Getting used to torture, and what surgery has to do with it

Can you get desensitized to grisly procedures?

In last week’s NY Times column, Pauline Chen looks at the declassified torture memos and thinks about the first time a doctor-in-training cuts through skin during an operation.

“Most people “” actually anyone who has experienced even a paper cut “” are hesitant to slice through flesh,” writes Dr. Chen. “Aspiring surgeons are no different. Their first efforts are tentative and almost always memorable.”

But, after awhile they get used to it.

She then considers those who participate in waterboarding and other grisly techniques of interrogation, and how they can get habituated to torture.

It’s somewhat disconcerting to think that most people can become desensitized to such acts, but Dr. Chen points out that’s what surgeons do on a daily basis: “I am someone who has learned “” become habituated “” to performing a whole host of unusual and, depending on your point-of-view, potentially gruesome undertakings: poking sharp objects into other people, removing organs and extremities, and switching parts between the dead and the living. And as I implied to my friend, even cutting the flesh of another human being can become just another part of your day job.”

email

  • Cerebral

    That is so true. You can always tell a first time surgeon by the incision – hesitant, multiple stab incision. As the surgeons gain more experience the incision is bolder, more defined and deeper.

  • Bryan

    Think of that old experiment about getting people to apply electric shocks to a subject …

    The point is that the article is disingenuous in its analogy if it is pointed at the current torture debate.

    Unless, of course, you think the US hires sadists as interrogators on purpose and gives them no guidance.

    What separates a surgeon from a criminal is that he is carefully trained and functions under established guidelines about what is proper and what is not. The recently released material about US interrogation techniques and other studies and commission reports indicate that such a structure was also fundamental to US terrorist interrogations.

    It is one thing to disagree but entirely another to cast aspersions on those with whom you disagree. The NYT column did not seem to understand this difference, either.

  • emt.dan

    I’m not so sure this can be compared to Milgram– his intents and methods were different. He was testing obedience. When a surgical intern and resident is standing at the table about to make his first cut– obedience is not what we are measuring…

  • Anonymous

    Well, as a 3rd year medical student, I think most of the surgeon’s personalities (arrogant, inconsiderate a**holes) that would fit the profile of a torturer. How did these surgeons get into medical school? Were they born that way or trained to be jerks?

    As I always tell my classmates, the truly kind people go into primary care (family meds, peds) and the money grubbers go into surgery.

  • Cecilia

    Not as a surgeon or medical student, but as a patient, I can understand the desensitizion of torture or “cutting up people”. However, because of this it also reminds of a sweat shop, or an assembly line when I walk pass the surgery room, especially the waiting room for day surgery. Do I fully trust my doctors? Well, some but not all. I don’t agree all surgeons are all money grabber, however I found the younger generation surgeons do have the arrogant and “I am the best and you are just a stupid patient who knows nothing” attitude.

  • s

    i’m a med school student, and i can say that it’s not the younger generation. one of my teachers was a retired surgeon and it was practically impossible to pass his class…he was the most arrogant uncompromising self-centered human beings i’d ever met. i don’t think he’d ever accept that he was ever scared or sensitive to the fact that he was cutting anyone up!

Trending