18 [T]he physical injuries and psychiatric damage evinced by Ms. María Elena LoayzaTamayo are the direct aftereffects -consequences or results- of the various tortures used on her during her detention and incarceration. The psychiatric disorders, which manifested themselves subsequent to her release and compound those caused by the prison torture, are, of course, an indirect consequence of that torture. Finally, the expert’s diagnosis was that while some of the pain that the victim suffers may eventually be relieved through prolonged therapy, some may be irreversible. 76. On October 9, 1998, the Court received the report on the victim’s psychiatric evaluation, prepared by Dr. Martín Cordero-Allary on instructions from the "Colegio Médico de Chile". Dr. Cordero-Allary wrote down his observations and described his examination of the victim. His diagnosis was that she suffers from "post-traumatic stress syndrome as a consequence of systematic torture and rape. " 77. On October 13, 1998, the Court received the psychiatric medical evaluations of Gisselle Elena and Paul Abelardo Zambrano-Loayza, prepared by Dr. René FloresAgreda on instructions from the "Colego Médico del Perú". Dr. Flores-Agreda’s reports included the family and personal background of the young people he examined, and a description of their current problem and mental examination. Dr. Flores-Agreda’s findings and recommendations were as follows: a) In the case of Gisselle Elena Zambrano-Loayza, he concluded that "she is suffering from DEEP DEPRESSION and CHRONIC POST-TRAUMATIC STRESS DISORDER” and therefore is in need of urgent psychiatric treatment to help her overcome her present poor mental and emotional condition; " and b) In the case of Paul Abelardo Zambrano-Loayza, he concluded that "he is suffering from CHRONIC POST-TRAUMATIC STRESS DISORDER, with strong feelings of insecurity", and that "he must receive urgent psychiatric treatment to help him deal with the traumatic experience he has had, overcome the anxiety and depression he manifests, and, given his youth, prevent undesirable personality traits from becoming permanently entrenched. " 78. On November 13, 1998, Peru presented its observations on the medical reports, which it challenged based on the following arguments: a) The time the experts had was not sufficient to conduct the kind of tests that the Court had ordered; b) The reports were not prepared according to the standards set by the World Heath Organization’s International Classification of Diseases (Tenth Revision) (ICD-10) -Mental and Behavioral Disorders- clinical descriptions and diagnostic guidelines, and by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV); c) The report submitted by expert Cordero-Allary is incomplete, not objective and not serious; and d) When Dr. Robert von Bennewitz included psychological and psychiatric evaluations in his report, he exceeded his sphere of competence, as he is not a specialist in this area and was not commissioned by the "Colegio Médico de Chile" for an opinion of that nature. Peru further argued that in the body of