Victims of torture are disabled physically or mentally not by accident of birth or normal activity but by the deliberate infliction of injury. Torture victims often experience the mental sequelae as the worst ones: impairment of memory and concentration, nightmares and other sleep disturbances, sexual disturbances, fear, depression, fatigue, sense of guilt, feeling of isolation, loss of identity and very low self-esteem. This may be due to the fact that family and friends tend to respond negatively to psychological symptoms and with sympathy toward physical ones. Frequent physical sequelae are pains in muscles, joints and bones, headaches, gastro-intestinal symptoms and specific problems related to specific tortures. In additions the conditions of their imprisonment aggravate the physical and mental problems they face. They may suffer from malnutrition, infections and diseases from over crowding.