Reinhart v. Secretary of Health & Human Services

Decision Date04 May 1984
Docket NumberNo. 83-1340,83-1340
Parties, Unempl.Ins.Rep. CCH 15,297 Oliver T. REINHART, Jr., Appellant, v. SECRETARY, HEALTH & HUMAN SERVICES, Appellee.
CourtU.S. Court of Appeals — Eighth Circuit

J. Paul McGrath, Asst. Atty. Gen., Washington, D.C., George W. Proctor, U.S. Atty., Chalk S. Mitchell, Asst. U.S. Atty., Little Rock, Ark., Frank V. Smith, III, Regional Atty., W. Emmitt Roberts, Asst. Regional Atty., U.S. Dept. of Health and Human Services, Dallas, Tex., for appellee.

Cathey, Goodwin, Hamilton & Moore, Paragould, Ark., for appellant.

Before JOHN R. GIBSON and FAGG, Circuit Judges, and HUNTER, * Senior District Judge.

FAGG, Circuit Judge.

Oliver T. Reinhart, Jr., appeals from the district court's order affirming the Secretary of Health and Human Services' decision to deny his application for Social Security disability benefits. Reinhart alleges total disability for a period beginning January 1980 due to psychiatric problems, along with severe back, neck, and leg pain. The Administrative Law Judge (ALJ) determined that Reinhart was not eligible to receive disability benefits because he did not suffer from a severe impairment expected to last for a continuous period of at least twelve months. See 20 C.F.R. Sec. 404.1505 (1983). This determination was upheld by the Appeals Council and the district court.

Reinhart has been diagnosed by his treating physicians, Drs. Sexton and Maddock, and his examining physicians, Drs. Belivacqua and Guthrie, as suffering from hysterical neurosis with conversion, a psychological disorder which transforms emotions into physical manifestations of pain. All of the physicians further recognize that Reinhart is frequently and severely depressed, with Dr. Belivacqua indicating his belief that Reinhart is potentially suicidal. Reinhart, at the administrative hearing, testified extensively as to the pain from which he is suffering and the effect that pain has on his daily activities. Reinhart's son and father both confirmed that Reinhart testified accurately respecting his daily activities and the problems he is having.

Our review of the record reveals that the Secretary failed properly to consider the uncontradicted medical evidence of record and failed properly to consider Reinhart's subjective complaints of pain in assessing his disability. We therefore remand to the Secretary for further consideration in light of this opinion.

The ALJ, in denying Reinhart's claim for benefits, failed properly to consider the uncontradicted medical opinions of four physicians who determined that Reinhart suffers from a medical condition that could be reasonably expected to produce pain. See 20 C.F.R. Sec. 404.1529 (1983). In assessing Reinhart's disability, the ALJ concluded that Reinhart has had no physical impairments since October 1977 and that his allegations of severe continuous pain are not credible. While the ALJ acknowledges that Reinhart has been diagnosed as suffering from hysterical neurosis with conversion, he totally ignores the significant role of this illness in causing pain. By concentrating on the fact that laboratory testings indicate that Reinhart's "spine is entirely normal both in the cervical and lumbar regions" and in paying only lip service to the physicians' diagnoses of a psychological illness which can cause real pain, the ALJ impliedly concludes that there is no medical evidence to substantiate Reinhart's allegations of severe continuous pain. The ALJ cannot simply ignore the uncontradicted medical evidence that Reinhart suffers from pain having its origin in a psychological disorder. See McDonald v. Schweiker, 698 F.2d 361, 365 (8th Cir.1983); Behnen v. Califano, 588 F.2d 252, 254 (8th Cir.1978); Klug v. Weinberger, 514 F.2d 423, 427 (8th Cir.1975).

The ALJ also failed properly to evaluate the impact of Reinhart's depression on his ability to engage in substantial gainful activity. Although Reinhart was hospitalized in both January and February of 1980 for severe depression with suicidal ideations, the ALJ states that Reinhart's "alleged disability is based primarily on his complaints of severe and debilitating pain * * *." The ALJ was obligated to consider the combined effect of Reinhart's impairments. 20 C.F.R. Sec. 404.1522 (1983). As stated by the court in Landess v. Weinberger, 490 F.2d 1187, 1190 (8th Cir.1974): "Each illness standing alone, measured in the abstract, may not be disabling. But disability claimants are not to be evaluated as having several hypothetical and isolated illnesses. These claimants are real people and entitled to have their disabilities measured in terms of their total physiological well-being." Layton v. Heckler, 726 F.2d 440, 442 (8th Cir.1984) (quoting Landess v. Weinberger, supra, 490 F.2d at 1190).

Finally, we...

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