From: | Jason W Neyers <jneyers@uwo.ca> |
To: | obligations@uwo.ca |
Date: | 02/06/2017 15:51:16 UTC |
Subject: | ODG: Recognizable psychiatric illness in the SCC |
Dear Colleagues:
The Supreme Court of Canada has just released a ground-breaking decision that refuses to recognize the requirement of recognizable psychiatric illness as forming part of the Canadian law of negligence, see
Saadati v. Moorhead, 2017 SCC 28: https://scc-csc.lexum.com/scc-csc/scc-csc/en/item/16664/index.do. It also disparages the use of other policy-based factors in cases involving mental injury. After
Saadati every Canadian casebook and textbook will need substantial revision.
The plaintiff was involved in a car accident that did not seem to cause any physical injuries but suffered “psychological injuries, including personality change and cognitive difficulties". This finding
by the trial judge did not rest on expert testimony nor was it based on an identified medical cause, rather the trial judge based his finding upon the testimony of friends and family of the plaintiff. The BCCA reversed holding that the plaintiff must prove
that he suffered "a medically recognized psychiatric or psychological illness or condition" that was demonstrated by "expert medical opinion evidence".
The SCC unanimously held that the trial judgment should be restored since plaintiffs were not required to prove that their injuries were a recognisable psychiatric illness nor to adduce expert evidence.
Justice Brown’s judgment is far-reaching but here are a few excerpts to whet the appetite:
2 This Court has, however, never required claimants to show a recognizable psychiatric illness as
a precondition to recovery for mental injury. Nor, in my view, would it be desirable for it to do so
now. Just as recovery for
physical injury is not, as a matter of law, conditioned upon a claimant
adducing expert diagnostic evidence in support, recovery for
mental injury does not require proof of
a recognizable psychiatric illness. This and other mechanisms by which some courts have
historically sought to control recovery for mental injury are, in my respectful view, premised upon
dubious perceptions of psychiatry and of mental illness in general, which Canadian tort law should
repudiate. Further, the elements of the cause of action of negligence, together with the threshold
stated by this Court in Mustapha v. Culligan of Canada Ltd., 2008 SCC 27, [2008] 2 S.C.R. 114, at
para. 9, for proving mental injury, furnish a sufficiently robust array of protections against unworthy
claims.
19 This Court has not, however, adopted either the primary/secondary victim distinction, or
McLoughlin v. O'Brian's disaggregated proximity analysis. Rather, in
Mustapha, recoverability of
mental injury was viewed (at para. 3) as depending upon the claimant satisfying the criteria
applicable to any successful action in negligence … . Each of these elements can pose a significant hurdle:
not all claimants alleging mental injury will be
in a relationship of proximity with defendants necessary to ground a duty of care; not all conduct
resulting in mental harm will breach the standard of care; not all mental disturbances will amount to
true "damage" qualifiying as mental injury, which is "serious and prolonged" and rises above the
ordinary emotional disturbances that will occasionally afflict any member of civil society without
violating his or her right to be free of negligently caused mental injury (Mustapha, at para. 9); and
not all mental injury is caused, in fact or in law, by the defendant's negligent conduct.
23 … it is implicit in the Court's decision in
Mustapha that Canadian
negligence law recognizes that a duty exists at common law to take reasonable care to avoid causing
foreseeable mental injury, and that this cause of action protects a right to be free from negligent
interference with one's mental health. That right is grounded in the simple truth that a person's
mental health -- like a person's physical integrity or property, injury to which is also compensable in
negligence law -- is an essential means by which that person chooses to live life and pursue goals
(A. Ripstein, Private Wrongs
(2016), at pp. 87 and 252-53). And, where mental injury is negligently
inflicted, a person's autonomy to make those choices is undeniably impaired, sometimes to an even
greater degree than the impairment which follows a serious physical injury
31 Confining compensable mental injury to conditions that are identifiable with reference to these
diagnostic tools is, however, inherently suspect as a matter of legal methodology. While, for
treatment purposes, an accurate diagnosis is obviously important, a trier of fact adjudicating a claim
of mental injury is not concerned with diagnosis, but with symptoms and their effects (Mulheron, at
p. 88). Put simply, there is no necessary relationship between reasonably foreseeable mental injury
and a diagnostic classification scheme. … Downloading the task of assessing legally recoverable mental injury to the DSM
and ICD therefore imports an arbitrary control mechanism upon recovery for mental injury,
conditioning recovery not upon any legally principled basis directed to the alleged
injury, but upon
conformity with a legally irrelevant classification scheme designed to facilitate identification of
particular conditions
…
37 None of this is to suggest that mental injury is always as readily demonstrable as physical
injury. … Further, and as
Mustapha makes
clear, mental injury is not proven by the existence of mere psychological
upset. While, therefore,
tort law protects persons from negligent interference with their mental health, there is no legally
cognizable right to happiness. Claimants must, therefore, show much more -- that the disturbance
suffered by the claimant is "serious and prolonged and rise[s] above the ordinary annoyances,
anxieties and fears" that come with living in civil society (Mustapha, at para. 9).
Congratulations to the many ODGers whose work was cited.
Happy Reading,
Jason Neyers
Professor of Law
Faculty of Law
Western University
Law Building Rm 26
e. jneyers@uwo.ca
t. 519.661.2111 (x88435)