No. 048496-00Commonwealth of Massachusetts Department of Industrial Accidents
August 8, 2005
REVIEWING BOARD DECISION
(Judges Horan, Carroll and McCarthy)
APPEARANCES
Howard H. Swartz, Esq., for the employee
Joseph S. Buckley, Jr., Esq., for the self-insurer
HORAN, J.
The employee appeals the denial and dismissal of her claim.[1] Her emotional injury and incapacity allegedly resulted from a series of events associated with her employment.[2] We affirm the decision because the employee failed to offer evidence sufficient to sustain her burden of proving that her employment was the predominant contributing cause of her emotional disability.[3]
The only medical evidence was provided by the § 11A impartial psychiatrist, Dr. Lloyd Price.[4] Dr. Price’s causal relationship opinion was clear and unequivocal, in answer to questions by counsel for the employee:
Do you have a professional opinion, to a reasonable degree of medical certainty, as to the causal relationship between the events of
October 20, 2000 and those diagnoses you just outlined for us?
Yes, I do.
What is your professional opinion?
Workplace events. By that I mean, not only the event of 10/20/00, but the entire sequence of workplace events combined with preexisting and anxiety related to relationship issues[5] was a major cause of these diagnoses.[6]
(Dep. I, 38.) (Emphasis added).
Q: Do you have a professional opinion, to a reasonable degree of medical certainty, as to whether or not the events of October 20, 2000 [the alleged work events] were a major, yet, not necessarily the predominant cause of her psychiatric problems and disability as it existed when you met with her on September 21, 2001?
A: I do have such an opinion.
Q: What is your opinion?
A: As stated before, that the events of 10/20/00 combined with the totality of events that happened in the workplace as reported, which were major, although not necessarily the predominant cause of her psychiatric disorder and disability.
(Dep. I, 41.)
Q: It was also your opinion and correct me if I’m wrong that those events which occurred on October 20th, at least in your professional opinion, were the major, yet not necessarily the predominant, cause of her emotional problems after that date when you saw her in September of 2001?
A: Were a major?
Q: A major, right?
A: Yes.
Q: But not necessarily the predominant?
A: Correct.
(Dep. II, 12.)
Dr. Price’s medical opinion that the work events, though major, are “not necessarily the predominant” cause of the employee’s emotional disability fails to carry the employee’s burden of proof under the third sentence of § 1(7A). May v. MCI Framingham, 19 Mass. Workers’ Comp. Rep. ___ (July 8, 2005); see Joyce v. _Cityof Westfield, 15 Mass. Workers’ Comp. Rep. 101, 106 (2001). This is not a case in which the work events were the only cause of the claimed emotional disability, as the employee’s history of pre-existing psychiatric problems is manifest throughout the medical evidence. (Dep. I, 7-8, 19-21.) In “one cause” emotional disability cases, medical evidence establishing a causal link is sufficient to affirm a benefit award. Bouras v. Salem Five CentSavings Bank, 18 Mass. Workers’ Comp. Rep. 191, 193 (2004) (medical opinion that only work causes contribute to emotional disability satisfies “predominant contributing cause” standard); Sawicka v. _Archdiocese of Boston, 14 Mass. Workers’ Comp. Rep. 362, 370 (2000) (“only cause” must satisfy predominant contributing cause standard). Nor is this a case where the employee’s emotional disability stemmed from a physical work injury, requiring different analyses altogether. See Murphy v. Commercial Union, 10 Mass. Workers’ Comp. Rep. 263 (1993) (simple “as is” standard of causation applies to mental sequelae of work- related physical injuries). Cf. Lagos v. Mary A. Jennings, Inc., 11 Mass. Workers’ Comp. Rep. 109, 111 (1997) (where mental sequelae of physical injury combine with pre-existing psychiatric condition, fourth sentence of § 1(7A), “a major” standard of causation applies).
This case is an emotional injury claim involving both work and non-work-related causes. The legislature has excluded these claims from the definition of “personal injury”[7] under our act, unless employment events (not deemed to be bona fide personnel actions) are “the predominant contributing cause” of the claimed emotional disability. See May, supra.
Because the record contains no medical evidence which, if credited, could carry the employee’s burden of proof under the statute, we affirm the denial of benefits.
So ordered.
____________________ Martine Carroll Administrative Law Judge
______________________ Mark D. Horan Administrative Law Judge
______________________ William A. McCarthy Administrative Law Judge
Filed: August 8, 2005
Personal injuries shall include mental or emotional disabilities only where the predominant contributing cause of such disability is an event or series of events occurring within any employment.