Introduction
This essay examines the circumstances under which a duty of care is owed in cases of pure psychiatric harm, with specific reference to Harvey Teff’s assertion that while physical injury negligently caused is readily compensable, psychiatric trauma often lacks a legal remedy (Teff, 1998). Psychiatric harm, unlike physical injury, poses unique challenges in tort law due to its intangible nature and the difficulty in establishing causation and foreseeability. This discussion will explore the legal framework surrounding pure psychiatric harm in the UK, focusing on key case law and the principles governing duty of care. It will critically assess the boundaries and justifications for imposing liability, highlighting the cautious judicial approach to such claims and the rationale behind these limitations.
Legal Framework for Psychiatric Harm
In English tort law, a duty of care for pure psychiatric harm—harm not consequent upon physical injury—is recognised only under strict conditions. The landmark case of Alcock v Chief Constable of South Yorkshire Police (1992) established that claimants must satisfy specific criteria to succeed in a claim for psychiatric injury. These include proximity to the event causing harm, a close tie of love and affection with the primary victim, and directly witnessing the event or its immediate aftermath (House of Lords, 1992). These requirements reflect the law’s concern over opening the ‘floodgates’ to numerous claims, as psychiatric harm is often less tangible and harder to quantify than physical injury.
Teff (1998) critiques this restrictive approach, arguing that it undervalues the severity of mental trauma compared to physical harm. Indeed, the judicial reluctance to recognise a broader duty of care stems from fears of indeterminate liability and the challenge of distinguishing genuine claims from exaggerated ones. However, this cautious stance arguably overlooks the real suffering experienced by individuals who fail to meet the stringent Alcock criteria.
Justifications and Boundaries for Duty of Care
The justifications for limiting liability in cases of pure psychiatric harm are rooted in policy considerations. Courts are wary of imposing duties that could overburden defendants with unforeseeable claims, particularly in scenarios involving secondary victims—those not directly harmed but emotionally affected by an event. As Teff (1998) notes, this creates a disparity where physical injuries are more readily compensable, while psychiatric harm is often endured without recourse. For instance, in White v Chief Constable of South Yorkshire Police (1999), police officers who suffered psychiatric harm during the Hillsborough disaster were denied recovery as they did not meet the proximity requirements, despite evident trauma (House of Lords, 1999).
Furthermore, establishing foreseeability of psychiatric harm remains problematic. Unlike physical injury, mental harm depends on an individual’s psychological resilience, which varies widely. Courts, therefore, require a high threshold of evidence to ensure that only reasonably foreseeable harm triggers a duty of care. This approach, while pragmatic, can be seen as unduly restrictive, as it may exclude genuine cases of suffering.
Critical Perspectives on Current Law
Critically, the current legal framework for psychiatric harm has been accused of lacking flexibility. Teff (1998) suggests that the rigid application of rules like those in Alcock fails to adapt to evolving understandings of mental health. Modern psychological research increasingly acknowledges the profound impact of trauma, yet tort law lags behind in reflecting this awareness. Some argue for a more nuanced approach, perhaps by relaxing proximity requirements in exceptional cases or recognising a wider range of relationships beyond immediate family ties.
On the other hand, expanding liability risks creating uncertainty in legal outcomes and placing undue burdens on defendants. Balancing these competing interests remains a challenge. A potential middle ground could involve judicial discretion to assess claims on a case-by-case basis, though this might undermine consistency in application. Generally, the law’s conservative stance ensures predictability but at the cost of excluding some deserving claimants.
Conclusion
In conclusion, the imposition of a duty of care for pure psychiatric harm in English law is governed by stringent criteria, as seen in cases like Alcock and White. These restrictions, while justified by concerns over indeterminate liability and evidentiary challenges, often result in psychiatric trauma being endured without legal remedy, as Teff (1998) aptly observes. Although policy considerations underpin the cautious judicial approach, this arguably undervalues the significance of mental harm in a society increasingly attuned to its impacts. Future reforms might consider a more balanced framework that acknowledges genuine suffering without compromising legal clarity. This debate highlights the tension between fairness to claimants and the practical limits of tort law, suggesting a need for ongoing evaluation of these boundaries.
References
- House of Lords. (1992) Alcock v Chief Constable of South Yorkshire Police [1992] 1 AC 310.
- House of Lords. (1999) White v Chief Constable of South Yorkshire Police [1999] 2 AC 455.
- Teff, H. (1998) ‘Liability for Negligently Inflicted Psychiatric Harm: Justifications and Boundaries’, Cambridge Law Journal, 57(1), pp. 91-122.

