Interpretation of findings
The Istanbul Principles require clinicians to provide an “interpretation as to the probable
relationship of the physical and psychological findings to possible torture or ill-treatment.”.
In this sense, “physical and psychological findings” can include symptoms, signs, historical
information, diagnostic test results, photographs, and prior medical evaluations.
The clinician should correlate the following:
a. To what extent is the history of acute and chronic physical symptoms and
disabilities consistent with the allegations of torture and/or ill-treatment?
b. To what extent are the findings of the physical examination consistent with the
allegations of torture and/or ill-treatment? (Note: the absence of physical findings
does not exclude the possibility that torture, or ill-treatment was inflicted.)
c. To what extent are the findings of the examination consistent with known torture
methods and their common after-effects used in a particular region?
Conclusions and recommendations
Clinicians should formulate a clinical opinion on the possibility of torture or ill-treatment
based on all relevant clinical evidence, including physical and psychological findings,
historical information, photographic findings, diagnostic test results, knowledge of
regional practices of torture, consultation reports, etc.
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