Date: 20071123
Docket: T-30-07
Citation: 2007 FC 1237
Ottawa, Ontario, November 23,
2007
PRESENT: The Honourable Justice Johanne Gauthier
BETWEEN:
GLENN
REED
Applicant
and
ATTORNEY
GENERAL OF CANADA
Respondent
REASONS FOR JUDGMENT AND JUDGMENT
[1]
Mr.
Reed seeks judicial review of the decision of the Veterans Review and Appeal
Board of Canada (the VRAB) refusing his application for a pension under subsections
21(1) and (2) of the Pension Act, R.S.C. 1985 Ch. P-6 (the Act). This
matter involves an issue rarely reviewed in the case law.
[2]
For
the reasons that follow, the Court finds that this decision should be set aside,
particularly because the VRAB failed to consider whether Mr. Reed’s
Post-Traumatic Stress Disorder (PTSD) was “incurred during” his military
service in the Special Duty area of Cyprus, a consideration
mandated by subsection 21(1) of the Act.
BACKGROUND
[3]
In
light of what transpired at the hearing, the Court will review in more detail
than is strictly necessary the factual background of this application. In
1974, Mr. Reed joined the Reserve Force and served as a reservist for 1.5
years. In July 1977, he joined the Regular Force. In April 1980, his
battalion was sent to Cyprus to participate in the peacekeeping operations.
Mr. Reed remained there until September 5, 1980.
[4]
Up
to the time of his deployment, his medical record indicates that he had no
history of psychological disorder; in fact, he was described up to that time as
a very confident, well motivated, hard working soldier who displayed a lot of
leadership potential. He successfully completed sniper training and after his medical
examination on February 6, 1980, he was declared fit for service in Cyprus.
[5]
It
also appears from the recorded entries made later that year that Mr. Reed had
broken off an engagement with his fiancée of two years sometime prior to
leaving for Cyprus.
[6]
In
Cyprus, Mr. Reed
was assigned to sentry duty, which meant that he had to keep an irregular
schedule. He had difficulty sleeping and about a month and a half after his
deployment, that is on May 16, 1980, he was prescribed Valium.
[7]
In
June 1980, the Applicant was sent to the Swedish peacekeeping contingent on an
exchange. It appears that his sentry duty while there followed a different
schedule than that of the Canadian contingent. Swedish practice was for two
men to go on sentry duty for 24 hours together, which period would be followed
by a day off.
[8]
A
couple of days after the beginning of his exchange, and during the festivities
for the Swedish national holiday, Mr. Reed apparently consumed a large amount
of alcohol and became ill with alcohol poisoning. He also became violent and
was taken to hospital. Although he still did not feel well, he was sent back
in the morning for his 24 hour observation post duty. According to Mr. Reed,
it is during that shift that his emotional breakdown really started, as he was
overcome with thoughts of killing himself, flashbacks of sexual abuse suffered
when he was a young child (of which he had never thought before), and panic and
guilt that he might be a homosexual and want to have sex with his buddies on
the platoon, etc.
[9]
Contemporary
medical notes indicate that he sought medical help on June 10, 13, 16 and 25,
1980. The notes for June 10 and 13 refer to his heavy drinking after his
deployment to Cyprus, his broken
engagement, sleeplessness and his threats of killing himself. He is described
as being “in a highly agitated state, word pressure, anorexic, almost crying”.
[10]
These
notes also corroborate Mr. Reed’s allegation that he received little help at
that time. On June 10, 1980, relaxation techniques and positive thinking were
recommended. On June 13, the doctor recorded the following personal comments: “this
man is unrealistic and looks for instant gratification ie. I want to go to Canada now, not
tomorrow…doubtful that he will finish his tour here, will talk to supervisor if
trip home can be arranged.”
[11]
A
few days later, on June 16, it appears that Mr. Reed was calmer but very
indecisive as to whether or not he wanted to go home. He said to the doctor: “I
am going crazy”. He was apparently afraid that his thinking was affected and
that “they will put me in a nut house”. He was noted as “ruminating and
fearful about his own sexual prowess, wonders whether he is a queer, etc.
afraid that he will be called a failure if he quits…” Again, this appears to
corroborate the statement of Mr. Reed about his fear of homosexuality, as a
result of his reliving his sexual abuse.
[12]
By
June 25, the notes indicate that Mr. Reed had decided that he would “stick it
out” and finish his tour. He still had insomnia, however, and was given another
prescription for Valium.
[13]
Mr.
Reed confirms in his statement that his condition was noticed by his superiors
who told him to shape up (“get [his] shit together”). He was also apparently
advised that a discharge on medical ground could have long-term effect on his
future (“I would never get a government job again because it was like being
kicked out”). According to him, he did what the military does best: “tough it
out”, despite the fact that he “was in a lot of pain mentally”.
[14]
He
was released upon his return to Canada. On his release, it
was noted in his record that he had been investigated for anxiety, stress and
alcohol abuse while in Cyprus. He also signed a document stating that
he had suffered no illness or injury in Cyprus.
[15]
There
is no evidence of any other special trauma since Mr. Reed’s release apart from a
practical joke played on him by coworkers in 2003 (his face was pasted on a
picture of a convicted pedophile in a newspaper article). However, he states
amongst other things that he never recovered his mental health. Since then, he
has had significant symptoms of anxiety and depression with
reoccurring thoughts and dreams about his suicidal behaviour, his deployment in
Cyprus as well as
his sexual abuse. He also continued to fear molesting his niece, and after
1985, his daughter (fear of becoming himself a pedophile).
[16]
His
wife, whom he met some months after his return from Cyprus, stated that
his family told her that he was not the same man since his return from Cyprus.
[17]
Mr.
Reed unsuccessfully sought help in 1983 (group therapy that did not work) then
in 1991-1992. Finally in 2003, after he broke down as a result of the
aforementioned practical joke, he sought further help and was diagnosed as
suffering from chronic PTSD with delayed onset.
[18]
He
decided to apply for a pension pursuant to subsections 21(1) and (2) of the Act.
On August 30, 2004, Dr. Albina Abaya-Comendador, his psychiatrist, filled out a
Veterans Affairs Canada assessment worksheet for psychiatric disability. It
was presented in support of Mr. Reed’s pension application to a pension
adjudicator for the Department of Veteran Affairs, who denied the application
on March 21, 2005, on the basis that “there was insufficient evidence to
conclude that his claim of Post-Traumatic Stress Syndrome was incurred during
or attributable to his special duty area service.” In that respect, the only
further comment referred to the lack of evidence that the PTSD “has developed
as a result of” special duty.
[19]
Mr.
Reed then obtained with the assistance of the Veterans Affairs Bureau of
Pensions Advocates a more detailed report from Dr. Comendador dated June 30, 2005
in which she indicates that the traumatic event to which he was exposed was his
early childhood sexual abuse and that his PTSD was “triggered by his experiences
in Cyprus”. A
statement from Mr. Reed’s former platoon commander, Lieutenant Colonel Slater,
was also obtained. In this statement, dated September 15, 2005,
Lieutenant-Colonel Slater wrote that he retains a fairly clear memory of the
incident involving the applicant in Cyprus. This includes, among
other things, recollections that at some point during the exchange week, Mr.
Reed began thinking about personal issues back in Canada (something about a
girlfriend and family members pressuring him to get married), and that “these
thoughts culminated in his decision to take his own life. Apparently he went so
far as to place the barrel of his service rifle under his chin whereupon he
came into his senses and called for help”.
[20]
Lieutenant
Colonel Slater also notes that “in those days and in certainly in Cyprus, we had
little if any capacity to deal with such matters as attempted suicide”.
[21]
The
statement does not indicate who related this information about what happened
that night to Lieutenant Colonel Slater; was it a member of the Swedish
contingent, or the medical officer who had agreed to talk to Mr. Reed’s
superior (note of June 13, 1980)?
[22]
After
a hearing, at which Mr. Reed testified, the Entitlement Review Panel rejected the
pension application on November 2, 2005. In its decision, the panel notes that
there is no question in its mind that “the Applicant suffers significantly from
some kind of psychiatric disorder, and since he had a diagnostic of
post-traumatic stress disorder, the Panel accepts that this is the psychiatric
illness from which he suffers”. It states that it was clear that he had
enormous difficulty testifying.
[23]
Thus,
the issue for the panel was not whether the Applicant had PTSD but “whether or
not this condition can be linked to his military service”. It concluded that
that it could not. In that respect, the panel notes that in her report, Dr.
Comendador “lays absolutely no foundation for [her] conclusion” that his PTSD
was triggered by his experiences in Cyprus. Also, the panel
understood the child abuse suffered by Mr. Reed to be one of the
precipitating events and found that it had nothing to do with his military
service. It also concluded that this destructive alcohol abuse could not “be
attributed to anything that happened to him during his military service”.
[24]
It
is in that context that once again, the Advocate at Veterans Affairs sought
additional evidence in February 2006 from Dr. Richardson, a consultant
psychiatrist for Veterans Affairs Canada. The report of this expert confirmed
Dr. Comendador’s diagnosis of chronic PTSD with delayed onset “precipitated
by his suicide attempt during his deployment in Cyprus which
reactivated childhood trauma”.
[25]
On
October 17, 2006, the VRAB issued its decision. After reviewing the facts and
the evidence,
the VRAB finds among other things:
Under subsection 21(1) of the
Pension Act, the PTSD must be attributable to or incurred during service in the
Special Duty Area of Cyprus. In this case, and according
to the doctors, it is this sexual abuse which is the cause of PTSD. There is
evidence that the Appellant was having problems with sleeping during his
deployment. There is also evidence of excessive drinking and evidence of
problems with a broken engagement, and that these problems were the cause of
his anxiety during his Special Duty area service.
While the Board has taken into
consideration the Appellant’s statement that he had thoughts and fears of
suicide in Cyprus, there is no evidence of a
suicide attempt.
Based on all the evidence, the
Board finds that the PTSD was not caused or aggravated by the Appellant’s
service in Special Duty Area of Cyprus under subsection 21(1) of the Pension
Act.
The VAC Entitlement
Eligibility Guidelines on PTSD and the DSM IV (The Diagnostic and Statistical
Manual of Mental Disorders – Fourth Edition, published by the American
Psychiatric Association) from which the Entitlement Eligibility Guidelines are
derived, do not state that PTSD can be caused by one’s own thoughts and
feelings. An external threatening event is required, among other criteria.
Thereafter, the Board cannot accept that the opinions offered as evidence are
credible opinions which could form the basis of a pension award, as opposed to
well-meaning attempts to insure that the Appellant is able to access treatment
for his psychiatric difficulties. Cram v. Canada (Attorney General), 2006, FC 638.
The Board would note that were
the opinion of Dr. Richardson meant to assist in obtaining the Appellant a
pension, as opposed to treatment, it would have been produced at an earlier
point in the pension adjudication process, rather than very belatedly, when the
Department for whom Dr. Richardson was working, had already dealt with the
pension adjudication…
[26]
Both
parties agree at the hearing that the above quoted passage was the most
relevant to the application pursuant to subsection 21(1) of the Act. It is the
portion of the decision on which both sides focused their comments.
STATUTORY PROVISION
[27]
Subsections
21(1), (2) and (3) of the Act reads as follows:
21. (1) In respect of service rendered during World War I,
service rendered during World War II other than in the non-permanent active
militia or the reserve army, service in the Korean War, service as a member
of the special force, and special duty service,
( a)
where a member of the forces suffers disability resulting from an injury
or disease or an aggravation thereof that was attributable to or was
incurred during such military service, a pension shall, on application,
be awarded to or in respect of the member in accordance with the rates for
basic and additional pension set out in Schedule I;
( b)
where a member of the forces dies as a result of an injury or disease or an
aggravation thereof that was attributable to or was incurred during such
military service, a pension shall be awarded in respect of the member in
accordance with the rates set out in Schedule II;
( c)
no deduction shall be made from the degree of actual disability of a member
of the forces who has rendered service in a theatre of actual war, service in
the Korean War or special duty service on account of a disability or
disabling condition that existed in the member before the member’s period of
service in World War I or World War II, service in the Korean War or special
duty service, as the case may be, except
(i) to the extent that the member is
receiving a pension for that disability or disabling condition, or
(ii) to the extent that that disability
or disabling condition was obvious or was recorded on medical examination
prior to enlistment;
( d)
an applicant shall not be denied a pension in respect of disability resulting
from injury or disease or aggravation thereof incurred during military
service or in respect of the death of a member of the forces resulting from
that injury or disease or the aggravation thereof solely on the grounds that
no substantial disability or disabling condition is considered to have
existed at the time of discharge of that member;
(2) In respect of military service
rendered in the non-permanent active militia or in the reserve army during
World War II and in respect of military service in peace time,
( a)
where a member of the forces suffers disability resulting from an injury
or disease or an aggravation thereof that arose out of or was directly
connected with such military service, a pension shall, on application, be
awarded to or in respect of the member in accordance with the rates for basic
and additional pension set out in Schedule I;
( b)
where a member of the forces dies as a result of an injury or disease or an
aggravation thereof that arose out of or was directly connected with such
military service, a pension shall be awarded in respect of the member in
accordance with the rates set out in Schedule II;
( c)
where a member of the forces is in receipt of an additional pension under
paragraph ( a), subsection (5) or section 36 in respect of a spouse or
common-law partner who is living with the member and the spouse or common-law
partner dies, except where an award is payable under subsection 34(8), the
additional pension in respect of the spouse or common-law partner shall
continue to be paid for a period of one year from the end of the month in
which the spouse or common-law partner died or, if an additional pension in
respect of another spouse or common-law partner is awarded to the member
commencing during that period, until the date that it so commences; and
(3) For the purposes of subsection (2), an
injury or disease, or the aggravation of an injury or disease, shall be
presumed, in the absence of evidence to the contrary, to have arisen out
of or to have been directly connected with military service of the
kind described in that subsection if the injury or disease or the
aggravation thereof was incurred in the course of
|
21. (1) Pour
le service accompli pendant la Première Guerre mondiale ou la Seconde Guerre
mondiale, sauf dans la milice active non permanente ou dans l’armée de
réserve, le service accompli pendant la guerre de Corée, le service accompli
à titre de membre du contingent spécial et le service spécial :
(a) des pensions sont, sur demande, accordées aux membres des forces ou
à leur égard, conformément aux taux prévus à l’annexe I pour les pensions de
base ou supplémentaires, en cas d’invalidité causée par une blessure ou maladie
— ou son aggravation — survenue au cours du service militaire ou
attribuable à celui-ci;
b) des pensions sont accordées à l’égard des membres des
forces, conformément aux taux prévus à l’annexe II, en cas de décès causé par
une blessure ou maladie — ou son aggravation — survenue au cours du service
militaire ou attribuable à celui-ci;
c) l’invalidité ou l’affection entraînant incapacité dont
était atteint le membre des forces qui a accompli du service sur un théâtre
réel de guerre, du service pendant la guerre de Corée ou du service spécial,
et qui est antérieure au service accompli pendant la Première ou la Seconde
Guerre mondiale, au service accompli pendant la guerre de Corée ou au service
spécial n’autorise aucune déduction sur le degré d’invalidité véritable, sauf
dans la mesure où il reçoit une pension à cet égard ou si l’invalidité ou
l’affection était évidente ou a été consignée lors d’un examen médical avant
l’enrôlement;
d) un demandeur ne peut être privé d’une pension à l’égard
d’une invalidité qui résulte d’une blessure ou maladie ou de son aggravation
contractée au cours du service militaire, ou à l’égard du décès d’un membre
des forces causé par cette blessure ou maladie ou son aggravation, uniquement
du fait que nulle invalidité importante ou affection entraînant une
importante incapacité n’est réputée avoir existé au moment de la libération
de ce membre des forces;
(2) En ce qui concerne le
service militaire accompli dans la milice active non permanente ou dans
l’armée de réserve pendant la Seconde Guerre mondiale ou le service militaire
en temps de paix :
a) des pensions sont, sur demande, accordées aux membres
des forces ou à leur égard, conformément aux taux prévus à l’annexe I pour
les pensions de base ou supplémentaires, en cas d’invalidité causée par
une blessure ou maladie — ou son aggravation — consécutive ou rattachée
directement au service militaire;
b) des pensions sont accordées à l’égard des membres des
forces, conformément aux taux prévus à l’annexe II, en cas de décès causé par
une blessure ou maladie — ou son aggravation — consécutive ou rattachée
directement au service militaire;
c) sauf si une compensation est payable aux termes du
paragraphe 34(8), la pension supplémentaire que reçoit un membre des forces
en application de l’alinéa a), du paragraphe (5) ou de l’article 36 continue
d’être versée pendant l’année qui suit la fin du mois du décès de l’époux ou
du conjoint de fait avec qui il cohabitait alors ou, le cas échéant, jusqu’au
versement de la pension supplémentaire accordée pendant cette année à l’égard
d’un autre époux ou conjoint de fait;
3) Pour l’application du
paragraphe (2), une blessure ou maladie — ou son aggravation — est réputée,
sauf preuve contraire, être consécutive ou rattachée directement au service
militaire visé par ce paragraphe si elle est survenue au cours :
|
[My emphasis]
The other provisions referred
to herein are reproduced in Annex A.
Post-Traumatic Stress Disorder
[28]
Before
delving further into the issues raised by this matter, it may be useful to give
a bit more detail about the disorder or mental disease to which this application
relates. First, symptoms of the disorder do not necessarily appear when the
trauma at its root occurs. The Veterans Affairs Canada Entitlement Eligibility
Guidelines on PTSD
and the DSM IV (The Diagnostic and Statistical Manual of Mental Disorders –
Fourth Edition, published by the American Psychiatric Association) (hereinafter
the Guidelines) indicate that there must be at least six months between
the traumatic event(s) and the onset of symptoms to qualify for “delayed onset”
PTSD (page 4 of the Guidelines).
[29]
PTSD
is deemed “chronic” when the symptoms last three months or longer. One of the
most characteristic symptoms of PTSD is the re-experiencing of the traumatic
event, often accompanied by intense psychological distress when the person is
exposed to a situation that resembles an aspect of the traumatic event or that
symbolizes such event, e.g., an anniversary of the event (page 6 of the Guidelines).
[30]
The
Guidelines make it clear that while trauma is a necessary factor, few consider
it sufficient to cause PTSD. One must look to predisposing factors and
environmental factors either before or after the trauma to understand the
etiology of PTSD. “In most instances, occurrence of the disorder represents the
outcome of an interaction amongst these three groups of factors,” the Guidelines
state at page 4. Among the vulnerability factors described in the Guidelines,
one notes the inclusion of poor peer and social support.
[31]
With
respect to the nature of the traumatic event, the Guidelines describe it in
general as an “extremely traumatic stressor especially if the individual
response involves intense fear, helplessness or horror”. The trauma may be
personal or witnessed. Various examples are given which include “an event that
involves actual or threatened death or serious injury or other threat to ones
physical integrity”.
ANALYSIS
[32]
As
mentioned, the main argument raised by the applicant is that the VRAB used the
wrong test, or at least an incomplete test, to determine the validity of his pension
claim pursuant to subsection 21(1) of the Act. In this respect the applicant
draws the Court’s attention to the following conclusion: “the Board finds that
the PTSD was not caused or aggravated by the applicant’s service and special
duty area of Cyprus under
subsection 21(1) of the Pension Act”.
[33]
The
applicant submits that the Board’s failure to come to any conclusion on whether
his PTSD was incurred during his special duty service, as opposed to caused
or aggravated by said service, is fatal to its decision.
[34]
The
respondent admits that the wording used by the VRAB in its conclusion is
unfortunate and inaccurate, but submits that read in the context of the
decision in its entirety, the statement does not show that the VRAB failed to
apply the correct test.
[35]
The
standard of review applicable to decisions of the VRAB was analyzed and discussed
in McTague v. Canada (A.G.), [1999] F.C.J. No. 1559. The pragmatic and
functional analysis set out in that case was adopted by the Federal Court of
Appeal in Frye v. Canada (Attorney General), [2005] F.C.J. No. 1316,
at paras.11-13, and recently affirmed in Wannamaker v. Canada (Attorney
General), 2007 F.C.J. No. 466, at para. 12. In Frye, Justice
Linden commented at para. 12, that “when the [VRAB] interpretation of the Act is
in issue, it is subject to review for error of law on the standard of
correctness”. The issue raised by the applicant obviously falls within this
category, and both parties are in agreement that the applicable standard of
review is correctness.
[36]
The
Court notes that the first paragraph of the section of the VRAB’s decision entitled
“Decision” begins with an acknowledgment of the Advocate’s argument that the
events in Cyprus initiated
the applicant’s PTSD symptoms, that said symptoms were not treated there, and
that therefore, the applicant’s PTSD was incurred in the special duty area and
full pension entitlement is warranted.
[37]
Notwithstanding
this acknowledgement of the Advocate’s position, such arguments are neither
reviewed nor discussed anywhere else in the decision.
[38]
Moreover,
while the VRAB correctly describes the test under subsection 21(1) in the first
sentence of the passage quoted above at paragraph 25, this description is
followed by comments focusing exclusively on the causes of the PTSD and of Mr
Reed’s anxiety in Cyprus. Yet nowhere does the VRAB deal with the issue
of when Mr. Reed’s PTSD with delayed onset was incurred, or how it construed
that particular criterion of eligibility.
[39]
It
is obvious that the identification of the actual trauma and other environmental
factors contributing to the onset of the applicant’s PTSD are relevant to the
VRAB’s duty to determine, pursuant to subsection 21(1), whether the disorder
(or its aggravation) was attributable to the applicant’s special service in
Cyprus. However, it is far from obvious how this exercise alone could enable the
VRAB to determine whether the disorder (or its aggravation) was incurred during
said special duty service, or as the French version of the Act has it, “si une
blessure ou maladie – ou son aggravation – (est) survenue au cours du service
militaire”.
[40]
There
is little case law dealing with subsection 21(1) of the Act as opposed to
subsection 21(2). In fact, the parties only referred the Court to the decision
of Justice Marcel Joyal in Page v. Canada (Veterans
Appeal Board) 1994 FCJ No. 1206. Although the main issue before the Court
in that case was different than the one at issue in the case at bar, the Court
made some general comments which are nonetheless relevant here. The Court in Page
construed the terms “incurred during” and “in the course of” as meaning “occurred”
or “happened during” the course of service (see, for example, paragraphs 45, 47
and 48). Also, it applied the principle that the Act must be given a liberal
and generous interpretation, in finding that the enactment under review (then
Vote 58A) was meant to confer on peacekeepers the status of World War II
combatants when they serve in designated areas. The Court notes that “as in
World War II, when universal coverage applied, it should not matter one wit
where the casualty occurs, as any World War II veteran will testify”. Although
the Court was focusing in Page on location, the applicant contends that
the same wide universal coverage enjoyed by World War II veterans in respect of
the timing of pensionable injuries should carry over to veterans of special
duty service; i.e., it should not matter one wit what caused an injury or a
disease if the injury or disease occurred or happened during the applicant’s
service in Cyprus.
[41]
In
light of Driedger’s
modern approach to statutory interpretation, which directs that the words of an
Act be read in their entire context and in their grammatical and ordinary sense
harmoniously with the scheme of the Act, the object of the Act and the
intention of Parliament, the Court is satisfied that the words “incurred
during” in subsection 21(1) are meant to provide for a distinct and alternative
criterion of pension eligibility. This criterion focuses on a temporal
connection rather than a causal connection to the military service it covers,
that is, service during World War I, World War II, the Korean War, or as a
member of a Special Force or Special Duty Service.
[42]
In
coming to this conclusion, the Court adopted the liberal and generous approach
described in Frye (at paras. 14-26) and considered both the French and
the English version of the Act, the French version being particularly clear and
precise. It also considered other instances where the word “incurred” appears in
the Act, for example at subsection 21(3), where the causal connection denoted
by the phrases “arising out of” and “having direct connection with” is clearly
distinct from the temporal aspect denoted by the phrase “incurred in the course
of”. The Court also took note of the difference in the language used to
describe the test applicable to subsections 21(1) versus subsection 21(2) of
the Act.
[43]
That
said, given that the Guidelines clearly indicate that PTSD with delayed onset
does not occur simultaneously with the traumatic event at its root, the VRAB
cannot be presumed to have addressed the issue of when the disorder occurred or
happened without referring to the concept of delayed onset and the appearance
of symptoms that could help determine the clinical onset of PTSD.
[44]
Thus,
despite the presumption referred to by the respondent that the decision-maker
has considered all of the arguments presented, the Court must conclude that in
this particular case, the VRAB failed to turn its mind to the second and
distinct criterion set out in subsection 21(1) of the Act. This constitutes a
reviewable error that is sufficient by itself to justify setting the decision
aside.
[45]
Nevertheless,
as this matter will need to be reconsidered, the Court will briefly comment on
other issues raised by Mr. Reed.
[46]
The
applicant argued that the VRAB could not have applied sections 3 and 39 of the Veterans
Review and Appeal Board Act, S.C. 1995,
c. 18, as its analysis of the only two medical
opinions on file is flawed (see the fourth paragraph of the passage quoted at
paragraph 25, above).
[47]
First,
the Court notes that the general principles in respect of the application of
sections 3 and 39 are set out at paragraphs 22 to 26 of my decision in Hunt
v. The Attorney General, 2006 FC 1029.
[48]
Also,
as noted in Hunt at paragraph 45 and in Cramp v. Canada (Attorney
General),
2006 FCJ No. 815 at para. 25 (a decision cited by the VRAB), there is no doubt
that in appropriate circumstances; the VRAB may rely on the Guidelines in its
assessment of medical evidence presented to it.
[49]
This
being said, in order to validly conclude that the Guidelines conflict with
medical opinions on file, the VRAB must properly construe both the opinions and
the Guidelines.
[50]
It
is worth noting that contrary to what was applied in Cramp,
above, the Federal Court of Appeal recently indicated in Wannamaker, at
paragraph 13, that the proper application of section 39 involves a decision “on
a question of mixed fact and law which is subject to the standard of
reasonableness” and that there is “no reason to adopt a different standard of
review where questions arise as to whether the Board has properly assessed the
credibility evidence, or whether the Board has properly given effect to section
39”.
[51]
This
standard of review implies that after a probing examination, the explanation(s)
or reason(s) given by the VRAB must be tenable.
[52]
Here,
the VRAB, after noting that the Guidelines do not state that PTSD can be caused
by one’s own thoughts or feelings, apparently concluded on that basis that the
opinions (thus of both Drs. Richardson and Comendador) were not
credible.
[53]
Even
accepting the respondent’s submission that the VRAB’s reference to “thoughts
and feelings” refers to its finding that there was no evidence of an actual
suicide attempt,
both psychiatrists indicated in their reports that the traumatic event in this
case was the sexual abuse suffered by Mr. Reed as a child. In fact, the VRAB
refers to the abuse as the cause of the PTSD “according to the doctors” earlier
in its decision. Neither doctor found that Mr. Reed’s own thoughts or feelings
caused the PTSD; rather, they indicated that the disorder was triggered or
precipitated by Mr. Reed’s experiences in Cyprus (Dr.
Comendador) and the suicidal attempt (Dr. Richardson).
[54]
If
one properly construes the opinions on file, it is difficult to see why
childhood trauma accompanied with other factors experienced in Cyprus would not
fit within the general description of possible causes of PTSD referenced in the
Guidelines. Also, if the VRAB was referring to factors other than the
traumatic event at the root of the PTSD (i.e., the main event which recurs in
dreams and thoughts), and which according to the Guidelines are generally
present in some level of interaction (see paragraph 30, above), its statement
that PTSD cannot be caused by one’s own thoughts and feelings also appears off
the mark. In fact, as mentioned in discussing the occurrence of PTSD, the Guidelines
specifically reference factors such as lack of peer support, which certainly
appears to involve one’s own perception or feeling of the outside world.
[55]
The
VRAB also discredits the opinion of Dr. Richardson by commenting that if it
were meant to assist in obtaining the appellant’s pension as opposed to obtaining
treatment, it would have been produced at an earlier point in the pension
adjudication process rather than just before the appeal hearing, considering
that the department for which Dr. Richardson was working had already dealt with
the pension adjudication.
[56]
The
respondent had much difficulty explaining this statement at the hearing. The
Court finds that this inference is illogical and arbitrary, in circumstances
where clearly the Advocate thought it necessary to obtain additional evidence,
since a prior decision-maker had indicated that existing evidence was
insufficient to support the claim advanced. Suffice it to note that Dr.
Comendador’s analysis was two-pages in length, whereas Dr. Richardson prepared
an in-depth analysis which included a review of Mr. Reed’s contemporary medical
records, and a more complete assessment.
[57]
Thus
whether considering all of the above or only the VRAB’s failure to apply the
proper test, the application is granted.
[58]
The applicant sought costs on a solicitor-client
basis. However, he provided no details as to special circumstances which would
justify a departure from the general rule of granting cost on a party-to-party
basis, normally in accordance with Column III, Tariff B. The Court has carefully
considered this matter and it is clear that there are no special circumstances here
that would justify the granting of the order requested. Costs will therefore
be granted on the basis of Column III Tariff B.
JUDGMENT
THIS COURT ORDERS AND
ADJUDGES that
1.
The
application is granted with costs (Tariff B, Column III).
"Johanne Gauthier"
ANNEX A
Pension Act, R.S., 1985, c.P-6
2. Les dispositions de la présente loi s’interprètent d’une façon
libérale afin de donner effet à l’obligation reconnue du peuple canadien et du
gouvernement du Canada d’indemniser les membres des forces qui sont devenus
invalides ou sont décédés par suite de leur service militaire, ainsi que les
personnes à leur charge.
S.R.,
ch. 22(2e suppl.), art. 1.
2. Les dispositions de la présente loi s’interprètent d’une façon
libérale afin de donner effet à l’obligation reconnue du peuple canadien et du
gouvernement du Canada d’indemniser les membres des forces qui sont devenus
invalides ou sont décédés par suite de leur service militaire, ainsi que les
personnes à leur charge.
S.R.,
ch. 22(2e suppl.), art. 1.
Veterans Review and
Appeal Board Act, 1995, c. 18
3. The
provisions of this Act and of any other Act of Parliament or of any regulations
made under this or any other Act of Parliament conferring or imposing
jurisdiction, powers, duties or functions on the Board shall be liberally
construed and interpreted to the end that the recognized obligation of the
people and Government of Canada to those who have served their country so well
and to their dependants may be fulfilled.
3. Les dispositions de la présente loi
et de toute autre loi fédérale, ainsi que de leurs règlements, qui établissent
la compétence du Tribunal ou lui confèrent des pouvoirs et fonctions doivent
s’interpréter de façon large, compte tenu des obligations que le peuple et le
gouvernement du Canada reconnaissent avoir à l’égard de ceux qui ont si bien
servi leur pays et des personnes à leur charge.
(…)
39. In all proceedings
under this Act, the Board shall
(a) draw from all the
circumstances of the case and all the evidence presented to it every reasonable
inference in favour of the applicant or appellant;
(b) accept any
uncontradicted evidence presented to it by the applicant or appellant that it
considers to be credible in the circumstances; and
(c) resolve in favour of
the applicant or appellant any doubt, in the weighing of evidence, as to
whether the applicant or appellant has established a case.
39. Le Tribunal applique, à l’égard du demandeur ou de l’appelant, les
règles suivantes en matière de preuve :
a) il tire des circonstances et des éléments de preuve qui lui sont
présentés les conclusions les plus favorables possible à celui-ci;
b) il accepte tout élément de preuve non contredit que lui présente
celui-ci et qui lui semble vraisemblable en l’occurrence;
c) il tranche en sa faveur toute incertitude quant au bien-fondé de
la demande