Competence to Stand Trial
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* Mark A. Koenen
* Paul B. Herbert

### A Defendant's History of Violence and Psychiatric Pathology Do Not *Per Se* Necessitate a Competence Evaluation

In *People v. Ramos*, 101 P.3d 478 (Cal. 2004), the California Supreme Court considered an appeal contending that the trial court in a capital case had erred in not ordering a competence hearing at three junctures: (1) before accepting a guilty plea, (2) before the penalty trial, and (3) before sentencing. Ramos claimed that his history of bizarre and violent behavior, hoarding of medications for a putative suicide attempt, instructions to his attorney that he wished to plead guilty and seek the death penalty, as well as a history of psychiatric treatment, required the trial court to stop the proceedings and order an evaluation of competence. The California Supreme Court disagreed, unanimously upholding the conviction and death sentence.

#### Facts of the Case

William James Ramos had a long history of violent behavior. In October 1976, he damaged property at the home of his former girlfriend, Patricia Mowery, shortly after she had ended their relationship. Arrested for destruction of property and released the same day, he approached Mowery at work and shot her in the chest. She survived. While awaiting trial on the attempted murder charge, Ramos asked his brother to kill her. He also threw urine at a deputy sheriff, was seen pounding his head against the wall of his cell, and reportedly threatened to kill a corrections officer. Following his conviction, Ramos repeatedly threatened and assaulted prison staff during his incarceration.

The present case concerned three murders committed in March 1991. Witnesses reported hearing shouting and gunfire coming from the home of Tonya Karr, the daughter of Ramos' ex-wife. He was seen leaving the scene shortly afterward. When police arrived, they found Karr dead with two bullet wounds in her head. About an hour later, the sister of Ramos' ex-wife was found shot to death. The victim's daughter located the body after hearing an answering machine message in which Ramos stated where the body could be found. The following day, police found the body of Ramos' girlfriend, Janice Butler, in the back of his truck. A search of his home revealed evidence that she had been murdered there two days earlier.

While awaiting trial for these crimes, Ramos assaulted Sheriff's Deputy Sean Dexter as he escorted a jail nurse. He later threatened to kill the deputy. It was also reported that Ramos had hoarded medications in his cell, possibly contemplating a suicide attempt.

Prior to trial, Ramos informed his attorney that he intended to enter a guilty plea and request the death penalty and that he would request new counsel if his attorney did not comply. Defense counsel so informed the court and requested a competence hearing based on Ramos' “prior criminal activity,” his assaultive behavior while incarcerated on the pending charges, and his hoarding of medications. The court denied the request and allowed Ramos to plead guilty, observing: “I have had a chance to consider …the demeanor of the defendant…I have no reason whatsoever to question his competency to enter [a guilty plea]” (101 P.3d at 489).

On appeal, Ramos contended that the trial court had failed to fully consider his “death wish” in denying his attorney's request for a competence hearing. Ramos argued that “a capital defendant whose stated goal is lethal injection will never be in a position to assist his trial counsel in presenting a defense” (101 P.3d at 490). He further contended that the trial judge erred in relying on his “demeanor” in court and instead should have ordered a psychiatric evaluation. Ramos also argued that it was an error not to halt the penalty trial for a competence hearing and not to hold such a hearing prior to pronouncing sentence. In support, he pointed to lay testimony at the penalty trial to the effect that as a child he had been abused by his mother and to defense psychiatric testimony as to a diagnosis of Paranoid Personality Disorder. Ramos contended that his paranoid personality disorder precluded him from admitting that his actions in killing three people were in any way wrong, a premise, as a practical matter, for any mental state defense or mitigation argument. This, then, should have “alerted” the trial court that Ramos could not work effectively with his attorney.

#### Ruling and Reasoning

The California Supreme Court rejected all of Ramos' incompetence arguments. As to his expressed preference for the death penalty, the court had previously held in *People v. Guzman*, 775 P.2d 917 (Cal. 1988), that a desire to die does not, in itself, constitute substantial evidence of incompetence nor obligate the trial court to order an independent psychiatric evaluation.

The court also felt that Ramos' propensity for violence, history of psychiatric treatment, and “hoarding of medication for an alleged suicide attempt” did not address, let alone raise doubt about, his capacity to assist in his own defense. The court noted that presentation of “merely a litany of facts, none of which [is] actually related to…competence at the time of [the] proceeding…” does not suffice to trigger a competence hearing (101 P.3d at 489, interior quotation marks omitted).

The court gave short shrift to Ramos' objection to the trial court's mention of his demeanor in denying a competence hearing. When “substantial evidence” arises suggesting incompetence, a psychiatric evaluation and a hearing are mandatory. However, when, as in this case, there is no such substantial evidence, a competence hearing is discretionary and considering a defendant's in-court demeanor is not an abuse of that discretion.

Finally, the court dismissed the argument that testimony as to Ramos' paranoid personality disorder met California's case law standard of a “changed circumstance” or “new evidence casting a serious doubt” on Ramos' competence. After all, the same psychiatrist explicitly conceded that Ramos' personality disorder “did not render him mentally incompetent to understand the proceedings or assist the defense in any way” (101 P.3d at 491).

Other arguments raised by Ramos regarding alleged errors in the admission of evidence, jury selection, alleged juror misconduct, and, rather wishfully, the illegality of the death penalty under “international law” were brushed aside.

#### Discussion

In *Dusky v. United States*, 362 U.S. 402 (1960), the United States Supreme Court defined competence to stand trial: a defendant must have “sufficient present ability to consult with his lawyer with a reasonable degree of rational understanding…and…a rational as well as factual understanding of the proceedings against him.” The Court later ruled in *Godinez v. Moran*, 509 U.S. 389 (1993), that *Dusky* applies also to a defendant's competence to plead guilty. While the burden of proving incompetence generally rests on the defense, the case of *Cooper v. Oklahoma*, 517 U.S. 348 (1996), bars any such burden higher than preponderance of the evidence. California has by case law adopted the *Dusky* test, *People v. Welch*, 976 P.2d 754 (Cal. 1999), and has statutorily enacted the *Cooper* standard (Cal. Pen. Code section 1369(f)).

Neither Ramos' record of violence nor his putative suicidality implicated the *Dusky* standard. The defense never introduced evidence to suggest psychosis or impaired cognitive abilities. Ramos was within his rights to plead guilty, even if actuated by a desire to be executed. Still, given that California has sentenced more than 750 individuals to death since 1977 but has executed only 12 (see [www.deathpenaltyinfo.org](http://www.deathpenaltyinfo.org) and [www.corr.ca.gov](http://www.corr.ca.gov)), it is far from certain that Ramos' expressed desire will be fulfilled.

*   American Academy of Psychiatry and the Law