WHRDs in the MENA region also face multiple and intersecting sources of psychological stress that stem from both state repression and societal pressures. WHRDs often face serious violence and threats from state institutions. Many faces arbitrary detention, degrading and ill treatment during interrogations, torture, and sexual violence as political tools which inflict direct and severe trauma. Several WHRDs told researchers at GCHR that state interrogators often ask private questions of a sexual nature to intimidate women and deter them from pursuing any activism. A WHRD informed GCHR that her interrogator asked her if she was a virgin when she was summoned to be investigated for posting online about women’s rights. Another Bahraini WHRD was reportedly raped during the investigation that caused her to pass out from the shock. In general, Saudi WHRDs witnessed an unprecedented use of torture after being rounded up in 2018 as clearly documented in the case of prominent woman human rights defender Loujain Al-Hathloul: “Loujain Al-Hathloul was subjected to sexual harassment unprecedented to me from what I’ve witnessed,” the guard wrote. “They were relishing insulting her. They were mocking her that she is liberated and would not mind the harassment such as sticking their hands into her underwear or touching her thighs or spouting degrading words at her.” Another WHRD faced a nightmare during which she lost consciousness and was subjected to several torture sessions: “In one of her torture sessions, [name of a WHRD withheld] lost consciousness and we were all terrified. We feared that she had died and that we would bear responsibility because the instructions were to not kill any of the detainees, men or women.”- Anonymous texts from prison guards to a human rights organisation on the sexual abuse of women activists on Saudi Arabia. Similarly, in our survey, an Iraqi WHRD described being traumatised because she couldn’t defend herself against an abusive prosecutor: “I was subjected to ridicule and threats by an interrogator, he made me feel worthless and [said] the only place that I belong is [serving in] the kitchen… At the time, I couldn’t respond, and this incident continues to cause me distress... and I didn’t get any care for that.” Physical violence in public spaces, especially while protesting, has caused many WHRDs to suffer severe outcomes including being killed by security forces. Examples are many across the MENA region, but the landmark case of Mahsa (Jina) Amini’s death in custody sparked a nationwide uprising calling for “Women, Life, Freedom” in September 2022. Other women remain imprisoned for long periods with the full toll of poor detention conditions severely affecting their mental health and wellbeing. 5

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