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Smart Summary

Factual and Procedural Background

Alice Hammer, diagnosed with schizophrenia, was treated for approximately seven years by Dr. John N. Rosen, a psychiatrist. In 1955, Alice and her father, Max Hammer, initiated a lawsuit seeking damages for malpractice (by Alice) and breach of contract and fraud (by Max). Max Hammer died before trial and was replaced by his estate's executors. The trial court dismissed the malpractice and fraud claims at the close of the plaintiffs' case, and a jury returned a verdict for the defendant on the contract claim. The Appellate Division affirmed the judgment by a divided court. The present appeal challenges the dismissal of the malpractice claim, contending it should have been submitted to the jury.

Legal Issues Presented

  1. Whether the malpractice cause of action should have been submitted to the jury rather than dismissed at the close of the plaintiffs' case.
  2. Whether the malpractice claim was barred by the Statute of Limitations, given the plaintiff's mental incapacity.
  3. Whether expert testimony was required to establish that the alleged assaultive acts constituted malpractice.
  4. Whether there was sufficient proof of injury to support the malpractice claim.

Arguments of the Parties

Defendant's Arguments

  • The action was barred by the Statute of Limitations.
  • There was no expert testimony establishing that the acts of assault constituted improper treatment or malpractice.
  • There was insufficient proof of injury resulting from the alleged assaults.

Plaintiffs' Position (as inferred from court's discussion)

  • The alleged beatings by the defendant constituted malpractice and raised a prima facie case that should be decided by a jury.
  • The Statute of Limitations was tolled due to Alice's insanity at the time the cause of action arose and when the suit was commenced.
  • The nature of the assaultive acts inherently demonstrated malpractice, obviating the need for expert testimony.
  • The plaintiff suffered pain and suffering as a result of the defendant's acts, providing sufficient proof of injury.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
Thlocco v. Magnolia Petroleum Co., 141 F.2d 934, cert. denied 323 U.S. 785 Extension of the Statute of Limitations due to plaintiff's insanity. Supported the court's conclusion that the Statute of Limitations defense fails because Alice was insane when the cause of action arose and when the suit was commenced.
Browne v. Smith, 119 Colo. 469 Extension of Statute of Limitations for insane plaintiffs. Reinforced the principle that insanity tolls the Statute of Limitations even without formal adjudication of incompetency.
Chilford v. Central City Cold Stor. Co., 166 Misc. 780 Contrary view on tolling Statute of Limitations for insanity. Not adopted by the court; cited as a contrary authority.
Nervick v. Fine, 195 Misc. 464, 465 Continuing course of treatment tolls limitations period. Supported the court's view that the continuing psychiatric treatment extended the time to commence the action.
Sly v. Van Lengen, 120 Misc. 420 Continuing treatment tolls limitations period. Used to support the tolling of the Statute of Limitations during ongoing treatment.
Huysman v. Kirsch, 6 Cal.2d 302, 307-308 Continuing treatment tolls limitations period. Further authority for tolling based on ongoing treatment.
De Haan v. Winter, 258 Mich. 293, 296-297 Continuing treatment tolls limitations period. Additional support for the tolling principle.
Schanil v. Branton, 181 Minn. 381, 382 Continuing treatment tolls limitations period. Reinforces tolling during ongoing treatment.
Williams v. Elias, 140 Neb. 656, 660 Continuing treatment tolls limitations period. Supports the court's tolling rationale.
Peteler v. Robinson, 81 Utah 535, 546 Continuing treatment tolls limitations period. Further authority for tolling during treatment.
Robins v. Finestone, 308 N.Y. 543, 546 Damages recoverable in malpractice include personal injuries and pain and suffering. Supported the court’s conclusion that the plaintiff could recover damages for pain and suffering resulting from malpractice.

Court's Reasoning and Analysis

The court found that testimony from three plaintiff witnesses alleging that the defendant assaulted Alice constituted a prima facie case of malpractice that should have been submitted to the jury. The defendant’s Statute of Limitations defense failed because, under section 60 of the Civil Practice Act, the plaintiff's insanity tolled the limitations period, and the continuing psychiatric treatment extended the time further. Regarding the absence of expert testimony, the court reasoned that the nature of assaultive acts inherently indicated malpractice, and the defendant bore the burden to justify such acts as proper treatment. The defendant’s own brief acknowledged that assaults on patients are "fantastic," undermining the need for expert proof of malpractice. Finally, the court held that sufficient proof of injury existed because the plaintiff could recover damages for pain and suffering caused by the defendant’s acts, as supported by prior precedent.

Holding and Implications

The court modified the judgment by reversing the dismissal of the malpractice cause of action and ordered a new trial on that issue, with costs to abide the event. As modified, the judgment was affirmed.

The decision directly affects the parties by allowing the malpractice claim to proceed to trial, thereby providing the plaintiff an opportunity to present her case fully before a jury. The court did not establish new precedent but reaffirmed established principles regarding tolling of the Statute of Limitations for insanity, the sufficiency of prima facie evidence for malpractice, and the nature of damages recoverable in malpractice actions.

SIDNEY HAMMER et al., as Executors of MAX HAMMER, Deceased, et al., Appellants, v. JOHN N. ROSEN, Respondent.

FULD, J.

Alice Hammer, suffering from schizophrenia, was treated for some seven years by Dr. Rosen, a psychiatrist. In 1955 she and her father instituted this action, the patient seeking damages for malpractice, the father, for breach of contract and for fraud. Their efforts have been signally unsuccessful. The trial court dismissed the malpractice and fraud causes of action at the close of the plaintiffs' case, while the jury, following submission to it of the contract cause, returned a verdict in favor of the defendant, and the Appellate Division, by a divided court, affirmed the resulting judgment. Although we agree with the disposition made of the other counts, we believe, as did the dissenting justice in the Appellate Division, that the count charging malpractice should have been submitted to the jury.

Alice was represented by a guardian ad litem; her father, Max Hammer, having died before trial, was replaced by the executors of his estate.

With respect to the evidence, it is necessary merely to point out that the testimony given by three of the plaintiff's witnesses, indicating that the defendant had beaten Alice on a number of occasions, made out a prima facie case of malpractice which, if uncontradicted and unexplained and credited by the jury, would require a verdict for the plaintiff.

With respect to the defendant's contentions seeking to justify the dismissal — that the action was barred by the Statute of Limitations, that there was no expert testimony that the acts of assault with which he was charged constituted improper treatment or malpractice and that there was no proof of injury — we may be almost as brief.

Since Alice was insane at the time the cause of action arose, section 60 of the Civil Practice Act effected an extension of the time within which to commence this action. And, since she was still insane when the suit was begun, the defense based on the Statute of Limitations must fail, and it matters not that she had not actually been adjudged incompetent. (See Thlocco v. Magnolia Petroleum Co., 141 F.2d 934, cert. denied 323 U.S. 785; Browne v. Smith, 119 Col. 469; but see, contra, Chilford v. Central City Cold Stor. Co., 166 Misc. 780.) Indeed, even if section 60 had not extended the time to commence the action, the defense would still be unavailing in view of the plaintiff's evidence that the beatings complained of were part and parcel of a continuing course of psychiatric treatment which did not terminate until 1955, the very year in which the action was begun. (See Nervick v. Fine, 195 Misc. 464, 465; Sly v. Van Lengen, 120 Misc. 420; Huysman v. Kirsch, 6 Cal.2d 302, 307-308; De Haan v. Winter, 258 Mich. 293, 296-297; Schanil v. Branton, 181 Minn. 381, 382; Williams v. Elias, 140 Neb. 656, 660; Peteler v. Robinson, 81 Utah 535, 546.)

As to the second of the defendant's arguments — that there was no expert testimony to support the plaintiff's charge of malpractice — the simple answer is that the very nature of the acts complained of bespeaks improper treatment and malpractice and that, if the defendant chooses to justify those acts as proper treatment, he is under the necessity of offering evidence to that effect. In point of fact, the defendant can hardly urge that the plaintiff must call an expert to demonstrate the impropriety of the assaultive acts charged against him in view of the acknowledgment, contained in his brief in this court, that any mode of treatment which involves assaults upon the patient is "fantastic".

And, finally, as to the defendant's claim that there was insufficient proof of injury, we simply call attention to our recent statement that "`The damages recoverable in malpractice are for personal injuries, including the pain and suffering which naturally flow from the tortious act.'" ( Robins v. Finestone, 308 N.Y. 543, 546.) On the evidence presented, a jury would have been warranted in finding that defendant's acts had caused the plaintiff pain and suffering.

The judgment appealed from should be modified by reversing so much thereof as dismissed the malpractice cause of action, a new trial granted as to such cause, with costs to abide the event, and, as so modified, judgment affirmed.

Chief Judge DESMOND and Judges DYE, FROESSEL, VAN VOORHIS, BURKE and FOSTER concur.

Judgment accordingly.

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HAMMER v. ROSEN
(Mar 3, 1960)