peasant universe.”514 Thus, when the victims hear the massacre discussed or see something that reminds them, “98% of them describe feeling ill, dizzy, chest pains and generally depressed.”515 In addition, many have been diagnosed with illnesses such as cancer, multiple sclerosis and other terminal diseases.516 For their part, the individuals and families who were displaced from their place of origin “lost their community and affective ties to their identifying roots, in addition to their property,” as well as “what had been, until then, the life project of each of them.”517 Therefore, they feel “anger, sadness, fear, nostalgia, helplessness, shame, abandonment, and loss of their place in the universe, all of which may result in the appearance of psychological symptoms.”518 The expert witness noted that, in general, the victims “have not been able to process their sorrow owing to lack of mechanisms for the social validation of their pain, as a result of the lack of institutional and collective support. It is a very deep and private sorrow, which paralyzes many healthy aspects, such as giving or receiving affection, and having a plan for the future.”519 All of this must be repaired at both the individual and the collective levels.520 352. Having verified the violations and the harm suffered by the victims, as it has in other cases,521 the Court considers it necessary to order measures of rehabilitation in this case. In this regard, it finds that comprehensive attention to the physical, mental and psychosocial problems suffered by the victims in this case is the appropriate reparation. Indeed, give the characteristics of this case, the Court finds that psychosocial is an essential component of reparation, because it has been verified that the harm suffered by the victims refers not only to parts of their individual identity, but also to the loss of their community roots and ties. Consequently, the Court finds it necessary to establish the obligation of the State to implement, within one year, a permanent program of comprehensive care and attention to their physical, mental and psychosocial health. This program must have a multidisciplinary approach and be headed by experts in this area, who have been sensibilized and trained in attention to victims of human rights violations, and also a collective approach. 353. Thus, under the said program ordered for the comprehensive care and attention to health, the State must provide, free of charge, through its specialized health care institutions in El Salvador, adequately and effectively, medical, psychological or psychiatric, and psychosocial treatment to the surviving victims of the massacres and the next of kin of the victims who were executed, who request this, following their informed consent, including the supply, free of charge, of the medicines and tests they may eventually require, taking into consideration the ailments of each of them. If the State is unable to provide this treatment, it must have recourse to specialized private or civil society institutions. Furthermore, the respective treatments must 514 Expert opinion provided by María Sol Yáñez De La Cruz before the Inter-American Court during the public hearing held on April 23, 2012. 515 Expert opinion on psychosocial impacts and recommendations for reparations in the case of “The Massacres of El Mozote and nearby places” provided by María Sol Yáñez De La Cruz, undated (evidence file, tome XVIII, annex 2 to the final written arguments of the representatives, folio 10548). 516 Cf. Expert opinion provided by María Sol Yáñez De La Cruz before the Inter-American Court during the public hearing held on April 23, 2012. 517 Expert opinion on psychosocial impacts and recommendations for reparations in the case of “The Massacres of El Mozote and nearby places” provided by María Sol Yáñez De La Cruz, undated (evidence file, tome XVIII, annex 2 to the final written arguments of the representatives, folios 10549 to 10550). 518 Expert opinion on psychosocial impacts and recommendations for reparations in the case of “The Massacres of El Mozote and nearby places” provided by María Sol Yáñez De La Cruz, undated (evidence file, tome XVIII, annex 2 to the final written arguments of the representatives, folios 10548 to 10550). 519 Expert opinion on psychosocial impacts and recommendations for reparations in the case of “The Massacres of El Mozote and nearby places” provided by María Sol Yáñez De La Cruz, undated (evidence file, tome XVIII, annex 2 to the final written arguments of the representatives, folio 10548). 520 Cf. Expert opinion on psychosocial impacts and recommendations for reparations in the case of “The Massacres of El Mozote and nearby places” provided by María Sol Yáñez De La Cruz, undated (evidence file, tome XVIII, annex 2 to the final written arguments of the representatives, folio 10550). 521 Cf. Case of Cantoral Benavides v. Peru. Reparations and costs. Judgment of December 3, 2001. Series C No. 88, para. 51(e), and Case of the Río Negro Massacres v. Guatemala, para. 287. 111