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An analysis of the duty of care for psychiatric injury owed to Bathilda and Charlie

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June 09, 2026
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1. Introduction

This advice will consider whether Zacharias owes a duty of care to Bathilda and Charlie for the psychiatric injuries they have suffered. The relevant area of law is the tort of negligence. To establish negligence, a claimant must prove that the defendant owed them a duty of care, that the defendant breached that duty, and that the breach caused legally recognised damage. In this scenario, Zacharias has admitted that he breached his duty to drive with reasonable care and that this breach caused the initial accident. The central legal issue, therefore, is whether a duty of care is owed to Bathilda and Charlie for their resulting psychiatric injury, which is a recognised form of damage in tort law.

The courts have historically been cautious in awarding damages for psychiatric injury, often referred to as 'nervous shock', due to policy concerns such as the fear of fraudulent claims and the 'floodgates' argument – the idea that allowing such claims could lead to an unmanageable number of lawsuits. Consequently, a restrictive set of rules has been developed to determine when a duty of care for psychiatric injury arises. The advice below will analyse the positions of Bathilda and Charlie separately by applying these rules to determine if they can successfully sue Zacharias.

2. Advice for Bathilda

The first step in advising Bathilda is to determine whether she would be classified as a primary or a secondary victim. This distinction is crucial as the legal tests for establishing a duty of care differ significantly for each category.

2.1. Bathilda's status as a primary or secondary victim

The classification of victims of psychiatric injury was clarified by the House of Lords in White and Others v. Chief Constable of South Yorkshire [1999] 2 AC 455 (HL). A primary victim is someone who is a participant in the event and is within the range of foreseeable physical injury, or who reasonably believes they are in such danger. A secondary victim, by contrast, is a person who witnesses the event and suffers psychiatric injury but is not in any physical danger themselves.

Bathilda was situated "in an office building some distance away" when she witnessed the car catching fire. This places her outside the immediate zone of danger of the car crash itself. While she was afraid that the fire "might spread to her building," this fear must be reasonable for her to be considered a primary victim. The case of McFarlane v EE Caledonia Ltd [1994] 2 All ER 1 (CA) provides guidance here. In McFarlane, the claimant was on a support vessel for the Piper Alpha oil rig disaster and feared for his safety due to the fire. The court held that his fear was not reasonable given his distance from the danger, and thus he was not a primary victim. Similarly, given that Bathilda was "some distance away," it is likely a court would find that her fear of the fire spreading was not a reasonable basis to place her in the zone of immediate physical danger. Therefore, Bathilda would be classified as a secondary victim.

2.2. Application of the legal principles for secondary victims

As a secondary victim, Bathilda must satisfy the strict control mechanisms established in Alcock and Others v. Chief Constable of South Yorkshire [1992] AC 310 (HL). These requirements all relate to the legal principle of proximity. For a duty of care to be established, there must be proximity of relationship, proximity in time and space, and proximity of perception.

First, there must be a close tie of love and affection between the claimant and the person imperilled in the accident (the immediate victim). In Alcock, the House of Lords established that such a tie is presumed to exist between spouses and between parents and children, but must be proven in other relationships, such as siblings or friends. The facts state that Zacharias's car knocked into "Albus's car". There is no information suggesting any relationship between Bathilda and Albus. As she is a bystander witnessing an accident involving a stranger, her claim will fail on this first and most important limb of the Alcock test. The policy behind this rule is to limit the scope of liability to those most closely affected by the primary event.

Second, there must be proximity in time and space to the accident or its immediate aftermath. The claimant must have witnessed the event or come upon the scene shortly afterwards. This test was articulated in McLoughlin v O’Brian [1983] 1 AC 410 (HL), where a mother who saw her injured family in hospital two hours after a car crash was held to be within the immediate aftermath. In this case, Bathilda "saw Albus's car catching fire" as it happened. She therefore satisfies this requirement.

Third, the psychiatric injury must be a result of the claimant’s own direct perception of the event with their own unaided senses. This means seeing or hearing the event, not being told about it by a third party. Bathilda saw the fire directly, so she also meets this condition.

Finally, the psychiatric injury must be induced by a "sudden shock". The law does not typically allow claims for psychiatric conditions that develop over a long period. Witnessing a car suddenly erupting in flames would almost certainly be considered a sudden and shocking event.

2.3. Evaluation of Bathilda's claim

Although Bathilda's experience satisfies the requirements for proximity in time and space, perception, and the sudden shock requirement, her claim ultimately fails. The lack of a close tie of love and affection with the immediate victim, Albus, is a fatal flaw. The courts have been very clear since Alcock that bystanders who witness horrific events involving strangers cannot claim for psychiatric injury as secondary victims. Therefore, the argument against the existence of a duty of care is overwhelmingly strong. Zacharias does not owe Bathilda a duty of care for her PTSD.

3. Advice for Charlie

Charlie, a firefighter who attended the scene, also developed post-traumatic stress disorder. His potential claim must also be analysed by first determining his status as a victim.

3.1. Charlie's status as a primary or secondary victim

Charlie is a professional rescuer. For a time, it was thought that rescuers might be considered a special category of claimant. However, the House of Lords in White v Chief Constable of South Yorkshire clarified the position. The case concerned police officers on duty at the Hillsborough disaster who suffered psychiatric injury. The court held that rescuers are not in a special position and must satisfy the same criteria as other claimants. To be a primary victim, a rescuer must have been in the zone of actual physical danger or have held a reasonable belief that they were. If they are not in physical danger, they are secondary victims and must meet the Alcock criteria.

Applying this to Charlie, he can only be a primary victim if he was objectively exposed to physical danger while fighting the fire. The facts do not specify the risks he faced. For example, if he was in close proximity to the burning car with a risk of explosion, or if he had to enter an unstable vehicle wreck, he might be considered to be in the zone of danger. If, however, he was operating at a safe distance cordoning off the area or using a hose from a position of safety, he would not be a primary victim.

If Charlie is not a primary victim, he would have to claim as a secondary victim. In this case, he would face the same insurmountable hurdle as Bathilda: the lack of a close tie of love and affection with Albus. As a professional rescuer attending to a stranger, his claim as a secondary victim would fail.

3.2. Application of the legal principles to Charlie's claim

The success of Charlie’s claim depends entirely on whether he can be classified as a primary victim. If he can establish that he was, in fact, within the zone of foreseeable physical danger, the test from Page v Smith [1996] AC 155 (HL) would apply. In Page, the House of Lords held that where a claimant is a primary victim (i.e., physical injury was foreseeable), the defendant owes a duty of care for any personal injury that results, whether physical or psychiatric. It is not necessary for the defendant to have foreseen the psychiatric injury specifically. The "thin skull" rule applies, meaning the defendant must take their victim as they find them.

Therefore, the argument for a duty of care being owed to Charlie is that if it was reasonably foreseeable that a person in his position as a firefighter at a car fire could suffer some physical injury, then a duty is owed for the PTSD he suffered. The argument against this duty is based on the strict application of White, which requires proof of actual danger. Without more information about the specific risks Charlie faced at the scene, it is difficult to give a definitive answer.

3.3. Evaluation of Charlie's claim

Charlie’s case is less clear-cut than Bathilda’s. His strongest argument is to claim as a primary victim. The success of this argument is contingent on him being able to provide evidence that he was exposed to a real risk of physical harm during the rescue operation. If he can prove this, under Page v Smith Zacharias would owe him a duty of care. However, if the evidence shows he was not in any real danger, the precedent set in White would mean he could not be a primary victim. As a secondary victim, his claim would fail due to the Alcock criteria. Therefore, Charlie's claim is uncertain and will depend heavily on the specific facts of his involvement at the scene.

4. Conclusion

In summary, the advice to the claimants is as follows.

Bathilda’s claim against Zacharias for her psychiatric injury is highly unlikely to succeed. As a secondary victim, she cannnot demonstrate the required proximity of relationship – a close tie of love and affection – with the immediate victim of the accident, Albus. This is a fatal defect in her claim under the rules established in Alcock.

Charlie’s claim is more complex and its outcome is uncertain. He cannot succeed as a secondary victim. His only viable path is to establish that he was a primary victim by proving that he was in the zone of actual or reasonably apprehended physical danger while carrying out his duties as a firefighter. If he can satisfy this high threshold, established in White, he will be owed a duty of care under the principle in Page v Smith. If he cannot, his claim will also fail. His success is therefore entirely dependent on factual evidence that is not provided in the scenario.

References

  • Alcock and Others v. Chief Constable of South Yorkshire [1992] 1 AC 310 (HL)
  • Horsey, K. and Rackley, E. (2021) Tort Law. 7th edn. Oxford: Oxford University Press.
  • McFarlane v EE Caledonia Ltd [1994] 2 All ER 1 (CA)
  • McLoughlin v O’Brian [1983] 1 AC 410 (HL)
  • Page v Smith [1996] AC 155 (HL)
  • White and Others v. Chief Constable of South Yorkshire [1999] 2 AC 455 (HL)

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