KSM cable C06672307

Approved for Release: 2017/12/27 C06672307 Date: 071-l- 20030313 TO: DIRECTOR FROM: SUBJECT: EYES ONLY. - NOTIFICATION ON FOURTH SESSION OF UPGRADED ENHANCEDMEASURES WITH KSM AND PLANS FOR FOLLOW ON SESSIONS AS WARRANTED ----------------------------------------BODY---------------------------------------- L L (b)(1) (b)(3) CIAAct ~(b)(3) NatSecAct----~- E-t-RE- ----~~~~~~~~~~~~~~~~~ 5 1 (b)(3) NatSecAct \l~~m ~~~Z~ct ----__----________ --__________ J--____ (b)(3) NatSecAct___-- __ PAGE 001 (b)(3) NatSecAct SB e (b )( 1) (b)(3) CIAAct (b)(3) NatSec~~-ct __ TO: 130946Z RB~ ~l 0130946z MAR 03 STAFF MAR 03 (b)( ) c=J-0190 1 (b)(3) CIAAct (b)(3) NatSecAct 10190 IMMEDIATE DIRECTOR. b )( 11 (b)(3) CIAAct (b)(3) NatSecAct SUBJECT: EYES ONLY - NOTIFICATION ON FOURTH SESSION OF UPGRADED ENHANCEDMEASURES WITH KSM AND PLANS FOR FOLLOWON SESSIONS AS WARRANTED (b )( 1) (b)(3) CIAAct (b)(3) NatSecAct REF: TEXT: 1. ACTION REQUIRED: NONE. FYI. 2. FOLLOWING REF A 12 MAR 2003 THIRD SESSION, KHALID SHAYKH ((MOHAMMAD)) (KSM) SHOWEDNO IMPROVEMENTIN IDENTIFYING ON-GOING Approved for Release: 2017/12/27 C06672307

Approved for Release: 2017/12/27 C06672307 AL-QA'IDA PLANS INSIDE THE UNITED STATES. HVT INTERROGATION TEAM HAS DETERMINED HE CONTINUES TO DEMONSTRATEHE IS NOT YET CONDITIONED TO FULLY COOPERATE. A FOURTH SESSION BEGAN AS OF 0840 HOURS LOCAL ON 13 AND LASTED MAR 03, (WITH INTERMITTANT BREAKS) UNTIL 0930. BELOW RESULTS AND OBSERVATIONS OF THE FOURTH SESSION, IS PLANNED FOR CIRCA 1100 A FIFTH SESSION (b )( 1) (b)(3) (b)(3) HOURS. IN REFS B, C, AND D HQS PROVIDED CERTIFIED 3. BASED ON CIAAct NatSecAct INTERROGATORS WITH CONDITIONAL APPROVAL TO USE THE FOLLOWING ENHANCEDTECHNIQUES WITH KSM UPON HIS ARRIVAL AT (b )( 1) ~--~ ATTENTION GRASP; INSULT SLAP; ABDOMINAL SLAP; WALLING; TWO STRESS (b)(3) POSITIONS (b)(3) (ON KNEES, BODY SLANTED BACKWARD; FOREHEAD ON WALL CIAAct NatSecAct SUPPORTING BODY WEIGHT); AND SLEEP DEPRIVATION IN EXCESS OF 72 HOURS, IN ADDITION TO WHITE NOISE, AND CONTINUOUS LIGHT OR DARKNESS. ~---~ ACCORDING TO REFS B, C, AND D, IF CERTIFIED INTERROGATORS~--~(b)( 1 ) ~--------~BELIEVE THEIR usE Is WARRANTED,THEY MAY ALso (b)( ) 3 USE LARGE OR SMALL CONFINEMENT BOXES AND THE WATER BOARD, CONDITIONE\b)(3) ON THE ON-SITE MEDICAL OFFICER CONFIRMING KSM'S PHYSICAL CONDITION CIAAct NatSecAct AND HVT PSYCHOLOGIST CONDUCTINGA MENTAL HEALTH ASSESSMENT TO DETERMINE WHETHER KSM WOULDSUFFER SEVERE PSYCHOLOGICAL HARMIF (b )( 1) SUBJECTED TO THE ABOVE-NOTED TECHNIQUES. (b)(3) 4. 0930 PRIOR TO THE COMMENCEMENT OF THE FOURTH SESSION, LOCAL, THE ON-SITE MEDICAL OFFICER RMOc=] AND AS OF (b)(3) CIAAct NatSecAct AND SM PSYCHOLOGIST HAVE CONFIRMED KSM'S PHYSICAL CONDITION AND DETERMINED KSM ~---~ WOULDNOT SUFFER SEVERE PSYCHOLOGICAL HARMIF SUBJECTED TO THE ABOVE-NOTED TECHNIQUES, PER THE FOLLOWING: (b )( 1) (b)(3) A. RMO OBSERVATIONS - rn KEEPING WITH THE PLAN TO SPEND THE (b)(3) DAY WITH INTENSIVE WATERBOARDSESSIONS TO BREAK THROUGHTHE SUBJECT'S RESISTANCE, KSM WAS EXAMINED BEFORE DURING AND AFTER SESSION 4. HIS LUNGS WERE CLEAR AND HE SHOWEDNO PHYSICAL ILL EFFECTS OF PREVIOUS SESSIONS. THE TECHNIQUE FOR SESSION 4 WAS VARIED IN RHYTHM, TIMING AND INTENSITY TO ATTEMPT TO FIND THE OPTIMAL METHODOF COUNTERING KSM'S PHYSICAL CONTROL AND COUNTER MEASURES. HIS COUNTERMEASURES INCLUDE A COMBINATION OF VOLUNTARILY BLOCKING HIS POSTERIOR NASOPHARYNX, SWALLOWINGAND BREATH HOLDING, WITH WHICH SUBJECT APPEARS TO BE MUCH MORE SUCCESSFUL THAN PREVIOUS DETAINEES COUNTERING THE EFFECTS OF THE WATERBOARD. IN BOTH DURING AND AFTER THE BRIEF BUT INTENSE SESSION THERE WAS NO EVIDENCE OF SIGNIFICANT RESPIRATORY COMPROMISE. SUBJECT IS CLEARED FOR CONTINUED USE OF ENHANCEDTECHNIQUES AND WILL CONTINUE TO BE REEVALUATEDDURING AND AFTER EACH SESSION FOR ANY EVIDENCE OF IMPENDING PHYSICAL HARM. ALL VARIATIONS IN TECHNIQUE TO TRY TO OPTIMIZE THE SUBJECTS COOPERATION ARE DISCUSSED AND CLEARED IN ADVANCEWITH COB, MEDICAL AND PSYCHOLOGICAL PERSONNEL TO INSURE THAT NO SUBJECT. HARMIS DONE TO THE MORE DETAILED ACCOUNTOF THE SESSION WILL BE FORWARDED THROUGHUSUAL CHANNELS.. B. SM PSYCHOLOGIST OBSERVATIONS - SESSION SUBJECT APPEARED COMPOSED. AT THE OIITSET OF THE PRIOR TO THE INITIATION OF THE Approved for Release: 2017/12/27 C06672307 CIAAct NatSecAct

Approved for Release: 2017/12/27 C06672307 SESSION, SUBJECT APPEARED RESIGNED TO TOLERATING THE BOARD AND INTERACTED WITH INTERROGATORS USING CLEAR AND WELL-ORGANIZED SPEECH (APPROPRIATE TO CONTEXT) .. ·~. ALERT, THROUGHOUTTHE SESSION, SUBJECT REMAINED COMMUNICATIVE, AND ENGAGED WITH INTERROGATORS. TO LISTEN TO AND RESPOND IN CONTEXT TO BREAKS. HE CONTINUED INTERROGATORS DURING THE SUBJECT APPEARED MORE ANXIOUS PRIOR TO WATER APPLICATIONS AND ALSO MOANEDAND BLUBBERED BETWEEN WATER APPLICATIONS TO A GREATER DEGREE THAN PREVIOUSLY. ·THIS CHANGE IN BEHAVIOR MAY BE DIRECTLY RELATED TO INTERROGATORS OVERCOMING SUBJECT'S COUNTERMEASURES, REDIRECTING WATER TO AND AROUND HIS MOUTH MOVEMENTS. THIS TECHNIQUE APPEARED EFFECTIVE AND SUBJECT DID SHOW INCREASED AGITATION AND ANXIETY. SUBJECT'S INCREASED DISTRESS MAY ALSO BE DUE TO SUBTLE CHANGES IN PROCEDURE THAT INTERROGATORS ARE USING TO AVOID SIGNALING THE BEGINNING AND END OF WATER APPLICATIONS. PREDICTABILITY THUS, THERE IS LESS FOR THE SUBJECT IN THE PROCESS. INTERESTINGLY, THE SUBJECT WOULD BEGIN SIGNALING BY POINTING UPWARDWITH HIS TWO INDEX FINGERS AS THE WATER POURING APPROACHED THE ESTABLISHED TIME LIMIT. THIS BEHAVIOR INDICATES THAT THE SUBJECT REMAINS ALERT AND HAS BECOME FAMILIAR WITH KEY ASPECTS OF THE PROCESS. AS IN PREVIOUS SESSIONS, INTERROGATORS CONTINUE TO REGULARLY REMIND SUBJECT THAT IT IS WITHIN HIS POWER AND CONTROL TO STOP THE PROCESS IMMEDIATELY BY RESPONDING TRUTHFULLY TO QUESTIONS ABOUT UNITED STATES TARGETS AND OPERATIVES. AT THE CONCLUSION OF THE SESSION, SUBJECT REMAINED ON THE WATER BOARD, CALMED DOWN, AND REGAINED HIS COMPOSUREWITHIN A FEW MINUTES. DURING THIS PERIOD OF CALMING DOWN, HE WHIMPERED AND MOANED. BASED ON THIS MORNING'S ASSESSMENT, SUBJECT CONTINUES TO SHOW GOOD RESILIENCY, ADAPTABILITY, AND TOLERANCE FOR DEMANDINGSITUATIONS. THERE IS NO EVIDENCE OF PROFOUND OR PERMANENTMENTAL OR EMOTIONAL CONDITIONS/DISORDERS. 5. BASE WILL NOTIFY HQS OF DEVELOPMENTSAND RESULTS AS AVAILABLE. 6. COB COMMENT: SUBJECT'S DISCIPLINE, (b )( 1) (b)(3) CIAAct (b)(3) NatSecAct ROBUST PHYSIQUE, HIS STOIC AND THE EARLY EFFECTIVENSS OF HIS COUNTERMEASURES RESULTED IN UNEXPECTED TOLERANCES. HE STAUNCHLYREFUSES TO PROVIDE DETAILS ON CURRENT PERSONS, PLANS, AND TIMING AND TARGETS OF ON-GOING OPERATIONS. STOPPED-- THIS SAID, HIS TOLERANCE HAS SLOWED DOWN --BUT NOT THE DEBILITATION AND CONDITIONING PROCESS. IN DESCRIPTIVE COMPARISON, HVTI TEAM NOTED THAT SUBJECT HAS ONLY JUST REACHED THAT STATE OF PROCESS AT WHICH ~--~ HAD REACHED ON HIS FIRST SESSION. HENCE OUR ERRATIC TIMING OF DOUSING, ERRATIC LENGTHS, AND EXTENSION OF OVERALL SESSION'S TIME, AND ERRATIC STOPS IN THE OVERALL PROCESS. SUBJECT IS NOW DISPLAYING AFTER A SHORT REST PERIOD, AND AFTER RMO AND SM PSYCHOLOGIST HAVE CONCURRED, HVTI TEAM WILL TAKE THE NEXT STEP, IN THE FOURTH SESSION. (b )( 1) (b)(3) CIAAct (b)(3) NatSecAct Approved for Release: 2017/12/27 C06672307 (b )( 1) (b)(3) NatSecAct

Approved for Release: 2017/12/27 C06672307 END OF MESSAGE Approved for Release: 2017/12/27 C06672307