Negligence and Nervous Shock

Thomas Sim PEA2066

Q.
If I suffer from Nervous Breakdown after witnessing a patient dying on the OT Table with overdose of adrenaline negligent of the attending doctor. Can I claim my suffering from his negligence?

A.
The two issues at hand here are:

Negligence - Tort - Doctor's Negligence to patient who died.
Nervous Shock - Negligence - Tort - Doctor's Negligence causing Nervous Breakdown to Bystander.

1. First Party - Primary Victim - the patient who died.
2. Second Party - Secondary Victim - me.

There are various write-ups on the Nervous Shock in Tort Law. One good one is linked here.

The way to answer this type of negligence question can be best referred to the write up below.

Law School Online: Step by step guide to answering negligence problem questions.

From Wikipedia, the extract is as below:

In English law, a nervous shock is a psychiatric illness or injury inflicted upon a person by intentional or negligent actions or omissions of another. Often it is a psychiatric disorder triggered by witnessing an accident, for example an injury caused to one's parents or spouse. Although the term "nervous shock" has been described as "inaccurate" and "misleading",[1] it continues to be applied as a useful abbreviation for a complex concept. The possibility of recovering damages for nervous shock, particularly caused by negligence, is strongly limited in English law.

Definition[edit]

To amount in law to "nervous shock", the psychiatric damage suffered by the claimant must extend beyond grief or emotional distress to a recognised mental illness, such as anxiety neurosis or reactive depression. Damages for bereavement suffered as a result of the wrongful death of a close one are available under the Fatal Accidents Act 1976, while courts can also award damages for "pain and suffering" as a result of physical injury.

Intentionally inflicted nervous shock[edit]

It is well established in English law that a person who has intentionally and without good reason caused another emotional distress will be liable for any psychiatric injury that follows.[2] An example of this is a bad practical joke played on someone which triggered serious depression in that person. The joker intended to cause the other person emotional distress and will be liable for the medical consequences.

Negligently inflicted nervous shock[edit]

Before a claimant can recover damages for the nervous shock which he suffered as a result of the defendant's negligence, he must prove all of the elements of the tort of negligence:
  1. The existence of a duty of care, i.e. the duty on the part of the defendant not to inflict nervous shock upon the claimant;
  2. A breach of that duty, i.e. the defendant's actions or omissions in the circumstances fell below what would be expected from a reasonable person in the circumstances.
  3. A causal link between the breach and the psychiatric illness, i.e. the nervous shock was the direct consequence of the defendant's breach of duty;
  4. The nervous shock was not too remote a consequence of the breach.
For fear of spurious actions and unlimited liability of the defendant to all those who may suffer nervous shock in one form or other, the English courts have developed a number of "control mechanisms" or limitations of liability for nervous shock. These control mechanisms usually aim at limiting the scope of the defendant's duty of care not to cause nervous shock, as well as at causation and remoteness.

Primary victims[edit]

A "primary victim" is a person who was physically injured or could foreseeably have been physically injured as a result of another person's negligence. An example of this is a claimant who is involved in a car accident caused by the defendant's careless driving and gets mildly injured (or even remains unharmed) as a consequence, but the fright from the crash triggers a serious mental condition. Such a claimant can recover damages for his car, his minor injuries and the nervous shock he had suffered.[3] Rescuers (such as firemen, policemen or volunteers) who put themselves in the way of danger and suffer psychiatric shock as a result used to be "primary victims",[4] until the decision in White v Chief Constable of the South Yorkshire Police explained that rescuers had no special position in the law and had to prove reasonable fear as a consequence of exposure to danger.[5]

Secondary victims[edit]

A "secondary victim" is a person who suffers nervous shock without himself being exposed to danger. An example of this is a spectator at a car race, who witnesses a terrible crash caused by negligence on the part of the car manufacturers and develops a nervous illness as a result of his experience. It is in these cases where the courts have been particularly reluctant to award damages for nervous shock. In several decisions, the courts have identified several strict requirements for the recognition of a duty of care not to cause nervous shock, as well as causation and remoteness:
  • The claimant must perceive a "shocking event" with his own unaided senses, as an eye-witness to the event, or hearing the event in person, or viewing its "immediate aftermath". This requires close physical proximity to the event, and would usually exclude events witnessed by television or informed of by a third party.
  • The shock must be a "sudden" and not a "gradual" assault on the claimant's nervous system. So a claimant who develops a depression from living with a relative debilitated by the accident will not be able to recover damages.
  • If the nervous shock is caused by witnessing the death or injury or another person the claimant must show a "sufficiently proximate" relationship to that person, usually described as a "close tie of love and affection". Such ties are presumed to exist only between parents and children, as well as spouses and fiancés. In other relations, including siblings, ties of love and affection must be proved.
  • It must be reasonably foreseeable that a person of "normal fortitude" in the claimant’s position would suffer psychiatric damage. The closer the tie between the claimant and the victim, the more likely it is that he would succeed in this element. However, once it is shown that some psychiatric damage was foreseeable, it does not matter that the claimant was particularly susceptible to psychiatric illness - the defendant must "take his victim as he finds him" and pay for all the consequences of nervous shock (see "Eggshell skull" rule). A mere bystander can therefore hardly count on compensation for psychiatric shock, unless he had witnessed something so terrible that anybody could be expected to suffer psychiatric injury as a result. However, it seems that such a case is purely theoretic (see McFarlane v. EE Caledonia Ltd, where the plaintiff witnessed an explosion of a rig where he and his colleagues worked, but received no compensation).

Leading cases[edit]

Currently leading cases include two House of Lords decisions arising from the Hillsborough disaster:
and a third House of Lords decision in a case arising from a road traffic accident:
See also McLoughlin v O'Brian [1982] 2 All ER 298, where the House of Lords outlines the concept of "immediate aftermath" of the accident and Attia v British Gas plc [1988] QB 304, where the Court of Appeal considered whether damages for nervous shock as a result of witnessing the destruction of property were recoverable.

Ref:
Wikipedia search 'negligence nervous shock', available at
https://en.wikipedia.org/wiki/Nervous_shock_in_English_law