Ferrari Robert, Klar Lewis
Department of Rheumatic Diseases, University of Alberta Faculty of Medicine, Alberta, Canada.
University of Alberta Faculty of Law, Alberta, Canada.
Eur J Rheumatol. 2014 Dec;1(4):150-155. doi: 10.5152/eurjrheumatol.2014.140061. Epub 2014 Dec 1.
Rheumatologists are often called to be independent examiners of injured claimants and to address the question: "What is causing the injured person's symptoms?" This article deals with the legal principles that arise in these cases, including causation, convenient focus, secondary gain, and thin skull rules. We shall first set out two hypothetical scenarios of personal injury cases that set the scene for a discussion of legal principles in personal injury law. With the same two scenarios of personal injury in mind, we shall review the legal principles and the biopsychosocial models of the illnesses concerned and consider the importance of examiners going beyond diagnostic labels towards a more in-depth analysis of illness factors and mechanisms that in turn assist the trier of facts.
风湿病学家经常被要求作为受伤索赔人的独立检查者,并回答这样一个问题:“是什么导致了伤者的症状?”本文探讨了这些案例中出现的法律原则,包括因果关系、便利焦点、继发性获益和蛋壳脑袋规则。我们首先将阐述两个个人伤害案件的假设情景,为讨论人身伤害法中的法律原则奠定基础。基于同样的两个个人伤害情景,我们将回顾相关疾病的法律原则和生物心理社会模型,并考虑检查者超越诊断标签,对疾病因素和机制进行更深入分析的重要性,这反过来有助于事实认定者。