MEDICAL EVIDENCE
9 At the plea hearing counsel for Mr Vaysman tendered and relied on a series of medical reports. They were reports from:
· Dr Gregory Belkin dated 10 August 2010 and 20 August 2010.
· Dr Patrick O'Brien dated 15 June 2009 and 24 August 2009.
· Mr Phillip Dingjan dated 31 July 2009.
· Dr Boris Goloub dated 13 April 2009, 17 February 2010 and 3 June 2010.
· Mr Jeffrey Cummins dated 16 August 2010.
10 Dr Belkin is Mr Vaysman's general practitioner. Dr Belkin has been treating Mr Vaysman since 1998. Dr Belkin recorded that Mr Vaysman's "main problems" over the period which he had been treating him were atrial fibrillation (heart rhythm disorder); prostatomegaly (benign, age related enlargement of the prostate gland); gastritis/duodenitis; impaired feeling of smell, impaired hearing which had worsened after a motor car accident in 2008; tinnitus; reactive anxiety/depression; and incidental acute respiratory, macular and skin problems. Dr Belkin advised that, apart from the tinnitus condition, Mr Vaysman's conditions had all improved under treatment. Mr Vaysman had been referred to a consultant psychiatrist, Dr O'Brien, and a psychologist, Dr Goloub. He had accepted these referrals but had declined a further referral to a hearing specialist whom Dr Belkin hoped might be able to treat Mr Vaysman's tinnitus.
11 Dr Belkin had referred Mr Vaysman to the Alfred Hospital with a view to him having an operation on his enlarged prostate. Counsel for Mr Vaysman advised the Court that Mr Vaysman had attended an appointment at the hospital in July. A specialist had told him of the risk of such an operation having regard to his heart condition and age. Mr Vaysman had decided to delay making a decision. He now says that he has decided that he wishes to undergo surgery and proposed to tell the specialist so when he next attends at the outpatients' clinic at the hospital on 14 September 2010. A notice from the hospital confirming an appointment for Mr Vaysman at the Urology Clinic on 14 September 2010 was tendered. No indication was given of how long it would be before the operation could be scheduled.
12 Dr O'Brien was principally concerned with complaints by Mr Vaysman about having a poor memory. Dr O'Brien referred Mr Vaysman to Mr Dingjan, a neuropsychologist, for further testing and diagnosis. Mr Dingjan reported that the testing did not disclose any evidence of a neurodegenerative disease. There was, however, evidence of stress and some variability of cognitive performance when Mr Vaysman was anxious. Dr O'Brien suggested that supportive measures to assist Mr Vaysman deal with his distractibility and stress, his sleep disturbance and tinnitus would be likely to improve his condition.
13 Dr Goloub is a psychologist. In both 2009 and 2010 Dr Goloub found Mr Vaysman to be "extremely disturbed". He suffered from anxiety and distress. He had also suffered from panic attacks.
14 In his 2009 report Dr Goloub records that Mr Vaysman "believe[d] that something wrong is happening." He went on to explain:
"He [Mr Vaysman] never was in such a situation before and does not understand the investigation and court process and what he is required to do, hence he breached some court orders not having a clear understanding of the seriousness and associated requirements. In addition Mr Vaysman has partial loss of hearing and his mind is confused from time to time, which is accompanied with noticeable memory problems (he does not remember many things from past and present). Sometimes under the impact of the stress he demonstrates alogical behaviours, which he is not able to explain later in a relatively calm state."
15 By the time he saw Dr Goloub again in June 2010, Mr Vaysman was no longer prepared to acknowledge that he had breached Court orders. He told Dr Goloub that he:
"… still does not understand why he should suffer and possibly face imprisonment for something that he never did. It was his son who conducted the business with whatever copy write (sic) breaches if any. Mr Vaysman believes that he is an accidental victim, who now encounters unnecessary trouble at the full scale.
Therefore the elderly man is caught in a vicious cycle of destructive thoughts and emotions: he has not done anything to be exposed to the legal proceedings, there is a possibility that his son did something wrong (which upsets the father), the man's other relatives are exposed to the proceedings too, the health continues to worsen due to the upheaval, and he does not see "light in the end of the tunnel"."
16 Mr Cummins is a consulting clinical and forensic psychologist. He saw Mr Vaysman at the request of his solicitors on 4 August 2010. Mr Cummins had been told that Mr Vaysman had been found guilty of the 10 contempt charges and had read my reasons for judgment. Mr Vaysman gave Mr Cummins an exculpatory history of some of the events which led to him being found to be in contempt of Court:
"[Mr Vaysman] summarised his current legal situation by stating words to the effect of - "My son had a factory and I worked in the factory. The real estate agent who was managing the factory said if I didn't pay two months' rent I had to take all the stock out and sell it, so the agent said I could collect the key. I went to the factory to take the stock out, but there was lots of equipment and after two hours the agent said I had to leave the premises. Apparently they were following me. I wasn't told I couldn't enter the building. The agent told me to go there and collect the stock. I said I couldn't take everything out in two hours. I didn't sign anything. I've been forbidden to attend the premises."
I then explained to Mr Vaysman it was my understanding he had been found guilty of contempt of court. I asked him to explain on what basis he had been found guilty of contempt of court and he stated that he could not remember."
Mr Vaysman told Mr Cummins that his son Vladimir had left the Moorabbin factory to him and gone overseas. He had no idea where Vladimir was living. He admitted to making moccasins at the factory. When asked by Mr Cummins why his son had left the country Mr Vaysman said that he did not know.
17 Mr Cummins was not persuaded that Mr Vaysman was being truthful about his claims of memory loss. In his report Mr Cummins noted that:
"Significantly, in contract (sic - contrast) to his comments about not remembering dates, times and events, near the conclusion of the assessment he abruptly stated (according to the interpreter) he needed to put some money in the meter and he then left the consulting rooms and returned several minutes later."
18 Mr Cummins noted that Mr Vaysman presented "as being of normal and average intellectual ability." He considered that Mr Vaysman was "in a state of denial concerning his legal situation …" Mr Cummins concluded that Mr Vaysman had developed a chronic adjustment disorder with mixed disturbance of emotions and conduct.