Skip to main content

Advertisement

Log in

To Crack or Crumble: Use of the Thin Skull and Crumbling Skull Rules

  • Published:
Psychological Injury and Law Aims and scope Submit manuscript

Abstract

The psycholegal and medicolegal assessment of injury-related physical and psychological impairments and disabilities is fraught with difficulties, including assessing for physical and psychological risk factors. In the injury litigation context, in Canada, issues related to pre-injury physical and psychological risk factors are best captured by the thin skull and crumbling skull rules. A review of court cases in which these rules have been considered suggests that the rules are not applied consistently. This inconsistency in the application of these rules has contributed to conflicting determinations of cause and damages across trial court, appeal court, and Supreme Court cases. This article provides operational definitions of the thin skull and crumbling skull rules, presents a case that involves a series of court decisions that exemplify the difficulties associated with the application of these rules, and provides recommendations for more effective application of the two rules.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Athey v. Leonati. (1996). 3 S.C.R. 458.

  • Cocchiarella, L., & Lord, S. J. (Eds.). (2001). Master the AMA guides (5th ed., pp. 327–341). Chicago: American Medical Association.

  • Duckworth, M. P., & Iezzi, T. (2010). Physical injuries, pain, and psychological trauma: Pathways to disability. Psychological Injury and Law, 3, 241–253.

    Article  Google Scholar 

  • Duckworth, M. D., Iezzi, T., & O’Donohue, W. T. (Eds.). (2008). Motor vehicle collisions: Medical, psychosocial, and legal consequences. New York: Elsevier/Academic.

    Google Scholar 

  • Iezzi, T. (2008). Medicolegal issues associated with motor vehicle collisions: A psychological perspective. In M. P. Duckworth, T. Iezzi, & W. T. O’Donohue (Eds.), Motor vehicle collisions: Medical, psychosocial, and legal consequences (pp. 503–539). New York: Elsevier/Academic.

    Chapter  Google Scholar 

  • McInnes, M. (1996–1997). Causation in tort law: Back to basics at the Supreme Court of Canada. Alberta Law Review, 35, 1013–1034.

    Google Scholar 

  • McQuade, J. S. (2001). The eggshell skull rule and related problems in recovery for mental harm in the law of torts. Campbell Law Review, 24, 1–45.

    Google Scholar 

  • Moore, S. R., & Matrundola, B. (2007). The Supreme Court of Canada and the law of causation. 3rd Annual Update Personal Injury Law and Practice. Osgoode Professional Development CLE.

  • Nash, K., & Moore, S. R. (2010). The Supreme Court of Canada and the law of causation revisited again. 6th Annual Update Personal Injury Law and Practice. Osgoode Professional Development CLE.

  • R. v. Mohan. (1994). 2 S.C.R. 9, 1994 CanLII 80 (S.C.C.).

  • Salas v. United States. (1997). 974 F. Supp. 202, 209 (W.D.N.Y.).

  • Schenke, S. R., & Lambe, D. (2008). Medicolegal issues associated with motor vehicle collisions: A legal perspective. In M. P. Duckworth, T. Iezzi, & W. T. O’Donohue (Eds.), Motor vehicle collisions: Medical, psychosocial, and legal consequences (pp. 421–465). New York: Elsevier/Academic.

    Google Scholar 

  • Touchard v. Slemco Electric Foundation. (2000). 99–3577 (La. 10/17/00); 769 So. 2d 1200, 1202.

  • Young, G., & Kane, A. W. (2007). Causality in psychology and law. In G. Young, A. W. Kane, & K. Nicholson (Eds.), Causality of psychological injury: Presenting evidence in court (pp. 13–47). New York: Springer.

    Chapter  Google Scholar 

Download references

Conflict of Interest

The first author has conducted psycholegal assessments primarily for plaintiff lawyers. The third author has represented both plaintiffs and defendants.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tony Iezzi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Iezzi, T., Duckworth, M.P. & Schenke, S.R. To Crack or Crumble: Use of the Thin Skull and Crumbling Skull Rules. Psychol. Inj. and Law 6, 156–159 (2013). https://doi.org/10.1007/s12207-013-9157-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12207-013-9157-8

Keywords

Navigation