William Edward Goodermote v. Secretary of Health and Human Services, 690 F.2d 5, 1st Cir. (1982)
William Edward Goodermote v. Secretary of Health and Human Services, 690 F.2d 5, 1st Cir. (1982)
William Edward Goodermote v. Secretary of Health and Human Services, 690 F.2d 5, 1st Cir. (1982)
2d 5
The ultimate question in this case is whether Goodermote is disabled within the
meaning of 42 U.S.C. 423(d). That provision defines "disability" as
3
determinable physical or mental impairment ... (lasting at least a year and) of such
severity that (the claimant) ... is not only unable to do his previous work but cannot,
considering his age, education, and work experience, engage in any other kind of
substantial gainful work which exists in the national economy, regardless of whether
such work exists in the immediate area in which he lives, or whether a specific job
vacancy exists for him or whether he would be hired if he applied for such work.
4
Thus, "disability" under this statute has a "medical" part, concerning the nature
and severity of a claimant's impairment, and a "vocational" part, concerning the
availability of suitable work.
The SSA, in evaluating a claim under this statute, applies sequentially a series
of tests embodied in its regulations. 20 C.F.R. 404.1520 (1982). See also 20
C.F.R. 404.1503 (1980). In particular, the agency asks five questions in the
following order:
These first three tests are "threshold" tests. If the claimant is working or has the
physical or mental capacity to perform "basic work-related functions," he is
automatically considered not disabled. If he has an Appendix 1-type
impairment, he is automatically considered disabled. In either case, his claim is
determined at the "threshold." If, however, his ability to perform basic workrelated functions is impaired significantly (test 2) but there is no "Appendix 1"
impairment (test 3), the SSA goes on to ask the fourth question:Fourth, does the
claimant's impairment prevent him from performing work of the sort he has
done in the past? If not, he is not disabled. If so, the agency asks the fifth
question.
10
Fifth, does the claimant's impairment prevent him from performing other work
of the sort found in the economy? If so, he is disabled; if not, he is not disabled.
11
Many of the social security cases that reach us concern the fourth and fifth
questions, applying the "vocational" tests. We have held, for example, that the
claimant has the burden of proving that he is disabled under the fourth test; that
is to say, he must prove that his disability is serious enough to prevent him from
working at his former jobs. The Secretary, however, has the burden of showing
the claimant has not satisfied the fifth test; that is to say, the Secretary must
show that there are other jobs in the economy that claimant can nonetheless
perform. The Secretary has promulgated a set of medical-vocational guidelines
(the Grid), 20 C.F.R. Part 404, Subpart P, Appendix 2 (1982), to simplify the
application of the fifth test. See, e.g., Sherwin v. Secretary of Health and
Human Services, 685 F.2d 1 (1st Cir. June 22, 1982); Vazquez v. Secretary of
Health, Education and Welfare, 683 F.2d 1 (1st Cir. 1982); Torres v. Secretary
of Health and Human Services, 677 F.2d 167 (1st Cir. 1982).
12
We set forth this framework simply to orient the reader as to where we are in
the constellation of SSI rules and regulations. This case, in fact, does not
involve either the fourth or fifth "vocational" questions. It involves the second
question whether the claimant has an impairment significant enough to warrant
going beyond the "medical" facts and looking at "vocational" matters. Since the
validity of the SSA's regulations embodying this total set of sequential tests has
been upheld elsewhere, Chapman v. Schweiker, No. 81-1025 (10th Cir. Feb.
26, 1982); Lofton v. Schweiker, 653 F.2d 215 (5th Cir. 1981), and since
appellant here does not challenge the validity of these regulations, the sole
question presented here is whether substantial evidence supports the SSA's
finding that the claimant has been unable to overcome the threshold "medical"
hurdle posed by the second question.
13
The relevant test (the second question), set out at 20 C.F.R. 404.1503(c)
(1980), reads as follows:
14
(c) Does the individual have any severe impairment? Where an individual does
not have any impairment(s) which significantly limits his or her physical or
mental capacity to perform basic work-related functions, a finding shall be
made that he or she does not have a severe impairment and therefore is not
under a disability without consideration of the vocational factors.
15
On this appeal, claimant's sole argument is that the ALJ took inadequate
account of a "mental" impairment. The strongest evidence in claimant's favor
consists of a one-page form prepared by a Dr. Askinazi. That form states that
claimant's impairment is "alcoholism," and that his impairment has led to a
"significant restriction of basic work-related functions." It adds that, out of ten
"functions of elemental work," the impairment imposes no restriction on five
and a "moderate" restriction on the other five. The impaired "functions of
elemental work" as listed on the form are the following:
FUNCTIONS
OF
17
ELEMENTAL WORK:(For
claimant with skilled
backgrounds, make
additional comments regarding
skills required).
1. Getting to and from
work independently.
2. Relating to direction
of supervisor.
3. Relating to
coworkers.
4. Working without undue
assistance/direction.
5. Working daily 8-hour
shifts with usual rest
periods.
6. Remembering and
following instructions.
7. Using common sense.
8. Ordinary mental
functions, reading,
counting.
9. Meeting ordinary
production standards.
10. Accommodating to
work stress.
RESTRICTION
None**
Moderate
/
/
/
/
/
/
/
/
/
/
Marked
19
Dr. Askinazi adds in a handwritten note that "the medical evidence indicates a
chronic depression but without persistent weight loss, sleep disturbance or
suicidal acts or preoccupation and the depression has not markedly decreased
his daily functioning when patient is able to abstain from alcohol. Work
impairment significant but does not meet or equal listings." (Emphasis in
original.)
20
21
There is here evidence justifying the exercise of the ALJ's discretion to reject
the claim. For one thing, a second psychologist, Dr. Erwin Klepper, also
examined Mr. Goodermote. In his lengthy detailed report, he finds that the
claimant has a "chronic depression" and recommends an antidepressant
medicine. He adds, however, that the claimant does not suffer from "sleep
disturbance," his thinking is "still quite sharp" and he "is an excellent candidate
for mechanical repair training." The report, as a whole, might reasonably be
read to indicate that the claimant has some mental problem, but that it is not
severe.
22
For another thing, Dr. Askinazi's report itself shows moderate restrictions of
some functions but not others. It also lists the 'impairment' not as depression but
as "alcoholism;" its conclusions rest in part upon alcoholism. But other
evidence suggests that alcoholism was no longer claimant's problem. Further,
claimant himself did not list any mental problem when first applying for
disability. And, the initial evaluating agency, the Massachusetts Disability
Determination Service ("MDDS"), found that the claimant would be able to
return to his past work.
23
On the basis of this evidence, the ALJ concluded that the claimant suffered
from "moderate depression and anxiety with no evidence of current
hallucinations, delusions, deterioration of personal habits, marked restriction in
We find no merit to Goodermote's claim that the ALJ overlooked the report of
Dr. Askinazi. While the ALJ did not specifically discuss Dr. Askinazi's report,
he quoted at length from the MDDS evaluation which, in turn, accurately
summarized the contents of that report.
25
26
Affirmed.