Author(s): J. Carey Jackson, MD

Date Authored: June 29, 2016

In this vignette the patient describes in detail how he was tortured and begins to describe his symptoms and the related injuries he sustained. He confuses the symptoms likely sustained from gun blows to the head with those he sustained to his back. He again describes the agony of living in solitary confinement in a cell with chronic back pain and how it limited every movement. He is inclined to skip over details and has to be re-oriented to the chronology and the symptoms related to his back. He also makes the point that for torture survivors with traumatic brain injury memory losses are common, sometimes complete periods of time are gone. For this reason, the sequence of events can be jumbled, or key details left out. This can be very frustrating for the clinician.