizens often have profound consequences to individual and public health and may, in turn, produce humanitarian crises. The skills of physicians, medical and forensic scientists, and other health workers are uniquely valuable in human rights investigations and documentation, producing evidence of abuse more credible and less vulnerable to challenge than traditional methods of case reporting. Only in recent decades, however, have physicians organized specifically to meet this responsibility. This article presents case studies from the field missions of Physicians for Human Rights to illustrate the investigation and documentation of violations of medical neutrality, refugee health crises, the use of indiscriminate weapons, torture, deliberate injury and rape, and mass executions. Participation of health workers in the defense of human rights now includes investigation and documentation of health effects in threatened populations as well as individual victims.