Features
Emeritus Professor of Paediatrics Priyani Elizabeth Soysa : AN ICON IS NO MORE
By Dr B. J. C. Perera
Specialist Consultant Paediatrician
That fantastic lady, a reputed persona grata of eminence, as well as teacher of repute who lit up the field of paediatric healthcare, Emeritus Professor of Paediatrics, Deshamanya Priyani Elizabeth Soysa MBBS(Cey), DCH(Eng), MD(Cey), DSc (Ruhuna) Honoris causa, FRCP(Edin), FRCP(Lond), FRCPCH(UK), FCCP(SL), FSLCPaed, and Fellow of the Sri Lanka Association for the Advancement of Science, most peacefully bid adieu to this mortal world on Good Friday (07 April).
The 97 years she spent on this planet earth, where she served Sri Lanka to her last breath, were of seminal significance for the services she provided in caring for children. As a student and mentee of hers, I am deeply saddened by her demise and am quite sure that many others in the medical profession, as well as those members of the general public who have come under her captivating influence, would share those very same sentiments. She will always be remembered as an unmatched change-maker in the paediatric scenario.
How does one start and where does one end in recounting the details of the lifetime of a person who lived a kind of life that defies even rational exposition? Needless to say, young Priyani Elizabeth De Mel excelled as the brightest of stars at her alma mater, Princess of Wales College, Moratuwa. Then her meteoric sojourn as a student in the Colombo Faculty of Medicine culminating in First Class Honours in the Final MBBS Examination was the forerunner to a dedicated career that saw her go higher and higher in her academic pursuits. An acclaimed clinician and a researcher of repute, she functioned as a paediatrician in various parts of the country including Jaffna and then became the first woman in Sri Lanka to be appointed to a Professorial Chair. That occurrence came about when she succeeded her guru and mentor, Professor C. C. de Silva, as the Professor of Paediatrics in the Faculty of Medicine, University of Ceylon and subsequently the University of Colombo. She held that exalted position as the Chair Professor of Paediatrics for 25 years before retiring in 1991. We share nostalgic memories of this fantastic personality, who in addition to all her sublime qualities, was also a most capable administrator and a policy maker; one who had a vision that she pursued through a resolute pathway of unbridled commitment.
Professor Priyani Soysa is well-known and supremely recognised for many a battle that she fought, very often in a single-handed dedication towards the welfare of little children in our country. When she assumed duties as the Chair Professor of Paediatrics, the subject of healthcare of children was just a part of Adult Medicine in the Faculty of Medicine. Professor Soysa managed to convert paediatrics into a subject in its own right that was tested in the Final MBBS Examination.
Professor Soysa had an abiding interest in childhood nutrition. Long before the current scientific evidence regarding the crucial importance of nutrition in the well-being of children emerged, she fought a valiant skirmish to ensure proper nutrition for children. Malnutrition was rampant in the country at the time she assumed the high office of the Chair of Paediatrics. Professor Soysa became an unwavering advocate of exclusive breastfeeding of all babies for the first six months of life. In that endeavour, she fought a lone but heroic battle against the might of the infant formula food manufacturers. Artificial cow milk-based formula foods were the fashion of the Western world and it was no mean task to fight against the Western manufacturers of these infant foods. Professor Soysa declared all-out war on them and their subtle efforts at jeopardising exclusively breastfeeding initiatives. She worked ever so hard to change the mindset of Sri Lankan mothers from bottle feeding to breastfeeding. This was such a great achievement as at that time breastfeeding was not considered ‘fashionable.’
As the undisputed champion of exclusive breastfeeding, Professor Soysa played a major role in securing maternity leave for working mothers and that effort tipped the balance against the infant milk food industry most decisively. The fact that today we have an over 90 per cent rate of exclusive breastfeeding in the first six months of life is the eternal testimonial to her work as the undisputed winner of that initiative. Her work in that respect has shown a pivotal influence, not only in Sri Lanka but globally as well.
Professor Priyani Soysa is a Past President of the Sri Lanka Paediatric Association (now known as the Sri Lanka College of Paediatricians), the Sri Lanka Medical Association and the Sri Lanka Association for the Advancement of Science. As a gesture of genuine appreciation, the Sri Lanka Medical Association, the oldest medical organisation in Asia and Australasia, awarded her the Honorary Life Membership during its 125th Anniversary celebrations in 2012. In grateful recognition of her services to the country, the government of Sri Lanka bestowed on her the coveted national honour of Deshamanya in a glittering investiture ceremony at Nelum Pokuna Theatre in 2017, attended and presided over by the Executive President of Sri Lanka.
In addition to being a splendid academic, Professor Soysa was a marvellous family person, devoted to her husband, the reputed ENT Surgeon Deshabandu Dr Ananda Soysa, who predeceased her in 2019. They have four daughters, Dharini, Chandini, Keshini and Thilina, to whom Madam Priyani was an exemplary mother. Those who have had the privilege to be at a meal in the Soysa household would vouch for the abilities of Professor Priyani Soysa as an accomplished chef as well.
The medical paediatric fraternity of Sri Lanka owes her a lot. Many of us have learnt the basics of paediatrics from her. But then, what we learnt from her goes even further than that. As a personal anecdote, I know for sure how she responded to a problem that myself and my allocated working partner had with a family that was assigned to us for the Social Paediatrics appointment when we were doing the Professorial Paediatric appointment in our final year in the Faculty of Medicine. That family was so poor that they lived a frugal hand-to-mouth existence. We noticed that they did not have a toilet. When the good professor was grilling us during discussions that involved the entire group of medical students, I was forced to tell the professor that the lack of a toilet was the least of their problems when they did not know where the next meal was coming from. The professor did not say anything but we found out later that she had used her own personal funds to build a toilet for that family. She had done it without telling anybody. It just went to show that beneath her professorial strict façade, there was a very kind heart that was capable of exhibiting the wonderful quality of empathy.
One could write reams about our guru Professor Priyani Soysa. But even then, we would not be able to get through all that we want to say. Her daughters and the members of the immediate families are sure to feel the intense pain of losing a loved one who was definitely like no other. We hasten to proclaim that their loss is our loss as well.
No doubt a company of angels would have escorted her to her heavenly abode on 07 April 2023. Today (10) is the day we see her for the last time when we take part in the final rites for her mortal remains. We are honoured and greatly privileged to join her in her last journey on earth.
Yet for all that dear Madam Soysa, you will stay in our hearts forever until we meet again, at some time in the future.
Features
Living among psychopaths
Bob (not his real name) who worked in a large business organisation was full of new ideas. He went out of his way to help his colleagues in difficulties. His work attracted the attention of his superiors and they gave him a free hand to do his work. After some time, Bob started harassing his female colleagues. He used to knock against them in order to kick up a row. Soon he became a nuisance to the entire staff. When the female colleagues made a complaint to the management a disciplinary inquiry was conducted. Bob put up a weak defence saying that he had no intention to cause any harm to the females on the staff. However, he was found guilty of harassing the female colleagues. Accordingly his services were terminated.
Those who conducted the disciplinary inquiry concluded that Bob was a psychopath. According to psychologists, a psychopath is a person who has a serious and permanent mental illness that makes him behave in a violent or criminal way. Psychologists believe that one per cent of the people are psychopaths who have no conscience. You may have come across such people in films and novels. The film The Silence of the Lambs portrayed a serial killer who enjoyed tormenting his innocent victims. Apart from such fictional characters, there are many psychopaths in big and small organisations and in society as well. In a reported case Dr Ahmad Suradji admitted to killing more than 40 innocent women and girls. There is something fascinating and also chilling about such people.
People without a conscience are not a new breed. Even ancient Greek philosophers spoke of ‘men without moral reason.’ Later medical professionals said people without conscience were suffering from moral insanity. However, all serial killers and rapists are not psychopaths. Sometimes a man would kill another person under grave and sudden provocation. If you see your wife sleeping with another man, you will kill one or both of them. A world-renowned psychopathy authority Dr Robert Hare says, “Psychopaths can be found everywhere in society.” He developed a method to define and diagnose psychopathy. Today it is used as the international gold standard for the assessment of psychopathy.
No conscience
According to modern research, even normal people are likely to commit murder or rape in certain circumstances. However, unlike normal people, psychopaths have no conscience when they commit serious crimes. In fact, they tend to enjoy such brutal activities. There is no general consensus whether there are degrees of psychopathy. According to Harvard University Professor Martha Stout, conscience is like a left arm, either you have one or you don’t. Anyway psychopathy may exist in degrees varying from very mild to severe. If you feel remorse after committing a crime, you are not a psychopath. Generally psychopaths are indifferent to, or even enjoy, the torment they cause to others.
In modern society it is very difficult to identify psychopaths because most of them are good workers. They also show signs of empathy and know how to win friends and influence people. The sheen may rub off at any given moment. They know how to get away with what they do. What they are really doing is sizing up their prey. Sometimes a person may become a psychopath when he does not get parental love. Those who live alone are also likely to end up as psychopaths.
Recent studies show that genetics matters in producing a psychopath. Adele Forth, a psychology professor at Carleton University in Canada, says callousness is at least partly inherited. Some psychopaths torture innocent people for the thrill of doing so. Even cruelty to animals is an act indulged in by psychopaths. You have to be aware of the fact that there are people without conscience in society. Sometimes, with patience, you might be able to change their behaviour. But on most occasions they tend to stay that way forever.
Charming people
We still do not know whether science has developed an antidote to psychopathy. Therefore remember that you might meet a psychopath at some point in your life. For now, beware of charming people who seem to be more interesting than others. Sometimes they look charismatic and sexy. Be wary of people who flatter you excessively. The more you get to know a psychopath, the more you will understand their motives. They are capable of telling you white lies about their age, education, profession or wealth. Psychopaths enjoy dramatic lying for its own sake. If your alarm bells ring, keep away from them.
According to the Psychiatric Diagnostic Manual, the behaviour of a psychopath is termed as antisocial personality disorder. Today it is also known as sociopath. No matter the name, its hallmarks are deceit and a reckless disregard for others. A psychopath’s consistent irresponsibility begets no remorse – only indifference to the emotional pain others may suffer. For a psychopath other people are always ‘things’ to be duped, used and discarded.
Psychopathy, the incapacity to feel empathy or compassion of any sort or the least twinge of conscience, is one of the more perplexing of emotional defects. The heart of the psychopath’s coldness seems to lie in their inability to make anything more than the shallowest of emotional connections.
Absence of empathy is found in husbands who beat up their wives or threaten them with violence. Such men are far more likely to be violent outside the marriage as well. They get into bar fights and battling with co-workers. The danger is that psychopaths lack concern about future punishment for what they do. As they themselves do not feel fear, they have no empathy or compassion for the fear and pain of their victims.
karunaratners@gmail.com
By R.S. Karunaratne
Features
Rebuilding the country requires consultation
A positive feature of the government that is emerging is its responsiveness to public opinion. The manner in which it has been responding to the furore over the Grade 6 English Reader, in which a weblink to a gay dating site was inserted, has been constructive. Government leaders have taken pains to explain the mishap and reassure everyone concerned that it was not meant to be there and would be removed. They have been meeting religious prelates, educationists and community leaders. In a context where public trust in institutions has been badly eroded over many years, such responsiveness matters. It signals that the government sees itself as accountable to society, including to parents, teachers, and those concerned about the values transmitted through the school system.
This incident also appears to have strengthened unity within the government. The attempt by some opposition politicians and gender misogynists to pin responsibility for this lapse on Prime Minister Dr Harini Amarasuriya, who is also the Minister of Education, has prompted other senior members of the government to come to her defence. This is contrary to speculation that the powerful JVP component of the government is unhappy with the prime minister. More importantly, it demonstrates an understanding within the government that individual ministers should not be scapegoated for systemic shortcomings. Effective governance depends on collective responsibility and solidarity within the leadership, especially during moments of public controversy.
The continuing important role of the prime minister in the government is evident in her meetings with international dignitaries and also in addressing the general public. Last week she chaired the inaugural meeting of the Presidential Task Force to Rebuild Sri Lanka in the aftermath of Cyclone Ditwah. The composition of the task force once again reflects the responsiveness of the government to public opinion. Unlike previous mechanisms set up by governments, which were either all male or without ethnic minority representation, this one includes both, and also includes civil society representation. Decision-making bodies in which there is diversity are more likely to command public legitimacy.
Task Force
The Presidential Task Force to Rebuild Sri Lanka overlooks eight committees to manage different aspects of the recovery, each headed by a sector minister. These committees will focus on Needs Assessment, Restoration of Public Infrastructure, Housing, Local Economies and Livelihoods, Social Infrastructure, Finance and Funding, Data and Information Systems, and Public Communication. This structure appears comprehensive and well designed. However, experience from post-disaster reconstruction in countries such as Indonesia and Sri Lanka after the 2004 tsunami suggests that institutional design alone does not guarantee success. What matters equally is how far these committees engage with those on the ground and remain open to feedback that may complicate, slow down, or even challenge initial plans.
An option that the task force might wish to consider is to develop a linkage with civil society groups with expertise in the areas that the task force is expected to work. The CSO Collective for Emergency Relief has set up several committees that could be linked to the committees supervised by the task force. Such linkages would not weaken the government’s authority but strengthen it by grounding policy in lived realities. Recent findings emphasise the idea of “co-production”, where state and society jointly shape solutions in which sustainable outcomes often emerge when communities are treated not as passive beneficiaries but as partners in problem-solving.
Cyclone Ditwah destroyed more than physical infrastructure. It also destroyed communities. Some were swallowed by landslides and floods, while many others will need to be moved from their homes as they live in areas vulnerable to future disasters. The trauma of displacement is not merely material but social and psychological. Moving communities to new locations requires careful planning. It is not simply a matter of providing people with houses. They need to be relocated to locations and in a manner that permits communities to live together and to have livelihoods. This will require consultation with those who are displaced. Post-disaster evaluations have acknowledged that relocation schemes imposed without community consent often fail, leading to abandonment of new settlements or the emergence of new forms of marginalisation. Even today, abandoned tsunami housing is to be seen in various places that were affected by the 2004 tsunami.
Malaiyaha Tamils
The large-scale reconstruction that needs to take place in parts of the country most severely affected by Cyclone Ditwah also brings an opportunity to deal with the special problems of the Malaiyaha Tamil population. These are people of recent Indian origin who were unjustly treated at the time of Independence and denied rights of citizenship such as land ownership and the vote. This has been a festering problem and a blot on the conscience of the country. The need to resettle people living in those parts of the hill country which are vulnerable to landslides is an opportunity to do justice by the Malaiyaha Tamil community. Technocratic solutions such as high-rise apartments or English-style townhouses that have or are being contemplated may be cost-effective, but may also be culturally inappropriate and socially disruptive. The task is not simply to build houses but to rebuild communities.
The resettlement of people who have lost their homes and communities requires consultation with them. In the same manner, the education reform programme, of which the textbook controversy is only a small part, too needs to be discussed with concerned stakeholders including school teachers and university faculty. Opening up for discussion does not mean giving up one’s own position or values. Rather, it means recognising that better solutions emerge when different perspectives are heard and negotiated. Consultation takes time and can be frustrating, particularly in contexts of crisis where pressure for quick results is intense. However, solutions developed with stakeholder participation are more resilient and less costly in the long run.
Rebuilding after Cyclone Ditwah, addressing historical injustices faced by the Malaiyaha Tamil community, advancing education reform, changing the electoral system to hold provincial elections without further delay and other challenges facing the government, including national reconciliation, all require dialogue across differences and patience with disagreement. Opening up for discussion is not to give up on one’s own position or values, but to listen, to learn, and to arrive at solutions that have wider acceptance. Consultation needs to be treated as an investment in sustainability and legitimacy and not as an obstacle to rapid decisionmaking. Addressing the problems together, especially engagement with affected parties and those who work with them, offers the best chance of rebuilding not only physical infrastructure but also trust between the government and people in the year ahead.
by Jehan Perera
Features
PSTA: Terrorism without terror continues
When the government appointed a committee, led by Rienzie Arsekularatne, Senior President’s Counsel, to draft a new law to replace the Prevention of Terrorism Act (PTA), as promised by the ruling NPP, the writer, in an article published in this journal in July 2025, expressed optimism that, given Arsekularatne’s experience in criminal justice, he would be able to address issues from the perspectives of the State, criminal justice, human rights, suspects, accused, activists, and victims. The draft Protection of the State from Terrorism Act (PSTA), produced by the Committee, has been sharply criticised by individuals and organisations who expected a better outcome that aligns with modern criminal justice and human rights principles.
This article is limited to a discussion of the definition of terrorism. As the writer explained previously, the dangers of an overly broad definition go beyond conviction and increased punishment. Special laws on terrorism allow deviations from standard laws in areas such as preventive detention, arrest, administrative detention, restrictions on judicial decisions regarding bail, lengthy pre-trial detention, the use of confessions, superadded punishments, such as confiscation of property and cancellation of professional licences, banning organisations, and restrictions on publications, among others. The misuse of such laws is not uncommon. Drastic legislation, such as the PTA and emergency regulations, although intended to be used to curb intense violence and deal with emergencies, has been exploited to suppress political opposition.
International Standards
The writer’s basic premise is that, for an act to come within the definition of terrorism, it must either involve “terror” or a “state of intense or overwhelming fear” or be committed to achieve an objective of an individual or organisation that uses “terror” or a “state of intense or overwhelming fear” to realise its aims. The UN General Assembly has accepted that the threshold for a possible general offence of terrorism is the provocation of “a state of terror” (Resolution 60/43). The Parliamentary Assembly of the Council of Europe has taken a similar view, using the phrase “to create a climate of terror.”
In his 2023 report on the implementation of the UN Global Counter-Terrorism Strategy, the Secretary-General warned that vague and overly broad definitions of terrorism in domestic law, often lacking adequate safeguards, violate the principle of legality under international human rights law. He noted that such laws lead to heavy-handed, ineffective, and counterproductive counter-terrorism practices and are frequently misused to target civil society actors and human rights defenders by labelling them as terrorists to obstruct their work.
The United Nations Office on Drugs and Crime (UNODC) has stressed in its Handbook on Criminal Justice Responses to Terrorism that definitions of terrorist acts must use precise and unambiguous language, narrowly define punishable conduct and clearly distinguish it from non-punishable behaviour or offences subject to other penalties. The handbook was developed over several months by a team of international experts, including the writer, and was finalised at a workshop in Vienna.
Anti-Terrorism Bill, 2023
A five-member Bench of the Supreme Court that examined the Anti-Terrorism Bill, 2023, agreed with the petitioners that the definition of terrorism in the Bill was too broad and infringed Article 12(1) of the Constitution, and recommended that an exemption (“carve out”) similar to that used in New Zealand under which “the fact that a person engages in any protest, advocacy, or dissent, or engages in any strike, lockout, or other industrial action, is not, by itself, a sufficient basis for inferring that the person” committed the wrongful acts that would otherwise constitute terrorism.
While recognising the Court’s finding that the definition was too broad, the writer argued, in his previous article, that the political, administrative, and law enforcement cultures of the country concerned are crucial factors to consider. Countries such as New Zealand are well ahead of developing nations, where the risk of misuse is higher, and, therefore, definitions should be narrower, with broader and more precise exemptions. How such a “carve out” would play out in practice is uncertain.
In the Supreme Court, it was submitted that for an act to constitute an offence, under a special law on terrorism, there must be terror unleashed in the commission of the act, or it must be carried out in pursuance of the object of an organisation that uses terror to achieve its objectives. In general, only acts that aim at creating “terror” or a “state of intense or overwhelming fear” should come under the definition of terrorism. There can be terrorism-related acts without violence, for example, when a member of an extremist organisation remotely sabotages an electronic, automated or computerised system in pursuance of the organisation’s goal. But when the same act is committed by, say, a whizz-kid without such a connection, that would be illegal and should be punished, but not under a special law on terrorism. In its determination of the Bill, the Court did not address this submission.
PSTA Proposal
Proposed section 3(1) of the PSTA reads:
Any person who, intentionally or knowingly, commits any act which causes a consequence specified in subsection (2), for the purpose of-
(a) provoking a state of terror;
(b) intimidating the public or any section of the public;
(c) compelling the Government of Sri Lanka, or any other Government, or an international organisation, to do or to abstain from doing any act; or
(d) propagating war, or violating territorial integrity or infringing the sovereignty of Sri Lanka or any other sovereign country, commits the offence of terrorism.
The consequences listed in sub-section (2) include: death; hurt; hostage-taking; abduction or kidnapping; serious damage to any place of public use, any public property, any public or private transportation system or any infrastructure facility or environment; robbery, extortion or theft of public or private property; serious risk to the health and safety of the public or a section of the public; serious obstruction or damage to, or interference with, any electronic or automated or computerised system or network or cyber environment of domains assigned to, or websites registered with such domains assigned to Sri Lanka; destruction of, or serious damage to, religious or cultural property; serious obstruction or damage to, or interference with any electronic, analogue, digital or other wire-linked or wireless transmission system, including signal transmission and any other frequency-based transmission system; without lawful authority, importing, exporting, manufacturing, collecting, obtaining, supplying, trafficking, possessing or using firearms, offensive weapons, ammunition, explosives, articles or things used in the manufacture of explosives or combustible or corrosive substances and biological, chemical, electric, electronic or nuclear weapons, other nuclear explosive devices, nuclear material, radioactive substances, or radiation-emitting devices.
Under section 3(5), “any person who commits an act which constitutes an offence under the nine international treaties on terrorism, ratified by Sri Lanka, also commits the offence of terrorism.” No one would contest that.
The New Zealand “carve-out” is found in sub-section (4): “The fact that a person engages in any protest, advocacy or dissent or engages in any strike, lockout or other industrial action, is not by itself a sufficient basis for inferring that such person (a) commits or attempts, abets, conspires, or prepares to commit the act with the intention or knowledge specified in subsection (1); or (b) is intending to cause or knowingly causes an outcome specified in subsection (2).”
While the Arsekularatne Committee has proposed, including the New Zealand “carve out”, it has ignored a crucial qualification in section 5(2) of that country’s Terrorism Suppression Act, that for an act to be considered a terrorist act, it must be carried out for one or more purposes that are or include advancing “an ideological, political, or religious cause”, with the intention of either intimidating a population or coercing or forcing a government or an international organisation to do or abstain from doing any act.
When the Committee was appointed, the Human Rights Commission of Sri Lanka opined that any new offence with respect to “terrorism” should contain a specific and narrow definition of terrorism, such as the following: “Any person who by the use of force or violence unlawfully targets the civilian population or a segment of the civilian population with the intent to spread fear among such population or segment thereof in furtherance of a political, ideological, or religious cause commits the offence of terrorism”.
The writer submits that, rather than bringing in the requirement of “a political, ideological, or religious cause”, it would be prudent to qualify proposed section 3(1) by the requirement that only acts that aim at creating “terror” or a “state of intense or overwhelming fear” or are carried out to achieve a goal of an individual or organisation that employs “terror” or a “state of intense or overwhelming fear” to attain its objectives should come under the definition of terrorism. Such a threshold is recognised internationally; no “carve out” is then needed, and the concerns of the Human Rights Commission would also be addressed.
by Dr. Jayampathy Wickramaratne
President’s Counsel
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