KSM cable C06672310

Approved for Release: 2017/12/27 C06672310 Date: 20030313 TO: DIRECTOR FROM: SUBJECT: EYES ONLY - NOTIFICATION/REQUEST ON SIXTH SESSION OF UPGRADED ENHANCED MEASURES WITH KSM ----------------------------------------BODY---------------------------------------- l (b)(1) (b)(3) CIAAct (b )(3) NatSecAct=--=----=--~--~----------;:::=========;---~ 8138RB'f (b )( 1) (b)(3) CIAAct (b)(3) NatSecAct - - - - -- - - -- ---- - - (b)(3) NatSecAct ~~~~- ~~~ - - - - -- - - - -[(b)(3) NatSecAct]- - - - - - - - - 1 (b)(3) NatSecAct LJ131229z -------------------------~---------------------(b)(3) (b)(1) s 13 e (b)(3) CIAAct--~ (b)(3) NatSecAct TO: R 13 If 13122az MAR 0(b)( 1) l710191 CIAAct-------------------(b)(3) NatSecAct MAR 03 STAFF 10791 1 IMMEDIATE DIRECTOR. (b )( 1) (b)(3) CIAAct (b)(3) NatSecAct SUBJECT: EYES ONLY - NOTIFICATION/REQUEST ON SIXTH SESSION OF UPGRADEDENHANCEDMEASURES WITH KSM (b )( 11 (b)(3) CIAAct (b)(3) NatSecAct REF: TEXT: 1. ACTION REQUIRED: REQUEST HQS IMEDIATE CONCURRENCEWITH PROPOSAL BELOW, PER PARAS 2 AND 3. Approved for Release: 2017/12/27 C06672310

Approved for Release: 2017/12/27 C06672310 2. FOLLOWING REF A 13 MAR 2003 FROM 1055 TO 1120 FOURTH SESSION AND FIFTH SESSION HRS LOCAL, KHALID SHAYKH ((MOHAMMAD)) (KSM) SHOWED NO IMPROVEMENT IN IDENTIFYING ON-GOING AL-QA'IDA UNITED STATES. PLANS tNSIDE THE WHILE KSM'S REACTIONS TO THE PROCEDURE INDICATE PROGRESS TOWARDS CONDITIONING, HVT INTERROGATION TEAM HAS DETERMINED HE CONTINUES TO DEMONSTRATEHE IS NOT YET CONDITIONED TO FULLY COOPERATE. HVTI TEAM PROPOSES, WITH RMO AND SM PSYCHOLOGIST CONCURRENCE, TO PURSUE A SIXTH SESSION AT CIRCA 1600 LOCAL. REQUEST HQS IMMEDIATE CONCURRENCEWITH THIS IMMEDIATE SESSION. 3. ADDITIONALLY, WE NEED HQS FURTHER CONCURRENCE. HVTI FIRMLY BELIEVES THAT WEARING DOWNKSM'S RESISTANCE WILL REQUIRE ERRATIC BUT RELATIVELY FREQUENT SESSIONS, SOME SHORTER, SOME LONGER, BUT ALL _SUBJECT TO COMBINED COB, HVTI, AND TIMELY REPORTING TO HQS. RMO AND SM PSYCHOLOGIST CONCURRENCE, HOWEVER, WE HAVE BEEN INFORMALLY ADVISED THAT HQS MAY HAVE ELEMENTS WHICH ARE EXAMINING DRAFT GUIDELINES WHICH MIGHT DICTATE OTHERWISE. BASE REALIZES THESE GUIDELINES HAVE YET TO BE FULLY COORDINATED, BUT DOES NOT WANT TO GO (b)(1) (b)(3) CIAAct (b)(3) Nat~ecAct BEYOND THE PROSPECTIVE GUIDELINES WITHOUT HQS' FULL DELIBERATION. REQUEST HQS' 4. IMMEDIATE REVIEW AND ADVICE ACCORDINGLY. IN REFS B, C, AND D HQS PROVIDED CERTIFIED INTERROGATORS WITH CONDITIONAL APPROVAL TO USE THE ~-------------~ FOLLOWING ENHANCED TECHNIQUES WITH KSM UPON HIS ARRIVAL AT~--~ ATTENTION GRASP; INSULT SLAP; ABDOMINAL SLAP; WALLING; TWO STRESS POSITIONS (ON KNEES, BODY SLANTED BACKWARD; FOREHEAD ON WALL (b )( 1) (b)(3) CIAAct (b)(3) 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 ~---~ BELIEVE THEIR USE IS WARRANTED, THEY MAY ALSO ~---------~ USE LARGE OR SMALL CONFINEMENT BOXES AND THE WATER BOARD, CONDITIONED ON THE ON-SITE (b )( 1) (b)(3) CIAAct (b)(3) NatSecAct MEDICAL OFFICER CONFIRMING KSM'S PHYSICAL CONDITION AND HVT PSYCHOLOGIST CONDUCTINGA MENTAL HEALTH ASSESSMENT TO DETERMINE WHETHER KSM WOULDSUFFER SEVERE PSYCHOLOGICAL HARM IF SUBJECTED TO THE ABOVE-NOTED TECHNIQUES. 5. 1300 PRIOR TO THE COMMENCEMENT OF THE SIXTH SESSION, LOCAL, THE ON-SITE ~VE I AND AS OF MEDICAL OFFICER RMO C=::}No SM PSYCHOLOGIST CONFIRMED KSM'S PHYSICAL CONDITION AND DETERMINED KSM WOULDNOT SUFFER SEVERE PSYCHOLOGICAL HARM IF SUBJECTED TO THE ABOVE-NOTED TECHNIQUES, PER THE FOLLOWING: A. RMO OBSERVATIONS - KSM CONTINUES TO EXHIBIT A HIGH LEVEL OF PHYSICAL AND EMOTIONAL RESISTANCE. HAD NOTHING NEW TO ADD. THE WATERBOARDWITH AFTER SESSION 5 HE STATED THAT HE HE HAS BEEN FAIRLY EFFECTIVE IN _COUNTERING A COMBINATION OF BLOCKING HIS POSTERIOR NASAL PHARYNX, SWALLOWINGAND BREATH HOLDING. HE HAS NOT BEEN IN DANGER OF SUFFERING PHYSICAL HARM AND ALTHOUGHTHERE IS SOME WEAKENING HE STILL REMAINS STRONG. GOOD. (b )( 1) (b)(3) CIAAct (b)(3) NatSecAct HIS LUNG FIELDS ARE CLEAR AND PHYSICAL CONDITION THERE ARE NO MEDICAL CONTRAINDICATION TO FURTHER SESSIONS. Approved for Release: 2017/12/27 C06672310 (b )( 1) (b)(3) CIAAct (b)(3) NatSecAct

Approved for Release: 2017/12/27 C06672310 B. SM PSYCHOLOGIST OBSERVATIONS - SUBJECT APPEARED COMPOSED AND STOIC AS HE ENTERED THE WATER BOARD ROOM. HOWEVER, FOR THE FIRST TIME, HE YELLED AND TWISTED WHILE BEING SECURED ONTO THE BOARD. ONCE SECURED, SUBJECT WAS ALERT AND ATTENDED TO THE STATEMENTS OF THE INTERROGATORS. SUBJECT THEN RESPONDED TO THE INTERROGATORS AS HE HAD BEFORE --DENYING KNOWLEDGEOF ADDITIONAL OPERATIONS AND CLAIMING THAT HE HAD ALREADY BEEN TRUTHFUL. HE MADE THESE CLAIMS DESPITE INTERROGATORS PROVIDING UNEQUIVOCAL EXAMPLES OF HIS LIES AND ATTEMPTS TO MISLEAD. THE INTERROGATORS REMINDED HIM THAT HE DID NOT HAVE TO GO THROUGH THE WATER BOARD PROCEDURE AND COULD IMMEDIATELY STOP THE PROCESS AT ANY POINT IF HE CHOSE TO IDENTIFY CURRENT TARGETS AND OPERATORS. AGAIN, SUBJECT APPEARED RESIGNED TO TOLERATING THE BOARD AND STATED THAT HE HAD NOTHING NEW TO SAY. BETWEEN APPLICATIONS OF WATER, SUBJECT REMAINED ALERT AND INTERACTED WITH INTERROGATORS USING CLEAR AND WELL ORGANIZED ENGLISH (APPROPRIATE TO CONTEXT). HE REMAINED COMMUNICATIVEAND ENGAGED WITH INTERROGATORS IN RESPONSE TO THEIR STATEMENTS AND QUESTIONS. THE SUBJECT'S ANXIETY AND AGITATION APPEARS TO HAVE INCREASED AS THE ONSET OF THE APPLICATION OF WATER HAS BECOME LESS PREDICTABLE. APPLICATION IN ADDITION, THE LESS PREDICTABLE OF WATER APPEARS TO HAVE DISRUPTED THE SUBJECT'S TO APPLY HIS COUNTER-MEASURETECHNIQUE. ABILITY SUBJECT APPEARS TO RECOVER FROM THE APPLICATION OF WATER AND IS CAPABLE OF COHERENT AND PURPOSEFUL INTERACTIONS WITH INTERROGATORS WITHIN A FEW SECONDS OF CESSATION. SUBJECT CONTINUES TO SHOW GOOD RESILIENCY, AND TOLERANCE. ADAPTABILITY, THERE IS NO EVIDENCE OF PROFOUND OR PERMANENTMENTAL OR EMOTIONAL CONDITIONS/DISORDERS. 6. ~-~ BASE WILL 'NOTIFY HQS OF DEVELOPMENTSAND RESULTS AS AVAILABLE. (b )( 1) (b)(3) CIAAct (b)(3) NatSecAct END OF MESSAGE Approved for Release: 2017/12/27 C06672310 (b )( 1) (b)(3) CIAAct (b)(3) NatSecAct