M.J. KELLY, J.
In this suit for malpractice, plaintiffs, Lale Roberts and Joan Roberts, appeal by right the trial court's order dismissing their claims against defendant, Kathryn Salmi, LPC, who does business as Salmi Christian Counseling. On appeal, we must determine whether a mental health professional, such as a licensed professional counselor, see MCL 330.1100b(16)(e); 333.18101(b),
In 2009, Lale and Joan Roberts had two daughters living with them at home: L, who is a person with Down Syndrome, and her older sister, K. After it was discovered that a friend of the family had engaged in inappropriate sexual contact with K, Lale and Joan Roberts sought help for K from a mental health professional. Eventually they hired Salmi to provide counseling to K. K began to see Salmi in July 2009. K was 17 years of age when she first started counseling with Salmi. K began to live with family friends around the same time.
Shortly after Salmi began to counsel K, K purportedly remembered that her father had physically and sexually abused her since she was five years old. Salmi invited Lale and Joan Roberts to attend a group counseling session, which was held in July 2009. At the group counseling session, K allegedly confronted her father with what Lale and Joan Roberts maintain were false allegations of sexual abuse.
In September 2009, Salmi reported the allegations to the Department of Human Services. Salmi provided the investigators with a handwritten note wherein she described the abuse that K had "just remembered." In the note Salmi stated that K told her that L had also been abused at home. Thereafter, the Department of Human Services and the Michigan State Police investigated the allegations.
The investigators found no physical evidence that L had been or was being physically or sexually abused. An investigator with the department interviewed K, and K's allegations, as recorded by the investigator, were strikingly similar to those provided by Salmi in her note. An investigator also interviewed K's older sister, who had not lived in the home for several years. She described her parents as fundamentalist Christians who hold strong beliefs
In January 2012, Lale and Joan Roberts sued Salmi for ordinary negligence or malpractice. They alleged that they sent K to Salmi for counseling and Salmi treated K with "Recovered Memory Therapy." In July 2009, they further alleged, Salmi invited them to a "joint counseling session." At the session, K confronted her father with "false accusations of severe physical and sexual abuses." They maintained that Salmi owed them a duty to "not improperly implant, or reinforce false memories of physical and sexual abuse in K's mind by use of hypnosis, age regression and other psychotherapy techniques." Lale and Joan Roberts stated that K only began to "remember" the abuse after she began treatment with Salmi and was now "adamant" that those things had actually happened. After Salmi "improperly implanted, or reinforced false memories of physical and sexual abuse," Lale and Joan maintained, K severed all ties with her parents, investigators subjected them to civil and criminal investigations, and the community became aware of the allegations.
In her affidavit of meritorious defense, Salmi averred that she does not offer or practice "`Repressed or Recovered Memory Therapy'" and has "at no time ... intentionally used any suggestive techniques with clients." She also stated that she has not been trained in hypnosis and does not use it in her practice. She addresses "claims or reports of sexual abuse when reported, but [does] not believe in exploring for such events or other traumas when not presented to me as an issue by the client."
In October 2012, Salmi moved for summary disposition under MCR 2.116(C)(8). She argued that the trial court should dismiss the claim because K's records were protected by privilege and Lale and Joan Roberts would thus be unable to show that Salmi had negligently treated K. She also argued that under Michigan's common law, she only owed a duty of care to K. Because third parties cannot sue a therapist for damages resulting from the therapist's malpractice or treatment provided to others, she maintained, the court should dismiss the claim against her. Finally, she argued that Lale and Joan Roberts's claim was essentially a claim for the alienation of affections, which was abolished in Michigan.
The trial court held a hearing on the motion in January 2013. After hearing the parties' arguments, the trial court determined that it would be premature to dismiss the claim on the ground that Lale and Joan Roberts would, as a result of the client-therapist privilege, be unable to discover the evidence necessary to establish their claim. It also did not believe that their complaint was for alienation of affections or barred by the line of cases involving claims of malpractice made by members of the patient's family. The trial court, however, agreed that — under Michigan law — Salmi had no duty of care to avoid harming third parties by her treatment of K. For that reason, the trial court entered an order dismissing Lale and Joan Roberts's claim later that same month.
After the trial court eventually denied their motion for reconsideration in April
On appeal, Lale and Joan Roberts argue that the trial court erred when it determined that under Michigan law, Salmi did not owe any duty of care to ensure that her treatment of K did not harm them. This Court reviews de novo a trial court's decision on a motion for summary disposition. Barnard Mfg. Co., Inc. v. Gates Performance Engineering, Inc., 285 Mich.App. 362, 369, 775 N.W.2d 618 (2009). This Court also reviews de novo the proper scope and application of Michigan's common law. Grandberry-Lovette v. Garascia, 303 Mich.App. 566, 572-573, 844 N.W.2d 178 (2014).
A motion under MCR 2.116(C)(8) tests the legal sufficiency of the plaintiff's claim on the pleadings alone to determine whether the plaintiff has stated a claim on which relief may be granted. Bailey v. Schaaf, 494 Mich. 595, 603, 835 N.W.2d 413 (2013). In reviewing such a challenge, this Court must accept the factual allegations stated in the complaint as true and construe them in a light most favorable to the nonmoving party. Kuznar v. Raksha Corp., 481 Mich. 169, 176, 750 N.W.2d 121 (2008). If the claim is so clearly unenforceable as a matter of law that no factual development could possibly justify recovery, the court should dismiss the claim. Id. Salmi argued in support of her motion for summary disposition, in relevant part, that Lale and Joan Roberts's claim was unenforceable as a matter of law because they did not plead that Salmi had breached a duty recognized under Michigan law.
In order to establish a prima facie claim of negligence against Salmi, Lale and Joan Roberts had to establish that Salmi owed them a legal duty. Hill v. Sears, Roebuck & Co., 492 Mich. 651, 660, 822 N.W.2d 190 (2012) (stating that it is axiomatic that there can be no tort liability unless the plaintiff first establishes that the defendant owed a duty to the plaintiff). Whether Salmi owed Lale and Joan Roberts a duty under the circumstances involved in this case is a question of first impression in Michigan.
"`Duty' comprehends whether the defendant is under any obligation to the plaintiff to avoid negligent conduct; it does not include — where there is an obligation — the nature of the obligation: the general standard of care and the specific standard of care." Moning v. Alfono, 400 Mich. 425, 437, 254 N.W.2d 759 (1977). Whether a defendant owes an actionable legal duty to the plaintiff is a question of law that must be decided by the court after "`assessing the competing policy considerations for and against recognizing the asserted duty.'" In re Certified Question from the Fourteenth Dist. Court of Appeals of Texas, 479 Mich. 498, 504-505, 740 N.W.2d 206 (2007), quoting Friedman v. Dozorc, 412 Mich. 1, 22, 312 N.W.2d 585 (1981). "Thus, the ultimate inquiry in determining whether a legal duty should be imposed is whether the social benefits of imposing a duty outweigh the social costs of imposing a duty." Certified Question, 479 Mich. at 505, 740 N.W.2d 206.
When assessing the competing policy considerations for and against recognizing a duty, the nature of the relationship between the parties and the foreseeability of the harm are paramount:
For purposes of our analysis, we shall assume that Salmi had a health professional-patient relationship with K and not her parents.
As there developed a heightened awareness of the prevalence of child sexual abuse, some mental health professionals began to subscribe to the position that a wide variety of problems, such as sleep and eating disorders, had their origin with repressed memories of sexual abuse during childhood. See Note, A Claim for Third Party Standing in Malpractice Cases Involving Repressed Memory Syndrome, 37 Wm. & Mary L. Rev. 337, 339 (1995). These mental health professionals adopted the theory — referred to as "recovered memory theory — that persons suffering from these disorders can best be helped by awakening the dormant memories through recovered memory therapy and then confronting their abusers. Id. at 339-340. Therapists who subscribe to this theory might employ a wide range of tools — including drugs, hypnosis, guided fantasy, automatic writing, support groups, suggestion, interpersonal pressure, and appeals to authority — in order to cause the patient to recover the memories of sexual abuse, if the patient has no memory of abuse. See Note, Has Time Rewritten Every Line?: Recovered-Memory Therapy and the Potential Expansion of Psychotherapist Liability, 53 Wash & Lee L. Rev. 763, 770 (1996). Recovered memory theory has, however, come under increasing scrutiny by members of the mental health community who are skeptical of its validity:
Many mental health professionals now question the evidence that victims of abuse can completely repress memories of the abuse only to recover them decades later with complete accuracy. See Finer, Therapists' Liability to the Falsely Accused for Inducing Illusory Memories of Childhood Sexual Abuse-Current Remedies and a Proposed Statute, 11 J. L. & Health 45, 68-82 (1996) (discussing the debate among mental health professionals concerning the repression and retrieval of traumatic memories). Opponents of recovered memory therapy also note studies that suggest that the techniques used in the therapy do not enable patients to recall real events, but instead "result[] in therapists negligently suggesting, implanting, and reinforcing false beliefs of childhood sexual abuse in their patients." Comment, False Memories and the Public Policy Debate: Toward A Heightened Standard of Care for Psychotherapy, 2002 Wis. L. Rev. 169, 171. See also Piper, Lillevik & Kritzer, What's Wrong With Believing in Repression?: A Review for Legal Professionals, 14 Psych. Pub. Pol'y & L. 223 (2008) (discussing the flaws in the studies that support repressed memory theory and the concept of recovered memories). "The danger in all of these techniques," one commentator explained, "is that the therapist validates the `memories' by encouraging their creation and rewarding the patient with positive feedback when she `remembers' anything." A Claim for Third Party Standing, 37 Wm. & Mary L. Rev. at 351, citing Loftus & Ketcham, The Myth of Repressed Memory: False Memories and Allegations of Sexual Abuse (New York: St. Martin's Press, 1994), p. 24.
Child sexual abuse is one of the most heinous offenses that a person can commit. And for that reason, there is nothing more stigmatizing than being branded a child molester. See Trear, 69 Cal.App.4th at 1346, 82 Cal.Rptr.2d 281 ("It takes very little imagination to recognize the damning horror that must ensue to a parent falsely accused of child molestation."). Given the protracted and contentious debate over the science underlying repressed and recovered memories and the evidence that therapy techniques designed to help a patient recover memories might in fact implant false memories, a reasonable mental health professional should understand the potential for harm occasioned by the use of those techniques to treat a patient and should proceed with the utmost caution. This is especially true when the therapist's only evidence of abuse is the fact that the patient has sought help. The patient himself or herself is obviously harmed when a mental health professional uses techniques that give rise to false memories of sexual abuse. But in addition, a therapist who uses such techniques in order to help a patient recover memories of sexual abuse from childhood, on the assumption that such abuse occurred, must also know that the persons most likely to be implicated in the abuse (perhaps falsely) are the patient's parents. See Hungerford v. Jones, 143 N.H. 208, 213, 722 A.2d 478 (1998) (recognizing that family members are more likely to be victims of false accusations than nonfamily members). It is, therefore, entirely foreseeable that the use of suggestive techniques to recover memories might result in the creation of false memories of abuse by the patient's parent or parents and that the patient will act — with or without encouragement — on the
The same cannot be said of a mental health professional's diagnosis of childhood sexual abuse standing alone. A diagnosis does not by itself implicate any particular person as the perpetrator of the abuse. Moreover, a patient confronted with that diagnosis and no memory of the abuse is less likely to act on the diagnosis to his or her parent's detriment. In the absence of evidence that the professional contributed to or caused the formation of a false memory or otherwise encouraged the patient to falsely implicate his or her parents, the mere diagnosis of childhood sexual abuse as the underlying cause of a mental disorder does not result in a direct foreseeable harm to the patient's parents.
Because a patient's parents are within the class of persons most likely to be implicated by the creation of a false memory, when a mental health professional elects to treat a patient using techniques that might give rise to false memories in the patient, the mental health professional must consider not only the patient's welfare, but also the possibility that his or her decision to treat the patient in that way might result in a false memory that directly harms the patient's parents. The parent-child relationship is so fundamental to human relations that a parent cannot be equated with a third party in the ordinary sense. Webb v. Neuroeducation Inc., PC, 121 Wn.App. 336, 350, 88 P.3d 417 (2004). And when a therapist's inept use of therapeutic techniques causes his or her patient to have false memories and make false allegations of sexual abuse, the harm is foreseeable and strikes "at the core of a parent's basic emotional security...." Id. (quotation marks and citation omitted). Stated another way, although the mental health professional does not have a direct professional-patient relationship with his or her patient's parents, it cannot be said that the mental health professional's connection to the parents is so tenuous that it cannot give rise to any duty of care. See Certified Question, 479 Mich. at 515, 740 N.W.2d 206 (characterizing the connection between the decedent and the defendant manufacturer as "highly tenuous" because she was separated from the manufacturer by several intermediate relationships). Rather, the mental health professional who employs therapies that might give rise to a false memory has a substantial connection to the persons most likely to be harmed by the implantation of the false memory: the patient's parents.
We note that this case does not involve a situation in which this Court is asked to analyze whether the mental health professional has a duty to protect his or her patient's parents from false accusations of
Having determined that the relationship between a mental health professional and his or her patient's parents weighs in favor of imposing a limited duty, we must next consider the "competing policy considerations for and against recognizing the asserted duty." Certified Question, 479 Mich. at 504-505, 740 N.W.2d 206 (quotation marks and citation omitted). We must consider the burden on the defendant and the nature of the risk presented. Id. at 505, 740 N.W.2d 206. If the social benefits of imposing the duty are out-weighed by the social costs, courts will not recognize a duty. Hill, 492 Mich. at 669-670, 822 N.W.2d 190. Thus, if the burden to be imposed on mental health professionals would be "onerous and unworkable" or would shift the burden to protect from the party best equipped to prevent the hazard, we will not recognize the duty. Id. at 670, 822 N.W.2d 190.
Courts in several states have examined the competing policy considerations and concluded that the social cost of imposing such a duty outweighs the potential benefits.
The imposition of such a duty, the court in Trear stated, would expose the mental health professional to inherently conflicting incentives: a duty to a potential abuser that might interfere with and deprive the patient of the benefit of the professional's treatment. Id. at 1351-1352, 82 Cal.Rptr.2d 281. The mental health professional would be left with no leeway to decide whether the patient really had been abused. Id. at 1352, 82 Cal.Rptr.2d 281. This would in turn lead to the practice of defensive therapy:
We wholeheartedly agree that the detection and eradication of child sexual abuse is an important societal goal. See Hungerford, 143 N.H. at 212, 722 A.2d 478. However, we do not agree that recognizing a limited duty of care to third parties would unduly burden a mental health professional's ability to diagnose and treat his or her patients for trauma originating from childhood sexual abuse. The question here is not whether a mental health professional can in good faith diagnose his or her patient as having psychological issues
A carefully crafted duty would not implicate a mental health professional confronted with a patient who relates that he or she has been abused without having been subjected to therapies that may induce false memories. The duty would only apply when the mental health professional elects to treat his or her patient using techniques that may cause false memories — in which case, the mental health professional must take steps to limit that possibility. Moreover, the plaintiff would bear the burden of proving by a preponderance of the evidence that the patient's memories of childhood sexual abuse are actually false. Even when a mental health professional uses a therapeutic technique that actually causes a patient to have a false memory of sexual abuse, the duty could be further limited so that the mental health professional would not be liable if a reasonable mental health professional would have employed the technique under the circumstances, notwithstanding the apparent risk. Accordingly, with a properly limited duty, the mental health professional would have the full array of therapeutic techniques at his or her disposal, subject only to the duty to treat his or her patient in a way that minimizes the risk that the patient will develop false memories of childhood sexual abuse. This standard is the same standard that already applies to mental health professionals: they must treat their patients with "competent and carefully considered professional judgment." Hungerford, 143 N.H. at 214, 722 A.2d 478 (quotation marks and citation omitted).
While the burden on a mental health professional can be minimized with a carefully crafted duty, the failure to recognize that duty might encourage the continued use of questionable therapeutic techniques on uninformed patients. This might continue despite the fact that there is plainly no social benefit to the creation of a false memory in a patient. A false memory of sexual abuse will not benefit the patient and may indeed cause him or her severe emotional harm. In addition, an accusation of child molestation arising from a false memory will likely sunder families, ruin marriages, and destroy lives:
Finally, the mental health professional is in the best position to avoid the harm caused by the introduction of false memories. The mental health professional alone is responsible for the methods used in treatment; the patient must trust that the mental health professional will pursue a course of treatment guided by competent professional judgment. Similarly, the persons most intimately connected with the patient — his or her parents — have a right
Society has a strong interest in protecting children from sexual abuse by identifying and punishing the perpetrators of sexual abuse and treating the victims. But it also has long recognized the importance of protecting the fundamental bond between parent and child from unwarranted interference by third parties. See In re Sanders, 495 Mich. 394, 409-410, 852 N.W.2d 524 (2014). The nature of the relationship between parent and child is such that a reasonable mental health professional who undertakes to treat a patient understands that the treatment of the patient might cause harm to members of the patient's family. This is especially true in cases in which the mental health professional suspects that his or her patient has been subjected to sexual abuse as a child. Because the patient's parents are not third parties in the ordinary sense, the mental health professional has a significant — if limited — relationship with the patient's parents. Given the foreseeability and severity of the harm accompanying false memories of sexual abuse, this relationship warrants the imposition of a limited duty of care on mental health professionals to the patient's parents.
On appeal, Salmi maintains that, given the policy considerations at issue, whether to impose a duty should properly be left to the Legislature. We must respectfully disagree; this Court has an obligation to decide what the common-law rule is when the Legislature has not already spoken: "The law of negligence was created by common-law judges and, therefore, it is unavoidably the Court's responsibility to continue to develop or limit the development of that body of law absent legislative directive." Moning, 400 Mich. at 436, 254 N.W.2d 759. And the fact that the Legislature might exercise its constitutional authority to reach a different choice at a later date should not dissuade the Court from deciding the issue when properly before it. Id. at 435, 254 N.W.2d 759.
After having carefully considered the issue, we join those jurisdictions that recognize that a mental health professional owes a duty of care to his or her patient's parents arising from the treatment of the patient.
We respectfully disagree with the concerns voiced by our colleague in the dissenting opinion. The dissent concludes that the issue of whether a duty should be recognized under the circumstances of this case is best left for the Legislature. The dissent relies heavily on Henry v. Dow Chem. Co., 473 Mich. 63, 701 N.W.2d 684 (2005), in support of its proposition. However, Henry did not concern the issue of "duty." Rather, Henry addressed whether the Court should recognize an entirely new cause of action for medical monitoring premised, not on a present injury, but on the mere risk of disease that "may at some indefinite time in the future develop" as a result of the negligent release of dioxin. Id. at 67, 701 N.W.2d 684. Furthermore, in refusing to recognize that claim, the Court in Henry emphasized that the Legislature had already acted to provide a remedy:
The Legislature has not created a body of law providing plaintiffs here with a remedy. Therefore, we are not acting as a competing legislative body by recognizing a limited duty. We also note that the complexities in Henry far surpass those involved in this case.
In Moning, our Supreme Court held that a "manufacturer, wholesaler and retailer of a manufactured product owe a legal obligation [i.e., a duty] of due care to a bystander affected by use of" a slingshot. Moning, 400 Mich. at 432, 254 N.W.2d 759. The Court rejected the argument that by recognizing such a duty, it was performing a legislative task. Id. at 434-435, 254 N.W.2d 759. The Court observed:
The Legislature has not spoken on the issue confronting us today; there is an
We disagree with the dissent's assessment that "[i]t is far outside the expertise of this Court, or any future jury for that matter, to determine what is, or is not, an appropriate therapy method." We surmise and believe it indisputable that determinations of appropriate professional methods and standards are made regularly in the course of litigation throughout this state and the country, mainly through the aid of expert witnesses. Finally, the dissent's concerns regarding possible interference with the Legislature's enactment of mandatory reporting with respect to child abuse, MCL 722.623, are misplaced, given the limited nature of the duty that we recognize today; therapists are not placed in an untenable position.
The trial court erred when it determined that Salmi did not owe K's parents a duty of care; Salmi had a limited duty to take reasonable steps to ensure that her treatment of K would not cause K to have false memories of childhood sexual abuse. Therefore, the trial court should not have dismissed Lale and Joan Roberts's claim on that basis.
Salmi argues on appeal that this Court should affirm for two alternative reasons. She states that this Court should affirm because Lale and Joan Roberts will be unable to secure the evidence necessary to prove their claim as a result of the privilege that protects the relationship between Salmi and K. This appeal involves the trial court's decision to dismiss under MCR 2.116(C)(8), which must be determined by examining the pleadings alone, see Bailey, 494 Mich. at 603, 835 N.W.2d 413, and the parties have not yet had an adequate opportunity to conduct discovery and develop a factual record. Whether dismissal would be appropriate on that ground should be decided in the first instance by the trial court after a properly supported motion for summary disposition under MCR 2.116(C)(10). Accordingly, we decline to consider this alternative basis for affirming.
Salmi also argues that Lale and Joan Roberts's claim is essentially a claim for alienation of affection, which has been abolished under MCL 600.2901. As this Court has recognized, MCL 600.2901 broadly applies to all claims premised on
For the reasons stated, we reverse the trial court's decision to dismiss Lale and Joan Roberts's claim against Salmi on the ground that Salmi did not owe them any duty of care and remand for further proceedings consistent with this opinion.
Reversed and remanded for further proceedings consistent with this opinion. We do not retain jurisdiction. There being an important question of public policy, we order that the parties may not tax their costs. MCR 7.219(A).
MURPHY, C.J., concurred with M.J. KELLY, J.
SAWYER, J. (dissenting).
I respectfully dissent.
While the majority lays out a strong policy argument in favor of the conclusion that we should create a duty between a therapist and a patient's parents under the circumstances of this case, I nonetheless believe that represents a policy decision best left to the Legislature. In reaching this conclusion, I am guided by the wisdom expressed by the Supreme Court in Henry v. Dow Chem. Co.
In Henry,
The same concerns, and the same need for prudence, exist in the instant case. Plaintiffs' claim is, in essence, that defendant relied on "junk science" as a therapy method, which resulted in the creation of a false memory. It is far outside the expertise of this Court, or any future jury for that matter, to determine what is, or is not, an appropriate therapy method. It would seem to me that this is a question better left to the Legislature to address, or for the Legislature to delegate to an appropriate regulatory body with the expertise to determine under what circumstances a therapy method may be used, if at all. Under these circumstances, a court could entertain a claim that a therapist used a prohibited method or used a method outside the circumstances approved for its use.
Moreover, this case presents a plethora of competing policy considerations. For example, as is often the case in the health professions, a particular approach to treatment or diagnosis presents potential benefits to the patients, but is often accompanied by some risk as well. And while we impose on the healthcare professional the obligation to assess those benefits and risks in recommending a particular treatment or test to the patient, what the majority would do here imposes another level of risk-benefit analysis to the professional: what are the risks and benefits to the patient's parents? While these risks and benefits may often be aligned between patient and parent, that can hardly be taken for granted by this Court. It is possible that adding this additional duty may well create a conflict in the exercising of professional judgment when meeting the duty owed to one may constitute a breach of a duty to the other. I suggest that the determination whether such a conflict exists and, if so, how it should be resolved is best left to the Legislature's investigative and policy resolution functions.
This is particularly true given that this case represents an area that has not been ignored by the Legislature. The Legislature has addressed policy issues not irrelevant to this case. For example, the Legislature has created a policy of mandatory reporting of child abuse.
The California Court of Appeal made a similar observation in Trear v. Sills.
In the same vein, our Supreme Court in Henry
I find the waters in this case to be equally murky, and I too think it best to leave it to the Legislature to chart a course on this issue.
For these reasons, I would affirm.