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England and Wales High Court (Family Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (Family Division) Decisions >> A, Re (Disclosure of Third Party Information) [2012] EWHC 180 (Fam) (16 February 2012) URL: http://www.bailii.org/ew/cases/EWHC/Fam/2012/180.html Cite as: [2012] EWHC 180 (Fam) |
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FAMILY DIVISION
Strand, London, WC2A 2LL |
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B e f o r e :
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RE A (DISCLOSURE OF THIRD PARTY INFORMATION |
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The Father appeared in person
Ms Kate Purkiss (instructed by Legal Services) appeared for the Local Authority
Ms Camille Haboo (instructed by Blackfords LLP) appeared for A's Guardian
Mr Andrew Bagchi (instructed by Barlow Robbins LLP) appeared for X
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Pursuant to CPR PD 39A para 6.1 no official shorthand note shall be taken and copies of this version as handed down may be treated as authentic.
Crown Copyright ©
Mr Justice Peter Jackson:
Introduction
The allegations
The present proceedings
Medical opinion
X's allegations of abuse and events relating to her subsequent disclosure are relevant to my assessment of two reasons: (1) there appears to be a close temporal relationship between X's reported experiences of abuse and her presentation with episodes of medically unexplained symptoms; (2) X's experience of disclosure has left her feeling vulnerable and lacking in trust. In particular she feels that her confidentiality has not been respected and that she has been misled about the potential implications of disclosure.
Medically Unexplained Symptoms
X has a long history of repeated presentations with medically unexplained symptoms commencing in early childhood. Medically unexplained symptoms (i.e., symptoms for which no physical cause can be found) are often a manifestation of underlying psychological distress although the person presenting might not recognise this. One psychological perspective is that presentation with medical symptoms provides an alternative route to care and respite when other more adaptive avenues of rescue are, for whatever reason, not open. Although concerns have been expressed over time about the frequent, often non-specific and sometimes dramatic presentations of X to medical services, it is with the benefit of time and with the availability of information brought together from a variety of sources (including social services), that a clear pattern can now be seen. Most recently, X has experienced episodes of physical illness which have at times been life-threatening. It is the opinion of a number of medical professionals caring for her (based on a variety of clinical observations) that stress/psychological factors are, at the very least, exacerbating her symptoms. As a result of her frequent presentations with exacerbations of this condition, X has received medical treatment which has had a number of damaging side-effects and there has been significant deterioration in her health.
X has been clear that the ongoing legal issues are a major source of stress and there does appear to be a pattern of worsening illness which coincides with the increasing pressures arising from these. In order to safeguard her health, an ongoing aim of management is to try and reduce her exposure to various stressors and to engage her in psychological therapy which might provide her with an adaptive outlet for expressing difficulties. However, this is likely to be a challenging and relatively long-term process.
Events around disclosure
X feels that her initial disclosure put in motion a chain of events which has left her feeling distrustful and lacking confidence in processes that should have been protective of her. In particular it is her perception that, despite reassurances about confidentiality, it has at times been breached which has had negative consequences for her. In addition, she feels that she was led to believe that she would never be required to speak of the allegations again and the current situation has therefore, once again, undermined her confidence in the system.
With regards the specific questions which I was asked to address:
a) Psychological/psychiatric implications for or effects upon X regarding the disclosure of social services records to the parties
It is my opinion that disclosure of the social services records regarding X to other parties would be potentially detrimental to her health. As above, she appears to manifest psychological distress in physical terms both through medically unexplained symptoms and through the well recognised exacerbating effect of stress on a particular medical disorder. Her physical health has deteriorated considerably recently and, at times, has deteriorated to the point of being life-threatening. There is therefore a significant risk that exposure to further psychological stress (such as that which would inevitably result from disclosure) would put her at risk of further episodes of illness. It would also be working against the current therapeutic strategy of trying to help minimise stress and engage with psychological therapy.
b) The psychological/psychiatric implications for or effects upon X of being summoned to the court to give oral evidence about the allegations documented in the said records
My opinion on this is as above. Being summoned to court is one step further than disclosure and would inevitably be immensely stressful and therefore carry the same risk of deterioration in her physical (and mental) health.
c) X's capacity with appropriate support to participate in the court proceedings including making a statement and attending court to give evidence
I believe that X has the capacity to participate in court proceedings. However, it should be noted that various professionals at different times have commented on the difficulty of interviewing her in relation to the alleged abuse. My own experience of exploring these issues with her is that many of my questions were met with silence; she was clearly very uncomfortable and distressed and seemed unable to respond. When I asked her about appearing in court she responded "I can't".
d) X's understanding of the measures which might be put in place to protect her as a vulnerable witness
When asked about her understanding of these, X told me that she understood that she could provide evidence via video link. However she said that this would be a traumatic prospect for her as she understood that the alleged abuser would be able to see her face and she could not cope with this. As above, I also think that her perception that processes so far have, to some extent, let her down means that she does not feel confident in any of the reassurances provided.
The parties' positions
Discussion
ARTICLE 3
No one shall be subjected to torture or to inhuman or degrading treatment or punishment.
ARTICLE 6
1.. In the determination of his civil rights and obligations or of any criminal charge against him, everyone is entitled to a fair and public hearing within a reasonable time by an independent and impartial tribunal established by law.
ARTICLE 8
1.. Everyone has the right to respect for his private and family life, his home and his correspondence.
2.. There shall be no interference by a public authority with the exercise of this right except such as is in accordance with the law and is necessary in a democratic society in the interests of national security, public safety or the economic well-being of the country, for the prevention of disorder or crime, for the protection of health or morals, or for the protection of the rights and freedoms of others.
"Mental health must also be regarded as a crucial part of private life associated with the aspect of moral integrity. … The preservation of mental stability is in that context an indispensable precondition to effective enjoyment of the right to respect for private life."
Conclusion
(1) Firstly, the local authority files contain information about the history of X's allegations.
(2) Next, they contain information about X's personal background, family life and medical history, as does the full report of Dr Walsh.
(3) Lastly, there is the question of compelling X to give evidence.
(1) I accept the medical evidence about the potentially serious effect of disclosure on X's health.
(2) The information once disclosed, cannot be controlled. X could not be assured that her identity as an alleged victim of sexual abuse would remain confidential within the proceedings.
(3) X's identity and her allegations are inextricably intertwined.
(4) For the court to order disclosure when it is not prepared to order X to give evidence would risk harming X without achieving anything valuable for A and her parents. The nature and extent of X's allegations mean that they could not readily be proved or disproved by reference to third parties or independent sources. It is therefore unlikely that any outcome achieved in X's absence would clear the air between the parties or provide a solid foundation for future arrangements for A.
(5) The court must have regard to the nature of the interests being balanced, namely contact on one hand and physical and mental health on the other.