This case comes to us from the First Circuit Court of Appeals pursuant to Sup. Ct. R. 6 which prescribes a procedure for the certification of questions of law from the Federal Courts to this court. The action was originally brought in Federal District Court of Rhode Island under the Federal Tort Claims Act, 28 U.S.C. § 1346(b) (1958). Constance C. D’Ambra and her husband Joseph A. D’Ambra sued to recover for physical and emotional injuries suffered by the plaintiff-wife and for losses incurred by the plaintiff-husband, both caused by Mrs. D’Ambra’s witnessing her 4-year-old son, Gregory A. D’Ambra, being struck and killed by a United States mail truck.
The factual basis of the case presently before us was settled in Joseph A. D’Ambra v. United States, C.A. No. 4545 (D. R. I., March 17, 1972), where the District Court in an *646 unreported opinion, determined that the driver of the mail truck was negligent, and that both Gregory A. D’Am-bra and his mother, a witness to the accident and not in any physical danger, were free of contributory negligence. The case was appealed to the First Circuit Court of Appeals, which affirmed the finding of liability. D’Ambra v. United States, No. 72-1205 (1st Cir. October 24, 1972).
On the basis of the facts found in this earlier action, defendant moved under Fed. R. Civ. P. 12(b)(6) to dismiss the instant case for failure to state a cause of action. The District Court denied defendant’s motion, holding that under the laws of Rhode Island, a mother who witnesses her child’s death as a result of defendant’s negligence, has a cause of action for negligent infliction of emotional distress if her presence at the scene of the accident is foreseeable to defendant.
The defendant has appealed this decision to the First Circuit Court of Appeals, which in turn has certified the following question of law to us:
“May a non-negligent plaintiff mother, who is foreseeab’y in the vicinity of her minor child but not in the child’s zone of danger, recover damages for mental and emotional harm, accompanied by physical symptoms, caused by observing the death of her child resulting exclusively from the negligence of defendant in driving the truck which struck the child, although she suffered no physical impact?”
Even if this question were not one of first impression for this court, the increasing division of opinion among jurisdictions over bystander recovery might well require a reexamination of any position taken previously. As it is, only a few prior Rhode Island cases touch on the problem of a parent’s recovery for mental suffering caused by the awareness of injury done to a child.
In
McGarr
v.
National & Prov. Worsted Mills,
24 R. I. 447,
A second case,
Bedard
v.
Notre Dame Hosp.,
89 R. I. 195,
The only Rhode Island case to seriously consider the problem of negligent infliction of emotional distress did so not in the context of a bystander problem, but in a situation where the plaintiff herself was in danger of serious physical injury.
Simone
v.
Rhode Island Co.,
28 R. I. 186,
If Rhode Island precedent does not present a bar to the extension of potential liability, it is far from providing a source of encouragement for it. Instead this court must approach the instant problem by an application of tort theory, and in so doing examine the underlying issues of policy.
The scope of potential liability commonly finds theoretical expression in such concepts as duty and proximate cause. These are, however, exceedingly elastic notions which, instead of dictating an answer to whether the plaintiff has stated a cause of action against the defendant, merely reformulate the question. They are, indeed, merely reductions of the multi-faceted mores of the community, easily expressible formuli for the core problem of whether the law will countenance a shifting of the burden of loss. As Professor Prosser has noted:
* * the problem of duty is as broad as the whole law of negligence, and that no universal test for it ever has been formulated. It is a shorthand statement of a conclusion, rather than an aid to analysis in itself. * * * But it should be recognized that ‘duty’ is not sacrosanct in itself, but only an expression of the sum total of those considerations of policy which lead the law to say that the particular plaintiff is entitled to protection.” Prosser, Torts §53 (4th ed. 1971).
Likewise, Justice Andrews, in his famous dissent in
Palsgraf
v.
Long Island R.R.,
*649 “What we do mean by the word 'proximate’ is, that because of convenience, of public policy, of a rough sense of justice, the law arbitrarily declines to trace a series of events beyond a certain point. This is not logic. It is practical politics.” Id. at 352,162 N.E. at 103 .
This court has never definitively committed itself to either of these analytical approaches,
see Radigan
v.
W. J. Halloran Co.,
97 R. I. 122,
Whether there exists a duty of care running from the defendant to the plaintiff is, in the first instance, a question for the court and not for the jury.
Radigan
v.
W. J. Halloran Co., supra; Mercurio
v.
Burrillville Racing Ass’n,
95 R. I. 417,
*650 “Hence, it becomes imperative before legal liability for conceded damages can be imposed upon a defendant, for the court in the first instance to inquire and determine the character of duty which the law under the facts imposed upon the defendant as the basis of liability; for manifestly it cannot be conceded that the jury from their inner consciousness may evolve in every variety of tort feasance a legal duty as the standard of liability.” Id. at 560-61,142 A. at 339-40 .
Underlying this position is the belief that it is the responsibility of the court to declare what the law is, to consider all the relevant factors, and to decide whether the facts as alleged make out a minimum case for shifting the burden of loss from the plaintiff to the defendant. On the practical side, the multiplicity of factors relevant to a determination of whether the plaintiff has or should have a cause of action, together with the multiple application of such notions as foreseeability in first determining duty and later breach, would all make jury instruction hopelessly complicated and involved. Moreover, jury determination of potential liability, unfettered except by some vague concept such as foreseeability, would rapidly lead to exceedingly uneven parameters of liability.
The concept of the foreseeability is often mentioned as a means to rationalize the scope of a defendant’s duty. Given the wide disparity, however, between what courts have found to be “foreseeable” when faced with actual negligence problems, 3 any strong reliance on this concept as a device to distinguish close factual patterns wouM seem to be misplaced. Moreover, while duty may be a composite of many factors, foreseeability is responsive only to the moral as *651 pects of the issue; it tracks the moral postulate that one must be in a position to be aware of what one is doing before one should be held responsible for it. This is not to say that foreseeability fails as a functional concept in tort law, but only that it should not be pushed beyond its inherent limitations as a conclusion to the question of whether there exists sufficient moral culpability for legal liability to be imposed.
If foreseeability fails as an adequate template for existence of a duty, recourse must be made to the basic issues of policy underlying the core problem of whether the plaintiff’s interests are entitled to legal protection against the defendant’s conduct. As the Wisconsin Supreme Court in
Waube
v.
Warrington,
“The answer to this question cannot be reached solely by logic, nor is it clear that it can be entirely disposed of by a consideration of what the defendant ought reasonably to have anticipated as a consequence of his wrong. The answer must be reached by balancing the social interests involved in order to ascertain how far defendant’s duty and plaintiff’s right may justly and expediently be extended.” Id. at 613,258 N.W. at 501 .
This court in earlier cases has used a policy analysis in deciding whether the scope of potential liability in tort should be expanded beyond its traditional confines. In the
Simone
case the court balanced the practical problems of administering the recovery of damages for fright against the recognition that even negligent infliction of emotional distress could directly cause severe physical injury. In
Ritter
v.
Narragansett Elec. Co.,
109 R. I. 176,
The policy issues relevant to the question before this court are varied in character, but for analytical convenience they may be divided into three basic categories: moral, economic, and administrative. Underlying the moral aspects of the problem is the realization, first enunciated in the Simone case, that physical and psychological injury are inextricably intertwined, and that psychological injury may be as debilitating as any physical injury. See Comment, Negligently Inflicted Emotional Distress: The Case for an Independent Tort, 59 Geo. L.J. 1237 (1970-71). By the terms of the question certified for our consideration, plaintiff in the instant case suffered mental and emotional harm, accompanied by physical symptoms.
Beyond the recognition of the potential seriousness of mental injury, there is a growing awareness that such injury is an increasingly common phenomenon. The modern trend of urbanization and the overall increase in density of population make serious invasion of our psychological security more and more likely. Where there is a widespread need for redress, the judicial system should consider very carefully before it undertakes to reject, as a matter of law, an entire class of claims. Hawaii, in recognizing a cause of action by a bystander for negligent infliction of emotional distress, stated:
"* * * we are faced with a multiplication of psychic stimuli as 'society becomes more complex and people are crowded together’ and with increasing widespread knowledge of the debilitating effect mental distress may have on an individual’s capacity to carry on the functions of life. The force which compels recognition of an element of damages, once parasitic, as an independent basis of liability is social change.” Rodrigues v. State,52 Hawaii 156 ,472 P.2d 509 (1970).
*653 Certainly the law should not compensate for every minor psychic shock incurred in the course of daily living; 4 it should not reinforce the neurotic patterns of society. At some point, however, a person threatened by severe mental injury should be able to enforce his claim to reasonable psychological tranquillity.
By the terms of the certified question there is no doubt but that the negligent action of defendant in fact caused plaintiff’s injury.
5
Nor is the sequence of events a multiplication of improbabilities as was the case in
Palsgraf
v.
Long Island R.R., supra.
It has often been said that potential liability should not outrun culpability, that is, the risk reasonably to be perceived.
Palsgraf
v.
Long Island R.R., supra
at 344,
.Viewed from a second perspective, that of economic policy, the question is one of who can best bear the cost of the injury, which in turn may depend on the availability and cost of insurance. While it is perhaps true that insurance is more readily available to the driver than to the bystander-mother, this is not such a case as Ritter v. Narragansett Elec. Co., supra, where the economic aspects of the case were determinative. It is sufficient to note that the policy issues in this area are no bar to an extension of potential liability.
Most attempts to develop a cause of action in a bystander-mother have foundered on the rock of what was perceived to be administrative necessity. While fears of a proliferation of claims may be dismissed as “merely [showing] society’s pressing need for legal redress,”
Dillon
v. Legg,
“In the difficult cases, we must look to the quality and genuineness of proof, and rely to an extent on the contemporary sophistication of the medical profession and the ability of the court and jury to weed out the dishonest claims.” Battalla v. State,10 N.Y.2d 237 ,176 N.E.2d 729 ,219 N.Y.S.2d 34 (1961), quoted with approval by Tobin v. Grossman,24 N.Y.2d 609 ,249 N.E.2d 419 ,301 N.Y.S.2d 554 (1969); see also Prosser, Torts §54 (4th ed. 1971); Comment: Negligently Inflicted Mental Distress: The Case for an Independent Tort, 59 Geo.L.Rev. 1237 (1970-71).
Furthermore, many courts, including this one, have shown themselves reluctant to bar an entire class of claims with a bright line rule merely for fear that occasionally recovery will be ill-founded.
Dillon
v.
Legg, supra; Orlo
v.
Connecticut Co.,
“But when it is admitted * * * that in a large class of cases there may be injuries of the most serious character directly resulting from the negligence of the defendant, as a proximate cause, for which the law will afford no remedy because of some probable difficulty or occasional injustice in the administration of a more liberal rule, it appears to us that the conclusion is quite *656 illogical and is a pitiful confession of incompetence on the part of courts of justice.”
The final issue, the one that has most troubled courts and commentators, is the question of how to draw reasonable parameters to the field of legal liability if potential liability is ever to reach beyond the zone of physical danger recognized in the Simone case. Despite the admitted artificiality of linking recovery for mental distress to the possibility of physical injury, this limitation does reflect the core notion of some reasonable relation or nexus between the negligent conduct and the injury sued upon. Moreover, being a rule that is relatively easy to administer, it has the virtue of predictable application. In Dillon v. Legg, supra, the California Supreme Court suggested three factors as being relevant to the scope of potential liability: physical proximity, the actual witnessing of the accident, and the personal relationship existing between the bystander-plaintiff and the victim. The zone of physical danger is a matrix of these first two factors 6 which, although narrowly restricted in scope, covers nearly all the cases in which a bystander may recover for negligent infliction of mental and emotional injury. As such it remains a vital and viable limitation on the field of liability.
There are, however, other factors which, given the right circumstances, may be of major importance in determining whether an adequate relation exists between the defendant’s conduct and the plaintiff’s injury. 7 Personal relation *657 ship may link people together more tightly, if less tangibly, than any mere physical and chronological proximity. Among such relationships, none is closer than that of mother and child. Thus, where a mother witnesses the death of her child, it is only reasonable that the parameters of liability-established by the zone of physical danger be bent to accommodate the overwhelming impact of the mother’s and child’s mental and emotional relationship. Anything less would be to deny psychological reality.
If this relaxation of the zone-of-danger limitation on liability is viewed as the exception and not the rule, we do not find the administrative difficulties posed by bystander recovery to be insurmountable. Nor do we find any bar to an extension of liability in the economic considerations of who may best bear the risk of loss. In these circumstances, where the above external factors are not determinative, where the plaintiff has suffered severe mental and emotional distress actually caused by the defendant’s negligent actions, and where this resulting injury was neither an isolated phenomenon in today’s world nor the result of a freakish series of events, we feel the plaintiff’s injury cannot be said to have been unforeseeable as a matter of law.
Applying the foregoing discussion to the terms of the certified question, we hold that a nonnegligent mother, who although suffering no physical impact suffers serious mental and emotional harm accompanied by physical symptoms *658 from actually witnessing the death of her nonnegligent minor child as a direct result of the defendant’s negligence, may maintain an action for negligent infliction of emotional distress, despite the fact that she herself was never in physical danger.
Mr. Justice Kelieher, concurring. I, too, believe that the question posed by the Court of Appeals should be answered in the affirmative. The reply, in my opinion, can be based solely on the principles of foreseeability. While the Chief Justice and my brothers Paolino and Doris discuss the issue presented to us in terms of foreseeability, their ultimate conclusion seems to rest upon a variety of moral, economic, and administrative policy considerations. I use the word “seems” advisedly. My doubt as to the actual underpinnings of their opinion is the cause for this particular literary effort.
Considerations of social policy are inherent in all tort law. It is obvious that if society does not value the right infringed upon or perceives an injury to be de minimis, recovery will not be allowed. We have, however, since
Simone
v.
Rhode Island Co.,
28 R. I. 186,
Fear of fraudulent claims, while a consideration to which we should not be oblivious, has never been used by this court to immunize one from the imposition of liability where we felt the imposition was warranted. Recently, this court has observed, “[w]e have every confidence that a jur- or will adhere to his oath and 'give a true verdict * * * according to the law and evidence given [him].’ ”
Wilkinson
v.
*659
Vesey,
110 R. I. 606 at 626,
Economic considerations did play a role in our holding in
Ritter
v.
Narragansett Elec. Co.,
109 R. I. 176,
Here, the question can be dealt with by a straightforward intelligent application of well-reasoned, time-tested concepts. The factual situation presented to us by our brethren of the First Circuit can be resolved by resort to tort law whose terms are common and familiar to the bar and bench alike.
I must part ways with my brothers of the majority in their assertion that we have “never definitively committed ourselves to either [duty or proximate cause]” as the basis
*660
for our tort analysis. As I read our decision in
Radigan
v.
W. J. Halloran Co., 97 R. I. 122, 196
A.2d 160 (1963), we unequivocably embraced the
Palsgraf
view that “[t]he risk reasonably to be perceived defines the duty to be obeyed, and risk imports relation; it is risk to another or to others within the range of apprehension * *
Palsgraf
v.
Long Island R.R.,
Having determined that Rhode Island adheres to the “foreseeability of the risk” as the determinative factor in setting the boundaries of tort liability, I shall turn to the question at hand.
*661
I agree with the majority that Rhode Island case law neither bars nor dictates the result reached here.
Simone
makes clear that physical impact is not a necessary prerequisite to the recovery of damages for negligent conduct resulting in emotional trauma evidenced by physical symptoms. It is also settled that fear for his own personal safety is not required for a parent to recover for emotional distress accompanied by physical manifestations where the wrong is classified as an intentional tort.
Bedard
v.
Notre Dame Hosp.,
89 R. I. 195,
There is little question in my mind that the negligent conduct in this case “foreseeably involved unreasonably great risk of harm to [the witness].” 2 Harper & James,
Torts
§18.2 at 1018 (1956). Many jurisdictions have refused to acknowledge potential liability because of their fear that it will lead to limitless liability, based upon their assumption that the traditional tort concepts will not be up to such tasks as separating emotional trauma precipitated by shock from that caused by the grief and mourning that accompanies every death of loved ones and friends, or that the law will not be able to distinguish between witnesses of varying relationship to the injured.
E.g., Waube
v.
Warrington,
I have more faith in the usefulness of our tort concepts of “duty” and “foreseeability” and in the trier of fact’s ability to determine what are reasonable risks and what are *662 valid claims of injury in any particular fact situation. 2 It seems obvious to me that it is reasonably foreseeable that a mother who witnesses the death of her young child may suffer real harm, and that such an injury can be directly •tied to, and reasonably be assumed as, a probable result of a defendant’s negligent operation of a motor vehicle. A witness such as plaintiff here is as much within the “zone of danger” of psychic trauma as is a witness standing in the right-of-way within the zone of physical danger. Because policy considerations do not cause me to veer from the usual implementation of tort law, my next task is to apply that law.
Justice Tobriner of the California Supreme Court has, I feel, “said it all,” so, at the risk of being accused of lassitude, I will quote him at length:
“Since the chief e'lement in determining whether defendant owes a duty or an obligation to plaintiff is the foreseeability of the risk, that factor will be of prime concern in every case. Because it is inherently intertwined with foreseeability such duty or obligation must necessarilv be adjudicated only upon a case-by-case basis. * * *
“* * * In determining, in such a case, whether defendant should reasonably foresee the injury to plaintiff, or, in other terminology, whether defendant owes plaintiff a duty of due care, the courts will take into account such factors as the following: (1) Whether plaintiff was located near the scene of the accident as contrasted with one who was a distance away from it. (2) Whether the shock resulted from a direct emotional impact upon plaintiff from the sensory and contemporaneous observance of the accident, as contrasted with learning of the accident from others after its occurrence. (3) Whether plaintiff and the victim were close *663 ly related, as contrasted with an absence of any relationship or the presence of only a distant relationship.
“The evaluation of these factors will indicate the degree of the defendant’s foreseeability: obviously defendant is more likely to foresee that a mother who observes an accident affecting her child will suffer harm than to foretell that a stranger witness will do so. Similarly, the degree of foreseeability of the third person’s injury is far greater in the case of his contemporaneous observance of the accident than that in which he subsequently learns of it. The defendant is more likely to foresee that shock to the nearby, witnessing mother will cause physical harm than to anticipate that someone distant from the accident will suffer more than a temporary emotional reaction. All these elements, of course, shade into each other; the fixing of obligation, intimately tied into the facts, depends upon each case.
“In light of these factors the court will determine whether the accident and harm was reasonably foreseeable.” Dillon v. Legg,68 Cal.2d 728 at 740,441 P.2d 912 at 920,69 Cal. Rptr. 72 at 80 (1968).
These factors go to the foreseeability of the risk of psychic trauma. I think that there is also need to establish the foreseeability of the presence of plaintiff-mother at the scene. Again, I will borrow from another jurisdiction’s ana-ysis of this question. In
Leong
v.
Takasaki,
I would employ both sets of factors in fashioning our answer to the certified question, and hold that, in consideration of these factors, it is clear that the pending question must be answered in the affirmative.
Mr. Justice J'oslin, dissenting. In a result-oriented response the majority adopt a new rule of liability that, in substance, permits a plaintiff who is in a position of complete safety to recover from a tortfeasor for mental or emotional harm (if accompanied by physical symptoms) caused solelyby the apprehension of an injury negligently inflicted upon a third person. I respectfully disagree.
Today’s decision, as the majority suggest, can be viewed plausibly as a narrow exception limited factually to the case of a nonnegligent mother who, although outside the zone of physical danger, is not far distant when she observes an accident that causes the death of her young child. It is admittedly tempting to make that exception here because the facts are poignant and evoke substantial sympathy. I would nonetheless deny liabi’ity because I believe, as was so aptly observed in
Tobin
v.
Grossman,
*665 While there may be some cogent reasons for allowing recovery in these kinds of cases, in my opinion neither the majority nor the few courts that have adopted the new rule have adequately articulated a rational limitation upon the resultant extension of liability. Even Dean Prosser, notwithstanding his strong support for the majority’s position, recognizes “* * * that if recovery is to be permitted, there must be some limitation.” Otherwise, he concedes, “[i]t would be an entirely unreasonable burden on all human activity if the defendant who has endangered one man were to be compelled to pay for the lacerated feelings of every other person disturbed by reason of it, including every bystander shocked at an accident, and every distant relative of the person injured, as well as his friends.” Prosser, Torts §54 at 334 (4th ed. 1971).
In the landmark case imposing liability, the court suggests — but I disagree — that the need for acceptable limits will be satisfied when the “* * * courts, on a ease-to-ease basis, analyzing all the circumstances * * * decide what the ordinary man under such circumstances should reasonably have foreseen * * * [and] thus mark out the areas of liability, excluding the remote and unexpected.”
Dillon
v.
Legg,
The majority, unlike my brother Kelleher in his concurrence, apparently do not fully accept the reasonable foreseeability standard. Instead, they base their exception to the zone of danger rule on “other factors * * * of major importance in determining whether an adequate relation exists between the defendant’s conduct and the plaintiff’s injury,” and they justify this exception, in part, because here “* * * the causal sequence was something less than fantastical” and the injury was not “the result of a freakish series of events * * * .” (Emphasis added.) But I believe that these guidelines are even less helpful than the *666 foreseeability test, that they inadequately define the limits of liability, and that under them the resolution of future similar oases will either rest on arbitrary case-by-case determinations or result in “an entirely unreasonable burden on all human activity.” Prosser, supra.
Prosser’s answer to this dilemma — and perhaps also the response contemplated by the majority — is to confine a defendant’s liability to members of the injured person’s immediate family and to require either that a plaintiff be present at the time of the injury or that the shock be fairly contemporaneous with it. He admits, however, the arbitrariness of these restrictions, concedes that they lack rationality, and suggests them only as a necessary and tolerable line to be drawn lest the liability of a negligent defender be left “ * * open to undue extension by the verdict of sympathetic juries, who under our system must define and apply any general rule to the facts of the case before them.’ ” Prosser, su-pra at 335.
But to adopt a rule imposing liability where none existed before, knowing that it cannot be applied even-handedly and that it wifi therefore lead to admittedly arbitrary results, is an approach that may perhaps be appropriate in some kinds of judicial decision making but is undesirable in this context. It would, I think, frustrate a basic purpose and policy underlying scope of liability rules, namely, to achieve consistently just results by providing for even and predictable resolutions of private disputes in ways that substantially comport with general community understanding and expectations.
To achieve this objective, a scope of liability rule must be based on principles that are sufficiently generalizable so that they may be applied with reasonable certainty to comparable factual situations. And until such principles can be formulated I fear that arbitrary case-by-case determinations will result in more injustice over time than would the *667 uniform denial of recovery to those beyond the danger zone who do not reasonably fear for their own safety. For these reasons I agree with the great weight of authority 1 and answer the certified question in the negative.
Notes
See Prosser, Torts §54 at 330-34 (4th ed. 1971) for a breakdown of the rules presently in force throughout the country.
Tobin
v.
Grossman,
Compare
New York in
Tobin
v.
Grossman,
The following cases held there should be no recovery for psychic shock or resulting physical injury, largely on the ground that a normal individual would not have been affected under the circumstances:
Caputzal
v.
Lindsay Co.,
48 N. J. 69,
The problems in finding causation in fact should not be minimized. Given the intrinsic difficulty of determining what constitutes an unreasonable risk of mental or emotional harm, the problem of the plaintiff with a subnormal resistance to psychic trauma will continually be present. See Smith, Relation of Emotions to Injury and Disease: Legal Liability for Psychic Stimuli, 30 Va. L.Rev. 193 (1944). Furthermore, there is no escaping the problem of whether the injuries sued on should be attributed to the shock of witnessing the accident or to the fact of the victim’s death. If recovery is to be allowed at all for grief resulting from the fact of the death, the question arises whether it is reasonable to tie recovery for injuries caused by extreme grief to recovery for shock, just as it has been questioned whether a cause of action for psychological injury should be tied to the possibility of physical injury.
It may be noted in passing that these two factors, space and time, tend to limit recovery to cases involving sudden visual shock, while the relationship existing between the bystander-plaintiff and the victim is perhaps more relevant to the degree of grief resulting from the fact of the accident.
D’Ambra
v.
United States,
It is true that we have used the term “proximate cause” in cases since
Radigan
v.
W. J. Halloran Co.,
97 R. I. 122,
Such line drawing has already been performed under the test we adopt today.
Kelley
v.
Kokua Sales & Supply, Ltd.,
Hawaii,
Most of the cases can be found in Annot.,
