[The women who wrote in the Manicomio Nacional de Leganés after the Spanish Civil War, 1939-1952]. / Las mujeres que escribieron en el Manicomio Nacional de Leganés tras la Guerra Civil Española, 1939-1952.

This article uses the medical records of six women admitted to the Manicomio Nacional de Leganés, Madrid (Spain), in which, in addition to medical notes, there are letters and other personal documents. These unsent letters allow us to read about their complaints towards the institution, as well as to recover the voices of the inmates and their resistance to being treated like insane people. This analysis leads us to explore the double marginalization: being "women" and being "mentally ill"; it also brings us closer to building a story from the patient's point of view. The time frame is Franco's dictatorship, during which the implementation of a national-Catholic system undoubtedly reinforced the female hegemonic model of the regime.

El presente trabajo utiliza los historiales clínicos de seis mujeres internadas en el Manicomio Nacional de Leganés, Madrid (España), en los que, además de las anotaciones médicas, existen cartas y otros documentos personales. El control sobre estas cartas no enviadas nos permite escuchar las denuncias sobre la institución, así como recuperar las voces de las internas y sus resistencias a ser tratadas como locas. Este análisis nos lleva a explorar la doble marginación: ser "mujeres" y "enfermas mentales" y nos aproxima a construir una historia desde el punto de vista del paciente. El marco temporal es el franquismo, régimen dictatorial que implantó un modelo hegemónico femenino dictado por una moral nacional-católica.

Prisoner, Sailor, Soldier, Spy: Hobbes on Coercion and Consent.

This article examines Thomas Hobbes's notorious claim that "fear and liberty are consistent" and therefore that agreements coerced by threat of violence are binding. This view is to a surprising extent inherited from Aristotle, but its political implications became especially striking in the wake of the English Civil War, and Hobbes recast his theory in far-reaching ways between his early works and Leviathan to accommodate it. I argue that Hobbes's account of coercion is both philosophically safe from the most common objections to it and politically superior to the seemingly commonsensical alternatives that we have inherited from Hobbes's critics.

Historia de los Servicios de Salud Penitenciarios en Costa Rica / History of Prison Health Services in Costa Rica

La historia de los servicios médicos penitenciarios se remonta hace aproximadamente medio siglo, en la extinta Penitenciaria Nacional, donde al igual que, durante mucho tiempo estuvo a cargo de personeros de la Caja Costarricense del Seguro Social (CCSS). No es, hasta que al finalizar la década de los 80's, con el cierre del centro penal ubicado en la Isla San Lucas, se logra concretar la creación de plazas de salud propias del Ministerio de Justicia y Paz (MJP). En 1993 se logra el primer convenio interinstitucional entre la CCSS y el MJP, actualizado en 1998, el cual aún se encuentra refrendado por la Procuraduría General de la República. Actualmente, el MJP cuenta con 87 plazas asignas a puestos relacionados con servicios de salud a lo largo y ancho del territorio costarricense.

The history of prison medical services goes back approximately half a century, in the now extinct National Penitentiary, where, for a long time, it was in charge of representatives of CCSS. It is not, until at the end of the 80's, with the closure of the penal center located on San Lucas Island, the creation of health centers belonging to the Ministerio de Justicia y Paz (MJP) is achieved. In 1993, the first inter-institutional agreement between the CCSS and the MJP was reached, updated in 1998, which is still endorsed by the Attorney General's Office. Currently, the MJP has 87 positions assigned to positions related to health services throughout the Costa Rican territory.

Prisoner of War Medical Ingenuity in Far East Captivity.

Research into British perspectives of the medical history of Far East prisoners of war (FEPOWs) has been conducted by the Liverpool School of Tropical Medicine (United Kingdom), resulting from decades of treating FEPOW veterans that began after their repatriation in late 1945. This paper examines some of the ingenious ways that British medical officers, medical orderlies, and volunteers fought to save the lives of thousands of FEPOWs during captivity in the Second World War. It highlights some of the key medical challenges, together with the resourcefulness of a "citizen's army" of conscripts and volunteers who used their civilian knowledge, skills, and ingenuity in many ways to support Allied medical staff. Using the most basic of materials, they were able to produce a vast array of medical support equipment and even drugs, undoubtedly saving many lives.

Medical experimentation on prisoners (part 1): historical milestones.

The exploitation of prisoners in medical research is an ancient phenomenon. However, the history of the XXth century was marked by major events that reached the peak of horror during the second world war. Although the collective mind has remembered the outrages of the Nazi regime, the truth is that these practices were adopted by the majority of the military powers of that time, and continued after the end of the war. This history note is the first in a series that aims to review the circumstances and implications of these dark moments in the history of medical research in order to pay tribute to the countless victims who paid with their lives for «scientific progress¼ and to understand the reasons for current ethical considerations in biomedical experimentation on persons deprived of liberty.

Coletivo em Silêncio: o encontro que cria um corpo político e produz vida / Coletivo em Silêncio: the encounter that creates a political body and produces life / Coletivo em Silêncio: el encuentro que crea un cuerpo político y produce vida

Este ensaio é um recorte de uma pesquisa mais ampla, a pesquisa de tese que observa a produção do corpo político como parte da manifestação das lutas contemporâneas. Nesse recorte, apresenta-se um relato de experiência, a partir de minha observação participante em um coletivo feminista de arte e educação, de luta antipunitivista e pelo desencarceramento ­ o Coletivo em Silêncio. A narrativa do trabalho apresenta também depoimentos, poesias e entrevistas concedidas à autora por mulheres atingidas pelo sistema prisional e de justiça, mulheres que foram historicamente e socialmente estigmatizadas como pessoas que não servem à sociedade e por isso podem ser descartadas. Este trabalho, que assume um caráter ensaístico, procura tornar evidentes estratégias de resistência através de práticas comunicativas e da expressão artística, e, por fim, criar espaço para que as falas dessas mulheres ressoem e possam ser escutadas.

This essay is an excerpt from a broader research, the thesis research that looks at the production of the political body as part of the manifestation of contemporary struggles. In this framework, a narrative of experiences is presented, based on my participant observation in a feminist collective of art and education, concerned with anti-punitive and de-incarceration agenda ­ Coletivo em Silêncio. The narrative also includes testimonies, poetry and interviews with women who were affected by the prison and justice system, women who were historically and socially stigmatized as people who don't fit into the society and, therefore, can be discarded. This essay seeks to give visibility for practices of communication and artistic expression as strategies of resistance and, finally, set up spaces for those speeches to be resonated and heard.

Este ensayo es un extracto de una investigación más amplia, la investigación de tesis que analiza la producción del cuerpo político como parte de la manifestación de las luchas contemporáneas. En esta sección se presenta un relato de experiencia, basado en la observación participante en un colectivo feminista de arte y educación, anti-punitivo y contra el encarcelamiento ­ Coletivo em Silêncio. La narrativa de esta obra también incluye testimonios, poesía y entrevistas dadas a la autora por mujeres afectadas por el sistema penitenciario y judicial, mujeres que fueron histórica y socialmente estigmatizadas como personas que no sirven a la sociedad y, por tanto, pueden ser descartadas. El trabajo, que asume un carácter ensayístico, busca evidenciar estrategias de resistencia a través de la comunicación y la expresión artística y, finalmente, criar espacios para que sus discursos resuenen y puedan ser escuchados.

Physicians, the Spanish Inquisition, and Commonalities With Forensic Psychiatry.

The Spanish Inquisition was founded in 1478 by the Catholic monarchs and operated with the goal of controlling heresy in society. Religion was omnipresent, and Jewish conversos (Jews who had converted to Christianity) who continued to observe Jewish practices were many of the accused. In cases in which the defendant was thought to have mental illness, the Inquisition's physicians were to evaluate the person and provide reports and expert evidence. Those defendants who were found to have genuine mental illness were generally freed or transferred to specific hospitals for those with mental illness. Case examples elucidate the methods used by the Spanish Inquisition physicians to differentiate mental illness from malingering and heresy. Physicians also treated inmates and participated in evaluations regarding the appropriateness of torture. Understanding the events of the Spanish Inquisition and the role of physicians holds relevance for contemporary forensic psychiatry.

Ahmadreza Djalali, MD, PhD is Dying.

Editor-in-Chief Note:Dr. Djalali is a well-known member of the international disaster medicine community. He is a man always with a smile and sincere in seeking the best for all mankind. His now extremely prolonged imprisonment without due process to allow him to defend himself represents one of the most profound inhumane acts on the globe. His torture and starvation are beyond comprehension for the international health and medicine community as well as all men and women. The pictures that accompany this editorial are published with proper permissions and have been authenticated as untouched from the originals.

'Never forget': fictionalising the Holocaust survivor with dementia.

This article asks what the reasons are for the frequent linking of the image of the Holocaust with that of dementia in contemporary discursive and representational practice. In doing so, it analyses some of the numerous 21st-century examples of fiction, drama and film in which the figure of a Holocaust survivor living with dementia takes centre stage. It explores the contradictory cultural effects that arise from making such a connection, in contexts that include expressions of fear at the spectacle of dementia, as well as comparisons between the person living with that condition and the inmate of a concentration camp. Detailed consideration of novels by Jillian Cantor and Harriet Scott Chessman as well as a play by Michel Wallenstein and a film by Josh Appignanesi suggests that the fictions of this kind can appear to provide solace for the impending loss of the eyewitness generation, yet also offer potential for a model for caregiving practice to those living with dementia in broader terms.

Medical malpractice cases involving lack of access to dermatologists for incarcerated patients in the United States from 1982 to 2018.

While prison medicine is a heavily researched area for quality improvement, little is known regarding prisoner access to dermatologists. The goal of this study was to characterize the claims related to a lack of dermatologist access in prison malpractice cases. We searched the LexisNexis Academic database of legal records from 1970 to 2018 using the terms "medical malpractice and dermatologist" to yield federal malpractice cases involving dermatologists. Ultimately, 89 distinct cases in which a prisoner was not able to see a dermatologist were included in the final analysis. Data relating to year, location, anatomical site, symptoms, dermatologist related claim, specialty of treating physician, and final diagnosis were extracted for each case. The 89 cases involving prisoners who were not able to see a dermatologist for their skin condition ranged from 1982 to 2018, with California (n = 12) and Pennsylvania (n = 11) containing the largest number of cases. 76% of the prisoners were only treated by primary care prison physicians for their dermatologic concerns. Several issues regarding dermatologist access were categorized in this study. This study reveals limited access to dermatologists for prisoners in need of dermatologic care. Improved collaboration between prison officials, prison medical staff, and dermatologists could help improve prisoner care and limit malpractice risk.

'Close confinement tells very much upon a man': Prison Memoirs, Insanity and the Late Nineteenth- and Early Twentieth-Century Prison.

This article explores prisoners' observations of mental illness in late nineteenth- and early twentieth-century British prisons, recorded in memoirs published following their release. The discipline of separate confinement was lauded for its potential to improve prisoners' minds, inducing reflection and reform, when it was introduced in the 1840s, but in practice led to high levels of mental breakdown. In order to maintain the integrity of the prison system, the prison authorities played down incidences of insanity, while prison chaplains lauded the beneficent influence of cellular isolation. In contrast, as this article demonstrates, prisoners' memoirs offer insights into the prevalence of mental illness in prison, and its poor management, as well as inmates' efforts to manage mental distress. As the prison system became more closed, uniform and penal after the 1860s, the volume of such publications increased. Oscar Wilde's evocative prison writings have attracted considerable attention, but he was only one of many prison authors criticizing the penal system and decrying the damage it inflicted on the mind. Exploration of prison memoirs, it is argued, enhances our understanding of experiences of mental disorder in the underexplored context of the prison, highlighting the prisoners' voice, agency and advocacy of reform.

Nazi victims on the dissection table - The Anatomical Institute in Innsbruck.

Since Vienna University's 1997/98 inquiry into the background of Eduard Pernkopf's anatomical atlas, German and Austrian anatomical institutes have been forced to confront their past, particularly the widespread procurement of bodies of victims of National Socialism. This paper focuses on the Anatomical Institute in Innsbruck, which received bodies from an unusually broad array of sources: from prisoners executed at Stadelheim Prison in Munich, prisoners of war from three different camps, military personnel sentenced to death by martial courts, patients from a psychiatric hospital, and several bodies of Jewish Holocaust victims. As in other comparable cases, these bodies were used for scientific publications and medical teaching until long after the war. The Anatomical Institute's collection is currently undergoing a detailed analysis in order to identify any human remains dating from the Nazi period. At the Institute of Histology and Embryology, recent research has led to the discovery of approximately 200 histological slides pertaining to at least five individuals who had been executed under the Nazi regime. In a number of cases, the specimens had been provided by Prof. Max Clara, head of the Leipzig Institute of Anatomy. This study is based on an analysis of the Innsbruck Anatomical Institute's unusually detailed records and numerous documents from various archives, including files pertaining to an inquiry into the institute held after the war by the French occupation authorities.

The biological wellbeing of the working-poor: The height of prisoners in Buenos Aires Province, Argentina, 1885-1939.

As a way to contribute to the debate on social inequality, poverty, and well-being in Argentina's long-term development, this article presents new evidence on the stature of prisoners in Buenos Aires province, the richest province in the Pampa region. The evidence shows very modest gains in the stature of prisoners for the period 1885-1939. This finding clearly indicates the persistence of early childhood malnutrition and poor health among families of the working-poor in the small towns of Buenos Aires province. Five decades of modest stature growth underscores the limitation of state policies of education, sanitation, and social reform in elevating the health and nutrition conditions of the working-poor. At the heart of the pampas, in the context of a successful food exporting economy, a working-class population cursed by the combination of low human capital and social vulnerability failed to attained a substantial improvement in their biological wellbeing.

Rudolf Hess - The Doppelgänger conspiracy theory disproved.

The Deputy Führer of the Third Reich Rudolf Hess was captured after a controversial flight to Scotland in 1941. Hess was sentenced to life imprisonment during the Nuremberg War Crimes Trials. He was detained in Berlin's Spandau Prison under the official security designation 'Spandau #7.' Early doubts arose about the true identity of prisoner 'Spandau #7.' This evolved to a frequently espoused conspiracy theory that prisoner 'Spandau #7' was an imposter and not Rudolf Hess. After Hess's reputed 1987 suicide, the family grave became a Neo-Nazi pilgrimage site. In 2011, the grave was abandoned and the family remains cremated. Here we report the forensic DNA analysis of the only known extant DNA sample from prisoner 'Spandau #7' and a match to the Hess male line, thereby refuting the Doppelgänger Theory.

The Japanese American wartime incarceration: Examining the scope of racial trauma.

Ten weeks after the 1941 Japanese military attack on Pearl Harbor, Hawaii, the U.S. government authorized the removal of more than 110,000 Japanese American men, women, and children from their homes in Western portions of the country to incarceration camps in desolate areas of the United States. The mass incarceration was portrayed as necessary to protect the country from potential acts of espionage or sabotage that might be committed by someone of Japanese ancestry. However, an extensive government review initiated in 1980 found no evidence of military necessity to support the removal decision and concluded that the incarceration was a grave injustice fueled by racism and war hysteria. The Japanese American wartime experience represents a powerful case example of race-based historical trauma. This article describes the consequences of the incarceration for Japanese Americans during and after their unjust imprisonment, their coping responses and healing strategies, as well as the impacts of receiving governmental redress more than four decades after the war's end. Examination of this specific event provides a perspective for understanding the long-term, radiating effects of racial trauma and the process of healing, over a broad arc of time and across social contexts. Current relevance of the Japanese American incarceration and implications for the field of psychology are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Malnutrition and skin disease in Far East prisoners-of-war in World War II.

During the Second World War, thousands of captured British and Commonwealth troops were interned in prisoner-of-war (POW) camps in the Far East. Imprisonment was extremely harsh, and prisoners developed multiple pathologies induced by physical hardship, tropical infections and starvation. Immediately after the war, several POW doctors published their clinical experiences, including reports of skin disease caused by malnutrition. The most notable deficiency dermatoses seen in Far East POWs were ariboflavinosis (vitamin B2 or riboflavin deficiency) and pellagra (vitamin B3 or niacin deficiency). A lack of vitamin B2 produces a striking inflammatory disorder of scrotal skin. Reports of pellagra in POWs documented a novel widespread eruption, developing into exfoliative dermatitis, in addition to the usual photosensitive dermatosis. A review of the literature from 70 years ago provides a reminder of the skin's response to malnutrition.