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Speaking with different voices: the problems with English law and psychiatric injury

Published online by Cambridge University Press:  02 January 2018

Russell Orr
Russell Orr*
Affiliation:
University of Westminster
*
Dr Russell Orr, University of Westminster, Westminster Law School, 4–16 Little Titchfield Street, London W1W 7BY, UK. Email: [email protected]
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Abstract

Private law courts in the UK have maintained the de minimis threshold as a condition precedent for a successful claim for the infliction of mental harm. This de minimis threshold necessitates the presence of a ‘recognised psychiatric illness’ as opposed to ‘mere emotion’. This standard has also been adopted by the criminal law courts when reading the Offences Against the Person Act 1861 to include non-physical injury. In determining the cut-off point between psychiatric injury and mere emotion, the courts have adopted a generally passive acceptance of expert testimony and the guidelines used by mental health professionals to make diagnoses. Yet these guidelines were developed for use in a clinical setting, not a legal one. This paper examines the difficulty inherent in utilising the ‘dimensional’ diagnostic criteria used by mental health professionals to answer ‘categorical’ legal questions. This is of particular concern following publication of the new diagnostic manual, DSM-V, in 2013, which will further exacerbate concerns about compatibility. It is argued that a new set of diagnostic guidelines, tailored specifically for use in a legal context, is now a necessity.

Type
Research Article
Information
Legal Studies , Volume 36 , Issue 4 , December 2016 , pp. 547 - 565
Copyright
Copyright © Society of Legal Scholars 2016

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Footnotes

*

I would like to acknowledge Dr Ciara Hackett for her thoughtful assistance with the preparation of this manuscript.

References

1. ‘Whitmore v Euroways Express Coaches Ltd’ The Times 4 May 1984.Google Scholar

2. Mullany, NJ and Handford, PR Tort Liability for Psychiatric Damage (Sydney: Law Book Company, 1993) pp 18–21.Google Scholar

3. Law Commission Report No 249 Liability for Psychiatric Illness (London: HMSO, 1998).Google ScholarPubMed

4. Negligence (Psychiatric Illness) Bill ss 1(2), 2(2), 5(2).

5. Hinz v Berry [1970] 2 QB 40, Denning MR at 42.Google Scholar

6. Alcock v CC of South Yorkshire Police [1992] 1 AC 310 (HL)422Google Scholar; Hicks v CC of South Yorkshire Police [1992] PIQR 433 (HL) 436Google Scholar; Page v Smith [1996] AC 155 (HL) 167, 171, 181, 189, 197Google Scholar; White (Frost) v CC of South Yorkshire Police [1999] 2 AC 455 (HL)469, 491, 501Google Scholar.

7. Attia v British Gas plc [1988] QB 304 (CA) 320Google Scholar; Hicks v CC of South Yorkshire Police [1992] 1 All ER 690 (CA) 693Google Scholar.

8. McLoughlin v O'Brian [1983] AC 410 at 431 (Lord Bridge).Google Scholar

9. Above n 1.

10. (1890) 26 Lr Ir 428.

11. [1901] 2 KB 669.

12. Ibid, at 683.

13. Lynch v Knight [1861] 9 HLC 577 at 590 (Lord Wensleydale).

14. Victorian Railways Commissioners v Coultas (1888) 13 App CAS 222.Google Scholar

15. Trindade, FA ‘The principles governing the recovery of damages for negligently caused nervous shock’ (1986) 45(3) Camb L J 476–500.CrossRefGoogle Scholar

16. White, above n 6, at 491 (Lord Steyn).

17. Ibid, at n 3 (para 2.3).

18. See eg Case, P ‘Secondary iatrogenic harm: claims for psychiatric damage following a death caused by medical error’ (2004) 67 Mod L Rev 561.CrossRefGoogle Scholar

19. Ashworth, A and Redmayne, R The Criminal Process (Oxford: Oxford University Press, 44th edn, 2010).CrossRefGoogle Scholar

20. Ibid; Stacey, H and Lavarch, M Beyond the Adversarial System (Sydney: The Federation Press, 1999).Google Scholar

21. Zander, M The Police and Criminal Evidence Act (London: Sweet & Maxwell, 55th edn, 2005).Google Scholar

22. PACE code 3; Young, S et al ‘The effectiveness of police custody assessments in identifying suspects with intellectual disabilities and attention deficit hyperactivity disorder’. (2013) 11 BMC Med 248 CrossRefGoogle ScholarPubMed; Littlechild, B and Fearns, D ‘Mentally vulnerable adults in police detention’ in Mental Disorder and Criminal Justice (Lyme Regis: Russell House, 2005).Google Scholar

23. Gudjonsson, GH The Psychology of Interrogations and Confessions: A Handbook (Chichester: Wiley, 2003).Google Scholar

24. R v Pritchard (1836) 7 C&P 303: The Pritchard Test.Google Scholar

25. Erez, E ‘Who's afraid of the big bad victim? Victim impact statements as victim empowerment and enhancement of justice’ (1999) 49(26) Crim L Rev 545.Google Scholar

26. Stannard, JE ‘Sticks, stones and words: emotional harm and the English criminal law’ (2010) 74 J Crim L 533–556.CrossRefGoogle Scholar

27. Ibid; Teff, H Causing Psychiatric and Emotional Harm: Reshaping the Boundaries of Legal Liability (Oxford: Hart Publishing, 2009).Google Scholar

28. R v Burrows, R v Ireland [1998] AC 147.Google Scholar

29. Ibid, at 158 (Lord Steyn).

30. Ibid, at 161 (Lord Steyn).

31. R v Chan-Fook (1994) 99 Cr App R 147 at 152 (Hobhouse LJ).Google Scholar

32. Ibid.

33. Ibid.

34. Sutherland v Hatton [2002] 2 All ER 1 at 5 (Hale LJ).Google Scholar

35. Monk v PC Harrington Ltd [2008] EWHC 1879 (QB).Google Scholar

36. Dickie v Flexcon Glenrothes Ltd [2009] Scot (D) 3/11 (Sheriff Court, Kircaldy, 4 September 2009).Google Scholar

37. Ibid, at 22 (Sheriff Braid).

38. R v Dhaliwal [2006] EWCA Crim 1139.Google Scholar

39. Ibid, at 3.

40. Ibid, at 8.

41. Ibid, at 13.

42. Ibid, at 14.

43. Ibid, at 15.

44. Ibid, at 18.

45. The consultation process preceding the release of the Icd-11 is currently ongoing.

46. DSM-V The Diagnostic and Statistical Manual of Mental Disorders (Washington, DC: American Psychiatric Association, 55th edn, 2013).Google ScholarPubMed

47. For the purposes of this paper, greater emphasis will be place on the role of the Dsm as it focuses solely on mental health diagnoses. The ICD 10 is a general classification of all diagnosable conditions, with those pertaining to mental health being contained in ch 5.

48. Mayes, R and Horowitz, A ‘Dsm-Iii and the revolution in the classification of mental illness’ (2005) 41(3) J Hist Behav Sci 249.CrossRefGoogle ScholarPubMed

49. Kennedy, H ‘Limits of psychiatric evidence in civil courts and tribunals: science and sensibility’ (2004) 10 Med-L J Ireland 16 at 18.Google Scholar

50. Gill, D ‘Proving and disproving psychiatric injury’ (2008) 78 Med-L J 143.CrossRefGoogle Scholar

51. Kennedy, above n 49.

52. Noble v Owens [2008] EWHC 359 (QB).Google Scholar

53. Grayson, DA ‘Can categorical and dimensional views of psychiatric illness be distinguished?’ (1987) 151 Br J Psych 355.CrossRefGoogle ScholarPubMed

54. Dickie, above n 36, at 33 (Sheriff Braid). An excellent example of this can be seen in Sheriff Braid's summary of the submissions pertinent to the Dickie case and the conclusion that ‘… the diagnosis of psychiatric illness in not an exact science!’

55. Group B Plaintiffs v UKMRC [2000] Lloyd's Rep Med 161 (QB) at 113 (Moorland J).Google Scholar

56. [2008] Iehc at 292.

57. Gardner v Epirotiki Steamship Co (QBD, 7 June 1994) Wright J.Google Scholar

58. Rorrison v West Lothian College [2000] SCLR 245 Lord Reed.Google Scholar

59. Gill, above n 50.

60. Calvert v William Hill Credit Ltd [2008] EWHC 454.Google Scholar

61. Foroughi v Star City Pty Ltd [2007] FCA 1503.Google Scholar

62. Calvert, above n 60, at 134 (Brigg J).

63. Vernon v Bosley (No 1) [1997] 1 All ER 577 (CA) at 598 (Evans LJ).Google Scholar

64. Gill, above n 50.

65. DSM-V, above n 46, p 25.

66. Hussain v CC of West Mercia Constabulary [2003] EWCA Civ 1205.Google Scholar

67. See Group B Plaintiffs v UKMRC [2000] Lloyd's Rep Med 161 (QB), Moorland J at 163 describing it as a ‘powerful control mechanism’.Google Scholar

68. Above n 1.

69. Vernon, above n 63, at 604 (Evans LJ).

70. Mulheron, R ‘Rewriting the requirement for a “recognised psychiatric injury” in negligence claims’ (2012) 32(1) Oxford J Legal Stud 77–112.CrossRefGoogle Scholar

71. Alcock v CC of South Yorkshire Police [1992] 1 AC 310 (HL) 422 at 418 (Lord Oliver).Google Scholar

72. White v London Fire & Civil Defence Authority [1999] 2 AC 410 at 511 (Lord Hoffman).Google Scholar

73. Giliker, P ‘A “new” head of damages: damages for mental distress in the English law of torts’ (2000) 20(1) Legal Stud 11–41.CrossRefGoogle Scholar

74. Although certainly not the only such concern. for a comprehensive review, see Teff, above n 27, pp 141–170.

75. Sion v Hampstead HA [1994] 5 Med LR 170 (CA) at 173 (Staughton LJ).Google Scholar

76. McLoughlin, above n 8, at 421 (Lord Wilberforce).

77. Patten, K ‘Patchwork quilt law’ (2013) New L J, 24 May.Google Scholar

78. Ibid; Mulheron, above n 70; Handford, P ‘Psychiatric Injury in breach of a relationship’ (2007) 27(1) Legal Stud 26–50 CrossRefGoogle Scholar.

79. See White, above n 6, at 496–498 (Lord Steyn) and at 504 (Lord Hoffmann).

80. Tame v New South Wales, Annetts v Australian Stations Pty Ltd (2002) 191 ALR 449 at 494 (Gummow JJ).Google Scholar

81. Sutherland, above n 34, at 5 (Hale LJ).

82. Kessler, RC et al ‘Prevalence, severity, and comorbidity of 12-month Dsm-Iv disorders in the National Comorbidity Survey Replication’ (2005) 62(6) Arch Gen Psych 617–627 [published correction appears in (2005) 62(7) Arch Gen Psych 709]CrossRefGoogle ScholarPubMed; Kessler, RC et al ‘Lifetime prevalence and age-of-onset distributions of Dsm-Iv disorders in the National Comorbidity Survey Replication’ (2005) 62(6) Arch Gen Psych 593–602 [published correction appears in (2005) 62(7) Arch Gen Psych 768]CrossRefGoogle ScholarPubMed.

83. B Carey ‘Psychiatrists revise the book of human troubles’ New York Times 17 December 2008, available at http://www.nytimes.com/2008/12/18/health/18psych.html?pagewanted=all (accessed 15 January 2015).

84. ‘Psychiatrists propose revision to diagnostic manual’ (Interview for PBS NewsHour 10 February 2010), available at http://www.pbs.org/newshour/bb/health-jan-june10-mentalillness_02-10/ (accessed 15 January 2015).

85. Frances, A and Raven, M ‘Two views of the new Dsm-5: the need for caution in diagnosing and treating mental disorders’ (2013) 88(8) Am Fam Physician, available at http://www.aafp.org/afp/2013/1015/od1.html (accessed 17 July 2015).Google Scholar

86. A Frances ‘A warning sign on the road to Dsm-V: beware of its unintended consequences’ Psychiatric Times 26 June 2009, available at http://www.psychiatrictimes.com/articles/warning-sign-road-dsm-v-beware-its-unintended-consequences?verify=0A (accessed 15 January 2015).

87. Kupfer, DJ, Kuhl, EA and Regier, DA ‘Two views of the new Dsm-5: a diagnostic guide relevant to both primary care and psychiatric practice’ (2013) 88(8) Am Fam Physician, available at http://www.aafp.org/afp/2013/1015/od2.html (accessed 17 July 2015).Google ScholarPubMed

88. Ibid.

89. Grayson, above n 53.

90. Gill, above n 50.

91. Frances and Raven, above n 86; Kupfer et al, above n 87.

92. Stannard, above n 26.

93. Teff, above n 27, p 31.

94. R v Brewster [1998] 1 Cr App R 220.Google Scholar

95. See Maguire, M and Bennett, T Burglary in a Dwelling (London: Heinemann, 1982).Google Scholar

96. R v Brewster, above n 95, at 225–227 (Lord Bingham).Google Scholar

97. Addison, N and Lawson-Cruttenden, T Harassment Law and Practice (London: Blackstone Press, 1997).Google Scholar

98. ‘DPP v Selvanayagam’ The Times 23 June 1999 (Collins J).Google Scholar

99. Stannard, above n 26.

100. R v Burrows, R v Ireland [1998] AC 147 (Lord Steyn).Google Scholar

101. Law Commission Report No 218 Legislating the Criminal Code: Offences Against the Person and General Principles (London: HMSO, 1993).Google Scholar

102. Home Office Violence: Reforming the Offences Against the Person Act 1861 (London: Home Office, 1998).Google Scholar

103. R v Dhaliwal [2006] EWCA Crim 1139 at 33 (Judge).

104. Ward, T ‘Psychiatric evidence and judicial fact finding’ (1999) 3 Int J Evidence 180 at 187.Google Scholar

105. Mulheron, above n 70.

106. Doak, J ‘The victim and the criminal process: an analysis of recent trends in regional and international tribunals’ (2002) 23 Legal Stud 1.CrossRefGoogle Scholar

107. Stannard, above n 26.

108. ‘Mental harm’ in ‘Review of the law of negligence: final report’ (2002) (‘Ipp report’) as yet unenacted.

109. Law Commission Report No 249, above n 3, para 5.1.

110. Ibid, para 3.2.

111. R v Ahluwalia [1993] 96 Cr App R 133; R v Thornton [1995] 1 Cr App R 578.Google Scholar

112. The Coroners and Justice Act 2009.

113. Walker, LE ‘Battered women syndrome and self-defense’ (1992) 6(2) Notre Dame J L Ethics & Pub Pol'y 321–334.Google Scholar

114. Walker, LE ‘Battered woman syndrome: empirical findings’ (2006) 1087 Annals NY Acad Sci 142–157.CrossRefGoogle ScholarPubMed

115. Walker, LE ‘Battered women and learned helplessness’ (1977) 2(3–4) Victimology 525–534.Google Scholar

116. Schuller, RA and Hastings, PA ‘Trials of battered women who kill: the impact of alternative forms of expert evidence’ (1996) 20(2) Law & Hum Behav 167–187.CrossRefGoogle Scholar

117. M Dutton ‘Update of the “Battered Woman Syndrome” critique’ (2009) VAWnet: The National Online Resource Center on Violence Against Women, available at http://www.vawnet.org/summary.php?doc_id=2061&find_type=web_desc_AR (accessed 15 January 2015).

118. Walker, above n 115.

119. Peterson, C, Maier, SF and Seligman, MEP Learned Helplessness: A Theory for the Age of Personal Control (New York: Oxford University Press, 1993)Google Scholar; Goodman, L et al ‘The Intimate Partner Violence Strategies Index: development and application’ (2003) 9(2) Violence Against Women 163–186 CrossRefGoogle Scholar.

120. Walker, LE The Battered Women Syndrome (New York: Springer, 1984).Google Scholar

121. Dutton, above n 117.

122. Walker, above nn 114, 115.

123. Krause, ED et al ‘Longitudinal factor structure of posttraumatic stress symptoms related to intimate partner violence’ (2007) 19(2) Psychol Assessment 165–175.CrossRefGoogle ScholarPubMed

124. Dutton, above n 117, at 6.

125. Ibid.

126. Dutton, MA et al ‘Traumatic responses among battered women who kill’ (1994) 7(4) J Traumatic Stress 549–564.CrossRefGoogle ScholarPubMed

127. Short, LM et al ‘Survivors' identification of protective factors and early warning signs for intimate partner violence’ (2000) 6(3) Violence Against Women 272–285.CrossRefGoogle Scholar

128. Note that this case occurred before the new loss of control defence came into being; hence the reference to provocation.

129. R v Smith [2002] EWCA Crim 2671 at 40 (Rose LJ).Google Scholar