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BODIES IN PAIN

THE RADIOLOGY OF SUICIDE BOMBING TERRORISM

By Louis Rene Beres, Ph.D. and Michael L. Messing, M.D.

What, exactly, does the Palestinian suicide bomber really seek?
 
Above all, he wants to transform pain into power. In maiming, burning and exploding Israeli men, women and children, this terrorist has already learned from the torturer. He reasons that pain, to be purposeful, must point convincingly toward the victim's death, but that even "survivors" must suffer terribly.
In the fashion of the torturer, the Palestinian suicide bomber takes what is usually private and incommunicable, the pain contained within the boundaries of the sufferer's own body, and exploits it to
affect the behaviour of others. A grotesque form of theatre that draws political power from the innermost depths of privacy, suicide bombing terrorism manipulates and amplifies pain within the individual
victim's body for the express purpose of influencing others who live outside that body.
Violating the inviolable, it declares with unspeakable cruelty that everyone's most personal horror can be made public.
Consider the personal horror. During the routine rotation of a radiologist in a busy city hospital, the variety of patient problems (e.g.,pneumonia, broken wrists, heart failure, abdominal pain, pregnancy, etc) reveal just another difficult workday.
But things are now very different in Shaare Zedek and Hadassah Hospitals in Jerusalem, and in many
other hospitals scattered across Israel. With the latest wave of suicide bombings, unique and hideous trauma, evident on radiographic images, has become a "regular" part of the Israeli physician's daily
practice.
X-rays of suicide bombing victims often show hundreds of metallic fragments, ranging in size from millimetres to whole nails, grotesquely embedded in the victims' bodies - literally from head to foot. What had been created originally for constructive purposes has been transformed by Arab terrorists into the very deadliest of destructive projectiles.
Nails, screws, nuts and ball-bearings are packed by the suicide bombers into their explosive vests to maximize their lethal effects and to inflict unimaginable pain and suffering on innocent bodies. These maliciously transformed objects are propelled with the force of bullets, penetrating skin, flesh and bone with a furious indifference to civilized human behaviour. The nails fly head first, presenting themselves in a strangely surreal yet orderly arrangement within the victims' bodies. Many are embedded "only" to the depth of their entrance sites. Others burrow their way in more deeply, and lodge under the skin where the
examining physician can actually touch and feel their alien presence. Others must be removed after hours of meticulous exploration. Still others enter the body far deeper, perforating and lacerating vital organs at random.
CT scans of these victims' heads show blood, air, metal and bone fragments displacing normal brain tissue.
The "lucky" patient who survives the initial explosive insult may often require extensive surgery to repair damaged organs.
Others may sustain fractures, burns, amputations, vascular injuries, paralysis, blindness or brain damage. A collapsed lung or perforated colon - what would ordinarily be considered a major injury - is now taken as a blessing for these merely "wounded" victims of Arab terrorism.
Although some of the victims recover physically and return to a "normal" life, many more require a lifetime of ongoing rehabilitation. Some are assuredly impaired permanently. And all suffer serious psychological effects that need to be treated. Post-traumatic stress disorder, depression and anxiety affect not only the
victims of the attack, but all of Israeli society. Anecdotal reports have indicated a dramatic rise in the use of prescription antidepressants and sedatives.
How could it be otherwise, in a society living under constant attack by those who cry out: "When the martyr dies a martyr's death, he attains the height of bliss."
The Palestinian "martyr's" unheroic weapon has now literally and figuratively penetrated the hearts and souls as well as the bodies of an entire nation. Too often, unfortunately, television and print media are unable or unwilling to transmit the full human measure of such penetration to viewers and readers. The result is that too few people all over the world are able to understand the true horror of the Palestinian suicide bomber. For them, Israeli "wounded" are little more than an anesthetized statistic, an abstract list of numbers that elicits barely a nodding sigh of concern.
For the Palestinian suicide bomber, violence and the sacred are thoroughly intertwined. This homicidal terrorist believes unreservedly that there can be no greater glory for a Muslim than inflicting measureless pain upon all Jewish bodies. "There are no Israeli civilians;" says Dr. Adel Sadeq, Chairman of the Arab Psychiatric Association, "they are all plunderers." There is no longer any time for the civilized world to transform this murderously indiscriminate belief; no American-supported "Road Map" to a Palestinian state will reduce Arab terror. After all, even a secular Arab psychiatrist says openly and proudly that "The only real means of dealing with Israel is those who blow themselves up." But an urgent and immediate effort must at least be made to recognize and acknowledge the truly dreadful human toll of suicide bombing
terrorism.


LOUIS RENE BERES, Professor of Political Science at Purdue, was educated at Princeton (Ph.D., 1971) and is the author of twelve major books dealing with terrorism and international law.

MICHAEL L. MESSING, M.D. is a radiologist in Highland Park, Illinois. Trained at Cook County Hospital and Northwestern University in Chicago, he has spent time in Israel rendering medical assistance
to victims of Arab terror.

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