Hall v. Astrue

Filing 11

MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 8/8/2011. (jat)

R wu

oe l ts ol cou.
ee l sm

. A g ix ,a
T x iv
F

&

FRH EWETSAISITO TCGMA
ITHU IEETDERCRC I U T
O E S N SD F O R
N T NTDR TT S IVR I
H ARRI
SON BURG D I SI N
VI O

' 2 2'
p '2
c 1
J
JDLI c. DLEM
.
'
*
.
.

TI OTHY C.
M
HALL,
Plitf
an it
l
v.
MI
CHAEL J ASTRUE,
.
Commisone ofSoca Se rt
si r
il cu iy,
Defnda .
e nt

)
)
)
)
)
)
)
)
)
)

.

Cii AcinNo 5 1 CV0 0 3
v l to . : 1 0 0
M EM ORANDUM OPI ON
NI
By:
Hon. e E. a
Gln Conrd
Chi UniedStt DititJ
ef t aes src udge

Pl i ifha fl t sa ton c le ng t fnalde so oft Comm iso ofSocil
antf s ied hi c i ha lngi he i
cii n he
s i ner
a
Sec iy de ng pl i ifscli f s plm e a s c iy i om ebe ft t
urt nyi
antf
am or up e ntl e urt nc
ne is mdert Socal
he i

Sec t Ac,a a nde 42U. C.j1 :1s g.J rs ito o t sc ti purua t 4
miy t s me d,
S. 381 . e uidcin f hi our s s nt o 2

U. C.j1 8 ()3 , ihic mo ae j2 5 g o t eSo ilS c rt Ac, 2U. C. 4 5 g .
S.
3 3 c() wh c n o rts 0 ( ) f h ca e u i t4 S. j 0 ( )
y
A s r fec ed by t m e or nda a a gum e s it d by t pa te ,t i s be or t s
el t
he m a
nd r
nt ubm te
he r i s he s ues f e hi

cou ta ewhe he t Co misone ' fna de son i s
r r
t r he m s i rs i l cii s uppore by s bsa i e de e, ndi
td
u t ntal vi nc a f
i i not wheherpl ntf hasmett bur n ofpr aspr s rbe bya pur ua t t Ac .
ts , t
ai if
he de
oof
e ci d
nd s nt o he t
Stt d bre l s t tale de eha be n de i ass h r lva te de e, nsd rngt
ae i fy, ubsan i vi nc s e fned uc ee n vi nc co i e i he
r or a awhol,a mi htbef
ec d s
e s g
ound a quaet s
de t o uppor aco l i by ar as bl m i
t ncuson
e ona e nd.

Rihads v.Peaes 402U. 389,401(971 .
c r on
rl ,
S.
1 )
Thepli tf,Ti hy C. l wa bo n on J 1 1
a n if mot
Hal, s r
une 5, 989.Hee n ualy c
ve t l omplt d hi
ee s
hi h s hoole a i l Bas don t t tm on oft vo to le r, heAdmi sr tveLa
g c
duc ton.
e
he esi y he cai na xpe tt
nita i
w

J
udgef
oundt tMr Halha nopatr lva wok.( . ) OnNo mbe 30,
ha . l s
s ee nt r Tr 21.
ve r 2008, r Hal
M. l
.
fl d a a i a i f s ppl m e t s c iy i om e be ft . He a l ge t the be m e
ie n pplc ton or u e n al e ur t nc
ne i s
le d ha
ca

:Pl ntf pari pat i s ci educa i cl es
ai if tci ed n pe al
ton ass .

17
7

r

!

dia ed f a1 f m sofs t nta ganf lempl
s bl or l or
ubsa i l i '
u
oyme on Ocobe 1,
nt
t r 2003, t de e so
due o pr s i n,
expl i a c
osve nd onduc di or r o
t s de , ppos tona de i n di or r bi a di o de ,s ver m ood
ii l f a t s de , pol r s r r e e

s ngs he dac s a atnto deiihypeaci t dior r(
wi , a he , nd te in fct r tviy s de ADHD) M r Halno mai ai
. . l w nt ns
t the ha r ma ne dia e t t pr e tme.
ha
s e i d s bl d o he es nt i
Pl i ifscam f s e nt ls c iy i o ebe ft wasde e u i ta
antf ' li or uppl me a e urt nc m
ne is
ni d pon niil

consdeai a rco i rto Het nr se a rc ve aétnovoheai a rviw
i rton nd e nsdeain. he equetd nd e ei d
rng nd e e
bef ea Admi sr tveLa J
or n
nitai
w udge.I a opi on da e Se e
n n ni
t d pt mber24, 0, heLa J e
201 t
w udg
al o de e m i d t tM r Hal i notdi a e The La J e f
s t r ne ha . l s
s bl d.
w udg ound t tpl i ifs f r f om a
ha a ntf uf e s r

num be ofs r mentli im e s i udi a a f ci dior r a e osvea c
r eve e
a mpa r nt, ncl ng n fe tve s de , n xpl i nd onduc
t

d s r e , t nind fctds r e/te to d fcth p rciiyds r e ( ADHD) lw t
io d r at to eii io d ratni n eii y ea t t iod r ADD/
e
v
,o o
be ow a r gei t le t lf nc i ng,a a a ey dio de .TheLa J
l ve a n e lc ua u toni nd n nxi t s r r
w udgea s s d M r
s es e
.
H a l sr i ua f tonalc pa t a f low s
l ' es d l unc i
a ciy s o l :

Afe ca e ulco i ai oft entr r o d, heunde sgne fndst t
tr r f nsderton he ie ec r t
r i d i ha
t c aman ha t r i ualf to lc pa t t pe f m af 1r ng of
he l i t s he esd unci na a ciy o ror
u1 a e
wor a al e to lvel b wih t f lwi none ri l
k t l xeri nal e s ut t he olo ng
xe tona
lmia i :t cli a r t i t a lt t pe f m sm pl r i t s
i t tons he am nt e ans he biiy o ror i e, outne a ks
wih s t smpl i tu tonsa t ma smpl,wor r a e de i i .
t hor, i e nsr c i
nd o ke i e
k-elt d c sons
The ca ma c n pe f m t s al ngf sgnii ntlmiai i hi
li nt a ror a ks lowi or i fca i t tons n s
a lt t unde s a a r m e be de aie i t u tons a m ode a e
biiy o
r t nd nd e m r t l d nsr c i
nd
rt
lm iai i hi abiiyt c ryoutdea ld i tu tons He c n pe f m
i t tons n s lt o a r
tie nsr c i .
a ror
a tvii t ta l f rm od r t lmiai i hi a lt t c
c i tes ha low o
e ae i t tons n s biiy o omplt
ee
t s w ihi a s he e, a nt n r gul ra t nda e a be punc ual
a ks t n c dul m i ai e a te nc nd
t
wihi c t r t e a e . M r Halhast a lt t pe f m t s t t
t n usoma y olr nc s
. l
he biiy o ror a ks ha
a l f rm ode ae lm ia i i hi a lt t s t n a or na y r i
low o
r t i ttons n s biiy o usai n di r outne
wihouts cils r ii n.The ca ma c pe f r wo k aci test t
t
pe a upe v so
li nt an ro m r tvii ha
a l f m ode ae lmia i i hi a lt t i e a ta opra el wih
low or
r t i ttons n s biiy o ntr c ppr it y t
t publc i hi a lt t a c pti t u tons a r pond a opr a e y t
he
i , n s biiy o c e ns r c i
nd es
ppr i t l o
c ii i m f o s r s r a i hi a lt t ge al w ih co- or r
rtc s r m upe vi o s nd n s biiy o t ong t
w ke s
orpe r w ihoutdi t a tng t m ore bii be vi r le r m es
es t
s r c i he
xhi tng ha o a xt e .

( . 5 .Gie s c ar sd l u cina c pa iy a da rc n ieigpanifsa e
Tr 1 ) v n u h e iua f n to l a ct, n ûe o sd rn litf g ,
e aton, nd lck ofa r e ntwor e re ,a we la t tmony ofavoc tona expe t
duc i a a
ny elva
k xpe ince s l s esi
ai l
r,
t La J
he w udgedetr ne t tM r Ha l ean:s fce f ctonalc pact t pero m s ve a
e mi d ha . l r ti ufiint un i
a iy o f r e r l

s c tcwo k r l se si i sg fca tnumbe i t nai le onomy,i l ng t r e of
pe ii r o e xitng n inii n
r n he tona c
ncudi he ols
c t a ha pa kage ,a me ha c a s m blr c di y, heLa J
usodi n, nd c
r nd c nial s e e .Ac or ngl t
w udgec ude
oncl d
t tM r Hal i notdia e a t thei note il dt s e nt ls c iy i om ebe ft .
ha . l s
s bld, nd ha
s
ntte o uppl me a e urt nc
ne is

Se 2 C. R. 41 .2 g .Th La J d eso no wa a o tda t efn l e ii no t e
e 0 F. j 69 0() e w u g ' piin s d pe s h ia d cso f h
Comm iso rby t So a Sec iy Ad i sr ton' Appe l Counc l Ha ng e used al
s i ne
he cil urt m nita i s
as
i. vi xha t 1
a ia e a i s r tve r m e es M r H a lha no a a e t t s c r .
va l bl dm nit a i e di , . l s w ppe l d o hi ou t

W hiet pli ifma bedia e f rc ran f m sofe oy e ,hec u i lf ctzl
l he antf y
s bl d o e ti or
mpl m nt t r c a a t
a

dee m i ton i whehe t pli tf i dia ed f al f
t r na i s t r he a n if s s bl or l onusofs t ntalganf le pl
ubsa i i ' m oyme .
u
nt

S e4 U. C. 1 8 ca .Th r aef l ee nso po fwhc mus b c n iee i ma i
e 2 S. j 3 2 () e e r oz lme t f r o ih t e o sd rd n kng
r
s c a a ayss Th s ee nsaes mmaie a f l ws ()o j cieme ia fcsa d
u h n n l i. e e lme t r u rz d s ol : 1 b e tv dc l a t n
o

ci c l dng ;2 t o no sa dc n l in o te tn p y iin ; 3 s b e tv e i e c
l a fn i s ( ) he piin n o cuso s f raig h sca s ( ) u j ci e v d n e
ni
o p y ia ma fsain o i ar ns a d srb dtr u hacama ' tsi n ; n ( )
f h sc l nie tto s f mp ime t, s ec ie h o g li nts e t y a d 4
mo
t c am a ' e
he l i nts ducai vocai hit y r i uals ls a a Viek v.Fi 438F.
ton,
tonal sor , esd kil, nd ge. t
nch,
2d

1 5 ,1 5 - 0(t Ci.1 71; ewo dv Riiof 2 F. 8 0 8 1( t Ci-1 6 )
1 7 1 9 6 4h r 9 ) Und r o . bc f, 98 2d 5 , 5 4h r 9 2 .
Aferar vi w oft r c d i t sca e t c ti una et c l t tt
t e e
he e or n hi s , he our s bl o oncude ha he
Comm isone ' fnalde son i s
si rs i
cii s upporedby s tntale de . Ther co desa ihest
t
ubsa i vi nce
e r t bls hat
M r H a ls f sf om a c bi ton ofs ve e m e a i i
. l ufer r
om na i
e r nt l mpa nnen s Bot hi te tng ps hi ti t
t. h s rai
yc a r s
and a consulatve exam i ng psychol s have pr
ti
ni
ogi t
oduced m ent st us fndi and opi ons
al at i ngs
ni

w hi h i ca e t tpl i ifi una e t w or be a e ofhi none r i llm ia i . W hie
c ndi t ha a ntf s bl o
k c us
s
xe tona i t tons
l

t Admi srtve La J
he
nitai
w udgedic e t i fndi ba e on r porsfom anone mi ng
s ount d her i ngs s d
e t r
xa ni
saea
t t genc ps hol s , he c t oncl st tt La J
y yc ogi t t our c ude ha he w udge' o ni i i ons s e w ih
s pi on s nc it nt t
t gove ni ad i s r tve r ul to ,a t tt Com m is o r st e t e ofpl i i fs
he
r ng m ni ta i eg a i ns nd ha he
s i ne ' r a m nt
a ntf

m e a he lh c ton i nots
ntl a t ondii s
uppo td by s tnta e de e.M or ove ,bas d on t r pors
re
ubsa il vi nc
e r e
he e t
fom t teai ps chitita t co ulai e m i ngps hol s, hecou tcmcudes
r he r tng y a rs nd he ns t tve xa ni
yc ogit t
r c l
t M r Hal ha mett bu de ofpr i esabls ng t aldia lt f a 1f msof
hat . l s
he r n
oof n t ihi ot s biiy or l or
s t nta ga nf e pl m e .
ubs a i l i ul m oy nt

Ther or r ve st tDr Ke t A.W ir ,aps hitita t M c t Ce e f
ec d e al ha . nne h
da
yc a rs t he Nuly nt r or

Chl rna dFa le , e a te t n o Mr Halo J n 2 , 0 7 ( . 9 - 9 ) Bywa o
id e n miis b g n rame t f . l n u e 7 2 0 . Tr 2 5 2 7 .
yf
hit y,Dr W i anot t tpli ifha be n lvi wihhi a ptve ft rf e gh t ni
sor
. dr ed ha antf d e i ng t s do i ahe or i t o ne
yea sand t tpli tf bi o c lf m iy ha be n ne ecf la a usve Dr W i ai c t d
r
ha a n ifs ol gi a a l d e gl tu nd b i . . dr ndia e
t tpl i ifhad bee pr vi l t e t d b a t rps hi t i tf t o a a hal y r , ho
ha a ntf
n e ousy r a e y no he yc a r s or w nd
f ea s w

ha di g edhi wih ADHD,bi a 1 dio de , a d c clng,c
d a nos
m t
polr 1 s r r r pi y i onduc dio de ,a l m i
t s r r nd ea ng
dia lte i l ng gea r a ng.Afe t tps c ars r tr M r Halwasteae by a
s biiis n a ua nd e di
tr ha y hitit e ied, . l
r td
nur epr c ii r whoale e hi m e cai .Dr W i r r lt d t tpli tf wa no l r
s a ttone ,
tr d s di tons . d a ea e ha a n if s onge
s cda ,
uii l homi i ,ore gi i s xua a tngout butt the c i
cdal nga ng n e l ci
, ha
ontnuedt e re epe i
o xpe inc rods
ofde e s on,a e y,rgi t a per e r ton,a t thi f usr t o t e a r m a ne
pr s i nxi t i diy, nd s ve a i nd ha s r t a i n ol r nce e i d

i x rmeyp o . ( . t 95 ,Dr W ir da n s dADHD;ne mitn e plsv d s r e ;
û te l o r' Tr a 2 ) . d a ig o e
e
'
itr te t x o i e io d r
r a tvea t hme dior r pos ta ai sr s dior r nze o bi a dior r t pe1.
e c i tac nt s de ' t r um tc te s s de ; l ut pol r s de , y 1
,
,
l r ng dia lt byhit y;a bo de lne it le t lf nci
ea ni s biiy,
sor nd r ri n e lcua u ton.
M r H a lc i d t s e D r W i a on a r gul rba i t oug M a c of201 O n
. l ontnue o e . dr
e a s s hr h r h
0.
N o be 7,
vem r 2007,pl ntf r t ne wih a oc as ona i r s i irt biiy a a r
ai i f e ur d t n c i l nc ea e n r ia lt nd ng y

4

o t u ss ( . 0 ) trDr W ir aj se h sme iain , r Hal x re e ice s d
u b rt. Tr 3 6 .Afe . d a du td i dc to s M . le peinc d n r ae
a r s i n a f usr ton. D r W i a' e m i to no e f om J nua y 29,2008 i c t t t
gg e s o nd r ta i
. dr s xa na i n t s r
a r
ndi a e ha

p an ifi t he wal a dne ryjl e o to ac rwh nu s ta di tbe' ( . 0 ) Th
litf l mc s ls n al l d u f a e p e n nia l. Tr 3 4 . e
p
mp
'
f l ng mont pl i ifpr s ntd wih s
olowi
h, antf e e e t omer uc i i a e svebe vi . Howe r he
ed ton n ggr s i
ha or
ve ,

wa i tlq iei tbea dmo d , n i (o k s mee fr t rdrc hm. ( . 0 )
s t il ut nia l n o y a d t to ) o fo to e ie t i ' Tr 3 3 .
s
'
A lhoug M r Hal ex bie i pr m e durng s r ls e ntvi is D r W i a not d on
t
h . l hi t d m ove nt i eve a ubs que
st , . dr
e

Se e r l ,2008 t tpl ntf a
pt mbe 7
ha ai if ppea e midl dys i a t thewa e rencng
r d l y phorc nd ha
s xpe i i

heg e di t lt andpoo fusrtont e a e.( . .
ihtne niabiiy
r r tai olr nc Tr 299)
On J ua y7,
an r 2009,Dr W i ac
. dr omplt a me alsause l to f t sa e
eed
nt t t va uai n or he t t

dia lt a y.( . 294) .W i arporedt tpl ntf ha ag esi outurt,t t
sbiiy genc Tr 290- .Dr dr e t ha ai if s gr sve b ss ha
her quie se p a ssa e,a t ther quie sg t a pr
e r s l e s it nc nd ha
e r s i nik nt omptng a s r son wih d l
i nd upe vii
t aiy

a tvte .Dr W ir d srbe panifsat u ea Eria l'a dh safc a $1t' ( .
ciiis . d a e c i d litf ti d s srtb e' n i fe t s ta . Tr
t
i
f '
2 2 .Dr W ir as noe ta plitf atn ins n c n e tain, b l yt c mp ee
9 ) . d a lo td h t an ifs te to pa , o c nrto a ii o o lt
t
t s s a dj d me t r t o y ta hei ee irtsq ikl u d rsr s, ta hsf do
a k , n u g n ae t r' h t s tro ae uc y n e te s' h t i un f
po '
d
'
if r to i b lw a rg , n t th i u a l t ma a ehi o f n s ( . 32 4 .
n o main s eo vea e a d ha e s n b e o n g s wn u d . Tr 29 - 9 )
Dr W i a' e m i ton no e fo M a 5,2009 i c t t tpl ntf had be n
. dr s xa na i
ts rm
y
ndia e ha ai if
e

pef r ngf il wel ts h o, u ta h h de p re c damao e p e sv e io ewi h s
ro mi ary la c o lb th t e a x ein e
j r x r sie ps d t i
h
br t r Dr W i a d c i d t i i nta f l :
o he . . dr es rbe he ncde s olows

g fe e hangi t e t t t poi offcngof,g ai it ma
Altr xc
ng hras o he nt a i f pl ntfl de
t e t t bur dow n t hous ,a t kiche kni s a one poi whe
hr a s o n
he
e nd ook t n ve t
nt n
t polc w e e ca l and r o oft hous i t t w oods He
he i e r led
an ut he
e n o he
.
e ua l c l e down, m e ba o hi ow n ac or a t t polc l f,
vent ly a m d
ca
ck f s
c d fer he i e e t
a di c r d t kni s a t ug whe r c tng t e nt ,i i
nd s a de he ve , lho h
n e oun i he ve s t s
e de t tw hie t polc w e e t r , w ase i e y dit a t d f om
vi nt ha
l he i e r he e he
ntr l s r c e r
t i tala r a vi wed i a a ga e ofe i n.
he nii nge , nd e
ts
m
vas o

( . t3 4 .Alh ug t epanif e ide p re cn a yho cd l rs iia ie to
Tr a 8 ) t o h h litf d n e x ein ig n mii a o ucd l d ain
f l wi t i de , .W i r c et c nget pli ifsm e c tonsû ora d
olo ng he nci nt Dr d a hos o ha
he antf
dia i E dde
f

c r e. ( . .
oveag ' Tr 384)
'
On Nove
mber1 200 Dr W i ar pore t tM r Halha be n be vi f ry wel
7, 9, . dr e td ha . l d e ha ng ail l,

b tta th ec niu l ) oh v d fiut c n ann hsi uli c mme t a dwil
u h t t l o tn e d t a e ifc ly o tiig i mp sve o ns n l
l
s o tn o syblr t e o te e wh n c uin di t a rg r ' ( . t 28.Dr W ir
p n a e u l u t h m u v n e a to e n h t e ad. Tr a 4 ) . d a
'
emphasze t ther m aned oft opi on t tM r Halçs d becas ii d a d s bld, ve
i d ha
e i
he ni ha . l lhoul
l sfe s i a e gi n
hi l ve ofc nii f to afe tvelbiiy,a hit y ofi sviy,a r s i n and
s e l og tve unci n, f c i a lt nd sor
mpuli t gg e so

e rmeypoori ea tonswih a hort fgtr a pe r o rtme. ( . )
xte l
ntrci
t ut iy i les nd es ve i ' Tr 428 .
'
Dr Da d B.Re d,alce edclni a ps
. vi
i i ns i c l ychol s,e m i d pl ntf o t e oc sons
ogit xa ne ai if n hr e ca i

i J n aya dF b ayof 0 9.( . 6 - 7 ) I hsp y h lgc l vau to , . i lse
n a u r n e nzr 2 0 Tr 3 9 3 2 . n i s c oo ia e lain DrRed itd
m e a sausfndi asf l ws:
ntl t t i ngs olo
Ps hol c e l i oft s l ye r ol Ca as a m a e r ve e
yc ogi al va uaton hi g- a - d uc i n l e al d
ove a ls oot i t l c ua f nc i ng w ihi t 1 t be ow a r e
r l m h n ele t l u toni
t n he ow o l ve ag
r ng Ot c tve s lswer ge r ly co m e ur t w ih t e
a e. her ognii kil
e ne a l m ns a e t hes
t ndi , w e rhi a t ntona ca c t i di i s d ase d nc d by
i ngs ho ve s te i l pa iy s m ni he
vi e e
hi dif c t on t s t ta s s di de a s t i d a t nton f bot
s f i uly
a ks ha s es vi d nd us a ne te i or h
ve bala non- r lm aera .Hi de tver a oni a lte we e
r nd
ve ba t il s duci e s ng biii s r
as e s wihi t l a r ger nge howe rt r we ei c tons
s s ed t n he ow-ve a a ,
ve he e r ndi a i

t t ei v r s s e tbl t itree c .Co s q e ty wh n ( r Hal
ha h s ey u c p i e o n efrn e n e u nl , e M . l
)
i t htane t k,hewo d dobe tu rcicl tnc st tpe mitd
s aug
w as
ul
s nde r lmsa e ha r te
pr c i a r pe ii w ih lm ie i e f r nc Fr a em otona
a tce nd e tton t i t d nt r e e e. om n
i l

pe s ci hei e sl ovewhel da ditese do (i)t lmied
rpe tve, s a iy r me nd sr s d sc o i t
c ng s ls a a t nc t r a ti e otona w a t ta e i t ns
opi kil nd ende y o e c n m i l ys ha r n e e
a i puli Hei pr t e gi i be or t ta epoory
nd m sve.
s one o nga ng n havi s ha r
l
pl nne a t r a e i c tonst the doe no lke y l a n f om na t a
a d nd he e r ndi a i ha
s ti l er r
tl l
r
c e nc s oft s be vi s So a l he hasdif c t f m i and
ons que e
he e ha or . ci ly,
fi uly or ng
m an ai ng mea ngf r ltonswih ot r a ma fnd s i i to
it ni
ni ul e ai
t he s nd y i ocalzai n
uncom f abl and chalengi H e doesnothave aver good
ort e
l ng.
y
unde sandi ofpeopl i g ne ala t si lke y r l t d t hi hi t r
r t ng
e n e r nd hi s i l e a e o s s o y
ofabuse and negl durng chidhood.
ect i
l

6

( . t3 ) Dr Redda n e panifwi bp a ds r e I, o tru t srs d s r e ,
Tr a 71 . , i ig osd lit t iolr io d r I p sta mai te s io d r
f h
c
r l o AD H D ,a pe s iy di or rN OS. He a s s e pl i i f sG AF a 50. I lg of
u e ut
nd r onalt s de
s e s d a ntf '
t 2 n i ht
s h fnd ngs D r R e d opi d a f l s
uc i i , . i
ne s olow :

W ih t aor ntone ci c li es i i m i i i notlkey t t
t he f eme i d lnia mpr sons n nd, t s
i l ha

( . llwo db a l t manana ylv l fc mp ttv
Mr Hal ul e b e o i ti n e e o o eiie
e o e .Hei lkeyt e ountrd fi uliswih l r ng e n
mplym nt
s i l o nc e ifc te t ea ni ve
smpl a r t t s t es la ni opport tesa ene ri ala l c
i e nd o e a ks ml s e r ng
t i r a de nd a k
mi
a i t r er nc ordi ta tons whi h c le hi a t nto lc pa iy.
ny n e f e e
sr c i
c ha l nge s te i na a c t
Eve i hei a et la n smpl a mt net s ,hei lkey t
n f s bl o e r i e nd mda a ks
si l o
be om er a l f sr t d a a rs f e gi i poory plnne a
c
e diy nzta e nd t ik or nga ng n
l a d nd
i
mpuli be vi r .Heha vey poorc ng s lsa hi a lt t
sve ha o s
s r
opi kil nd s biiy o

t eat c lc ora yt e t(mple orr l t hi pes litgrt i
olr e onfit n hr a i id ea) o s rona ne iy s
sg fc nty c le d.Hewilc lng a ho iy fgtr sa i not
i niia l ha lnge
l hale e ut rt i le nd s
lkel t w ilngl t ke diec i nsf om ot r t l s he i i f l
i y o li y a
r to r
he s m e s s n ul
ag e me wih t die tve .Unf t t l hi s i ls lsa eve y
r e nt t he r c i s
oruna ey, s oc a kil r r
poora helc age r lunde sa ng ofpe pl t s h a e e t t
nd a ks ne a
r tndi
o e o uc n xtnt ha
i c lenge hi a lt t i ta e a m a nt i he t a m e ni ul
t ha l s s biiy o nii t nd i a n alhy nd a ngf

r ai wihohes I ese e ( r Hallprs nt wihaprmii
eltons t t r. n s nc , M . l e e s t i tve
pe s iy snzt et twilc lngehi a lt t f nc i a a
r onalt t cur ha l hale
s biiy o u ton s n
i pe nta ta a tm ei t f r e bl f ur W ih t si mi
nde nde dul t ny i n he o es ea e ut e. t hi n nd,
hi f t ri hi hl e ur dt plr ue SocalSe lrt Dia lt on hi
s a he s g y nco age o zs
i cziy s biiy
s
be l and i i mos unlkey t thewilbe a et s ppo thi s fonc
haf
t s t i l ha
l
bl o u r m el e
he t ns ofl ga a .
ur
e l ge

( .a 371 .
Tr t )
Aspr vi l notd,heAdm i sr tveLa J
e ousy e t
nita i
w udgedicomt d t r po t a
s l e he e rs nd
a s s nt fom Dr W i aa Dr Rei a i t a c edie t opi o ofa no xa ni
s es me s r
. dr nd . d, nd nse d r td he ni n
ne mi ng
s a e a nc ps hol i tt tt pl n ifi c pa e ofwor ng a t thi m ent li paim e s
t t ge y yc og s ha he ai tf s a bl
ki nd ha s
a m r nt
r ul i onl m ode a e lm ia i . The La J
es t n y
r t i t tons
w udge f
ound t tt none m i ng ps hol s '
ha he
xn ni
yc ogi t s
opi ons we e e il d t G i fca w e ght' sncet y we e t ons s e wih t r por e
ni
r ntte o t gnii nt i ,' i he
s
r E it nt t he e t d
c
2The gl as es mentoff i ng, orGAF,i u e t r po t h ci cin'j dg nto t e
obal s s
unctoni
s s d o e r t e lni a s u me f h

s b e tso e allv loff ncinig.A s or bewe n41a d 5 i i ia i oftll ro s mpoms
u j c ' v r l e e u to n
ce t e
n 0 s nd c tve çse ius y t
.. .

OR any serousi paimenti s al oc
i m r
n oci , cupatonal orsc
i ,
hoolf i ng ....'Am erca
unctoni
'
i n

Ps hiti As o iton Dig osi a d S aitc lMa a o Me t l s r e s34( he ts. e .
yc arc s cai , a n tc n ttsia nu l f n a Dio d r 4t d.e t r v
20 )
00 .
7

i ove e i t cli ntsbe vi rwih t us ofm e cai ,wih hi a lt t a ta a
mpr m nt n he a ma ' ha o t he e
di tons t s biiy o c s
c r ve f hi br t ra w ih hi a lt t be ve a qua e y w ih a m e a he lh s
a egi r or s o he nd t s biiy o ha de t l t
nt l a t uppor
t

s e il t'( . )
p cai - Tr 20 .
s'
Ha ngr viwe t r c d,t c ti una et c l t tt La J
vi e e d he e or he our s bl o onc ude ha he w udge'
s
te t ntoft r porsa opi onsfom Dr W i aa Dr Red,ort La J
r a me
he e t nd ni r
. dr nd . i
he w udge' r la e
s e inc
on t opi onsofanone mi ngps c ogit c
he ni
xa ni
y hol s, ompor wih t r quie e soft
t t he e r m nt he

a miitai r g lto sd aigwihtee au t no o iine d n e Un e 2 C. R.
d n sr t e uain e ln t h v l ai f pn o vie c . d r 0 F. j
ve
o
41 9 ( )1,t se piil p o ie t a, e e al, r weg t l b gv nt teo ii n
6.27d ( ) ii x lct r vd d h tg n r l mo e ih wil e ie o h pn o
y
y
ofame ca s lc whoha a t lye mi dt cli n .M o e r 20C. R.j
di l otre
s cual xa ne he ama t r ove,
F.

41 9 7 d ( )drcst a, e eal, r weg ti gv nt o no sfo te t s u c s
6.2 ( )2 ie t h t g n rl mo e ih s ie o piin r m r ai o re ,
y
ng
s nc s h pr f s onal ar m or lke y a e t pr vi a de a l d,l t na pi tle oft
i e uc o es i s e
e i l bl o o de
t ie ongiudi l c tr
he

cama tsme c li ar n s Fial, n e 2 C. R. 41 9 7 d ( ) ii n tdta mo e
li n ' dia mp ime t. n ly u d r 0 F. j 6.2 ( )5 ,t s o e h t r
we g i a c dedt t o ni ofas i ita
i ht s c or
o he pi on
pecals boutmedia is r l t t t a e of
c l s ues e aed o he r a
s cily.l t i t ntc s ,i i cla t tDr W i aa Dr Rei a t ly s w M r Ha lo
pe at n he nsa a e t s e r ha . dr nd . d c ual a
. l n
s ve aloc as ons w he e t s a e ag nc ps hol s ha ne rs n ore m i d t
e r
c i , r as he t t e y yc ogit s ve ee
xa ne he
pl i if M or ve , he e ca be no que ton t tD r W i r q lf e asa t e tng s c
a ntf .
eo r t r n
s i ha . d a ua ii s
r a i our e.

Pe ha mos i pora l i M r Halsca e, he ei as t n i c r tbewe n t
r ps
t m tnty, n . l' s t r s ubsa tal ontas t e he
qua ii t o ofDr W i a a t e oft s a e age y ps hol s . Dr W i a i a ph i i n
lfca i ns
. dr nd hos
he t t
nc yc ogi t . dr s
ys c a
w ih a m e c ls c a t i ps hi t y. The s a e ag ncy ps hol s i nota phys c a She
t
di a pe i ly n yc a r
tt e
yc ogit s
i i n.

net re
ihe xami no te t d M r Ha lon e n asngl oc so I s h cr umsa s t
ned r r a e
. l
ve i e ca i n. n uc ic t nce , he
c tdoe notbe i t tt La J
our
s
leve ha he w udge sr i nce on t r por oft none m i ng
' ela
he e t he
xa ni
ps hol s c n be de m e t be s
yc ogit a
e do
uppor e b s t n i e d nc
t d y ubs a tal vi e e.

8

M or ve , hec tfndsno e de et s
eo r t our i
vi nc o uppor t noton t tDr W i a' ps hi ti
t he i ha . dr s yc arc
o ni a e i ons s e wih hi c i c lno e . W he Dr W i r be n t e tng M r H a li
pi ons r nc it nt t s lni a t s
n . d a ga r a i
. l n

J of2007, pr s rbe Efe r Cymbat Ne ontn,Ge
une
he e c i d fxo ,
la, ur i
odon,Bus r Ripe da,Sta tr
pa , s r l r te a,
a Kl
nd onopi M r Ha lr m anedon mos oft em e c tons i a ton t ot r , hr hout
n. . l e i
t hes dia i , n ddii o he s t oug
hi te t nt W hiet Co misone c r c l obs n'st t o s ve a oc sons pli ifi
s r a me .
l he m s i r ore ty e e ha , n e r l ca i , antf s
s i t ha r ponde postve yt hi m e c tons t c ttdoe notbele t ts h
a d o ve es
d ii l o s dia i , he otr s
ive ha uc

n tto si t erc r p o i eara o a l b sst s p o th rjcino Dr W ir ' o iin.
o ai n n h e od r v d e s n be ai o u p r te ee to f . d a s pno
Ps hiti e ua i cam otbebas d on x-a orl bo a or st e . l t d,ame a heat
yc arc val tons l
e
r ys a r t y tz s nsea
di
nt l lh
clni i n m us be a et obs r t c a m a , onsde hi c pl i s a a s s hi m e a
i ca
t bl o e ve he l i nt c i r s om a nt , nd s e s s nt l

sa us Pe hapsi i f t sr as t tt a i sr tver gultonse
tt . r
t s or hi e on ha he dm nita i e a i
mphasz t i
i e he mporanc
t e
oft e m i ngr a ins p a t teame r ltons p.l t sc s ,bot oft m e al
he xa ni elto hi nd he r t nt ea i hi n hi a e h he nt
he t s cilsswho ha a t l e m i d M r Hal i l nghi teai ps hitit ha
alh pe a it
ve cualy xa ne
. l, ncudi
s r tng yc a rs, ve
dee ed hi ps hi t i pr bl m s t be ofs h s ve iy a t pr l hi f om pe f r i
m
s yc a rc o e o
uc e r t s o ec ude m r
r o m ng
s t nta g nf lac i t
ubs a i l ai ' tviy.
u
The c t s co l
our al o nc udest tt La J e' r la e on t pl i if sr e a a
ha he w udg s e i nc
he a ntf ol s

d r gi 'f hi me al dia e younge br he i nots ppo td by s t tale de
s e ver' or s nt ly s bl d
ca
r ot r s
u re
ubsan i vi nce.

( .20 .W hieM r Hale tfe durngt a nitai he rngt thea ssswihhi
Tr )
l . ltsiid i he dmi srtve ai ha sit t s
br he ' ba h,fxeshi br he s ndw i he ,a he pshi br t rge dr s d,M r H al a s
ot r s t i
s ot r a
c s nd l s o he t es e
. l lo

e h sz dt a hi ft e i ç l y ao n 'a dta h i u e c n tn s p r iin.( . 4 .
mp a ie h t s ah r s d wa s r u d' n h t e s nd r o sa t u e vso Tr 3 )
a
M or ove ,i i cea fom t r c d t tt pl ntf ha e r m edifc t ca ngouthi o
e r t s l r r he e or ha he ai if s xte
fi uly nyi
s wn
actvii ofdaiy lvi wihoutsi fcantdiecton and as s ance. H i f hert tfed t the
i t es
l i ng t
gnii
r i
sit
s at esii ha
hast m ake t pl ntf getoutofbed each m or ng,t t pl ntf has poorhygi and t
o
he ai if
ni hat he ai if
ene,
hat

9

t pl i ifofe r us t t kes we s Li wie r porsfo t pl i ifsm e t he lh
he antf tn ef es o a ho r . ke s , e t r m he antf
n al at
c
ouns l s wih Cr s oadsCot s i Ce e , ho s nttm e w ih t pl i tf on a r ul r
e or t os r
m elng nt r w
pe i
t he a n if
eg a

ba i,i caet the sm ggl swih ce nlne sis s t ther pe t ype mishi bed oom t
ss ndi t ha
t
e t la i s s ue , ha
e aedl r t s r
o
dee i r t t asa eofs or a t thene dspr mptng t pe f ho e d c r s
tro ae o tt
qual , nd ha
e
o i o ronu us hol ho e .
l ed,t m os r c ntqu try r viw fom Cr soa ,d e Aprl1 201 ,i c t st t
nde he
t ee
are l e e r
os r ds atd
i 5, 0 ndia e ha

tlq of( . l'qmos sgniiantae ofne dc i t behi lc ofa lt t
ûsome Mr Hals t i fc ras e ontnue o
s a k biiy o
ma gehi efi compl i ts ofi pe ntdal lvi '( .450 ,a t theha
na ms l n
etng aks nde nde iy i ng, Tr ) nd ha
'
s

E n itnl r f sd . . t mpt t h l (i o g nieh slt r , olt r, la h sr o
ko sse ty e u e . at s o ep hmj r a z i amd y d amd y ce n i o m,
e
or ni ehi r , i hi r , a hi be p o ry,dipos oftas pr ry, e r
ga z s oom pant s oom m ke s d r pe l s e r h ope l pr pa e
mea sbe
l yond usng r me a y ie sa home ma pr reai c c i pe nty,
i udi nt r tm t
, ke ope tng hoies nde nde l or

mana abudge'( . ) Fort s r a ons t co tc l t t La J
ge
t'Tr 448 . hee e s ,he ur oncudes hathe w udge'
s
as e s e oft pli tf sdal a tviisi no s ppo t by s t nta e de e,a t tt
s s m nt he a n if iy c i te s t u red
ubsa i l vi nc nd ha he
r porsfo Cr soa Co elng Ce e a e c it n wih t o ni ofDr W i aa Dr
e t r m os r ds uns i
ntr r onsse t t he pi ons
. dr nd .
Rei
d.

I pa sng, hec t nnothel butno et ti t Comm isone ha r s t do
n s i t our ca
p
t ha f he
s i r d ea on o ubt
t a c a y orcons s e y oft ps hi ti a s s e sof e t by Dr W i a ort
he c ur c
it nc
he yc a r c s es m nt f r d
. dr
he
ps hol c e l ton pe f m e by Dr Re d, he Com m i s one had f l a ho iy t r quie
yc ogi al va ua i
r or d
. i t
si r
u l ut r t o e r

M r Hal t a a f a c ulai e l ton by a i pe ntps hi titdesg t d by t
. l o ppe r or ons t tve vaua i
n nde nde
yc ars inae
he

saedia lt ag y.See20C. R.jj41 91 41 91
tt sbiiy enc
F.
6. 7- 6. 8.Nos hps hiti (
uc yc arc or
ps hol c )e mi tonwa c
yc ogial xa nai
s ommisone byt saedia lt a nc a asi no
si d he tt s biiy ge y nd, t w
s ands t ps at i e dence s
t , he ychi rc vi
upportng pl ntf scl m ofdi abiiy i ess i l t di put
i
ai i f ai
s lt s entaly m s ed

by a e m i ng ortea i s c l m uc a i i c e rt tM r H a li t a e t e ge i
ny xa ni
r tng our e. nas h s t s l a ha
. l s m bl o nga n

a r g a a s t i d e o nta tviy t rt fndi ofDr W i aa Dr Re d, he
ny e ulr nd usa ne mpl yme c i t mde he i ngs
. dr nd . i t
c tc ude t tt pl i ifha m e t bur ofpr i e tbls ng t t ldia lt f a1
our oncl s ha he antf s t he den
oof n sa ihi o a s biiy or 1
f r sofs t ntal nf e oy e .The c ur f t rc l st tM r Hal hasme t
om
ubsa i gai ul mpl m nt
o t urhe oncude ha . l
t he
bur n i e tbls ng t thewa dia e a oft daeofhi a ia i f s pplm e a
de n sa ihi ha
s s bl d s he t
s pplc ton or u e ntl

s c iy i ome be ft .
e urt nc
ne is3
Fort r as sa e t c t sconsr i d t c l t tt Comm isone ' fna
he e ons t t d, he our i
tane o onc ude ha he
s i rs i l

d cso i n ts p o tdb s bsa ta e ie c .Dee a tsmoinf rsl r j d me t
e iin s o u p re y u tn il vd n e fnd n ' to o l
mmay u g n
mus, he e or bede e Upon t fndi t tpl ntf hasme t bur n o pr as
t t r f e,
nid.
he i ng ha ai if
t he de f oof
pr s rbe b a pur ua t t Ac i e t bls ng dia lt f a 1f m sofs t nta g nf
e c i d y nd s nt o he t n sa ihi
s biiy or l or
ubsa il ai ul

e o me tj d me t l b e trdi fv ro tep anif Th Co sine' fna
mply n ,u g n wil e n ee n a o f h litf. e mmiso rs i l
de son de ng s e nt ls c iyi omebe iswilber redt t extntt tt
cii
nyi uppl me a e urt nc
neft l eve s o he e ha he
de a wa ba e on t fndi t tpl i ifi notd s bld.Ho ver snc t Com misone
ni l s s d he i ng ha antf s
ia e
we , i e he
si r
hasa r l notco i r d whe he pl n ifmeest fna ilei biiy r quie e st r
ppa enty
nsde e
t r aitf
t he nca lgi lt e r m nt mde
t SSIBe t Pr r m ,t co tmus r ma t c s t t Co misone f a a o i t
he
nek og a he ur
t e nd he a e o he m s i r or n ppr prae

d tn nain.Ano d ra dj g n i c n o miywil ee trdti d y.
ee ni to
r e n ud me t n o f r t l b n ee h s a
The Clr i diece t s nd ce tfe c pisoft so ni a t a compa ng or r
e k s r td o e
rii d o e
hi pi on nd he c
nyi
de
t al cou e ofr or
o 1 ns l ec d.

ENTER:

a - u t 01 .
Tlsqd d yofAug s, 2 1
a
i

Chi fUnie St t D i ti tJ
e
t d a es sr c udge
3Pur uantt 20 C .F. j41 .35 as c sf la plc n f s pplme a s c rt ic me
s
o
R. 63 , uc e su p ia t or u e ntl e u iy n o
beneft may notr i such beneft f any pe i oftmeprort t m ont f l ng t m ont of
is
eceve
is or
rod i
i o he
h olowi he
h
applca i
i ton.