The normative element
23 The thrust of the cross-examination of the plaintiff before the primary judge was to show that the plaintiff knew (because he had been told by his wife) that he had a problem and needed help and also knew (because of the inherent nature of the problem) that it was connected with the collision.
24 As is clear from the extracts set out above from his affidavits, the plaintiff associated his increased smoking, drinking, the onset of stammering and difficulties with sleeping from the time of the collision. Further, in describing his circumstances during the 1970s, he stated (paragraph 11):
"I continue to have restless and unsettled nights in bed, sweating, tossing and turning, unable to fall asleep, with dreams of and flashbacks to the collision. A number of times over the years I have woken up screaming and been relieved to find that I was not in fact involved in the collision again. I kept having a vision of the front section of the Voyager and the blokes on it screaming for help. In my dream I felt helpless, I couldn't jump in to help because the Melbourne's propellers were still going."
25 There appears to be an element of exaggeration in his affidavit, for which allowance should be made. Thus he stated that "upon expiry of my engagement in 1969 I did not renew it and left the Navy": paragraph 10. However, his original period of engagement commenced in 1958 and ended in 1967. He then renewed it for a period, albeit for a significantly shorter period, which included service with US naval forces and on HMAS Perth in the waters off Vietnam. Nevertheless, it is clear that he suffered significant symptoms, and that the "flashbacks" and dreams were directly related to his experience in the collision. In cross-examination the following exchange took place (Tcpt, 12 April 2005, pp 21-22):
Q. I think you said to your barrister when he was asking you some questions before lunch, you were asked some questions about the flashbacks that you had experienced?
A. That's right.
Q. And I think you said that the flashbacks that you experienced were the mental picture of the person on The Voyager saying, 'Help me, help me.'?
A. That's correct.
Q. Has the mental picture of the flashback changed over time?
A. No, I still get the same mental picture.
Q. The affidavit that you swore on 4 March 2002 records in paragraph 3 that you could see several men on The Voyager yelling out, 'Help us, help us.' Have you got that affidavit in front of you, see that in paragraph 3?
A. Yes, I see that.
Q. Is that recollection that you record there correct, that there were several men that you saw on The Voyager?
A. That is correct. I told the solicitor I seen several men sort of crouched on the over side - on the side that was turned over with one man standing up.
Q. And the flashback that you see, the mental picture that you have when you have the flashback, is that of several men or one man?
A. One man.
Q. And the flashback I take it is a flashback that you have experienced I think you said in your evidence in-chief consistently over the period from 1964 until the present time?
A. Yes.
Q. But less frequently over the past, what, few months?
A. Few months.
Q. Is it your evidence that it had occurred numerous times every day over the whole of the period from 1964 until the present time?
A. Yes, it has occurred numerous times.
Q. And, what, five times a day?
A. Could be five times a day, could be 12 times a day sometimes.
Q. Is that the only emotional response that you can remember that you had to the collision over the whole of the period from 1964 until the present time?
A. Yes.
26 He also gave evidence of suffering anxiety and depression over the period from 1964 until the present. He was then questioned about difficulties with sleeping (pp 22-23):
Q. What about the difficulties with sleeping. Have you had that over the whole of the period since 1964?
A. Not actually over the whole period. The worst part was after I got out of the Navy. It was not too bad while I was in the Navy because you had someone constantly around you all the time that you were talking to and you felt more relaxed.
Q. What about the night sweats. Was that an emotional reaction that you had to the collision for the whole of the period from 1964 until the present time?
A. I attributed it to that, yes.
Q. Just dealing with the difficulties with sleeping, was that something that you experienced every night for the whole of the period from 1964 until the present time?
A. Not every night, your Honour, most nights like [not?] every night.
Q. Most nights of the week?
A. Most nights of the week.
Q. Five or six nights a week?
A. Some nights it will be. Other nights I could go to sleep easily.
Q. And were you having difficulties sleeping because you were continually reliving the events that occurred during the collision between the Melbourne and the Voyager. Is that the reason that you were having difficulties sleeping?
A. That's what I attributed it to, yes.
27 He was asked about his stammering and gave the following evidence (pp 24-25):
Q. When did you first start to stammer?
A. I first noticed I was stammering in about '65.
Q. In your mind, your stammering was a consequence of the effect of the collision upon you?
A. That's what I believe, yes.
…
Q. At what stage, sir, do you say that you became aware that your difficulty making decisions and solving problems was a consequence of your stammering.
A. I would say from late '65.
Q. Did you have any other, as far as you can recollect, since 1964, any other emotional reaction to the collision? For example, did you attempt to medicate yourself using alcohol?
A. Yes, I did.
28 His Honour interrupted the cross-examination to note a level of ambiguity, not as to the symptoms experienced, but as to the time the plaintiff attributed them to the collision. The following questioning then took pace (at pp 27-28):
Q. …[B]etween the period 1964 to 1970, you attributed the difficulties you were having getting to sleep with the effects of the collision upon you?
A. Correct.
Q. Because you were remembering, when you were trying to get to sleep, what had happened on that night?
A. Correct.
Q. So too after 1970 when the difficulties with sleeping increased, you attributed those difficulties to the effects of the collision upon you, correct?
A. Correct.
Q. Because you were reliving, in effect, the events of that night while you were trying to get to sleep, correct?
A. Correct.
…
Q. Between the period 1964 to 1970 when you were increasing your use of alcohol, you knew that the reason why you were increasing the use of alcohol was to alleviate the effect of being constantly reminded of the collision, correct?
A. Yes.
Q. And you knew, therefore, I suggest to you, that your increased use of alcohol was directly related to the effects upon you of the collision?
…
A. I'd have to say yes. I used it to try and block out the visions or the photographic memory I was getting in my head.
29 Counsel for the Commonwealth then turned to advice the plaintiff had received in relation to his problems with alcohol, anxiety, depression and getting to sleep (at pp 29-30):
Q. It's correct, isn't it, that you knew that you had a problem but you didn't know what your problem was?
A. Well, true to say, yes.
Q. One of the reasons why you knew that you had a problem was that your wife had been suggesting to you for some time over the years since you were married that you had a problem and that you should seek help?
A. That is correct.
Q. And when, as best as you could recollect, did you wife suggest to you that you had a problem and that you should seek some help?
A. Yes, she advised me to do that.
Q. When, as best as you can remember, did she first do that?
A. I think I might have been still in the Navy. Prior to leaving the Navy she urged me to see a naval doctor about my problems. I said, 'There's nothing wrong with me.' We weren't offered any help after the accident so --
Q. Is that something you can remember, the suggestion by your wife that you should seek help from the Navy psychiatrist?
A. No, she didn't say 'psychiatrist'. In her written statement she wrote down 'doctor'. I don't remember her - I know it was suggested some time late after we got married that I see someone, but that was it.
Q. She was suggesting to you, was she, that you should see someone about --
A. About by drinking problem or what problems I had.
Q. Which were what?
A. My drinking and the restlessness, the abuse which stemmed from she knew it had something to do with the Navy but she didn't know what because I never told her up until this day about the accident. She only - only what she's read in the affidavits.
Q. But she was clearly suggesting to you, wasn't she, that you had a problem?
A. That is correct.
Q. And it wasn't on only the one occasion that she suggested to you that you had a problem; it was quite frequently, wasn't it?
A. Over the period of the 70s and 80s, yes, she suggested to me quite a few times.
Q. The first suggestion was, since what time in early 1960 --
A. It was after we were married, probably mid '69, late '69. Before I got out of the Navy she pleaded with me to seek help.
Q. She continued to urge you to seek help up until --
A. Up until I gave the drink up.
30 The primary judge dealt with the normative question at [47]-[55], concluding that he was satisfied that the plaintiff "ought to have followed his wife's advice at the latest by 1981". (1981 was the year in which he overcame his dependence on alcohol, but without diminution in the other symptoms of his anxiety.)
31 His Honour commenced consideration of this matter at [48] in the following way:
"There is no doubt that the plaintiff was aware that he was suffering quite intrusive symptoms which affected his everyday life and that those symptoms were attributable to the collision. The question then is ought … he to have become aware that these constituted a psychiatric illness?"
32 His Honour then considers a discussion by Professor McFarlane of a common symptom of PTSD, namely avoidance of treatment and avoidance of disclosing symptoms to doctors. (That evidence was not given on the basis of any consultation with the plaintiff, but rather in terms of the nature of the condition.) Having taken that matter into account, his Honour, in effect, found that its weight was greatly diminished by the circumstances of the particular case. At [54] he reasoned:
"This is not a case of a man who was left entirely to his own devices to cope as best he could with the problems that he has experienced. This is the case of a man who was aware that he had intrusive and continuing problems of an emotional or mental nature following the collision in February 1964 and was aware that those problems were of such severity that his wife repeatedly urged him from late 1969 up until about 1981 to seek appropriate help."
33 So much may be accepted: the critical question is by what criteria a normative judgment should be made as to whether he "ought" to have taken steps through which he probably would have become aware of the fact that he had suffered an injury. As noted in Shaw at [32]-[33], there is some awkwardness in asking whether a person ought to have sought medical treatment, in order to be allowed to bring legal proceedings against the person who may have caused or contributed to the condition from which the person suffers, the relevant criterion being his own responsibility for his continuing ignorance. Factors which might make it inappropriate to conclude that the plaintiff "ought" to have taken steps which would have resulted in him obtaining knowledge that he had suffered an injury may include, depending on the circumstances: