Fairchild v. Bascomb

35 Vt. 398
CourtSupreme Court of Vermont
DecidedNovember 15, 1862
StatusPublished
Cited by41 cases

This text of 35 Vt. 398 (Fairchild v. Bascomb) is published on Counsel Stack Legal Research, covering Supreme Court of Vermont primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fairchild v. Bascomb, 35 Vt. 398 (Vt. 1862).

Opinion

Aldis, J.

The more important points, raised upon the argument, were as to the questions put to Dr. Kockwell as a profess sional witness in regard to the insanity of the testatrix.

There is no question but that in this case the opinion of am expert was admissible upon the question of insanity; and that such a witness might testify as to the nature and symptoms of insanity and monomania; and as to the -facts proved by other witnesses tending to show insanity, whether-they, if true, did or did not indicate partial or total insanity, — whether they indicated a state of continuous insanity, or one with lucid intervals occurring; — and whether the facts proved by other witnesses-tending to show the deceased to have been sane during the same period, were reconcilable with the idea of insanity, and might have existed as proven, and yet the party exhibiting such appa-rent manifestations of sanity have at the time been insane. It is precisely in regard to such matters that the skill of an expert is needed. So too it is not questioned that the witness might and ought to have stated the grounds of his opinion, — for the value of such opinions depends greatly upon the good sense andi accuracy of the reasons given for them.-

[407]*407Neither is it claimed that the expert had the right to give any , •opinion upon the evidence — or as to the preponderance of evidence — or whether the facts submitted to him for his opinion were or were not true.

Neither, we think, can it now be questioned that hypothetical questions may be put to such a witness, -when the hypothesis supposes a state of facts proved, or which may be fairly claimed ■to be proved by the evidence of other witnesses. Such has been the practice in this State. It is the practice in other States and in England ; and it is a matter of convenience and often of necessity. But the plaintiff objected to the first and last questions put to Dr. Rockwell, upon several grounds which we will now ■consider.

I. It is claimed that the subject, to which the first question .pointed, is not a matter of professional science and skill, — that ■it is one upon which the opinion of an unprofessional person is .just as good as that of a physician ; — that it was not an inquiry ■as to symptoms indicating insanity, but as to the effect of pulmonary disease, nervous derangement and general debility upon the mental capacity of a person of sound mind.

On the part of the defendants it is claimed that the facts stated in the question related directly to the insanity of the person.

The question does not present the case of an insane person, but of one who has been sick with '■ pulmonary disease, nervous ■derangement and general debility.” The phrase “ nervous derangement” is claimed as indicating insanity. It attends insanity, but often exists where persons are of sound mind. The words, as used in the question and interpreted by the context, •preclude the idea that that nervous derangement was meant which amounts to insanity-.

The question therefore only supposes the case of a sick woman of sound mind, who for four years had been sick with pulmonary disease, nervous derangement and general debility, who on a given day is very low, grows worse, gradually sinks and dies at 2 P. M.; and, upon this state of facts, inquires whether at two hours before death she would possess sufficient mental capacity to transact business. The question is not whether the disease would produce derangement of the mind at two hours before [408]*408death but whether by the progress of that disease as indicated' by the symptoms stated, her mental capacity would become sc impaired or enfeebled that she would not have mind enough left to transact common business.

Persons who are much accustomed to attend upon the sick — - to watch the progress of diseases to their end and to be with the dying, are by their experience enabled to form a better judgment as to the course of disease and its probable effect upon the body and mind in the last hours of life than others who have no such opportunity. Physicians who are in general practice and nurses thus become experts in such matters, so far as experience and observation can furnish knowledge. In some diseases there is a much greater uniformity in their effect upon the mind and in the symptoms which immediately precede death, than in others,. Thus in apoplexy, inflammation of the brain and other acute dis-' eases directly affecting that organ, the physiciun would expect disturbance or destruction of the mental powers throughout the sickness and without intermission up to the time of death. In others, as in some fevers, the mind might wander throughout the' violence of the fever, but upon its abatement and for a short time before death be restored to clearness and strength. Doubtless-in by far the greatest number of maladies the mind is usually but little if at all affected by disease* and the most skilful physician-is wholly unable to tell beforehand how long the sick man will retain his faculties and whether he will or will not have his reason to the- last. But it can not be questioned after all that large experience and observation in such matters enable one to-judge better than Ordinary observers as to the indications of spe-cified symptoms and the probable progress and effect of diseases upon the mind, and to determine what diseases and what symp--toms indicate such effects, and what do not.

We think therefore that whether “, pulmonary disease, nervous derangement and general debility” would, in the progress of the' disease as indicated by the facts stated in the question impair the mental powers at two hours before' death, is a matter upon which the opinion of a physician, accustomed to attend such cases to their termination, might properly be admitted in evidence. New persons without the aid of the knowledge derived from phy-[409]*409sicians and nurses would be able to form an opinion on the subject. In most cases, however, there is so little uniformity in the effects of diseases upon the mind just before death that the mere opinion of a physician as to the matter would obviously be evidence greatly inferior in value to the actual observation of an intelligent bystander.

It is further objected that the witness was an expert only upon the subject of insanity, and that this was an inquiry as to a disease as to which it was not shown that Dr. Rockwell had the skill and knowledge which would make him an expert. It is plain that the professional witness can be allowed to give his opinion only upon those very matters in which he is shown to have special knowledge and skill. As to all other matters he stands in the position of ordinary witnesses, who are not allowed to give their opinion upon facts proved by other evidence.

The People v. Rector, 19 Wend. 576 ; C. J. Tindal in Ramadge v. Ryan, 9 Bing. 333; Rambler v. Tryon, 7 Serg. & R. 90; Dunham’s Appeal, 27 Conn. 192; Heald v. Thing, 45 Maine 392.

It appears from the case that Dr. Rockwell was by education and profession a physician and surgeon, and that for more than thirty years he had devoted his attention almost exclusively to the treatment of patients suffering from mental maladies.

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Bluebook (online)
35 Vt. 398, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fairchild-v-bascomb-vt-1862.