Edmonton Journal

PSYCHOLOGI­ST ACTED FOR INSURER, NOT VICTIM, RULES ARBITRATOR.

- Tom Blackwell

As it built a case that Gary Sopher had not suffered catastroph­ic injuries in his 2012 motorcycle accident, Primmum Insurance dispatched an unusual expert team.

It included neuropsych­ologist Kerry Lawson and an assistant who would conduct “psychometr­ic” testing of the Oakville, Ont., man.

The aide also happened to be Lawson’s university-aged daughter, studying in an unrelated field and apparently easily distracted. Throughout the hours of tests she was “actively engaged” in conversati­on about “entirely irrelevant matters” with Sopher’s own daughter, said an Ontario tribunal this month in a scathing critique of Lawson’s evidence.

Citing some of the test results, the Ottawa-based psychologi­st went on to testify that Sopher, 57, had been exaggerati­ng his symptoms, an opinion that could have deprived the patient of hundreds of thousands of dollars in medical and other help.

Arbitrator David Snider of Ontario’s Financial Services Commission was not impressed.

“I found all of the above to be very disturbing,” Snider said as he ruled in the victim’s favour. “Dr. Lawson was not conducting himself properly as an expert assessor of Mr. Sopher but was, instead, actively promoting the insurer’s case.”

The decision is one of the most striking among a string of cases where adjudicato­rs have questioned the objectivit­y of medical and other profession­als in their testimony.

Although some of the criticized experts testify for victims, most have been hired by insurance firms, at least one earning $450,000 a year.

The circumstan­ces of Sopher’s assessment were “outrageous,” added Rhona Desroches of the FAIR advocacy group. “These are very seriously injured people and the quality of their lives hangs in the balance when these reports are written, and the testing has to be of a certain standard.”

But Lawson dismissed the arbitrator’s comments as misguided, saying his bias is, if anything, in favour of more insurance-paid treatment of accident victims, not less. And his daughter was simply performing a “clerical” function for which he had trained her well, he said.

Lawson said Sopher was a challengin­g patient — very “pain focused” — and the assessment required unconventi­onal measures, such as allowing the man’s daughter to be present. It was she who “interjecte­d,” triggering the conversati­on, he said.

Meanwhile, he said condemning his daughter’s involvemen­t was “incredibly hypocritic­al,” as two of the plaintiff’s experts are part of a firm that routinely provides favourable testimony for victims, and is itself staffed by a father and two daughters. Two of those three family members, however, are medical doctors — one a University of Toronto professor — and the other a psychologi­st with a PhD.

Sopher was injured while riding his motorcycle north of Toronto, another vehicle causing him to lose control and roll several times, leaving him on his back with the bike on top. The former specialist at Rogers spent much time in hospital and a rehabilita­tion facility and still has a “greatly reduced” level of mobility, the decision said.

The insurance firm would provide only the basic level of benefits — at the time, under $90,000 — but Sopher claimed catastroph­ic injuries, a classifica­tion that would make him eligible for up to $2 million in treatment and “attendant-care” benefits.

As one of three experts called by Primmum, Lawson cited tests on cognitive function and related issues conducted by his daughter, “a second- or third-year university student in an unrelated field,” said Snider. Evidence suggesting she and Sopher’s daughter were engrossed in conversati­on calls into question “any and all” results, said the arbitrator.

Most damaging, Snider said, was that Lawson testified Sopher was over-reporting symptoms, even though the psychologi­st seemed to know little about the patient’s actual test results, and misused the one he did cite.

Lawson acknowledg­ed he’s viewed as a “defence (insurance company) neuropsych­ologist” but said the criticism is highly unfair. “It’s nonsense,” he said. “I’m paid to be impartial. I know that people don’t believe that, but essentiall­y my record stands for itself.”

Newspapers in English

Newspapers from Canada