More comprehensive assessment will be undertaken in due course. However, it is clear from the injuries reported that they conform to the pattern of abuse reported by the survivors. CONCLUSIONS The client population seems to conform to the information received from the key informants. There are a high number attending the clinic, which makes the hospital a good base. Most clients present with psychological disability, with torture, ill-treatment and disappearances being the predominant precipitants of disorder. There is a significantly large population of those who suffered direct violence in the form of torture, ill-treatment, and massacres. Disappearances may be a particularly important issue, since traditional society places great stress on the observance of burial rites, and a common explanation for misfortune and illness is the failure to observe such rites. It is important here to comment that disappearance in the Zimbabwean context seems to range from forcible disappearance to children and parents not returning from attempts to join the ZANLA guerrilla forces in Mozambique. This latter groups will represent those who died crossing into Mozambique, those who died in attacks on bases and refugee camps in Mozambique, and those who died in post-training military activities in Zimbabwe. As a whole, these data should sensitise health workers to the aetiological significance of organised violence. It is significant mthat we are still seing disorders due to violence more than 20 years after their occurrence. Chronic and delayed forms of PTSD should thus be an alternative hypothesis for the multiple somatic misery seen in many primary care clinics. When we look to the future, we must consider ways to prevent organised violence and its appalling legacy. This requires health workers to think about a wider field than is usual, about human rights in effect. Health workers must of necessity take a strong position in defense of human rights or face the burden of reparing the damage infliected by callous and cynical governments. Prevention is not just a