Analysis of medical evidence
259The question of whether the defendant is suffering or has suffered from PTSD has attracted a range of different medical opinions. In the absence of a full explanation from Dr Godsall about the basis for his assessment, I am left with the views of Dr's Klug and Fisher with Dr Fischer not being definitely able to diagnose the condition. Given the nature of the traumatic events in this case it is understandable that he should have that reservation. I am not satisfied that the defendant is suffering or has suffered from PTSD.
260The more difficult question is whether her illnesses are such as fall within the criteria in s 52 of the Limitation Act 1969. Dr Fischer gave the following relevant evidence on this aspect in answer to questions put to him by the defendant's solicitor:
"OPINION
In your letter of instruction, dated June 15, 2011, you pose a number of specific questions and I shall answer these seriatim, as you have indicated, basing my opinion on the balance of probability.
You ask -
If Mrs Mulcahy suffers from a disability according to the definition of disability, provided by Section 52. The Limitations Act 1960 (NSW) provides limits on the time within which legal proceedings may be instituted.
Section 52 of the Act provides that where a person has a cause of action and the limitation period fixed by the Act, as commenced to run, a person is under a "disability", the running of the limitation period is suspended for the duration of that "disability".
For the purpose of Section 52, "disability" is defined by Section 11(3) of the Act, which provides that a person is under a disability:
while the person is under the age of 18 years, or
while the person is, for a continuous period of 28 days or upwards, incapable of, or substantially impeded in, the management of his or her affairs, in relation to the cause of action in respect of the limitation period in which the question arises, by reason of:
(i) Any disease or any impairment of her physical or mental condition.
This definition of disability requires that, if the Section 52 exception is to apply, Mrs Mulcahy must have suffered from an incapacity or a substantial impediment in the management of her affairs, because of a disease or an impairment of her mental condition.
The disability that is relevant is one that renders Mrs Mulcahy incapable of, or substantially impeded in, the management of her affairs, including instituting legal proceedings for assault and battery.
You tell told me that "Court of Appeal of New South Wales has concluded that the inquiries made under Sub-Section ll(3)(b) is directed to determining whether a person is able to reason normally about the matters relevant to a potential course of action, to understand and consider advice and to give instructions about any action that a fundamental aspect of bringing a claim was that it required the exercise of willpower to initiate the claim, and to continue with the claim (State of New South Wales v Harlum [2007] NSWCA120)".
Furthermore, you say "Section ll(3)(b) has also been held to be concerned with different classes of persons - those who were "incapable" (which conveys the concept of total incapacity), and those who were "substantially impeded in the management of his affairs in relation to the cause of action by reason of disease or impairment of physical or mental condition".
You go on to say that "mental condition" covers the mind's activities in all its aspects, including the ability to form a rational judgement, or to exercise willpower to control physical acts in accordance with rational judgement. It is a relevant matter, in the consideration of the question, to have regard to how a reasonable person, without any impairment, would conduct him or herself in the management of his or her affairs (KOTULSKI v ATTARD [1981], NSWLR115).
1.It is my view, that, to a significant extent, Mrs Mulcahy was in "thrall" to Mr Cooper, whom she had found charming and good company and pleasant initially to her children and initially a good sexual partner, but who, over a passage of months from the beginning of their relationship, demonstrated himself to be jealous of her relationship with her two sons, extremely needy of attention, irascible and then increasingly, with the passage of time, was allegedly verbally abusive in the extreme, prone to using the worst of expletives in the English lexicon and threatening her with physical violence and, again, allegedly', as pointed out in her affidavit, subjecting her to physical violence at times and, in the context of owning two rifles, engendering in her a realistically-based fear of a potential threat to her life.
The individual's own view of their relationship, their own observations of their family of origin relationships, their experiences of earlier relationships, particularly sexualised relationships as they go through their various developmental phases and stages, the chemistry of the relationship and the phenomenon of cognitive dissonance all have their part to play.
Often enough, the "battered woman", if indeed that is the victim, will state that the abuser is so remorseful after it has happened, there are explanations in the abuser's childhood for them having poor temper control, having been abused themselves, or how much they feel their abuser needs them, the desire to keep an integrated marriage or family and the investment of time and emotion that has been made by the abused in the relationship, are cited as rationalisations for staying in the relationship.
I believe there is clear evidence that most of these elements have had their part to play in Mrs Mulcahy's decision to stay on in the relationship, made worse by her decreasing sense of self-confidence, attractiveness and capacity to live a life alone.
So, I do believe that Mrs Mulcahy was suffering from a disability, according to the definition of "disability" provided by Section 52.
2. I believe that her primary condition was a Mixed Anxiety Depressive syndrome, induced by Mr Cooper's stress-producing verbal and physical abuse, which manifested insidiously initially and then became more profound with the passage of time.
I believe that, in this state, Mrs Mulcahy's confidence and her ability to assert herself was so significantly impaired, and she had become so pathologically dependent on Mr Cooper, that she was not capable, on the balance of probability, of making rational decisions about whether or not to stay with him, whether or not to report his abusive behaviour to the police.
3.I believe, on the balance of probability, that from the earliest time in the relationship, she was substantially impeded in her ability to manage her affairs. I would posit her failure to take a stand against Mr Cooper's domineering behaviour, particularly with respect to his criticisms of her son, manifest in the first year of her relationship with him, and was marked by the departure of her son, David, from the family home. In permitting this to occur, she surrendered her loyalty to her son, to her commitment to her relationship with Mr Cooper, and it would appear that he then exercised a "svengali-like" influence upon her, so that, despite his extreme abusive behaviour, she remained in the relationship.
4. You ask -
Has the condition or conditions been continuous since its first manifestation?
(ii)You ask if such "substantial impediment/disability" is not continuing, then in my opinion, on the balance of probabilities, would such impediment/disability have persisted down to the time when Mrs Mulcahy in fact was able to obtain legal advice and understanding of, and an ability to pursue, her rights in respect of the assaults and battery?
It is my view that Mrs Mulcahy experienced an insidious deterioration in her capacity to assert herself in this very unequal relationship with Mr Cooper and, in her increasingly anxious and depressed and unconfident state, was not able to take a stand against what was extreme and unreasonable behaviour.
I believe that it is only since she separated from Mr Cooper that she was able to fully appreciate the extent and severity of his abusive behaviour, and I do believe that this persisted down to the time that Mrs Mulcahy was in fact able to obtain legal advice and an understanding of, and ability to pursue, her rights, in respect of the assaults and battery.
5. You ask -
Is the condition, or conditions, still being suffered by Mrs Mulcahy?
Mrs Mulcahy is no longer living with Mr Cooper, so she is no longer directly subject to his ongoing verbal and physical abuse, however, the impact of those years, during which she was subject to such abuse, would appear to have left their mark on her psychologically and emotionally, and his actions in the legal context serve as persisting assault.
It is my view then that the condition suffered by Mrs Mulcahy persists in that context.
6. You ask -
How did the condition, or conditions, affect Mrs Mulcahy's management of her affairs, in relation to the cause of action for assault and battery, in particular, alleged assaults or battery specified in Paragraph 13 above.
I have already indicated that I believe that Mrs Mulcahy became so anxious and depressed and lacking in self-confidence, remaining "in thrall" of Mr Cooper, that she was not able to think rationally about the situation she found herself in, or to assert herself appropriately by either leaving Mr Cooper, seeking an AVO, or reporting him to the police and having him charged with assault and battery.
7.You ask -
Did the condition, or conditions, in particular render her incapable of, or substantially impeded, the management of her affairs, in relation to each of the assaults and batteries inflicted upon her?
I believe, on the balance of probability, that she was caught up in a particular frame of mind, desperately hoping that the relationship would be salvageable and that the once-charming and considerate de facto husband would once again display such apparent loving and considerate behaviour. The fact that, during her time with him, she experienced a degree of intermittent reinforcement of the idea that he was a suitable companion, by demonstrating care and expressing a wish to re-engage with her, even after the various periods of separation, that she was caught up emotionally in the hope that such a meaningful resumption of the original style of relationship would occur.
8. You ask -
Is it reasonable, having regard to her then condition, that Mrs Mulcahy was incapacitated, as set forth under Paragraph 6 (a)(1) of the Amended Statement of Cross-Claim Past Economic Loss?
I believe that it is reasonable, having regard to her then condition, that Mrs Mulcahy was incapacitated, as set forth.
9. You ask -
Similarly, would Mrs Mulcahy likely have been unable to carry out the work described in Paragraph 6 (a) (Hi) of the Amended Statement of Cross-Claim?
I believe that this is, on the balance of probability, likely to be true.
10.You ask-
Would I further provide my opinion, again, on the balance of probabilities only, as to whether it is likely that Mrs Mulcahy's current incapacity for work will continue into the future and, if so, is this probably the case on an indefinite basis?
I do not believe that it is likely that Mrs Mulcahy's current incapacity for work will continue into the future, if she engages in appropriate psychopharmacological and psychotherapeutic management of her Mixed Anxiety Depressive condition, and particularly if there is a favourable outcome to her Cross-Claim.
In the event that she fails to be successful in her Cross-Claim, I believe it will be tantamount to driving the final nail into the coffin of her self-confidence and her sense of fairness, in the face of the abuse to which she has allegedly been subjected to by Mr Cooper.
11.You ask-
What are the prospects, if any, of her returning, during the remainder of her prospective working life, to any gainful employment and, if so, in what measure?
As I have indicated above, I believe that with the correct intervention and with what is perceived as a fair outcome of the legal proceedings, she could return to gainful employment, subject to her successful response to treatment. The latter of course is yet to occur and is beyond definite prognostication at this stage.
261As noted above Dr Klug says:
"My opinion is that Ms. Mulcahy is not suffering from any severe psychiatric condition. She certainly has not been suffering from a chronic post-traumatic stress disorder or a major depressive disorder. She has probably suffered, at times, from an adjustment disorder. An adjustment disorder is not a major mood disturbance but is nevertheless a significant psychiatric entity characterized by excessive distress and/or dysfunction in response to a specific stressor or stressors. If Ms. Mulcahy has suffered from an adjustment disorder (chronic or intermittent) it would need to be specified what the stressors were that induced this condition. To my knowledge, and from the history Ms. Mulcahy provided at interview, there has been no exposure to traumatic stressors. I note she is being medicated with an antidepressant and a minor tranquillizer and this is compatible with the diagnosis of an adjustment disorder. "
262In response to Dr Fischer's report he says:
"ln summary, there is nothing in the further documentation by Dr. Fisher to justify any change in my opinion, I do not believe Ms, Mulahy is suffering from a disability under the relevant Section, 1 do not believe she is, or has been, suffering from a major psychiatric disorder but may have suffered from a recurrent adjustment disorder. The terms "battered woman" and '"battered wife syndrome" are, in my view, not appropriately applied to Ms. Mulcahy given that there is a connotation of severe psychiatric illness."
263There was also criticism of the use by Dr Fischer of the terms "Mixed Anxiety Depressive syndrome". His explanation which I find acceptable was as follows:
""Q. In that report Dr Klug seeks to criticise your diagnosis by stating that mixed anxiety depressive syndrome is not to be found in DSM-IV. What is your comment on that statement?
A. Strictly speaking, he is correct, it isn't found in the diagnostic entity in DSM-IV. It is found in the preliminary drafts of DSM-V, which is the successor of DSM-IV. In reality people have argued very strongly that this is a useful way of characterising the sort of disorder I believe Mrs Mulcahy suffered from because there is a such a mixture of anxiety and depression which describes
where the patient is experiencing. Furthermore, may have etiological implications. In other words, often enough severe depression is preceded by being very stressed and anxious. One of the aims of the DSM system is to try and put things into categories can be tested and can end up understanding
causes by virtue of that classification or we find out what we classify as separate entities are the same entity. There is some scientific and logical basis to this approach. So in summary the term mixed anxiety depression is something many many people work in psychiatry would use as diagnosis and is about to become a official diagnosis in DSM-V and Dr Klug is correct it is not
in the current literature. He is correct in that. I think the point I am making qualifies why I am putting it in.
264Some things about the parties' relationship raise doubts about whether Dr Fischer's conclusions may be correct. Obvious ones are the fact that the defendant was a relatively high functioning individual throughout the relationship and another is the long periods of time between the assaults. In the plaintiff's submissions in reply he makes the following points:
"7.6 The point made at paragraph 154 of the earlier submissions which goes totally unremarked upon in the Defendant's submissions that a period of more than six years passes between the allegation at item 9 of the schedule of alleged assaults occurring in the Christmas/New Year period of 2000/2001 and the next chronological allegation which is item 3 occurring in March/April 2007. This fact comprehensively debunks the repeated suggestions of the Defendant's submissions that there is some "continuum" of abuse.
7.7 The impressive list of examples of conduct of the Defendant which demonstrate a lack of fear or intimidation including (in addition to the matters mentioned above):
7.7.1 Camping in seemingly remote places; T354.28
7.7.2 Choosing to live in the isolated location at South Bank Road. It is instructive to consider just some of the evidence on this aspect. The evidence of the Defendant herself starting at T215.04 that, at least at the time of the purchase of 290 South Bank Road in late 1999 and the farm in late 2003:
(a) she had no concerns about living there with the Plaintiff;
(b) this in circumstances where she was dependent on him to drive her anywhere away from the property; and
(c) and, at T217.11, at the time the parties were looking to purchase 290 South Bank property (in late 1999), she had no concerns about her personal safety or physical situation;
7.7.3 Pressing the Plaintiff to live at South Bank Road despite his initial lack of interest in purchasing that property;
7.7.4 The fact that she went shooting with the Plaintiff with a spotlight; T341.19
7.7.5 The dealings with Gaythorne and the purchase by the MFT of the Mitchelton property to assist David's wife buy a different house;
7.7.6 The pay out of the River Road loan after the Plaintiff had expressly declined to sign the documents required to be signed in this regard (see par 50.9 of the earlier submissions, par 502 of the Defendant's Affidavit of 29 June 2011 and T183.4);
7.7.7 The secret rental receipts from River Road and related CBA accounts;
7.7.8 The trip to Vanuatu in late 2007 post the date the Defendant alleges was separation;
7.7.9. The trip to Bribie Island;
7.7.10. Her control of the $55,000 loan to Wade (David Mulcahy's evidence was that he was not involved with this loan (T437.17 to 21) nor knew the details of the rent receipts of River Road (T417.47 to 418.09 and 427.18 to 36) and Wade Mulcahy's evidence was also that he did not know the details of the rent receipts of River Road (T113.22 to 31), which evidences the degree of involvement in these matters of the Defendant;
7.7.11 Her control and separateness in keeping the inheritance account. It should be noted that the inheritance was a modest amount of some $16,000, so that there is no credence in the suggestion by the Defendant that there is a basis for the separateness of these monies."
265Interestingly on the long time between the assaults Dr Fischer said:
"Q. And in terms of the third category, those incidents would need to be constant, I think, is the word you used in the report. That is, there's this constant apprehension of being killed, maimed, or persons close to them being killed or maimed. Is that so?
A. Yes, it is.
Q. And if there were periods of many years without these incidents, that would be relevant to your assessment of the illness if there were periods of time where there were normal behaviour?
A. Well, interestingly, it actually generally works in the obverse way to that because what we know is that intermittent reinforcement in behaviour therapy is the most powerful way of reinforcing an idea or a feeling. So if indeed the acts - the actual acts of violence are unpredictable but do occur intermittently,
then that is more likely to engender fear and a sense of impotence in the face of the ongoing situation than where there are mild degrees of assault happening very regularly and predictably."
266So far as the defendant's high functionality is concerned, he said:
"Q. Sorry, doctor, there is a matter Mr Priestley has reminded me. In respect of managing her affairs, that is Mrs Mulcahy's affairs, in terms of the history where she was involved with real estate and with various businesses of the parties during the relationship, and continued to do so up until separation; that is able to deal with banks on her own behalf or whatever. She, in those circumstances, can I suggest to you, appear to have any disability in reporting matters or making complaint in respect of what she now complains of in affidavits as to how she was abused. What I am suggesting to you is, she, throughout the time of the relationship, was able to hold her own and appear to operate as a normal person would in a relationship with its normal ups and
downs. That's not your understanding?
A. Well, I think clearly to make it simplistic or we can try and tease out the various factors that have contributed to this complex situation. I guess the most important thing in my mind is, where it came to doing things that involved strongly asserting herself against a man who she felt ambivalent about did she make a sensible decision, such as taking out an AVO; no, she didn't as far as I know. Did not make that sensible decision, despite being advised to do so. So, the concept of being in thrall to someone implies that when it comes to matters that have to do with either saying things or doing things that could harm the other, which logically she should have done on the basis of what she is telling us she didn't do it. Why not? To try and understand why not is part of the psychology of the whole situation. Why did she not do the sensible thing?
Q. And there is an answer to this. That is she has exaggerated or taken out of context matters that have happened in her relationship for financial gain?
A. Well, the things she reports to me that were said to her and done strike me as being beyond the normal, beyond the healthy. As I tried to allude to previously, she didn't seem to me to take the opportunity to grossly exaggerate things when she could have."
267These responses seem to me to quite reasonable. It should not be forgotten that a lot of the abuse is said to be continuous, see the evidence in respect of the abusive language in 1993. Exhibit P in the proceedings is a collection of emails between the parties after separation. They contain many emails from the defendant using expletives and direct sexual references which made Dr Fischer blush. This is put forward to play down the effect of the language used by the plaintiff. However it seems to me that they are in a limited time frame and probably said in the protective environment of emails and distance between the parties.
268But what of the contrary opinion of Dr Klug? His interview with the defendant was made difficult in that she continually referred him to her affidavit instead of answering his enquiries about any assaults. He described the results in these terms:
"On specific and persistent enquiry about the history of assaults in the relationship, despite describing difficulties in the relationship and verbal abuse from Mr. Cooper, she said he had never physically assaulted her. There is one episode when she said she was "dragged" when he grabbed her by the arm and marched her down a set of stairs. Specifically however, there were no other incidents of physical aggression, according to Ms. Mulcahy's history at interview. There is also no history of sexual violence. When I persisted further along this line of enquiry she simply stated that she found it very difficult to talk about the situation and could not give me an answer. She referred me to her affidavit."
269It seems that Dr Klug has proceeded on the basis that although he has read the affidavit he places no great reliance on it in contrast to what little he elicited in the interview. For example there is no reference in his report to the threats to shoot or maim. There could be several reasons for her attitude. She may have wished to be non-cooperative or she may have had a real difficulty in reliving the events again in the telling process. I think the latter is more likely.
270Having regard to these matters and the other matters appearing in the cross examination I prefer the evidence of Dr Fischer to that of Dr Klug on this aspect. There is an unresolved question as to when the disability commenced to have an effect upon her. Dr Fischer suggests that she experienced an insidious deterioration in her capacity to assert herself in the relationship and that the disability occurred "from the earliest time in the relationship". Dr Kraushaar expresses some views on its commencement date but I will not have regard to them for the reasons already expressed.
271In my view the disability would have commenced after the events in 1993 and continued until a time shortly after the commencement of the proceedings in the Statement of Claim, August 2008, when she started to respond to the claim. The limitation period is therefore suspended, by reason of her disability, until this time. Applying the three-year limitation period, she brought the proceedings within time.
272The updated table would appear as follows (updated areas in bold):
No. Incident Date of incident Applicable legislation and limitation period Date limitation period expired Date at which action "brought"
- Argument (assault) May 1993 s 18A May 1996 27 August 2008
- Threat to kill and battery (assault and battery) 1995 s 18A August 2011 27 August 2008
- Ordering the defendant out of the house (assault) 1996 s 18A August 2011 27 August 2008
- The "beer incident" and threat to shoot (assault and battery) December 2000 s 18A August 2011 27 August 2008
- Threat to shoot (assault) 2007 s 50C 2010 27 August 2008