Dr Allnutt's report
52 The examiner made arrangements for the respondent to be interviewed by Dr Stephen Allnutt, a senior consultant forensic psychiatrist. However, the respondent did not attend at any of the appointments with Dr Allnutt. I draw no inference against the respondent by reason of that failure because the onus of proof remained, at all times, on the examiner. Dr Allnutt acknowledged that the opinions he expressed were, accordingly, impaired by the fact that he had not been able to interview or explore with the respondent aspects of his condition or reporting.
53 However, Dr Allnutt viewed all three DVDs of the examination hearings on 3 February, 7 March and 15 April 2014. He was the only expert to have viewed all three, although, as I have said, Dr Furst and Prof Gordon viewed some or all of the relevant CCTV and DVD footage from 3 February 2014. Dr Allnutt accepted that the diagnosis of post-traumatic stress syndrome was one which was available to be made based on the report by the respondent of his experiences when detained in the Middle Eastern country.
54 Dr Allnutt observed that, when giving evidence as shown in the DVDs of the three examination hearings, the respondent demonstrated capacity for autobiographical memory. In Dr Allnutt's opinion, the respondent's poor recall in the witness box appeared to be selective because, for example the respondent was able to provide autobiographical detail about other areas of his life to clinicians and in the witness box, and it was unlikely that he would have been able to do this but yet have difficulty recognising a face or a voice in the absence of cognitive treatment. Professor Gordon, in her oral evidence, agreed with that assessment, having seen the DVD.
55 Dr Allnutt also opined that the characteristic type of memory disturbance forming part of a diagnosis of PTSD is "avoiding distressing memories, thoughts or feelings about or closely associated with traumatic events", as taken from DSM-V. He said that the event that the respondent was being asked to recall as a witness was about a gathering that he had attended at Sydney airport, and that he, Dr Allnutt, would not regard that meeting as closely associated with the trauma of having been tortured. Professor Gordon also agreed with that assessment.
56 Dr Allnutt said (and Prof Gordon also agreed) that:
In the witness box in the ACC he presented as having variable affect but overall mostly composed and serious in his manner (this could be seen as flat or restricted). He was able to communicate in a clear and coherent manner. There was no evidence of tremor, or hyperventilation (symptoms that might be evident if a person was having high levels of anxiety). He manifested logical thought processes. There was no evidence that he was responding to non-apparent stimuli (thus no overt evidence of hallucinations) and this thought content did not demonstrate delusions. While some of his responses could be construed as "paranoid", this would be in the sense that he appeared to be untrusting of the process, but not psychotic. His responses to the questions did not reflect a detachment from his situation or a serious departure from the reality of the situation. He did not manifest clinically significant inattentiveness. He demonstrated capacity for autobiographical memory. I did not believe his demeanour, demonstrated excessive anxiety.
He was able to seek clarification, resist suggestion and vigorously defend his position. I would not have regarded his behaviour on DVD as consistent with the behaviour of a vulnerable witness. (emphasis added)
57 Dr Allnutt opined that there was no evidence on the DVDs to conclude that the respondent was experiencing such levels of anxiety that he did not know what was going on in the environment or that he misconstrued the environment as being that of a situation of his interrogation and torture in a foreign country, and that there was no evidence of loss of control other than being argumentative at times and he would have maintained capacity in that regard. Professor Gordon also agreed with that assessment in her evidence.
58 Dr Allnutt opined that the DVDs of the respondent's evidence were not consistent with him remembering nothing and shutting down.
59 I accept Prof Gordon's and Dr Allnutt's evidence that the interaction between YAAY and the respondent depicted on the CCTV footage showed an engagement sufficient to enable the respondent to lay down a memory of the meeting between him and YAAY on 29 September 2013. In particular, the two experts considered that there was nothing in the footage to suggest that the respondent was other than actively involved in the process of that interaction or that he was experiencing any incident suggestive of his undergoing an episode where he was affected by PTSD or anxiety so that he was not able to lay down a memory. As Prof Gordon said:
If they were engaged with the process of being with the person, being involved with the person, if they were actively engaged with it, then that's the process that's needed to lay down memories … Whereas, if they were just there and not involved, not engaged, not interacting, then they may not lay down memories. So, in other words, if the traumatic events are distracting them from being in the moment they may not lay down memories in the moment. (emphasis added)
60 Her assessment of the respondent's ability to identify YAAY, after viewing material parts of the CCTV footage at the airport and the DVD of the respondent's responses to questions in the 3 February 2014 examination about identifying YAAY in the photographs, was:
But I would have expected some sense of familiarity - you know, 'I've seen him before,' something - at least, that much. There would have been that much laid down if he knew him already and was having that conversation, because he knew him, he wouldn't have forgotten between those months. (emphasis added)
61 It was common ground between Prof Gordon, Dr Furst and Dr Allnutt that, on viewing the DVD of the examination of the respondent on 3 February 2014, there was no evident sign of a panic attack, hyperventilation or other physical manifestation to suggest that the respondent was then affected by a flashback or some distraction in his mind, causing him to become disengaged or unable to focus on or understand any questions, or experiencing any events such as would affect his capacity to answer any of the questions.
62 While none of the experts could rule out such a possible impediment as having affected the respondent during the course of the examination, as depicted on the DVD on 3 February 2014, none saw anything in that DVD to indicate that he was undergoing or experiencing any event associated with PTSD such as would impair or affect his memory. Dr Furst gave evidence that the respondent looked anxious during that examination. He said:
You would expect to see some change in affect or ... demeanour or presentation of the person if he or she was experiencing a PTSD set of symptoms that could or would affect his or her capacity to remember and give evidence? --- You - look, it probably would. I would say you probably would expect to see some manifestation of that. In this particular case with ZZ, he did look anxious, but he was - from my recollection of the video I saw and looking thorough the transcript he was reasonably logical throughout the session, like, when asked questions the answers seem to follow on from the questions asked, so - but - as far as I can tell.
…
When you said "he looked anxious", did you form any view as to that presentation being connected to either the diagnosis that you have expressed in your report of PTSD affecting him as a opposed to what you might ordinarily expect a person who was in the position of ZZ who was asked to go in and take a - be giving evidence in the Crime Commission in circumstances of being a secret hearing with an examiner where they're compelled to answer questions? --- Well, look, I think the limitation, in terms of my role as a psychiatrist, with limitation on what I can glean from the images, if you like. He looked - his body posture looks a little tense or somewhat tense, and he had his hands clasped, and he - he didn't show signs of marked distress or thought disorder or psychosis or anything extreme so I never formed the view that he was dissociating or otherwise disorientated of that nature. The style of questioning in the interview was noticeably abrupt, I would say, to the point that he was interrupted a number of times. He was also warned a number of times about the consequences of being in contempt which you would be aware of from the transcripts and video and that would probably unsettle most people, I would imagine. So I - I would probably say that there's a mixture of - of his underlying pre-existing anxiety and post-traumatic stress disorder, if one assumes he has that condition and the - the slightly or somewhat interrogatory nature of the context he found himself in, both of which probably made him anxious at that time. And I - I don't think I can really advance it much beyond that in terms of - I can't read his mind … (emphasis added)
63 Dr Furst also said this (T 152):
… if he's reporting confusion and distress, I would expect him to be behaving as such behaviourally, perhaps observing signs of distress if he were quite contained and appearing to be able to - "sanitise" was the wrong word - but give an account and integrate the information, you know, in a largely coherent way. I would see those as being quite inconsistent.
HIS HONOUR: Inconsistent with his being affected by PTSD or other memory-affecting trauma while he was giving his evidence; is that what you mean? --- Yes. Both. If he's reporting confusion and not behaving as such that could have implications for both of those: his evidence at the time and could impact on his reported trauma - previous trauma.
And would that tie in with the results in the TOMM and M-FAST test that you have explained based on your observations of him and the history you took if the account of his evidence, when viewed on DVD, were that he was giving his evidence interactively and without any apparent blunting or trauma? Are you able to tell me how you would - if anything, that would affect your view? ---Yes, that - it potentially would. As I mentioned, there are two possible - well, two possibilities here. One being around motivational issues and one being psychological and seeing something would be appear to be inconsistent would lead potentially to questions about motivation. (emphasis added)
64 Dr Allnutt explained in his report that Dr Furst had not, in his consultation, explored in any detail with the respondent, what was going on in the respondent's mind during the 3 February 2014 examination. Dr Allnut gave this evidence in cross-examination:
Mr Scragg:
It's not as if he just said it once and it was left. He repeated it time and time again. What I'm suggesting to you is that is consistent with or might be consistent with ZZ experiencing high levels of anxiety throughout his examination on 3 February. --- So I would agree he would feel anxious and I think one has got to make a distinction between anxiety given the circumstances that one finds oneself in as compared with anxiety that's so severe that it's pathological and impairing a person's cognitive abilities. And I'm not arguing that he's not anxious; I accept, in all likelihood, most of us would be, under those circumstances. I certainly would.
Yes --- but the question is whether that anxiety was so significant that it impaired his cognitive ability. (emphasis added)
And Dr Allnutt considered that it did not.