The modern practice of waterboarding, characterized in 2005 by former CIA director Porter J. Goss as a "professional interrogation technique",  involves tying the victim to a board with the head lower than the feet so that he or she is unable to move. A piece of cloth is held tightly over the face, and water is poured onto the cloth. Breathing is extremely difficult and the victim will be in fear of imminent death by asphyxiation. However, it is relatively difficult to aspirate a large amount of water since the lungs are higher than the mouth, and the victim is unlikely to actually die if this is done by skilled practitioners. Waterboarding may be used by captors who wish to impose anguish without leaving marks on their victims as evidence. Journalists Brian Ross and Richard Esposito described the CIA's waterboarding technique as follows: The prisoner is bound to an inclined board, feet raised and head slightly below the feet. Cellophane is wrapped over the prisoner's face and water is poured over him. Unavoidably, the gag reflex kicks in and a terrifying fear of drowning leads to almost instant pleas to bring the treatment to a halt. According to the sources, CIA officers who subjected themselves to the water boarding technique lasted an average of 14 seconds before caving in. They said al Qaeda's toughest prisoner, Khalid Sheik Mohammed, won the admiration of interrogators when he was able to last over two minutes before begging to confess.
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