Benavidez v. U.S.

Decision Date20 May 1999
Docket NumberNo. 97-2313,97-2313
Citation177 F.3d 927
PartiesMario G. BENAVIDEZ, Plaintiff--Appellant, v. UNITED STATES of America, Defendants--Appellees.
CourtU.S. Court of Appeals — Tenth Circuit

Bruce E. Pasternack (Neil R. Blake and Valerie A. Chang with him on the briefs), Pasternack and Blake, P.C., Albuquerque, NM, for Plaintiff--Appellant.

William G. Cole (Frank W. Hunger, Assistant Attorney General, John J. Kelly, United States Attorney, and Robert S. Greenspan with him on the brief), Department of Justice, Washington, D.C., for Defendants--Appellees.

Before PORFILIO, KELLY and LUCERO, Circuit Judges.

LUCERO, Circuit Judge.

This appeal raises the issue of whether the intentional tort exception to the Federal Tort Claims Act ("FTCA") applies to a suit alleging that a government-employed psychologist negligently mismanaged the patient-therapist relationship by engaging in sexual contact and drug and alcohol abuse with his patient. Concluding that the therapist's actions constituted an intentional tort, the district court dismissed appellant's suit for lack of jurisdiction. See Benavidez v. United States, 998 F.Supp. 1225, 1231 (D.N.M.1997). We have jurisdiction pursuant to 28 U.S.C. § 1291 and reverse.

I

Appellant Mario G. Benavidez is a member of the Laguna Pueblo Indian Tribe in New Mexico. As a teenager, Benavidez suffered from depression and a drug and alcohol dependency problem that led to frequent arrests by the local police. After attempting suicide, Benavidez was referred by the police and the Indian Health Service ("IHS") 1 to a government-employed psychologist, Dr. David J. Bullis, for counseling. Bullis diagnosed Benavidez, who was then just shy of his sixteenth birthday, as suffering from a variety of psychological disorders, including depression with suicidal intent, polysubstance abuse, and cannabis dependence.

Despite this diagnosis, Bullis allegedly told Benavidez that continued alcohol and drug abuse would be appropriate and even therapeutic. Bullis also allegedly used therapy sessions to convince Benavidez that he was homosexual and that he should have sex with Bullis. During the course of the patient-therapist relationship, Bullis allegedly engaged in sexual contact with Benavidez. Together, the two also allegedly used alcohol, marijuana and other illegal drugs. 2

The record includes testimony that Bullis had a reputation for using drugs and alcohol with many of his teenage patients, and Bullis himself told one of his supervisors that he had engaged in "some exploratory sexual contact" with Benavidez. The supervisor never notified his superiors of Bullis's conduct, but merely wrote in his notes that he felt comfortable allowing Bullis to continue with his regular duties. The IHS did not relieve Bullis of his clinical responsibilities until January 1995, when Benavidez filed an administrative tort claim against the agency.

In July 1995, Benavidez, acting pursuant to 28 U.S.C. § 2675(a), filed suit in the United States District Court for the District of New Mexico, 3 alleging various injuries as a result of Bullis's conduct and seeking recovery against the United States under the respondeat superior theory of liability. The district court concluded that Benavidez's allegations constituted a claim for assault and battery rather than for professional negligence or malpractice. Applying the intentional tort exception to the FTCA's waiver of sovereign immunity, the court thus granted the government's motion to dismiss for lack of jurisdiction. 4

II

We subject to de novo review the question of whether a district court has subject matter jurisdiction to hear a tort claim against the United States. See Franklin v. United States, 992 F.2d 1492, 1495 (10th Cir.1993), aff'd on appeal after remand, 34 F.3d 1076 (10th Cir.1994).

The FTCA provides that the United States can be sued for personal injury resulting from:

[The] negligent or wrongful act or omission of any employee of the Government while acting within the scope of his office or employment, under circumstances where the United States, if a private person, would be liable to the claimant in accordance with the law of the place where the act or omission occurred.

28 U.S.C. § 1346(b)(1). But this waiver of sovereign immunity does not extend to claims arising out of assault or battery. See 28 U.S.C. § 2680(h).

The issue before us, therefore, is whether Bullis's alleged conduct constituted a "negligent, or wrongful act" rather than an assault or battery for purposes of the FTCA. "[W]e assume Congress proceeded from an understanding of established tort definitions when enacting and amending the various sections of the FTCA." Franklin, 992 F.2d at 1495. Thus, although the issue of whether a claim falls within the FTCA's waiver of immunity is a matter of federal law, a resolution of that issue often turns on the "traditional and commonly understood legal definition of the tort" that the plaintiff alleges. United States v. Neustadt, 366 U.S. 696, 706, 81 S.Ct. 1294, 6 L.Ed.2d 614 (1961).

A

A review of relevant federal and state court cases shows that Bullis's conduct has traditionally been understood and commonly defined as negligent malpractice, which does not fall within the intentional tort exception to the FTCA's waiver of sovereign immunity. See, e.g., Simmons v. United States, 805 F.2d 1363, 1368-71 (9th Cir.1986); Andrews v. United States, 732 F.2d 366, 371 (4th Cir.1984); Doe v. Samaritan Counseling Center, 791 P.2d 344, 348-49 (Alaska 1990); Corgan v. Muehling, 167 Ill.App.3d 1093, 118 Ill.Dec. 698, 522 N.E.2d 153, 156-57 (Ill.App.1988), aff'd, 143 Ill.2d 296, 158 Ill.Dec. 489, 574 N.E.2d 602 (1991); Zipkin v. Freeman, 436 S.W.2d 753, 761-62 (Mo.1968).

In Simmons, for example, an IHS therapist seduced his patient, a member of the Chehalis Indian Tribe, into a sexual relationship. See Simmons, 805 F.2d at 1364. The patient suffered a subsequent deterioration in her mental and emotional health. Another therapist traced her worsening condition to the sexual relations she had with the former therapist. The patient thereupon filed suit against the government under the FTCA, and the district court entered judgment in her favor. Dismissing the government's appeal, the Ninth Circuit ruled that by seducing his patient, the therapist had mismanaged the "transference phenomenon" and thus engaged in negligent malpractice. See id. at 1365.

"Courts have uniformly regarded mishandling of transference as malpractice or gross negligence." Id. (citing cases); see also Greenberg v. McCabe, 453 F.Supp. 765, 771-72 (E.D.Pa.1978), aff'd, 594 F.2d 854 (3rd Cir.1979); Samaritan Counseling Center, 791 P.2d at 348. The "transference phenomenon" refers to the tendency of patients to become emotionally dependent upon, and trusting of, their psychologist or psychiatrist. See generally Michael D. McCafferty & Steven M. Meyer, Medical Malpractice: Bases of Liability § 10.18 (1985) (explaining that transference "is one of the most significant concepts in psychoanalytic therapy," and accounts for the "strong dependency of the patient upon the therapist"). Specifically, transference describes a patient's "projection of feelings, thoughts and wishes onto the analyst, who has come to represent some person from the patient's past." Simmons, 805 F.2d at 1364 (quoting Stedman's Medical Dictionary, 1473 (5th Lawyer's Ed.1982)).

Although it occurs in other professional relationships, "it is only in psychotherapy that the management of this [transference] effect is so critical--legally as well as therapeutically." Joseph T. Smith, Medical Malpractice: Psychiatric Care § 9.10 (1995). No other professional relationship "offer[s] a course of treatment and counseling predicated upon handling the transference phenomenon." Simmons, 805 F.2d at 1366 (citing Alan A. Stone, Law, Psychiatry, and Morality 199 (1984)). In order to manage the transference phenomenon properly a therapist must avoid emotional involvement with a patient who transfers feelings of affection to him. See Aetna Life & Cas. Co. v. McCabe, 556 F.Supp. 1342, 1346 (E.D.Pa.1983).

Despite the wide acceptance of transference in the medical and legal communities, the district court summarily dismissed the Simmons court's reliance on the phenomenon. See Benavidez, 998 F.Supp. at 1229 n. 4. But we need not rely exclusively on Simmons and other cases that employ the transference phenomenon. Faced with a case very similar to the one before us, the Fourth Circuit, without relying on transference, concluded that a therapist's sexual relationship with his patient constituted grounds for a negligent malpractice claim. See Andrews, 732 F.2d at 370-71.

In Andrews, a government-employed therapist diagnosed the plaintiff as suffering from chronic depression. The therapist soon began using counseling sessions to convince his patient that she needed an affair, and ultimately succeeded in seducing her into a sexual relationship. See id. at 367-68. As a result of the therapist's conduct, the plaintiff's emotional health worsened, and she ultimately filed suit under the FTCA. The government argued that the suit stemmed from an assault and battery for which sovereign immunity is not waived. See id. at 371. The Fourth Circuit disagreed, and simply held that when a therapist seduces his patient while purporting to provide counseling, "the resulting cause of action is described as medical malpractice [and] not assault and battery." Id.

The government attempts to distinguish Andrews by arguing that the patient in that case consented to her therapist's sexual advances because he convinced her that sexual intercourse with him was the best course of treatment for her. The government contends that unlike the plaintiff in Andrews, Benavidez did not consent to Bullis's sexual contacts. Thus, this case involves the intentional tort of assault and battery rather than negligent malpractice. The district court agreed, stating that ...

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