Wright v. Excalibur Insurance Company

486 S.W.2d 130, 1972 Tex. App. LEXIS 2406
CourtCourt of Appeals of Texas
DecidedJuly 27, 1972
Docket17899
StatusPublished
Cited by2 cases

This text of 486 S.W.2d 130 (Wright v. Excalibur Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wright v. Excalibur Insurance Company, 486 S.W.2d 130, 1972 Tex. App. LEXIS 2406 (Tex. Ct. App. 1972).

Opinion

BATEMAN, Justice.

In this workmen’s compensation case the appellant John H. Wright claimed total and permanent incapacity because of an injury to his lower back which produced a conversion reaction or hysteria. Based upon a jury verdict, the trial court rendered judgment in favor of appellant for $343. Complaining of the inadequacy of this award, he appeals.

The sole ultimate question is the extent and duration of appellant’s disability. It was shown that in 1953 he suffered accidental injury to his head, an arm and an eye, that in 1967 he sustained an injury to his back necessitating removal of a disc, and that on May 29, 1970 he again injured his lower back, giving rise to the present claim. There was expert testimony tend *132 ing to show that as a result of each of these injuries he suffered an involuntary conversion reaction. A psychiatrist testifying for appellant explained that this was a subconscious mental condition based upon appellant’s anxiety over what he feared to be the loss of his most valuable asset; i. e., his ability to work; that he had temporarily lost it when his disc was surgically removed in 1967, but had regained it, and that when he had another injury to his back in 1970, though of a relatively minor nature, it made him very fearful that he would not be able to hold his job and that this anxiety had developed into “a full-blown neurosis,” which was itself disabling. (See Hood v. Texas Indemnity Ins. Co., 146 Tex. 522, 209 S.W.2d 345 (1948); Bailey v. American General Ins. Co., 154 Tex. 430, 279 S.W.2d 315 (1955).) Appel-lee agrees that it was disabling and, as stated, the only dispute is as to how disabling it was and the duration thereof.

The jury found that appellant was totally disabled from May 29, 1970, the date of his injury, until August 27, 1970, but suffered no partial incapacity thereafter; that appellant’s incapacity was not caused solely by pre-existing conditions; that appellant’s 1967 injury contributed to the incapacity so found, to the extent of 15 per cent, but that the 1953 injury had not contributed thereto.

We shall first discuss appellant’s points of error Nos. 6 through 14 wherein he complains of the judgment based on the jury’s findings, in answer to Special Issues 7, 8 and 9, that appellant’s total incapacity was temporary and ended on August 27, 1970, and that he suffered no partial incapacity. Appellant claims that there was no evidence, and in any event insufficient evidence, to support these findings, and that each of them was against the great weight and preponderance of the evidence. We have carefully reviewed the entire record and find no merit in any of these points.

The appellee offered the testimony of Dr. Stephen Weisz, a psychiatrist, who said that he was asked to see appellant by Dr. Herrick, the orthopedic surgeon who had removed appellant’s ruptured disc in 1967. Dr. Weisz first saw appellant on March 7, 1968, and at that time conducted a neurological examination of him. After describing the examination in detail, Dr. Weisz expressed the opinion that appellant suffered from “a conversion reaction, that is, non-organic lesion of the left leg, including the sensory changes * * * ”; that there are many factors to indicate the patient’s ability to recover from a conversion reaction and return to some type of employment, some of which are purely personal, and some of which are not medical factors, like sympathy, attention and compensation, which is called a “secondary gain” reaction; that the presence of a lawsuit for compensation is many times a factor; that conversion reaction involves primarily the voluntary nervous system, resulting many times in paralysis and loss of sensation. When he saw appellant in 1968 the condition was obviously temporary because, although he had originally complained of a paralyzed left leg, he walked out of the hospital; that he could not find any organic lesion or damage to the central nervous system as a result of the conversion reaction. He also expressed the opinion that appellant would have about ten to fifteen per cent disability on account of his low back condition for which there had been surgery, which would be permanent because after a back injury a certain amount of instability remains.

Dr. Weisz did not see appellant again until June 16, 1970, when he was told that a week before appellant had lifted a tire and experienced severe pain in the back. He conducted another neurological examination and again made the diagnosis of a conversion reaction. When asked whether he had determined a factor of “secondary gain” he said: “Well, I knew then that he had a claim pending.” He said further that he believed this was a factor in appellant’s condition and his ability to recover; that in his opinion the condition was temporary, but that other factors might prolong it. He then said that, *133 considering appellant’s present condition and his past medical history, he thought he had a “pattern of conversion reaction or history,” and that the 1970 episode “was really just a repetition of the 1968 episode with some variation.” He also explained that a conversion reaction produces symptoms which are totally involuntary or subconscious, being controlled by the subconscious mind; that a conversion symptom results from a pathological solution of a psychic conflict, the issues of which are outside of the patient’s awareness.

Dr. Weisz further stated on cross-examination that he did not mean to imply in any way that appellant was malingering or faking; that he presumes that the symptoms a conversion reaction patient feels are real to him, and just as real as if he had a ruptured disc. He further stated that in a compensation case compensation has to be considered as a primary factor; that appellant sustained a relatively minor injury in 1970, but that he claims that he cannot do anything, which is a psychiatric result or “secondary gain.”

Dr. Samuel E. Neely, a psychiatrist called as a witness by appellant, testified that he examined appellant about three weeks prior to the trial, and came to the conclusion that appellant had a conversion reaction, or conversion neurosis, with “marked secondary gain.” He also said that appellant’s symptoms were as real to him as if he had an actual ruptured disc in his back; that in his opinion appellant was not malingering and was totally and permanently disabled; that he does not think settling the litigation will solve his problems.

The parties are in agreement that the 1970 injury was relatively minor and probably not capable of causing prolonged incapacity except for the conversion reaction, which both parties recognize as a genuine producing cause of incapacity. The only disagreement concerns the extent and duration thereof. One expert witness was of the opinion that the incapacity is total and permanent, while the other expressed the opinion that it was only temporary. The jury had the right to believe all, or part, or none of the testimony of either witness. We hold, therefore, that the findings are supported by evidence of probative force and are not against the great weight and preponderance of the evidence. Accordingly, Points Nos. 6-14 are overruled.

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Bluebook (online)
486 S.W.2d 130, 1972 Tex. App. LEXIS 2406, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wright-v-excalibur-insurance-company-texapp-1972.