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MacDonald and BHP Billiton Ltd [2010] AATA 52 (27 January 2010)
Last Updated: 27 January 2010
Administrative Appeals Tribunal
DECISION AND REASONS FOR DECISION [2010] AATA 52
ADMINISTRATIVE APPEALS TRIBUNAL )
) No 2008/3834
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GENERAL ADMINISTRATIVE DIVISION
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Re
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Applicant
Respondent
DECISION
Date 27 January 2010
Place Sydney
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Decision
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The decision under review is affirmed.
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....................[Sgd]...................
Dr J D
Campbell
Member
CATCHWORDS
SEAFARERS COMPENSATION – nature of
psychiatric condition – multiple employers – nature and condition of
employment
– consequences of termination – assessment of entitlement
to compensation – decision under review affirmed.
Seafarers Rehabilitation and Compensation Act 1992 ss 3, 9, 26, 28
Comcare v Sahu-Khan [2007] FCA 15; (2007) 156 FCR 536
Treloar v Australian Telecommunications Commission [1990] FCA 511; (1990) 26 FCR
316
Wiegand v Comcare [2002] FCA 1464; (2002) 72 ALD 795
REASONS FOR DECISION
- Mr
MacDonald is a 51 year old self-represented man, who suffers from a disabling
condition. Mr MacDonald commenced his seafaring
career in June 1989, when he
attended the Launceston Maritime College. Mr MacDonald’s seafaring career
ceased when BHP Billiton
terminated his employment in a letter on 15 March
1999.
- Mr
MacDonald lodged a claim for compensation on 5 October 2007, citing occupational
stress and injury to the mind. He claimed the
injury occurred while he was on
board various vessels undertaking general duties, as well as during rest
periods. He further claimed
his role change from an integrated rating (IR) to an
engineering officer in 1993/1994 contributed to his injury in the following
way:
After having conformed to the seaman IR socialisation processes and fitted
into the required mould, including adaptation to thinks,
don’t thinks,
do’s and don’ts. I had extreme difficulty in reversing the way my
mind worked to fit into the company
oriented mould that was expected of me,
after I changed from IR to marine engineer officer.
I felt like I was mentally jammed and still
do.
- In
an accompanying statement dated 5 October 2007 (T5), Mr MacDonald detailed that
he had indicated to Dr De Bruyn that his date of
injury was 8 December 1992, as
this was the date he first signed articles in his new role environment of marine
engineering, after
three years in the IR type role. Mr MacDonald further
recorded that:
The difficulties I had and still have relating to conformity issues as part
of the role change process certainly began after that
date and intensified
exponentially after January 1994 when I signed articles as a licensed engineer
... It is only very recently
that I have begun to realise the effects to me from
the system change that I was a part of.
- On
21 January 2008, the Respondent denied liability in relation to Mr
MacDonald’s claim for compensation for a psychiatric injury
arising out of
or in the course of his employment with BHP Billiton between 1993 and 1999,
pursuant to sections 3, 9, 26 and 28 of
the Seafarers Rehabilitation and
Compensation Act 1992 (the Act).
- Mr
MacDonald applied for review on 17 April 2008. On 19 June 2008, the Respondent
affirmed its earlier determination of 21 January
2008. This is the reviewable
decision before me.
ISSUES
- The
relevant issues in this matter are:
- (a) Does Mr
MacDonald suffer from a psychiatric condition and, if so, what is the diagnostic
nature of that psychiatric condition?
- (b) Did Mr
MacDonald’s psychiatric condition arise out of or in the course of his
seafaring employment with BHP Billiton?
- (c) Is Mr
MacDonald entitled to be paid compensation pursuant to the
Act?
FURTHER BACKGROUND MATERIAL
- Mr
MacDonald detailed the following circumstances of his life and employment
history:
- He had a
relatively happy childhood, leaving school at age 16, having completed year
10.
- He completed a
four year apprenticeship with NSW Railways in fitting and machining, during
which he “upset the apple cart”,
when he broke a demarcation rule
and fitted a copper pipe in an engine refit which led to a stop work
meeting.
- In 1978, he
motorcycled to Rockhampton (Yeppoon) to work on prawn trawlers in summer months
and other jobs in the winter months (bush
fencing). This seasonal activity
continued for about five years during which time he teamed up with a girl,
worked a number of mining
and oil jobs during the winter months as well as an
unlicensed aircraft maintenance engineer, had two drink driving charges and was
involved in a serious motor vehicle accident after which he was hospitalised
with a fractured skull for 10 days. After receiving
a pay out from the
accident, he purchased a house at Emu Park with his girlfriend and found work in
an automatic transmission shop
but he found it unsatisfactory and got back into
the aviation industry, during which time he recreationally jumped out of
airplanes
and was involved in hang-gliding.
- In 1986, he
commenced a two year course for a Diploma in Electrical Engineering at the
Capricornia Institute of Advanced Education.
Mr MacDonald did not
satisfactorily complete the second year of the course, having previously been
advised by the teacher to change
to the mechanical stream after the first
year.
- In 1989, his
relationship with the girl having ended, Mr MacDonald took some time off, went
to Sydney, visited family in Newcastle.
It was during this time that he
developed an interest in the maritime industry, and began to make enquiries to
gain entry.
- In June 1989, he
commenced five months of training at the Maritime College at Launceston. He had
no trouble with his capacity to pass
all the courses and found them fairly
basic. There was dissatisfaction over the timeliness of pay payments, he was
elected to represent
the new entrants, with subsequent approaches to management
not well received. In particular, Mr MacDonald made mention of a letter
to do
with pay and a few minor issues that he sent to the manager which resulted in
him being sacked on the last day of the course
and being told that he would not
be going to sea. Two weeks later he was given his certificate of rating by the
Australian Maritime
Safety Organisation (AMSO) and allocated to a ship, MV
Alltrans.
- In late 1989, he
joined MV Alltrans as a trainee IR and there arose an issue over
“fronting the captain face-to-face and speaking to him on a man-to-man
basis”
– an issue for which he was “sort of rebuked” and
which he had not been prepared in his pre-sea training, namely
a class-based
segregation and differential process. On the first trip, his work involved
painting and chipping, while on the second
trip he took it upon himself to take
some broken stair rails from the engine room to the workshop and weld them up
and put them back
on – this caused a minor eruption, as it was not his
work and it was far outside the norms of other workers. Mr MacDonald
stated
that the next day he was in the engine room when five of the engineers were
pulling the piston out of the main engine, Mr
MacDonald saw what had to be done,
positioned himself appropriately, was told to hoist the piston up by the chief
engineer and did
so, which at that point one of the junior engineers tried to
rip the control of the crane out of his hand – “I nearly
backhanded
him”. Mr MacDonald stated as none of the ships had been modified to the
new system, he was viewed as an anomaly
by those on board. Mr MacDonald also
detailed an event when he accompanied a trainee engineer to replace some
bearings on the end
of a roller. He found it necessary to intervene, as he was
astounded at the lack of mechanical expertise by some of the fellows,
who were
more interested in “asserting a status situation rather than focusing on
the role of doing the work”. Mr MacDonald
considered that the more you
showed interest in somebody else’s territory or in somebody else’s
work, the heavier the
process was to stop that. During this period Mr MacDonald
stated that “I adapted to unionism or to the trade union movement.
I
embraced the culture wholly.”
- In 1992, Mr
MacDonald served on the Trans Tas Trader, a ship which had the reforms
fully introduced, with the walls between officers and seamen removed. He
completed his 36 weeks training
as a provisional IR and went to work as a fully
licensed seaman on a rig tender in the west. At this time, Mr MacDonald stated
he
still had a lot of drive and was not being satisfied in life as a seaman. He
did not feel that the union side of things was going
to provide him with the
satisfaction needed in the workplace, although at that stage he remained unaware
as to how much the unionist
culture had been entrenched in him. As a
consequence he approached the Australian Maritime Industries and made
application for sponsorship
for training as an engineer – an application
which was accepted, after which he resigned his membership in the seaman’s
union.
- In 1992, Mr
MacDonald completed his watchkeepers certificate over a five month period at
Newcastle TAFE.
- In 1993, Mr
MacDonald commenced his 36 week period of employment as a trainee engineer on a
Caltex tanker, Australia Ocean. Initially Mr MacDonald found that moving
into the engineering role took up his entire thinking. After the first swing to
Saudi
Arabia, during which Mr MacDonald found the officers and seamen to be
relatively amiable, and during which he threw himself into
the work, which other
fellows found difficult, the entire crew was changed. During the changeover, Mr
MacDonald was advised by one
of the outgoing crew that the new chief engineer
was going to have him sacked. After two or three trips to the Caltex refinery
in
Westernport Bay, during which he observed that the captain and the chief
engineer were much more hardline, an episode occurred in
which he, the chief
engineer and one other engineer went ashore by tender and socialised playing a
few games of pool. The chief
engineer and engineer returned on the 6pm tender
vessel, with Mr MacDonald deciding he would return on the 9pm tender. The 9pm
tender
did not show. Mr MacDonald returned to the vessel at 7am, was called to
the chief engineer’s cabin, where he was dismissed
on the spot. Mr
MacDonald said he returned to Sydney, sought assistance from the Institute of
Engineers and the Australian Maritime
Industry, with the former requesting that
Caltex give him a second chance – this being denied as he had
fundamentally broken
the norms, while the latter secured an opportunity for Mr
MacDonald to continue his training with BHP as an engineer. Mr MacDonald
later
indicated in other correspondence that the onset of occupational stress
developed during his Caltex employment on Australia Ocean.
- In May 1993, his
engineering training continued with BHP on the Iron Monarch. Mr
MacDonald found that this was a ship in which “us” was the officers,
and “them” were the seamen. During
his time on the Iron
Monarch, Mr MacDonald had some difficulties with the third engineer,
difficulties in conforming to the process of officer/seamen relationships,
difficulties with the chief engineer, who had very strong negative views to his
presence, and when trying to resolve such issues
with the chief engineer in his
office, considers that such events which occurred in the office were of a nature
suggestive of homosexual
overtones. He remained on the ship for some 10
weeks.
- In the second
half of 1993, he continued his engineering training on the Iron Flinders
where he continued to feel socially isolated, and remained socially confused as
he felt the priority of doing his job was far more
important than maintaining
any social differential. Mr MacDonald stated that he was paid off towards the
end of 1993, having finished
his 36 week trainee engineer period.
- On 27 December
1993, having achieved his goal to become an officer, he signed on as fourth
engineer on the Iron Kembla. Mr MacDonald stated that at this stage,
while he enjoyed the responsibility, he felt he was functioning on his own,
having been
alienated for reasons that he did not understand, and as a
consequence he felt negative pressures arising from his non-conformance
to the
standard/norms which were expected of him. While on the Iron Kembla, Mr
MacDonald stated that the chief engineer was a little bit upset with his
continued fraternisation with the seamen and at the
end of the swing told him he
did not like his politics.
- In 1994, when on
leave in Newcastle, having completed his swing on the Iron Kembla, Mr
MacDonald described an incident in the Hunter Street Mall where two fellows
signified by their body language that he should not
take a copy of the
“Guardian” as a left wing newspaper is not in the realm of norms for
a BHP officer. This caused him
much anxiety, which was not assisted by Mr
MacDonald having a beer. “I really, by then I really didn’t know
what was
up and what was down. I was having a lot of trouble.”
- Again in mid
1994, just before he joined the Iron Kembla on the second swing, he was
standing in Strzelecki Park when accosted by an older man who spoke in a dialect
that was associated
with the maritime industry and in a manner which was both
assertive and almost aggressive as to whether he could do it again (a further
swing on the Iron Kembla).
- Mr MacDonald
detailed that in the second swing he was asked by the first engineer to cut his
hair, which he did, but in retrospect
he thought that he was supposed to engage
in an act of homosexuality because a junior engineer who did complete the hair
cutting
task was promoted, and the first engineer made it difficult for him
through the rest of the swing.
- On completion of
the swing in July 1994, he returned to Emu Park/Yeppoon, where by the end of his
leave he felt socially disorientated.
During this period he met a politician
who provided him with some material on the history behind the reforms in the
maritime industry.
- He rejoined the
Iron Kembla, threw himself into work, remained confused, social tension
increased, broke his ankle and was paid off in Port Hedland.
- At the end of
1994, he flew back to Rockhampton, had a pin inserted in his ankle, and was
visited in the hospital by the same politician.
At this time he felt
disoriented as regards his social/political orientation. During his recovery
period he experienced a number
of strange events, one involving two girls,
another involving the politician, and a third involving two girls in Brisbane
–
all these events increasing his confusion, which led him to seek
assistance from Mr Acutt, a psychologist. Mr MacDonald stated that
he found it
difficult to relate to Mr Acutt, as his capacity to articulate was very much
hindered by anxiety and confusion. At this
time Mr MacDonald considered that
his telephone was bugged, as he heard two fellows two days later when they
walked past him project
their voices in his direction and repeat aspects of his
earlier telephone call. A similar event occurred shortly after, this time
with
two girls in an ANZ Bank discussing aspects of his proposed travel to America
– which he had earlier made in a telephone
call with a travel agent.
- Further, during
this period of recuperation, he started receiving telephone calls about various
materials for sale, but ended up talking
about riding a Ducati. Mr MacDonald
considered that the telephone calls were referring to things that were discreet
to him. He
spoke with the police at Yeppoon about telephone interceptions.
- In late 1995, Mr
MacDonald joined the Iron Chieftain as the third engineer, there having
been in Mr MacDonald’s understanding a further reform whereby the captain
and the chief
engineer were essentially equals. At the time Mr MacDonald stated
that he enjoyed the challenge of his work, but his approach to
seamen was
“rocking the boat”, with reaction from fellow officers that he was
breaking “the status culture”.
Mr MacDonald felt that he was having
difficulty fitting in as an officer, and did not feel accepted by the other
officers.
- During his swing
leave, Mr MacDonald noted that the situation on the home front deteriorated as
the feminist situation began to escalate,
with affirmative action causing
tensions for him.
- In mid 1996, he
sailed on the Iron Spencer, where he found he was in “all sorts of
hot water”, that he remained socially isolated, and there was general
confusion
about the change program.
- He returned to
Emu Park for leave, where he got into fights with people who were
“associated with the forces of modernism”,
one such fight occurred
on the night before he was due to join the Iron Whyalla, when he dropped
one fellow a couple of times in the backyard, before two others entered, who he
thought may have been company engineers.
- On joining the
Iron Whyalla the next day, another engineer remarked that “you
broke his jaw.” During the swing in late 1996, the second engineer
confronted him and said “you have to conform.” As the vessel was
sailing to Japan, Mr MacDonald had some thoughts about
having oral sex with a
red-headed girl – a thought which almost materialised when he was accosted
by a red-haired Japanese
girl on a train in Japan. On the trip home, Mr
MacDonald stated that he assisted the second engineer by showing him how to
repair
a pneumatic actuator unit, and when the ship returned to Australia, he
stayed in a hotel to assist in the repair of other units.
- On returning
home in what he believed to be mid 1997, he received a telephone call requesting
him to go to Melbourne and meet with
management. At this meeting some four or
five days later, complaints concerning his behaviour were raised with him
– namely
that he was not conforming and not performing, that he was
argumentative and that he had not completed an appraisal form. Mr MacDonald
stated that he was dumbfounded and unable to comment because of his
confusion.
- Mr MacDonald
also noted that when he was on leave between his first and second swings on the
Iron Whyalla, he travelled to the United states, where again a series of
bizarre events occurred when travelling to Santa Monica and during his
stay
there.
- On his return,
when joining the Iron Whyalla, he encountered an attractive female in an
aft alleyway, and later, having changed, he was introduced to her, she being the
wife
of the second engineer. Mr MacDonald observed that there were tensions
between him and the second engineer for the whole of the
trip to Port Hedland,
with he believing the second engineer to be not very skilled. Mr MacDonald said
he was accused of not conforming
and he did not understand what he was doing
wrong, and this led to him becoming more socially withdrawn. At Port Hedland,
having
been for a walk, he noted alarms were going off in the engine room one
after another for half an hour. The telephone rang with the
wife of the second
engineer asking to talk to her husband – a request Mr MacDonald was unable
to comply with as her husband
was in the engine room. Mr MacDonald stated that
he proceeded to the engine room, pointed out the solution to the impasse in the
engine room to the chief engineer, with the latter and the second engineer
remaining to fix the problems and Mr MacDonald to retire.
Mr MacDonald said he
returned to the officers’ saloon when the phone rang and again it was the
wife of the second engineer
who, in Mr MacDonald’s view, became hysterical
when he informed her that the second engineer was still busy.
- On the return
voyage to Port Kembla, Mr MacDonald stated that he was approached by the first
engineer who said to him “You have
troubles with the second
engineer”, in that the latter was accusing him of having abused his wife.
The matter was referred
to the chief engineer who asked each party to apologise
to the other. Mr MacDonald said he refused to apologise and the matter was
referred to the captain, who on hearing the issues regarding the second
engineer’s wife said to Mr MacDonald that he would
be going to Melbourne
on their return to Newcastle.
- On return to
port, Mr MacDonald stated he was flown to Melbourne, that he was accompanied by
a member of the AIMPE to the meeting
with various BHP maritime managers, and
that after a brief discussion, where attempts to raise issues of homosexual
behaviour were
ignored, Mr MacDonald was given a final warning, a tape
concerning interpersonal relationships and the name of a person to discuss
such
issues with, an instruction to conform and to complete his officer appraisal
forms. Mr MacDonald thought the meeting lasted
about five minutes, before he
was asked to leave the building and was then escorted from the building and flew
back to Rockhampton
to continue his leave.
- Mr MacDonald
stated he next served on the Iron Spencer, where he completed the officer
appraisal form only to have it returned because it made mention of difficulties
with social interaction
– another form was supplied, with Mr MacDonald
stating that he was instructed on how to fill it in.
- After further
leave, Mr MacDonald joined the Iron Chieftain, at which time his state of
disorientation was pretty bad. The chief engineer accused him of letting
“them” get too close.
Tension remained for the remaining eight
weeks of its swing.
- Mr MacDonald
stated that after leave, he joined Seacap where the tensions from the
other officers were immediately obvious, with him being viewed as a major
problem.
- After his swing
on the Seacap and leave into early 1999, he wrote a letter to management
inquiring as to his next ship. He received a letter in reply saying he
had been
dismissed. After a period he contacted AIMPE in Brisbane to seek assistance to
conduct an unfair dismissal case. A case
was eventually heard before the
Industrial Commission with Mr MacDonald failing in his case.
- From 1999
through to late 2001, Mr MacDonald sought assistance from psychologists and
psychiatrists to help deal with the issues that
he had confronting him. In
2002, and for a period of two years, he conducted research at the University of
Central Queensland into
organisational and behavioural psychology to try and
understand what he had been involved in. Since that time he has continued
seeking
assistance from psychologists/psychiatrists to help him better
understand the issues that confront him.
THE MEDICAL
EVIDENCE
- In
August 1992, Dr Arnold referred Mr MacDonald to the Hunter Area Mental Health
Service (Shortland Clinic). Notes made at that clinic
on 4 August 1992 detail
Mr MacDonald as stating “there are skeletons in the family closet, and in
the past has had self esteem
problems.” It is noted that Mr MacDonald
presented as a tentative fellow, somewhat lonely in life and unsure about close
relationships
(exhibit R4).
- On
16 February 1995, Mr MacDonald first attended upon Mr Acutt, in response to his
request for assistance under the InterLock Employee
Assistance Program. Mr
Acutt detailed his history since joining the service in Launceston in 1989 and
concluded that Mr MacDonald
has a personality disorder, which has resulted in
his ostracism and hence his growing paranoid delusions. The notes indicate that
Mr Acutt saw him again on 23 March 1995 and 22 February 1996 and both reports
indicate ongoing issues (exhibit A2).
- On
24 July 2003, Dr Bailey, a locum psychiatrist with the Rockhampton District
Mental Health Service, wrote to Dr Donohue confirming
the latter’s opinion
that Mr MacDonald has a paranoid psychosis, being either a delusional disorder
or a functional psychosis
(schizophrenia). Dr Bailey attached an assessment
protocol completed by a clinical nurse consultant. In this protocol it is noted
that he has a 19 year history of paranoid delusional beliefs stemming from a
complex delusional system involving his beliefs about
changes in our culture and
politics. On examination, the following comments were made in relation to
“thought”:
Form: He was over inclusive both in his verbal and written communications
and also demonstrated tangentiallity, blocking and derailment.
Content: This included persecutory ideas, thought insertion and projection,
sexual references in relation to transsexuals and homosexuals
and ideas about
social and political manipulation with himself as the center (sic) of some
social engineering conspiracy.
In relation to
“perceptual disturbance” the assessment noted:
He relates a complex delusional system which includes thought insertion and
projection, ideas of reference from the media and the
ability to determine
others sexuality by their appearance. He has a very entrenched belief that, in
1994 when he became a marine
engineer and entered the management level in the
maritime marine, members of “the Left” pressured him to break down
social,
cultural and sexual barriers in society. (exhibit
R7)
- In
a discharge summary from the same mental health service dated 17 September 2003,
it was noted that Mr MacDonald became increasingly
agitated when challenged on
his delusions and had deteriorated despite outpatient review. He had been
admitted as an involuntary
patient for about a fortnight and was treated with
medication (exhibit R7).
- In
a further summary assessment dated 21 June 2006 (exhibit R7), Dr Rofe from the
same mental health service concluded that counselling
will be of little benefit
as his chronic paranoid schizophrenia, along with his compulsive and
narcissistic traits, makes it too
difficult.
MR ROBERT KERR
– PSYCHOLOGIST
- In
a report dated 2 October 2007 (T4), Mr Kerr noted Mr MacDonald’s
presentation as complex and that his preferred method of
dealing with issues is
to rationalise them by developing a language that allows him to understand and
cope with a situation that
first developed some years ago and is ongoing. Mr
Kerr continued:
Mr MacDonald is thoroughly absorbed by coping with and trying to control the
emotional and cognitive turmoil that is a constant distraction
to him and one,
which he often feels unable to control to the extent that he is overwhelmed.
His intense focus on the matter and
his hyperarousal contribute to his often
being unable to distinguish whether everyday occurrences are coincidences or
events associated
with his involvement with the marine
industry.
DR KATHRYN LOVRIC –
CONSULTANT PSYCHIATRIST
- In
a report dated 20 December 2007 (T15), Dr Lovric detailed Mr MacDonald’s
clinical history. Dr Lovric noted that he gave
slow and detailed accounts with
recurring paranoid themes, and she noticed disorder in the form and structure of
his sentences and
evidence of disorganised thinking. He expressed ideas
consistent with paranoid delusions and ideas of reference and probable auditory
hallucinations.
- Dr
Lovric considered that the most likely diagnosis is schizophrenia. She said it
is usually constitutional in nature, and can be
unmasked by severe and
significant stress, however, the reported stress in this matter does not appear
to be of that calibre.
- I
also note that Mr MacDonald has consulted Dr Vickery, a consultant psychiatrist,
in Newcastle on five or six occasions, with Mr
MacDonald stating that when he
explained his “socialisation concepts”, Dr Vickery “just
looked at me dumbly and
or suspiciously.” Further I observe that Mr
MacDonald also consulted Dr Parker, a psychiatrist, on a few occasions, but
again
he felt that she did not take some of his statements
seriously.
DR GEOFFREY ROBINSON – CONSULTANT
PSYCHIATRIST
- In
a report dated 19 May 2008 (exhibit A6), Dr Robinson, after noting that he had
seen Mr MacDonald on six occasions since February
2008, concluded that his
working diagnosis for Mr MacDonald’s psychiatric condition is paranoid
personality disorder.
DR JIM JUPP – CLINICAL
PSYCHOLOGIST
- In
a letter to Dr Martin dated 6 April 2009 (exhibit A3), Dr Jupp concluded from Mr
MacDonald’s history that an adjustment disorder
(mixed anxiety/depression)
developed slowly over the period 1993-1999, associated with stressors arising
from his change in role
from seaman to engineering officer. Dr Jupp observed
that Mr MacDonald experienced an episode of decompensation with both homophobic
(encounters he had as a trainee engineering officer) and political delusional
elements (perceptions that he was part of a vanguard
trained to break down the
social boundaries between crew and officers). Dr Jupp considered him to be
depressed and with noticeable
phobic anxiety. This, he considered, correlated
with very strong interpersonal sensitivity, relatively mild paranoid ideation
exhibited
in schizoid beliefs.
- In
a further progress letter to Dr Martin dated 12 June 2009 (exhibit A5), Dr Jupp
observed that Mr MacDonald “had only one
certain belief about himself in
making the transition from seaman to engineer. Specifically that he was
mechanically skilled. He
was sure that this would be recognised by others
despite their potential antagonism in other respects. Consequently he was
devastated
by the part of the reason given for his dismissal which referred to
his low performance.”
- In
oral evidence, Dr Jupp agreed that if an individual wants to be accepted by a
group, it is certainly much easier for that to occur
if the individual complies
with the norms of the group, however those norms may be communicated. Dr Jupp
acknowledged it to be unequivocally
true that performance of ascribed tasks is a
factor leading to group formations. Dr Jupp also acknowledged that the extent to
which
one is able to adapt to all the group’s norms would be determined by
factors within the individual, and that it may have been
a bit more difficult
for Mr MacDonald during his period as a seaman to fit in because of his strong
mechanical background and his
inability to undertake work for which he had been
trained. Dr Jupp also considered, as a result of his discussions with Mr
MacDonald,
that Mr MacDonald held a perception that there was a vast
differential between officers and seamen, and that he also had a belief
at some
point in his career as a seaman that the system had changed. In Dr Jupp’s
opinion it was Mr MacDonald’s perceptions
and beliefs about the system
that resulted in him being in conflict for a very substantial period of time,
and in such periods, his
perception was that he was not supported. Dr Jupp was
also specific in stating that the first episode of collapse (decompensation)
by
Mr MacDonald occurred while he was a seaman.
DR GREG STEELE
– CONSULTANT PSYCHIATRIST
- In
a report dated 14 October 2008 (exhibit A1), Dr Steele detailed Mr
MacDonald’s clinical history as related to him. Dr Steele
considered Mr
MacDonald’s thought processes to be normal in flow and form and
appropriate and congruent in content and apart
from his belief system concerning
political re-socialisation and the union industry conflict, there were no other
abnormalities elicited.
- Dr
Steele considered Mr MacDonald to be suffering from a psychotic illness, most
probably a delusional disorder of the persecutory
type. Dr Steele noted that
apart from the impact of the delusions and their ramifications, Mr
MacDonald’s functioning has
not been markedly impaired and his behaviour
is not obviously odd or bizarre, until one gets to know him well or until he
reveals
his ideational content. Dr Steele also included an alternative
diagnosis of chronic paranoid schizophrenia, but in his view, the
minimal
presence of perceptual anomalies and the general preservation of his personality
would count against this.
- Dr
Steele considered that in Mr MacDonald’s case, his transition from
socialist inspired unionist to officer and what he perceived
as the disgruntled
attitude of both classes of seafarers towards him, given the close confines of
the ship, would have been a major
stressful event. Dr Steele considered that,
while his working situation may not have been the cause of a pre-existing
predisposition,
the situation he was in and the attitude he brought to the
situation may have acted as a trigger for whatever neurophysiological
cascade of
events needed to occur to result in eventual psychosis. Dr Steele also noted
that the maintenance of his psychotic illness
since 1999 is due to the
inexorable process of the illness, rather than the actions of any particular
individual or group.
- In
oral evidence, Dr Steele considered that, when Mr MacDonald was called to
Melbourne in 1996 because of interpersonal and vocational
difficulties, it was
the advanced nature of the psychosis that contributed to his difficulties, with
any role change issue being
a historical event. In assessing onset, Dr Steele
considered the events in the Hunter Street Mall in 1994 more significant than
the summary dismissal in 1993, and regarded it as the first of Mr
MacDonald’s psychotic episodes, although the dismissal event
in 1993 was
of a greater significance than he had previously believed when assessing the
history given to him by Mr MacDonald, with
this event possibly being one of the
triggers amongst many. Dr Steele also considered that Mr MacDonald would
refract all his experiences
through the lens of his particular ideational
peculiarities. Dr Steele considered that Mr MacDonald’s dismissal in 1999
would
have probably aggravated symptoms, but played no part in maintaining such
symptomatology. Dr Steele also stated that Mr MacDonald’s
three year
period as a seaman may have had some effect on him, but he had no evidence to
say one way or the other that it was the
originating event.
DR
ROBERT HAIK – CONSULTANT PSYCHIATRIST
- In
a report dated 4 November 2008 (exhibit R2), Dr Haik, having detailed a clinical
history, noted that Mr MacDonald demonstrated
the presence of thought
disorder:
- Often his
thinking/speech revealed loosening of associations and was at times tangential
despite correct grammatical form.
- He used
complicated expressions which were difficult to follow.
- He exhibited
ideas of reference such as his belief that a man in the supermarket reacted with
disdain because he had failed to acquiesce
to what he believed was an unknown
woman’s “availability”.
- Dr
Haik considered the appropriate diagnosis for Mr MacDonald’s psychiatric
condition is paranoid schizophrenia. He considered
the illness was more likely
to have emerged unprovoked as opposed to resulting from work stress. Dr Haik
noted that a key feature
of schizophrenia in those who have the condition is a
difficulty relating to others. Most frequently they are aloof, socially
isolated,
and feel alienated by and suspicious of others. Dr Haik considered it
probable that the expression of the developing schizophrenia
led to his out of
character behaviour and subsequent dismissal rather than the conflict of the
cultural interface. Dr Haik also
noted the existence of supporting evidence for
Mr MacDonald’s problem being driven by schizophrenia, namely that his
symptomatology
has continued unabated since leaving the maritime industry. It
is the continuance of his psychotic condition in the absence of a
stressful
workplace that makes it most unlikely that it was precipitated by his workplace
stress.
- In
oral evidence, Dr Haik confirmed his view that his diagnosis remained paranoid
schizophrenia. He said it was a slow developing
condition probably unassociated
with Mr MacDonald’s maritime activities in terms of causation, but was
unable to exclude maritime
workplace stress as possibly contributing to the
illness.
CONSIDERATION AND FINDINGS
- In
this matter, much written and oral material has been presented by Mr MacDonald.
In so doing he has repeatedly detailed his story
as he perceives it to have
occurred, and defined his beliefs according to his interpretation of what
occurred over his period of
maritime service as a seaman and an officer and his
life experiences since his termination from the maritime industry in March 1999.
I observe that his often repeated story is consistent in defining these
particular beliefs, but at times it is evident that there
is an absence of
consistency in defining particulars relating to times and events. For example,
the year and reason for attending
the Shortland Clinic in August 1992, the
difficulty in remembering names of particular engineering officers and his
apparent difficulties
in addressing and/or redressing issues that occurred in
the maritime workplace. As far as any inconsistencies are concerned, I accept
that such are inherent consequences of psychiatric disease.
- I
am mindful that Mr MacDonald has lodged his claim with BHP Billiton as the
nominated employer and respondent in this matter. I
note that Mr MacDonald was
employed as engineering officer with BHP Billiton from 27 December 1993 until
his dismissal on 15 March
1999. I observe that section 3 of the Act commenced
on 24 December 1992 and other relevant sections on 24 June 1993. I note that
Mr
MacDonald’s maritime service and experiences commenced in June 1989, and
that between that date and his employment with
BHP Billiton, other employers
existed, including Australian Maritime Industry Training Authority and Caltex.
In all likelihood, any
claim against such employers would be addressed within
the context of the Seamen’s Compensation Act 1911 (repealed).
- I
have been particular in detailing Mr MacDonald’s relevant clinical, social
and work history and his beliefs formed and held
as a consequence of that
history. I have no doubt that he holds such beliefs, with the verbalisation and
documentation of such beliefs
a consequence of his interpretation of all the
circumstances that he experienced during his maritime service. Further, I am
satisfied
that Mr MacDonald evolved a better understanding, a reinforcement of
such beliefs, and an increased ability to express such beliefs
both orally and
in writing, as a consequence of his two years of research into organisational
and behavioural psychology and his
increasing interaction with psychologists
over time.
- In
reviewing his work history with the maritime industry, I observe that there was
a particular issue towards the end of his period
of training at Launceston which
appears to have arisen as a consequence of a letter written by Mr MacDonald to a
supervisor concerning
pay and other issues at the College. I note that during
his three years of seaman duty, Mr MacDonald was dissatisfied about his
inability to use his mechanical skills in his everyday duties and that as a
consequence, it was necessary for him to embrace the
union movement. I observe
that as a trainee engineer serving on the Caltex ship, Australia Ocean,
on the second or third trip to Westernport Bay, Mr MacDonald, having been
forewarned by one of the outgoing crew that the chief
engineer was going to have
him sacked, was dismissed for failing to return to duty at the appropriate time.
Thereafter I note the
circumstances of Mr MacDonald’s service as an
engineer as described earlier in this decision.
- In
addressing the nature of Mr MacDonald’s psychiatric condition, I have
detailed the relevant psychological and psychiatric
evidence before me. I am
satisfied on the balance of probabilities that Mr MacDonald suffers from a
psychiatric illness and that
the probable diagnosis is chronic paranoid
schizophrenia. In so finding, I rely upon the opinions of the psychiatrists and
clinical
nurse consultant from Rockhampton Mental Health Service, although I
would need further evidence before I could accept that Mr MacDonald
had a 19
year history of mental health problems at the time of presentation. Further, I
rely upon the opinions of Drs Lovric and
Haik, who considered Mr MacDonald to be
demonstrating thought disorder as well as experiencing auditory hallucinations.
I note that
Dr Steele considered Mr MacDonald as suffering from a related
psychotic illness, namely delusional disorder. While in oral evidence
he did
agree to disordered thought content, he considered the nature of the auditory
experiences and the relative intactness of personality
to be more consistent
with his diagnosis.
- I
acknowledge that Dr Jupp considered adjustment disorder with anxiety and
depressed mood to be the appropriate diagnosis. In making
such a diagnosis, Dr
Jupp noted homophobic and political delusional elements, and mild paranoid
ideation exhibited in schizoid beliefs.
Further, Dr Jupp considered the
disorder to have evolved over the period of his maritime service with his first
episode of decompensation
occurring as a seaman. In rejecting such a diagnosis,
I note the opinion of the other psychiatrists that I have nominated, as well
as
Dr Jupp’s insistence that medication is required to deal with his
continuing symptoms as well as counselling, this being
more in line with an
underlying psychotic disorder, as all the psychiatrists suggest the same
therapy.
- I
have already noted that Mr MacDonald holds particular beliefs concerning both
causation and his understanding of particular experiences
that he was exposed to
during his period of maritime service and continuing thereafter. Such beliefs
are keenly held and include
causation of his condition arising from the
difficulties he experienced in conforming to the cultural norms expected at the
officer/seaman
interface as a consequence of moving from a unionised seaman to
an engineering officer. Mr MacDonald also firmly believes that the
many
incidents that he has detailed did happen as he described, with his explanations
for such happenings better articulated in more
definitive language after his two
year period of research into organisational and behavioural psychology in 2001
to 2003. I accept
that he holds such beliefs and that because of these beliefs,
he further believes that he is better able to portray his life experiences.
I
accept that such a belief system is an integral component of his psychiatric
condition, and is very much a symptom of the nominated
psychiatric disease which
has been diagnosed.
- As
Mr MacDonald’s chronic psychiatric condition is ongoing, and requires
treatment by way of medication and counselling (Drs
Steele, Lovric, Haik and
Jupp), such an ongoing belief may not necessarily be a valid representation of
the circumstances that he
tried to explain by virtue of those held beliefs. In
such circumstances, I would seek the availability of other corroborative
material
before accepting such beliefs as being of significant evidentiary
weight or probative value.
- I
note that different expert opinions have been proffered concerning the time at
which Mr MacDonald’s condition became clinically
evident. Mindful that
such opinions depend on the extent and content of the clinical history made
available for appraisal, I observe
that Dr Jupp concluded that Mr
MacDonald’s psychiatric difficulties commenced during his years as a
seaman, with his condition
evolving over subsequent years as a trainee engineer
officer and as an engineering officer. Dr Steele considered the disease process
became florid in 1994 at the time of the Hunter Street Mall incident in
Newcastle, while Dr Haik considered the condition arose towards
the latter part
of his maritime service as an officer.
- I
note that the psychiatric condition, schizophrenia, is said to be a
constitutional disorder, often genetically determined. I observe
from the
expert opinions rendered that the clinical expression of this condition may
arise unprovoked by environmental events or
alternatively in response to a
triggering event or issue. I further note that in the evolving course of the
condition, a major difficulty
experienced by the affected individual is his
ability to relate to others. This is evidenced by the affected individual being
aloof,
socially isolated and feeling alienated and suspicious of others. In
such situations, as expressed by Dr Haik:
It is probable that it was the expression of the developing schizophrenia
that led to his out of character behaviour and subsequent
dismissal rather than
the conflict of the cultural interface, an entity to which he had been long
exposed before his argumentativeness
and non-conformity was dealt
with.
- The
opinion that the psychiatric condition, no matter what diagnostic label is
attached by the clinicians in this matter, engendered
the beliefs held, which in
time created the interpersonal conflict, as espoused by Dr Haik, is central to
the opinions of other clinicians,
namely:
Mr Acutt – his
personality disorder has resulted in his ostracism and hence his growing
paranoid delusions.
Dr Jupp – his perceptions and beliefs about the system resulted in him
being in conflict for a very substantial period of time.
Dr Steele – the maintenance of the psychotic illness since 1999 is due
to the inexorable process of the illness.
I note that similar inferences may be drawn from the reports of Rockhampton
Mental Health Service and Dr Lovric.
- While
the above analysis may explain the cause and course of Mr MacDonald’s
psychiatric condition, once the disease process
has announced its presence, the
issue remaining for determination is whether the pre-existing underlying
constitutional condition
arose to clinical expression unprovoked, or whether Mr
MacDonald’s occupational stress born of his inability to conform with
the
expected cultural norms triggered the clinical onset of his condition. While
earlier I detailed that there is much material
to suggest that Mr
MacDonald’s psychiatric condition arose, unprovoked, to clinical
expression, the issue to be determined
is whether Mr MacDonald suffered an
ailment or an aggravation that was contributed to in a material degree by his
employment. If
so, this would constitute an injury pursuant to section 3 of the
Act, provided it was not a result of reasonable disciplinary action
taken
against him.
- In
addressing the issue of whether Mr MacDonald’s psychiatric condition was
contributed to in a material degree by his employment,
I observe that Mr
MacDonald holds particular beliefs and perceptions as to why he experienced
stress in the workplace. I accept
that he holds such beliefs and perceptions.
I further understand that there is no requirement at law that such perceptions
pass
a qualitative test based on an objective measure of reasonableness. While
Mr MacDonald has described a number of specific incidents
during his maritime
service, his general belief was that stress arose intrinsically as a consequence
of conforming to norms determined
by and around the cultural interface dictated
by the workplace. I earlier considered and concluded that stress arose as a
consequence
of Mr MacDonald’s disease process interacting with people and
events in the workplace, and not the nature of the work or events
occurring in
the workplace. In the circumstances, my initial impression is that it is not
open to me to conclude that either the
nature of the work or the events in the
workplace contributed, in a material degree, to Mr MacDonald’s psychiatric
condition
(Wiegand and Comcare [2002] FCA 1464; (2002) 72 ALD 795 considered and followed
– the perceptions held do not relate to the nominated state of affairs
found to exist. It was the disease
process and not the nature of his duties in
the workplace that created the conflict and resultant stress).
- In
circumstances that I am in error in my analysis in the previous paragraphs, I
move to consider whether workplace stress, as defined
by Mr MacDonald in his
beliefs and perceptions about his maritime service career, has made a material
contribution either to the
condition or the aggravation of his psychiatric
condition. I note that the causal connection must be established on the
probabilities
and not left in the area of possibility or conjecture (Treloar
v Australian Telecommunications Commission [1990] FCA 511; (1990) 26 FCR 316 at 323 –
considered and followed).
- A
careful analysis of the psychiatric opinions concerning the issue of
contribution rendered in this matter conclude that Mr MacDonald’s
workplace experiences and resultant stress may have or is possible (Dr Steele),
stress was not of the calibre (Dr Lovric), workplace
stress may have been a
trigger for whatever neurophysiological cascade of events needed to occur to
result in the eventual psychosis
(Dr Steele) and it was more likely to have
emerged unprovoked as opposed to resulting from work stress (Dr Haik). On the
basis of
such opinions, I conclude that it is possible that stress may have
contributed to the clinical course of his psychiatric disease
by way of being an
aggravating factor, however, this does not assist Mr MacDonald in achieving a
positive outcome in relation to
his claim, as the causal connection must be
established on the probability of contribution.
- Further,
I am mindful that the word “material” has been further defined by
Finn J in Comcare v Sahu-Khan [2007] FCA 15; (2007) 156 FCR 536 (considered and
followed). In the analysis of the material before me I am unable to nominate
material which would permit me to find
that the workplace stress (as opposed to
stress arising as a consequence of the disease process and the effects of such,
both in
the workplace and elsewhere) was either significant or considerable,
being adjectives employed in the interpretation of the word
“material”.
- In
such circumstances, I find that Mr MacDonald’s psychiatric condition was
an ailment and that, on the balance of probabilities,
it was not contributed to
in a material degree by his employment for the reasons nominated in the previous
paragraphs.
- The
final issue that remains is whether Mr MacDonald’s psychiatric condition
was aggravated by his dismissal from employment
with BHP Billiton in March 1999.
I note that Mr MacDonald was the subject of three disciplinary interviews by his
employer on 8 July
1996, 15 February 1998 and 27 October 1998. Minutes
recording all the meetings are included within exhibit R3. At the first
meeting,
the issues raised with Mr MacDonald were that he had been on
compensation on a number of occasions, he had been reluctant to do a
performance
review, and his failure to answer an alarm. It is noted that Mr MacDonald
raised the issue of having encountered “difficulties”
in his
transition from a rating to an engineer, which he thought arose out of a close
relationship with the crew. It is noted that
Mr MacDonald was advised of what
the company expected of him, as the type of meeting he was having was not
common, to which Mr MacDonald
indicated that he understood.
- In
October 1997, Mr MacDonald was advised that he had not completed the required
number of performance reviews and was not eligible
to have his salary
reviewed.
- On
10 February 1998, an incident on board the Iron Spencer between the
second engineer and Mr MacDonald was brought to the company’s attention.
A record of a meeting held in Melbourne
on 15 February 1998 at which Mr
MacDonald together with an AIMPE representative attended, discloses that Mr
MacDonald was advised
that there was a need for him to make a more concerted
effort to understand and accommodate other people around him in the workplace.
It is noted that Mr MacDonald was given the “Distance Learning Package
– Dealing with Difficult People”. Mr MacDonald
was also advised
that any further incident would lead to consideration of dismissal from the
company – with Mr MacDonald being
advised that it was to be treated as a
“formal written warning”.
- On
6 November 1998, following a further meeting in Melbourne on 27 October 1998, Mr
MacDonald was again advised about the company’s
concerns regarding his
ability to work safely and his performance, together with his failure to
participate in the Officer Review
and Development Program and his ability to
work in harmony with other seagoing personnel. The letter to Mr MacDonald
details what
was said and what was expected of him.
- Following
a further unsatisfactory performance review dated 19 December 1998 and Mr
MacDonald’s failure to complete the “Dealing
with Interpersonal
Conflict” distance learning package as required, Mr MacDonald was
dismissed by way of a letter dated 15
March 1999.
- After
his dismissal, Mr MacDonald, with the assistance of AIMPE representation, had
the dismissal conciliated before a commissioner
of the Australian Industrial
Relations Commission. The conciliation was unsuccessful and on assessment of the
merits, Mr MacDonald
was left with the option to lodge a notice of election. Mr
MacDonald advised that he was unsuccessful in this matter.
- Some
of the clinical material suggests that the dismissal on 15 March 1999 was the
final indignity for Mr MacDonald (Dr Jupp) and
probably aggravated symptoms but
played no part in maintaining such symptomatology (Dr Steele). From such a
statement, I conclude
that Dr Steele is referring to an exacerbation of
symptoms, rather than an aggravation of the psychiatric condition. Further I
observe
that other psychiatric opinion suggests that this is but a further
episode in a continuum of symptomatology consistent with his psychiatric
disorder. On the evidence before me I am unable to find that Mr MacDonald
suffered an aggravation of his psychiatric condition,
let alone an aggravation
that was materially contributed by his employment.
- Finally,
and for the sake of completeness, I did raise at the hearing the issue of the
respondent employer failing to become aware
of Mr MacDonald’s psychiatric
condition over a six year period, despite his unsatisfactory performance, a
number of complaints
about his behaviour and three disciplinary interviews. I
further note that at the interview in Melbourne in 1996, management advised
that
such summons to a meeting in Melbourne was not a common event. My reason for
raising such an issue relates to the exclusionary
provision contained in section
3 of the Act, “reasonable disciplinary action”.
- While
the records before me demonstrate indicia of a reasonable disciplinary process,
my concern relates to such a process being undertaken
on a person without an
understanding or knowledge that Mr MacDonald had a serious psychiatric
condition. During the hearing process
I explained this issue and was rewarded
with an increased understanding of why such could occur. Issues raised included
the nature
of the disease process and the desire for the individual to be a
loner, the episodic nature of symptoms, a desire by an individual
to not
acknowledge symptomatology, the work situation involving swings with different
ships and crews and prolonged leave, and the
ability of the seafaring community
to assess the difference between unusual/eccentric behaviour and pathological
behaviour. In such
circumstances, my hindsight appreciation was adjudged just
that. In the absence of particular material suggestive of Mr MacDonald’s
behaviour being knowingly believed to be suggestive of a psychiatric disorder, I
would conclude that his dismissal involved a reasonable
disciplinary
process.
DECISION
- The
decision under review is affirmed.
I certify that the 54 preceding paragraphs are a true copy of the
reasons for the decision herein of Dr J D Campbell, Member
Signed: ..........................[Sgd]..........................
Associate: Jennifer Wong
Dates of Hearing 17-18 June, 9-11 November 2009
Date of Decision 27 January 2010
Representative for the Applicant Self-represented
Counsel for the Respondent Mr J R
Wallace
Solicitor for the Respondent Curwoods
Lawyers
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