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[2004] VSC 372
Supreme Court of Victoria
2004-09-09
COLDREY J
Original judgment source is linked above.
[2004] VSC 372
SENTENCE - Murder - Premeditated killing of girlfriend - Plea of guilty - Application to withdraw plea refused - Lack of remorse - Need for specific and general deterrence - Assertion of ill-health rejected - Imprisoned for 20 years with a non-parole period of 15 years.
Ms Hu had acquired a post office box at the GPO to which her mail was to be directed and she determined to seek somewhere else to live.
"Mr Douglass completed secondary and, according to him, went on to complete several tertiary degrees in politics, sociology, business, recreation and teaching. He described himself as a 'professional student'. He has had many jobs including teaching for the government (Weather Bureau); Department of Labour; for the Labor party (campaign director); own messenger business and youth worker. He was not sure when he last had a job."
"After discharge from the Army he attended two universities as a mature aged student - 12 months at one, and at the other 3 years in what he described as 'recreational studies'."
"He stated that he went to Murdoch University (in Western Australia) and studied politics and sociology, passing 2 out of 3 years of this degree, but eventually left because he re-married and his new partner wanted to move to Melbourne."
"The view that he had under-performed was reinforced on the Test of Memory Malingering, which indicated that he made a conscious attempt to perform badly. Personality testing produced such a high level of invalidity (in his attempt to convey as much disturbance as possible) that a reliable profile could not be obtained."
"There was no evidence of disorders of form of thinking or perception. His memory and concentration seems to be selectively impaired."
"Mr Douglass appeared a man of average intelligence as judged by his vocabulary, comprehension of language and concepts and detailed discussion of his current and future legal proceedings."
"That these 'voices' either represent self talk or fall under the rubric of intentionally produced symptoms."
"At the time of Douglass' release from prison on 27 August 1998, there was no evidence, that I can establish from the recorded notes, that he was suffering from any ongoing impairment of the use of his limbs, or any difficulties with his speech, swallowing, or vision. On 9 September 1998 he was referred to the Caulfield General Medical Centre for rehabilitation, for a stroke apparently suffered in June 1998." ... "Douglass was assessed at Caulfield General Medical Centre by a neurologist, Dr Richard Starke. After a second assessment, and in the light of the investigation results, Dr Starke wrote that: 'All, or the vast majority of this trouble is non-organic.' An entry in the medical records proffers the possibility that Douglass may have had a lacuna infarct originally. This is small stroke, that may not show up on a CT scan. These strokes may occur without symptoms. However, it was considered that such a stroke did not explain the degree of disability that Douglass appeared to demonstrate, or the inconsistencies that were observed."
"Although it is quite apparent that you had had a small stroke at some stage, the actual deficits that you presented with were exaggerated in terms of their functional effect. There were inconsistencies in your history throughout ... some of the diagnoses that you have stated that you have had have never been confirmed, and with reflections on medical records that have been made available to us, this has clearly been the case. During your inpatient stay ... it was quite clear that your symptomatology did not always meet your neurology. Some of the signs and symptoms that you presented were not compatible with your neurological features. It has also been the case since your discharge ... that your mobility in the community has been witnessed by a number of staff ... and relatives and friends of patients who knew you at Caulfield General Medical Centre. The witness accounts suggest that your actual functionality in the community is much greater than you ever reported to us."
"Douglass was also assessed by an eye specialist whilst an inpatient at Caulfield General Medical Centre. The vision in his right eye was recorded as 6/6 (normal) and 6/36, corrected to 6/9, in his left eye. Restriction of his field of vision in his left eye was noted (assessment on 12 November 1998)."
"The male subject observed in the surveillance videos appeared to have significantly fewer physical restrictions than those described for Terrence Douglass in the most recent medical records available to me (those from St Vincent's Correctional Health Service, 25/04/02 - 16/5/02). In those records, Mr Douglass was said to have had two strokes, which left him with a left hemiplegia, and to be legally blind, with 6% residual vision. Mr Douglass is noted to ambulate consistently with a frame and to require assistance with showering. It is not clear from the records the degree to which Mr Douglass appears to be affected by his sight impairment. However, a diagnosis of legal blindness implies a significant degree of visual impairment (less than 10 degrees of visual field remaining or less than 6/60 in the better eye). I did not observe anything in the videos that would prompt me to inquire about the presence of a significant visual impairment in the male subject".
"I have no clear diagnosis for what his underlying problem is but suggest from his acuity, his field, his visual evoked response and his ERG, all being abnormal, there is some underlying problem. He definitely functions better than the tests would indicate, and thus I think there is a functional overlay."
"Repeated neurological examination revealed no signs consistent with organic illness and following a long period of observation it was assessed that Mr Douglass' symptoms were not likely to be organic."
"I note that almost every clinician who treated him has had significant doubts about consistency and validity of various physical symptoms he has manifested in the past and present. He has given inconsistent histories to different people. He has claimed that he has served in Vietnam and suffered from PTSD. He seems to have changed his story when the truth is challenged. Still there is no clear evidence when he suffered strokes or visual impairment and where he was treated initially."
"Following his imprisonment in 1998 he seems to have begun to feign physical illness and symptoms that have challenged and bewildered every physician. I note that whenever his demands are not met he has become litigious and threatening."
"What differentiates factitious disorder and malingering is, to a large extent, the degree to which an individual engages in such behaviour. In Mr Douglass's case the 'gains' would appear to be the gratification of the ordinary human needs for company, attention and to be cared for. I should emphasise that these are not Mr Douglass' words, but rather my inference."
"He is functioning comfortably in prison where all his medical needs are met without challenge. He is well supported by other prisoners, prison educational facilities and organisations like Vision Australia. His medical and psychological symptoms could be managed in a Victorian prison setting using prison medical facilities".
[1] See DSM-IV (4th ed) American Psychiatric Association Washington DC, p.471-2; p.683
[2] See for example, R v. Boyes [2004] VSCA 97
R
Douglass [2004] VSC 372