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Money or mental health: the cost of alleviating psychological distress with monetary compensation versus psychological therapy

  • Christopher J. Boyce (a1) and Alex M. Wood (a2)

Money is the default way in which intangible losses, such as pain and suffering, are currently valued and compensated in law courts. Economists have suggested that subjective well-being regressions can be used to guide compensation payouts for psychological distress following traumatic life events. We bring together studies from law, economic, psychology and medical journals to show that alleviating psychological distress through psychological therapy could be at least 32 times more cost effective than financial compensation. This result is not only important for law courts but has important implications for public health. Mental health is deteriorating across the world – improvements to mental health care might be a more efficient way to increase the health and happiness of our nations than pure income growth.

Corresponding author
*Correspondence to: Christopher J. Boyce, Department of Psychology, University of Warwick, Coventry CV4 7AL, UK. Email:
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Blanchflower, D. G.Oswald, A. J. (2004), ‘Well-being over time in Britain and the USA’, Journal of Public Economics, 88(7–8): 13591386.
Bower, P., Byford, S., Sibbald, B., Ward, E., King, M., Lloyd, R.Gabbay, M. (2000), ‘Randomized controlled trial of non-directive counselling, cognitive-behaviour therapy, and usual general practitioner care for patients with depression. II: Cost effectiveness’, British Medical Journal, 321(7273): 13891392.
Brickman, P., Coates, D.Janoffbulman, R. (1978), ‘Lottery winners and accident victims – is happiness relative?’, Journal of Personality and Social Psychology, 36(8): 917927.
Clark, A. E., Diener, E., Georgellis, Y.Lucas, R. E. (2008), ‘Lags and leads in life satisfaction: a test of the baseline hypothesis’, Economic Journal, 118(529): F222F243.
Clark, A. E.Oswald, A. J. (2002), ‘A simple statistical method for measuring how life events affect happiness’, International Journal of Epidemiology, 31(6): 11391144.
Darity, W.Goldsmith, A. H. (1996), ‘Social psychology, unemployment and macroeconomics’, Journal of Economic Perspectives, 10(1): 121140.
Easterlin, R. A. (1995), ‘Will raising the incomes of all increases the happiness of all?’, Journal of Economic Behavior & Organization, 27(1): 3547.
Ferrer-i-Carbonell, A.van Praag, B. M. S. (2002), ‘The subjective costs of health losses due to chronic diseases. An alternative model for monetary appraisal’, Health Economics,, 11(8): 709722.
Gardner, J.Oswald, A. J. (2007), ‘Money and mental wellbeing: a longitudinal study of medium-sized lottery wins’, Journal of Health Economics, 26(1): 4960.
Layard, R. (2006), ‘Health policy – the case for psychological treatment centres’, British Medical Journal, 332(7548): 10301032.
Lucas, R. E.Dyrenforth, P. S. (2006), ‘Does the existence of social relationships matter for subjective well-being?’, in E. J. Finkel, and K. D. Vohs eds, Self and Relationships: Connecting Intrapersonal and Interpersonal Processes, New York, NY, USA: Guildford Press.
Lunney, M.Oliphant, K. (2008), Tort Law: Text and Materials, New York, USA: Oxford University Press.
Mackay, J., Bruffell, M., Cherry, J., Hughes, A.Tillett, M. (2006), Guidelines for the Assessment of General Damages in Personal Injury Cases, New York, USA: Oxford University Press.
Michaud, C. M., Murray, C. J. L.Bloom, B. R. (2001), ‘Burden of disease: Implications for future research’, JAMA-Journal of the American Medical Association, 285(5): 535539.
Moore, S.Shepherd, J. P. (2006), ‘The cost of fear: shadow pricing the intangible costs of crime’, Applied Economics, 38(3): 293300.
Oswald, A. J.Powdthavee, N. (2008a), ‘Death, happiness, and the calculation of compensatory damages’, Journal of Legal Studies, 37: S217S251.
Oswald, A. J.Powdthavee, N. (2008b), ‘Does happiness adapt? A longitudinal study of disability with implications for economists and judges’, Journal of Public Economics, 92(5–6): 10611077.
Powdthavee, N. (2008), ‘Putting a price tag on friends, relatives, and neighbours: using surveys of life satisfaction to value social relationships’, Journal of Socio-Economics, 37: 14591480.
Van Praag, B. M. S.Baarsma, B. E. (2005), ‘Using happiness surveys to value intangibles: the case of airport noise’, Economic Journal, 115(500): 224246.
Ward, E., King, M., Lloyd, M., Bower, P., Sibbald, B., Farrelly, S., Gabbay, M., Tarrier, N.Addington-Hall, J. (2000), ‘Randomized controlled trial of non-directive counselling, cognitive-behaviour therapy, and usual general practitioner care for patients with depression. I: Clinical effectiveness’, British Medical Journal, 321(7273): 13831388.
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Health Economics, Policy and Law
  • ISSN: 1744-1331
  • EISSN: 1744-134X
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