Ground One: The sentencing judge erred by failing properly to take into account the evidence of the applicant's mental condition.
24It was submitted that the sentencing judge failed to take into account the evidence of the applicant's medical condition.
25The submissions referred to a number of the psychiatric reports, taking from them aspects of their text that supported the proposition that there was a psychiatric illness suffered by Raad. Central to the argument was the change of view of Dr Sinclair, a psychiatrist employed by Justice Health. Dr Sinclair had originally opined, after briefly seeing Raad, that he was suffering from a delusional disorder or paranoid schizophrenia. This opinion was later disowned by Dr Sinclair. The submissions in relation to this ground traverse aspects of the evidence. In answer to the ground, it is necessary to recognise the totality of his Honour's comments over four pages upon the psychiatric evidence at [26] to [36] of the remarks on sentence which were as follows:
"[26] The second issue which I mentioned at the commencement of these reasons was Mr Raad Fajloun's psychiatric condition. This is a matter of some controversy. Mr Brady who appears for Mr Raad Fajloun in the sentence proceedings, but not in the trial, urges me to find that he was affected by a psychiatric condition at the time of the offences and remains so.
[27] There is a good deal of psychiatric and psychological evidence about Raad Fajloun. Part of the reason is that he was examined for the purposes of assessing whether he was fit for trial. In 2010 (as said) he was assessed for that purpose by Dr Westmore and Dr Nielssen, both experienced forensic psychiatrists. Dr Westmade was not able to reach a definite conclusion. He said it was unclear whether the way that Mr Raad Fajloun presented was affected by psychological or psychiatric factors or by cultural factors. Dr Nielssen's conservative approach was that he said he could not diagnose any psychiatric disorder without a proper and extensive history.
[28] A psychologist, Professor Stephen Woods, provided a report dated 29 July 2008. Professor Woods concluded that Mr Raad Fajloun was very probably suffering from a mental illness. He offered a preliminary diagnosis of delusional disorder of the persecutory type. However, he immediately qualified his opinions, referring to it as a preliminary diagnosis. He drew the attention of any reader of his report to the fact that he had seen Mr Fajloun on only one occasion in less than ideal conditions and had limited background documentation to assist with his assessment.
[29] The only other medical documentation was a report by Dr Allnutt that at 12 December 2007, he did not have access to Dr Westmore's report. Dr Allnutt's report was in fact in evidence before me and Dr Allnutt was unable to provide a firm conclusion about Mr Raad Fajloun.
[30] The medical professional who has had most to do with Mr Raad Fajloun is Dr Sinclair, a psychiatrist employed by Justice Health. She examined Mr Fajloun whilst he was in custody after being bail refused [sic] following his conviction. Her first examination was 15 August 2008. She reported a few days later, on 22 August 2008, and expressed the opinion that 'Mr Fajloun is suffering from a delusional disorder or paranoid schizophrenia. However, the possibility of a paranoid personality disorder on the background of a previous psychotic episode also exists.'
[31] Dr Sinclair organised a transfer of Mr Fajloun to the Mental Health Screening Unit in the corrective system. She did that because she had 'concerns that he definitely needs a more comprehensive, intensive assessment and ongoing mental state examinations because of the nature of his presenting symptoms.' She thought that assessment at the MHSU would clarify the diagnoses because he had various diagnoses.
[32] Dr Sinclair produced a further report, dated 30 October 2008. That report followed Mr Raad Fajloun's time in the Mental Health Screening Unit. Dr Sinclair concluded in that report as follows:
'In summary, after extensive review, by multiple consultant psychiatrists and a clinical psychologist, re-review and in-patient comprehensive screening assessment at the Mental Health Screening Unit, I am of the opinion that Mr Fajloun does not suffer from a major mental illness. There is no evidence now to suggest that he has a paranoid schizophrenia, a delusional disorder, or an ongoing psychotic process. I do believe, however, that he has strong narcissistic traits.'
She expressed confidence that he did not require ongoing medication. Asked about his condition at the time of the offences she said that 'with regard to the alleged offences there is no evidence to suggest Mr Fajloun was psychotic or suffering from any other major mental illness at that time. His actions may be related to his narcissism and cultural background.'
[33] When that report was received and went into evidence understandably Mr Brady wanted to cross-examine Dr Sinclair about what Mr Brady described as a '180 degree turn' in her opinion. She was examined and cross-examined before me on 12 December 2008. She had produced a further report the previous day. She said in that report that since her last report in October she requested a subsequent independent forensic psychiatric assessment by a senior forensic psychiatrist. That apparently occurred under the Senior Forensic Psychiatrist and Community Correctional Mental Health Services and Projects Manager on 20 November 2008. Dr Sinclair concluded in that report as follows:
'Cultural issues, personality factors and marital conflict appear to underlie the events, which led to these charges. Apparently, there is no overt evidence of mental illness and certainly fitness does not appear to be in question.'
She expressed the overall opinion that Mr Fajloun 'displays paranoid personality traits and exaggerated cultural factors.'
[34] In examination-in-chief on 12 December 2008, Dr Sinclair said that the time in the Mental Health Screening Unit provided an opportunity for what she described as a longitudinal assessment. In other words, Mr Raad Fajloun was seen on a day to day basis, being observed whilst he slept and ate, as well as being observed during daily interactions. Asked about her description of him displaying paranoid personality traits and exaggerated cultural factors she said that they were descriptions of his personality and not a diagnosis of psychiatric pathology.
[35] Mr Brady suggested to her that a limited number of people in the community have such traits. Dr Sinclair acknowledged that she was not familiar with the epidemiology of these particular features but said that he had those features a little more intensely than a majority of people in the community. She confirmed that he was not delusional. She acknowledged that his condition affects how he perceives things but confirmed that it was not a psychiatric diagnosis. She agreed that he had the personality structure which she described at the time of the offences. She was challenged about some behaviours which led to her previous diagnosis of psychiatric pathology. Examples were Mr Raad thinking that there were people behind the walls in the court room and an ability to heal pathology in his own body. Dr Sinclair said that during the long assessment in the MHSU there was no evidence of any delusional behaviour. When asked whether there must have been some delusional aspects about his behaviour she said that he has a tendency to say outrageous things and is quite engaging and entitled and says what she described as random things. She said that if the kinds of beliefs, drawn to her attention, were fixed and persisting then they may have been delusional but that there was no evidence in the time in the MHSU of such persistence. There was, she repeated, no evidence of any delusional or thought disorder when he was examined. She said he was aggrieved but not delusional. A delusion she said is something which is usually false and fixed and pervasive. It occupies people's lives and they spend a lot of time expressing it."
26With the utmost respect to counsel, the careful and comprehensive analysis of the material clearly leads to the conclusion that the sentencing judge carefully considered all aspects of the evidence. The argument is, with respect, without merit.