GAIL F. DZIOKONSKI, administratrix, [Note 1] vs. OLA BABINEAU & others [Note 2] (and a companion case [Note 3]).

WILKINS, J. These appeals require us to reexamine the question whether a person who negligently causes emotional distress which leads to physical injuries may be liable for those injuries even if the injured person neither was threatened with nor sustained any direct physical injury. At the heart of the plaintiffs' claims is the argument that this court should abandon the so called "impact" rule of Spade v. Lynn & Boston R.R., 168 Mass. 285, 290 (1897), which denies recovery for physical injuries arising solely from negligently caused mental distress. We agree that the rule of the Spade case should be abandoned. Our inquiry does not cease at that point, however, because we must determine what new limits of liability are appropriate and how those limits affect the plaintiffs' decedents, parents of a child alleged to have been injured by the defendants' negligence.

These appeals, transferred here on our own motion, come to us following the allowance of the defendants' motions to dismiss for failure to state claims on which relief can be granted. Mass. R. Civ. P. 12 (b) (6), 365 Mass. 754 (1974). For the purpose of considering the propriety of the allowance of these motions, we summarize the allegations of each complaint.

On October 24, 1973, Norma Dziokonski, a minor, alighted from a motor vehicle, used as a school bus, on Route 117 in Lancaster. [Note 4] That motor vehicle was owned by

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the defendant Pelletier and operated by the defendant Kroll. A motor vehicle owned and operated by the defendant Babineau struck Norma as she was crossing the road. The complaints allege the negligence of each defendant on various grounds.

The complaint filed by the administratrix of the estate of Lorraine Dziokonski (Mrs. Dziokonski) alleges that Mrs. Dziokonski was the mother of Norma and that she "lived in the immediate vicinity of the accident, went to the scene of the accident and witnessed her daughter lying injured on the ground." Mrs. Dziokonski "suffered physical and emotional shock, distress and anguish as a result of the injury to her daughter and died while she was a passenger in the ambulance that was driving her daughter to the hospital." This complaint alleges one count for wrongful death and one count for conscious suffering against each of the three defendants.

The complaint filed by the administratrix of the estate of Anthony Dziokonski (Mr. Dziokonski) alleged the facts previously set forth and added that he was the father of Norma and the husband of Mrs. Dziokonski. Mr. Dziokonski "suffered an aggravated gastric ulcer, a coronary occlusion, physical and emotional shock, distress and anguish as a result of the injury to his daughter and the death of his wife and his death was caused thereby." This complaint similarly alleged a count for wrongful death and one count for conscious suffering against each of the three defendants. [Note 5]

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THE SPADE CASE.

We start with an analysis of Spade v. Lynn & Boston R.R., 168 Mass. 285 (1897), which announced a principle of tort law that has been limited and refined by our subsequent decisions but not heretofore abandoned. Margaret Spade had been a passenger on a crowded car of the Lynn & Boston Railroad Company late one Saturday night in February, 1895. She was so frightened by the negligent conduct of an employee of the defendant in removing an unruly passenger from the car that she sustained emotional shock and consequent physical injury. The trial judge instructed the jury that, when physical injury results from fear or nervous shock, "there may be a recovery for that bodily injury, and for all the pain, mental or otherwise, which may arise out of that bodily injury." Id. at 287. The jury returned a verdict for Mrs. Spade, but this court held that the judge's charge misstated the law.

We acknowledged that fright might cause physical injury and that "it is hard on principle" to say why there should not be recovery even for the mental suffering caused by a defendant's negligence. Id. at 288. The court concluded, however, that "in practice it is impossible satisfactorily to administer any other rule." Id. We noted that recovery for fright or distress of mind alone is barred and, that being so, there can be no recovery for physical injuries caused solely by mental disturbance. Id. at 290. It was said to be unreasonable to hold persons bound to anticipate and guard against fright and its consequences and thought that a contrary rule would "open a wide door for unjust claims." Id.

SUBSEQUENT TREATMENT OF THE SPADE RULE IN MASSACHUSETTS.

In Smith v. Postal Tel. Cable Co., 174 Mass. 576, 577-578 (1899), which applied the Spade rule to a case involving a claim of gross negligence, Chief Justice Holmes, speaking for the court, said that the point decided in the Spade case

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"is not put as a logical deduction from the general principles of liability in tort, but as a limitation of those principles upon purely practical grounds." Id. Later, he described the Spade rule as "an arbitrary exception, based upon a notion of what is practicable." Homans v. Boston Elevated Ry., 180 Mass. 456, 457 (1902).

Consistently and from its inception, the Spade rule has not been applied to deny recovery where immediate physical injuries result from negligently induced fright or emotional shock. Thus, recovery has been allowed "[w]hen the fright reasonably induces action which results in external injury." Cameron v. New England Tel. & Tel. Co., 182 Mass. 310, 312 (1902) (defendant's negligent blasting caused the plaintiff to faint and sustain physical harm). Freedman v. Eastern Mass. St. Ry., 299 Mass. 246, 250 (1938) (plaintiff's shoulder injured when she jumped to escape impending danger). Gannon v. New York, N.H. & H.R.R., 173 Mass. 40 (1899) (physical injuries sustained when plaintiff moved in fright to avoid injury). See Sullivan v. H.P. Hood & Sons, 341 Mass. 216, 219-222 (1960).

Moreover, recovery for emotionally based physical injuries, sometimes described as "parasitic claims," has been allowed in tort cases founded on traditional negligent impact. Driscoll v. Gaffey, 207 Mass. 102, 105, 107 (1910). Thus, where the plaintiff sustained direct physical injuries as a result of the defendant's negligence and the plaintiff also sustained paralysis, perhaps resulting solely from nervous shock, we did not require the plaintiff to prove that the nervous shock or paralysis was a consequence of the direct physical injuries. Homans v. Boston Elevated Ry., 180 Mass. 456, 458 (1902). We note that allowing recovery for emotionally based physical injuries unrelated to the physical consequences of the negligently caused impact also presents the threat of "unjust claims" (Spade v. Lynn & Boston R.R., supra at 290), or, perhaps more exactly, the threat of exaggerated claims.

We have declined to apply the Spade rule to workmen's compensation claims. See Fitzgibbons's Case, 374 Mass. 633,

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637 (1978), and cases cited. "The special reasons assigned in the Spade case for denying recovery have no application to workmen's compensation cases." Charon's Case, 321 Mass. 694, 697 (1947).

We have never applied the Spade rule to bar recovery for intentionally caused emotional distress. The Spade opinion itself recognized that the result might be different if the defendant's conduct had been intentional and not negligent. Spade v. Lynn & Boston R.R., supra at 290. White v. Sander, 168 Mass. 296, 297 (1897). We left that question open in Smith v. Postal Tel. Cable Co., 174 Mass. 576, 578 (1899), and it so remained until 1971, when we decided George v. Jordan Marsh Co., 359 Mass. 244 (1971).

The George case involved allegations that, in their debt collection practices, the defendants intentionally caused emotional distress to the plaintiff and, as a result, her health deteriorated and she suffered two heart attacks. We held that "one who, without a privilege to do so, by extreme and outrageous conduct intentionally causes severe emotional distress to another, with bodily harm resulting from such distress, is subject to liability for such emotional distress and bodily harm." Id. at 255. We expressly left open the question now before us, whether there could be liability for negligent conduct causing emotional distress resulting in bodily injury. [Note 6] Id.

The question of liability for intentionally or recklessly caused severe emotional distress in the absence of bodily harm came before us in Agis v. Howard Johnson Co., 371 Mass. 140 (1976). There, we held that a complaint alleging extreme, outrageous, and unprivileged conduct by the defendant stated a cause of action in favor of both the female plaintiff who sustained emotional distress but no bodily harm and her husband for loss of consortium. We rejected arguments that we should deny recovery for emotional

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distress where there is no physical injury because of the insurmountable difficulties of proof and the danger of fraudulent or frivolous claims. Although we recognized these problems, we rejected them as an absolute bar in all such cases and concluded that these were proper matters for consideration by the trier of fact in the adversary, trial process. Id. at 143-144. [Note 7]

Although many industrial States initially required some impact as a basis for liability for physical harm resulting from fright, that rule has been abandoned in more recent times to the point where it has been said that "the courts which deny all remedy in such cases are fighting a rear-guard action." W. Prosser, Torts Section 54, at 333 (4th ed. 1971). As we have already indicated, we think the Spade rule should be abandoned. The threat of fraudulent claims cannot alone justify the denial of recovery in all cases. [Note 8]

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Whether a plaintiff's injuries were a reasonably foreseeable consequence of the defendant's negligence and whether the defendant caused those injuries are best left to determination in the normal manner before the trier of fact.

RECOVERY FOR INJURIES ARISING FROM CONCERN OVER HARM TO ANOTHER.

The abandonment of the Spade rule is only the beginning in the process of determining whether the complaints in these cases state valid claims for relief. The typical case involving physical harm resulting from emotional distress concerns a person who was put in fear for his own safety as a result of alleged negligence of the defendant. Here, neither Mr. nor Mrs. Dziokonski was threatened with direct, contemporaneous injury as a result of the negligence of any defendant. Thus, we must consider the extent to which any defendant in this case may be held liable to the father or the mother, each of whom sustained physical injuries as a result of emotional distress over injuries incurred by their child. [Note 9]

The weight of authority in this country would deny recovery in these cases. W. Prosser, Torts Section 54, at 333 (4th ed. 1971). Annot., 29 A.L.R.3d 1337 (1970). Thus, as we fall back from the Spade rule, we could find comfort in numbers in denying recovery in these cases. We conclude, however, that we should not adopt a rule which absolutely denies recovery to every parent for whatever negligently caused, emotionally based physical injuries result from his concern over the safety of or injury to his injured child.

The arguments against imposing liability for a parent's injuries from shock and fear for his child have been stated clearly and forcefully in numerous opinions. See, e.g., Tobin v. Grossman, 24 N.Y.2d 609, 615-619 (1969); Amaya v. Home Ice, Fuel & Supply Co., 59 Cal. 2d 295 (1963); Jelley v. LaFlame, 108 N.H. 471 (1968); Waube v. Warrington,

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216 Wis. 603 (1935). The reasons advanced for not permitting recovery are principally that (1) there is still a difficulty of proof of causation which has not been mitigated by any change in technology or medical science, (2) no logical justification exists for limiting recovery solely to parents who are affected physically by fear for the safety of an injured child, and (3) the extension of liability will impose an inordinate burden on defendants. In short, under this view, liability should be denied for injuries from shock and fear for another's safety regardless of (a) the relationship of the plaintiff to the accident victim, (b) the plaintiff's proximity to the accident, or (c) whether the plaintiff observed either the accident or its immediate consequences.

Until 1968, the nearly unanimous weight of authority in this country denied recovery for emotionally based physical injuries resulting from concern for the safety of another where the plaintiff was not himself threatened with contemporaneous injury. W. Prosser, Torts Section 54, at 334 (4th ed. 1971). There was support for recovery where the plaintiff was himself threatened with direct bodily harm because of the defendant's conduct. This rule, known as the zone of danger test, is expressed in Restatement (Second) of Torts Section 313 (2) (1965). It denies recovery for bodily harm "caused by emotional distress arising solely from harm or peril to a third person, unless the negligence of the actor has otherwise created an unreasonable risk of bodily harm to the . . . [plaintiff]." Id. This Restatement rule was recommended with reluctance by the Reporter (Dean Prosser) and the advisers (Restatement [Second] of Torts 9-11 [Tent. Draft No. 5, 1960]), but the recommendation was thought to be compelled by the absence of then recent authority in support of a contrary view. Id. As a result of adding Section 313 (2), a caveat appearing in the first Restatement of Torts was deleted. That caveat had left open the question whether a person might be liable "to the parent or spouse who witnesses the peril or harm of the child or spouse and thereby suffers anxiety or shock" causing bodily harm to the parent or spouse. Restatement of Torts Section 313, at 851 (1934).

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The "zone of danger" rule has something to commend it as a measure of the limits of liability. It permits a relatively easy determination of the persons who might recover for emotionally caused bodily injury by including only those to whom contemporaneous bodily harm of some sort might reasonably have been foreseen. It is arguably reasonable to impose liability for the physical consequences of emotional distress where the defendant's negligent conduct might have caused physical injury by direct impact but did not. The problem with the zone of danger rule, however, is that it is an inadequate measure of the reasonable foreseeability of the possibility of physical injury resulting from a parent's anxiety arising from harm to his child. The reasonable foreseeability of such a physical injury to a parent does not turn on whether that parent was or was not a reasonable prospect for a contemporaneous injury because of the defendant's negligent conduct. Although the zone of danger rule tends to produce more reasonable results than the Spade rule and provides a means of limiting the scope of a defendant's liability, it lacks strong logical support.

In 1968, the Supreme Court of California, by a divided court (four to three), broke the solid ranks, overruled its decision in Amaya v. Home Ice, Fuel & Supply Co., 59 Cal. 2d 295 (1963), and held that a cause of action was properly stated on behalf of a mother, in no danger herself, who witnessed her minor daughter's death in a motor vehicle accident allegedly caused by the defendant's negligence, and who sustained emotional disturbance and shock to her nervous system which caused her physical and mental pain and suffering. Dillon v. Legg, 68 Cal. 2d 728 (1968). An intermediate appellate court in California has since applied the reasoning of Dillon v. Legg to permit recovery by a mother who came on the scene of the accident but did not witness it. Archibald v. Braverman, 275 Cal. App. 2d 253 (1969). That court said, "Manifestly, the shock of seeing a child severely injured immediately after the tortious event may be

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just as profound as that experienced in witnessing the accident itself." Id. at 256. [Note 10]

Some tendency toward allowing recovery seems to be developing. The Supreme Court of Rhode Island has reached the same conclusion as the California Supreme Court in Dillon v. Legg, on substantially similar facts. D'Ambra v. United States, 114 R.I. 643 (1975). The results in these cases have the general support of commentators. See W. Prosser, Torts Section 54, at 334-335 (4th ed. 1971); 2 F. Harper & F. James, Torts Section 18.4, at 1035-1039 (1956). In Leong v. Takasaki, 55 Haw. 398, 399 (1974), the Supreme Court of Hawaii held that a complaint stated a cause of action "for nervous shock and psychic injuries suffered without accompanying physical impact or resulting physical consequences" when the plaintiff, a ten-year old boy, witnessed from a distance of several feet the death of his stepfather's mother who was struck by a motor vehicle driven by the defendant. In Toms v. McConnell, 45 Mich. App. 647 (1973), the Michigan Court of Appeals held that a mother alleged a cause of action where, from outside the zone of danger, she saw her daughter struck by the defendant's vehicle after her daughter alighted from a school bus and, as a result, the mother sustained significant depression. The Supreme Court of Washington has construed a statute as authorizing recovery by a parent for mental anguish in cases involving the wrongful death of or injury to a child. Wilson v. Lund, 80 Wash. 2d 91 (1971).

It is not argued seriously here, nor has it been regularly a basis for decisions denying liability, that the threat of fraudulent claims requires the adoption of a rule denying recovery to a parent who sustains physical harm from distress over peril to his child. See, e.g., Tobin v. Grossman, 24

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N.Y.2d 609, 615-616 (1969). The facts of cases of this character involve tortious injury to the child and substantial physical consequences to the parent. The tortfeasor is not confronted with the results of a fleeting instance of fear or excitement of which he might be unaware and against which he would be unable to present a defense. The fact that some claims might be manufactured or improperly expanded cannot justify the wholesale rejection of all claims. Of course, there is no suggestion that the physical injuries to Mr. and Mrs. Dziokonski were contrived. We have rejected the idea that tort liability in particular classes of cases must be denied because of the threat of fraud. Lewis v. Lewis, 370 Mass. 619, 622-623 (1976) (interspousal immunity in motor vehicle torts abrogated). Sorensen v. Sorensen, 369 Mass. 350, 363-365 (1975) (parental immunity in motor vehicle torts abrogated). We have chosen to leave the detection of fraud and collusion to the adversary process. See Agis v. Howard Johnson Co., 371 Mass. 140, 143-144 (1976).

The fact that the causal connection between a parent's emotional response to peril to his child and the parent's resulting physical injuries is difficult to prove or disprove cannot justify denying all recovery. No one asserts, and we have never claimed, that physical reactions to emotional responses do not occur. See Spade v. Lynn & Boston R.R., 168 Mass. 285, 288 (1897). We have recognized liability for exclusively emotional reactions to tortious conduct in particular circumstances (see, e.g., Agis v. Howard Johnson Co., 371 Mass. 140 [1976]), and, in other instances, we have recognized liability for bodily harm resulting from emotional distress (George v. Jordan Marsh Co., 359 Mass. 244 [1971]). We have upheld claims of the character involved here, as so called "parasitic" claims, where they are accompanied by a traditional form of tortious injury. See Homans v. Boston Elevated Ry., 180 Mass. 456, 457-458 (1902). Indeed, certain elements of pain and suffering, recoverable in almost all personal injury actions, may be as tenuous causally as the harm for which recovery is sought in these cases.

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The scope of duty in tort is often defined in terms of the reasonable foreseeability of the harm to the plaintiff resulting from the defendant's negligent conduct. Sometimes, liability is predicated on a judicial characterization that the defendant owed a duty to the plaintiff, or that the defendant's negligence was the proximate cause of the plaintiff's injury, or that the defendant is liable for the natural and probable consequences of his conduct. Each of these characterizations is actually a conclusion and is not a helpful guide to arriving at the proper answer in a given set of circumstances. We think reasonable foreseeability is a proper starting point in determining whether an actor is to be liable for the consequences of his negligence. Measured by this standard, it is clear that it is reasonably foreseeable that, if one negligently operates a motor vehicle so as to injure a person, there will be one or more persons sufficiently attached emotionally to the injured person that he or they will be affected. See Tobin v. Grossman, 24 N.Y.2d 609, 615 (1969), where the New York Court of Appeals acknowledged this fact but denied recovery for other reasons. The problem, however, is that the class of persons vicariously affected by the tortfeasor's conduct may be large. This concern has prompted many courts to deny all liability. See, e.g., Tobin v. Grossmann, supra at 615, 617, 619. They perceive no logical place at which to impose reasonable limits on the scope of a defendant's liability without going to the full extent of reasonable foreseeability, which would produce, as they see it, a risk of liability disproportionate to the defendant's culpability. The result has been that, as a matter of policy, courts have decided not to give full effect to reasonable foreseeability and have adopted limitations on liability, such as the impact rule or the zone of danger rule. [Note 11]

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Every effort must be made to avoid arbitrary lines which "unnecessarily produce incongruous and indefensible results." Mone v. Greyhound Lines, Inc., 368 Mass. 354, 365 (1975) (Braucher, J., dissenting). The focus should be on underlying principles. Id. In cases of this character, there must be both a substantial physical injury and proof that the injury was caused by the defendant's negligence. Beyond this, the determination whether there should be liability for the injury sustained depends on a number of factors, such as where, when, and how the injury, to the third person entered into the consciousness of the claimant, and what degree there was of familial or other relationship between the claimant and the third person. See Dillon v. Legg, 68 Cal. 2d 728, 740-741 (1968). It does not matter in practice whether these factors are regarded as policy considerations imposing limitations on the scope of reasonable foreseeability (see R.E. Keeton, Legal Cause in the Law of Torts 66 [1963]), or as factors bearing on the determination of reasonable foreseeability itself. The fact is that, in cases of this character, such factors are relevant in measuring the limits of liability for emotionally based injuries resulting from a defendant's negligence. In some instances, it will be clear that the question is properly one for the trier of fact, while in others the claim will fall outside the range of circumstances within which there may be liability.

With these considerations in mind, we conclude that the allegations concerning a parent who sustains substantial physical harm as a result of severe mental distress over some peril or harm to his minor child caused by the defendant's negligence state a claim for which relief might be granted, where the parent either witnesses the accident or soon comes on the scene while the child is still there. This conclusion is not inconsistent with opinions of the highest courts in California (Dillon v. Legg, 68 Cal. 2d 728 [1968]), Hawaii (Leong v. Takasaki, 55 Haw. 398 [1974]), [Note 12] and Rhode

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Island (D'Ambra v. United States, 114 R.I. 643 [1975]), [Note 13] and of informed commentators on the subject. W. Prosser, Torts Section 54, at 334-335 (4th ed. 1971). 2 F. Harper & F. James, Torts Section 18.4, at 1035-1038 (1956).

On this premise, we think it clear that the complaint concerning Mrs. Dziokonski states a claim which withstands a motion to dismiss. The allegations of the complaint concerning Mr. Dziokonski, however, are far more indefinite. We do not know where, when, or how Mr. Dziokonski came to know of the injury to his daughter and the death of his wife. We do not have a clear indication of the relationship of his discovery of this information to any mental distress and physical injury he sustained. We cannot say, as matter of law, that, within the scope of the allegations of the complaint concerning Mr. Dziokonski, there are no circumstances which could conceivably justify recovery. Consequently, we conclude that neither of the complaints should be dismissed for failure to state a claim.

Judgments reversed.

QUIRICO, J. (dissenting). Although I am in full agreement with the court in its conclusion that Spade v. Lynn & Boston R.R., 168 Mass. 285 (1897), should be overruled, I do not believe that liability should be extended to the degree described by the court in its opinion here. Therefore, I dissent from the reversal of the dismissal of the complaints of the two plaintiffs.

It is my view that liability for negligently causing emotional distress that results in physical injury should be

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extended as far as would be allowed by the rule of the Restatement (Second) of Torts Section 313 (1965). That section, while allowing recovery under some circumstances, provides that no recovery may be had for "illness or bodily harm of another which is caused by emotional distress arising solely from harm or peril to a third person, unless the negligence of the actor has otherwise created an unreasonable risk of bodily harm to the other." [Note Dissent-1] I would agree also that if, contrary to the facts in the present cases, a parent [Note Dissent-2] had been present at the time of the alleged negligent conduct which caused the injury, and such parent had suffered emotional distress and resulting physical injury, then he or she should recover regardless of whether they were within the zone of risk of bodily harm created by the negligent act. See, e.g., Dillon v. Legg, 68 Cal. 2d 728, 730-731 (1968); D'Ambra v. United States, 114 R.I. 643, 657-658 (1975); W. Prosser, Torts Section 54, at 334-335 (4th ed. 1971). [Note Dissent-3] I do not believe, however, that liability should be extended further

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to allow recovery by a parent who comes on the scene of an accident after an injury has occurred to the child but before the child is removed. It is my opinion that we should not prescribe rules that allow or deny recovery by the parent on the basis of the speed and efficiency of an ambulance team in responding to an accident call, or on the haste with which a parent can be notified and rushed to the accident scene.