requirement of the Act is not satisfied by showing only that a worker
suffering from some disease would or might have suffered less severely if
he had not been employed at all. When the Act speaks of 'the employment'
as a contributing factor it refers not to the fact of being employed, but
to what the worker in fact does in his employment. The contributing
factor must in my opinion be either some event or occurrence in the
course of the employment or some characteristic of the work performed or
the conditions in which it was performed. In this case it was said that
the employment was a contributing factor in the worsening of the disease,
because the applicant focussed her delusions of pain and discomfort upon
her right side which she believed she had hurt when lifting a tea chest
in the course of her work. A minor physical strain she magnified in her
irrational imagination into a serious and continuing derangement of her
internal organs. The incident directed, or re-directed, her
hypochondriacal attention to her abdominal muscles. But said the
appellant, all that it did was to focus her existing delusional
tendencies in a particular way: it was a cause of her condition only in
the sense that it acted as a precipitant. That may be true:
nevertheless, Doctor Ellard agreed that 'something obviously happened in
December to her to cause a change in her way of life'.
The question involved is difficult. Can the event to which a disordered
mind irrationally attributes physical suffering, that is real to the
patient but delusional, be properly called a contributing factor?
Ordinary concepts of cause and consequence are perhaps not applicable.
Yet it seems to me that the incident which precipitated or stimulated,
however irrationally, the worsening of her condition could be regarded as
a factor contributing to it. It was said that in any event she might