Johnson v. Colvin

Filing 22

MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 8/8/17. (hnw)

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Ci lAci n No. 3: 6CV00071
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M EM ORANDUM O PI
NION
NANCY A .
BERRYHI Ac i
LL, tng
Comm ispne ofSocalSe urt
si r
i c iy,

By:

Hon. e E.Conr d
Gln
a
Unie Stt sDititJ
t d a e src udge

De e nt
f nda .
Pli tf hmslld t saci c l ng t fna de ii oft Comm isone ofSocil
a n if
ie hi ton halengi he i l c son he
si r
a
Se udt de ngpl i ifscli sf s biiyi ur nc neisa s e e t s urt i m e
c y nyi antf am ordia lt ns a ebe ft nd uppl m n al ec iy nco

b neist e teSo ilS c dt Ac, sn n e , 2U.. j 41 ()a 4 , n 4 U. C.
e ft md r h ca e u y ta me d d 4 SC. j 6 i nd 23 a d 2 S. j
1 8 q s q.r s e t l.J ds ito o ti c u tsp ru n t 4 U. . j40 ()a d4 U. C.
3 1 t e , ep ci y u d cin fh s o r i u s a to 2 SC. 5 g n 2 S.
ve
j 1 8 ()3 . Tlsc u tsrv e i l tdt ad tr nai n a t wheh rte ei s bsa ta
3 3 c( ) l o r' e iw s i e o ee mi to s o te h r s u tn il
i
mi
evi nc t s ppo tt Co mi sonersc l i t tpl i iff iedt e tbls e ilm e tt
de e o u r he m s i ' oncuson ha antf a l o sa ih ntte n o
be st unde t Ac .I s h s t ntale de ee ss t fnalde son oft Co misone
ne s
r he t f uc ubsa i vi nc xit , he i
cii
he m s i r

mu tb afr d.La v. lb e z , 8F. 6 0 (t Ci.1 6 ) ttd b ify,s b tn il
s e f me
ws Cee r z e 36 2d 4 4h r 9 6 .Sae rel u sa ta
e de ehasbee d i d a s hr l va e de e, onsde i t r co da awhol,a m ihtbe
vi nc
n efne s uc e e nt vi nc c i rng he e r s
e s g
f t a qua et s ppor aco l i byar as bl m i Riha ds n v. r es 40 U. 389,
omd de t o u
t ncuson
e ona e nd. c r o Pe al , 2 S.

4 1(9 )
0 1 71 .
Thepl i if J Lesi J
antf, ody le ohns n, sbom o J 9,197 a e nt lyc
o wa
n une
2, nd ve ua l omplt dhe
ee r
M g s hoole a i M r . ohns a s r ceveda tona voc tonalr ni i da apr e sng.
h c
duc ton. s J
on lo e i
ddii l a i tai ng n t oc s i

( 6 ) As omdb t ev c to l x e t otsiida t a miitai ehe rng plitfha
TR 2 . f t y h o aina e p r wh e tfe the d n srtv ai , anif s
wok da ac s e , o he lhad , a y itr s n ne o eao , n lbdc to s r ie .(
r e s ahir h me at ie b b ste, c n r p rt r a d u ain evc r TR

l

7 ) M r. oms nwa ls e o di 2 0,h u hs eh ds bsa ta s l-mpo me t n o
4 . s J l o s a t mplye n 01 t o g h a u tnil efe ly n i c me
i 2 1 ( 5 ) OnAug t9 201 plitf f r l flda piainf rd sbit isla c
n 01 . TR 3 .
us , 2, an if omal ie p lc to o ia l y n t n e
y
i
r
be f a s e e t s u iy i o ebe f . She al ge t ts be n e dia e f ra1
neks nd upplm n al ec zt nc m
neks
le d ha he c m
s bld o 1

f r ofs tntalganf le oy e on M a 1 2011duet c r omyopahy,bac pr e ,
o ms uhsa i i ' mpl m nt
u
y ,
o a di
t
k obl ms
pos-r lm ai sr s dior r de es i li h bl pr s lr hea tpr e s c tpai hi
ttal tc te s s de , pr son, lg ood e sze, r oblm , hes n, gh

c oe tr l c nc nrto dfkul e ,se p a n a a d ty o dpr be . ( 2 ) S en w
h lseo, o e tain il t s le p e , n h r i o lms TR 61. h o
i
mai a nst ts hasr mai d dia ed t t pr s nttm e. Ast he a i a i f dia lt
nti ha he
e ne s bl o he e e i
o r pplc ton or s biiy
i tr nc be ft,t r c dr ve st tM r . ol on m e t i tr d sausr quie nt o t
nsla e ne s he e or e al ha s J ms
t he nsle t t e r me s f he

Ac tr u ht frtq re o 2 5 b t tte e fe .S eg m,4 U. C. j41 ()a d4 3 a .
tl o g he is ua tr f 01 , u no h r a tr e e 2 S. j 6 i n 2 ()
z
Cons que l pli ifi e il t dia lt i ur ebene iso yi s ha esa ihedt ts
e nty, antf s ntted o s biiy ns anc
ft nl f he s t bls ha he

be nmedia edf a1f msofs t nta ganf le pl
c
s bl or 1 or
ubsa i l i u m oyme o orbef eM a c 31 201 See
nt n
or r h , 5.

g n,4 U.. j4 3 a .
e - 2 SC. 2 ()
M r J hns sa i ai we edeniduponi tal onsde ai nr dr c i r to She
s. o on' pplc tons r
e
nii c i r to
e onsde ai n.

t nrqueseda rceve a7:novohe dnga rviw beo ea Admi srtveLa J
he e t nd e i d .
.
a
nd e e fr n
nitai w udge.I
n
a opi o da e M ar h 9,2015,heLa J
n ni n t d
c
t
w udgealodee m i d t tM r . o on i notdi a e
s t r ne ha s J hns s
s bld.
TheLa J
w udgef
oundt t antf s f r fom s ve a s ve ei ime s i l ng de ne a i
ha pl i if ufe s r e r l e r mpa r nt ,ncudi
ge r tve
dicd s a e s t i he r f it e; bsr tvese p a a; iy; ndm e a dio de sG ro l
s i e s ; ysolc a t all o tuci le pne obest a
r
nt l s r r t iusy
va

da n e oi ld d prsi eds r e, n it d s r e ,ndpo tta mai srs ds r e '(
ig osdt ncu e e e sv io d ra x ey io d ra
s-ru tc te s io d n' TR
24) Be us oft s i ime s t La J deemi dt tM r. ohns i now lmiedt
. ca e he e mpar nt,he w udge tr ne ha s J on s
i t o
t pe f r a o s de a y e ri la tviis The La J
he ro m nce f e nt r xe tona c i te .
w udge we on t as e spli ifs
nt o s s antf

r i ualf to lca ciy a f l
esd unci na pa t s olows:

2

Afe c r f c i r to oft e ier c d,1fnd t tt c am a hast
tr a e ul onsde ai n he ntr e or i ha he l i nt
he
r sdua fmctonalc pa iyt pe f m s ntr wor a de i d i 20CFR
ei l t i
a ct o ror ede a y
k s fne n

4 4 1 6 ()a d41 .6 ()e e t n ulto r q rst eus o ac n ;
0 .5 7 a n 69 7 a xc p : mb ain e uie h e f a e
oc aso lsaisa r mps no l dde s r mpsors afo ds fe ntba a i
c i na t r nd n ; a r , n
c f l ; r que
l ncng;
oc aso lsoo ng, kne lng,c ouc ng,a c a i Shec n pe f m t kild
c ' na t pi
i
e i r hi nd r wlng.
a ror ms le
wo k a a SVP 1or2 t ti vessmpl r i t s whe et pac of
r tn
ha nvol i e outne a ks r he e
pr tviy i notdit td by a ex e na s zc overwhi h s hasno c r ,
oduc i t s
c ae
n t r l olr e
c he
ontol
s ha c
uc s onve bet .
yor ls

( 27 . Gie s c arsd a G n to l a ct, n a trc nsd rn p an ifsa e
TR ) v n u h e iu l z cina c pa i a d fe o i eig litf g ,
y
ed ai n,a prorwor e re e, we last tm o fom avoc tonale r,t La
uc to nd i
k xpe i nc as l esi ny r
ai
xpe t he w

J
udgef md t tpl ntf r i ca bl ofpe f nghe pa tr e ntwo k a as ame
ot ha ai if ema ns pa e
ronni
r s elva
r s cl r

o e ao , sti j b i g n rlypef r di tenaina e o o l( 3 - 8 .Gie
p rt r a l s o s e eal ro me n h to l c n my. TR 7 3 ) v n
l
pl i ifsr sd lf nc i c pact and a trc i rnghe a ,e a i a prorwor
antf e i ua u tonal a iy,
fe onsde i
r ge duc ton, nd i
k
e re e a welast voc tonale r ' t tmony, heLaw J e a s de e mi d t tM r .
xpe inc , s l he a i
xpe ts esi
t
udg lo t r ne ha s

J
ohns n r t nst c pa iyt pe f m s ve a ot rs de a ywor r e whi h e s i
o eai he a ct o ror e r l he e nt r
k ol s c xit n
sgnii a nlm be i t na i le onomy.Ac r ngl t La J
i fc nt l r n he tona c
co di y, he w udge uli t l co l
tma ey ncuded
t tM r . ol on i notdia e a t ts i no e il d t be l unde et rf de a
ha s J ms s
s bld, nd ha he s t ntte o neks
r ihe e r l
pr a . TheLa J
ogr m
w udge' o ni wasa e a t fna de ii n oft Com mi so rby
s pi on
dopt d s he i l c so
he
s i ne

1Thee de de l
vi nce veopeddurngt e le ad nitai pr ee ngs a M r . l s stsi onyatt
i he arir mi sr tve oc di , nd s Jom on' e tm
he
e de i y he i e tbls t tpl ntf' pro wo kasas nne o r t r quie pe f ma eoflghte rto
vi ntar arng, sa ih ha ai ifs ir r
ca r pe aor e r d ror nc
i xe in.

( 5 -8 2 7 .Gie teLa J d estn igta Mr. omsni n w l tdt sd nay e et n,h c u t
TR 75 , 7 ) v n h w u g ' idn h t s J l o s o i e o e e tl x ri te o r
mi
o
c n ld sh theCo sin rsd tr n to ta zlitf a rt t t sp riua patee a t r r l in t
o cu e ta t mmiso e' eemiain h t anifcn et o hi atc lr s rlv n wok oe s o
ml
sp o tdb sbsa ta e ie e Ho v rtevo aln lx ra tea miitaieh aigrc gnz dtat j b
u p re y u tnil vd nc . we e,h cto a e petth d nsrtv e rn e o ie h the o
o sa ne o eao i n tlse i t Dito ayo Ocu ain l te , n ta tecoe to whihi lse i ta
f c n r p rtrs o itd n he cin r f c p to a Tils a d h th lssj b c s itd s h t
o d cl n pe ae:whc i g n rly d e d a u s l d s d nay wok r l. ( 7 ) S c tsi n
f o l t rp rr ih s e eal eme n nkie , e e tr r oe TR 4 . u h etmo y
me
l
e our gedt Admi tai La J
nc a he
l r tve w udget f t tM r Joms i ca eofr u ni t wor asas r ro r t
us
o md ha s. l on s pabl etr ng o k
came pe aor
a tij big n rl p rome .( 3 -8 . we e,hec m'd e n t eivet theLa J g ' c n ieain
s hs o s e eal efr d TR 73 )Ho v rt o t o s o b l ha t w ud es o sd rto
y
e
o pani p s woka asn ne o eao, r frta matr tevo ain l x etsc n ieaino ti p sj b,
f litcs a t r s c n r p rtro ,o h t te,h cto a e p r' o sd rto fhs at o
c
ompo t wiht r quie nt ofSoca Se iy Rulng96- P o Soci Se urt Rulng96- s h ast s ppor a
rs t he e r me s
il curt i
8 r al c iy i
9P, uc
ou t
t dn ta plitf a no yefr te 6 o s a n ro eao a ii g n rl p rome i ten to a e o o .
- ig h t anifcn w rom h j b f c n e p rtr sts e eal efr d n h ain l c n my
m
y
Sttd difr nty,her or m t sca ei l noevi nc t s r t noto t tM r . l o maynow wor
ae fe e l t ec d hi s ncudes
de e o uppo t he ln ha s Joms n
k
a adoc ntprpa e,DOT No. 587- 1 Ne rhee s a r fe e beow,heAdmi srtveLa J ewe
s
ume e r r
249. 0 8. ve t ls , s e lctd l t
nita i w udg nt
ont c i rpl ntf' ca eunde Stp 5oft s quen i dia lt a l i, twhihheconcude t tM r J on
o onsde ai ifs s
r e
he e tal s biiy nayss a c
l d ha s.ohns
rt ns s t e f to lca iy t pef r ale nae wor r esexitng i sgnii an numbe i t nai l
eai ufkint uncina pact o ro m tr t
k ol
si n i tc t
r n he tona

e o my l s c a t c utb le e ta ti d tr n to i sy o td b s b tnile ie c ,te c u t
c no . namu h s he o r eiv s h t hs eemiain s u p re y u sa t vd n e h o r
a
c udest tt de i e isi t La J ge' a yssa Stp 4 a ewlhoutcons nce.
oncl
ha he fcince n he w ud s nal i t e r t
eque

t SocilSe udt Ad i sr to sAppe sCot i.Ha ng e use a 1a ia e
he
a c y m nitai n'
al
mcl vi xha t d 1 val bl
ad i sr tver m e e , r .J on hasnow a
m nita i e di s M s ohns
ppeaedt t sc r .
l o hi ou t
W hie pl ntf m a be dia e f c ran f r s of e pl ym e ,t c c a f c ua
l ai if y
s bl d or e ti o m
m o nt he nz i l a t l
de e mi to i whehe pl i ifi dia ed f ralf msofs t nta ga nf e oy e .Se
t r nai n s t r antf s s bl o l or
ubsa i l i ul mpl m nt e

4 U. C. j4 3 d ( )a d 1 8 ca .Th r aef t ee n so pr o wh c mu t ec n iee
2 S. j 2 ( )2 n 3 2 () e e r o l lme t f o f ih s b o sd r d
r
i mn i gs ha a ay i.The eee nsaesl rz da f lo :( ) b e tv me ia fcs
n k n uc n n lss s lme t r l
mma ie s o lws 1 o j cie d c l a t

a dciia sn i g ;2 teo no sa dc n l so s fr ai h sca s ( ) u j ci e ie e
n lnc l d n s( )h piin n o cu i n o te t y iin ;3 s b e tve vd nc
ngp
o p y ia ma fsainso i ime t, sd s rb dtr u hacama ts e tmo y a d() h
f h sc l nie tto f mpar ns a e cie h o g li n ' tsi n ; n 4 t e
cli a tse to voc tonalhit r r sdua s ls a age Vie v.Fi h,438 F. 115
am n ' ducai n, a i
so y, e i l kil , nd . t k
nc
2d 7,

1 5 - 0( t Ci. 9 ) Un e wo dv. bc f, 8F.d8 0 8 ( t Ci.1 6 )
1 9 6 4h r 1 71 ; d r o Ri io f 29 2 5 , 51 4h r 9 2 .
Afe a r vi w of t r or i t s c s ,t c ' i co taned t co l t tt
tr e e
he ec d n hi a e he out s nsr i
t
o ncude ha he
Comm isone ' fna de son i s
s i rs i l cii s uppored by s t n i le de e. M r .J
t
ubsa ta vi nc
s ohns s f sfom
on ufer '
r
s ve e de ne a i di cdie e,he r f iur ,see a
e r ge r tve s s as a t al e l p pnea a obest Shealo ha ahit r of
, nd
iy.
s s so y
de e sve dior r wih n e y a pos-r
pr s i
s de t nxit nd
ttauma i sr s s dr m e. As f her emotona
tc tes m o
or
i l
pr ems whiet La J
obl , l he w udgede e mi d t tM r . o o e re e m ode a edi c tesi
t r ne ha s J hns n xpe inc s
r t x uli n
he c e rto pe sse e, ndpac , . yeRom a ac ula i ps hol s, tr i
r onc ntai n, r it nc a
e Dr Fa
no, ons ttve yc ogit dee m ned
t tpl ntc se o i na s
ha ai i
m to l ympt sa e no s s ve e a t pr ve r gt a wor ac i t M r .
om r t o e r s o e nt e z r k tviy. s
l
J
ohns n' c r ol s f md t t s e re e e ry he r f im e d t non-s he i
o s a di ogit ot
ha he xpe inc s a l a t al
ue o
ic m c
ca di
r omyo t Howe r anec a di r m onOc o r4,2011r ve l onl midl dec e ed
pahy.
ve ,
hoc r og a
t be
e aed y l y r as

s g na lAve tiua s soi f cinwiha ee to fa to o 45 t 5 %.W hi panif
e me tle nrc lr y t lc un to t n j cin r cin f % o 0
l litf
e
hasc i dt r c ver gul rc r f rhe r pr e s he c r ol s ha no
ontnue o e ei e a a e orhe a t obl m , r a di ogit s tdoc e e a
um nt d ny
wor e ng of he c ton, des t pl ntf oc asonal pr s ntton wih c r ova c a
s ni
r ondii
pie ai ifs c i
e e ai
t a di s ulr
4

s
ympt . I tr sofhe ea l he r f l e t m e ca r or doe no s
oms n e m
r ry a t aiur , he di l ec d s t uppo ta fndi of
r i ng
dia lt f rl s sr nuousf r sofa i t Asf rhe se p a a M r . o o hasunde gone
s biiy o e s te
om
ctviy.
o r le pne , s J hns n
r
di nosi wo k- ,a i ha bee de e mi d t ts r quiesus ofaCPAP m a hi ,t ug
ag tc r ups nd t s n t r ne ha he e r
e
c ne ho h

he c m pla ewih t spr t olha be n une n. The ei no i c to t the see dior r
r o i nc t hi o oc
s e
ve
r s ndia i n ha r l p s de
afecshe c pa iyf s de a y wor aci t f whih s i o he wiephysc ly c pabl
f t r a ct or e nt r
k tviy or c he s t r s
ia l a e.
Bas on t m e c lr po t,a we la pli tf st tmony,i woul a a t M r .
ed
he di a e rs s l s a n if esi
t
d ppe r hat s
J ms n' bac pr e spr e he m os sgnii a wor r lt d physca lm iai ns M r .
ol o s k oblm
oduc r
t i fc nt k-ea e
i l i tto . s
J ms n hass f r d fo 1 ba k pr blm sf ma ye r . Shea t e t ons ofhe ba k
ol o
ufe e ' m ow c o e or ny a s
r
tdbut s he et
r c

dfiute t awo k rlt dij r .S n w us sac n f rn uain.nDe e e o 2 1 a
ifc lis o r -eae nu y he o e a e o mb lto I c mb r f 01 ,
ntr e pr c ii r r pore t t pl ntf was s f rng f o i r a i bac pan. The ntr e
ts a ttone e td ha ai if
ufe i r m nc e sng
k i
ls

p a tto e o i dta M r. o n o i t b et wok.( 5 4 . I 2 2 panifu d r n
rciin r pne h t s J h s n s ma l o r TR 7 ) n 01 , litf n e we t
all a s ieM ll lc s o ds v r b-aea f rmia se ossa teL5 S1lv l ( 5 3 .
l r pn l wlih h we e ee iltr lo n n ltn i th - e e. TR 6 )
mb
M or r c nty, heha c
e ee l s
s ompli d o r di toni ohe l we e r mii .A ph i a e mi to
ane f a ai nt r o r xte tes
ysc l xa nai n
i Jmeof201 r a e lmiedll ba r ngeofm o i n, ii sr i ht1 gr ie, nd t r s
n t
3 eve l d i t lm r a
to postve ta g e as a ende nes
t papai I Se e be of201 s wa as e s wih cloni l ba k pan, ge r tvedic
o l ton. n pt m r
3, he s s s ed t lr c ow c i de ne a i s
diea e s
s s , pondyl yss se i,a rght15 r c o t Ne rhe e s he docor ha not
ol i, t noss nd i . adiul pahy. ve t l s , r t s ve
r ommende i i mea ur s optngi t df cons r tvete t e .N om e c doc o s
ec
d nvasve s e , i nsea or
e vai r am nt
di al t rha
s
uggese t t M r .J
t d ha
s ohns n' m us ul ke ealpr ems a e dia i i ove al i c . l
o s
c os l t obl
r s blng n
r l mpa t n

as e sng pl i i sm us ul ke eala c r ovas ulrpr blm s t Admi sr tveLa J
s s i nntœ
c os l t nd a di c a o e , he
nita i
w udge
r id on r po t fom sa e a nc physcans who c i r d M r .Jo on t be c pa e of
ele
e rs r
t t ge y
ii
onsde e
s hns o
a bl
pe f r i lg e f m sofwo k,de piehe doc e edphysca pr e s
r o m ng i ht r or
r
s t r um nt
i l obl m .

5

I s r,gi n t m e c r or i tls c e t c tm us co l t t t r i
n ho t ve he dial ec d n li as , he our
t ncude ha he e s
s t nta e de t s ppor t La J
ubsa i l vi nce o u
t he w udge' fndi t t M r .J ms r t ns s ûc e
s i ng ha
s ol on eai uf i nt
f nc i l c pa t f s de a y l l of physc l e ri
u tona a ciy or e ntr eve s
i a xe ton. M o eove ,gi n Dr Rom a s
r r ve
.
no'

ps hol ca sudy,heco t le st tt r co d s
yc ogi l t t
ur be ive ha he e r upporst fndi t t antT sde es i
t he i ng ha pli i
pr sve
dior r a as oca e n ey a sr s dior r a eno s s ve ea t pr ve pe f r a e o
s de , nd s it d nxi t nd te s s de , r t o e r s o e nt r o m nc f
t s de a y wor r esf whi s i ot r s physc l c pa e. I f lowst tt fna
he e nt r
k ol or ch he s he wie
ialy a bl t o l
ha he i l
de ii oft Commi so i t sc s mus bea fnne
c son he
s i ner n hi a e
t f
d.

Ona alotlsc ut pl i ifm a t a g l e si s r ofhe
ppe t li ot antf kes wo r lm nt n uppo t
rmotonf sl a y
i or lmm r

j g n , rrma df ra dto a c n ie ain.Plitf c ne st tt Co si n rer d
ud me to e n o d iin l o sd r to anif o tnd ha he mmiso e re
i
nfndi e i lfmci na c pa iyf rpa tr l va wor Thec t r s i f
ngr sdua t to l a ct o s e e nt k.
our ag ee ,f ornoo he ea on
t rr s

t n t La J
ha he w udge ssndi o r i ua f nc i c pact f no mor t n s de a y e ri l
'
ng f esd l u tonal a iy or
e ha e nt r xe tona
aci t Ass tf t a
tviy.
e orh bove t c t le st tt r i no e de et s ppo t La J
, he our bei ve ha he e s vi nc o u rthe w udge'
s

fn igt a Mr . o n o i n w c p bl o pefr ngh rp ir o a s ame o rtr ete a
i dn h t s J h s n s o a a e f ro mi e ro j b s c x r peao , i r s
h
a t aly pe f r
c u l r o med ora ge r ly pe f me i t nai lec
s ne al ror d n he tona onomy. Howe r t c u'mus
ve , he ot t t
c l t t her c ds
oncude ha t e or upporst notont tpl i ifr mai c pa eofpe l mi s de a y
t he i ha antf e ns a bl
rbr ng e nt r

wor r e , i ntse by t voc i na e r whih e s i sg fca ntmberi t na i
k ols as de i d he ato l xpe q c xit n i nii nt l
n he tonal
econom y.

Pl i i ss ond a gt e on a a pr s nt ac os rquesi
antY ec
r tm nt ppe l e e s l e
ton.Asr l c ed a
efe t bove t
, he
Adm i sr tveLa l
nita i
w udges ikalyf
pect l oundt t antY se o i difc te r s tnm ode a e
ha pli i m tonal fiuli s e uli
rt

l tto i c n e tain, e sse c , n p c .( 2 ) ti fr ltn h sfn i g a t
i ains n o c n rto p ritn e a d a e TR 6 .Ye,n o mu aig i id n s s o
mi
pli i s r sdua fmci na ca iy,t La J
antY e i l t to l pact he w udge di not i l s h det i nc e i
d
ncude uc
k e is n
c e r ton,Pe s se e a pa . Net r di t La J
onc ntai
r itnc , nd ce
ihe d he w udge i ude s lmiai i
ncl
uch i t tons n

c nrton, ritnce o c i hehy t tc queto opounde ot vocaina e r
once tai pesse , rpa e nt poheial sinspr
bt he to l xpe t
a t a nitai he dng. Cii ava i t ofde sons mos not bl t oft Unied St t
t he dmi sr tve a
tng
rey
cii , t a y hat he t
aes

Co rbf pe l frteFo rhCic ii M a cov. li , 0F.d6 2( t Ci. 01 ) plitf
u t Ap as o h u t rutn s i Cov n 78 3 3 4h r 2 5 , an if
a gu t t La J
r es hat he w udge' fndi ofa lm ia i t sm pl t l l d wor doe notnec s dl
s i ng
i t ton o i e, msdle
k s
es a y
i pl o t kei o ac ot ,m ode a elm iai i c en r ton,pe sse e, pac
m y, r a nt c mt
r t i t tons n onc ta i
r it nc or e.
Thi c ur ha c itntym l ha aLa l
s o t s onsse l edt t w udge' fndi oflmia i osmpl t s led
s i ng i t tont i e,m kil
wo k smpl doe no t ke i o ac ount a cam a ' m ode a e lm iai ns i he a lt t
r i y
s t a nt c
li nts
r t i t to n r biiy o
co n r t , kr gulry, nd sa ont s Se , 2.Se onv. vi 21F. pp. 639, 43
nce ta e wor e a l a t y a k. e e. , xt
Col n,
su 3d
642-

( . Va 20 4 . Sae dfee ty t e c u t b le e ta, i s c crl tn e , t e
W D. . 1 ) ttd ifrn l, h o r eiv s h t n u h icl a c s h
ms
Comm isone f ist c ny t btr n i g ng f wa d wih t e de e ast t e se eof
s i r a l o a he lde n oi or r t he vi nc
o he xitnc

ohe j b acama t g t ee p ce t p rom, ie ac mp e e i ec n ieain o gl f
t r o s li n mih b x e td o e fr gv n o rh nsv o sd r to f l o
t cama tsi ar n s S eW ak rv. we , 8 F. 47 5 (t Ci. 9 9 .Ho v r i
he li n ' mp ime t. e l e Bo n 8 9 2d , 0 4 h r 1 8 ) we e,n
t i t ntc s , hec t le st tt La J epr ryr ledont ps hol c ls u of
he nsa a e t our be ive ha he w udg ope l e i
he yc ogi a t dy
Dr Rom a a we la t eoft sae a nc ps hol ss i fndi t tM r .J
.
no, s l s hos
he t t ge y yc ogit , n i ng ha s ohns n c n
o a
pe f t s le s de a y wor de pie he difc te i c entato pe sse ,orpa e.
ronn m kild, e ntr
k s t r fiuli s n onc r i n, r it nce
c
Cii Dr Rom a sco ula i e ua i t sa ea ncyps hol git f t ha M r . o on
tng .
no' ns t tve val ton,he tt ge
yc o ss omdt t s J hns
co d sildo s m e f m sofwor des t t e se e ofm ode a e lm iatons c us d by he
ul tl
o
or
k, pie he xit nc
rt i t i
a e
r

e to a p o lms ( 9 - 0 ,1 - 4 ) l a s sig te v c t n li c o plitf'
mo in l r b e . TR 3 1 6 28 1 4 . n se sn h o ai a mpa t f anifs
o
e oto l d f ton, t La J
m i na ys nnc i
he w udge a s e i il r led i s t nta mea tr o t
lo xplcty e i n ubsa i l
sle n he
ps hol ca r por ofDr Romano. ( 3 ) Folwi c nd c o aci c le au to ,Dr
yc ogi l e t
.
TR 7 . lo ng o u t f l a v lain .
ni
Rom a obs r d a f l ws
no e ve s olo :
Bas d upon t r s t oft se l to i a a st tt Cli a i c pa eof
e
he e uls hi vaua i n, t ppe r ha he am nt s a bl
pe f m i smpl a r pe ii t s and woul notha difc t c
ror ng i e nd e ttve a ks
d
ve fiuly ompl tng
ei

s m ede al d a c plx t s t rs r son. Cli ntdoe nota a
o
t ie nd om e a ks mde upe vii The a ma
s
ppe r
t be c
o
ompr s a afmc i ofhe c r ntps ho- motona fmc i ng. r
omied s t ton
r ure
yc e i l L toni He
a lt t m ant i r gulra tnda e i t wo kplce pe l m wo k a tvii on
biiy o i an e a te nc n he r a , rbr
r c i tes
ac it nt i , ndco plt anonnal r yo
onsse bass a
m ee
wo kda rwor
kwee t i e z i
kwihout ntm pton
a a sr ltvey lni
ppe r ea i l l mpaie i r ga dst he ps ho- m otona f to ng. r
r d n e r o r yc e i l unci ni He
a lt oa c pti t c i fom s pe v s s i e a twihc
biiyt c e nsnlton r u r ior ,nt r c t owor r a t publc
ke s nd he
i,
a we las co ng wih r tne sr s or e ot e e i co pe ii wo k do no
s l ; pi
t ou i te s s nc mt r d n m ttve r
t
a a t bei par d. Shei notc r nty r cevi ps ho r c media i l
ppe r o m ie
s
ure l e i ng yc topi
c ton. t
doe not ppe rt t heCl i a woul r quiea s sa et a quael m a
s a a ha t
am nt
d e r s it nc o de t y nagehe
r
ownf nds.Gi nt efndi ,heCl i a tsc
u
ve hes i ngs t
am n ' ompl i o f to lmpanne
ant f unc i na i i nt
a a si onsse a t stm e.
ppe r nc it nt t hi i

( 67.
TR 4 )
I s t t cour bei ves t t t r i s t nta e de e t s
n hor, he
t le
ha he e s ubsa i l vi nc o uppo tt uli ae
r he tm t
co l i t tpl i ifsde r eofi r e i t msofhe c enta i perit nc a pa e
ncuson ha antf
ge
mpaim nt n er
r onc r ton, sse e, nd c
i nots s ve east pr ve pero ma oft sm pl a r pe ii wor r esf whih s i
s
o e r
o e nt f r nce he i e nd e ttve k ol or c he s
ot r s physc ly c pa e. St t dif r nty,t c tdoe notbei ve t tt r i nae of
he wie
ia l a bl
aed fe e l he our
s
le ha he ato l
,

M a coa isi hi c e, ve hemedial vi ec i r dbyt
s i pple nt s as gi nt
c ç denc ons de e
heAdmi sr tveLa l
nita i
w udge.
I a tnni t fna de son oft Com misone ,t c tdoesno s ges t tM r .
n fs ng he i l cii
he
s i r he our
t ug t ha
s

J o i fe ofa1pa n, s m f t a e otona s mpt aol y.I ed,hem e c lr co d
ohns n s ' e l i dico ol nd m i l y om t og nde t
r
di a e r
c im s t t pl ntf s f r fom de t mus ul kee a pr e s as we l a woriome
onfr ha ai if ufe s r
fnie
c os lt l oblm ,
l s
rs
ca di c a s mpt s a e oto l d fl ton. Howe r i m us agan be no e t t
r ovas ul r y om nd m i na ys l i
nc
ve , t
t i
t d ha

p ani sph iinsd e h rp o lmst bes b e tt c n r ltr ug c n e v tv te t n
litY ysca e m e r be o u j c o o to h o h o s r aie r ame t
m e sle . No m e ca docorha s
a tr s
di l t
s ugge t d t tM r .J l o i t t l dia e I m us be
se ha
s o ms n s o aly s bl d. t
t

r c g ie t ttei a ii t d wo kwi u a ys be tv ds o o t o sn to is l rn e
e o nz d ha h n blt o o r t t n u j ci e ic mf r d e o f tef e d r
y
ho

acama t oal d sb e Cr i v. tr 76F.d5 5 5 4- 5( t Ci.1 9 ) l a e r t t
li n ttl ia ld. ag Chae, 3 8 , 9 9 4h r 9 6 . t pp as o he
y
c u th th Ad n srtve w l d ec n iee a1 fh s b e t fco s e s n b ys p o td
o rt a t e miitai La u g o sd rd lo t e u j ci a tr ra o a l u p re
ve

8

b teme ia r c r i a j d c tn plitf camsfrb neis I f lo t a a1 a eso t e
y h dc l e o d n du iaig an ifs li o e ft. t olws h t lf c t f h
Comm iso rsfna decson a e s
s i ne '
l ii r uppore by s t nta e de .
td
ubsa i l vi nce
Asa g ne a r e r ol i ofc lcsi t e de i am a trwihi t pr nc of
e r l ul, es uton
onfit n he vi nce s
te t n he ovi e
t Commisone e n i t c t i r ol t c lc sdif r n l Ri ha ds v.Pe aes
he
s i r ve f he our m ght es ve he onfi t fe e ty. c r on
rl ,

s p a Op e h i v. n h 49 F.d3 6( t Ci. 9 4 .F r h r a o ssae ,hec u ti ste
u r; p n em Fic , 5 2 9 4h r 1 7 ) o t e e s n ttd t o r fnd h
Comm iso rsr s uton o t pe tne c lc si t r o d i t sc e t be s
s i ne ' e ol i f he ri nt onfit n he ec r n hi as o
uppo td by
re

s t nta e de e Ac r ngl t fna de ii n oft Co misone mus bea fr e La
ubsa i l vi nc . co di y,he i l c so
he m s i r t fim d. ws

v. lb e z , u r .Ana p o raej g n a do d rwi bee tr dt i d y.
Cee rz e s p a
p r p it ud me t n r e l n ee hs a
l
The ce k i die t d t s nd ce tfe co e oft sopi on t a1c
lr s r c e o e
rii d pis hi ni o l ouns lofr or
e
ec d.

oA-so:I T A
r
us

d yo g s 2 7
a rau ut 01

.

Unie St t Diti tJ ge
t d aes src ud

9