IMHR
&
KMHC

Victim Assistance, Research,
Education, Training, Advocacy

About

WHAT ARE THE IMHR & KMHC
    
 
IMHR (Institute for Human Rights & Medicine ) is a private, nonprofit, nonpartisan            organization to promote right to health and to support victims of violence,            established in 2011.
 
KMHC (Kim Keun-tae Memorial Healing Center) is the division of IMHR, which has            provided the trauma healing programs for torture victims since 2013.
 
           -  IMHR devises programs to protect and promote rights to health of vulnerable groups             whose rights are neglected or abused.
       
           -  IMHR introduces human rights principles in the field of medical service, and educates             health workers to recognize their particular role in promoting and protecting human rights.
 
           -  KMHC provides comprehensive psycho-medical support for torture victims and helps to             prevent re-victimization.
 
           -  IMHR supports to develop patient centered service programs which assure patients’
           rights and the establishment of Human Rights Clinic to help victims of violence in hospital.
 
    

     WHAT WE DO
 
 
  •  Victim Assistance 
       KMHC has direct client services (Human Rights Clinic) for victims of human right abuses.        A purpose of Human Rights Clinic is to help the recovery of victims from their severe        traumas. Thus, we provide the inclusive physical, mental and psychological support. Our        staffs will do their best to provide comprehensive support for victims to recover their dignity.
 
  •  Research
       IMHR & KMHC research the actual conditions of minority and vulnerable groups’ rights to        health. Also, we do clinical, epidemiological, and legal study on assistance program for        victims.
 
  •  Education & Training
       IMHR & KMHC provide the basis for health workers to share their own experiences and        encourage them to train themselves. Also, we have manuals and education programs to        prevent the secondary victimization of victims and to help to build a mutual trust between        victims and health workers.
 
  •  Advocacy
        IMHR & KMHC promote ‘the importance of human right and health’ to our society in order to        prevent human rights violation and violence.
 
 
 
 
   WHO WE ARE
 
  •  Staffs
      -   Lee, Hwa Young    :  Center Director                   
      -   Park, Eun Sung     :  Secretary General 
      -   Jeong, Sook Jung  :  Secretary 
      -   Choi, Mi Ran          :  Counseling Psychologist 
      -   Lim, Jin Taek          :  Artist, Art Therapy Program 'Gil-Eum Pansori'
 
  •  Board of Directors
      -   Ham, Sei Ung         :   Board Member, Priest, Archdiocese of Seoul 
      -   Lee, Hwa Young     :   Board Member, Internist, Center Director
      -   Baek, Jae Jung       :   Board Member, Internist, Vice-President of Green Hospital 
      -   Yu, Choong Hee     :   Board Member, Priest, diosece of Wonju
      -   Choi, Chang Nam   :   Board Member, Writer, Pastor, President of Baekdudaegan School
      -   Shin, Jwa Seop       :   Board Member, Professor, The College of Medicine, Seoul National University
      -   Lee, Young Moon    :   Board Member, Psychiatrist, President of Gongju National Hospital
      -   Sohn, Chang Ho      :   Board Member, Psychiatrist, Nanum Neuropsychiatry Clinic
      -   Ju, Young Su           :   Board Member,  Professor, Hallym University College of Medicine
      -   Park, Jae Young      :   Board Member, Physician, Chief Editor of the Journal 'Cheongnyeon Eusa'

   -   Lee, Sang Hee         :   Board Member, Lawyer, Lawfirm 'Jihyang'

 
  •  Members of Operating Committee  
      Medical & Psychological Service
          - Sohn, Chang Ho     :  Psychiatrist 
          - Lee, Joo Young       :  Psychologist

          Lee, Na Mi              :  Psychologist

          Lee, Bo Ra              :  Internist

          - Choi, Mi Ran           :  Counselling Psychologist

 
      Education 
           - Shin, Jwa Seop      :  Professor of medical education
           - Choi, Kyu Jin          :  Professor of medical school
           - Lee, Young Moon   :  President of National Centre for Mental Health 
 
      Research
           - Ju, Young Su        :  Professor of medical school
           - Lee, Hwa Young   :  Center Director
           - So, Hee Sung       :  Doctor
           - Lee, Seung Woo   :  Doctor
 
      Planning
           - Baek, Jae Jung      :  Internist, Vice-President of Green Hospital 
           - Park, Eun Sung      :  Secretary General of IMHR/KMHC
           - Yang, Jeong Soon  :  Writer
           - Kim, Byeong Min    :  Curator
 
      Law Service
           - Lee, Sang Hee          :    Lawyer
           - Yeom, Hyung Kook    :   Lawyer
           - Shin, Yoon Gyeong    :   Lawyer   
           - Kim, Sung Joo           :    Lawyer  
 
  •  Auditors
       - Yeom, Hyeong Guk   :    Lawyer,  Korean Public Interest Lawyers’ Group, GongGam
       - Choi, Kyu Jin             :    Professor,   School of medicine, Inha University


Research

 ●  Report : Research We Have Presented in Recent

 

(2016 IRCT GA & Scientific Symposium : abstract submitted)
 
 The use of culturally appropriate expressive art therapy for older political torture survivors: A qualitative analyses of the Pansori activity group in Korea
 
 The results showed that participating in the ‘Pansori’ activity group gradually improved the subjective well-being, with the most positive impact on relieving the suppressed emotions, increasing the flexibility of emotional experience, and on enhancing interpersonal relations(e.g., rebuild trust towards others, a sense of strong cohesion and communal support). Since many participants had reported that the ‘Pansori’ activity was more helpful than the other expressive art therapies that they had participated in the past, four group leaders were interviewed on what they perceived the critical factors in ‘Pansori’ activity that led to such positive outcome. Interview results involved such factors as being sensitive to the inter-generational cultural differences and matching the appropriate expressive art, respecting the participants’ psychological experiences that are difficult to measure by standardized assessment tools, and maximizing the unique characteristics of ‘Pansori’ (e.g., the singers eliciting empathy from the spectators, expressing sorrows and joys through satire and humor).
 
(2015 WAPR Poster Presentation)
 
The effects of torture related stressors on long-term complex posttraumatic symptoms in South Korean torture survivors
Hyunjung Choi (Traumahealingcenter Social Cooperative Human Heart), Hoon-Jin Lee (Department of Psychology Seoul National University), Hwa-Young Lee (Kim Keun-tae Memorial Healing Center, IMHR)

Introduction :

 Torture is an extreme violation to human rights, inflicted to destroy the integrity of individuals and the society. United Nations (1987) defines torture as 'intentional infliction of physical or mental pain or suffering.' Survivors of torture suffer from physical and psychological distress associated with torture, and from stressful life events within the socio-political environment of post-torture. Studies concerning the effect of the nature of torture emerged; not only the severity of torture but also the perceived distress or uncontrollability of torture were related to poor psychological functioning (Ba.o.lu, 2009; Ba.o.lu, Livanou, & Crnobaric, 2007) . Moreover, these studies emphasized components of torture other than the physical component. Non-physical torture were reported to be more related to posttraumatic functioning of the survivors than physical torture (Ba.o.lu, 2009; Punamaki, Qouta, &
Sarraj, 2010).
 Recent studies on torture survivors attempt to clarify the confounding effects of the type of torture and other stressful life experiences on mental health (Kira, Ashby, Odenat, & Lewandowsky, 2013). According to developmentally-based bi-dimensional trauma framework (Kira, Lewandowski, Chiodo, & Ibrahim, 2014), stressors caused by one social system upon an individual of that group can form traumatogenic dynamics of social exclusion that can betray an individual’s sense of belonging. This systemic trauma consists of discrimination, stereotyping, loss of support, backlash, and acts of domination or subjugation that threatens one’s collective identity.
 Korea has suffered from numerous historical traumas that might have contributed to the salience of collective identities of Koreans (e.g., Kira, 2010). In such collective society, social approval is crucial for life satisfaction and well-being (Suh, Diener, Oishi, & Triandis, 1998). However, ostracism and silencing related to political violence under a very complicated political context is persisting in South Korea. This again constitutes systemic trauma in South Korea, resulting in failure of early medical support for victims with severe physical injuries. Also, these non-supportive environments possess high risks for individuals in danger of further cumulative traumas and negative experiences.
 To explore whether specific stressors explain long-term complex posttraumatic symptoms of Korean torture survivors, our study analyzed which type of torture clustered by principal components analysis (PCA) and post-torture stressors were associated with PTSD, depression, anxiety, hostility, somatization, and interpersonal sensitivity symptoms. We included distress of physical damage related to torture, probation, social-economic repression, and social exclusion as post-torture stressors. This was analyzed controlling forthe demographic variables, mean time span since the first occurrence of torture, psychological preparedness for torture, and perceived distress of trauma other than torture.

Conclusions

1.By adapting PCA, torture stressors were mainly divided into components representing physical torture, psychological torture, deprivation of basic needs and overexposure to extreme sensations. These results were in line with previous findings on          torture types.

2.We also confirmed that above physical torture, other torture types representing cruel, inhuman, and degrading treatment (psychological torture, deprivation, and overexposure) leads to prolonged PTSD symptoms. This is in line with the suggestion that the distinction between physical torture and other cruel, inhuman, and degrading treatment in international law is misleading.

3.Perceived distress of physical damage was related to symptoms over the effect of perceived distress of physical torture. Concerning intervention, early medical attention and psychosocial support for these sufferings should be dealt with through proper rehabilitation.

4.Social exclusion, which can be defined as systemic trauma (such as when sense of social belonging and support are threatened and when one's torture experiences are concealed that resulted in deprivation of disclosure chances and acceptance), were found to be related to increased levels of complex posttraumatic symptoms. Therefore, interventions should be conducted in a way that would promote social reunion of the survivors to the community. In addition, raising awareness about the cruelty of torture within the society must also be accomplished.

(2014 APA Poster Presentation)

LONG-TERM MENTAL HEALTH PROBLEMS OF TORTURE SURVIVORS AND THEIR FAMILIES IN KOREA
Changho Sohn, M.D. Ph.D. Hwayoung Lee, M.D., Ph.D. Chedo Lim, M.A. Jihyoun Yu
(Institute for Medicine and Human Rights, Kim Keun-Tae Memorial Healing Center) 
 
Objectives:
Research has shown that torture may cause life-long psychiatric problems. The present study aimed at examining the mental health problems of people who have been falsely accused of espionage and who were tortured into false confessions, as well as their families in Korea. This study was conducted as a part of project funded by the Seoul Metropolitan Government to support the healing process for victims of human rights violations.
 
Method:
Participants include 46 torture survivors (43 males and 3 females, mean ages:66.3) who had experienced torture during the period of 1970 through the 1980’s and 30 of their family members. Mental health problems were investigated by Impact Event Scale-Revised (IES-R), the Center for Epidemiological Studies Depression Scales (CES-D), and the  Post-traumatic Cognitions Inventory (PTCI). We also assessed past history of alcohol abuse measured by Alcoholism Screening Test of Seoul National Mental Hospital (NAST) and self-mutilating behavior, including suicide attempts.
 
Results:
The victims in this study were tortured for 4 to 110 days and served 2 to 17 years in prison. 89.1% of the victims and 70.0% of their family members reported ongoing symptoms compatible with PTSD by IES-R(cut-off score:24). 41.9% of survivors and 34.5% of family members showed very severe depressive symptoms that might indicate the presence of depressive disorder by CES-D standards (cut-off score:25). 21.7% of survivors had problems with alcohol to such a degree that need psychiatric treatments. 4.5% of survivors had suicidal thoughts during the past 6 months and 21.7% of them had attempted suicide during their post-victim period. The degree of cognitive distortion measured by PTCI was significantly correlated with severity of PTSD (IES-R) and depression (CES-D) symptoms (p<0.01).
 
Conclusion:
This study has shown that torture survivors and their families were suffering long-term psychiatric difficulties including PTSD, depressive disorder, and problems with alcohol. The negative and dysfunctional post-traumatic cognition might have an important role in etiology and maintenance of PTSD and depression. Appropriate psychiatric treatments including cognitive intervention are necessary to improve the mental health problems in torture survivors.

 
 


 
● Issues of Research
  
    We recognize the urgent support areas. We insist a need of inclusive supports including crisis intervention, treatment, recovery, and rehabilitation in these areas. We also encourage victims’ rights based activities of  health workers. In addition, we promulgate a necessity of nationwide system to advocate human rights and prevent violence.
 
l  Refugee
 
      We investigate medical NGOs’ activities for refugees (including North Korea defector) and offer training manuals for those staffs. Also, we provide mental and psychological treatment for refugees to help their PTSD.  

 
l  Migrant workers
 
     We research general health status of migrant workers and members of multicultural family. Also, we investigate whether they have an equal access to health service. To improve migrant workers’ rights to health, we share materials and experiences with medical NGOs for migrant workers.
 
l Government authorities’ human rights violation
 
     -    We analyze side-effects of torture and political violence (abuse of power and human rights). We emphasize and publicize roles of health workers for these issues, especially the role of psychiatric specialists and psychologists. Also, we make the psychological and mental treatment plan and try to find a better way to intervene.

      -     Health rights for prisoners and military personnel; Along with researches prisoners’ rights to health, we try to find a way to deal with the issue related to the access to health service in prison and military, using public medical system.

      -     Suspicious Deaths in Military; we develop a treatment service for bereaved.
 
l  Violation of patients’ rights and discrimination at medical institutions
 
      -       Discrimination; HIV infection/AIDS, Hepatitis type B/C, Hansen’s disease
      -       Violation; Mentally disabled persons, Sex-workers 
 
l  Domestic violence (spousal, child and elder abuse) & sexual assault
 
      -       Psychological support for PTSD, etc.
      -       Prevention of re-victimization
      -       System for stop violence
 
l  Death with dignity
 
      A death with dignity is to withdraw meaningless life-sustaining treatment and allow natural death. However,  there are many misunderstandings of a death with dignity, confused with euthanasia. Devices to minimize medical mistakes and errors such as ‘committee for death with dignity’ must be considered. Also, it needs to create a policy to ensure patients’ own decision such as ‘Advance directives’ but before that, hospice and palliative medicine must be guaranteed. A death with dignity needs to be legalized, however, to prevent the abuse of law, we research many issues related to a death with dignity.
 
l  Patients’ rights based approach of medical services
 
     Many researches emphasize that human rights education for health workers is the best way to reduce human rights violation at health institutions. To prevent human rights violations and discriminations in these areas and to provide inclusive help to patients, we provide standards and evaluations for ‘patients’ right centered medical services’. Also, we would like to introduce health workers who struggle to improve patients’ rights.


KMHC

  Kim Keun-tae Memorial Healing Center "Soom"
 
  
     INTRODUCTION
 
      The Kim Keun-Tae Memorial Healing Center, located in Seoul, South Korea, provides trauma healing for torture victims, focusing on their psychological rehabilitation. The center is named after the well known Korean human  rights activist, Kim Keun-Tae, who was a recipient of the Robert F. Kennedy Human Rights Award and was also a prisoner  of conscience supported by Amnesty International. Kim has been a symbol of torture survivor in Korea. His death at the age of 62 reminded Korean society of the civil duty to support torture victims. This led to the founding of the Kim Keun-Tae Memorial Healing Center.
 
 
SDC14825.JPG
 ▲Kim Keun-Tae Memorial Healing Center in Seoul, South Korea
 
 
l   Mission
 
       Kim Keun-tae Memorial Healing Center is to support victims of violence to recover from their trauma.
       We provide the comprehensive physical, mental and psychological services to victims.
       We help the victims to regain their dignity in their life.
 

l   What We Do
 
     -    Client Service: We provide the comprehensive physical, mental, psychological services for victims.
     -     Training: We provide training programs for health workers who work for victims of violation. Programs focus on preventing secondary victimization and building a trust-based relationship between patients and health workers.
     -    Research: We conduct research on the psychological effects of state violence. 
           
 

     CLIENT SERVICE
  

l  Trauma Healing Program
 
     -   The purpose of trauma healing Program is to support victims’ rehabilitation. With the intervention of health workers, torture victims overcome their experiences of violence. Trauma healing programs focus on building trust between victims and health wordkers so that they feel safe to speak out their experiences.
 
     -  Trauma healing program begins with individual consultation. Based on physical symptoms and psychological evaluation, we discuss to plan the following steps. When it is allowed, victims participate in the group sessions of 6 to 8 members. So far, the KMHC have held 7 group sessions with torture survivors. 
    

l   Participants of Trauma Healing Program
 
    -   Trauma healing programs in KMHC are for torture victims in Korea. Most of torture victims were labeld as "Reds", which was directly translated to "North Korean spies". They had suffered not only from torture itself but also from the extreme rejection of the whole society for tens of years. For the majority of those who have participated in, trauma healing program in the KMHC was the first therapeutic intervention in 30-40 years.  
 
 


l   Staffs of Trauma Healing Program
 
      -  Support team for trauma healing program is composed of case managers, psychologists, psychiatrists, physicians. According to situations, lawyers support the retrials for those who challenge the false charges agaist themselves.



     SPECIAL EVENTS
 
l   26 June Campaign, 2015
    
     The events to honor the International Day in Support of Victims of torture on 25th of June, 2015 of the KMHC in Seoul, South Korea

       The KMHC organized events to honor the International Day in Support of Victims of torture on 25th of June, 2015.  Much of the events highlighted an award ceremony for the torture survivor and a traditional performance “Pansori"(Pan means "a place where many people gathered" and Sori means "sound") by a group of torture survivors. The survivors have practiced it for this day for the last six months. The performance became an opportunity to raise their own voices in public, which Korean society had hardly heard before.

Participants of Pansori.JPG
                        ▲Expressive Art Therapy "Pansori": torture victims and their families in group therapy 
 
      They performed the Pansori (Korean traditional style of singing allows audience to talk part in the performance by corresponding with sounds like 'wow', 'very good') "Four Season of Life" which is similar to the western musical in the main hall of KMHC. Learning music together in a safe place, the survivors and their family members shared the sense of solidarity, getting out of social isolation. That was a good tool to guide for the rehabilitation and to heal their wounded lives.

Performance of Pansori in june 26, 2015.jpg
                   ▲Performance of "Pansori" : Fifteen torture survivors gave sing and dance at the event of International Day in Support of Victims of Torture. 
 
        The performers were overwhelmed with fun on the stage washing away the scars of their heart and it touched the 200 audience deeply and told the greatness of human will to the rehabilitation.

 

 
l    26 June Campaign, 2014
 
     On 25th of June 2014, the KMHC honored the International Day in Support of Victims of Torture and its first anniversary in Seoul, South Korea. Focusing on psychological rehabilitation of victims of torture, the KMHC claimed to fight against impunity for the real recovery of survivors. Around 200 people including the torture victims and their supporters attended the 26 June events.
 
    * Testimonials of Torture Survivor
 
     Five victims of torture gave speeches about their individual torture experiences and its impact on their lives. Labeled as “Reds”, which directly translated to "North Korean spies", the victims had suffered not only from torture itself but also from the extreme rejection of the whole society. They had to hide from the eyes of others, isolating themselves from the society. All five have participated in the KMHCs trauma healing programs, and for most of them it was the first therapeutic intervention in last 30-40 years.
 
SAM_4049.JPG
                    ▲Testimonial Dialogue of Torture Survivor : Five victims of torture gave speeches about their individual torture experiences and its impact on their lives. 
 
     What was noteworthy during the testimonial dialogue was the role of medical professionals in the torture scene.
 
     “3-4people came to the interrogation room where I was, but always one or two did not directly harm on me. They  just observed me, leaning against the wall. They were doctors. They checked my body condition so that they could adjust the degree of torture.
 
     The intervention of health workers in torture has been an open secret in Korea. However, their existence was not yet publicly acknowledged and no one was accused or punished for their medical complicity. It certainly needed a lot of courage to speak out their hurts on the public stage. They told they felt safety during the trauma healing program and, in conseqnce, they could speak out their voices on their experiences.
 
DSC_0843.JPG 
                          Lee Seong-hee, the awardee of the appreciation plaque : The plaque served as an appreciation for his effort to bring justice on other torture victims.
 
    After the dialogue, Lee Seong-hee, one of the five, was awarded an appreciation plaque. Accused as a spy, he was  sentenced to life imprisonment. When he was released with a special pardon, he requested a retrial on his case and did not give up on proving his innocence. Finally in 2012, the court declared him "not guilty" after 38 years. Following his  precedence, 18 people who had been accused with him in past have been proven innocent as well. The plaque served as an appreciation to him for his hard work to bring justice on other torture victims.


     * Performance against Impunity
 
     A group of eleven survivors and their families staged a performance which satirized impunity in current Korean situation. This performance imitated the play “The Flower in the Wounded- Uleung 1974”. The main theme of this play was the recovery of people who were fabricated as spies in Uleung in the year 1974, the first clients of the KMHCs trauma  healing program. To commemorate the 40th anniversary of the case and the “not guilty” sentence in retrials, the KMHC organized the play and invited torture survivors, many of whom were comforted by the similar stories of others. With around 8,000 in the audience and 180 cameo appearances by the survivors and their supporters, the play aroused massive public empathy. The performers of this evening chose to share the message of the play, the recovery by the remembrance of what had happened before.
 
    Making a parody of the play, they humorously criticized the current situation in Korea. Two characters regarded their perpetration of torture as part of their lofty patriotism, full of pride. They were the reflects of the perpetrators, living high off the hog, not punished at all with only 7 years of the statute of the limitations applied to the crime of torture. The curtain dropped with the poem, “And they came back”, which was taken from the famous poetic statement by Martin Niemoeller, “First they came”. The message was strong; Human rights abuses are quite possible to happen again if we stop investigating and speaking out against human atrocities.
 
DSC_0928.JPG
 
DSC_0927.JPG 
                       Performance of "And They Came Back": The torture victims and their families played “First they came”, the famous poetic statement by Martin Niemoeller.
 
 
     * To share with more people
  
     To reach public civilians who did not attend this event, the KMHC distributed a brochure which includes;
        
        - The report on the psychological condition of the torture victims in Korea conducted by the KMHC in 2013
        - The report on the evaluation of trauma healing program in the KMHC
        - The Torture Act, which stops the pardon and decriminalization of torture crime, which was submitted years ago but still at a standstill in the national Assembly; and a thesis regarding the need to punish the perpetrators for preventing recurrence.
        - The KMHC's statement calling for the rehabilitation of victims, establishing the truth, and nullification of the statute oflimitations in torture crime cases. This statement was passed onto the media to reach more audience.
 
      * For our Ultimate Goal
 
     The current president of Korea, Park Geun-Hye, is the daughter of the brutal dictator Park Chung-Hee who encroached  upon the citizen freedom of thought during his tyranny 18 year rule. Apprehension that the human rights can  be endangered again exists and, unfortunately, it seems that it is not just an irrational worry. The judges and prosecutors, who condoned tortures during the dictatorship, are now Parks aides, holding powers in legal and political circles. Their power adversely affects the retrials. What is more surprising is that the exact identical fabrication case ha  just happened again, in 2014.
 
     Although torture is not committed as commonly as it was in 1970’s, 80’s anymore here in Korea, numerous victims who struggle to survive without support have gone unknown in society. Moreover, human rights abuses and state violence in other forms still remains. Through 26 June campaign, the KMHC strengthened its mission for the establishment of truth, rehabilitation of the victims of state violence and the ultimate goal of the world without tortures.
 
DSC_0981.JPG
                        ▲ Finishing the events : Around 200 people including the torture victims and their supporters attended the 26 June events.
 
l  The play, "The Flower that blossomed in the Wounded"

    In Spring 2014, the Kim Keun-tae Healing Center sponsored a play, "The Flower that blossomed in the Wounded".

    The play was about the recovery of torture survivors who were accused of being spies and were subject to torture as  consequence- they were also the first participants of the trauma healing progrma in the KMHC. These torture victims have suffered not only from torture itself but also from the rejection from society, labeled as "spies from North Korea." It was not until 40 years later that they were able to challenge the false charges against them. In Commemoration of their recent victory from the retrial, the KMHC helped bring their stories through the sponsorship of the play.
 
    Perfomed over the duration of two months, the play "The Flower that blossomed in the Wounded" drew 8,000 audiences. Torture survivors, their families and supporters from various fiedls mad cameo appearacnes on the stage. The audience laughed and cried throughout the play, empahtizing with the life stories of torture survivors. Such reaction from the audience conveyed that the survivors are no longer subject to contempt from society, but have earned sympahty and support instead. This chage offered torture survivors deep solace and encouragement. The play signaled another step towards social justice for Korea.
 
관객 (1).jpg 
                           The audience : During two months, around 8,000 people came to the play.
 
SDC13115.JPG
 
                         Messages from the audience of the play to Torture Survivors : People wrote their short impression after they watch the play. They wrote that they felt sorry for their indifference to the torture survivors, admired powerful resilience of the survivors and promised to support survivors’ rehabilitation.
 
 

Medicine & Human Rights

l  WHAT IS “MEDICINE & HUMAN RIGHTS” ?
 
     Medicine & Human Rights is a study that provides theoretical backgrounds and methods for health workers to implement human rights in their daily work places.
 
     Not only providing information on human rights standards, it also aims to sensitize health workers in promoting human rights and encourage them to transform that principle into practical behavior. Also, Medicine & Human Rights broadens a role of health workers, emphasizing social aspects of health and suffering.
 

 l  IS HEALTH A RIGHT?
 
     “The right to health is one of the fundamental rights of every human being“ is a basic conception of Medicine & Human Rights. That is to say, health is a basic requirement for the human dignity. It also implies that a society and a government are responsible for maintain people’s health.
 
     WHO defines health not only as the absence of diseases, but as a state of complete physical, mental and social well-being. However, the field of medicine and medical education focus solely on disease-oriented model of health such as diagnosis, treatment, and prevention. By focusing on disease as the unique cause of human suffering, physicians may fail to recognize the relationship between health and human rights. Consequently, it neglects social aspects of human suffering and limits their role in promoting health in community.
 
     In 2000, UNCESCR (Committee on Economic, Social, and Cultural Rights) acknowledged that the right to health embraces a wide range of socio-economic factors that promote conditions  in which people can lead a healthy life, and extends to the underlying determinants of health, such as food and nutrition, housing, access to safe and clean water and adequate sanitation, safe and healthy working conditions, and a healthy environment.
  
l  LINK BETWEEN HEALTH & HUMAN RIGHTS
 
     Ignoring and violating human rights have negative effects on health. (For example, torture and violence cause physical and mental damages and those damages usually bring harmful consequences.) Thus, setting up health policies and promoting these policies need careful consideration. During the policy making process, human rights can be promoted or violated. (For example, if HIV/AIDS patients and mental handicapped participate in a policy setting process, it will reduce human rights violations against minorities.)
 
     However, protecting human rights can make vulnerable health maintenance situation better. It eventually reduces disease and improves health status of people, if health services, food and education are accessible equally.
 
     Human rights violation directly affects to physical and mental health. (H à HR). (Health care policies and medical services can violate human dignity if those are not based on human rights.) (H ß HR). Thus, health and human rights are mutually dependent (H <àHR). That is to say, protecting and promoting human rights is the best way to to protect and promote human rights for ensuring their patients’ health. This is the reason why doctors should pay attention to human rights.
   
     Thus, health care policies and medical services must be provided with ‘rights based approach (RBA)’. Health care services must guarantee human dignity and should be accessible to everyone without any discrimination. Rights to education, rights to access information, and rights of privacy must be protected and the society and government are responsible for these. 
   
l  WHO ARE THE “DOCTORS AT RISK”?
 
     Doctors are subjective of human rights violation if they ignore human rights.
 
     After the World War I, it was found that many doctors under the Nazi regime were related to war crimes and inhumane activities. The doctors actively participated genocides and Nazi human experimentations. What makes more deplorable is the fact that there still exist many doctors violating human rights. Doctors who are at risk of being members of human rights violation face many different situations including Nazi regime, Guantanamo, Abu Ghraib, prisons, military, refugee camps or the research lab (to be pressured to conceal negative results of their experiments). Thus, if doctors do not care about human rights, their human rights can be at risk eventually.
 
     If a victim of torture suffers from high blood pressure during being tortured, doctors will check the blood pressure and medicate the victim. Once blood pressure stabilizes, the torturing will start again. Then, did the doctor make the right call?
 
     A prisoner is on a hunger strike to protest cruel treatments. A doctor will intubate this prisoner and start compulsive feeding. If cruel treatment of this prison never stops, how do we judge the doctor’s call? 
 
     At the Abu Ghraib prison, prisoners were abused by U.S. soldiers and it came to public attention. Army doctors at the prison had been aware of this but they kept silence and even permitted torture. The doctors abandoned their oath and comply with crimina l  activity. All of them were doctors at risk.

     Why does human rights violation remain in health sector? Limited understanding of health and human suffering is one of the  reasons. Second, health organizations do not take a role as leaders. Health workers do not consider themselves as professionals on these issues and even medical schools overlook these and ignore human right education.
 
 
l  THE NECESSITY OF HUMAN RIGHTS EDUCATION FOR HEALTH WORKERS
 
     European nations and U.S.A. introduces health and human rights education curriculums in health sectors. The places where ‘doctors at risk’ work- prisons, military, mental institutions, clinics for the poor and immigrant  workers-
     really  need human rights education.
 
     In 2008, Dr. Chastonay instated that human rights education at medical school is the best way to prevent human rights violations by health workers. However, according to Lacopino(2002) and Cotter(2009), medical schools are hesitate to introduce human rights classes. This is because there are already too many required courses for students and also, very little number of professors has been dealt with human rights. 
 
     Despite all of that, however, human rights education must be introduced to medical school to understand social aspects of suffering and to prevent human rights violation. Also, human rights education is important for residents and attending. Once recovery programs for victims of human rights violation introduce to a hospital, residents and attending will come to understand the way to deal with the victims of  violation.
 
     Boston University Hospital and New York University Hospital have a ‘treatment program’ for the torture. Also, Brigum & Womens Hospital provides human rights class during the residency training period. It is necessary to provide human rights education for doctors during their retraining periods to sensitize health workers’ human rights. Especially for college students who will serve their military duties or work as public health doctors, human rights education must be provided.
 
    If health workers take their role to protect and promote human rights, they can provide inclusive medical, social, and even legal help for the victims of violation. They have a responsibility to change dangerous social policies and norms.Thus, providing human rights based medical service, health workers are given their important roles to realize a society of justice.
 
    This is the reason why health workers must care about human rights.