Evidence map›Paper›PMID 36514026›Full record

ArticleBMC psychiatry2022

The Syrian regime's apparatus for systemic torture: A qualitative narrative study of testimonies from survivors.

Niveen Rizkalla, Oussama Bakr, Sarah Alsamman, Salaam Sbini, Hana Masud, Steven P Segal

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 1 country.

Niveen RizkallaMack Center on Mental Health & Social Conflict, School of Social Welfare, and Center for Effective Global Action, University of California Berkeley, 251 Giannini Hall, Berkeley, CA, 94720-7400, USA. rizkalla555@berkeley.edu.ORCID 0000-0002-8237-2881
Oussama BakrSchool of Medicine, University of California Davis, 4610 X St, Sacramento, CA, 95817, USA.ORCID 0000-0003-0832-802X
Sarah AlsammanSchool of Medicine, University of California San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA.ORCID 0000-0002-9865-041X
Salaam SbiniDivinity School, Harvard University, 45 Francis Ave, Cambridge, MA, 02138, USA.ORCID 0000-0001-8323-2947
Hana MasudPsychology Department, University of Massachusetts Boston, McCormack Hall, Boston, MA, 02125, USA.ORCID 0000-0002-3691-4854
Steven P SegalProfessor of the Graduate Division and Chair Emeritus of the Mack Center on Mental Health & Social Conflict, School of Social Welfare, University of California, Berkeley, 120 Haviland Hall, Berkeley, CA, 94720, USA.
Center for Effective Global Action · USHarvard University · USUniversity of California, Berkeley · USUniversity of California, Davis · USUniversity of California San Diego · USUniversity of Massachusetts Boston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite broad interest of the Syrian refugee plight in the academic and media circles, there are still limited studies analyzing the lived experiences of torture survivors under the Syrian regime. This qualitative study interviewed torture survivors to examine the form and function of the Syrian regime's security apparatus, and the personal aftermath of survivors.

methodsThirteen in-depth interviews were conducted in Arabic with Syrian refugees who endured torture. Study participants were at least 19 years of age, resided as refugees in Jordan, and voluntarily agreed to participate in the study. Participation was anonymous and no incentives were provided. Only oral consent was required. Audio-recorded interviews were transcribed and translated to English, and then analyzed for repetitive themes utilizing the narrative approach.

resultsMajor themes were observed across three experience-phases: pre-captivity, during captivity, and post-captivity. The pre-captivity phase included two sub-themes: the Syrian regime's initial detection and arrest system, and the intelligence system. The captivity phase was also divided into two sub-themes: environmental conditions in detention facilities, and torture methods including physical and psychological torture. Some of the environmental conditions in detention facilities included lack of sanitation, crowding, starvation, and withholding of medical care. Torture methods encompassed beatings, electric shocks, nail-pulling, hanging, drowning, suffocation, rape, and the witnessing of killing, sexual assault, or torture of others. The post-captivity phase included their release from captivity, escaping Syria, and post-displacement conditions and activism.

conclusionsThe Syrian regime employs a vast security apparatus to track, detain, interrogate, torture, and subjugate its civilian population. A systematic mechanism commences even before captivity and continues for years after release, with negative implications on the well-being of survivors, their families, and the Syrian people as a collective community. The Syrian war saw a shift toward mass detention, torture as a form of social punishment, subjugation, and indeterminate imprisonment. Intervention agencies, host countries, and policymakers must be informed of survivors' experiences to better address their needs. Moreover, the international community must advocate for a firm stance against torture, demand justice, and prosecute all parties engaged in perpetuating such extreme forms of suffering and trauma.

Indexed as

RefugeesStress Disorders, Post-TraumaticTortureHumansSurvivorsSyriaCaptivityDetentionNarrativesRefugeesSyriaSystemic MechanismTestimoniesTorture

Identifiers

PMID36514026
PMCPMC9746173
OpenAlexW4311361914

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.