Psychiatric Injury Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What are the policy arguments for restricting claims for negligently inflicted pure psychiatric harm?

A

‘Floodgates’: a significant increase in the class of claimants who could recover. ‘Fraudulent claims’: perception that psychiatric harm is easier to fake than physical injury. ‘Crushing liability’: imposing damages out of all proportion to the negligent conduct.

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2
Q

What is the definition of psychiatric harm?

A

Psychiatric harm is a form of psychiatric illness suffered as a result of the perception of traumatic events. It must be either (a) a medically recognised psychiatric illness; or (b) a shock-induced physical condition.

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3
Q

What is the distinction between primary and secondary victims?

A

Primary victims suffer psychiatric harm from fear for their own safety, while secondary victims suffer psychiatric harm from fear for someone else’s safety.

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4
Q

What is a primary victim?

A

A primary victim is someone who suffers psychiatric harm due to reasonable fear for their own physical safety and is involved in the traumatic event.

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5
Q

What is a secondary victim?

A

A secondary victim suffers psychiatric harm due to fear for someone else’s safety, witnessing the traumatic event or its immediate aftermath.

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6
Q

What is the legal status of bystanders and rescuers in psychiatric harm cases?

A

Bystanders and rescuers are classified as either primary or secondary victims and do not have special status.

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7
Q

What was established in Dulieu v White regarding primary victims?

A

A primary victim suffers psychiatric harm due to reasonable fear for their own safety while being in the danger zone.

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8
Q

What was the outcome of Cullin v London Fire & Civil Defence Authority?

A

The claimant firefighter was considered a primary victim as he suffered psychiatric injury after witnessing colleagues in danger during a rescue.

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9
Q

What was the significance of White v Chief Constable of the South Yorkshire Police?

A

The police officers were deemed secondary victims as they were not in the danger zone during the Hillsborough disaster.

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10
Q

What did the Court of Appeal rule in McFarlane v EE Caledonia Ltd?

A

The claimant was treated as a secondary victim as he was not in reasonable fear for his physical safety during the oil rig disaster.

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11
Q

What is required for psychiatric harm to be recoverable?

A

The psychiatric harm must be medically recognised or a shock-induced physical condition.

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12
Q

What must a primary victim establish to prove duty of care?

A

The primary victim must show that physical harm was reasonably foreseeable due to the defendant’s negligence.

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13
Q

What are the Alcock criteria for secondary victims?

A

The criteria include: (a) psychiatric harm must be reasonably foreseeable; (b) proximity of relationship between the claimant and ‘the victim’; (c) proximity in time and space.

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14
Q

What was the outcome of Bourhill v Young regarding foreseeability?

A

The court held no duty of care was owed as it was not foreseeable that someone in the claimant’s position would suffer psychiatric harm.

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15
Q

What is the rebuttable presumption regarding proximity of relationship?

A

Close ties of love and affection are presumed in parent/child, husband/wife, and engaged couples, but not for grandparent/grandchild or siblings.

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16
Q

What is the ‘thin skull’ rule in psychiatric harm cases?

A

If psychiatric harm is foreseeable, the claimant can recover damages for all psychiatric harm suffered, even if it exceeds what could have been foreseen.

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17
Q

What did Lord Ackner say about the quality of brotherly love?

A

The quality of brotherly love is known to differ widely – from Cain and Abel to David and Jonathan.

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18
Q

What can claimants outside of the rebuttable presumption categories try to prove?

A

They can try and prove through evidence close ties of love and affection with the victim.

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19
Q

What has been the outcome for claimants outside of the rebuttable presumption categories?

A

To date, no claimant outside of these categories has successfully argued this.

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20
Q

What type of relationships have been most successful in proximity cases?

A

The most successful cases have concerned the parent/child or spouse relationship.

21
Q

What was the case of McLoughlin v O’Brian about?

A

The claimant mother suffered psychiatric harm after witnessing the immediate aftermath of a car accident that killed her daughter and injured her husband and three children.

22
Q

What did the claimant witness in McLoughlin v O’Brian?

A

She witnessed her husband and children visibly upset, bruised, and covered in grime and dirt from the accident.

23
Q

What is the Alcock criterion regarding proximity?

A

The claimant must have been present at the accident or its immediate aftermath, and must have seen or heard the accident, or its immediate aftermath, with their own senses.

24
Q

What happens if the claimant is removed from the scene of an accident?

A

It is not easy to justify recovery; foresight of the claimant being harmed cannot be readily established.

25
Q

What did the courts extend in McLoughlin?

A

The courts extended physical proximity to include the immediate aftermath of the accident.

26
Q

What was the outcome for the mother in McLoughlin?

A

Her claim for psychiatric harm was successful because she perceived the immediate aftermath of the accident.

27
Q

What was the key distinction in Alcock regarding secondary victims?

A

There would be no duty owed to a secondary victim who is merely told about a shocking event.

28
Q

What must the shock be caused by according to Alcock?

A

The shock must be caused by the claimant seeing or hearing the event or its immediate aftermath.

29
Q

What did the court say about television images in Alcock?

A

Television images cannot equate to the sight or hearing of an event or its immediate aftermath.

30
Q

What is the first key principle from Paul regarding doctors and medical crises?

A

A doctor does not owe those who witness a medical crisis a duty of care.

31
Q

What is the distinction between accident cases and medical crisis cases?

A

Accidents are unintended and unexpected external events, while medical crises involve prolonged and complex developments.

32
Q

What must a secondary victim show to recover damages?

A

They must be present at the scene of the accident or its immediate aftermath.

33
Q

What are the three principles confirmed by the Supreme Court from Alcock?

A
  1. The claimant must have close ties of love and affection with the victim.
  2. They must be present at the accident or its immediate aftermath.
  3. The psychiatric harm must have been caused by direct perception of the accident or its immediate aftermath.
34
Q

What is not required for psychiatric injury according to the principles?

A

There is no requirement that the psychiatric injury must have been caused by a sudden shock to the nervous system.

35
Q

What does the claimant need to show regarding causation?

A

It is sufficient to show that there is a causal connection between witnessing the accident and the illness suffered.

36
Q

What is necessary regarding the accident witnessed?

A

It is necessary to show that psychiatric harm was reasonably foreseeable, but there is no need to prove that the accident was horrifying.

37
Q

What does a gap in time between the defendant’s breach and the accident imply?

A

It will not bar recovery; what matters is the claimant’s proximity in time and space to the accident.

38
Q

What is the conclusion from Paul regarding medical crisis cases?

A

The Supreme Court found that medical crisis cases were not analogous to accident cases, significantly curtailing the possibility of successful secondary victim psychiatric harm claims in medical negligence settings.

39
Q

What is the structure for secondary victim claims?

A
  1. Identify the parties and tort.
  2. Identify the loss.
  3. Identify the claimant as a secondary victim.
  4. Apply the Alcock criteria.
40
Q

What are the Alcock criteria for establishing a duty of care?

A
  1. Was psychiatric harm reasonably foreseeable?
  2. Is there proximity of relationship between the claimant and victim?
  3. Is there proximity in time and space to the accident or its immediate aftermath?
41
Q

What must the psychiatric harm be for recovery?

A

It must be medically recognised or a shock-induced physical condition.

42
Q

What do policy requirements necessitate in claims by secondary victims?

A

Further control mechanisms to limit the number of potential claimants.

43
Q

What are ‘assumption of responsibility’ cases?

A

Cases where a defendant owes a claimant a duty of care to avoid causing psychiatric harm due to having ‘assumed responsibility’ for the claimant’s well-being.

44
Q

Can you provide examples of ‘assumption of responsibility’ cases?

A

Examples include employer/employee (Waters v Commissioner of Police for the Metropolis), doctor/patient (AB v Leeds Teaching Hospital NHS Trust), and police/police informant (Swinney v Chief Constable of Northumbria Police).

45
Q

What is the significance of Walker v NCC?

A

It was the first case to find an employer liable for an employee’s work-related stress due to a heavy and emotionally demanding caseload.

46
Q

What was the outcome of Walker v NCC?

A

The employer owed a duty of care regarding psychiatric harm from work stress. There was no breach for the first breakdown, but a breach for the second due to foreseeable risk.

47
Q

What guidelines did Barber v Somerset County Council establish?

A

Guidelines for breach in occupational stress claims include foreseeability of psychiatric harm, the nature of work, signs of stress, and the size and scope of the business.

48
Q

What is the summary of ‘beyond primary and secondary victims’?

A

Outside primary/secondary victim claims, a defendant owes a duty of care to avoid causing psychiatric harm when they have ‘assumed responsibility’ for the claimant.

49
Q

What are the guidelines for finding breach in occupational stress claims?

A

Guidelines include: (a) whether psychiatric harm was reasonably foreseeable; (b) the relationship between claimant characteristics and employer requirements; (c) signs of stress; and (d) business size and resource availability.