The Louisiana board that licenses psychologists is facing a growing legal fight over torture and medical care at the infamous Guantanamo and Abu Ghraib prisons. In 2003, Louisiana psychologist and retired Col. Larry James watched behind a one-way mirror in a US prison camp while an interrogator and three prison guards wrestled a screaming, near-naked man on the floor.

The prisoner had been forced into pink women's panties, lipstick and a wig; the men then pinned the prisoner to the floor in an effort "to outfit him with the matching pink nightgown." As he recounts in his memoir, "Fixing Hell," Dr. James initially chose not to respond. He "opened [his] thermos, poured a cup of coffee, and watched the episode play out, hoping it would take a better turn and not wanting to interfere without good reason ..."

Although he claims to eventually find "good reason" to intervene, the Army colonel never reported the incident or even so much as reprimanded men who had engaged in activities that constituted war crimes.

Sadly, the story of Dr. James's complicity in prisoner abuse does not end there. The New Orleans native and former LSU psychology professor admits to overseeing the detention, interrogation and health care of three boys, ages twelve to fourteen, who were disappeared to Guantanamo and held without charge or access to counsel or their families. In "Fixing Hell" and elsewhere, Dr. James proudly proclaims that he was in a position of authority at Guantanamo.

Government records indicate that, as the senior psychologist consulting on interrogations, his decisions affected the policy and operations of interrogations and detention on the base. During his time there, reports of beatings, sexual abuse, religious humiliation and sleep deprivation during interrogations were widespread, and draconian isolation was official policy. Prisoners suffered, and some continue to suffer, devastating physical and psychological harm.

Dr. Trudy Bond, a psychologist under an ethical obligation to report abuse by other psychologists, filed a complaint against Dr. James before the Louisiana State Board of Examiners of Psychologists in February 2008.

Dr. Bond's complaint says that Dr. James's conduct violated Louisiana laws governing his psychology license. As a psychologist and a military colonel, he had a duty to avoid harm, to protect confidential information and to obtain informed consent, as well as to prevent and punish the misconduct of his subordinates. How did the Louisiana licensing board respond? Rather than investigate, the board dismissed the complaint, and when asked again, reaffirmed its decision. Dr. Bond has now taken the case to the Louisiana First Circuit Court of Appeal in Baton Rouge.

Dr. James played an influential role in both the policy and day-to-day operations of interrogations and detention in the notorious prison camps that were built to hold men and boys captured during the US "War on Terror."

According to his own statements, he was a senior member of interrogation consulting teams that, as documented by government records, were central in designing interrogation plans that exploited psychological and physical weaknesses of individual detainees. In one example cited by The New York Times, a military health professional told interrogators that "the detainee's medical files showed he had a severe phobia of the dark and suggested ways in which that could be manipulated to induce him to cooperate."

Had Dr. James chosen to cast himself as a brave, but ultimately ineffective, voice against torture, he may have fooled some people into believing him. Instead, he has presented an utterly implausible portrait: one of a man "chosen" by "the nation" to "fix the hell" of Guantanamo and Abu Ghraib, a feat he claims to have accomplished so successfully that ever since he was first deployed in January 2003, "where ever [sic] we have had psychologists no abuses have been reported." This is patently untrue. The real "fact of the matter," as documented by government records, reports from the International Committee of the Red Cross and eyewitness accounts, is that serious abuses were widespread both during Dr. James's tenure as senior psychologist for the Joint Intelligence Group at Guantanamo and after he left.

One would imagine that such disregard for a law designed to protect the public welfare would greatly concern the body charged with its enforcement. But the Louisiana State Board of Examiners of Psychologists, which issued James his license, has refused to investigate whether he violated professional misconduct law.

The board's conduct should alarm all Louisiana health professionals and their patients. The board demeans the profession when it fails to seriously address the possibility that a Louisiana licensee was involved in torture. It also strips the Louisiana psychology license of meaning and value. How can patients rely on a license issued and enforced by a body that arbitrarily refuses to look into allegations of grave misconduct?

As the legal battle wears on, the people of Louisiana need to ask the board's members what "good reason" they await in order to act. They should demand that the Board of Examiners conduct a thorough investigation of Larry James, and if what he admits is true, revoke his privilege to practice.

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Bill Quigley is a Loyola law professor working at the Center for Constitutional Rights. Deborah Popowski is a Skirball Fellow at the Harvard Law School Human Rights Program. Both authors are involved with the campaign When Healers Harm: Hold Health Professionals Accountable for Torture; see http://whenhealersharm.org/. Bill can be contacted at quigley77@gmail.com. Deborah can be contacted at dpopowski@law.harvard.edu.

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