Tag: Cognitive

  • Psychology Expert’s Opinions About the Individual Health Impacts of PCB Exposures Admitted

    Psychology Expert’s Opinions About the Individual Health Impacts of PCB Exposures Admitted

    Plaintiffs Josepha Austin, Robin Cruz, Gordana Pobric, and Jennifer Haselman brought this action claiming harm resulting from their exposure to polychlorinated biphenyls (“PCBs”).

    Defendants Monsanto Company, Bayer CropScience, L.P., Solutia, Inc., and Pharmacia L.L.C. (collectively “Monsanto”) filed a motion to exclude the testimony of Dr. Gayle Morse. Plaintiffs intended to call Morse to testify about cognitive injuries they allegedly suffered as a result of PCB exposures.

    Psychology Expert Witness

    Gayle Morse is a licensed psychologist and neuropsychologist in New York State. She holds a doctorate in counseling psychology and is a tenured professor at Russell Sage College, where she serves as the internship director of the mental health counseling and community program. She currently teaches psychology courses and maintains a private clinical practice.

    Morse has been involved in PCB research since 1994. Her work has included multiple studies on the impacts of PCBs on members of the Akwesasne Mohawk Tribe. That work reportedly included the neuropsychological testing of hundreds of people who were exposed to PCBs. Morse has authored several peer-reviewed articles on the effects of PCB exposure on human populations, and has testified that one of her projects revealed evidence of adverse effects of PCBs on human neuropsychological functioning.

    Get the full story on challenges to Gayle Morse’s expert opinions and testimony with an in-depth Challenge Study.

    Discussion by the Court

    In her expert report, Morse concluded, “with a reasonable degree of medical/scientific certainty, that the above exposures to PCBs are consistent with [Plaintiffs’] injuries and that said PCB exposures were a significant contributing cause to their cognitive conditions.”

    Monsanto’s challenge to Morse focuses on her qualifications and the reliability of her conclusions.

    Qualifications

    With respect to her qualifications, Monsanto noted that Morse spends most of her professional time working in academia, with her clinical practice occupying only one day per week. Within her clinical practice, she generally treats people with severe psychopathology such as schizophrenia or long-term trauma. In her deposition testimony, she distinguished her practice from that of a neuropsychologist.

    She also testified that she performs neuropsychology evaluations approximately twice a year. Monsanto criticized Morse for not being board certified in neuropsychology. The Court found that board certification is only relevant in the context of an expert’s other qualifications.

    Morse concedes that she is not a neuropsychologist, and that she only conducts such testing occasionally.

    The neuropsychological tests in this case were administered by Dr. Eric Mart. Monsanto did not challenge his qualifications to perform and interpret such testing.

    The Court held that Morse is not testifying outside her area of expertise. Nor is she merely relaying the opinion of Mart. Indeed, there is no suggestion that Mart formed any sort of opinion regarding the impact of PCBs. Instead, it is Morse who independently reviewed the test results and formed an opinion about how those results align with her knowledge about the potential impacts of PCB exposure.

    Reliability

    Morse reviewed not only Mart’s test results, but also the reports of Plaintiffs’ experts Kevin Coghlan, who generated data regarding PCB levels at Burlington High School, and Dr. Paul Rosenfeld, who opined on the level of hazard resulting from those PCB levels. She further reviewed the report generated by Dr. David Carpenter, with whom she has worked in the past and who offered his opinion as to general causation. In the course of preparing her own report, Morse interviewed each Plaintiff. Applying her professional knowledge, Morse developed opinions about the individual health impacts of PCB exposures. Her report explicitly states that she considered other possible causes of Plaintiffs’ conditions, and that she reached her conclusions with a reasonable degree of medical or scientific certainty.

    Monsanto is critical of Morse’ use of Plaintiffs’ “premorbid functioning” as a tool for determining that PCBs played a role in causing their conditions.
    In her deposition, Morse explained that she was not able to rule out the impact of all other factors, such as one Plaintiff’s tuberculosis or another’s thyroid condition, since she is not a physician.

    Aside from those issues, she was able to compare the Plaintiffs’ abilities and achievements prior to their time at Burlington High School with their abilities after their respective PCB exposures, note the differences, and opine as to cause. Her caveats about certain medical conditions did not undermine her methodologies, and instead left room for cross-examination and argument regarding her conclusions.

    Monsanto’s final criticism of Morse is that she did not identify the dose at which PCBs could be expected to cause the conditions discussed in her report. However, more than one expert in this case has offered the opinion that the dose-response relationship for PCBs may be nonlinear, and even non-threshold.

    Held

    The Court denied Monsanto’s motion to exclude the testimony of Gayle Morse, Ph.D.

    Key Takeaway:

    Plaintiffs have shown by a preponderance of the evidence that Morse is qualified and that the data on which she is relying, which includes both neurological testing and PCB exposure estimates, is sufficient and reliable. Moreover, Plaintiffs have carried their burden of showing that Morse is applying reliable methodologies based on her significant experience with PCB studies, that she reliably applied accepted principles and methodologies to the facts of this case, and that her testimony will assist the trier of fact.

    Case Details:

    Case Caption: Austin V. Monsanto Company
    Docket Number: 2:23cv272
    Court Name: United States District Court, Vermont
    Order Date: December 01, 2025
  • Neuropsychology Expert Witness is Qualified to Offer Opinions on Causation

    Neuropsychology Expert Witness is Qualified to Offer Opinions on Causation

    On October 24, 2019, William Harrison Sims (Plaintiff) was driving his 2004 BMW 330Ci (the “Vehicle”) in Florida when another vehicle unexpectedly turned left in front of him, causing a minor accident. As a result of the collision, the Vehicle’s front driver-side airbag was signaled to deploy. However, the airbag inflator unexpectedly ruptured and shot metal shrapnel into Plaintiff’s face and body, leading to severe, permanent, and life-altering injuries.

    Defendants, BMW of North America (“BMW NA”) and Bayerische Motoren Werke AG (“BMW AG”), procured and installed the airbag inflator during the process of designing, manufacturing, assembly, and producing the vehicle. Plaintiff filed a lawsuit against both Defendants, alleging strict liability and negligence for procuring and installing the defective airbag.

    Plaintiff retained Gordon Horn, a highly credentialed neuropsychologist with considerable clinical experience.

    Defendants contended that because Horn is neither a biomechanical engineer nor a biomechanical expert, he is not qualified to offer opinions about the causation of Plaintiff’s traumatic brain injury.

    Neuropsychology Expert Witness

    Gordon Horn, Ph.D. has been a clinical neuropsychologist since 1996. His education includes a PhD in clinical psychology, and internship and 2-year fellowship completion in neuropsychology and rehabilitation from Duke University, School of Medicine. He has extensive hospital experience beginning in 1989 with inpatient neurological rehabilitation. 

    Get the full story on challenges to Gordon Horn’s expert opinions and testimony with an in-depth Challenge Study. 

    Discussion by the Court

    Defendants did not question Horn’s qualifications or expertise. Horn issued two expert reports.

    First Report

    In his first report, Horn documents copious medical records he reviewed as part of Plaintiff’s neuropsychological examination. The patient history
    portion of Horn’s report is brief, as is the history obtained from Plaintiff’s
    mother.

    Next, Horn documents Plaintiff’s past medical, neurological, developmental, psychiatric, and surgical histories. Horn discusses results covering a range of neurological assessments and impairment ratings.

    Horn summarized his clinical summary and impressions after subjecting Plaintiff to a comprehensive battery of tests and examinations. Horn’s findings outline the following neurocognitive impairments: Auditory and Visual Attention (mild impairment; moderate to severe with visual attention); Information Processing (processing mildly impaired, multitasking mildly impaired); Language (mildly impaired complex instruction following); Memory (verbal learning and memory for related words moderately impaired, contextual memory moderately impaired); Visual-perceptual (mild impairment overall, severe impairment with visual discrimination); and Executive functions (mild impairment with complex processing, judgment and reasoning). Horn diagnoses Plaintiff with Depression, Anxiety, and PTSD with pre-existing Attention Deficit Disorder and with exacerbation of cognitive and behavioral impulsivity.

    Diagnostic impressions are diffuse traumatic brain injury; frontal lobe and executive function deficit; mild cognitive impairment of uncertain or unknown etiology; adjustment disorder with mixed anxiety and depressed mood; and attention-deficit hyperactivity disorder.

    Second Report

    Horn issued a second expert report following his re-examination of Plaintiff and after two additional days of testing. Defendants did not appear to take issue with Horn’s methodology or findings outlined in the updated report. Horn’s neurological findings and the deficits attributed to Plaintiff remain unchanged in the 2024 updated report. Defendants filed a motion to exclude “injury causation” testimony of Horn. They did not challenge his neuropsychological testing or the results of those tests.

    Defendants’ Objection to Causation Testimony

    As for defense counsel’s contention that a neuropsychologist is not qualified to offer opinions on causation, the Court observed that Horn reviewed medical records replete with evidence that Plaintiff was injured by shrapnel from his airbag. Horn noted in his conclusions that the results of the examination were consistent with his injuries noted from the medical notations. The battery of examinations conducted by Horn cause him to opine that Plaintiff’s “neurocognitive profile shows deficits consistent with frontal lobe injury associated with the trauma.”

    Defendants also argued that Horn is not qualified to opine that a zygomatic fracture was caused by shrapnel from the admittedly defective inflator because he did not adequately support his opinion that zygomatic fractures result in a 5–10% probability of TBI.

    According to the Court, Horn’s opinion that Plaintiff’s frontal lobe injury was caused by trauma is supported by the neurocognitive examination administered by Horn. Horn did not opine that the shrapnel caused the zygomatic fractures documented on the CT scan. Defendants appeared to connect that dot by themselves.

    As for the Defendants’ perfunctory argument that Horn’s testimony is cumulative because the Plaintiff has retained a biomechanical engineer and a neurologist, the Court held that Horn is skilled in evaluating and measuring cognitive impairment and in quantifying the damage caused, unlike these experts. Simply put, Horn’s testimony is not cumulative. It forms part of the concentric circles of proof.

    Held

    The Court denied the Defendants’ motion to preclude injury causation testimony of Gordon Horn.

    Key Takeaway:

    A neuropsychologist skilled in assessing cognitive impairment secondary to trauma—that is, traumatic brain injury—is qualified to render an opinion that the brain injury was caused by trauma. Moreover, Plaintiff’s personal history—which doctors routinely consider as a part of their evaluation—is not the basis of Horn’s findings.

    Rather, the medical records and extensive testing from which Horn identifies Plaintiff’s cognitive impairments and limitations support his opinion.

    Please refer to the blogs previously published about this case:

    Accident Reconstruction Expert Witness’ Testimony Admitted Despite His Failure to Calculate G-Force 

    Neurology Expert Witness’ Injury Causation Testimony Admitted

    Accident Reconstruction Expert Witness’ Opinion Regarding Plaintiff’s Lane of Travel Ignored Physical Evidence

    Automotive Engineering Expert Witness’ Testimony Regarding the Latent Defect in Airbag Inflators Admitted

    Case Details:

    Case Caption: Sims V. Bmw Of North America LLC
    Docket Number: 6:22cv1685
    Court: United States District Court, Florida Middle
    Order Date: February 27, 2025