were true, but only that they were made. (I refer to this as the
“hearsay caution”.) She also directed that the jury be provided
with copies of Dr. Smith’s reports, which were marked together as
a trial exhibit.
 It is unnecessary for the purpose of this appeal to set out
in detail the substantive evidence provided by Dr. Smith. It is sufficient to highlight three “opinions” that were elicited from him.
Each was taken from the reports that were also filed in evidence.
 First, at the invitation of Mr. Imeson’s counsel, Dr. Smith
read out a passage in which he described the problems typical of
survivors of childhood sexual abuse.
 Second, Dr. Smith read out this excerpt from one of his
Mr. Imeson’s experience of childhood abandonment and abuse have had
a strong negative impact on: (a) his ability to regulate emotional responses
that occur when he encounters situations that, in some way, recall aspects of
abandonment or abuse, and (b) his ability to establish emotionally satisfying
relationships with others.
 Dr. Smith was asked to provide examples of the negative
impacts on Mr. Imeson’s ability to regulate his emotions and to
establish relationships with others that flowed from his abandonment and abuse. Dr. Smith referred to Mr. Imeson’s suicide
attempt in response to the closing of the institution’s rehabilitation unit. He mentioned Mr. Imeson’s difficult relationship with
his mother, his interactions with Tony “Doe”, the development of
his relationship with Father Horwath and his relationship with
his foster parents. He recounted that Mr. Imeson used violence in
the group home to gain respect, and then became involved in
a culture of drug abuse and impersonal promiscuous sex that,
compared to what he had experienced in his past, bolstered his
 Third, Dr. Smith was invited to read out the following
It is entirely possible that in his index offence Mr. Imeson awoke from a drug
and alcohol fueled blackout to discover his victim performing fellatio on him
and he re-experienced the sense of betrayal and rage that he felt toward his
earlier abuser, and then acted with disinhibited, lethal violence.
 When asked to explain this in lay terms, Dr. Smith said
that Mr. Imeson, after having been sexually abused, had a “sense
of rage at his abuser and also onto himself”. When he awoke and
found it was happening again, it reawakened his sense of rage
about having his boundaries betrayed and led to a release of
aggression. There was a loss of conscious control over his behaviour and dissociation. Dr. Smith described how children who have