Opinion ID: 464965
Heading Depth: 2
Heading Rank: 1

Heading: Gross anatomical deformity ...; or

Text: B. Ankylosis [stiffening] of the hip outside of the position of function (i.e., at less than 20? or more than 30? of flexion measured from the neutral position) and x-ray evidence of either joint space narrowing with osteophytosis or bony destruction (with erosions or cysts); .... Section 1.04 provides: 1 04. Arthritis of one major joint in each of the upper extremities (due to any cause) with limitation of motion and enlargement or effusion in the affected joints as well as a history of joint pain and stiffness and x-ray evidence of either joint space narrowing with osteophytosis or bony destruction (with erosions or cysts). With: A. Abduction of both arms at the shoulders, including scapular motion, restricted to less than 90 degrees; or B. Gross anatomical deformity such as subluxation, contracture, bony or fibrous ankylosis, joint instability, or ulnar deviation. 9 Mental disorders are classified into four categories: chronic brain disorders, functional psychotic disorders, functional nonpsychotic disorders, and mental retardation. The category that is relevant to the present case is functional nonpsychotic disorders, described in section 12.04 as follows: 12 04. Functional nonpsychotic disorders (psychophysiologic, neurotic, and personality disorders; addictive dependence on alcohol or drugs). With both A and B: A. Manifested persistence of one or more of the following clinical signs: 1 Demonstrable and persistent structural changes mediated through psychophysiological channels (e.g. duodenal ulcer); or 2 Recurrent and persistent periods of anxiety, with tension, apprehension, and interference with concentration and memory; or 3 Persistent depressive affect with insomnia, loss of weight, and suicidal preoccupation; or 4 Persistent phobic or obsessive ruminations with inappropriate, bizarre, or disruptive behavior; or 5 Persistent compulsive, ritualistic behavior; or 6 Persistent functional disturbance of vision, speech, hearing, or use of a limb with demonstrable structural or trophic changes; or 7 Persistent, deeply ingrained, maladaptive patterns of behavior manifested by either:

B. Resulting persistence of marked restriction of daily activities and constriction of interests and deterioration in personal habits and seriously impaired ability to relate to other people. 10 50 Fed.Reg. 35,038, 35,068 (1985). The revision was undertaken in response to Section 5 of the Social Security Disability Benefits Reform Act of 1984, Pub.L. No. 98-460, 98 Stat. 1794, which required the Secretary to design new criteria for all impairments listed under the category Mental Disorders in Appendix 1. Congress directed that the new criteria were to provide a more realistic evaluation of the ability of a mentally impaired individual to engage in gainful activity in a competitive workplace. Id. at Sec. 5(a) 11 Section 5(c)(1) of the Social Security Disability Benefits Act of 1984, supra note 10, provides that any determination that an applicant is not mentally disabled rendered under the old regulations in a reconsideration of or hearing on an initial disability termination held after the date of enactment of the Act and prior to the effective date of the new regulations, shall be redetermined by the Secretary under the new criteria. Cook's claim does not come under the terms of that provision. The regulations became effective on August 28, 1985, and the date of enactment of the Act was October 9, 1984. The hearing and reconsideration of Cook's initial determination occurred in March, 1984 12 It is not clear how the ALJ concluded that an examination of one hip and one shoulder could reveal limitation of motion in the elbows, wrists, knees, neck, and back