This case raises the issue, expressly reserved in
George
v.
Jordan Marsh Co.,
Briefly, the allegations in the plaintiffs’ complaint, which we accept as true for purposes of ruling on this motion,
Hub Theatres, Inc.
v.
Massachusetts Port Authority,
The complaint alleges that, as a result of this incident, Mrs. Agis became greatly upset, began to cry, sustained emotional distress, mental anguish, and loss of wages and earnings. It further alleges that the actions of the defendants were reckless, extreme, outrageous and intended to cause emotional distress and anguish. In addition, the com *142 plaint states that the defendants knew or should have known that their actions would cause such distress.
The defendants moved to dismiss the complaint pursuant to Mass. R. Civ. P. 12 (b) (6),
1. Our discussion of whether a cause of action exists for the intentional or reckless infliction of severe emotional distress without resulting bodily injury starts with our decision in
George
v.
Jordan Marsh Co.,
In the
George
case, we discussed in depth the policy considerations underlying the recognition of a cause of action for intentional infliction of severe emotional distress with resulting physical injury, and we concluded that the difficulties presented in allowing such an action were outweighed by the unfair and illogical consequences of the denial of recognition of such an independent tort. In so doing, we examined the persuasive authority then recognizing such a cause of action, and we placed considerable reliance on the Restatement (Second) of Torts § 46 (1965). Our examination of the policies underlying the extension of that cause of action to cases where there has been no bodily injury, and our review of the judicial prece
*143
dent and the Restatement in this regard,
3
lead us to conclude that such extension is both warranted and desirable. See
Baldassari
v.
Public Fin. Trust,
The most often cited argument for refusing to extend the cause of action for intentional or reckless infliction of emotional distress to cases where there has been no physical injury is the difficulty of proof and the danger of fraudulent or frivolous claims. There has been a concern that “mental anguish, standing alone, is too subtle and speculative to be measured by any known legal standard,” that “mental anguish and its consequences are so intangible and peculiar and vary so much with the individual that they cannot reasonably be anticipated,” that a wide door might “be opened not only to fictitious claims but to litigation over trivialities and mere bad manners as well,” and that there can be no objective measurement of the extent or the existence of emotional distress.
Harned
v.
E-Z Fin. Co.,
While we are not unconcerned with these problems, we believe that “the problems presented are not... insuperable” and that “administrative difficulties do not justify the denial of relief for serious invasions of mental and emotional tranquility....”
State Rubbish Collectors Ass’n
v.
Siliznoff,
Furthermore, the distinction between the difficulty which juries may encounter in determining liability and assessing damages where no physical injury occurs and their performance of that same task where there has been resulting physical harm may be greatly overstated. “The jury is ordinarily in a better position... to determine whether outrageous conduct results in mental distress than whether that distress in turn results in physical injury. From their own experience jurors are aware of the extent and character of the disagreeable emotions that may result from the defendant’s conduct, but a difficult medical question is presented when it must be determined if emotional distress resulted in physical injury.... Greater proof that mental suffering occurred is found in the defendant’s conduct designed to bring it about than in physical injury that may or may not have resulted therefrom.”
State Rubbish Collectors Ass’n
v.
Siliznoff, supra
at 338. We are thus unwilling to deny the existence of this cause of action merely because there may be difficulties of proof. Instead, we believe “the door to recovery should be opened but narrowly and with due caution.”
Barnett
v.
Collection Serv. Co.,
In light of what we have said, we hold that one who, by extreme and outrageous conduct and without privilege, causes severe emotional distress to another is subject to liability for such emotional distress even though no bodily harm may result. However, in order for a plaintiff to prevail in a case for liability under this tort, four elements must be established. It must be shown (1) that the actor intended to inflict emotional distress or that he knew or
*145
should have known that emotional distress was the likely result of his conduct, Restatement (Second) of Torts § 46, comment i (1965);
Savage
v.
Boies,
Testing the plaintiff Debra Agis’s complaint by the rules stated above, we hold that she makes out a cause of action and that her complaint is therefore legally sufficient. While many of her allegations are not particularly well stated, we believe that the “[pjlaintiff has alleged facts and circumstances which reasonably could lead the trier of fact to conclude that defendant’s conduct was extreme and outrageous, having a severe and traumatic effect upon plaintiff’s emotional tranquility.”
Alcorn
v.
Anbro Eng’r, Inc.,
2. Counts 3 and 4 of the complaint are brought by James Agis seeking relief for loss of consortium as a result of the mental distress and anguish suffered by his wife Debra. There is no question that an action for loss of consortium by either spouse may be maintained in this Commonwealth where such loss is shown to arise from personal injury to one spouse caused by the negligence of a third person.
Diaz
v.
Eli Lilly & Co.,
Traditionally, where the right to sue for loss of consortium has been recognized, intentional invasions of the marriage relationship such as alienation of affections or adultery have been held to give rise to this cause of action.
Diaz
v.
Eli Lilly & Co., supra
at 158-160, and cases cited. We see no reason not to apply the same rule to the tort of intentional or reckless infliction of severe emotional distress. Similarly, the fact that there is no physical injury should not bar the plaintiff’s claim. In the
Diaz
case, we hinted that “psychological injury” could provide the basis for a consortium action. 364 Mass, at 160. In addition, the underlying purpose of such action is to compensate for the loss of the companionship, affection and sexual enjoyment of one’s spouse, and it is clear that these can be lost as a result of psychological or emotional injury as well as from actual physical harm. Cf.
Garrison
v.
Sun Printing & Publishing Ass’n,
3. The judgment entered in the Superior Court dismissing the plaintiffs’ complaint is reversed.
So ordered.
Notes
Most courts today recognize a cause of action for intentionally or recklessly causing severe emotional distress by extreme and outrageous conduct.
Womack
v.
Eldridge,
Compare
Golden
v.
Dungan,
