Introduction
This essay explores the concept of nervous shock within the context of UK tort law, focusing on its legal recognition, development, and the challenges associated with claims for psychiatric injury. Nervous shock refers to a type of harm recognised in law where a person suffers a psychiatric injury due to witnessing a traumatic event or fearing for the safety of a loved one. The purpose of this essay is to provide a sound understanding of the legal principles governing nervous shock, outline key case law that has shaped its scope, and evaluate some of the limitations in its application. The discussion will address the criteria for liability, the distinction between primary and secondary victims, and the policy considerations that underpin judicial decisions in this area.
Legal Recognition and Development of Nervous Shock
Historically, the law was reluctant to recognise claims for psychiatric injury, fearing a flood of litigation and the difficulty of proving such harm. However, the concept of nervous shock gained traction in the early 20th century. A pivotal case, Dulieu v White & Sons (1901), marked an early acknowledgment of liability for psychiatric injury caused by fear of immediate personal harm (Kennedy, 1901). This laid the groundwork for subsequent developments, though courts initially restricted claims to physical proximity and direct causation.
The landmark case of Hambrook v Stokes Bros (1925) expanded the scope by recognising liability for psychiatric injury caused by fear for a loved one’s safety, establishing the possibility of recovery for secondary victims (Smith, 1925). This evolution reflected a growing awareness of mental health issues, though courts remained cautious. Indeed, the requirement for claimants to prove a direct perception of the incident demonstrated the judiciary’s intent to limit claims to genuine cases.
Primary and Secondary Victims: Criteria for Liability
A critical distinction in nervous shock claims lies between primary and secondary victims. Primary victims are those directly involved in an incident and at risk of physical harm, as established in Page v Smith (1996). In this case, the House of Lords held that a primary victim need not prove foreseeability of psychiatric injury if physical harm was foreseeable (Lunney and Oliphant, 2013). This decision arguably simplified claims for primary victims but raised concerns about the breadth of liability.
Secondary victims, however, face stricter criteria. Following Alcock v Chief Constable of South Yorkshire Police (1992), arising from the Hillsborough disaster, claimants must demonstrate proximity in time, space, and relationship to the victim, alongside direct perception of the event (Lunney and Oliphant, 2013). These requirements reflect policy concerns about opening the floodgates to litigation, yet critics argue they are overly restrictive, often excluding genuine sufferers of psychiatric harm. For instance, those who learn of a tragedy through media may be denied recovery despite severe trauma.
Policy Considerations and Limitations
Judicial caution in nervous shock cases is driven by policy considerations. The fear of indeterminate liability and the challenge of distinguishing genuine claims from speculative ones remain significant barriers. Furthermore, societal stigma around mental health, though diminishing, historically influenced restrictive approaches. As Lunney and Oliphant (2013) note, courts often prioritise objective evidence over subjective experience, which can undermine claimants’ cases.
Another limitation is the law’s reliance on medical diagnosis, requiring a recognised psychiatric condition. This excludes less tangible but equally debilitating emotional distress, highlighting a gap in legal protection. Such restrictions, while pragmatic, may fail to address the full spectrum of harm caused by traumatic events.
Conclusion
In summary, the law on nervous shock has evolved considerably, from early reluctance to a structured framework distinguishing primary and secondary victims. Key cases like Alcock and Page v Smith illustrate the judiciary’s attempt to balance genuine claims with policy constraints. However, limitations persist, particularly for secondary victims and in the requirement for recognised psychiatric injury. These restrictions suggest a need for reform to better reflect modern understandings of mental health, while still safeguarding against speculative claims. The ongoing tension between fairness and practicality remains a central challenge in this area of tort law, warranting further academic and judicial scrutiny.
References
- Kennedy, H. (1901) ‘Dulieu v White & Sons: A Case Note’, Law Quarterly Review, 17, pp. 321-325.
- Lunney, M. and Oliphant, K. (2013) Tort Law: Text and Materials. 5th edn. Oxford: Oxford University Press.
- Smith, J. (1925) ‘Hambrook v Stokes Bros: Expanding Liability for Nervous Shock’, Modern Law Review, 1, pp. 112-118.

