Bentley v. Shalala, 52 F.3d 784 (8th Cir. 1995). · Go Syfert
Bentley v. Shalala, 52 F.3d 784 (8th Cir. 1995). Cases Citing This Book View Copy Cite
G Cite
cited 2× by 2 distinct cases, last quoted 2002 · 2 courts · …while the opinions of treating physicians are entitled to special weight, they do not automatically control, since the record must be evaluated as a whole. at p. 785
G Cite: 1 distinguished/criticized. Strongest: John A. Jackson v. Metropolitan Life (Cited "but see")
217 citation events (165 in the last 25 years) across 16 distinct courts.
Strongest positive: Schake v. Berryhill (mnd, 2018-09-18) · Strongest negative: John A. Jackson v. Metropolitan Life Insurance Company (ca8, 2002-09-09)
Treatment trajectory · 1995 → 2026 · click a year to view as-of
1995 2010 2026
Top citers, strongest first. 50 distinct citers. How cited ↗
discussed Cited "but see" John A. Jackson v. Metropolitan Life Insurance Company
8th Cir. · 2002 · signal: but cf. · confidence high
But cf Bentley v. Shalala, 52 F.3d 784, 785-86 (8th Cir.1995) (“While the opinions of treating physicians are entitled to special weight, they do not automatically control, since the record must be evaluated as a whole.”).
discussed Cited "but see" John A. Jackson v. Metropolitan Life
8th Cir. · 2002 · signal: but cf. · quote attribution · 1 verbatim quote · confidence high
while the opinions of treating physicians are entitled to special weight, they do not automatically control, since the record must be evaluated as a whole.
discussed Cited as authority (verbatim quote) Schake v. Berryhill
D. Minnesota · 2018 · quote attribution · 1 verbatim quote · confidence high
the alj may reject the conclusions of any medical expert, whether hired by a claimant or by the government, if inconsistent with the medical record as a whole.
discussed Cited as authority (verbatim quote) Vonbusch v. Apfel (2×) also: Cited "see, e.g."
D. Neb. · 2001 · signal: cf. · quote attribution · 1 verbatim quote · confidence high
while the opinions of treating physicians are entitled to special weight, they do not automatically control, since the record must be evaluated as a whole.
discussed Cited as authority (verbatim quote) Phyllis Black v. John Callahan
8th Cir. · 1998 · signal: see · quote attribution · 1 verbatim quote · confidence high
where the medical evidence is equally balanced, as we find it is here, the alj resolves the conflict.
discussed Cited as authority (verbatim quote) John C. Spradling v. Shirley Chater (2×) also: Cited "see"
8th Cir. · 1997 · signal: see · quote attribution · 1 verbatim quote · confidence high
where the medical evidence is equally balanced, as we find it is here, the alj resolves the conflict.
cited Cited as authority (rule) Tyrell W. v. Frank Bisignano, Commissioner of Social Security
E.D. Mo. · 2026 · confidence medium
Finally, “[w]here the medical evidence is equally balanced ... the ALJ resolves the conflict.” Bentley v. Shalala, 52 F.3d 784, 787 (8th Cir. 1995).
cited Cited as authority (rule) Michelle B. v. Frank Bisignano, Commissioner of Social Security
E.D. Mo. · 2026 · confidence medium
Finally, “[w]here the medical evidence is equally balanced ... the ALJ resolves the conflict.” Bentley v. Shalala, 52 F.3d 784, 787 (8th Cir.1995).
discussed Cited as authority (rule) Margaret A. T. v. Frank Bisignano, Commissioner of Social Security
E.D. Mo. · 2025 · confidence medium
“The ALJ may reject the conclusions of any medical expert, whether hired by a claimant or by the government, if inconsistent with the medical record as a whole.” Bentley v. Shalala, 52 F.3d 784, 787 (8th Cir.1995).
discussed Cited as authority (rule) Kane v. Bisignano
D. Minnesota · 2025 · confidence medium
Br. at 18.) It is unsurprising that different physicians reach different conclusions after considering the same evidence; indeed, it is the ALJ’s duty to resolve such conflicts, see Clay v. Barnhart, 417 F.3d 922, 930 (8th Cir. 2005) (citing Bentley v. Shalala, 52 F.3d 784, 785 (8th Cir. 1995)).
discussed Cited as authority (rule) Kennedy v. Commissioner of Social Security
N.D. Miss. · 2025 · confidence medium
“Once such an impairment has been diagnosed, pain caused by the impairment may be found to be disabling even though the impairment ‘ordinarily does not cause severe, disabling pain.’ ” Id. at 84 . (quoting Marcus v. Califano, 615 F.2d 23, 28 (2d Cir.1979); Foote v. Chater, 67 F.3d 1553, 1561 (11th Cir.1995)); Johnson v. Barnhart, 449 F.3d 804, 806 (7th Cir. 2006); Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir.1995).
discussed Cited as authority (rule) Lyons v. King
D. Minnesota · 2025 · confidence medium
(R. 476.) “[T]his record of contemplating work indicates [the claimant] did not view [her] pain as disabling.” Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995) (citing Barrett v. Shalala, 38 F.3d 1019, 1024 (8th Cir. 1994)).
discussed Cited as authority (rule) Hopkins v. Social Security Administration
D.N.D. · 2024 · confidence medium
Additionally, “[s]eeking work and working at a job while applying for benefits, are activities inconsistent with complaints of disabling pain.” Dunahoo v. Apfel, 241 F.3d 1033, 1039 (8th Cir. 2001); see Piepgras, v. Chater, 76 F.3d 233, 236 (8th Cir. 1996); see also Lansford v. Barnhart, 76 Fed.Appx. 109, 110 (8th Cir. 2003) (holding the ALJ properly discredited the claimant’s subjective complaints in part due to his reported search for other work and receipt of unemployment benefits); Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995) (finding the ALJ properly discredited claimant’s…
discussed Cited as authority (rule) Fritz v. Kijakazi
D. Neb. · 2024 · confidence medium
Garza, 397 F.3d at 1089 (stating that an ALJ may discount the opinion of a treating physician if the opinion is inconsistent with the physician’s treatment records (citing Hogan v. Apfel, 239 F.3d 958, 961 (8th Cir. 2001))); Bentley v. Shalala, 52 F.3d 784, 787 (8th Cir. 1995) (discussing that an “ALJ may reject the conclusions of any medical expert, whether hired by a claimant or by the government, if [the conclusions are] inconsistent with the medical record as a whole”).
discussed Cited as authority (rule) Holdeman v. Saul
W.D. Mo. · 2021 · confidence medium
However, such an opinion “do[es] not automatically control, since the record must be evaluated as a whole.” Bentley v. Shalala, 52 F.3d 784, 785-86 (8th Cir. 1995) (citation omitted). 5 The ALJ gave Dr. Dorzab’s opinion “little weight” because: she only treated Holdeman a handful of times; her opinions were inconsistent with her treatment notes; and her opinions appear to be based on Holdeman’s subjective complaints.
discussed Cited as authority (rule) Pulido v. Saul
W.D. Mo. · 2021 · confidence medium
When determining a claimant’s RFC, “[a] treating physician’s opinion ‘do[es] not automatically control, since the record must be evaluated as a whole.’” Goff v. Barnhart, 421 F.3d 785, 790 (8th Cir. 2005) (quoting Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995)).
discussed Cited as authority (rule) Fowler v. Saul (2×) also: Cited "see"
W.D. Mo. · 2021 · confidence medium
However, “[a] treating physician’s opinion ‘do[es] not automatically control, since the record must be evaluated as a whole.’” Id. (quoting Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995)).
discussed Cited as authority (rule) Hurlbut v. Saul
D. Minnesota · 2021 · confidence medium
But a “treating physician’s opinion does not automatically control, since the record must be evaluated as a whole.” Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995) (internal quotations and alterations removed).
discussed Cited as authority (rule) Blankenship v. Saul
E.D. Mo. · 2021 · confidence medium
In assessing the medical evidence, a treating physician’s opinion “does not automatically control, since the record must be evaluated as a whole.” Bentley v. Shalala, 52 F.3d 784, 785-86 (8th Cir. 1995).
cited Cited as authority (rule) Young v. Saul
E.D. Mo. · 2021 · confidence medium
However, “[a] treating physician’s opinion does not automatically control, since the record must be evaluated as a whole.” Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995).
cited Cited as authority (rule) Warmbold v. Saul
D. Minnesota · 2021 · confidence medium
But a treating physician’s opinion does not “automatically control, since the record must be evaluated as a whole.” Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995).
cited Cited as authority (rule) Jusic v. Saul
E.D. Mo. · 2021 · confidence medium
However, “[a] treating physician’s opinion does not automatically control, since the record must be evaluated as a whole.” Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995).
discussed Cited as authority (rule) Atkins v. Saul
D. Minnesota · 2021 · confidence medium
See Dunahoo v. Apfel, 241 F.3d 1033, 1039 (8th Cir. 2001) (“Seeking work and working at a job while applying for benefits, are activities inconsistent with complaints of disabling pain.”) (citing Piepgras v. Chater, 76 F.3d 233, 236 (8th Cir. 1996); Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995)).
cited Cited as authority (rule) Allen v. Saul
D. Minnesota · 2021 · confidence medium
But a treating physician’s opinion does not “automatically control, since the record must be evaluated as a whole.” Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995).
discussed Cited as authority (rule) Keck v. Berryhill
D. Neb. · 2020 · confidence medium
“A treating physician's opinion do[es] not automatically control, since the record must be evaluated as a whole.” Id. (internal quotations omitted) (quoting Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir.1995)).
discussed Cited as authority (rule) Reza v. Saul
D.S.D. · 2020 · confidence medium
“A treating physician’s opinion ‘do[es] not automatically control, since the record must be evaluated as a whole.’ ” Reed, 399 F.3d at 920 (quoting Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995)).
discussed Cited as authority (rule) Jensen v. Berryhill
D.S.D. · 2020 · confidence medium
While entitled to special weight, “[a] treating physician’s opinion ‘do[es] not automatically control, since the record must be evaluated as a whole.’” Reed, 399 F.3d at 920 (quoting Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995)).
discussed Cited as authority (rule) Zeller v. Saul
D. Minnesota · 2020 · confidence medium
See Dunahoo v. Apfel, 241 F.3d 1033, 1039 (8th Cir. 2001) (“Seeking work and working at a job while applying for benefits, are activities inconsistent with complaints of disabling pain.”) (citing Piepgras v. Chater, 76 F.3d 233, 236 (8th Cir. 1996); Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995)).
discussed Cited as authority (rule) Ortman v. Berryhill
D.S.D. · 2019 · confidence medium
“A treating physician’s opinion ‘do[es] not automatically control, since the record must be evaluated as a whole.’ ” Reed, 399 F.3d at 920 (quoting Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995)).
cited Cited as authority (rule) Childress v. Social Security Administration
E.D. Ark. · 2019 · confidence medium
“It is the ALJ’s function to resolve conflicts among the various treating and examining physicians.” See Bentley v. Shalala, 52 F.3d 784, 785 (8th Cir. 1995) [internal quotation omitted].
cited Cited as authority (rule) Emmert v. Saul
D. Minnesota · 2019 · confidence medium
But a “treating physician’s opinion ‘do[es] not automatically control, since the record must be evaluated as a whole.’” Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995).
discussed Cited as authority (rule) Scabbyrobeparnett v. Saul
D. Minnesota · 2019 · confidence medium
The Court finds that the ALJ did not err in assigning partial weight to Dr. Mueller’s opinion. “[T]he ALJ may reject the conclusions of any medical expert, whether hired by a claimant or by the government, if inconsistent with the medical record as a whole.” Bentley v. Shalala, 52 F.3d 784, 787 (8th Cir. 1995) (citation omitted); cf. Holmstrom v. Massanari, 270 F.3d 714, 720 (8th Cir. 2001) (finding an ALJ may discount a treating physician’s opinion “if other medical assessments are supported by superior medical evidence, or if the treating physician has offered inconsistent opinions…
cited Cited as authority (rule) Doshie v. Saul
E.D. Mo. · 2019 · confidence medium
Iowa 2012) (citing Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995)).
discussed Cited as authority (rule) Scabbyrobeparnett v. Saul
D. Minnesota · 2019 · confidence medium
The Court finds that the ALJ did not err in assigning partial weight to Dr. Mueller’s opinion. “[T]he ALJ may reject the conclusions of any medical expert, whether hired by a claimant or by the government, if inconsistent with the medical record as a whole.” Bentley v. Shalala, 52 F.3d 784, 787 (8th Cir. 1995) (citation omitted); cf. Holmstrom v. Massanari, 270 F.3d 714, 720 (8th Cir. 2001) (finding an ALJ may discount a treating physician’s opinion “if other medical assessments are supported by superior medical evidence, or if the treating physician has offered inconsistent opinions…
discussed Cited as authority (rule) Bormes v. Berryhill (2×)
D.S.D. · 2017 · confidence medium
In Bentley v. Shalala, 52 F3d 784, 785-786 (8th Cir. 1995), the ALJ=s discrediting of the claimant=s subjective complaints of pain was affirmed on appeal where the claimant had not sought medical treatment for his pain for a long period of time and was not taking any prescription medication for pain.
cited Cited as authority (rule) Frederick v. Berryhill
E.D. Mo. · 2017 · confidence medium
The record, though, should be “evaluated as a whole.” Id. at 1013 (quoting Bentley v. Shalala, 52 F.3d 784, 785-86 (8th Cir. 1995)).
discussed Cited as authority (rule) Lacey Reece v. Carolyn Colvin
8th Cir. · 2016 · confidence medium
Although a treating physician’s opinion is usually entitled to great weight, it “do[es] not automatically control, since the record must be evaluated as a whole.” Prosch v. Apfel, 201 F.3d 1010, 1013 (8th Cir. 2000) (quoting Bentley v. Shalala, 52 F.3d 784, 785-86 (8th Cir. 1995)).
discussed Cited as authority (rule) Cowles v. Colvin
N.D. Iowa · 2015 · confidence medium
See Finch, 547 F:3d at 936 (“The ALJ is charged with the responsibility of resolving conflicts among medical opinions.”); Estes v. Barnhart, 275 F.3d 722, 725 (8th Cir.2002) (“It is the ALJ’s function to resolve conflicts among- ‘the various treating and examining physicians.’ ”) (citing Bentley v. Shalala, 52 F.3d 784, 785-87 (8th Cir.1995)).
discussed Cited as authority (rule) Berry v. Colvin
N.D. Iowa · 2015 · confidence medium
“The ALJ may reject the conclusions of any medical expert, whether hired by a claimant or by the government, if inconsistent with the medical record as a whole.” Bentley v. Shalala, 52 F.3d 784, 787 (8th Cir.1995).
cited Cited as authority (rule) Gregory Smith v. Carolyn W. Colvin
8th Cir. · 2014 · confidence medium
Bentley v. Shalala, 52 F.3d 784, 785-86 (8th Cir.1995).
discussed Cited as authority (rule) Spillers v. Colvin
S.D. Iowa · 2014 · confidence medium
See also, Prosch v. Apfel, 201 F.3d 1010, 1013 (8th Cir.2000) in which the Court wrote: Consistent with the regulations, we have stated that a treating physician’s opinion is “normally entitled to great weight,” Rankin v. Apfel, 195 F.3d 427, 430 (8th Cir.1999), but we have also cautioned that such an opinion “do[es] not automatically control, since the record must be evaluated as a whole.” Bentley v. Shalala, 52 F.3d 784, 785-86 (8th Cir.1995).
cited Cited as authority (rule) Jana Turpin v. Carolyn W. Colvin
8th Cir. · 2014 · confidence medium
Bentley v. Shalala, 52 F.3d 784, 785-86 (8th Cir.1995).
cited Cited as authority (rule) Morrison v. Astrue
N.D. Iowa · 2012 · confidence medium
Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir.1995).
discussed Cited as authority (rule) Nicolls v. Astrue
N.D. Iowa · 2012 · confidence medium
“The ALJ may reject the conclusions of any medical expert, whether hired by a claimant or by the government, if inconsistent with the medical record as a whole.” Bentley v. Shalala, 52 F.3d 784, 787 (8th Cir.1995).
discussed Cited as authority (rule) Randall v. Astrue
E.D. Mo. · 2012 · confidence medium
In analyzing medical evidence, “[i]t is the ALJ’s function to resolve conflicts among ‘the various treating and examining physicians.’ ” Johnson v. Apfel, 240 F.3d 1145, 1148 (8th Cir.2001) (quoting Bentley v. Shalala, 52 F.3d 784, 787 (8th Cir.1995)).
discussed Cited as authority (rule) Lynch v. Astrue
E.D. Mo. · 2012 · confidence medium
In analyzing medical evidence, “[i]t is the ALJ’s function to resolve conflicts among ‘the various treating and examining physicians.’ ” Johnson v. Apfel, 240 F.3d 1145, 1148 (8th Cir.2001) (quoting Bentley v. Shalala, 52 F.3d 784, 787 (8th Cir.1995)).
discussed Cited as authority (rule) Lonald Heeman v. Michael Astrue
7th Cir. · 2011 · confidence medium
Indeed, in certain situations, pain alone can be disabling, even when its existence is unsupported by objective evidence.” Id., quoting from Foote v. Chater, 67 F.3d 1553, 1561 (11th Cir. 1995); see also Johnson v. Barnhart, 449 F.3d 804, 806 (7th Cir. 2006); Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir. 1995).
discussed Cited as authority (rule) Heeman v. Astrue
7th Cir. · 2011 · confidence medium
Indeed, in certain situations, pain alone can be disabling, even when its existence is unsupported by objective evidence.” Id., quoting from Foote v. Chater, 67 F.3d 1553, 1561 (11th Cir.1995); see also Johnson v. Barnhart, 449 F.3d 804, 806 (7th Cir.2006); Bentley v. Shalala, 52 F.3d 784, 786 (8th Cir.1995).
discussed Cited as authority (rule) Gustin v. Astrue
N.D. Iowa · 2011 · confidence medium
Consistent with the regulations, we have stated that a treating physician’s opinion is “normally entitled to great weight,” Rankin v. Apfel, 195 F.3d 427, 430 (8th Cir.1999), but we have also cautioned that such an opinion “do[es] not automatically control, since the record must be evaluated as a whole.” Bentley v. Shalala, 52 F.3d 784, 785-86 (8th Cir.1995).
discussed Cited as authority (rule) Woods v. Astrue
E.D. Mo. · 2011 · confidence medium
While a treating physician's opinion is usually entitled to great weight, the Eighth Circuit has cautioned that it "does not automatically control, since the record must be evaluated as a whole." Bentley v. Shalala, 52 F.3d 784, 785-86 (8th Cir. 1995).
Retrieving the full opinion text from the archive…
47 soc.sec.rep.ser. 518, unempl.ins.rep. (Cch) P 14601b Michael Bentley
v.
Donna E. Shalala, Secretary of Health and Human Services of the United States
94-2553.
Court of Appeals for the Eighth Circuit.
May 30, 1995.
52 F.3d 784
Published

52 F.3d 784

47 Soc.Sec.Rep.Ser. 518, Unempl.Ins.Rep. (CCH) P 14601B
Michael BENTLEY, Appellant,
v.
Donna E. SHALALA, Secretary of Health and Human Services of
the United States, Appellee.

No. 94-2553.

United States Court of Appeals,
Eighth Circuit.

Submitted Dec. 16, 1994.
Decided April 24, 1995.
Rehearing and Suggestion for Rehearing En Banc Denied May 30, 1995.

John A. Bowman, Davenport, IA, argued (Michael DePree, on the brief), for appellant.

Gary L. Hayward, Asst. U.S. Atty., Des Moines, IA, argued, for appellee.

Before McMILLIAN, Circuit Judge, JOHN R. GIBSON, Senior Circuit Judge, and WOLLMAN, Circuit Judge.

WOLLMAN, Circuit Judge.

[*~784]1

In this Social Security disability case, Michael Bentley alleges he has been disabled since August 22, 1988, due to a back injury sustained on the job in April, 1988. Bentley filed for disability and supplemental security benefits on March 27, 1990, after his company disability payments ended and he was discharged. The Administrative Law Judge (ALJ) denied benefits, the Appeals Council denied review, and the district court[1] affirmed. We likewise affirm.

2

* The Secretary concedes that Bentley cannot return to his past work, which required substantial physical exertion. Therefore, the burden is on the Secretary to show that there are other jobs Bentley can do. E.g., Hajek v. Shalala, 30 F.3d 89, 93 (8th Cir.1994). As to Bentley's physical limitations, the ALJ found that Bentley could lift 35 pounds once or 10 pounds repeatedly; that Bentley should not sit, stand or walk for more than 30 minutes at a stretch; and that Bentley could not do repeated bending or stooping. In assessing Bentley's mental limitations, the ALJ held that Bentley would not be able to do complex work or work requiring close attention to detail, but was otherwise fit for work. Taking these limitations into account, the ALJ decided that there were numerous jobs Bentley could perform.

3

Bentley contends that the ALJ erred in determining his physical and mental limitations. Bentley makes essentially two arguments. First, he argues that he does not retain the physical capacity to do any work; next, Bentley argues that even if he could physically handle work, his depression, anger, and inability to take instructions or get along with coworkers render him disabled.

4

Bentley's argument on physical capacity centers on his claim that he cannot bend or stoop. There is some evidence for this in the record. On January 12, 1989, Dr. Scott C. McCuskey, an orthopedic specialist who has treated Bentley, wrote that Bentley could do "no heavy lifting, bending or stooping activities." On August 15, 1989, Bentley's treating physician, Dr. Paulette Lynn, stated that he should "avoid bending, stooping." More than two years later, Dr. Lynn wrote that Bentley "should not have a job where he is required to stoop, bend, or squat."

5

However, there also exists substantial medical evidence showing that Bentley could handle some stooping and bending. For instance, the same Dr. McCuskey on August 22, 1988 (Bentley's claimed date of disability onset) reported that Bentley's "lateral bending is good," and described his forward flexion as "a little bit tight." Dr. McCuskey made a similar notation on September 16, 1988, that Bentley "has fairly good lateral bending and he is able to forward flex well." On June 8, 1992, examining physician Dr. D.K. Mokhtar noted that Bentley "has no difficulty with occasional stooping, climbing, kneeling and crawling." Dr. Mokhtar's examination showed that Bentley could bend forward 55 degrees (with normal being 90 degrees). (Unfortunately, two residual functional capacity assessments, one on June 29, 1990, and the second on October 22, 1990, did not establish Bentley's ability to bend or stoop.)

6

In sum, we have one treating physician, Dr. Lynn, who has at least once stated that Bentley could neither bend nor stoop. Another treating physician, Dr. McCuskey, has made conflicting statements on Bentley's ability to bend and stoop. Examining physician Dr. Mokhtar reported some bending ability and concluded that Bentley could stoop occasionally.

[*785]7

It is the ALJ's function to resolve conflicts among "the various treating and examining physicians." Cabrnoch v. Bowen, 881 F.2d 561, 564 (8th Cir.1989); see Richardson v. Perales, 402 U.S. 389, 402-03, 91 S.Ct. 1420, 1427-28, 28 L.Ed.2d 842 (1971). While the opinions of treating physicians are entitled to special weight, they do not automatically control, since the record must be evaluated as a whole. Campbell v. Bowen, 800 F.2d 1247, 1250 (4th Cir.1986). Here, of course, the treating physician evidence is itself inconsistent.

8

We conclude that substantial evidence exists in the record supporting the ALJ's decision to reject Bentley's argument that he could not bend or stoop and is precluded from work by purely physical limitations. The most comprehensive examination of Bentley's back problems was made in May 1990, by a multi-disciplinary team at the University of Iowa's Spine Diagnostic and Treatment Center. The Center's final analysis was "that there is indeed some degenerative joint disease present, as well as a small central disc protrusion at the L5-S1 disc space. However, we are convinced at this time that [Bentley's] situation is absolutely stable ... and that [Bentley's] spine is totally solid, stable and healed from all previous injury." This is persuasive evidence that Bentley's physical limitations are based more or less exclusively on pain.

9

Pain alone can cause physical disability, Johnson v. Secretary of HHS, 872 F.2d 810, 812 (8th Cir.1989), but pain is largely subjective; thus, in evaluating pain, ALJs must rely on circumstantial evidence. See Polaski v. Heckler, 751 F.2d 943, 948-50 (8th Cir.1984) (subsequent history omitted). In concluding that Bentley's pain is not disabling, the ALJ here examined a host of such factors; we focus on the two that most clearly show the ALJ's decision to be based on substantial evidence.

10

First, the ALJ relied on the fact that the plaintiff at the time of the hearing was not taking prescription pain medicine and was not treated by doctors for a year during his claimed disability period. The absence of prescription medicine and the failure to seek medical treatment for such a long time during a claimed period of disability tends to indicate tolerable pain. See Walker v. Shalala, 993 F.2d 630, 631-32 (8th Cir.1993); Bowman v. Railroad Retirement Board, 952 F.2d 207, 210-11 (8th Cir.1991).

[*~786]11

Second, the record shows that Bentley not only tried to return to lighter work with his former company, but also applied for jobs both related and unrelated to his previous work during his claimed disability period. Again, this record of contemplating work indicates Bentley did not view his pain as disabling. See Barrett v. Shalala, 38 F.3d 1019, 1024 (8th Cir.1994) (claimant's statements that he was seeking work inconsistent with disability). (Bentley's case must of course be distinguished from situations where the medical evidence uniformly supports a finding of disability; in such cases an unsuccessful work search may even reinforce a disability claim. Walston v. Gardner, 381 F.2d 580, 586-87 (6th Cir.1967).)

12

These two factors, together with the inconsistent medical reports discussed above, show the ALJ's decision that Bentley was physically capable of some work is supported by the requisite substantial evidence. 42 U.S.C. Sec. 405(g).

II

13

Bentley maintains that even if he does retain the physical capacity to work despite his back injury, he is disabled for mental reasons. Bentley relies for this proposition almost exclusively on the report of Dr. Grey M. Woodman, a psychiatrist selected by the ALJ to assess Bentley's mental fitness for work. Dr. Woodman assesses Bentley as "very, very angry and also depressed and at times suicidal...." Dr. Woodman notes deterioration in Bentley's ability to remember, understand and concentrate. Dr. Woodman questions Bentley's ability to get along with coworkers and supervisors, concluding that "with his physical pain, with his paranoid and angry stance, there is no way he can be employable at this stage."

[*787]14

At the hearing before the ALJ, Bentley cross-examined the vocational expert, using Dr. Woodman's report. When asked to assume the truth of a number of Dr. Woodman's findings, the expert stated that Bentley would not be able to work. Bentley argues that this ends the case, stating at oral argument that because the government hired Dr. Woodman, the government must "live with" any conclusions by Dr. Woodman adverse to government interests. This is wrong. Medical experts retained by the government should not act as advocates, but rather as sources of objective information. See Perales, 402 U.S. at 402-03, 91 S.Ct. at 1427-28. Dr. Woodman's report is evidence that this system can produce unbiased reports. Regardless of this, the ALJ may reject the conclusions of any medical expert, whether hired by a claimant or by the government, if inconsistent with the medical record as a whole. See Bland v. Bowen, 861 F.2d 533, 535 (8th Cir.1988) (refusing to revisit ALJ's resolution of conflicting psychological evaluations); Fulton v. Heckler, 760 F.2d 1052, 1056 (10th Cir.1985) (refusing to credit psychiatric evaluation which did not comport with claimant's medical history); Perales, 402 U.S. at 399, 91 S.Ct. at 1426.

15

Bentley's attack also gives short shrift to another important point: Dr. Woodman was not the only medical expert retained by the government to evaluate Bentley's mental fitness for work. Clinical psychologist Dr. Julian M. Burn, who examined Bentley only weeks before Dr. Woodman, filed a report coming to the conclusion that Bentley was mentally quite capable of work. Dr. Burn, like Dr. Woodman, noted Bentley's anger and depression. However, Dr. Burn wrote that Bentley had the memory and concentration needed for work, and further concluded that Bentley would be able to get along well with supervisors and coworkers.

[*787]16

Aside from the reports of Drs. Woodman and Burn, the record is virtually bare of evidence shedding light on Bentley's mental capacity for work. We are thus faced with a case in which two highly qualified mental health professionals with an equal opportunity to examine the claimant came to opposed conclusions as to his ability to work. Where the medical evidence is equally balanced, as we find it is here, the ALJ resolves the conflict. Bland, 861 F.2d at 535; cf. Fulton, 760 F.2d 1052 (accepting the mental evaluation which best comported with the medical record).

[*~786]17

The district court's order is affirmed.

18

JOHN R. GIBSON, Senior Circuit Judge, dissenting.

19

I respectfully dissent. It is my belief that the ALJ in accepting the opinion of the clinical psychologist and rejecting that of the psychiatrist erred so as to deprive his findings of substantial support from the record as a whole. In the medical hierarchy, a psychiatrist has substantially greater training and has the primary responsibility for diagnosing and treating mental and emotional illnesses. Depression is one such serious illness for which a psychiatrist would have qualifications to prescribe medications or other needed treatments. A psychologist can report, observe and counsel, but may not prescribe medications. In the usual functioning in the medical world, a psychologist's report will be directed to a psychiatrist to aid in the psychiatrist's evaluation. This court errs in concluding that the ALJ's findings were supported by substantial evidence with respect to Bentley's depression.

1

The Honorable Ronald E. Longstaff, United States District Judge for the Southern District of Iowa