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Research. Evidence. Accountable practice.

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The Accountability Ledger

Follow the evidence.
Follow the response.

155 source-linked register entries. Open an entry for every preserved occurrence, the outcome as recorded, source references, and linked corrections.

These entries preserve the research archive’s evidence labels. They have not all been independently reverified in this edition. An allegation, settlement, rejected claim and finding remain different outcomes.

Lake Alice: punishment inside a children’s psychiatric unit

New Zealand, 1972–1978

362–450 children; many admitted from welfare care without psychiatric diagnosis; shocks for running away or complaining; ~41% of welfare-residence admissions were Māori; complaints to agencies and professional bodies went uninvestigated for decades

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The Duplessis orphans: children classified as psychiatric patients

Quebec, 1935–1964

A 1960s commission found about one-third of patients held under false diagnoses; labels remained on records; Quebec apologies 1999 and 2001; compensation $10,000 + $1,000 per year confined (2001), $26 million (2006), $15,000 each to 1,270 more (2007); Church declined…

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Barbacena: the people admitted without a clinical reason

Brazil (Minas Gerais), 1903–1980s; closed 25 May 2026

Investigative record: Arbex, Holocausto Brasileiro (2013) and Tribuna de Minas series (2011); Ratton's 1979 film (Tribuna de Minas, Portuguese; Conselho Federal de Psicologia; closure, May 2026)

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Fifty states, fifty emergency-hold frameworks

All 50 states + D.C., laws as of 2014/2016

Every state has one; durations run from 23 hours to 10 days, 72 hours in 22 states; five states do not guarantee assessment by a qualified mental health professional; neither presentation to a judge nor prompt judicial review is uniformly required; 1.27–1.44 million…

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Denhof: a fitness examination after discrimination complaints

Michigan (Grand Rapids), 2001–2007

Officer Patricia Denhof, a plaintiff in a sex-discrimination suit, was ordered to an exam after her court testimony; the department psychologist had told the chief that about 75% of officers examined are found unfit; badge and gun confiscated

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A mayoral campaign and a police fitness examination

Illinois (village, 7th Cir.), c. 2003–2004

Officer ordered to an intrusive exam after narrowly losing an election to the incumbent mayor; psychologist advised that refusal should be deemed unfitness for "undermining the quasi-military hierarchical structure"

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Springfield: a police fitness-exam dispute

Oregon (Springfield), 2019–2020

Officer Stone ordered to a psychological exam within a month of a finding against him after he challenged colleagues' misconduct

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The Soma affair and family confinement in Japan

Japan, 1883–1895

Retainer Nishikori Gōsei alleged Lord Sōma Tomotane was wrongfully confined by relatives in an inheritance dispute; the scandal produced the 1900 Mental Patients' Custody Act, which legalized home confinement (私宅監置) for 50 years

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Political psychiatry across the post-Soviet states

Russia, Crimea, Kazakhstan, Uzbekistan, Jun 2012–Apr 2017

Named cases: Ilmi Umerov (Crimea); Natalia Ulasik, Zinaida Mukhortova, Alexander Bondarenko, Lyudmila Khromina (Kazakhstan); Mikhail Kosenko, Maxim Panfilov, Stanislav Klykh and nine others (Russia); Jamshid Karimov, Elena Urlaeva (Uzbekistan)

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Iran: psychiatric transfers reported after protest

Iran, 2016–2024

Kianoush Sanjari chained to a bed two weeks at Aminabad; Hengameh Shahidi sent to Aminabad instead of a medical hospital; a student transferred 16 Nov 2022 without notice to family or lawyer; Saman Yasin hospitalized 23 Jul 2023, two days after his prison audio message…

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Vasile Paraschiv’s resistance and psychiatric confinement

Romania, 1968–1989

Worker Vasile Paraschiv quit the Party publicly in 1968, wrote to the Central Committee in 1971 and tried to found a free trade union; confined to psychiatric hospitals (1978 onward) and forcibly injected with neuroleptics without psychiatric symptoms; psychiatrist Ion…

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Apartheid psychiatry: segregation, confinement, and publication limits

South Africa, 1970s–1980s

WHO report Apartheid and Mental Health Care (MNH/77.5, 1977); APA Special Committee visit report (Am J Psychiatry 136:1498, Nov 1979) confirming "grossly inferior" care and "needless deaths" among Black patients; RCPsych special committee 1983; Anti-Apartheid Movement…

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Argentina: psychiatric labels inside political prisons

Argentina, 1976–1983

Rafael and Melo's Locura y suicidio en las cárceles de la dictadura describes prison psychiatry recast as a control instrument: prisoners classified as "inestables", "peligrosos", "paranoicos" or "desequilibrados", which opened the door to isolation and medication…

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Chile: mental-health professionals and dictatorship-era torture

Chile, 1973–1990

Twelve interviews with psychologists trained 1973–1990, a Colegio de Psicólogos ethics file, and a dictatorship-era interview show direct and indirect contributions to interrogations; the Colegio Médico's ethics department (Díaz Paci) characterized medical supervision…

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Uruguay: the Britos collaboration lead

Uruguay, 1973–1985

Dolcey Britos, psychiatrist, documented as working with the military regime in the treatment of political prisoners; later subject of professional sanction

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Turkey: forensic reports used to keep prisoners confined

Turkey, 2016–2025

Teacher Tuğba Y. reportedly lost her sanity under 24 days of interrogation (Jan 2017), was treated at Bakırköy, then jailed despite medical reports; academic Uysal's psychiatric referral and petitions ignored, ATK report 2024 kept him in prison; İHD counts 1,400+ sick…

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Erwadi: chained residents died in an asylum fire

India (Tamil Nadu), 6 Aug 2001; Supreme Court 2001–2025

28 chained inmates died in the Erwadi fire after NHRC warnings in May and July 2001; Supreme Court took suo motu cognizance (In re Death of 25 Chained Inmates, order 15 Oct 2001), found the 1987 Act "not at all implemented," ordered unchaining and NHRC monitoring…

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Twenty-two countries—and wide differences in detention rates

22 countries (Europe, Australia, New Zealand), 2008–2017

Median 106.4 per 100,000; Austria highest at 282, Italy lowest at 14.5, Finland 218; England rose from 83.7 (2007–08) to 114.1 (2015–16); no relationship between rates and any characteristic of the legal framework, nor with demographic, economic or service indicators

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Nordic records and the coercion they can miss

Denmark, Finland, Iceland, Norway, Sweden

Of 6,048 admissions reviewed, 3.3% (Finland) and 11.4% (Norway) of formally voluntary admissions were preceded by involuntary referral; published commitment rates therefore underestimate coercion to varying degrees; a 2026 comparative legal analysis finds "considerable…

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